code_type,code,description,gross_charge,discounted_cash,min_negotiated,max_negotiated,payer_entries ,,Bilateral Procedure,,,,,0 ,,Computed Tomography,,,,,0 ,,Item or service expected to be denied as not reasonable and necessary,,,,,0 ,,"Item or service statutorily excluded, does not meet the definition of any Medicare benefit",,,,,0 ,,"Non-excepted service provided at an off-campus, outpatient, provider-based department of a hospital",,,,,0 ,,Off-campus provider-based department,,,,,0 ,,Payment Reduction for X-Rays Taken Using Computed Radiography,,,,,0 ,,Therapy Modifiers for a PTA or an OTA,,,,,0 ,,"Waiver of Liability Statement Issued, as Required by Payer Policy",,,,,0 ,,X-Rays Taken with film,,,,,0 APC,1064,HC RN I-131SOD.IODINE CAP PER MCI,138.0,138.0,18.63,72.41,29 APC,1139,PROTEIN C CONCENTRATE (HUMAN) 500 UNITS IV SOLR,2700.0,2700.0,15.01,364.5,29 APC,1150,HC THER RAD I-131 SOL PER MCI,138.0,138.0,18.63,62.48,29 APC,1168,TEMSIROLIMUS 25 MG/ML IV SOLN,6052.0,6052.0,20.32,1567.35,116 APC,1178,BUSULFAN 6 MG/ML IV SOLN,1611.5,1611.5,0.89,1006.16,232 APC,1207,OCTREOTIDE ACETATE 10 MG IM KIT,12685.0,12685.0,199.17,1712.48,58 APC,1207,OCTREOTIDE ACETATE 20 MG IM KIT,16619.0,16619.0,199.17,2243.57,58 APC,1207,OCTREOTIDE ACETATE 30 MG IM KIT,24886.0,24886.0,199.17,3359.61,58 APC,1213,ANTIHEMOPHILIC FACTORVWF 1000 UNITS IV SOLR (ALPHA,4560.0,4560.0,1.24,6.2,31 APC,1213,ANTIHEMOPHILIC FACTORVWF 1500 UNITS IV SOLR (ALPHA,6840.0,6840.0,1.24,6.2,31 APC,1213,ANTIHEMOPHILIC FACTORVWF 2000 UNITS IV SOLR (ALPHA,10674.0,10674.0,1.24,6.2,31 APC,1213,ANTIHEMOPHILIC FACTORVWF 250 UNITS IV SOLR (ALPHAN,1140.0,1140.0,1.24,6.2,31 APC,1213,ANTIHEMOPHILIC FACTORVWF 500 UNITS IV SOLR (ALPHAN,2280.0,2280.0,1.24,6.2,31 APC,1214,IMMUNE GLOBULIN (HUMAN) 5 GM/50ML IV SOLN,3259.0,3259.0,50.28,439.97,29 APC,1214,PRIVIGEN 1 G/10 ML IV SOLN (WRAPPER),13035.0,13035.0,50.28,3519.45,116 APC,1214,PRIVIGEN 10 GM/100ML IV SOLN,6518.0,6518.0,50.28,879.93,29 APC,1232,HC MAPS INJECTIONMITOMYCIN5 MG,175.0,175.0,23.63,78.53,29 APC,1232,MITOMYCIN 20 MG IV SOLR,2124.0,2124.0,26.1,307.26,145 APC,1232,MITOMYCIN 40 MG IV SOLR,4399.0,4399.0,26.1,614.38,58 APC,1232,MITOMYCIN 5 MG IV SOLR,847.0,847.0,26.1,171.72,203 APC,1235,VALRUBICIN 40 MG/ML INTRAVESICAL SOLN,8224.0,8224.0,1110.24,3920.97,29 APC,1237,IRON DEXTRAN 50 MG/ML INJECTION SOLN,128.0,128.0,17.28,54.39,58 APC,1253,TRIAMCINOLONE ACETONIDE 40 MG/ML INTRAOCULAR SUSP,3399.0,3399.0,24.49,458.87,29 APC,1263,ANTITHROMBIN III (HUMAN) 500 UNITS IV SOLR,8795.5,8795.5,4.05,1227.83,58 APC,1268,ANTIHEM FACT (BDDRFVIIIMOR) 1000 UNITS IV KIT,5421.0,5421.0,1.59,7.95,31 APC,1268,ANTIHEM FACT (BDDRFVIIIMOR) 2000 UNITS IV KIT,12558.0,12558.0,1.59,7.95,31 APC,1268,ANTIHEM FACT (BDDRFVIIIMOR) 250 UNITS IV KIT,1559.5,1559.5,1.59,7.95,62 APC,1268,ANTIHEM FACT (BDDRFVIIIMOR) 500 UNITS IV KIT,2850.0,2850.0,1.59,7.95,93 APC,1289,HC MAPS ABOBOTULINUMTOXINA,22.0,22.0,2.97,26.47,29 APC,1296,DEGARELIX ACETATE 80 MG SC SOLR,1759.0,1759.0,4.45,237.47,29 APC,1296,DEGARELIX ACETATE(240 MG DOSE) 120 MG/VIAL SC SOLR,2744.0,2744.0,4.45,370.44,29 APC,1297,FERUMOXYTOL (FERAHEME) 510 MG/100 ML NSS (CNR),3268.0,3268.0,0.36,441.18,29 APC,1297,FERUMOXYTOL 510 MG/17ML IV SOLN,3779.0,3779.0,0.36,580.23,58 APC,1311,CANAKINUMAB 150 MG/ML SC SOLN,69998.0,69998.0,147.74,9449.73,29 APC,1312,IMMUNE GLOBULIN (HUMAN) 10 GM/50ML SC SOLN,8187.0,8187.0,14.54,1105.25,29 APC,1327,IMIGLUCERASE 400 UNITS IV SOLR,6182.0,6182.0,43.23,834.57,29 APC,1352,ANTIHEMOPHILIC FACTORVWF 500500 UNITS IV KIT,2894.0,2894.0,1.32,6.6,31 APC,1353,BELIMUMAB 120 MG IV SOLR,2241.0,2241.0,57.16,302.54,29 APC,1353,BELIMUMAB 400 MG IV SOLR,7468.0,7468.0,57.16,1008.18,29 APC,1413,ALGLUCOSIDASE ALFA 50 MG IV SOLR,2262.0,2262.0,207.38,623.9,29 APC,1415,ALPHA1PROTEINASE INHIBITOR 1000 MG/50ML IV SOLN,2220.0,2220.0,5.69,299.7,29 APC,1420,AFLIBERCEPT 2 MG/0.05ML INTRAVITREAL SOLN,6660.0,6660.0,763.9,2298.12,29 APC,1420,AFLIBERCEPT 2 MG/0.05ML INTRAVITREAL SOSY,6660.0,6660.0,763.9,2298.12,29 APC,1426,ERIBULIN MESYLATE 1 MG/2ML IV SOLN,5076.0,5076.0,72.61,685.26,29 APC,1446,ISOSULFAN BLUE 1 SC SOLN,3675.0,3675.0,9.81,590.22,116 APC,1458,PHENTOLAMINE MESYLATE 5 MG INJECTION SOLR,1634.5,1634.5,203.18,1265.21,87 APC,1468,ARIPIPRAZOLE ER 300 MG IM PRSY,7614.0,7614.0,7.28,1027.89,29 APC,1468,ARIPIPRAZOLE ER 400 MG IM PRSY (WRAPPER),10152.0,10152.0,7.28,1370.52,58 APC,1469,FILGRASTIM 300 MCG/0.5ML INJECTION SOSY,1202.0,1202.0,1.0,162.27,87 APC,1469,FILGRASTIM 300 MCG/ML INJECTION SOLN,1134.0,1134.0,1.0,153.09,58 APC,1469,FILGRASTIM 480 MCG/0.8ML INJECTION SOSY,1914.0,1914.0,1.0,258.39,87 APC,1469,FILGRASTIM 480 MCG/1.6ML INJECTION SOLN,1805.0,1805.0,1.0,243.68,58 APC,1471,PERTUZUMAB 420 MG/14ML IV SOLN,21931.0,21931.0,17.01,2960.69,29 APC,1474,CERTOLIZUMAB PEGOL 2 X 200 MG SC KIT,19474.5,19474.5,3.87,2779.65,58 APC,1474,CERTOLIZUMAB PEGOL 200 MG/ML SC PSKT,20590.0,20590.0,3.87,2779.65,29 APC,1475,GOLIMUMAB 50 MG/4ML IV SOLN,7198.0,7198.0,11.63,971.73,29 APC,1476,OBINUTUZUMAB 1000 MG/40ML IV SOLN,29671.0,29671.0,81.62,4005.59,29 APC,1478,FIBRINOGEN CONCENTRATE (HUMAN) IV SOLR,4650.0,4650.0,1.52,7.6,31 APC,1478,RIASTAP IV SOLR,4920.0,4920.0,1.52,7.6,31 APC,1480,ELOSULFASE ALFA 5 MG/5ML IV SOLN,5116.0,5116.0,311.94,938.44,29 APC,1488,RAMUCIRUMAB 100 MG/10ML IV SOLN,5245.0,5245.0,75.58,708.08,29 APC,1488,RAMUCIRUMAB 500 MG/50ML IV SOLN,26223.0,26223.0,75.58,3540.11,29 APC,1489,VEDOLIZUMAB 300 MG IV SOLR,31200.0,31200.0,21.37,4212.0,29 APC,1490,PEMBROLIZUMAB 100 MG/4ML IV SOLN,20408.0,20408.0,59.73,2755.08,58 APC,1522,HC MYOCRD PET PRFUJ MLT STD RST STRS W/ CT,8664.0,8664.0,2303.97,7307.04,31 APC,1522,HC MYOCRD PET PRFUJ W/METAB 2RTRACER W CT,5852.0,5852.0,2303.97,7307.04,31 APC,1613,TRASTUZUMAB 150 MG IV SOLR,5611.0,5611.0,73.48,757.49,29 APC,1630,HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5ML IM SOSY,319.0,319.0,43.07,414.64,29 APC,1630,HEPATITIS B IMMUNE GLOBULIN 220 UNIT/ML IM SOLN,1741.0,1741.0,81.14,414.64,87 APC,1630,HEPATITIS B IMMUNE GLOBULIN 312 UNIT/ML IM SOLN WR,1616.0,1616.0,81.14,414.64,116 APC,1658,BELINOSTAT 500 MG IV SOLR,8647.0,8647.0,53.11,1167.35,29 APC,1660,ORITAVANCIN DIPHOSPHATE 400 MG IV SOLR,4179.0,4179.0,28.47,564.17,58 APC,1662,TEDIZOLID PHOSPHATE 200 MG IV SOLR,1234.5,1234.5,1.96,169.97,87 APC,1670,TETANUS IMMUNE GLOBULIN 250 UNIT/ML IM SOSY,2337.0,2337.0,315.5,1770.56,58 APC,1683,BASILIXIMAB 20 MG IV SOLR,16092.0,16092.0,2172.42,14383.38,29 APC,1685,DARBEPOETIN ALFA 100 MCG/0.5ML INJECTION SOSY,2787.0,2787.0,3.02,376.25,58 APC,1685,DARBEPOETIN ALFA 100 MCG/ML INJECTION SOLN,2787.0,2787.0,3.02,376.25,58 APC,1685,DARBEPOETIN ALFA 150 MCG/0.3ML INJECTION SOSY,4180.0,4180.0,3.02,564.3,58 APC,1685,DARBEPOETIN ALFA 200 MCG/0.4ML INJECTION SOSY,5573.0,5573.0,3.02,752.36,29 APC,1685,DARBEPOETIN ALFA 200 MCG/ML INJECTION SOLN,5573.0,5573.0,3.02,752.36,29 APC,1685,DARBEPOETIN ALFA 25 MCG/0.42ML INJECTION SOSY,697.0,697.0,3.02,94.1,58 APC,1685,DARBEPOETIN ALFA 25 MCG/ML INJECTION SOLN,697.0,697.0,3.02,94.1,58 APC,1685,DARBEPOETIN ALFA 300 MCG/0.6ML INJECTION SOSY,8360.0,8360.0,3.02,1128.6,29 APC,1685,DARBEPOETIN ALFA 40 MCG/0.4ML INJECTION SOSY,1115.0,1115.0,3.02,150.53,58 APC,1685,DARBEPOETIN ALFA 40 MCG/ML INJECTION SOLN,1115.0,1115.0,3.02,150.53,58 APC,1685,DARBEPOETIN ALFA 500 MCG/ML INJECTION SOSY,13932.0,13932.0,3.02,1880.82,29 APC,1685,DARBEPOETIN ALFA 60 MCG/0.3ML INJECTION SOSY,1672.0,1672.0,3.02,225.72,58 APC,1685,DARBEPOETIN ALFA 60 MCG/ML INJECTION SOLN,1672.0,1672.0,3.02,225.72,58 APC,1686,EPOETIN ALFA 10000 UNIT/ML INJECTION SOLN,963.0,963.0,7.74,259.88,174 APC,1686,EPOETIN ALFA 2000 UNIT/ML INJECTION SOLN,156.5,156.5,7.74,26.06,116 APC,1686,EPOETIN ALFA 20000 UNIT/ML INJECTION SOLN,1559.5,1559.5,7.74,259.88,116 APC,1686,EPOETIN ALFA 3000 UNIT/ML INJECTION SOLN,234.5,234.5,7.74,39.02,116 APC,1686,EPOETIN ALFA 4000 UNIT/ML INJECTION SOLN,312.0,312.0,7.74,51.98,116 APC,1686,EPOETIN ALFA 40000 UNIT/ML INJECTION SOLN,3849.0,3849.0,7.74,519.62,58 APC,1687,DIGOXIN IMMUNE FAB 40 MG IV SOLR,16569.5,16569.5,2149.2,15544.38,58 APC,1688,ETHANOLAMINE OLEATE 5 IV SOLN,1658.0,1658.0,214.11,1555.58,58 APC,1689,FOMEPIZOLE 1 GM/ML IV SOLN,6234.0,6234.0,6.43,841.59,29 APC,1689,FOMEPIZOLE 1.5 GM/1.5ML IV SOLN,3697.0,3697.0,6.43,729.0,87 APC,1690,HEMIN 350 MG IV SOLR,38501.0,38501.0,35.31,5197.64,58 APC,1696,PALIFERMIN 5.16 MG IV SOLR,11929.0,11929.0,36.63,1610.42,29 APC,1700,SECRETIN ACETATE (HUMAN) 16 MCG IV SOLR,2268.0,2268.0,30.33,306.18,30 APC,1700,SECRETIN ACETATE 16 MCG IV SOLR,30.0,30.0,4.05,121.66,30 APC,1701,TREPROSTINIL 100 MG/20ML INJECTION SOLN,21631.0,21631.0,54.48,3094.2,145 APC,1701,TREPROSTINIL 20 MG/20ML INJECTION SOLN,4298.0,4298.0,54.48,618.84,174 APC,1701,TREPROSTINIL 200 MG/20ML INJECTION SOLN,43261.5,43261.5,54.48,6188.4,116 APC,1701,TREPROSTINIL 50 MG/20ML INJECTION SOLN,10744.0,10744.0,54.48,1547.1,174 APC,1701,TREPROSTINIL SODIUM 10 MG/ML INJECTION SOLN (SC IN,41256.0,41256.0,54.48,5569.56,29 APC,1704,ANTIHEMOPHILIC FACTORVWF 10002400 UNITS IV SOLR (H,9556099.5,9556099.5,1.49,7.45,62 APC,1704,ANTIHEMOPHILIC FACTORVWF 250600 UNITS IV SOLR (HUM,635097.0,635097.0,1.49,7.45,62 APC,1704,ANTIHEMOPHILIC FACTORVWF 5001200 UNITS IV SOLR (HU,4259.0,4259.0,1.49,7.45,31 APC,1705,COAGULATION FACTOR VIIA RECOMB 1 MG IV SOLR,8070.0,8070.0,2.62,13.1,31 APC,1705,COAGULATION FACTOR VIIA RECOMB 2 MG IV SOLR,16140.0,16140.0,2.62,13.1,31 APC,1705,COAGULATION FACTOR VIIA RECOMB 5 MG IV SOLR,40350.0,40350.0,2.62,13.1,31 APC,1705,COAGULATION FACTOR VIIA RECOMB 8 MG IV SOLR,62160.0,62160.0,2.62,13.1,62 APC,1710,CLOFARABINE 1 MG/ML IV SOLN,5220.0,5220.0,14.37,1426.41,145 APC,1712,PACLITAXEL PROTEINBOUND PART 100 MG IV SUSR,5546.5,5546.5,8.18,796.64,116 APC,1744,ZIDOVUDINE 10 MG/ML IV SOLN,106.0,106.0,1.51,14.31,58 APC,1747,HC MAPS MONOVISC INJ PER DOSE,2890.0,2890.0,390.15,1699.05,29 APC,1748,TBOFILGRASTIM 300 MCG/0.5ML SC SOSY,989.5,989.5,0.25,145.67,87 APC,1748,TBOFILGRASTIM 300 MCG/ML SC SOLN,900.0,900.0,0.25,121.5,58 APC,1748,TBOFILGRASTIM 480 MCG/0.8ML SC SOSY,1440.0,1440.0,0.25,194.4,58 APC,1748,TBOFILGRASTIM 480 MCG/1.6ML SC SOLN,1440.0,1440.0,0.25,194.4,29 APC,1809,ALEMTUZUMAB 12 MG/1.2ML IV SOLN,104970.0,104970.0,2447.1,14170.95,29 APC,1822,FILGRASTIMSNDZ 300 MCG/0.5ML INJECTION SOSY,988.0,988.0,0.35,133.38,87 APC,1822,FILGRASTIMSNDZ 480 MCG/0.8ML INJECTION SOSY,1581.0,1581.0,0.35,213.44,87 APC,1823,DALBAVANCIN HCL 500 MG IV SOLR,6405.0,6405.0,15.59,864.68,29 APC,1824,CEFTAROLINE FOSAMIL 400 MG IV SOLR,883.0,883.0,4.24,119.21,58 APC,1824,CEFTAROLINE FOSAMIL 600 MG IV SOLR,883.0,883.0,4.24,119.21,58 APC,1825,CEFTAZIDIMEAVIBACTAM 2.5 (20.5) G IV SOLR,1425.0,1425.0,104.71,315.01,58 APC,1827,ANTIHEMOPHILIC FACTOR RPFVIII 500 UNITS IV SOLR,5310.0,5310.0,3.23,16.15,31 APC,1829,PENICILLIN G BENZATHINE 1200000 UNIT/2ML IM SUSY,1098.0,1098.0,31.96,148.23,58 APC,1829,PENICILLIN G BENZATHINE 2400000 UNIT/4ML IM SUSY,2250.0,2250.0,31.96,303.75,58 APC,1829,PENICILLIN G BENZATHINE 600000 UNIT/ML IM SUSY,634.0,634.0,31.96,96.16,58 APC,1831,CHLORAMPHENICOL SOD SUCCINATE 1 G IV SOLR,176.0,176.0,23.76,151.21,29 APC,1832,DIMETHYL SULFOXIDE 50 INTRAVESICAL SOLN,2502.0,2502.0,337.77,2253.99,29 APC,1846,ANTIHEM FACTOR RECOMB (RFVIII) 1000 UNITS IV KIT,6600.0,6600.0,1.13,5.65,31 APC,1847,INFLIXIMABDYYB 100 MG IV SOLR,3407.0,3407.0,24.22,459.95,29 APC,1853,MINOCYCLINE HCL 100 MG IV SOLR,904.0,904.0,2.67,122.04,58 APC,1854,PENTOBARBITAL INFUSION 2000MG/40ML,6826.0,6826.0,36.26,921.51,29 APC,1854,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLN,6570.0,6570.0,36.26,1097.01,116 APC,1857,COAGULATION FACTOR X (HUMAN) 500 UNITS IV SOLR,13875.0,13875.0,9.92,49.6,31 APC,1859,ARGATROBAN 250 MG/2.5ML IV SOLN,1481.5,1481.5,0.61,247.86,145 APC,1859,ARGATROBAN 50 MG/50ML IV SOLN (WRAPPER),630.0,630.0,0.61,96.26,87 APC,1861,BENDAMUSTINE HCL 100 MG/4ML IV SOLN,8906.0,8906.0,12.83,1202.31,29 APC,2616,HC Y-90 SPHERES,55785.0,55785.0,17771.01,56360.76,31 APC,2646,HC BRACHYTXNON-STRHDR IR-192,2403.0,2403.0,357.49,1787.45,31 APC,2646,HC IRIDUM 192 HDR(NUCLETRON),2403.0,2403.0,357.49,1787.45,31 APC,2731,GAMMAGARD S/D LESS IGA 1 G/10 ML IV SOLN (WRAPPER),6055.5,6055.5,78.89,1089.99,58 APC,5012,HC GLUCOSE MONITORING CONT,424.0,424.0,139.25,441.63,31 APC,5012,HC HOSPITAL OUTPATIENT CLINIC VISIT NEW,143.0,143.0,114.4,441.63,31 APC,5012,HC MAPS TRANS CARE MGMT 14 DAY DISCH,115.0,115.0,92.0,441.63,31 APC,5012,HC MAPS TRANS CARE MGMT 7 DAY DISCH,115.0,115.0,92.0,441.63,31 APC,5021,HC LEVEL 1 E.R.,599.0,599.0,88.2,441.0,31 APC,5022,HC LEVEL 2 E.R.,1127.0,1127.0,160.6,803.0,31 APC,5023,HC LEVEL 3 E.R.,1213.0,1213.0,285.52,970.4,31 APC,5024,HC LEVEL 4 E.R.,2662.0,2662.0,436.43,2129.6,31 APC,5025,HC LEVEL 5 E.R.,4829.0,4829.0,622.89,3114.45,31 APC,5041,HC CRITCAL CARE 1ST 30-74 MIN,6747.0,6747.0,863.97,4319.85,31 APC,5041,HC LEVEL 6 E.R,6791.0,6791.0,863.97,4319.85,31 APC,5051,HC BURNS INIT. RX 1 DEG,826.0,826.0,209.85,665.54,31 APC,5051,HC I D FINGER ABSCESS COMP/FELON,2141.0,2141.0,209.85,1049.25,31 APC,5051,HC INTEG-AVUL NAIL PLATE PART/ONE,507.0,507.0,157.39,665.54,32 APC,5051,HC MAPS ACNE SURGERY,150.0,150.0,120.0,665.54,31 APC,5051,HC MAPS CAUTERIZATION OF WOUND,156.0,156.0,124.8,665.54,31 APC,5051,HC MAPS CLEAN OUT MASTOID CAVITY ROUTINE CLEANING,344.0,344.0,209.85,665.54,31 APC,5051,HC MAPS CRYOSURGERY ANAL LESION(S),160.0,160.0,128.0,665.54,31 APC,5051,HC MAPS DESTRUCT B9 LESION 1-14,373.0,373.0,157.39,665.54,32 APC,5051,HC MAPS DESTRUCT PREMALG LESION,258.0,258.0,206.4,665.54,31 APC,5051,HC MAPS DESTRUCTION OF SKIN LESIONS 0.5 CM OR LES,177.0,177.0,141.6,665.54,31 APC,5051,HC MAPS DESTRUCTION OF SKIN LESIONS 1.1 TO 2.0 CM,176.0,176.0,140.8,665.54,31 APC,5051,HC MAPS DESTRUCTION OF SKIN LESIONS 0.6 TO 1.0 CM,178.0,178.0,142.4,665.54,31 APC,5051,HC MAPS DESTRUCTION OF SKIN LESIONS 0.60 TO 1.0 CM,178.0,178.0,142.4,665.54,31 APC,5051,HC MAPS DESTRUCTION OF SKIN LESIONS 1.1 TO 2.0 CM,531.0,531.0,209.85,665.54,31 APC,5051,HC MAPS DESTRUCTION OF SKIN LESIONS 1.1 TO 2.0CM,183.0,183.0,146.4,665.54,31 APC,5051,HC MAPS EXCISION SKIN TAGS UP TO 15,112.0,112.0,89.6,665.54,32 APC,5051,HC MAPS INJECT SKIN LESIONS 7,176.0,176.0,140.8,665.54,31 APC,5051,HC MAPS INTEG-AVUL NAIL PLATE PART/ONE,170.0,170.0,136.0,665.54,32 APC,5051,HC MAPS NEG PRESS WOUND TX 30CM SCPNKAXGENTRKEXT,2762.0,2762.0,209.85,1049.25,31 APC,5051,HC SUTUR. IMMED 2.5 OR LESS,1220.0,1220.0,209.85,976.0,31 APC,5051,HC SUTUR. IMMED 7.5-12.5 CM,1531.0,1531.0,209.85,1049.25,31 APC,5051,HC SUTUR.IMMED 2.6-7.5 CM,1323.0,1323.0,209.85,1049.25,31 APC,5051,HC UNLSTD SKINMUCOUS MEMBRE SUB,179.0,179.0,143.2,665.54,32 APC,5052,HC CRP 1.1-2.5CM FHDCHKCHNHDF,1947.0,1947.0,318.89,1557.6,32 APC,5052,HC CRP 2.6-7.5CM SCLP ARM LG,2839.0,2839.0,318.89,2125.95,32 APC,5052,HC DEBRIDE INFECTED SKIN,366.0,366.0,292.8,1348.49,31 APC,5052,HC EXS NL PT/CMP FOR PERM REMOVAL,2768.0,2768.0,318.89,2125.95,32 APC,5052,HC FB REMOVALINC/REM SUBC SMPLE,1306.0,1306.0,318.89,1348.49,32 APC,5052,HC FNA W/O IMAGE,1092.0,1092.0,425.19,1348.49,31 APC,5052,HC I D COMPLICATED ABSCESS,4097.0,4097.0,318.89,2125.95,32 APC,5052,HC INCISION DRAINAGE OF ABSCESS,4097.0,4097.0,318.89,2125.95,32 APC,5052,HC INCISION OF BURN SCAB INITI,2523.0,2523.0,425.19,2018.4,31 APC,5052,HC INJ OF SCLEROSING SOLUTI MULT,588.0,588.0,425.19,1348.49,31 APC,5052,HC INJ OF SCLEROSING SOLUTI SING,1096.0,1096.0,425.19,1348.49,31 APC,5052,HC LAYER CLOSURE-WOUNDS 2.6-5.0CM,1834.0,1834.0,425.19,1467.2,31 APC,5052,HC LRP 12.6-20CM FCERSELDSNSL,2992.0,2992.0,425.19,2125.95,31 APC,5052,HC LRP 12.6-20CM SCPAXTRKARML,2141.0,2141.0,425.19,1712.8,31 APC,5052,HC LRP 2.6-7.5CM NKHDSFTEX GEN,1799.0,1799.0,425.19,1439.2,31 APC,5052,HC LRP 2.6-7.5CM SCPAXTRKARM.L,1651.0,1651.0,425.19,1348.49,31 APC,5052,HC LRP 5.1-7.5CM FCERSELDSNSL,2014.0,2014.0,425.19,1611.2,31 APC,5052,HC LRP 7.6-12.5CM SCPAXTRKARM,1916.0,1916.0,425.19,1532.8,31 APC,5052,HC LRP<2.5CM FCERSELDSNSLPS,1695.0,1695.0,425.19,1356.0,31 APC,5052,HC LRP>2.5CM NKHDSFTEX GEN,1658.0,1658.0,425.19,1348.49,31 APC,5052,HC MAPS CRP 2.6-7.5CM FHDCHKCHNHDF,482.0,482.0,318.89,1348.49,32 APC,5052,HC MAPS DEBRIDEMT SKIN SUBCUT TIS,334.0,334.0,267.2,1348.49,31 APC,5052,HC MAPS EX BN LES MRG TNKARMLG.6-1CM,471.0,471.0,318.89,1348.49,32 APC,5052,HC MAPS EXC TR-EXT MAL MARG 1.1-2 CM,464.0,464.0,371.2,1348.49,31 APC,5052,HC MAPS FNA W/O IMAGE,315.0,315.0,252.0,1348.49,31 APC,5052,HC MAPS INCISION DRAINAGE OF ABSCESS,198.0,198.0,158.4,1348.49,32 APC,5052,HC MAPS INJ THERAPY OF VEIN SCLEROSING,425.0,425.0,340.0,1348.49,31 APC,5052,HC MAPS INJECTION THERAPY OF VEIN,365.0,365.0,292.0,1348.49,31 APC,5052,HC MAPS LAYER CLOSURE-WOUNDS 2.6-5.0CM,244.0,244.0,195.2,1348.49,31 APC,5052,HC MAPS LRP 2.6-7.5CM NKHDSFTEX GEN,286.0,286.0,228.8,1348.49,31 APC,5052,HC MAPS LRP 2.6-7.5CM SCPAXTRKARM.L,584.0,584.0,425.19,1348.49,31 APC,5052,HC MAPS LRP 7.6-12.5CM SCPAXTRKARM,280.0,280.0,224.0,1348.49,31 APC,5052,HC MAPS LRP<2.5CM FCERSELDSNSLPS,244.0,244.0,195.2,1348.49,31 APC,5052,HC MAPS LRP>2.5CM NKHDSFTEX GEN,282.0,282.0,225.6,1348.49,31 APC,5052,HC MAPS NEG PRESS WND THER >50 SQ C,152.0,152.0,121.6,1348.49,31 APC,5052,HC MAPS PUNCTURE ASPIRA ABSC,183.0,183.0,146.4,1348.49,32 APC,5052,HC MAPS SUTUR. IMMED-2.5 CM OR LESS,275.0,275.0,220.0,1348.49,31 APC,5052,HC PUNCTURE ASPIRA ABSC,1123.0,1123.0,318.89,1348.49,32 APC,5052,HC REMOVE FOREIGN BODY SUB/SIMPLE,3316.0,3316.0,318.89,2125.95,32 APC,5052,HC SRP 12.6-20CM SCPNKAXGENTR,1894.0,1894.0,425.19,1515.2,31 APC,5052,HC SRP 20.1-30.CM FCERELDNSLP,3282.0,3282.0,425.19,2125.95,31 APC,5052,HC SRP 20.1-30CM SCPNKAXGENTR,2486.0,2486.0,425.19,1988.8,31 APC,5052,HC SUTUR. IMMED-2.5 CM OR LESS,1498.0,1498.0,425.19,1348.49,31 APC,5052,HC WEDGE EXCIS SKIN NAIL FOLD,734.0,734.0,318.89,1348.49,32 APC,5053,HC LRP 7.6-12.5CM NKHDSFTEX GE,1923.0,1923.0,773.02,2451.63,31 APC,5053,HC MAPS CRP 1.1-2.5CM EYLDNSEARLPS,552.0,552.0,441.6,2451.63,31 APC,5053,HC MAPS CRP 2.6-7.5CM EYLDNSEARLPS,482.0,482.0,385.6,2451.63,31 APC,5053,HC MAPS CRP 2.6-7.5CM TRNK,1033.0,1033.0,579.76,2451.63,32 APC,5053,HC MAPS DEB MUSC/FASCIA 20 SQ CM/<,334.0,334.0,267.2,2451.63,31 APC,5053,HC MAPS MOHS 1 STAGE H/N/HF/G,1231.0,1231.0,773.02,2451.63,31 APC,5053,HC MAPS MOHS 1 STAGE T/A/L,1231.0,1231.0,773.02,2451.63,31 APC,5053,HC MAPS REP CMPLXTRNK1.1CM-2.5CM,528.0,528.0,422.4,2451.63,32 APC,5053,HC REPAIR OF NAIL BED,1077.0,1077.0,579.76,2451.63,32 APC,5054,HC INJECTION FOAM SCLEROSANT WITH US SINGLE TRUNC,6946.0,6946.0,2158.06,6844.29,31 APC,5054,HC Injection sclerosant inclusive all imaging guid,4937.0,4937.0,2158.06,6844.29,31 APC,5054,HC MAPS DESTROY VULVA LESIONS SIM,1423.0,1423.0,1138.4,6844.29,32 APC,5054,HC MAPS SKIN FULL GRAFT EEN LIPS,1579.0,1579.0,1263.2,6844.29,32 APC,5054,HC MAPS SKIN FULL GRFT FACE/GENIT/HF,1579.0,1579.0,1263.2,6844.29,32 APC,5054,HC MAPS SKIN TISS REARRNGMNT DEF 10 SQ CM/<,1540.0,1540.0,1232.0,6844.29,32 APC,5054,HC MAPS TIS TRNFR E/N/E/L 10 SQ CM/<,1579.0,1579.0,1263.2,6844.29,32 APC,5054,HC MAPS TIS TRNFR E/N/E/L10.1-30SQCM,1540.0,1540.0,1232.0,6844.29,32 APC,5054,HC MAPS TIS TRNFR F/C/C/M/N/A/G/H/F DEFECT 10 .1,1736.0,1736.0,1388.8,6844.29,32 APC,5054,HC MAPS TIS TRNFR F/C/C/M/N/A/G/H/F DEFECT 10 SQ,1579.0,1579.0,1263.2,6844.29,32 APC,5054,HC RELOC SKIN POCKET PLS GEN,5959.0,5959.0,1618.55,6844.29,32 APC,5054,HC RELOCATE POCKET FOR DEFIB,29885.0,29885.0,2158.06,10790.3,31 APC,5054,HC RELOCATION POCKET PACEMAKER,37172.0,37172.0,2158.06,10790.3,31 APC,5054,HC RELOCATION SKIN POCKET IMPLANTED CCM-D PG,5488.0,5488.0,1618.55,6844.29,32 APC,5055,HC MAPS FOREHEAD FLAP W/VASC PEDICLE,2475.0,2475.0,1980.0,11755.16,32 APC,5055,HC MAPS LATE CLOSURE OF WOUND SECONDRY,1510.0,1510.0,1208.0,11755.16,32 APC,5055,HC MAPS MUSCLE-SKIN GRAFT LEG,2414.0,2414.0,1931.2,11755.16,32 APC,5055,HC MAPS TIS TRNFR ANY 30.1-60 SQ CM,2790.0,2790.0,2232.0,11755.16,32 APC,5071,HC ASPIR/INJ THYROID CYST,647.0,647.0,517.6,2349.0,31 APC,5071,HC BIOPSY OF SALIVARY GLAND,3762.0,3762.0,740.66,3009.6,31 APC,5071,HC BX THYROID PERCUTANEOUS,1384.0,1384.0,740.66,2349.0,31 APC,5071,HC DRAIN SMPL EXT EAR ABSC/HEMAT,1509.0,1509.0,555.5,2349.0,32 APC,5071,HC DRAINAGE OF HYDROCELETUNICA,2102.0,2102.0,740.66,2349.0,31 APC,5071,HC DRAINAGE OF MOUTH LESION SMPLE,2338.0,2338.0,740.66,2349.0,31 APC,5071,HC ENDO PANC NECROSECTOMY,3702.0,3702.0,555.5,2961.6,32 APC,5071,HC FNA BX W/CT GDN 1ST LES,2307.0,2307.0,740.66,2349.0,31 APC,5071,HC FNA BX W/US GDN 1ST LES,2330.0,2330.0,740.66,2349.0,31 APC,5071,HC GUIDE CATHET FLUID DRAINAGE,857.0,857.0,685.6,2349.0,31 APC,5071,HC I D COMPLICATED PILONIDAL CYST,4589.0,4589.0,740.66,3671.2,31 APC,5071,HC I D SIMPLE PILONIDAL CYST,1374.0,1374.0,740.66,2349.0,31 APC,5071,HC IMPLANT ACCULOCPANCRE,5214.0,5214.0,555.5,3703.3,32 APC,5071,HC INJ FOR TREAT BONE CYST,1077.0,1077.0,740.66,2349.0,31 APC,5071,HC MAMMOGRPH CYST ASPRTION,2012.0,2012.0,740.66,2349.0,31 APC,5071,HC MAPS ABRASION TREATMENT OF SKIN,877.0,877.0,701.6,2349.0,31 APC,5071,HC MAPS BIOPSY OF SALIVARY GLAND,542.0,542.0,433.6,2349.0,31 APC,5071,HC MAPS DRAIN OUTER EAR CANAL LESION,525.0,525.0,420.0,2349.0,31 APC,5071,HC MAPS EX BN LES MRG TNKARM LG<.5CM,471.0,471.0,376.8,2349.0,32 APC,5071,HC MAPS EXC F/E/E/N/L MAL MRG 1.1-2,877.0,877.0,701.6,2349.0,31 APC,5071,HC MAPS EXC FACE-MM B9 MARG 0.6-1 CM,459.0,459.0,367.2,2349.0,32 APC,5071,HC MAPS EXC S/N/H/F/G MAL MRG 0.6-1,899.0,899.0,555.5,2349.0,32 APC,5071,HC MAPS EXC S/N/H/F/G MAL MRG 1.1-2,899.0,899.0,719.2,2349.0,31 APC,5071,HC MAPS EXC TR-EXT B9 MARG 1.1-2 CM,545.0,545.0,436.0,2349.0,32 APC,5071,HC MAPS EXC TR-EXT B9 MARG 2.1-3CM/<,899.0,899.0,555.5,2349.0,32 APC,5071,HC MAPS EXC TR-EXT MAL MARG 2.1-3 CM,990.0,990.0,740.66,2349.0,31 APC,5071,HC MAPS EXC TR-EXT MAL MARG 3.1-4 CM,1018.0,1018.0,740.66,2349.0,31 APC,5071,HC MAPS FINE NEEDLE ASPIRATION BIOPSY INCLUDING UL,962.0,962.0,740.66,2349.0,31 APC,5071,HC MAPS INCISION AND DRAINAGE OF PI,174.0,174.0,139.2,2349.0,31 APC,5071,HC MAPS MAMMOGRPH CYST ASPRTION,555.0,555.0,444.0,2349.0,31 APC,5071,HC NON-RF LIVER ABLATION,6766.0,6766.0,555.5,3703.3,32 APC,5071,HC PERC. RENAL CYST ASPIR.,2697.0,2697.0,740.66,2349.0,31 APC,5071,HC PERCUTANEOUS ASPIRATION,1886.0,1886.0,740.66,2349.0,31 APC,5071,HC PERQ DEV BREAST 1ST STRTCTC,2011.0,2011.0,740.66,2349.0,31 APC,5071,HC PERQ DEV BREAST 1ST US IMAG,2011.0,2011.0,740.66,2349.0,31 APC,5071,HC PERQ DEV BREAST IST MR GUIDE,2011.0,2011.0,740.66,2349.0,31 APC,5071,HC PERQ DEV SOFT TISS 1ST IMAG,5190.0,5190.0,740.66,3703.3,31 APC,5071,HC PUNCT ASP CYS BR,2012.0,2012.0,740.66,2349.0,31 APC,5071,HC REEM FB FOOT SUBCUT,4707.0,4707.0,555.5,3703.3,32 APC,5071,HC REMOVE PAT-ACTIVE HT RECORD,12780.0,12780.0,740.66,3703.3,31 APC,5072,HC BIOP PLEURA PE N,3835.0,3835.0,1727.46,5478.64,31 APC,5072,HC BREAST BX NEEDLE CORE,410.0,410.0,328.0,5478.64,31 APC,5072,HC BX ABD/RETROPERITONEAL/PERCUT,2020.0,2020.0,1616.0,5478.64,62 APC,5072,HC BX BONE DEEP PERCUTANEOUS,2495.0,2495.0,1295.6,5478.64,32 APC,5072,HC BX BONE SUPERFIC PERCUTAN,3588.0,3588.0,1295.6,5478.64,32 APC,5072,HC BX BREAST 1ST LESION MR IMAG,4634.0,4634.0,1727.46,5478.64,31 APC,5072,HC BX BREAST 1ST LESION STRTCTC,4634.0,4634.0,1727.46,5478.64,31 APC,5072,HC BX BREAST 1ST LESION US IMAG,4634.0,4634.0,1727.46,5478.64,31 APC,5072,HC BX LIVER PERCUT SEPARATE PROC,2241.0,2241.0,1727.46,5478.64,31 APC,5072,HC BX LYMPH NODE BY NEEDLE,1511.0,1511.0,1208.8,5478.64,31 APC,5072,HC BX MUSCLE PERCUTANEOUS,1823.0,1823.0,1295.6,5478.64,32 APC,5072,HC BX NECK/THORAX,868.0,868.0,694.4,5478.64,31 APC,5072,HC BX PANCREAS PERCUTANEOUS,3586.0,3586.0,1295.6,5478.64,32 APC,5072,HC BX RENAL PERCUTANEOUS,6938.0,6938.0,1727.46,5550.4,31 APC,5072,HC BX SPINAL CORD PERCUT,5453.0,5453.0,1727.46,5478.64,31 APC,5072,HC CORE NEEDLE BX LUNG/MEDIASTINUM PERQ W/IMG,1563.0,1563.0,1250.4,5478.64,31 APC,5072,HC DIAGNOSTIC BONE MARROW BIOPSY(IES),1473.0,1473.0,1178.4,5478.64,31 APC,5072,HC DRAINAGE OF SCROTUM ABSCESS,4888.0,4888.0,1727.46,5478.64,31 APC,5072,HC FELON,5895.0,5895.0,1727.46,5478.64,31 APC,5072,HC I D SIMPLE HEMATOMA,5148.0,5148.0,1295.6,5478.64,32 APC,5072,HC IMAGE CATH FLUID COLXN VISC,6557.0,6557.0,1295.6,5478.64,32 APC,5072,HC IMAGE CATH FLUID PERI/RETRO,6557.0,6557.0,1295.6,5478.64,32 APC,5072,HC IMAGE CATH FLUID TRNS/VGNL,4061.0,4061.0,1295.6,5478.64,32 APC,5072,HC MAPS BIOPSY OF BREAST NEEDLE,541.0,541.0,432.8,5478.64,31 APC,5072,HC MAPS BX BREAST 1ST LESION US IMAG,1191.0,1191.0,952.8,5478.64,31 APC,5072,HC MAPS BX NECK/THORAX,1395.0,1395.0,1116.0,5478.64,31 APC,5072,HC MAPS DEBRIDE SKIN/TISS/MUSC/BO 20 SQ CM/<,899.0,899.0,719.2,5478.64,31 APC,5072,HC MAPS EXC BACK LES SC 3 CM/>,1544.0,1544.0,1235.2,5478.64,32 APC,5072,HC MAPS EXC FOREARM LES SC 3 CM/>,1400.0,1400.0,1120.0,5478.64,32 APC,5072,HC MAPS EXC H-F-NK-SP B9 MARG 1.1-2,899.0,899.0,719.2,5478.64,32 APC,5072,HC MAPS EXC H-F-NK-SP MAL MARG 0.5/<,250.0,250.0,200.0,5478.64,31 APC,5072,HC MAPS EXC NECK LES SC < 3 CM,1395.0,1395.0,1116.0,5478.64,32 APC,5072,HC MAPS EXC S/N/H/F/G MAL MRG 2.1-3,1019.0,1019.0,815.2,5478.64,31 APC,5072,HC MAPS EXC S/N/H/F/G MAL MRG 3.1-4,1466.0,1466.0,1172.8,5478.64,31 APC,5072,HC MAPS EXC TR-EXT B9 MARG 3.1-4 CM,1466.0,1466.0,1172.8,5478.64,32 APC,5072,HC MAPS EXC TR-EXT B9 MARG >4.0 CM,1466.0,1466.0,1172.8,5478.64,32 APC,5072,HC MAPS EXC TR-EXT MAL MARG >4 CM,1466.0,1466.0,1172.8,5478.64,31 APC,5072,HC MAPS EXC TUMR SOFT TISSUE BACK/F< 3 CM,1430.0,1430.0,1144.0,5478.64,32 APC,5072,HC MAPS EXCISION TUMOR FOREARM <3 CM,1395.0,1395.0,1116.0,5478.64,32 APC,5072,HC MAPS INCISION OF BREAST LESION,1756.0,1756.0,1295.6,5478.64,32 APC,5072,HC MAPS REMOVE ARM/ELBOW LESION <3 CM,1395.0,1395.0,1116.0,5478.64,32 APC,5072,HC MAPS REMOVE SHOULDER LESION <3 CM,1430.0,1430.0,1144.0,5478.64,32 APC,5072,HC PERQ DEVICE BREAST 1ST IMAG,4634.0,4634.0,1727.46,5478.64,31 APC,5072,HC SCLEROTX FLUID COLLECTION,5515.0,5515.0,1295.6,5478.64,32 APC,5072,HC URETERAL EMBOLIZATION/OCCL,5515.0,5515.0,1295.6,5478.64,32 APC,5073,HC DX BONE MARROW BX ASPIR,5972.0,5972.0,3038.14,9635.46,31 APC,5073,HC I D DP ABSCES/HEMATOMA LG/AN,432.0,432.0,345.6,9635.46,31 APC,5073,HC I D VAG HEMATOMA OB/POSTPART,5462.0,5462.0,3038.14,9635.46,31 APC,5073,HC MAPS COMPLEX DRAINAGE WOUND,1756.0,1756.0,1404.8,9635.46,32 APC,5073,HC MAPS DEB SKIN BONE AT FX SITE,2500.0,2500.0,2000.0,9635.46,31 APC,5073,HC MAPS EXC BACK TUM DEEP < 5 CM,2219.0,2219.0,1775.2,9635.46,32 APC,5073,HC MAPS EXC H-F-NK-SP B9 MARG >4 CM,1946.0,1946.0,1556.8,9635.46,32 APC,5073,HC MAPS EXC NECK LES SC 3 CM/>,1473.0,1473.0,1178.4,9635.46,32 APC,5073,HC MAPS EXCISION SOFT TISSUE LESION,1395.0,1395.0,1116.0,9635.46,32 APC,5073,HC MAPS REMOVAL HIP/PELVIS LESION,1395.0,1395.0,1116.0,9635.46,32 APC,5073,HC MAPS REMOVE LESION NECK/CHEST D,1946.0,1946.0,1556.8,9635.46,32 APC,5073,HC RES MAL TUMSFT TIS BA,9378.0,9378.0,2278.61,9635.46,32 APC,5073,HC RESECT SOFT TIS TUMOR-,7664.0,7664.0,3038.14,9635.46,31 APC,5091,HC ABLATION CRYOSURGICAL OF FIBRO US,11201.0,11201.0,3071.47,12988.21,32 APC,5091,HC ABLTJ MAL BRST TUM PERQ CRTX,11371.0,11371.0,3071.47,12988.21,32 APC,5091,HC EXCISION OF CYST FIBR,7114.0,7114.0,3071.47,12988.21,32 APC,5091,HC MAPS BIOPSY OF BREAST OPEN,649.0,649.0,519.2,12988.21,32 APC,5091,HC MAPS EXCISN-CYSTFIBROADENMAOTH,2322.0,2322.0,1857.6,12988.21,32 APC,5091,HC MAPS REMOVAL OF INTACT MAMMARY I,3300.0,3300.0,2640.0,12988.21,32 APC,5091,HC PLACE BREAST CLIP PERCUT,7114.0,7114.0,3071.47,12988.21,32 APC,5091,HC TOMOSYNTHESIS-GUIDED BREAST BIOPSY,4725.0,4725.0,3071.47,12988.21,32 APC,5091,HC UNLISTED BREAST PROCED,9999.0,9999.0,3071.47,12988.21,32 APC,5093,HC MAPS PLACE PO BREAST CATH FOR RAD,7821.0,7821.0,6256.8,27112.61,32 APC,5101,HC APPLICAT LONGARMSPLINT,921.0,921.0,169.96,736.8,31 APC,5101,HC APPLICATION LONG LEG SPLINT,493.0,493.0,169.96,539.03,31 APC,5101,HC APPLICATION LOWER LEG SPLINT,582.0,582.0,169.96,539.03,62 APC,5101,HC MAPS APPLIC CAST GAUNTLET,279.0,279.0,169.96,539.03,31 APC,5101,HC MAPS APPLICAT LONGARMSPLINT,193.0,193.0,154.4,539.03,31 APC,5102,HC MAPS APPLIC CAST SHORT ARM,328.0,328.0,262.4,927.79,31 APC,5102,HC MAPS APPLIC CAST LONG ARM,287.0,287.0,229.6,927.79,31 APC,5102,HC MAPS APPLY SHORT LEG CAST BELOW KNEE TO TOES,250.0,250.0,200.0,927.79,31 APC,5111,HC CL TX EA BONE METACARPL NO MAN,920.0,920.0,258.0,818.25,31 APC,5111,HC CL TX FX GREAT TOE/PHAL W/MANP,838.0,838.0,258.0,818.25,31 APC,5111,HC CL TX FX RADIAL HEAD/NECK,1032.0,1032.0,258.0,825.6,31 APC,5111,HC CL TX INT/SUB DISLOC TMJ,716.0,716.0,258.0,818.25,31 APC,5111,HC CL TX IP JT SGL W/MANP NO ANE,1428.0,1428.0,258.0,1142.4,31 APC,5111,HC CL TX MCP JTSGL NO ANES,1634.0,1634.0,258.0,1290.0,31 APC,5111,HC CL TX NRSEMAID ELBOW W/MANP,680.0,680.0,258.0,818.25,31 APC,5111,HC CL TX PATELLAR DSLC NO ANES,1458.0,1458.0,258.0,1166.4,31 APC,5111,HC CL TX POST HIP ARTHRO NO ANES,1749.0,1749.0,258.0,1290.0,31 APC,5111,HC CL TX PROX/MID FING/THUMBW/MAN,1634.0,1634.0,193.5,1290.0,32 APC,5111,HC CL TX THUMB W/MANP,1547.0,1547.0,258.0,1237.6,31 APC,5111,HC CL/TX BIMALLEOLAR ANKLE,1399.0,1399.0,258.0,1119.2,31 APC,5111,HC CL/TX FX RADIAL SHAFT,1054.0,1054.0,258.0,843.2,31 APC,5111,HC CL/TX ULNAR STYLOID,1234.0,1234.0,258.0,987.2,31 APC,5111,HC CL/TXFX/ DISTAL RADIUS,1147.0,1147.0,258.0,917.6,31 APC,5111,HC CL/TXFXDISTLPHL/FNG/THB,1522.0,1522.0,258.0,1217.6,31 APC,5111,HC CL/TXPHALXNOTGRTTOE W/MAN,787.0,787.0,258.0,818.25,31 APC,5111,HC CLOSED TX ELBOW W/MANP,1667.0,1667.0,258.0,1290.0,31 APC,5111,HC CLTX DIST FIBULARFX,1271.0,1271.0,258.0,1016.8,31 APC,5111,HC CLTXDISTALFIBFX W/MAN,1739.0,1739.0,193.5,1290.0,32 APC,5111,HC CLTXINTERPHLJTDISLW/OUTAN,777.0,777.0,258.0,818.25,31 APC,5111,HC CLTXMETATARSALFX W/MAN,1269.0,1269.0,258.0,1015.2,31 APC,5111,HC CR/DISL ANKLE,1570.0,1570.0,258.0,1256.0,31 APC,5111,HC CR/DISL HIP TRAUMATIC,2084.0,2084.0,258.0,1290.0,31 APC,5111,HC MAPS CL TX EA BONE METACARPL NO MAN,275.0,275.0,220.0,818.25,31 APC,5111,HC MAPS CL TX FX RADIAL HEAD/NECK,275.0,275.0,220.0,818.25,31 APC,5111,HC MAPS CL TX HUMRL SHAFT FRAC W/O,237.0,237.0,189.6,818.25,31 APC,5111,HC MAPS CL TX METARSAL ECH NO MANP,275.0,275.0,193.5,818.25,32 APC,5111,HC MAPS CL/TXFX/ DISTAL RADIUS,275.0,275.0,220.0,818.25,31 APC,5111,HC MAPS CLTX RAD ULNAR SHAFT FX,185.0,185.0,148.0,818.25,31 APC,5111,HC MAPS TREATMENT OF THIGH FRACTURE,942.0,942.0,258.0,818.25,31 APC,5111,HC RF ABLATION HUMERUS/ELBOW,22217.0,22217.0,193.5,1290.0,32 APC,5111,HC RF ABLATION OF PELVIS,11742.0,11742.0,193.5,1290.0,32 APC,5111,HC SHOUL W/MANIP,1697.0,1697.0,258.0,1290.0,31 APC,5111,HC TREAT HUMERUS FRACTURE,1264.0,1264.0,258.0,1011.2,31 APC,5111,HC TREAT KNEE DISLOCATION,1264.0,1264.0,258.0,1011.2,31 APC,5111,HC TREAT METACARPAL FRACT,717.0,717.0,193.5,818.25,32 APC,5111,HC TREAT TOE DISLOCATION W/OUT ANESH,674.0,674.0,258.0,818.25,31 APC,5111,HC UNL PROCCRYOABLAT-FRA,18953.0,18953.0,193.5,1290.0,32 APC,5111,HC UNLIST PROCSPINE CRYO,18953.0,18953.0,193.5,1290.0,32 APC,5111,HC UNLISTED PROC MUSCULOSKELETAL,9083.0,9083.0,193.5,1290.0,32 APC,5111,HC UNLISTED SURGFEMUR OR,2264.0,2264.0,193.5,1290.0,32 APC,5112,HC CL TX ARTICULAR FXW/MAN,1649.0,1649.0,1319.2,5333.99,31 APC,5112,HC CL TX SHOULD DISLOC W/MANIP,5192.0,5192.0,1261.39,5333.99,32 APC,5112,HC CL/TX FEMSHAFT W/MANIP,3566.0,3566.0,1261.39,5333.99,32 APC,5112,HC CL/TX TIBSH FXWMAN,2270.0,2270.0,1261.39,5333.99,32 APC,5112,HC CLOSED RX MONTEGGIA FX/DISLOC ELBOW,4836.0,4836.0,1681.85,5333.99,31 APC,5112,HC CLOSED TREAT ULNAR FRACTURE,2219.0,2219.0,1681.85,5333.99,31 APC,5112,HC CLTX FXDISRADW/MANIP,2200.0,2200.0,1261.39,5333.99,32 APC,5112,HC CLTX MEDMALLELUSFX W/MAN,2020.0,2020.0,1261.39,5333.99,32 APC,5112,HC CLTX TALUS FXW/MAN,1474.0,1474.0,1179.2,5333.99,31 APC,5112,HC CLTXBIMALLANKLEFX W/MAN,2075.0,2075.0,1660.0,5333.99,31 APC,5112,HC CLTXRAD/ULNSHFTFXW/MANIP,2180.0,2180.0,1261.39,5333.99,32 APC,5112,HC CLTXTRIMALANKLEFX W/MAN,2203.0,2203.0,1681.85,5333.99,31 APC,5112,HC MAPS EXPLORE/TREAT FINGER JOINT,1350.0,1350.0,1080.0,5333.99,32 APC,5112,HC TREAT DISLOCATION/FRACTURE,4745.0,4745.0,1681.85,5333.99,31 APC,5113,HC PERQ CERVICOTHORACIC INJECT,3881.0,3881.0,2566.73,10853.82,32 APC,5113,HC PERQ LUMBOSACRAL INJECTION,3881.0,3881.0,2566.73,10853.82,32 APC,5114,HC ABLATE BONE TUMOR(S) PERQ,30981.0,30981.0,5692.14,24784.8,32 APC,5114,HC MAPS REMOVAL OF KNEECAP,7023.0,7023.0,5618.4,24070.16,31 APC,5114,HC PERC VER AUGMENT THORACIC,19680.0,19680.0,5692.14,24070.16,32 APC,5114,HC PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMB,19680.0,19680.0,5692.14,24070.16,32 APC,5116,HC BONE RF ABLATION,19275.0,19275.0,13754.42,58162.84,32 APC,5151,HC BRONCHO W/INJ CONTRAST,908.0,908.0,156.59,726.4,32 APC,5151,HC LARYNGFLEX FIBEROP DX,726.0,726.0,208.78,662.15,31 APC,5151,HC MAPS LARYNGFLEX FIBEROP DX,3686.0,3686.0,208.78,1043.9,31 APC,5151,HC MAPS NASAL ENDOSCOPY DX,1614.0,1614.0,156.59,1043.9,32 APC,5151,HC NASOPHARYNGOSCOPY,528.0,528.0,208.78,662.15,31 APC,5152,HC MAPS DIAGNOSTIC LARYNGOSCOPY,418.0,418.0,334.4,1297.4,31 APC,5153,HC BRONCH ALVEOLAR LAVAGE,4076.0,4076.0,1396.25,5904.25,32 APC,5153,HC BRONCH W/ BIOPSY,4076.0,4076.0,1396.25,5904.25,32 APC,5153,HC BRONCH W/ BRUSHING,4218.0,4218.0,1396.25,5904.25,32 APC,5153,HC BRONCH CLEAR AIRWAYS TREE 1ST,3443.0,3443.0,1861.66,5904.25,31 APC,5153,HC BRONCHOSCOPY,5243.0,5243.0,1396.25,5904.25,32 APC,5153,HC BRONCHOSCOPY W/FB REMOVAL,5525.0,5525.0,1396.25,5904.25,32 APC,5153,HC CHANGE OF WINDPIPE AIRWAY,3795.0,3795.0,1861.66,5904.25,31 APC,5153,HC DX BRONCHOSCOPE/WASH,1742.0,1742.0,1393.6,5904.25,32 APC,5153,HC DX LARYNGOSCOPY EXCPT NEW BORN,5480.0,5480.0,1396.25,5904.25,32 APC,5153,HC MAPS DX BRONCHOSCOPE/WASH,1114.0,1114.0,891.2,5904.25,32 APC,5153,HC MAPS LARYNGOSCOPY WITH BIOPSY,1358.0,1358.0,1086.4,5904.25,31 APC,5153,HC MAPS NASAL/SINUS ENDOSCOPY SURG W BIOPSY,4648.0,4648.0,1396.25,5904.25,32 APC,5153,HC MAPS NASAL/SINUS ENDOSCOPY SURG W CONTROL OF NA,1628.0,1628.0,1302.4,5904.25,32 APC,5154,HC BRONCH TRANSBRONCH NEEDLE ASP,10493.0,10493.0,2924.7,12367.58,32 APC,5154,HC BRONCH DEST OF TUMOR,10493.0,10493.0,3899.6,12367.58,31 APC,5154,HC BRONCH EBUS SAMPLNG 1/2 NODE,10493.0,10493.0,2924.7,12367.58,32 APC,5154,HC BRONCH EBUS SAMPLNG 3/> NODE,10493.0,10493.0,2924.7,12367.58,32 APC,5154,HC BRONCH TRANBRONCHIAL LUNG BX,10493.0,10493.0,2924.7,12367.58,32 APC,5154,HC BRONCH W/ TRH/BRC DIL RED FRAC,10493.0,10493.0,3899.6,12367.58,31 APC,5154,HC BRONCHOSCOPY/LUNG BX EACH,5168.0,5168.0,2924.7,12367.58,32 APC,5155,HC BRONCH TRACH/BRNCH STNT RESN,19709.0,19709.0,7381.64,23410.87,31 APC,5155,HC BRONCH W/BALLOON OCCLUSION,10364.0,10364.0,7381.64,23410.87,31 APC,5155,HC BRONCH W/PLACMNT TRACH STNT,10493.0,10493.0,7381.64,23410.87,31 APC,5155,HC BRONCHTHERMOPLASTY 1 LOBE,6386.0,6386.0,5108.8,23410.87,32 APC,5155,HC BRONCHTHERMOPLASTY 2 LOBES,1403.0,1403.0,1122.4,23410.87,32 APC,5161,HC ENDOTR INTUBATION,2782.0,2782.0,247.73,1238.65,31 APC,5161,HC I D PERITONSILLAR ABSCESS,2298.0,2298.0,247.73,1238.65,31 APC,5161,HC IMPLANT ACCULOCHEAD,7854.0,7854.0,185.8,1238.65,32 APC,5161,HC INSERT EMERGENCY AIRWAY,1574.0,1574.0,247.73,1238.65,31 APC,5161,HC MAPS BIOPSY OF EXTERNAL EAR,448.0,448.0,247.73,785.68,31 APC,5161,HC MAPS BIOPSY OF LIP,446.0,446.0,247.73,785.68,31 APC,5161,HC MAPS INCISION OF EARDRUM TUBE INFLATION,435.0,435.0,247.73,785.68,31 APC,5161,HC MAPS TRACH TUBE CHNG BEF FISTULA,143.0,143.0,114.4,785.68,31 APC,5161,HC TRACH TUBE CHNG BEF FISTULA,864.0,864.0,247.73,785.68,31 APC,5161,HC UNLSTD PRC ABLATION NC,18953.0,18953.0,185.8,1238.65,32 APC,5162,HC MAPS BIOPSY OF MOUTH LESION,446.0,446.0,356.8,1789.04,31 APC,5162,HC MAPS BIOPSY OF TONGUE ANTERIOR TWO THIRDS,817.0,817.0,564.1,1789.04,31 APC,5162,HC MAPS CLEAN OUT MASTOID CAVITY WITH ANES,857.0,857.0,423.08,1789.04,32 APC,5162,HC MAPS CREATE EARDRUM OPENING,446.0,446.0,356.8,1789.04,32 APC,5162,HC MAPS RELEASE OF NASAL ADHESIONS,601.0,601.0,480.8,1789.04,31 APC,5162,HC MAPS VISUALIZATION OF WINDPIPE,817.0,817.0,423.08,1789.04,32 APC,5162,HC REPAIR LIP VERMILION ONLY,1693.0,1693.0,564.1,1789.04,31 APC,5163,HC MAPS BIOPSY OF THROAT,725.0,725.0,580.0,5146.87,32 APC,5163,HC MAPS INTRANASAL BIOPSY,725.0,725.0,580.0,5146.87,31 APC,5163,HC SINUS TRACT INJ (THERAPEUTIC),3227.0,3227.0,1622.85,5146.87,31 APC,5164,HC DRAINAGE OF MOUTH LESION SUBMANDIBLAR SPACE,9203.0,9203.0,3467.75,10997.97,31 APC,5164,HC MAPS CLOSED TX NOSE FX W/ STABLJ,1391.0,1391.0,1112.8,10997.97,32 APC,5164,HC MAPS CLOSURE OF WINDPIPE LESION,2077.0,2077.0,1661.6,10997.97,31 APC,5164,HC MAPS RECONSTRUCT LIP WITH FLAP,2129.0,2129.0,1703.2,10997.97,31 APC,5164,HC MAPS REMOVAL OF INTRANASAL LESION,2042.0,2042.0,1633.6,10997.97,32 APC,5164,HC MAPS SEPTOPLASTY OR SUBMUCOUS RESEC,2077.0,2077.0,1661.6,10997.97,32 APC,5181,HC ASPIRATE PLEURA W/ IMAGING,2697.0,2697.0,492.09,2157.6,32 APC,5181,HC ASPIRATE PLEURA W/O IMAGING,2697.0,2697.0,492.09,2157.6,32 APC,5181,HC BAL ANGIOPL STEN DIALY,4164.0,4164.0,492.09,3280.6,32 APC,5181,HC CHEMICAL PLEURODESIS,12443.0,12443.0,656.12,3280.6,31 APC,5181,HC INJ RX EXTREMITY PSEUDOANEURYS,2394.0,2394.0,656.12,2080.88,31 APC,5181,HC INSJ PICC RS I <5 YR,3958.0,3958.0,656.12,3166.4,31 APC,5181,HC INSTILL FIBRINOLYTIC IN CHEST TUBE INITIAL,2478.0,2478.0,656.12,2080.88,31 APC,5181,HC INSTILLATION VIA CHEST TUBE,1509.0,1509.0,656.12,2080.88,31 APC,5181,HC LUNG RF ABLATION,12837.0,12837.0,492.09,3280.6,32 APC,5181,HC LYSE CHEST FIBRIN SUBS,2478.0,2478.0,656.12,2080.88,31 APC,5181,HC MAPS REMOVAL TUNNELED CV CATH W/O PORT/ PUMP,765.0,765.0,612.0,2080.88,31 APC,5181,HC REMOVE LUNG CATHETER,5462.0,5462.0,656.12,3280.6,31 APC,5181,HC REMOVE TUNN PLEURAL CATH,624.0,624.0,499.2,2080.88,31 APC,5181,HC REPAIR CV CATH W/O SUBQ PUMP/,4342.0,4342.0,656.12,3280.6,31 APC,5181,HC REPOS CAR MODULJ TRANVNS ELT,1883.0,1883.0,492.09,2080.88,32 APC,5181,HC REPOSITIONING PREV IMPL CCM-D TRANSVNS ELTRD/LD,1855.0,1855.0,492.09,2080.88,32 APC,5181,HC RMV TUNNELED CV W/O PORT/PUMP,3495.0,3495.0,656.12,2796.0,31 APC,5181,HC THORACENTESIS WO IMAGE GUIDE,9259.0,9259.0,492.09,3280.6,32 APC,5181,HC VASCULAR HEMANGIOMA PR,6867.0,6867.0,492.09,3280.6,32 APC,5182,HC CHEST TUBE INSERTION,4290.0,4290.0,1646.46,5221.75,31 APC,5182,HC DRAINAGE OF HEART SAC,4751.0,4751.0,1646.46,5221.75,31 APC,5182,HC INS PICC RS I 5 YR,3290.0,3290.0,1646.46,5221.75,31 APC,5182,HC INSERT CATH PLEURA W/ IMAGE,2697.0,2697.0,1646.46,5221.75,31 APC,5182,HC INTRO CATH DIALYSIS CIRCUIT,7390.0,7390.0,1646.46,5912.0,31 APC,5182,HC MAPS VEIN X-RAY CHEST,1756.0,1756.0,1404.8,5221.75,31 APC,5182,HC MECH RMVL INTRALUM THROMBIS,4785.0,4785.0,1646.46,5221.75,31 APC,5182,HC NON-TUNNELED CATH EXCHANGE,4564.0,4564.0,1646.46,5221.75,31 APC,5182,HC PICC REPLACEMENT W GUID,1821.0,1821.0,1456.8,5221.75,31 APC,5182,HC PICC W/O PUMP PORT W/O GUID <5YRS OLD,2538.0,2538.0,1646.46,5221.75,31 APC,5182,HC PICC W/O PUMP PORT W/O GUID >5YRS OLD,2538.0,2538.0,1646.46,5221.75,31 APC,5182,HC PLACE SWAN-GANZ CATH,11884.0,11884.0,1646.46,8232.3,31 APC,5182,HC REMOVE TUNNELED LINE W/PORT/PU,3288.0,3288.0,1646.46,5221.75,31 APC,5182,HC REPAIR OF PORT/PUMP,2249.0,2249.0,1646.46,5221.75,31 APC,5182,HC REPOSITION CV CATH UNDER FLUOR,1269.0,1269.0,1015.2,5221.75,31 APC,5182,HC VENO (EXTREMITY) BIL S/I,2370.0,2370.0,1646.46,5221.75,31 APC,5182,HC VENO (EXTREMITY) UNI S/I,1883.0,1883.0,1506.4,5221.75,31 APC,5182,HC VENO (SUP.VENA CAVA) S/I,2739.0,2739.0,1646.46,5221.75,31 APC,5183,DECLOT BY THROM AGEN,6024.0,6024.0,3302.52,10473.94,31 APC,5183,HC AORTO THORACIC W/O SER,5994.0,5994.0,3302.52,10473.94,31 APC,5183,HC ART. (ABDP.AORTA) S/I,5994.0,5994.0,3302.52,10473.94,31 APC,5183,HC ART. (ADRENAL) BIL S/I,5994.0,5994.0,3302.52,10473.94,31 APC,5183,HC ART. (ADRENAL) UNI S/I,3520.0,3520.0,2816.0,10473.94,31 APC,5183,HC ART. (EXTREMITY) UNI S/I,3103.0,3103.0,2482.4,10473.94,31 APC,5183,HC ART. (MAMMARY) S/I,9511.0,9511.0,3302.52,10473.94,31 APC,5183,HC ART. (PULMONARY) BIL S/I,9567.0,9567.0,3302.52,10473.94,31 APC,5183,HC ART. (PULMONARY) UNI S/I,3118.0,3118.0,2494.4,10473.94,31 APC,5183,HC ART. PULMONARY MAIN) S/I,3161.0,3161.0,2528.8,10473.94,31 APC,5183,HC ART.(EXTREMITY) BIL S/I,9854.0,9854.0,3302.52,10473.94,31 APC,5183,HC B/L ILIAC ANGIO NO CATH,9854.0,9854.0,3302.52,10473.94,31 APC,5183,HC BIOPSY OF HEART LINING,16091.0,16091.0,3302.52,12872.8,31 APC,5183,HC CENTRAL LINE SUBCLAVIAN (INSER,2620.0,2620.0,2096.0,10473.94,31 APC,5183,HC CESSJ THERAPY CATH REMOVAL,11451.0,11451.0,2476.89,10473.94,32 APC,5183,HC EXCIS BRTES/RAD MARKOPEN 1TES,16593.0,16593.0,3302.52,13274.4,31 APC,5183,HC HEPATIC W/O HEMODYNAMICS,4556.0,4556.0,3302.52,10473.94,31 APC,5183,HC HEPATIC WEDGE PRESSURES,3978.0,3978.0,3182.4,10473.94,31 APC,5183,HC IMPLANTABLE ARM PORT (DOUMENT US),9909.0,9909.0,2476.89,10473.94,32 APC,5183,HC INJECT THERAPY OF VEIN,594.0,594.0,475.2,10473.94,31 APC,5183,HC INS NON-TUN CV CATH<5,2620.0,2620.0,2096.0,10473.94,31 APC,5183,HC INSERT PERPHERALLY CV W/PORT,9909.0,9909.0,2476.89,10473.94,32 APC,5183,HC INSERT TUNN CVC 2 SIT,13009.0,13009.0,2476.89,10473.94,32 APC,5183,HC INSERT TUNNELED CV W/PORT,7594.0,7594.0,2476.89,10473.94,32 APC,5183,HC LYMPHANGIOGM (ABDOM.) BIL,6241.0,6241.0,3302.52,10473.94,31 APC,5183,HC LYMPHANGIOGM (ABDOM.) UNI,6241.0,6241.0,3302.52,10473.94,31 APC,5183,HC MAPS ENDOVENOUS MCHNCHEM 1ST VEIN,3958.0,3958.0,2476.89,10473.94,32 APC,5183,HC MAPS REM ENDOVAS VENA CAVA FILTER,3400.0,3400.0,2720.0,10473.94,31 APC,5183,HC MAPS RF ENDO ABLATION INT. VEIN,3919.0,3919.0,2476.89,10473.94,32 APC,5183,HC PHLEB VEINS-EXTREM 20,10153.0,10153.0,2476.89,10473.94,32 APC,5183,HC PHLEB VEINS-EXTREM TO 20,10155.0,10155.0,2476.89,10473.94,32 APC,5183,HC PLACE CATH SUBCLAVIAN ART,12419.0,12419.0,2476.89,10473.94,32 APC,5183,HC PLACE CATH THORACIC AORTA,12419.0,12419.0,2476.89,10473.94,32 APC,5183,HC PLACE CATH XTRNL CAROTID/INOM,12419.0,12419.0,2476.89,10473.94,32 APC,5183,HC REM PERICATH FIBRIN SHEATH,6024.0,6024.0,3302.52,10473.94,31 APC,5183,HC REMOVE INTRA-VAS VENA CAVA FIL,12467.0,12467.0,3302.52,10473.94,31 APC,5183,HC REMOVE PERITONEAL-VENOUS SHUNT,8156.0,8156.0,3302.52,10473.94,31 APC,5183,HC REMOVE TUNNEL INTRAPER,9375.0,9375.0,2476.89,10473.94,32 APC,5183,HC REMOVEINTRVAS FOREIGN BODY,11874.0,11874.0,2476.89,10473.94,32 APC,5183,HC RENAL CATH 1ST ORDER BILAT,11828.0,11828.0,2476.89,10473.94,32 APC,5183,HC RENAL CATH 1ST ORDER UNI,12270.0,12270.0,2476.89,10473.94,32 APC,5183,HC RENAL CATH 2ND ORDER BILAT,11828.0,11828.0,2476.89,10473.94,32 APC,5183,HC REPLACE TUNNELED LINE W/PORT,5905.0,5905.0,2476.89,10473.94,32 APC,5183,HC REPOSITION L VENTRIC LEAD,8647.0,8647.0,3302.52,10473.94,31 APC,5183,HC REPOSITION PACING-DEFIB LEAD,36909.0,36909.0,3302.52,16512.6,31 APC,5183,HC RF ENDO ABLATION INT. VEIN,9940.0,9940.0,2476.89,10473.94,32 APC,5183,HC RPLC PERIPHER CV W/PORTCATH O,9909.0,9909.0,2476.89,10473.94,32 APC,5183,HC RPLC PERIPHERALLY CV W/PRT CPL,9909.0,9909.0,3302.52,10473.94,31 APC,5183,HC RPLC TUNNELED CV W/O PORT/PUMP,4643.0,4643.0,2476.89,10473.94,32 APC,5183,HC TCAT RMV 1CHMBR LDLS PM RA,9567.0,9567.0,2476.89,10473.94,32 APC,5183,HC THROMBOLYTIC ART/VEN THERAPY,11451.0,11451.0,2476.89,10473.94,32 APC,5183,HC THROMBOLYTIC VENOUS THERAPY,5133.0,5133.0,2476.89,10473.94,32 APC,5183,HC TRANSHEP.PORTOGM /W HEMO,3595.0,3595.0,2876.0,10473.94,31 APC,5183,HC TRANSHEPPORTOGM W/O HEMO,3952.0,3952.0,3161.6,10473.94,31 APC,5183,HC TUNNELED CATH PLACEMENT,9443.0,9443.0,2476.89,10473.94,32 APC,5183,HC UNI ILIAC ANGIO NO CATH,12293.0,12293.0,3302.52,10473.94,31 APC,5183,HC VENO (INF.VENA CAVA) S/I,2609.0,2609.0,2087.2,10473.94,31 APC,5183,HC VENO (JUGULAR) S/I (ANGIO),2505.0,2505.0,2004.0,10473.94,31 APC,5183,HC VENO (RENAL) UNI S/I,2997.0,2997.0,2397.6,10473.94,31 APC,5183,HC VENO CAV INF SE,2739.0,2739.0,2191.2,10473.94,31 APC,5184,HC ANGIO SPIN SEL C,3812.0,3812.0,3049.6,18458.42,31 APC,5184,HC ANGIO SPINAL SEL ECH VESS S/I,5994.0,5994.0,4795.2,18458.42,31 APC,5184,HC AORTO THORACIC W SER,5994.0,5994.0,4795.2,18458.42,31 APC,5184,HC ART. (PELVIC SEL.) S/I,3943.0,3943.0,3154.4,18458.42,31 APC,5184,HC ART.(VISCERAL SEL.)S/I,3520.0,3520.0,2816.0,18458.42,31 APC,5184,HC INSERT INTRAVAS VENA CAVA FIL,18182.0,18182.0,5820.09,18458.42,31 APC,5184,HC INSERT TUNN CVC 2 SIT,13009.0,13009.0,4365.07,18458.42,32 APC,5184,HC INST TUNEL CV CATH W/O,13009.0,13009.0,5820.09,18458.42,31 APC,5184,HC MAPS ARTERY-VEIN NONAUTOGRAFT,5955.0,5955.0,4365.07,18458.42,32 APC,5184,HC MAPS OPEN THROMBECT AV FISTULA,5955.0,5955.0,4365.07,18458.42,32 APC,5184,HC PERCUTAN PORTAL VEIN CATHE,13311.0,13311.0,4365.07,18458.42,32 APC,5184,HC PLACE CATH CAROTD ART,20316.0,20316.0,4365.07,18458.42,32 APC,5184,HC PLACE CATH INT CAROTID/INOM AR,12419.0,12419.0,4365.07,18458.42,32 APC,5184,HC PLACE CATH VERTEBRAL ART,20316.0,20316.0,4365.07,18458.42,32 APC,5184,HC RENAL CATH 2NR ORDER UNI,11828.0,11828.0,4365.07,18458.42,32 APC,5184,HC THORACIC AORTOGRAM,5994.0,5994.0,4795.2,18458.42,31 APC,5184,HC THROMBECTOMY-GRAFT,14267.0,14267.0,5820.09,18458.42,31 APC,5184,HC THROMBOLYTIC ART THERAPY,5133.0,5133.0,4106.4,18458.42,32 APC,5184,HC VENASEAL ABLATION 1ST VEIN,16110.0,16110.0,5820.09,18458.42,31 APC,5184,HC VENOUS SAMP EG RENINS EA SAMP,2814.0,2814.0,2251.2,18458.42,31 APC,5191,HC CORONARY ART/GRFT ANGIO S I,17957.0,17957.0,3390.85,14365.6,31 APC,5191,HC CORONARY ARTERY ANGIO S I,27565.0,27565.0,3390.85,16954.25,31 APC,5191,HC L HRT ART/GRFT ANGIO,28977.0,28977.0,3390.85,16954.25,31 APC,5191,HC L HRT ARTERY/VENTRICLE ANGIO,28031.0,28031.0,3390.85,16954.25,31 APC,5191,HC LEFT HRT CATH W/VENTRCLGRPHY,9453.0,9453.0,3390.85,10754.08,31 APC,5191,HC R L HEART CATH CONGENITAL SEPTAL,24974.0,24974.0,3390.85,16954.25,31 APC,5191,HC R L HEART CATH CONGENITAL TRANSSEPTAL SEPTUM,17957.0,17957.0,3390.85,14365.6,31 APC,5191,HC R HRT ART/GRFT ANGIO,17735.0,17735.0,3390.85,14188.0,31 APC,5191,HC R HRT CATH CHD W/IMG CATH TRGT ZON ABNL NT CONN,13715.0,13715.0,3390.85,10972.0,31 APC,5191,HC R HRT CORONARY ARTERY ANGIO,17735.0,17735.0,3390.85,14188.0,31 APC,5191,HC R L HRT ART/VENTRICLE ANGIO,43558.0,43558.0,3390.85,16954.25,31 APC,5191,HC R L HRT ART/VENTRICLE ANGIO WHEN PERFORMED IN B,49137.0,49137.0,3390.85,16954.25,31 APC,5191,HC R L HRT CATH W/VENTRICLGRPHY,24974.0,24974.0,3390.85,16954.25,31 APC,5191,HC RIGHT HEART CATH,11878.0,11878.0,3390.85,10754.08,31 APC,5191,HC TRANSEPT-RT LT ATRIAL PRESSURE,46843.0,46843.0,3390.85,16954.25,31 APC,5192,HC INTRO CATH DIALYSIS CIRCUIT W/ANGIOPLASTY,7390.0,7390.0,4464.75,18879.94,32 APC,5192,HC PRQ CARDIAC ANGIOPLAST 1 ART,58708.0,58708.0,5953.0,29765.0,31 APC,5192,HC REVISION OF AORTIC VALVE,42860.0,42860.0,5953.0,29765.0,31 APC,5192,HC THRMBC/NFS DIALYSIS CIRCUIT,13151.0,13151.0,4464.75,18879.94,32 APC,5192,HC TIPS REVISION,17874.0,17874.0,4464.75,18879.94,32 APC,5192,HC TRLUML BALO ANGIOP 1ST ART,16337.0,16337.0,4464.75,18879.94,32 APC,5192,HC TRLUML BALO ANGIOP 1ST VEIN,7833.0,7833.0,4464.75,18879.94,32 APC,5193,HC PERQ TCAT THER RX DLVR NTRAC RX BALO 1 MAJ C A,17105.0,17105.0,9055.84,38294.15,32 APC,5193,HC (TACE/RE/UFE/BLAND),20038.0,20038.0,9055.84,38294.15,32 APC,5193,HC MECHAN. THROMBECTOMY VENOUS,16593.0,16593.0,12074.46,38294.15,31 APC,5193,HC OCCULSION OR EMA.INTRA,22921.0,22921.0,12074.46,38294.15,31 APC,5193,HC OPEN/PERQ PLACE STENT 1ST,19094.0,19094.0,9055.84,38294.15,32 APC,5193,HC OPEN/PERQ PLACE STENT SAME,19094.0,19094.0,9055.84,38294.15,32 APC,5193,HC PERC D-E COR REVASC T CABG S,77145.0,77145.0,12074.46,60372.3,31 APC,5193,HC PR REVASC INTRAVASC LITHOTRIPSY,17216.0,17216.0,12074.46,38294.15,31 APC,5193,HC PR REVASC LITHOTRIP TIBI/PERONE,34879.0,34879.0,12074.46,38294.15,31 APC,5193,HC PRQ CARD ANGIO/ATHRECT 1 ART,76036.0,76036.0,12074.46,60372.3,31 APC,5193,HC PRQ CARD DE STENT W/ANGIO 1VSL,78380.0,78380.0,12074.46,60372.3,31 APC,5193,HC PRQ CARD REVASC CHRONIC 1VSL,77145.0,77145.0,12074.46,60372.3,31 APC,5193,HC PRQ CARD STENT W/ANGIO 1 VSL,78380.0,78380.0,12074.46,60372.3,31 APC,5193,HC PRQ REVASC BYP GRAFT 1 VSL,77145.0,77145.0,12074.46,60372.3,31 APC,5193,HC REVISION OF MITRAL VALVE,46023.0,46023.0,12074.46,38294.15,31 APC,5193,HC TDE BAE GIB TRAUMA OB EMERGENCY,20038.0,20038.0,9055.84,38294.15,32 APC,5193,HC THRMBC/NFS DIALYSIS CIRCUIT W/ANGIOPLASTY,12561.0,12561.0,9055.84,38294.15,32 APC,5193,HC VASC EMBOLIZE/OCCLUDE BLEED,20038.0,20038.0,9055.84,38294.15,32 APC,5193,HC VASC EMBOLIZE/OCCLUDE ORGAN,20038.0,20038.0,9055.84,38294.15,32 APC,5193,HC VASC EMBOLIZE/OCCLUDE VENOUS,20038.0,20038.0,9055.84,38294.15,32 APC,5194,HC EG AVM PAVM RE PREP.,20038.0,20038.0,14380.26,60809.33,32 APC,5194,HC MECH THROMBECTOMY ART PRI 1ST,16593.0,16593.0,13274.4,60809.33,31 APC,5194,HC OCCLUSION OR EMBOL-CEN,1336.0,1336.0,1068.8,60809.33,32 APC,5194,HC PERC D-E COR REVASC CHRO SIN,77145.0,77145.0,19173.68,61716.0,31 APC,5194,HC PERC D-E COR STENT ATHER S,154412.0,154412.0,19173.68,95868.4,31 APC,5194,HC PERQ TRANSCATH CLOSURE PDA,67588.0,67588.0,14380.26,60809.33,32 APC,5194,HC PR REVASC INTRA LITHOTRIP-ATHER,34953.0,34953.0,19173.68,60809.33,31 APC,5194,HC PR REVASC LITH-STEN-ATH TIB/PER,55790.0,55790.0,19173.68,60809.33,31 APC,5194,HC PR REVASC LITHOTR-ATHER TIB/PER,55790.0,55790.0,19173.68,60809.33,31 APC,5194,HC PR REVASC LITHOTR-STENT TIB/PER,55790.0,55790.0,19173.68,60809.33,31 APC,5194,HC PR REVASC LITHOTRIP-STENT-ATHER,55790.0,55790.0,19173.68,60809.33,31 APC,5194,HC PRQ CARD STENT/ATH/ANGIO SINGLE ARTERY,154412.0,154412.0,19173.68,95868.4,31 APC,5194,HC REVASC INTRA LITHOTRIP-STENT,34879.0,34879.0,19173.68,60809.33,31 APC,5194,HC TIPS (EXCLUDING EMOLIZ),22190.0,22190.0,14380.26,60809.33,32 APC,5194,HC TRANSCATH CLOSURE OF ASD,66987.0,66987.0,14380.26,60809.33,32 APC,5194,HC TRANSCATH CLOSURE OF VSD,65790.0,65790.0,14380.26,60809.33,32 APC,5194,HC VASC EMBOLIZE/OCCLUDE ARTERY,20038.0,20038.0,14380.26,60809.33,32 APC,5200,HC RHC W/IMPL PRESSURE SENSOR,102311.0,102311.0,30000.9,95147.85,31 APC,5211,HC ELECTROPHYSIOLOGIC EVAL CCM-D LEADS AT 1ST IMPL,3642.0,3642.0,955.1,4038.81,32 APC,5211,HC ELECTROPHYSIOLOGIC EVAL CCM-D LEADS SEPARATE,3642.0,3642.0,955.1,4038.81,32 APC,5211,HC ELECTROPHYSIOLOGY EVALUATION SINGLE OR DUAL CHA,31681.0,31681.0,1273.47,6367.35,31 APC,5211,HC ESOPH REC ATR ELECT W/PACING,3093.0,3093.0,1273.47,4038.81,31 APC,5211,HC ESOPH REC ATR ELECTROGRAM,1903.0,1903.0,1273.47,4038.81,31 APC,5211,HC INDUCT ARRHYTHMIA ELECT PACING,13275.0,13275.0,1273.47,6367.35,31 APC,5211,HC RT VENTRICULAR RECORDING,6225.0,6225.0,1273.47,4980.0,31 APC,5212,HC ABLATE HEART DYSRHYTHM FOCUS COMP HEART BLOCK,21003.0,21003.0,6118.45,25872.87,32 APC,5212,HC BUNDLE HIS RECORDING,6605.0,6605.0,5284.0,25872.87,31 APC,5212,HC ELECTROPHYSIOLOGY EVALUATION MULTIPLE ELECTRODE,58964.0,58964.0,8157.93,40789.65,31 APC,5212,HC ELECTROPHYSIOLOGY EVALUATION W/O INDUCTION,39070.0,39070.0,8157.93,31256.0,31 APC,5212,HC EPSTUDY F/UP-EVALDRUG WPRIORCO,37831.0,37831.0,8157.93,30264.8,31 APC,5212,HC INTRA-ATRIAL PACING,7081.0,7081.0,5664.8,25872.87,31 APC,5212,HC INTRA-ATRIAL RECORDING,5270.0,5270.0,4216.0,25872.87,31 APC,5212,HC INTRAVENTRICULAR PACING,7425.0,7425.0,5940.0,25872.87,31 APC,5213,HC EP ABLATE SUPRAVENT ARRHYT,91342.0,91342.0,27338.48,86703.99,31 APC,5213,HC EP ABLATE VENTRIC TACHY,138861.0,138861.0,27338.48,111088.8,31 APC,5213,HC TX ATRIAL FIB PULM VEIN ISOL,159676.0,159676.0,27338.48,127740.8,31 APC,5221,HC REMOVAL OF PACEMAKER SYSTEM,33711.0,33711.0,3908.61,19543.05,31 APC,5221,HC REMOVAL PACEMAKER ELECTRODE,37172.0,37172.0,3908.61,19543.05,31 APC,5221,HC REMOVAL PERM CCM-D SYSTEM PULSE GENERATOR ONLY,10918.0,10918.0,2931.46,12396.16,32 APC,5221,HC REMOVE ELCTRD TRANSVENOUSLY,27544.0,27544.0,3908.61,19543.05,31 APC,5221,HC REMOVE PULSE GENERATOR,36127.0,36127.0,2931.46,19543.05,32 APC,5221,HC REPAIR A V ICD LEADS,27536.0,27536.0,3908.61,19543.05,31 APC,5221,HC REPAIR LEAD PACE-DEFIB ONE,35862.0,35862.0,3908.61,19543.05,31 APC,5221,HC REPOS SUB DEFIB ELTRD,56822.0,56822.0,2931.46,19543.05,32 APC,5221,HC RMVL CAR MODULJ TRANVNS ELT,10321.0,10321.0,2931.46,12396.16,32 APC,5221,HC RMVL OF SUBQ DEFIBRILLATOR,23418.0,23418.0,2931.46,18734.4,32 APC,5221,HC RMVL PERM CCM-D SYS 1 TRANSVNS DFB LEAD ONLY,10918.0,10918.0,2931.46,12396.16,32 APC,5221,HC RMVL PERM CCM-D SYS 1 TRANSVNS PACING LEAD ONLY,10918.0,10918.0,2931.46,12396.16,32 APC,5221,HC RMVL PERM CCM-D SYS DUAL TRANSVNS LEADS ONLY,10918.0,10918.0,2931.46,12396.16,32 APC,5222,HC I/R TEMPTR SCCARELEC/PMKR,22124.0,22124.0,8655.51,27450.95,31 APC,5222,HC IMPLANT PAT-ACTIVE HT RECORD,25654.0,25654.0,8655.51,27450.95,31 APC,5222,HC INSERT 1 ELECTRODE PM-DEFIB,37860.0,37860.0,8655.51,30288.0,31 APC,5222,HC INSERT 2 ELECTRODE PM-DEFIB,36909.0,36909.0,8655.51,29527.2,31 APC,5222,HC INSERT SUBQ DEFIB ELEC,56803.0,56803.0,6491.63,43277.55,64 APC,5222,HC INSJ PERM CCM-D SYS 1 TRANSVNS LEAD ONLY,24828.0,24828.0,6491.63,27450.95,32 APC,5222,HC INSJ PERM CCM-D SYS DUAL TRANSVNS LEADS ONLY,24828.0,24828.0,6491.63,27450.95,32 APC,5222,HC INSJ/RPLC CAR MODULJ ATR ELT,28312.0,28312.0,6491.63,27450.95,32 APC,5222,HC INSJ/RPLC CAR MODULJ VNT ELT,28315.0,28315.0,6491.63,27450.95,32 APC,5222,HC PULSE GENERATOR CHANGE-AAI/VVI,38763.0,38763.0,8655.51,31010.4,31 APC,5222,HC REMOVAL OF PM GENERATOR,30106.0,30106.0,8655.51,27450.95,31 APC,5222,HC REMOVE REPLACE PM GEN SINGL,68867.0,68867.0,8655.51,43277.55,31 APC,5222,HC TEMP PM (DUAL LEADS),22124.0,22124.0,8655.51,27450.95,31 APC,5223,HC INSERT HEART PM ATRIAL,38937.0,38937.0,10932.1,34671.16,31 APC,5223,HC INSERT HEART PM VENTRICULAR,42192.0,42192.0,10932.1,34671.16,31 APC,5223,HC INSERT PACING LEAD CONNECT,21717.0,21717.0,10932.1,34671.16,31 APC,5223,HC INSERT PULSE GEN DUAL LEADS,38763.0,38763.0,10932.1,34671.16,31 APC,5223,HC INSRT HEART PM ATRIAL VENT,42620.0,42620.0,10932.1,34671.16,31 APC,5223,HC REMV REPLC PM GEN DUAL LEAD,68867.0,68867.0,10932.1,54660.5,31 APC,5223,HC UPGRADE AAI/VVI TO DDD,41965.0,41965.0,10932.1,34671.16,31 APC,5224,HC INSERTION OR REPLACEMENT LEADLESS/ MICRA PROG,55094.0,55094.0,20146.46,63894.5,31 APC,5224,HC PULSE GENERATOR CHANGE-MULTI,90570.0,90570.0,20146.46,72456.0,31 APC,5224,HC REMV REPLC PM GEN MULT LEADS,68867.0,68867.0,20146.46,63894.5,31 APC,5224,HC TCAT INS 1CHMBR LDLS PM RA,58481.0,58481.0,15109.84,63894.5,32 APC,5224,HC TCAT INS 2CHMBR LDLS PM CMPL,55695.0,55695.0,15109.84,63894.5,32 APC,5224,HC TCAT RMV RPL1CHMB LDLS PM RA,58481.0,58481.0,15109.84,63894.5,32 APC,5231,HC INSERTION PERM CCM-D SYSTEM PULSE GENERATOR ONL,67339.0,67339.0,17448.98,73785.93,32 APC,5231,HC INSJ/RPLC CAR MODULJ PLS GN,80016.0,80016.0,17448.98,73785.93,32 APC,5231,HC INSRT PULSE GEN W/DUAL LEADS,53494.0,53494.0,17448.98,73785.93,32 APC,5231,HC INSRT PULSE GEN W/EXIST SINGL,53494.0,53494.0,17448.98,73785.93,32 APC,5231,HC RMVL RPLCMT DFB GEN 2 LEAD,89618.0,89618.0,17448.98,73785.93,32 APC,5231,HC RMVL REPLC PULSE GEN 1 LEAD,89618.0,89618.0,17448.98,73785.93,32 APC,5231,HC RMVL RPLCMT PERMANENT CCM-D PULSE GENERATOR ONL,67339.0,67339.0,17448.98,73785.93,32 APC,5232,HC IMPLNT ICD LEAD(S) GEN DUAL CH,43537.0,43537.0,24623.01,104122.5,32 APC,5232,HC INS/REP SUBQ DEFIBRILLATOR,56853.0,56853.0,24623.01,104122.5,32 APC,5232,HC INSERT/REPOSIT DUAL,43537.0,43537.0,24623.01,104122.5,32 APC,5232,HC INSJ PERM CCM-D SYS PG DUAL TRANSVNS ELTRDS/LDS,96183.0,96183.0,24623.01,104122.5,32 APC,5232,HC INSJ/RPLCMT DEFIB W/LEAD(S),37860.0,37860.0,24623.01,104122.5,32 APC,5232,HC INSRT PULSE GEN W/MULT LEADS,53494.0,53494.0,24623.01,104122.5,32 APC,5232,HC PR INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVNS EL,80016.0,80016.0,24623.01,104122.5,32 APC,5232,HC RMVL RPLCMT DFB GEN MLT LD,89618.0,89618.0,24623.01,104122.5,32 APC,5241,HC BLOOD TRANSFUSION SERVICE,990.0,990.0,461.44,1463.46,31 APC,5241,HC STEM CELL PROCESSING CRYOPRESERVATION,3653.0,3653.0,461.44,2307.2,31 APC,5241,HC TRANSFUSION SERVICE FETAL,5940.0,5940.0,461.44,2307.2,31 APC,5241,HC TRNSFUSBLD/BLD COMPNTS,1569.0,1569.0,461.44,1463.46,31 APC,5242,HC APHERESIS RBC THERAPEUTIC,4918.0,4918.0,1628.97,5166.28,31 APC,5242,HC APHERESIS WBC THERAPEUTIC,4918.0,4918.0,1628.97,5166.28,31 APC,5242,HC HARVEST AUTOLOGOUS STEM CELLS,8735.0,8735.0,1628.97,6988.0,31 APC,5242,HC TRANSPLANT ALLOGENEIC LYMPHOCYTES,3765.0,3765.0,1628.97,5166.28,31 APC,5242,HC TRANSPLANTATION AUTOLOGOUS HPC,4141.0,4141.0,1628.97,5166.28,31 APC,5242,HC TRANSPLJ HEMATOPOIETIC BOOST,8356.0,8356.0,1221.73,6684.8,32 APC,5244,HC TRANSPLANTATION ALLOGENEIC HPC,4141.0,4141.0,3312.8,208654.32,31 APC,5301,HC ABD PARACENTESIS W/IMAG GUID,2325.0,2325.0,948.65,3008.64,31 APC,5301,HC ABD PARACENTESIS W/O IMAG GUID,2957.0,2957.0,948.65,3008.64,31 APC,5301,HC CHANGE GASTROSTOMY TUBE,2778.0,2778.0,948.65,3008.64,31 APC,5301,HC DX.S.BOWEL ILEOSCOPY,3867.0,3867.0,711.49,3093.6,32 APC,5301,HC EGD INSERTION OF GUIDE WIRE,3836.0,3836.0,711.49,3068.8,32 APC,5301,HC EGD REMOVAL OF FB,4198.0,4198.0,711.49,3358.4,32 APC,5301,HC ESOPHAGEAL CAPSULE ENDOSCOPY,6816.0,6816.0,948.65,4743.25,31 APC,5301,HC ESOPHAGOSCOPY,3324.0,3324.0,948.65,3008.64,31 APC,5301,HC G-J TUBE REMOVAL,2797.0,2797.0,948.65,3008.64,31 APC,5301,HC INTRO LONG GI TUBE,2578.0,2578.0,948.65,3008.64,31 APC,5301,HC MAPS ESOPHAGOSCOPY FLEXIBLE BRUSH,797.0,797.0,637.6,3008.64,31 APC,5301,HC REMOVAL BILIARY DRG CATH,5515.0,5515.0,948.65,4412.0,31 APC,5301,HC REMOVAL FOREIGN BODY MOUTH SIMPLE,2813.0,2813.0,948.65,3008.64,31 APC,5301,HC REPLACE G/C TUBE PERC,2546.0,2546.0,948.65,3008.64,31 APC,5301,HC REPLACEMENT G-J TUBE,2778.0,2778.0,948.65,3008.64,31 APC,5301,HC REPLACEMENT J TUBE,2778.0,2778.0,948.65,3008.64,31 APC,5301,HC S.BOWEL ILEOSCOPY W/BX,4444.0,4444.0,948.65,3555.2,31 APC,5301,HC STOMACH SURGERY PROCEDURE,1264.0,1264.0,711.49,3008.64,32 APC,5301,HC UNLISTED BILIARY TRACT,11998.0,11998.0,711.49,4743.25,32 APC,5301,HC UPPER GI ENDOSCOPY BIOPSY,4273.0,4273.0,711.49,3418.4,32 APC,5301,HC UPPR GI ENDOSCOPY DIAGNOSIS,4027.0,4027.0,711.49,3221.6,32 APC,5301,HC UPPR GI SCOPE W/SUBMUC INJ,5197.0,5197.0,711.49,4157.6,32 APC,5301,HC WIRELESS CAPSULE ENDOSCOPY,2591.0,2591.0,948.65,3008.64,31 APC,5302,HC CONVERT G TO GJ TUBE,3837.0,3837.0,2007.05,6365.36,31 APC,5302,HC DIL ESOPH BAL DIRET,4641.0,4641.0,2007.05,6365.36,31 APC,5302,HC DILATION OF ESUP,2602.0,2602.0,2007.05,6365.36,31 APC,5302,HC DX SMALL BOWEL ENDOSCOPY,4760.0,4760.0,2007.05,6365.36,31 APC,5302,HC EGD BALLOON DIL ESOPH30 MM/>,5882.0,5882.0,1505.29,6365.36,32 APC,5302,HC EGD ENDO MUCOSAL RESECTION,6262.0,6262.0,1505.29,6365.36,32 APC,5302,HC EGD LESION ABLATION,5957.0,5957.0,1505.29,6365.36,32 APC,5302,HC EGD TRANS EUS/FNA/BIO ESOPHGS,5972.0,5972.0,1505.29,6365.36,32 APC,5302,HC EGD TRANS-EUS/FNA/BIO,6289.0,6289.0,1505.29,6365.36,32 APC,5302,HC EGD W BAND LIG ES/GAS VAR,4604.0,4604.0,1505.29,6365.36,32 APC,5302,HC EGD W REM LES BY HOT BX BIPOLAR,3514.0,3514.0,1505.29,6365.36,32 APC,5302,HC EGD) REMOVE TUMOR(S) BY SNARE,3588.0,3588.0,1505.29,6365.36,32 APC,5302,HC EGD-PLACEMENT OF PERQ GI TUBE,4762.0,4762.0,1505.29,6365.36,32 APC,5302,HC EGDW BLN DIL ESOPH < 30,3629.0,3629.0,1505.29,6365.36,32 APC,5302,HC EGI ENDOSCOPY,2048.0,2048.0,1505.29,6365.36,32 APC,5302,HC ENDOSCOPIC ULTRASOUND EXAM,5669.0,5669.0,1505.29,6365.36,32 APC,5302,HC ENDOSCOPIC US EXAM ESOPH,5806.0,5806.0,1505.29,6365.36,32 APC,5302,HC ENDOSCOPY BIOPSY,3839.0,3839.0,2007.05,6365.36,31 APC,5302,HC ENDOSCOPY SCLEROSIS,2179.0,2179.0,1743.2,6365.36,31 APC,5302,HC ENTEROSCOPY>2ND PORTN C.TUBE,6491.0,6491.0,2007.05,6365.36,31 APC,5302,HC ERCP REMOVE FORGN BODY DUCT,9687.0,9687.0,1505.29,7749.6,32 APC,5302,HC ESOPH ENDOSCOPY W/US EXAM,10158.0,10158.0,2007.05,8126.4,31 APC,5302,HC ESOPH ENDOSCOPY W/US FN BX,7744.0,7744.0,2007.05,6365.36,31 APC,5302,HC ESOPH SCOPE W/SUBMUCOUS INJ,6316.0,6316.0,1505.29,6365.36,32 APC,5302,HC ESOPHAGOSC DILATE BALLOON 30,5882.0,5882.0,1505.29,6365.36,32 APC,5302,HC ESOPHAGOSCOP MUCOSAL RESECT,6270.0,6270.0,1505.29,6365.36,32 APC,5302,HC ESOPHAGOSCOPY W FB REMOVAL,8206.0,8206.0,1505.29,6564.8,32 APC,5302,HC ESOPHAGOSCOPY W/BALLOON DIL,5435.0,5435.0,1505.29,6365.36,32 APC,5302,HC ESOPHAGOSCP RIG TRNSO REM FB,17227.0,17227.0,1505.29,10035.25,32 APC,5302,HC ESOPHAGUS DILATION OVR GW,3910.0,3910.0,1505.29,6365.36,32 APC,5302,HC ESOPHAGUS ENDOSCOPY/LIGATION,5762.0,5762.0,1505.29,6365.36,32 APC,5302,HC EXCHANGE PREV ABSCESS DRAIN,3999.0,3999.0,2007.05,6365.36,31 APC,5302,HC INSERT CATH PLEURA W/O IMAGE,3900.0,3900.0,1505.29,6365.36,32 APC,5302,HC OPERATIVE UPPER GI ENDOSCOPY,5603.0,5603.0,1505.29,6365.36,32 APC,5302,HC PERC JEJUNOSTOMY TUBE,3837.0,3837.0,2007.05,6365.36,31 APC,5302,HC PERCUT.PLACE.GASTROST.TUBE,3837.0,3837.0,2007.05,6365.36,31 APC,5302,HC S. BOWEL ENDOSCOPY T.REMVL,5210.0,5210.0,2007.05,6365.36,31 APC,5302,HC S. BOWEL ENDOSCPY>2ND C.BLEED,6938.0,6938.0,1505.29,6365.36,32 APC,5302,HC S.BOWEL ENDOSCOPYW/PLMT J.TUBE,6014.0,6014.0,2007.05,6365.36,31 APC,5302,HC SM BOWEL ENTEROSCOPY (NO ILEUM,4665.0,4665.0,1505.29,6365.36,32 APC,5302,HC SMALL BOWEL ENDOSC W/FB REMOV,4132.0,4132.0,2007.05,6365.36,31 APC,5302,HC SMALL BOWEL ENDOSCOPY ABLTN,5863.0,5863.0,2007.05,6365.36,31 APC,5302,HC SMALL BOWEL ENDOSCOPY BR/WA,2708.0,2708.0,1505.29,6365.36,32 APC,5302,HC SMALL BOWEL ENDOSCOPY SNARE,5844.0,5844.0,2007.05,6365.36,31 APC,5302,HC SMALL BOWEL ENDOSCOPY/BIOPSY,6117.0,6117.0,1505.29,6365.36,32 APC,5302,HC SMALL INTEST ENDOSCOPY DIAG,4665.0,4665.0,1505.29,6365.36,32 APC,5302,HC SMALL INTEST ENDOSCOPY HEMORR,5614.0,5614.0,2007.05,6365.36,31 APC,5302,HC SML INT ENDOENTER REM FB,4132.0,4132.0,2007.05,6365.36,31 APC,5302,HC UGI ENDOSCOPY,2048.0,2048.0,1505.29,6365.36,32 APC,5302,HC UPPER GI ENDOSCOPY INJECT,5240.0,5240.0,1505.29,6365.36,32 APC,5302,HC UPPR GI ENDOSCPY W/ TRANS TUBE,7282.0,7282.0,1505.29,6365.36,32 APC,5302,HC UPPR GI SCOPE DILATE STRICTR,5184.0,5184.0,1505.29,6365.36,32 APC,5303,HC ERCP WITH SPHINCTEROTOMY,5995.0,5995.0,3024.43,12789.3,32 APC,5303,HC ERCP DIAGNOSTIC,7235.5,7235.5,3024.43,12789.3,64 APC,5303,HC ERCP EA DUCT/AMPULLA DILATE,6341.0,6341.0,3024.43,12789.3,32 APC,5303,HC ERCP LESION ABLATE W/DILATE,8077.0,8077.0,3024.43,12789.3,32 APC,5303,HC ERCP WITH BXSINGLE OR MULTI,5153.0,5153.0,3024.43,12789.3,32 APC,5303,HC ERCP WITH STONE REMOVAL,5079.0,5079.0,3024.43,12789.3,32 APC,5303,HC REPAIR STOMACH OPENING,12043.0,12043.0,4032.57,12789.3,31 APC,5311,HC COLON W/ REMOVE FB,2575.0,2575.0,972.67,3084.82,31 APC,5311,HC COLONOSCOPY VIA STOMA,4023.0,4023.0,729.5,3218.4,32 APC,5311,HC COLONOSCOPYDIAGNOSTIC,4342.0,4342.0,972.67,3473.6,31 APC,5311,HC DX ENDOSCOPY OF BOWEL POUCH,4202.0,4202.0,972.67,3361.6,31 APC,5311,HC ENDOSCOPY BOWEL POUCH/BIOP,2788.0,2788.0,972.67,3084.82,31 APC,5311,HC I D PERIANAL ABSCESS SUPERFIC,5462.0,5462.0,972.67,4369.6,31 APC,5311,HC LIGATION OF HEMORRHOID(S),3351.0,3351.0,972.67,3084.82,31 APC,5311,HC MAPS DIAGNOSTIC COLONOSCOPY,418.0,418.0,334.4,3084.82,31 APC,5311,HC MAPS DIAGNOSTIC SIGMOIDOSCOPY,612.0,612.0,489.6,3084.82,32 APC,5311,HC MAPS INCISION OF ANAL ABSCESS,472.0,472.0,377.6,3084.82,31 APC,5311,HC MAPS LIGATION OF HEMORRHOID(S),546.0,546.0,436.8,3084.82,31 APC,5311,HC MAPS PROCTOSIGMOID RIGID DXTIC,612.0,612.0,489.6,3084.82,31 APC,5311,HC MAPS SIGMOIDOSCOPY AND BIOPSY,529.0,529.0,423.2,3084.82,32 APC,5311,HC SIGMOID POLYPECTOMY,7497.0,7497.0,972.67,4863.35,31 APC,5311,HC SIGMOID W BIOPSY,3422.0,3422.0,729.5,3084.82,32 APC,5311,HC SIGMOID W/EUS,4952.0,4952.0,729.5,3961.6,32 APC,5311,HC SIGMOIDOSCOPY,3110.0,3110.0,729.5,3084.82,32 APC,5311,HC SIGMOIDOSFLEX W DE VOLVU,3453.0,3453.0,972.67,3084.82,31 APC,5311,HC SIGMOIDOSFLX W/SUBMUCOSAL INJ,3072.0,3072.0,972.67,3084.82,31 APC,5312,HC ANOSCOPY CONTROL BLEEDING,6014.0,6014.0,1251.61,4811.2,31 APC,5312,HC ANOSCOPY W/BX SINGLE/MULTIPLE,6806.0,6806.0,1251.61,5444.8,31 APC,5312,HC CHEMODENERVATION ANAL MUSC,7132.0,7132.0,938.71,5705.6,32 APC,5312,HC COLON CONTROL BLEED-APC,3733.0,3733.0,1251.61,3969.48,31 APC,5312,HC COLON STOMA - W BIOPSY,4365.0,4365.0,938.71,3969.48,32 APC,5312,HC COLON STOMA W/TRANS DILATION,5559.0,5559.0,938.71,4447.2,32 APC,5312,HC COLON W DILATION,3911.0,3911.0,1251.61,3969.48,31 APC,5312,HC COLON W/REML OF TUMOR(S)SNARE,4313.0,4313.0,938.71,3969.48,32 APC,5312,HC COLONOSC FLEXPR SP FLX RE FB,4148.0,4148.0,938.71,3969.48,32 APC,5312,HC COLONOSC STOMA REMOV LES,4488.0,4488.0,1251.61,3969.48,31 APC,5312,HC COLONOSCOPY BIOPSY,4550.0,4550.0,938.71,3969.48,32 APC,5312,HC COLONOSCOPY FOR HEMORRHAGE,4426.0,4426.0,938.71,3969.48,32 APC,5312,HC COLONOSCOPY SUBMUCOUS INJ,5738.0,5738.0,938.71,4590.4,32 APC,5312,HC COLONOSCOPY W/ABLATION,5857.0,5857.0,938.71,4685.6,32 APC,5312,HC COLONOSCOPY W/ABLATION STOMA,5863.0,5863.0,938.71,4690.4,32 APC,5312,HC COLONOSCOPY W/BAND LIGATION,5864.0,5864.0,938.71,4691.2,32 APC,5312,HC COLONOSCOPY W/ENDOSCOPE US,3954.0,3954.0,1251.61,3969.48,31 APC,5312,HC COLONOSCOPY W/ENDOSCOPIC FNB,2939.0,2939.0,1251.61,3969.48,31 APC,5312,HC COLONOSCOPY W/INJECTION,5864.0,5864.0,938.71,4691.2,32 APC,5312,HC DILATION OF ANAL SPHINCTER,8442.0,8442.0,938.71,6258.05,32 APC,5312,HC I/D ISCHIORECT/PRECT ABSC,3246.0,3246.0,1251.61,3969.48,31 APC,5312,HC LESION REMOVAL COLONOSCOPY SNARE,6402.0,6402.0,938.71,5121.6,32 APC,5312,HC LESION REMOVE COLONOSCOPY,5917.0,5917.0,938.71,4733.6,32 APC,5312,HC MAPS REMOVAL OF ANAL TAB,1559.0,1559.0,1247.2,3969.48,31 APC,5312,HC MAPS REMOVAL OF HEMORRHOID CLOT,1559.0,1559.0,938.71,3969.48,32 APC,5312,HC PROCTOSIGMOIDOSCOPY REMOVAL,7280.0,7280.0,1251.61,5824.0,31 APC,5312,HC PROCTOSIGMOIDOSCOPY W/BX,6121.0,6121.0,938.71,4896.8,32 APC,5312,HC REMOV FEC IMPACT/FB ANES,5515.0,5515.0,1251.61,4412.0,31 APC,5312,HC SGMDSCPYFLX W/ENDO FNA/B,6383.0,6383.0,1251.61,5106.4,31 APC,5312,HC SIGMOID W CONTL OF BLEEDING,4027.0,4027.0,1251.61,3969.48,31 APC,5312,HC SIGMOID W REM OF TUMOR(S),3992.0,3992.0,1251.61,3969.48,31 APC,5312,HC SIGMOIDOSFLX W/BALLON DILIAT,3664.0,3664.0,1251.61,3969.48,31 APC,5312,HC TRANS DRAINAGE OF PELVIC ABSCESS,7835.0,7835.0,1251.61,6258.05,31 APC,5313,HC BIOPSY OF RECTUM ANL APPRCH,3810.0,3810.0,2177.37,9207.37,32 APC,5313,HC COLONOSCOPY W/RESECTION,5493.0,5493.0,2177.37,9207.37,32 APC,5313,HC REMOVE BY LIGAT INT HEM GRP,1440.0,1440.0,1152.0,9207.37,32 APC,5313,HC REMOVE IN/EX HEM GROUPS 2,4708.0,4708.0,2177.37,9207.37,32 APC,5313,HC SIGMOIDOSCOPY W/RESECTION,5543.0,5543.0,2177.37,9207.37,32 APC,5313,HC SURG DX EXAM ANORECTAL,8909.0,8909.0,2177.37,9207.37,32 APC,5331,HC COLONOSCOPY W/STENT PLCMT,6014.0,6014.0,4762.32,20138.26,32 APC,5331,HC EGD ENDOSCOPIC STENT PLACE,9710.0,9710.0,4762.32,20138.26,32 APC,5331,HC ENTEROSCOPY2 PORTN TRANSTNT,12318.0,12318.0,6349.76,20138.26,31 APC,5331,HC ERCP DUCT STENT PLACEMENT,9313.0,9313.0,4762.32,20138.26,32 APC,5331,HC ERCP STENT EXCHANGE W/DILATE,9687.0,9687.0,4762.32,20138.26,32 APC,5331,HC ERCP WITH LITHOTRIPSY,5863.0,5863.0,4690.4,20138.26,32 APC,5331,HC ESOPHAGOSCOP STENT PLACEMENT,9420.0,9420.0,4762.32,20138.26,32 APC,5331,HC SIGMOIDOSCOPY W/PLCMT STENT,8019.0,8019.0,4762.32,20138.26,32 APC,5341,HC CHOLANGIOGRAM (T-TUBE) S/1,1147.0,1147.0,917.6,11876.82,31 APC,5341,HC CONVERSION EXT BIL DRG CATH,10134.0,10134.0,2808.64,11876.82,32 APC,5341,HC EXCHANGE BILIARY DRG CATH,10134.0,10134.0,2808.64,11876.82,32 APC,5341,HC INJ FOR CHOLANGIOGRAM NEW ACC,10134.0,10134.0,2808.64,11876.82,32 APC,5341,HC INJECTION FOR CHOLANGIOGRAM,5515.0,5515.0,3744.86,11876.82,31 APC,5341,HC INSERT ABDOM DIALYSIS,10514.0,10514.0,2808.64,11876.82,32 APC,5341,HC INSERT TUNNEL INTRAPERIT CATH,12673.0,12673.0,3744.86,11876.82,31 APC,5341,HC PERCUT.CHOLECYSTOSTOMY,5659.0,5659.0,3744.86,11876.82,31 APC,5341,HC PLMT BILIARY DRAIN CATH INT-EX,10134.0,10134.0,2808.64,11876.82,32 APC,5341,HC PLMT BILIARY DRAINAGE CATH,10134.0,10134.0,2808.64,11876.82,32 APC,5341,HC REPAIR 1ST INGUINL HERN 5 YRS,9349.0,9349.0,2808.64,11876.82,32 APC,5341,HC TUNNELED PLEURAL CATH,13061.0,13061.0,3744.86,11876.82,31 APC,5342,HC BILIARY ENDOSCOPY,7284.0,7284.0,5827.2,21474.83,31 APC,5342,HC BILIARY ENDOSCOPY FOR BX.,15511.0,15511.0,6771.19,21474.83,31 APC,5342,HC BILIARY STRICT. DILATION,1088.0,1088.0,870.4,21474.83,32 APC,5342,HC PLMT ACCESS BIL TREE SM BWL,10134.0,10134.0,5078.39,21474.83,32 APC,5361,HC ABLATION 1 LIVER TUMOR (S),19653.0,19653.0,4742.41,20054.09,32 APC,5361,HC ABLATION PULMONARY TUMOR(S) INCLUDING IMAGING G,16853.0,16853.0,4742.41,20054.09,32 APC,5361,HC LAPAROSCOPY TUBAL BLOCK,16419.0,16419.0,4742.41,20054.09,32 APC,5361,HC LAPAROSCOPY TUBAL CAUTERY,16419.0,16419.0,4742.41,20054.09,32 APC,5361,HC PERQ PLMT BILE DUCT STENT EXST,19169.0,19169.0,4742.41,20054.09,32 APC,5361,HC PERQ PLMT BILE DUCT STENT NEW ACS,19169.0,19169.0,4742.41,20054.09,32 APC,5361,HC PERQ PLMT BILE DUCT STENT NEW ACS W/ DRNGE,19169.0,19169.0,4742.41,20054.09,32 APC,5361,HC PERQ RF ABLATE RENAL TUMOR UNI,11975.0,11975.0,4742.41,20054.09,32 APC,5361,HC RF ABLATIONLIVER 1 OR,16853.0,16853.0,4742.41,20054.09,32 APC,5362,HC ABLATION 1 OR MORE LIVER TUMORS,39214.0,39214.0,8338.58,35261.09,32 APC,5362,HC ABLATION THERAPY OF 1 OR MORE PULMONARY TUMOR(S,18046.0,18046.0,8338.58,35261.09,32 APC,5362,HC ABLATION-KIDNEY,12489.0,12489.0,8338.58,35261.09,32 APC,5362,HC BILIARY ENDO W/DILATE STENT,1151.0,1151.0,920.8,35261.09,32 APC,5362,HC BILIARY ENDOSCOPY THRU SKIN,9707.0,9707.0,7765.6,35261.09,31 APC,5362,HC IRE ABLTJ 1 TUM ORGAN PERQ,30925.0,30925.0,11118.11,35261.09,31 APC,5371,HC CHANGE CYSTOTOMYTUBE SIMPLE,1128.0,1128.0,195.99,902.4,32 APC,5371,HC INCISE THRMBSD EXT HEMORRHOID,712.0,712.0,261.32,828.78,31 APC,5371,HC IRRIG OF CORPORA CAVENOSA PRIAPSM,900.0,900.0,261.32,828.78,31 APC,5371,HC MAPS ANAL/URINARY MUSCLE STUDY,231.0,231.0,184.8,828.78,31 APC,5371,HC MAPS IRRIGATION OF BLADDER,243.0,243.0,194.4,828.78,31 APC,5371,HC MAPS RPLC GTUBE NO REVJ TRC,326.0,326.0,260.8,828.78,31 APC,5371,HC MAPS SIMPLE CYSTOMETROGRAM,281.0,281.0,224.8,828.78,31 APC,5371,HC REPL G TUBE W GUID,1739.0,1739.0,261.32,1306.6,31 APC,5371,HC REPOSITION GAST FEEDING TUBE,5556.0,5556.0,261.32,1306.6,31 APC,5371,HC RPLC GTUBE REVJ GSTRST TRC,2205.0,2205.0,261.32,1306.6,31 APC,5371,HC S/C CAVERSON D I,656.0,656.0,261.32,828.78,31 APC,5371,HC UNLISTED UROLOGY PROCE,434.0,434.0,195.99,828.78,32 APC,5372,HC CYSTOSCOPY,1697.0,1697.0,547.0,2313.07,32 APC,5372,HC MANOMETRICSTUD,1963.0,1963.0,729.33,2313.07,31 APC,5372,HC MAPS CHANGE CYSTOTOMYTUBE COMPL,472.0,472.0,377.6,2313.07,31 APC,5372,HC MAPS CYSTOMETROGRAM W/VP,485.0,485.0,388.0,2313.07,31 APC,5372,HC MAPS CYSTOMETROGRAM W/VP UP,485.0,485.0,388.0,2313.07,31 APC,5372,HC MAPS CYSTOSCOPY,621.0,621.0,496.8,2313.07,32 APC,5372,HC MAPS TREATMENT OF BLADDER LESION,373.0,373.0,298.4,2313.07,31 APC,5372,HC NJX PX NFROSGRM /URTRGRM EXST,1718.0,1718.0,729.33,2313.07,31 APC,5372,HC NJX PX NFROSGRM /URTRGRM NEW ACS,1718.0,1718.0,729.33,2313.07,31 APC,5372,HC REMOVE RENAL TUBE W/FLUORO,2889.0,2889.0,729.33,2313.07,31 APC,5373,HC CHANGE EXT/INT URETER STENT,4722.0,4722.0,2186.4,6934.17,31 APC,5373,HC CHANGE URETER STENT PERCUT,10754.0,10754.0,1639.8,8603.2,32 APC,5373,HC CONVERT NEPHROSTOMY CATHETER,4267.0,4267.0,2186.4,6934.17,31 APC,5373,HC DOUBLE J REMOVAL,7194.0,7194.0,2186.4,6934.17,31 APC,5373,HC DRAIN PERIRENAL ABSCES,944.0,944.0,755.2,6934.17,32 APC,5373,HC DRAINAGE OF SKENE S ABSCESS,6050.0,6050.0,2186.4,6934.17,31 APC,5373,HC EXCHANGE NEPHROSTOMY CATH,5345.0,5345.0,2186.4,6934.17,31 APC,5373,HC MAPS CYSTOSCOPY AND TREATMENT,1524.0,1524.0,1219.2,6934.17,32 APC,5373,HC MAPS CYSTOSCOPY CHEMODENERVATION,1385.0,1385.0,1108.0,6934.17,32 APC,5373,HC PERCUTANEOUS CYSTOSTOMY,2286.0,2286.0,1639.8,6934.17,32 APC,5373,HC PLMT NEPHROSTOMY CATHETER,4267.0,4267.0,1639.8,6934.17,32 APC,5373,HC REM REPL URETER STNT W/O CYSTO,10303.0,10303.0,2186.4,8242.4,31 APC,5373,HC REM URETERAL STENT W/O CYSTO,6137.0,6137.0,2186.4,6934.17,31 APC,5373,HC URETEROSTOMY TUBE CHANGE,936.0,936.0,748.8,6934.17,31 APC,5373,HC X-RAY GUIDE GU DILATION,8112.0,8112.0,2186.4,6934.17,31 APC,5374,HC DILATION OF NEPHROSTOMY TRACT/PYELOSTOMY,3777.0,3777.0,3021.6,11693.0,31 APC,5374,HC LITHOTRIPSY BY OUTSIDE VENDOR,4492.0,4492.0,2765.18,11693.0,32 APC,5374,HC MAPS ENDOSCOPIC INJECTION/IMPLANT,3965.0,3965.0,2765.18,11693.0,32 APC,5374,HC PLMT NEPHROURETERAL CATHETER,4267.0,4267.0,2765.18,11693.0,32 APC,5374,HC PLMT URETERAL STENT PRQ EXIST,6970.0,6970.0,2765.18,11693.0,32 APC,5374,HC PLMT URETERAL STENT PRQ NEW ACS W/ MCATH,6970.0,6970.0,2765.18,11693.0,32 APC,5374,HC PLMT URETERAL STENT PRQ W/O N TRACT,6970.0,6970.0,2765.18,11693.0,32 APC,5376,HC S/C RENAL STONE EXT,4407.0,4407.0,3525.6,31401.94,32 APC,5401,HC ACUTE HEMODIALYSIS (IP) 1 1,1393.0,1393.0,717.84,2276.63,31 APC,5401,HC ACUTE HEMODIALYSIS (IP) 2 1,3261.0,3261.0,717.84,2608.8,31 APC,5401,HC HEMODIALYSIS 1 1,1868.0,1868.0,717.84,2276.63,31 APC,5401,HC O/P HEMODIALYSIS 1 1,1868.0,1868.0,717.84,2276.63,31 APC,5401,HC O/P HEMODIALYSIS 2 1,3261.0,3261.0,717.84,2608.8,31 APC,5401,HC UNSCHED DIALYSIS ESRD PT HOS,2958.0,2958.0,717.84,2366.4,31 APC,5411,HC AMNIOINFUSION,62.0,62.0,49.6,670.65,32 APC,5411,HC BARTHOLIN S ABSCESS,2083.0,2083.0,158.59,1057.3,32 APC,5411,HC FETAL CONTRACT STRESS TEST,1101.0,1101.0,211.46,880.8,31 APC,5411,HC FETAL MONITOR CONTINUOUS,666.0,666.0,211.46,670.65,31 APC,5411,HC INSERT PESSARY/OTHER DEVICE,469.0,469.0,211.46,670.65,31 APC,5411,HC MAPS ARTIFICIAL INSEMINATION,272.0,272.0,211.46,670.65,31 APC,5411,HC MAPS BIOPSY OF UTERUS LINING,282.0,282.0,211.46,670.65,31 APC,5411,HC MAPS EXAM OF CERVIX W/SCOPE,167.0,167.0,133.6,670.65,32 APC,5411,HC MAPS EXAM OF VULVA W/SCOPE,144.0,144.0,115.2,670.65,31 APC,5411,HC MAPS FETAL NON-STRESS TEST,1165.0,1165.0,211.46,932.0,31 APC,5411,HC MAPS INSERT PESSARY/OTHER DEVICE,147.0,147.0,117.6,670.65,31 APC,5411,HC MAPS SPERM WASHING,144.0,144.0,115.2,670.65,31 APC,5411,HC NON STRESS TEST,638.0,638.0,211.46,670.65,31 APC,5411,HC OTHER FETAL MONITORING,634.0,634.0,158.59,670.65,32 APC,5412,HC ABSCESS DRAIN./PERINEAL,2124.0,2124.0,239.05,1593.65,32 APC,5412,HC AMNIO DYE TEST,62.0,62.0,49.6,1010.85,31 APC,5412,HC AMNIOCENTESIS THERAPY,2179.0,2179.0,318.73,1593.65,31 APC,5412,HC COLPOSCOPY,2443.0,2443.0,318.73,1593.65,31 APC,5412,HC INSERT CERVICAL DILATOR,465.0,465.0,318.73,1010.85,31 APC,5412,HC MAPS ABORTION (MPR),7695.0,7695.0,318.73,1593.65,31 APC,5412,HC MAPS ABSCESS DRAIN./PERINEAL,250.0,250.0,200.0,1010.85,32 APC,5412,HC MAPS AMNIOCENTESIS THERAPEUTIC,250.0,250.0,200.0,1010.85,31 APC,5412,HC MAPS ARTIFICIAL INSEMINATION,243.0,243.0,194.4,1010.85,31 APC,5412,HC MAPS BIOPSY OF CERVIX W/SCOPE,250.0,250.0,200.0,1010.85,31 APC,5412,HC MAPS BX/CURETT OF CERVIX W/SCOPE,282.0,282.0,225.6,1010.85,32 APC,5412,HC MAPS ENDOCERV CURETTAGE W/SCOPE,281.0,281.0,224.8,1010.85,31 APC,5412,HC MAPS EXAM OF VAGINA W/SCOPE,250.0,250.0,200.0,1010.85,31 APC,5412,HC MAPS EXAM/BIOPSY OF VULVA W/SCOPE,281.0,281.0,224.8,1010.85,31 APC,5412,HC MAPS INSERT CERVICAL DILATOR,250.0,250.0,200.0,1010.85,31 APC,5412,HC MAPS REMOVE INTRAUTERINE DEVICE,334.0,334.0,239.05,1010.85,32 APC,5412,HC REMOVE INTRAUTERINE DEVICE,3223.0,3223.0,239.05,1593.65,32 APC,5413,HC AMNIOCENTESIS DIAGNOSTIC,1863.5,1863.5,963.36,3055.3,62 APC,5413,HC FOLLICE PUNC OCCYTE R,1088.0,1088.0,870.4,3055.3,31 APC,5413,HC MAPS AMNIOCENTESIS DIAGNOSTIC,604.0,604.0,483.2,3055.3,31 APC,5413,HC MAPS BIOPSY OF CERVIX,620.0,620.0,496.0,3055.3,32 APC,5413,HC MAPS BIOPSY OF VAGINA MUCOSA SIMPLE,632.0,632.0,505.6,3055.3,31 APC,5413,HC MAPS BIOPSY OF VULVA/PERINEUM 1 LESION,562.0,562.0,449.6,3055.3,32 APC,5413,HC MAPS CHORION BIOPSY,549.0,549.0,439.2,3055.3,31 APC,5413,HC MAPS ENDOCERVICAL CURETTAGE,535.0,535.0,428.0,3055.3,32 APC,5413,HC MAPS EXAM/BIOPSY OF VAG W/SCOPE,562.0,562.0,449.6,3055.3,31 APC,5414,HC ANTEPARTUM MANIPULATION,1393.0,1393.0,1114.4,10738.13,31 APC,5414,HC COLPORRAPHY (REV VAG REPAIR),2826.0,2826.0,2260.8,10738.13,31 APC,5414,HC COLPORRHAPHY REPAIR OF VAGINA,2826.0,2826.0,2260.8,10738.13,31 APC,5414,HC CURETTAGE POSTPARTUM,9596.0,9596.0,2539.37,10738.13,32 APC,5414,HC DEL FORCEPS WITH ANESTHESIA,15705.0,15705.0,3385.82,12564.0,31 APC,5414,HC DEL FORCEPS WITHOUT ANESTHESIA,15705.0,15705.0,3385.82,12564.0,31 APC,5414,HC DEL VACUUM WITH ANESTHESIA,15705.0,15705.0,3385.82,12564.0,31 APC,5414,HC DEL VACUUM WITHOUT ANESTHESIA,15705.0,15705.0,3385.82,12564.0,31 APC,5414,HC DEL VAGINAL WITHOUT ANESTHESIA,15705.0,15705.0,3385.82,12564.0,31 APC,5414,HC DELIVERY OF PLACENTA,1131.0,1131.0,904.8,10738.13,31 APC,5414,HC DILATION AND CURETTAGE,2826.0,2826.0,2260.8,10738.13,32 APC,5414,HC DRAIN OV ABS VAGINAL,6387.0,6387.0,3385.82,10738.13,31 APC,5414,HC EPISIOTOMY/VAG RPR OTH/THN ATTENDING,3533.0,3533.0,2826.4,10738.13,31 APC,5414,HC EXTERNAL VERSION,1235.0,1235.0,988.0,10738.13,31 APC,5414,HC FALLOPIAN TUBE RECANALIZATION,2091.0,2091.0,1672.8,10738.13,31 APC,5414,HC MAPS BIOPSY OF VAGINA EXTENSIVE REQUIRE SUTURE,1845.0,1845.0,1476.0,10738.13,31 APC,5414,HC MAPS BX OF CERVIX W/SCOPE LEEP,1845.0,1845.0,1476.0,10738.13,32 APC,5414,HC MAPS CONIZATION OF CERVIXW/OR W,1845.0,1845.0,1476.0,10738.13,32 APC,5414,HC MAPS CONZ OF CERVIX W/SCOPE LEEP,1891.0,1891.0,1512.8,10738.13,32 APC,5414,HC MAPS DESTRUCTION VAGINA LESION(S,1845.0,1845.0,1476.0,10738.13,32 APC,5414,HC MAPS HYSTEROSCOPY DX SEP PROC,535.0,535.0,428.0,10738.13,32 APC,5414,HC REMOVE CERCLAGE SUTURE,8907.0,8907.0,3385.82,10738.13,31 APC,5414,HC REVISION OF CERVIX,8907.0,8907.0,3385.82,10738.13,31 APC,5414,HC TUBAL LIGA W/C-SEC OR ABD PROC,2166.0,2166.0,1732.8,10738.13,32 APC,5415,HC INSERT UTERI TANDEM/OVOIDS,3302.0,3302.0,2641.6,16594.02,31 APC,5415,HC REMOVAL OF OVARIAN CYSTS(S),3725.0,3725.0,2980.0,16594.02,32 APC,5431,HC DESTROY CERV/THOR FACET JNT,6560.0,6560.0,2042.42,6477.54,31 APC,5431,HC DESTROY LUMB/SAC FACET JNT,6560.0,6560.0,1531.82,6477.54,32 APC,5431,HC DISKO. (LUMBAR) S/I ONLY,2881.0,2881.0,2042.42,6477.54,31 APC,5441,HC ARTHROCENTESIS LARGE,1147.0,1147.0,321.05,1018.21,31 APC,5441,HC ARTHROCENTESIS MEDIUM,1561.0,1561.0,321.05,1248.8,31 APC,5441,HC ATHRCTSIS SM JT/BURSA FG/TOE,1371.0,1371.0,321.05,1096.8,31 APC,5441,HC DRAIN/INJ JOINT/MAJOR,930.0,930.0,321.05,1018.21,31 APC,5441,HC DRAIN/INJ JOINT/SMALL,368.0,368.0,294.4,1018.21,31 APC,5441,HC INJ FOR CISTERNOGRAM,1752.0,1752.0,321.05,1401.6,31 APC,5441,HC INJ OF GANGLION CYST,1089.0,1089.0,321.05,1018.21,31 APC,5441,HC INJ SING/MULT TRIGER PNT />3,1374.0,1374.0,321.05,1099.2,31 APC,5441,HC INJ SING/MULT TRIGGER PNT 1/2,1085.0,1085.0,321.05,1018.21,31 APC,5441,HC INJ SINGLE TENDON/INSERTION,999.0,999.0,321.05,1018.21,31 APC,5441,HC INJ TENDONSHTH TPTS GCYS,1085.0,1085.0,321.05,1018.21,31 APC,5441,HC INJPLANTAR COMMON DIGITAL N,561.0,561.0,321.05,1018.21,31 APC,5441,HC LUMBAR INJ SYMPATHECTOMY,4261.0,4261.0,240.79,1605.25,32 APC,5441,HC MAPS ARTHROCENTESIS LARGE,262.0,262.0,209.6,1018.21,31 APC,5441,HC MAPS ARTHROCENTESIS MEDIUM,291.0,291.0,232.8,1018.21,31 APC,5441,HC MAPS ATHRCTSIS SM JT/BURSA FG/TOE,290.0,290.0,232.0,1018.21,31 APC,5441,HC MAPS CHEMODENERV ECCRINE GLANDS,269.0,269.0,215.2,1018.21,31 APC,5441,HC MAPS CHEMODENERV MUSC MIGRAINE,415.0,415.0,240.79,1018.21,32 APC,5441,HC MAPS CHEMODENERV MUSC NECK DYSTON,267.0,267.0,213.6,1018.21,32 APC,5441,HC MAPS CHEMODENERV SALIV GLANDS,245.0,245.0,196.0,1018.21,31 APC,5441,HC MAPS DESTROY NERVE FACE MUSCLE,360.0,360.0,288.0,1018.21,31 APC,5441,HC MAPS DRAIN/INJ JOINT/BURSA W/US,249.0,249.0,199.2,1018.21,31 APC,5441,HC MAPS INJ OF GANGLION CYST,269.0,269.0,215.2,1018.21,31 APC,5441,HC MAPS INJ SING/MULT TRIGER PNT />3,272.0,272.0,217.6,1018.21,31 APC,5441,HC MAPS INJ SING/MULT TRIGGER PNT 1/2,233.0,233.0,186.4,1018.21,31 APC,5441,HC MAPS INJ SINGLE TENDON/INSERTION,312.0,312.0,249.6,1018.21,31 APC,5441,HC MAPS INJ TENDONSHTH TPTS GCYS,280.0,280.0,224.0,1018.21,31 APC,5441,HC MAPS N BLOCK INJ OCCIPITAL,453.0,453.0,321.05,1018.21,31 APC,5441,HC MAPS N BLOCK INJ TRIGEMINAL,401.0,401.0,320.8,1018.21,31 APC,5441,HC MAPS N BLOCK SPENOPALATINE GANGL,749.0,749.0,321.05,1018.21,31 APC,5441,HC MAPS NEUROELTRD STIM POST TIBIAL,319.0,319.0,255.2,1018.21,31 APC,5441,HC MAPS NJX AA /STRD VAGUS NRV,603.0,603.0,321.05,1018.21,31 APC,5441,HC MAPS THER INJCARPAL TUNNEL,331.0,331.0,264.8,1018.21,31 APC,5441,HC N BLOCK INJ OCCIPITAL,286.0,286.0,228.8,1018.21,31 APC,5441,HC NRV BLOCK INJ TRIGEMINAL,1036.0,1036.0,321.05,1018.21,31 APC,5442,HC INJECTION FOR NERVE BLOCK,9646.0,9646.0,738.3,3691.5,31 APC,5442,HC CHEMODENERVATION OF TRUNK 6 OR MORE MUSCLES,2147.0,2147.0,553.72,2341.52,32 APC,5442,HC DRAIN/INJ JOINT/INTER,368.0,368.0,294.4,2341.52,31 APC,5442,HC DRAINAGE SPINAL FLUID,2362.0,2362.0,738.3,2341.52,31 APC,5442,HC DX LMBR SPI PNXR W/FLUOR/CT,1790.0,1790.0,738.3,2341.52,31 APC,5442,HC INJ ANES/STEROID NERVES SI JOINT,2396.0,2396.0,738.3,2341.52,31 APC,5442,HC INJ ANES/STEROID GENICULAR NERVE W GUIDANCE,2396.0,2396.0,738.3,2341.52,31 APC,5442,HC INJ EPIDURAL OF BLOOD OR CLO,1629.0,1629.0,738.3,2341.52,31 APC,5442,HC INJ.ANES. AGENT LLIOINGUINAL,1215.0,1215.0,738.3,2341.52,31 APC,5442,HC LUMBAR PUNCTURE DIAG,1967.0,1967.0,738.3,2341.52,31 APC,5442,HC MAPS CHEMODENER MUSCLE LARYNX EMG,422.0,422.0,337.6,2341.52,32 APC,5442,HC MAPS CHEMODENERV 1 EXTREM 5/> MUS,464.0,464.0,371.2,2341.52,32 APC,5442,HC MAPS CHEMODENERV 1 EXTREMITY 1-4,484.0,484.0,387.2,2341.52,32 APC,5442,HC MAPS CHEMODENERV TRUNK MUSC 6/>,969.0,969.0,553.72,2341.52,32 APC,5442,HC MAPS CHEMODENRVTN-TRNK MSC 1-5 M,416.0,416.0,332.8,2341.52,32 APC,5442,HC MAPS DRAIN/INJ JOINT/BURSA W/US,339.0,339.0,271.2,2341.52,31 APC,5442,HC MAPS INJ EPIDURAL OF BLOOD OR CLO,747.0,747.0,597.6,2341.52,31 APC,5442,HC MAPS INJ.ANES. AGENT LLIOINGUINAL,401.0,401.0,320.8,2341.52,31 APC,5442,HC MAPS LUMBAR PUNCTURE DIAG,452.0,452.0,361.6,2341.52,31 APC,5442,HC MAPS N BLOCK INJ PARACERVICAL,464.0,464.0,371.2,2341.52,31 APC,5442,HC MAPS NERVE BLOCK PERIPH NERVE,411.0,411.0,328.8,2341.52,32 APC,5442,HC MAPS NJX AA /STRD GNCLR NRV BRNCH,755.0,755.0,604.0,2341.52,31 APC,5442,HC N BLOCK INJ FEM SINGLE,1026.0,1026.0,553.72,2341.52,32 APC,5442,HC N BLOCK INJ INTERCOST SNG,2406.0,2406.0,738.3,2341.52,31 APC,5442,HC N BLOCK INJ SUPRASCAPULAR,1026.0,1026.0,738.3,2341.52,31 APC,5442,HC NERVE BLOCK PERIPH NERVE,1458.0,1458.0,553.72,2341.52,32 APC,5442,HC NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN,2071.0,2071.0,738.3,2341.52,31 APC,5442,HC NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN,2231.0,2231.0,738.3,2341.52,31 APC,5442,HC NJX INTERLAMINAR LMBR/SAC,2071.0,2071.0,738.3,2341.52,31 APC,5442,HC PUNC SHNT TUB/RSRV FOR ASP/INJ,1720.0,1720.0,738.3,2341.52,31 APC,5442,HC THER SPI PNXR CSF FLUOR/CT,2315.0,2315.0,738.3,2341.52,31 APC,5443,HC CELIAC PLEXUS BLOCK,3591.0,3591.0,925.1,2933.95,31 APC,5443,HC DESTRCTN NEUROLYTIC W/WO RAD,3935.0,3935.0,925.1,3148.0,31 APC,5443,HC INJ FORAMEN EPIDURAL C/T SINGL,3372.0,3372.0,693.83,2933.95,32 APC,5443,HC INJ FORAMEN EPIDURAL L/S SINGL,3074.0,3074.0,693.83,2933.95,32 APC,5443,HC INJ PARAVERT F JNT C/T 1 LEV,3076.0,3076.0,693.83,2933.95,32 APC,5443,HC INJ PARAVERT F JNT L/S 1 LEV,1026.0,1026.0,693.83,2933.95,32 APC,5443,HC INJECT NERVE BLOCK PUDENDAL,2408.0,2408.0,925.1,2933.95,31 APC,5443,HC INJECTION TREATMENT OF NERVE,3078.0,3078.0,925.1,2933.95,31 APC,5443,HC INTERCOST NERVE BLOCK EACH ADD LEVEL,1665.0,1665.0,925.1,2933.95,31 APC,5443,HC MAPS INJECTION TREATMENT OF NERVE,748.0,748.0,598.4,2933.95,31 APC,5443,HC MAPS INJECTION TREATMENT OF PUDENDAL NERVE,955.0,955.0,764.0,2933.95,31 APC,5443,HC MAPS N BLOCK INJ PUDENDAL,180.0,180.0,144.0,2933.95,31 APC,5443,HC N BLOCK INJ HYPOGAS PL,3591.0,3591.0,925.1,2933.95,31 APC,5443,HC NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN,3076.0,3076.0,925.1,2933.95,31 APC,5443,HC NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN,3076.0,3076.0,925.1,2933.95,31 APC,5443,HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN,2071.0,2071.0,925.1,2933.95,31 APC,5443,HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN,2572.5,2572.5,925.1,2933.95,62 APC,5443,HC STELLATE GANGLION NERVE BLOCK,2408.0,2408.0,925.1,2933.95,31 APC,5443,HC SYMPATH. BLOCK THORACOLUMB,3401.0,3401.0,925.1,2933.95,31 APC,5443,HC SYMPATHECTOMY,3935.0,3935.0,925.1,3148.0,31 APC,5462,HC PERC IMPLNT NEUROSTIMU,20293.0,20293.0,4999.3,21140.36,32 APC,5481,HC AFTER CATARACT LASER SURGERY,4785.0,4785.0,575.26,2876.3,31 APC,5481,HC ARGON LASER REVISION OF IRIS,4785.0,4785.0,575.26,2876.3,31 APC,5481,HC LASER SURGERY OF EYE,4785.0,4785.0,575.26,2876.3,62 APC,5481,HC YAG LASER IRIDOTOMY,4785.0,4785.0,575.26,2876.3,31 APC,5501,HC MAPS BIOPSY EYELID LID MARGIN,402.0,402.0,321.6,1052.87,31 APC,5521,HC ABDOMEN XRAY 1 VIEW,675.0,675.0,91.02,455.1,31 APC,5521,HC AC JOINTS BILATERAL,838.0,838.0,91.02,455.1,31 APC,5521,HC ANKLE (2 VIEWS),643.0,643.0,91.02,455.1,31 APC,5521,HC ANKLE 3 VIEWS,845.0,845.0,91.02,455.1,31 APC,5521,HC CEPHALOGRAM ORTHODONTIC,656.0,656.0,91.02,455.1,31 APC,5521,HC CERVICAL SPINE (2-3 VIEWS),657.0,657.0,91.02,455.1,31 APC,5521,HC CERVICAL SPINE SINGLE,455.0,455.0,91.02,364.0,31 APC,5521,HC CHEST 2 VIEWS,888.0,888.0,91.02,455.1,31 APC,5521,HC CHEST 3 VIEWS,477.0,477.0,91.02,381.6,31 APC,5521,HC CHEST SINGLE VIEW,493.0,493.0,91.02,394.4,31 APC,5521,HC CHEST-DECUBITUS/BUCKY,1314.0,1314.0,91.02,455.1,31 APC,5521,HC CLAVICLE COMPLETE,912.0,912.0,91.02,455.1,31 APC,5521,HC CT HRT W/O DYE W/CA TEST,990.0,990.0,91.02,455.1,31 APC,5521,HC CT LTD OR FU STDY,300.0,300.0,91.02,288.67,31 APC,5521,HC CT SPINE BONE DENSITY,3156.0,3156.0,91.02,455.1,31 APC,5521,HC DENTASCAN,764.0,764.0,91.02,455.1,31 APC,5521,HC DEXA WRIST,1212.0,1212.0,91.02,455.1,31 APC,5521,HC ELBOW ( 2 VIEWS),649.0,649.0,91.02,455.1,31 APC,5521,HC ELBOW MIN 3 VIEW,859.0,859.0,91.02,455.1,31 APC,5521,HC FACIAL BONES 3 VIEWS,1512.0,1512.0,91.02,455.1,31 APC,5521,HC FB NOSE TO RECTUM-CHILD,378.0,378.0,91.02,302.4,31 APC,5521,HC FINGER MIN 2 VIEW,457.0,457.0,91.02,365.6,31 APC,5521,HC FOOT (2 VIEWS),643.0,643.0,91.02,455.1,31 APC,5521,HC FOOT 3 VIEWS,1085.0,1085.0,91.02,455.1,31 APC,5521,HC FOREARM ( 2 VIEWS ),649.0,649.0,91.02,455.1,31 APC,5521,HC FRACTURE ASSESSMENT VIA DXA VF,1212.0,1212.0,91.02,455.1,31 APC,5521,HC FULL BODY MRI,11315.0,11315.0,91.02,455.1,31 APC,5521,HC HAND 3 VIEWS,990.0,990.0,91.02,455.1,31 APC,5521,HC HIP UNILATERAL 1 VIEW,672.0,672.0,91.02,455.1,31 APC,5521,HC HUMERUS,649.0,649.0,91.02,455.1,31 APC,5521,HC KNEE ONE OR TWO VIEWS,643.0,643.0,91.02,455.1,31 APC,5521,HC KNEE(3 VIEWS),870.0,870.0,91.02,455.1,31 APC,5521,HC LOW EXTREM INFANT MIN 2 VIEWS,275.0,275.0,91.02,288.67,31 APC,5521,HC LT CALCANEOUS 2 VIEW MIN,643.0,643.0,91.02,455.1,31 APC,5521,HC LUMBAR SPINE SINGLE,455.0,455.0,91.02,364.0,31 APC,5521,HC MANDIBLE 4 VIEWS,838.0,838.0,91.02,455.1,31 APC,5521,HC MAPS ULTRASOUND BREAST LIMITED,180.0,180.0,91.02,288.67,31 APC,5521,HC MR SAFETY DETERMINATION PHYSICIAN/OTHER QHP,264.0,264.0,68.27,288.67,32 APC,5521,HC NASAL BONES 3 VIEWS,649.0,649.0,91.02,455.1,31 APC,5521,HC ORTHOPANTOGRAM,624.0,624.0,91.02,455.1,31 APC,5521,HC OS CALCIS (HEEL),643.0,643.0,91.02,455.1,31 APC,5521,HC PARANASAL SINUSES < 3 VIEWS,649.0,649.0,91.02,455.1,31 APC,5521,HC PTA DIALYSIS FISTULA,809.0,809.0,68.27,455.1,32 APC,5521,HC QUAN US TIS CHARAC W/O DX US,275.0,275.0,91.02,288.67,31 APC,5521,HC RIBS UNILATERAL 2 VIEWS,1109.0,1109.0,91.02,455.1,31 APC,5521,HC SARCRUM/COCCYX (2 VIEWS),859.0,859.0,91.02,455.1,31 APC,5521,HC SHOULDER COMPL MIN 2 VIEW,1089.0,1089.0,91.02,455.1,31 APC,5521,HC SHOULDER ONE VIEW,649.0,649.0,91.02,455.1,31 APC,5521,HC SINUSES 3 VIEWS,1136.0,1136.0,91.02,455.1,31 APC,5521,HC STERNOCLAVICUL JNTS MIN 3 VIEW,842.0,842.0,91.02,455.1,31 APC,5521,HC STERNUM (COMPLETE),870.0,870.0,91.02,455.1,31 APC,5521,HC THORACIC SPINE SINGLE,455.0,455.0,91.02,364.0,31 APC,5521,HC THORACOLUMBAR SP 2 VIEW,865.0,865.0,91.02,455.1,31 APC,5521,HC TIBIA/FIBULA (2 VIEWS),657.0,657.0,91.02,455.1,31 APC,5521,HC TM JOINTS UNILATERAL,734.0,734.0,91.02,455.1,31 APC,5521,HC TOE(S) MIN 2 VIEW,457.0,457.0,91.02,365.6,31 APC,5521,HC ULTRASOUND BREAST LIMITED,986.0,986.0,91.02,455.1,31 APC,5521,HC UNLISTED FLUOROSCOPIC PROC,940.0,940.0,91.02,455.1,31 APC,5521,HC US EXAM INFANT HIPS STATIC,1312.0,1312.0,91.02,455.1,31 APC,5521,HC US INFANT HIPSDYNAMMD MANIP,1312.0,1312.0,91.02,455.1,31 APC,5521,HC WRIST (2 VIEWS),643.0,643.0,91.02,455.1,31 APC,5521,HC WRIST 3 VIEWS,842.0,842.0,91.02,455.1,31 APC,5521,HC X-RAY EXAM ENTIRE SPI 1 VW,828.0,828.0,91.02,455.1,31 APC,5521,HC X-RAY EXAM HIP UNI 1 VIEW,1123.0,1123.0,91.02,455.1,31 APC,5521,HC X-RAY EXAM HIP UNI 2-3 VIEWS,1123.0,1123.0,91.02,455.1,31 APC,5521,HC X-RAY EXAM OF FEMUR 2/>,825.0,825.0,91.02,455.1,31 APC,5521,HC X-RAY OF FEMUR 1 VIEW,825.0,825.0,91.02,455.1,31 APC,5521,HC XRAY BOTH KNEESSTANDING AP,722.0,722.0,91.02,455.1,31 APC,5521,HC XRAY EYE/FOREIGN BODY,255.0,255.0,91.02,288.67,31 APC,5521,HC XRAY NECK/SOFT TISSUE,845.0,845.0,91.02,455.1,31 APC,5521,HC XRAY TM JOINTS BILATERAL,838.0,838.0,91.02,455.1,31 APC,5522,HC ABDOMEN (COMPLETE),677.0,677.0,109.35,541.6,31 APC,5522,HC ABDOMEN(AP OBLIQUE CONE),1106.0,1106.0,109.35,546.75,31 APC,5522,HC ADB OBSTRUCT SERIES W/CHEST,1470.0,1470.0,109.35,546.75,31 APC,5522,HC ARTERIAL DUPLEX UNILAT ARM,2532.0,2532.0,109.35,546.75,31 APC,5522,HC ARTERIAL DUPLEX UNILAT LEG,2532.0,2532.0,109.35,546.75,31 APC,5522,HC BENDING LUMBOSACRAL XRAY,2200.0,2200.0,109.35,546.75,31 APC,5522,HC BONE AGE LIMITED,1031.0,1031.0,109.35,546.75,31 APC,5522,HC BONE DENSITY AXIAL SKELETAL,1212.0,1212.0,109.35,546.75,31 APC,5522,HC BONE SURVEY COMPLETE,3398.0,3398.0,109.35,546.75,31 APC,5522,HC BONE(OSSEOUS)SURVEYINFANT,1155.0,1155.0,109.35,546.75,31 APC,5522,HC CAROTID DUPLEX SCAN UNILAT,3239.0,3239.0,109.35,546.75,31 APC,5522,HC CAT CT MAXILOF OTO W/O CN,4712.0,4712.0,109.35,546.75,31 APC,5522,HC CERVI SP COMP W/OB FLX /- EXT,1497.0,1497.0,109.35,546.75,31 APC,5522,HC CERVICAL SPINE MIN 4 VIEWS,1109.0,1109.0,109.35,546.75,31 APC,5522,HC CHEST 4 OR MORE VIEWS,1314.0,1314.0,109.35,546.75,31 APC,5522,HC CHEST COMPL MIN 4 VIEW W/FLURO,1234.0,1234.0,109.35,546.75,31 APC,5522,HC COMPUTED TOMOGRAPHY THORAX DIAGNOSTIC WITHOUT,6219.0,6219.0,109.35,546.75,31 APC,5522,HC CT ABDOMEN WITHOUT CONTRAST,6219.0,6219.0,109.35,546.75,31 APC,5522,HC CT CERVICAL SPINE W/O CONTRAST,6219.0,6219.0,109.35,546.75,31 APC,5522,HC CT COLONOGRAPHYW/O DYE,7071.0,7071.0,109.35,546.75,31 APC,5522,HC CT HEAD UNENHANC EXT,7188.0,7188.0,109.35,546.75,31 APC,5522,HC CT LOWER EXTREMITY W/O CONTRAS,6219.0,6219.0,109.35,546.75,31 APC,5522,HC CT LUMBAR SPINE W/O CONTRAST,4894.5,4894.5,109.35,546.75,62 APC,5522,HC CT NECK WITHOUT CONTRAST,6219.0,6219.0,109.35,546.75,31 APC,5522,HC CT ORBIT/EAR/FOSSA W/O DYE,4728.0,4728.0,109.35,546.75,31 APC,5522,HC CT PELVIS WITHOUT CONTRAST,6219.0,6219.0,109.35,546.75,31 APC,5522,HC CT THORACIC SPINE W/O CONTRAST,3520.0,3520.0,109.35,546.75,31 APC,5522,HC CT UPPER EXTREMITY W/O CONTRAS,6219.0,6219.0,109.35,546.75,31 APC,5522,HC DOPPLER FLOW TESTING,572.0,572.0,109.35,457.6,31 APC,5522,HC DUP-SCAN HEMO COMPL UNI STD,315.0,315.0,109.35,346.8,31 APC,5522,HC DUPLEX SCAN OF HEMODIALYSIS,572.0,572.0,109.35,457.6,31 APC,5522,HC DXA BONE DENSITY STUDY,3324.0,3324.0,109.35,546.75,31 APC,5522,HC ECHO EXAM OF FETAL HEART DOPPLER F/U,588.0,588.0,109.35,470.4,31 APC,5522,HC EXTREMITY NON VAS LIMITED,1772.0,1772.0,109.35,546.75,31 APC,5522,HC FACIAL BONES 3 VIEWS,1279.0,1279.0,109.35,546.75,31 APC,5522,HC FETAL BIOPHYS PROFILE W/NST,2255.0,2255.0,109.35,546.75,31 APC,5522,HC HAND 2 VIEWS,469.0,469.0,109.35,375.2,31 APC,5522,HC INJ PREV PLACED P-V SHUNT S/I,364.0,364.0,109.35,346.8,31 APC,5522,HC KNEE (4 VIEWS),387.0,387.0,109.35,346.8,31 APC,5522,HC L/S BEND ONLY2 OR 3 VIEWS,2073.0,2073.0,109.35,546.75,31 APC,5522,HC LOW DOSE CT SCAN LUNG CANCER SCREENING,1496.0,1496.0,109.35,546.75,31 APC,5522,HC LUMBAR SPINE (2-3 VIEWS),1136.0,1136.0,109.35,546.75,31 APC,5522,HC LUMBOSACRAL SPINE MIN 4 VWS,1497.0,1497.0,109.35,546.75,31 APC,5522,HC MANDIBLE-4 VIEWS,681.0,681.0,109.35,544.8,31 APC,5522,HC MAPS ARTERIAL DUPLEX UNILAT LEG,561.0,561.0,109.35,448.8,31 APC,5522,HC MAPS DOPP VELOC FETAL MID CEREB ART,243.0,243.0,109.35,346.8,31 APC,5522,HC MAPS DOPPLER VELOCEMETRYFEATL UMB,200.0,200.0,109.35,346.8,31 APC,5522,HC MAPS DUPLEX SCAN ABNMPELVCSCROTAL,346.0,346.0,109.35,346.8,31 APC,5522,HC MAPS DUPLX SCAN-AORTAINFER VENA CAVA UNILAT/LIM,336.0,336.0,109.35,346.8,31 APC,5522,HC MAPS ECHO EXAM OF FETAL HEART DOPPLER F/U,144.0,144.0,109.35,346.8,31 APC,5522,HC MAPS EXTRACRANIAL UNI/LTD STUDY,398.0,398.0,109.35,346.8,31 APC,5522,HC MAPS FETAL BIOPHYS PROFILE W/NST,334.0,334.0,109.35,346.8,31 APC,5522,HC MAPS FETAL BIOPHYSICAL PROFILE W/O,270.0,270.0,109.35,346.8,31 APC,5522,HC MAPS ULTRASOUND BREAST COMPLETE,235.0,235.0,109.35,346.8,31 APC,5522,HC MAPS ULTRASOUND PELVIS,145.0,145.0,109.35,346.8,31 APC,5522,HC MAPS ULTRASOUND PELVIS LIMITED,394.0,394.0,109.35,346.8,31 APC,5522,HC MAPS ULTRASOUND PREG TRANSVAGINAL,239.0,239.0,109.35,346.8,31 APC,5522,HC MAPS ULTRASOUND TRANSRECTAL,359.0,359.0,109.35,346.8,31 APC,5522,HC MAPS ULTRASOUND TRANSVAGINAL,370.0,370.0,109.35,346.8,31 APC,5522,HC MAPS UPPER EXTREMITY STUDY,385.0,385.0,109.35,346.8,31 APC,5522,HC MAPS US EXAM SPINAL CANAL,276.0,276.0,109.35,346.8,31 APC,5522,HC MAPS US EXTREM VEINS UNILAT/LTD,446.0,446.0,109.35,356.8,31 APC,5522,HC MAPS US LMTD JT/NONVASC XTR STRUX,171.0,171.0,109.35,346.8,31 APC,5522,HC MAPS US OB UTER 1ST TRI NUC MEAS,370.0,370.0,109.35,346.8,31 APC,5522,HC MAPS US PREG >/ 14 WKS SINGL GEST,326.0,326.0,109.35,346.8,31 APC,5522,HC MAPS US PREG FOLLOW UP PER FETUS,197.0,197.0,109.35,346.8,31 APC,5522,HC MAPS US PREG LIMITED>1FETUSES,145.0,145.0,109.35,346.8,31 APC,5522,HC MAPS US PREGNANCY 1ST TRIMESTER,309.0,309.0,109.35,346.8,31 APC,5522,HC MAPS US PREGNANCY DOPPLER COMPLETE,252.0,252.0,109.35,346.8,31 APC,5522,HC MAPS US SOFT TISS HEADNCK BSCAN,191.0,191.0,109.35,346.8,31 APC,5522,HC MAPS VENOUS DUPLEX SCAN UNILAT,446.0,446.0,109.35,356.8,31 APC,5522,HC MASTOIDS LESS 3 VIEWS,8240.0,8240.0,109.35,546.75,31 APC,5522,HC MASTOIDS MIN 3 VIEWS,11040.0,11040.0,109.35,546.75,31 APC,5522,HC NEONATAL HEAD DOPPLER,2835.0,2835.0,109.35,546.75,31 APC,5522,HC OPTHALMIC U/S CONTACT B SCAN,315.0,315.0,109.35,346.8,31 APC,5522,HC OPTO-ACOUSTIC IMG BREAST UNI,315.0,315.0,82.01,346.8,32 APC,5522,HC ORBITS 4 VIEWS,1297.0,1297.0,109.35,546.75,31 APC,5522,HC OSSEOUS SURVEY LIMITED,1713.0,1713.0,109.35,546.75,31 APC,5522,HC OSSEOUS SURVEY- INFANT,1031.0,1031.0,109.35,546.75,31 APC,5522,HC PELVIS (1-2 VIEWS),643.0,643.0,109.35,514.4,31 APC,5522,HC PELVIS COMPLETE,1089.0,1089.0,109.35,546.75,31 APC,5522,HC RADIOLOGIC EXAMINATION CHEST 4 OR MORE VIEWS,888.0,888.0,109.35,546.75,31 APC,5522,HC RIBS BILAT W/PA CHEST MIN 4 V,1331.0,1331.0,109.35,546.75,31 APC,5522,HC RIBS UNILAT W/PA CHEST MIN 3 V,1306.0,1306.0,109.35,546.75,31 APC,5522,HC RIBSBILATERAL 3 VIEWS,1482.0,1482.0,109.35,546.75,31 APC,5522,HC SACROILIAC JTS<3 VIEWS,863.0,863.0,109.35,546.75,31 APC,5522,HC SCANOGRAM (BONE LENGTH),957.0,957.0,109.35,546.75,31 APC,5522,HC SCANOGRAM-BONE LENGTH,957.0,957.0,109.35,546.75,31 APC,5522,HC SCAPULA XRAY,838.0,838.0,109.35,546.75,31 APC,5522,HC SI JOINTS (3 VIEWS),857.0,857.0,109.35,546.75,31 APC,5522,HC SKULL 4 VIEWS,1089.0,1089.0,109.35,546.75,62 APC,5522,HC TCD EMBOLI DETECT W/O INJ,3957.0,3957.0,109.35,546.75,31 APC,5522,HC THORACIC SPINE ( 3 VIEWS),891.0,891.0,109.35,546.75,31 APC,5522,HC THORACIC SPINE 2 VIEWS,865.0,865.0,109.35,546.75,31 APC,5522,HC THORACIC SPINE(MIN 4 VIEWS),1384.0,1384.0,109.35,546.75,31 APC,5522,HC TRANSCRAN DOPPLER LI,2835.0,2835.0,109.35,546.75,31 APC,5522,HC TRANSCRANIAL LIMITED,2835.0,2835.0,109.35,546.75,31 APC,5522,HC ULTRASD RETROPERITONEUM COMP,2307.0,2307.0,109.35,546.75,31 APC,5522,HC ULTRASOUND ABDOMINAL B SCAN,2348.0,2348.0,109.35,546.75,31 APC,5522,HC ULTRASOUND ABDOMINAL LIMI,1217.0,1217.0,109.35,546.75,31 APC,5522,HC ULTRASOUND BRAIN B-SCAN,1225.0,1225.0,109.35,546.75,31 APC,5522,HC ULTRASOUND BREAST COMPLETE,2020.0,2020.0,109.35,546.75,31 APC,5522,HC ULTRASOUND CHEST,1110.0,1110.0,109.35,546.75,31 APC,5522,HC ULTRASOUND KIDNEY TRANSPLANT,1789.0,1789.0,109.35,546.75,31 APC,5522,HC ULTRASOUND PELVIS,1818.0,1818.0,109.35,546.75,31 APC,5522,HC ULTRASOUND PELVIS LIMITED,1335.0,1335.0,109.35,546.75,31 APC,5522,HC ULTRASOUND PENILE VESSELS,908.0,908.0,109.35,546.75,31 APC,5522,HC ULTRASOUND PREG TRANSVAGINAL,1778.0,1778.0,109.35,546.75,31 APC,5522,HC ULTRASOUND SCROTUM AND CONTENT,1780.0,1780.0,109.35,546.75,31 APC,5522,HC ULTRASOUND SPINAL CANAL CONT,1780.0,1780.0,109.35,546.75,31 APC,5522,HC ULTRASOUND THRYOID/SOFT TISSUE,1740.0,1740.0,109.35,546.75,31 APC,5522,HC ULTRASOUND TRANSRECTAL,2172.0,2172.0,109.35,546.75,31 APC,5522,HC ULTRASOUND TRANSVAGINAL,1778.0,1778.0,109.35,546.75,31 APC,5522,HC UPPER EXTREMITY INFANT MIN 2V,431.0,431.0,109.35,346.8,31 APC,5522,HC US ABD AORTA SCREEN AAA,433.0,433.0,109.35,346.8,31 APC,5522,HC US EXTRACRAN ARTERIES UNI/LIMT,3239.0,3239.0,109.35,546.75,31 APC,5522,HC US EXTREM VEINS UNILAT/LTD,2897.0,2897.0,109.35,546.75,31 APC,5522,HC US EXTREMITY NON-VASCULAR COMP,1772.0,1772.0,109.35,546.75,31 APC,5522,HC US EXTREMITY NON-VASCULAR LIM,1772.0,1772.0,109.35,546.75,31 APC,5522,HC US LOW EXT ART. FU/LTD,2599.0,2599.0,109.35,546.75,62 APC,5522,HC US OF ABD LIMITED (EMBU),1278.0,1278.0,109.35,546.75,31 APC,5522,HC US PREG >/ 14 WKS SINGL GEST,1981.0,1981.0,109.35,546.75,31 APC,5522,HC US PREG DPPLR F/U PULSE/WAVE,588.0,588.0,109.35,470.4,31 APC,5522,HC US PREG FOLLOW UP PER FETUS,752.0,752.0,109.35,546.75,31 APC,5522,HC US PREG LIMITED>1FETUSES,1467.0,1467.0,109.35,546.75,31 APC,5522,HC US PREGNANCY 1ST TRIMESTER,1981.0,1981.0,109.35,546.75,31 APC,5522,HC US PREGNANCY DOPPLER COMPLET,1186.0,1186.0,109.35,546.75,31 APC,5522,HC US PREGNANCY DOPPLER COMPLETE,1186.0,1186.0,109.35,546.75,31 APC,5522,HC US RETROPERITONEAL (RENAL) LTD,1439.0,1439.0,109.35,546.75,31 APC,5522,HC US SPINAL CANAL CONTENTS,1780.0,1780.0,109.35,546.75,31 APC,5522,HC US TRUNK MAJ VESS/ART/VEINS FU,1122.0,1122.0,109.35,546.75,31 APC,5522,HC US TRUNK ORG/ART/VEINS FU,3605.0,3605.0,109.35,546.75,31 APC,5522,HC US UPP EXT ART. FU/LTD,1798.0,1798.0,109.35,546.75,31 APC,5522,HC US WITH AFI,918.5,918.5,109.35,546.75,62 APC,5522,HC VENOUS DUPLEX SCAN UNILAT,2797.0,2797.0,109.35,546.75,31 APC,5522,HC X-RAY ENTIRE SPI 6/> VW,828.0,828.0,109.35,546.75,31 APC,5522,HC X-RAY EXAM ENTIRE SPI 2/3 VW,828.0,828.0,109.35,546.75,31 APC,5522,HC X-RAY EXAM ENTIRE SPI 4/5 VW,828.0,828.0,109.35,546.75,31 APC,5522,HC X-RAY EXAM HIP UNI 4/> VIEWS,1123.0,1123.0,109.35,546.75,31 APC,5522,HC X-RAY EXAM HIPS BI 2 VIEWS,1804.0,1804.0,109.35,546.75,31 APC,5522,HC X-RAY EXAM HIPS BI 3-4 VIEWS,1804.0,1804.0,109.35,546.75,31 APC,5522,HC X-RAY EXAM HIPS BI 5/> VIEWS,1804.0,1804.0,109.35,546.75,31 APC,5523,HC MR SAFETY MED PHYSICS XM CUSTOMIZATION PLNG MN,725.0,725.0,187.17,791.48,32 APC,5523,HC C-ARM FLUOR-OR 76499,1634.0,1634.0,249.56,1247.8,31 APC,5523,HC CONTR INJ PERQ EVAL GI TUBE,3669.0,3669.0,249.56,1247.8,31 APC,5523,HC CT ABDOMEN PELVIS W/O CONTRA,12439.0,12439.0,249.56,1247.8,31 APC,5523,HC CT COLONOGRAPHYSCREEN,7071.0,7071.0,954.59,7071.0,22 APC,5523,HC CYSTOGRM INCONT/VOID S/I,826.0,826.0,249.56,791.48,31 APC,5523,HC DTLD FETUS MAT US1/1ST GES,1981.0,1981.0,249.56,1247.8,31 APC,5523,HC ECHO TRANSTHX REAL TIME COMPLE,3328.0,3328.0,249.56,1247.8,31 APC,5523,HC ECHO TRANSTHX REAL TIME LIMITE,1519.0,1519.0,249.56,1215.2,31 APC,5523,HC FLUORO ABD 76000,1470.0,1470.0,249.56,1176.0,31 APC,5523,HC FLUORO-CHEST ONLY,857.0,857.0,249.56,791.48,31 APC,5523,HC FLUOROSCOPE EXAMINATION,1470.0,1470.0,249.56,1176.0,31 APC,5523,HC FLUOROSCOPY,1470.0,1470.0,249.56,1176.0,31 APC,5523,HC HYSTEROSALINGRM S/I,2399.0,2399.0,249.56,1247.8,31 APC,5523,HC MAPS CYSTOGRM INCONT/VOID S/I,281.0,281.0,224.8,791.48,31 APC,5523,HC MAPS ECHO EXAM OF FETAL HEART F/U OR REPEAT STU,264.0,264.0,211.2,791.48,31 APC,5523,HC MAPS ECHO TRANSTHX REAL TIME LIMITE,540.0,540.0,249.56,791.48,31 APC,5523,HC MAPS HYSTEROGNGRAM W/WO COLOR FLOW,289.0,289.0,231.2,791.48,31 APC,5523,HC MAPS ULTRASOUND CAROTID,434.0,434.0,249.56,791.48,31 APC,5523,HC MAPS ULTRASOUND EXTREMITY VEINS,573.0,573.0,249.56,791.48,31 APC,5523,HC MAPS US LOW EXT ARTERIES BILAT,834.0,834.0,249.56,791.48,31 APC,5523,HC MAPS US PREG REAL TIME DATE FAE,520.0,520.0,249.56,791.48,31 APC,5523,HC MAPS US TRUNK (ORG/ART/VEINS),634.0,634.0,249.56,791.48,31 APC,5523,HC MAPS US TRUNK MAJ VES/ART/VEINS,203.0,203.0,162.4,791.48,31 APC,5523,HC MAPS US UPP EXT ARTERIES (BIL),611.0,611.0,249.56,791.48,31 APC,5523,HC MR CARDIAC MORPH FUNCT W/O CON,9181.0,9181.0,249.56,1247.8,31 APC,5523,HC MRA HEAD WITHOUT CONTRAST,8126.0,8126.0,249.56,1247.8,31 APC,5523,HC MRA NECK WITHOUT CONTRAST,8126.0,8126.0,249.56,1247.8,31 APC,5523,HC MRI ABDOMEN WITHOUT CONTRAST,9181.0,9181.0,249.56,1247.8,31 APC,5523,HC MRI BRAIN W/O CONTRAST,9181.0,9181.0,249.56,1247.8,31 APC,5523,HC MRI CERVICAL SPINE W/O CONTRAS,9181.0,9181.0,249.56,1247.8,31 APC,5523,HC MRI JNT OF KWR EXREM W/O DYE,9181.0,9181.0,249.56,1247.8,31 APC,5523,HC MRI LOWER EXTRM JOINT W/O CONT,9181.0,9181.0,249.56,1247.8,31 APC,5523,HC MRI LUMBAR SPINE W/O CONTRAST,9181.0,9181.0,249.56,1247.8,31 APC,5523,HC MRI ORBITS/FACE/NECK W/O CONTR,9181.0,9181.0,249.56,1247.8,31 APC,5523,HC MRI PELVIS WITHOUT CONTRAST,9181.0,9181.0,249.56,1247.8,31 APC,5523,HC MRI RADONC LOW EXT NON JOINT W/O CONT,9181.0,9181.0,249.56,1247.8,31 APC,5523,HC MRI TEMPOROMANDIBULAR JOINT,9181.0,9181.0,249.56,1247.8,31 APC,5523,HC MRI THORACIC SPINE W/O CONTRAS,9181.0,9181.0,249.56,1247.8,31 APC,5523,HC MRI UP EXT NON JOINT W/O CONTR,9181.0,9181.0,249.56,1247.8,31 APC,5523,HC MRI UPPER EXTRM JOINT W/O CONT,9181.0,9181.0,249.56,1247.8,31 APC,5523,HC MRI W/O CONT BREAST BI,2085.0,2085.0,249.56,1247.8,31 APC,5523,HC Magnetic resonance elastography,1632.0,1632.0,249.56,1247.8,31 APC,5523,HC RADONC MRI CHEST WITHOUT CONTRAST,9181.0,9181.0,249.56,1247.8,31 APC,5523,HC TRANSCRAN DOPPLER INTRACRANI,4045.0,4045.0,249.56,1247.8,31 APC,5523,HC TRANSCRANIAL DOPPLER COMPLETE,4045.0,4045.0,249.56,1247.8,31 APC,5523,HC ULTRASOUND CAROTID,4151.0,4151.0,249.56,1247.8,31 APC,5523,HC ULTRASOUND EXTREMITY VEINS,4151.0,4151.0,249.56,1247.8,31 APC,5523,HC URETHROGRAM (RETROGR) S/I,746.0,746.0,249.56,791.48,31 APC,5523,HC US LOW EXT ARTERIES BILAT,4343.0,4343.0,249.56,1247.8,31 APC,5523,HC US PREG REAL TIME DATE FAE,1981.0,1981.0,249.56,1247.8,31 APC,5523,HC US TRUNK (ORG/ART/VEINS),5023.0,5023.0,249.56,1247.8,31 APC,5523,HC US TRUNK MAJ VES/ART/VEINS,1720.0,1720.0,249.56,1247.8,31 APC,5523,HC US UPP EXT ARTERIES (BIL),3541.0,3541.0,249.56,1247.8,31 APC,5523,HC VESSEL MAP FOR HEMO COMP BILATERAL,725.0,725.0,249.56,791.48,31 APC,5524,HC BREAST SURG.SPECIMEN,411.0,411.0,328.8,1812.54,31 APC,5524,HC ECHOCARDIOGRAPHY TRANSESOPHAG,5725.0,5725.0,571.51,2857.55,31 APC,5524,HC FISTULA/SINUS TRACT S/I,837.0,837.0,571.51,1812.54,31 APC,5524,HC MAPS ECHO EXAM OF FETAL HEART W OR W/O M-MODE,352.0,352.0,281.6,1812.54,31 APC,5524,HC MAPS STRESS TTE COMPLETE,642.0,642.0,513.6,1812.54,31 APC,5524,HC MAPS STRESS TTE ONLY,499.0,499.0,399.2,1812.54,31 APC,5524,HC MAPS TTE W/DOPPLER COMPLETE,499.0,499.0,399.2,1812.54,31 APC,5524,HC REPOSITION PD CATHETER S I,957.0,957.0,571.51,1812.54,31 APC,5524,HC STRESS TTE COMPLETE,3017.0,3017.0,571.51,2413.6,31 APC,5524,HC STRESS TTE ONLY,2052.0,2052.0,571.51,1812.54,31 APC,5524,HC SURG SPECIMEN RADIOLOGY EXAM,419.0,419.0,335.2,1812.54,31 APC,5524,HC TRANSTHORACIC ECHOCOMPLETE,2276.0,2276.0,571.51,1820.8,31 APC,5524,HC TTE W/DOPPLER COMPLETE,8320.0,8320.0,571.51,2857.55,31 APC,5571,HC BARIUM ENEMA,1410.0,1410.0,183.46,917.3,31 APC,5571,HC BARIUM ENEMA WITH AIR STUDY,1666.0,1666.0,183.46,917.3,31 APC,5571,HC COMPUTED TOMOGRAPHY THORAX DIAGNOSTIC WITH CON,7081.0,7081.0,183.46,917.3,31 APC,5571,HC CT ABDOMEN COMBINED,8849.0,8849.0,183.46,917.3,31 APC,5571,HC CT ABDOMEN WITH CONTRAST,7081.0,7081.0,183.46,917.3,31 APC,5571,HC CT ANGIO HEAD W W/O CONTRAST,11232.0,11232.0,183.46,917.3,31 APC,5571,HC CT ANGIO NECK W W/O CONTRAST,11232.0,11232.0,183.46,917.3,31 APC,5571,HC CT CERV SP WITH/WITHOUT C,8967.0,8967.0,183.46,917.3,31 APC,5571,HC CT COLONOGRPHY DX IMAGE POSTPROCESS W/CONTRAST,7071.0,7071.0,183.46,917.3,31 APC,5571,HC CT HEAD W W/O CONTRAST,8965.0,8965.0,183.46,917.3,31 APC,5571,HC CT HEAD WITH CONTRAST,7597.0,7597.0,183.46,917.3,31 APC,5571,HC CT LO EXT WITH WIOUT,8802.0,8802.0,183.46,917.3,31 APC,5571,HC CT LOW EXTREMITY W W/O CONT,8682.0,8682.0,183.46,917.3,31 APC,5571,HC CT LOW EXTREMITY WITH CONT,7081.0,7081.0,183.46,917.3,31 APC,5571,HC CT LUMBAR SP W W/O CONTRAST,8849.0,8849.0,183.46,917.3,31 APC,5571,HC CT LUMBAR WITH/WITHOUT,8967.0,8967.0,183.46,917.3,31 APC,5571,HC CT MAXILLOFACIAL COMBINED,6426.0,6426.0,183.46,917.3,31 APC,5571,HC CT MAXILLOFACIAL W/CONTRAST,5575.0,5575.0,183.46,917.3,31 APC,5571,HC CT NECK ENHANCED,7081.0,7081.0,183.46,917.3,31 APC,5571,HC CT NECK WITH AND W/O CONTRAST,8682.0,8682.0,183.46,917.3,31 APC,5571,HC CT ORBIT WITH WO CONTRAST,7786.0,7786.0,183.46,917.3,31 APC,5571,HC CT ORBIT/EAR/FOSSA W/O W DYE,7685.0,7685.0,183.46,917.3,31 APC,5571,HC CT ORBIT/EAR/FOSSA WITH DYE,5143.0,5143.0,183.46,917.3,31 APC,5571,HC CT ORBITS WITH CONTRAST,5210.0,5210.0,183.46,917.3,31 APC,5571,HC CT PELVIS COMBINED,8849.0,8849.0,183.46,917.3,31 APC,5571,HC CT PELVIS WITH WOUT CONTRAST,8967.0,8967.0,183.46,917.3,31 APC,5571,HC CT PELVIS WITH CONTRAST,7081.0,7081.0,183.46,917.3,31 APC,5571,HC CT SERV SPINE COMB SAME DAY,8849.0,8849.0,183.46,917.3,31 APC,5571,HC CT THORAC SP.ENHANCED,7081.0,7081.0,183.46,917.3,31 APC,5571,HC CT THORACIC SPINE W W/O CONT,8849.0,8849.0,183.46,917.3,31 APC,5571,HC CT THORACIC WITH/WITHOUT,8967.0,8967.0,183.46,917.3,31 APC,5571,HC CT THORAX DIAGNOSTIC W/O W CONTRAST AND SECTI,8849.0,8849.0,183.46,917.3,31 APC,5571,HC CT UP EXT WI WITOUT,8802.0,8802.0,183.46,917.3,31 APC,5571,HC CT UPPER EXTREMITY W W/O CONT,8682.0,8682.0,183.46,917.3,31 APC,5571,HC CTA ABD AORTA ILEOFM RUN W W/O,11232.0,11232.0,183.46,917.3,31 APC,5571,HC CTA ABD INCL IMAGE POST-P,11384.0,11384.0,183.46,917.3,31 APC,5571,HC CTA ABDOMEN W W/O CONTRAST,11232.0,11232.0,183.46,917.3,31 APC,5571,HC CTA CHEST NOR COR W W/O CONTRA,11232.0,11232.0,183.46,917.3,31 APC,5571,HC CTA LO EXT INCL IMAGE POS,11384.0,11384.0,183.46,917.3,31 APC,5571,HC CTA LOWER EXT W W/O CONTRAST,11232.0,11232.0,183.46,917.3,31 APC,5571,HC CTA PELVIS W W/O CONTRAST,11232.0,11232.0,183.46,917.3,31 APC,5571,HC CTA UPPER EXT W W/O CONTRAST,11232.0,11232.0,183.46,917.3,31 APC,5571,HC CTAABD AO BIL ILIOFEM LO,11384.0,11384.0,183.46,917.3,31 APC,5571,HC CTACHESTINCL IMAGE POST,11384.0,11384.0,183.46,917.3,31 APC,5571,HC CTAHEADINCL IMAGE POST-,11384.0,11384.0,183.46,917.3,31 APC,5571,HC CTANECKINCL IMAGE POST-,11384.0,11384.0,183.46,917.3,31 APC,5571,HC CTAPELVISINCL IMAGE POS,11384.0,11384.0,183.46,917.3,31 APC,5571,HC CTAUP EXT INCL IMAGE POS,11384.0,11384.0,183.46,917.3,31 APC,5571,HC ESOPHAGRAM,706.0,706.0,183.46,581.84,31 APC,5571,HC ESOPHAGRAM DOUBLE CONTRAST,701.0,701.0,183.46,581.84,31 APC,5571,HC ESOPHAGRAM WITH VIDEO,1638.0,1638.0,183.46,917.3,31 APC,5571,HC PNEUMOCOLON/CHAR STUDY,1095.0,1095.0,183.46,876.0,31 APC,5571,HC UPPER GI,965.0,965.0,183.46,772.0,31 APC,5571,HC UPPER GI (DBL CONTRAST),1666.0,1666.0,183.46,917.3,31 APC,5572,HC 2D TTE W OR W/O FOL W/CONFU,5280.0,5280.0,364.9,1824.5,31 APC,5572,HC ANTEGRADE UROGRAPHY RADIOLOGICAL SUPVJ INTERP,1031.0,1031.0,364.9,1157.28,31 APC,5572,HC CARDIAC MRI MORPH W W/O CONT,15690.0,15690.0,364.9,1824.5,31 APC,5572,HC CT ABDOMEN PELVIS WITH CONTR,14153.0,14153.0,364.9,1824.5,31 APC,5572,HC CT ABDOMEN PELVIS W W/O CONTRA,17695.0,17695.0,364.9,1824.5,31 APC,5572,HC CT ANGIO HRT W/3D IMAGE,6472.0,6472.0,364.9,1824.5,31 APC,5572,HC CT CERVICAL SPINE W/CONTRAST,7081.0,7081.0,364.9,1824.5,31 APC,5572,HC CT HRT W/3D IMAGE,2485.0,2485.0,364.9,1824.5,31 APC,5572,HC CT HRT W/3D IMAGECONGEN,3515.0,3515.0,364.9,1824.5,31 APC,5572,HC CT LUMB SPINE ENHANCED,7081.0,7081.0,364.9,1824.5,31 APC,5572,HC CT UP EXT WITH CONT,7173.0,7173.0,364.9,1824.5,31 APC,5572,HC CT UPPER EXTREMITY WITH CONT,7081.0,7081.0,364.9,1824.5,31 APC,5572,HC CTA ABDOMEN PELVIS W W/O CON,11232.0,11232.0,364.9,1824.5,31 APC,5572,HC CYSTOGRM/POUCHOGRAM S/I,1018.0,1018.0,364.9,1157.28,31 APC,5572,HC HIP ARTHROGRM (S/I),1556.0,1556.0,364.9,1244.8,31 APC,5572,HC MR ANGIO HEAD W/O W INJ COMB,15482.0,15482.0,364.9,1824.5,31 APC,5572,HC MR ANGIO NECK W/O W INJ COMB,15482.0,15482.0,364.9,1824.5,31 APC,5572,HC MR CARDIAC MORPH FUNCT W/INJ,15690.0,15690.0,364.9,1824.5,31 APC,5572,HC MRA HEAD WITH CONTRAST,10891.0,10891.0,364.9,1824.5,31 APC,5572,HC MRA NECK WITH CONTRAST,10891.0,10891.0,364.9,1824.5,31 APC,5572,HC MRI ABDOMEN W W/O CONTRAST,15482.0,15482.0,364.9,1824.5,31 APC,5572,HC MRI ABDOMEN W/INJ,10891.0,10891.0,364.9,1824.5,31 APC,5572,HC MRI BRAIN WITH W/O CONTRAST,15482.0,15482.0,364.9,1824.5,31 APC,5572,HC MRI BRAIN WITH CONTRAST,10891.0,10891.0,364.9,1824.5,31 APC,5572,HC MRI CERVICAL SP W W/O CONTRAST,15482.0,15482.0,364.9,1824.5,31 APC,5572,HC MRI CERVICAL SPINE W/CONTRAST,7828.0,7828.0,364.9,1824.5,31 APC,5572,HC MRI LOW EXT NON JOINT W/CONTR,10891.0,10891.0,364.9,1824.5,31 APC,5572,HC MRI LOW EXT NONJNT W W/O CONTR,15482.0,15482.0,364.9,1824.5,31 APC,5572,HC MRI LOW EXTRM JOINT W W/O CONT,15482.0,15482.0,364.9,1824.5,31 APC,5572,HC MRI LUMBAR SP W W/O CONTRAST,15482.0,15482.0,364.9,1824.5,31 APC,5572,HC MRI LUMBAR SPINE W/CONTRAST,10891.0,10891.0,364.9,1824.5,31 APC,5572,HC MRI NECK/ORBIT/FACE W/CONTRAST,10891.0,10891.0,364.9,1824.5,31 APC,5572,HC MRI PELVIS WITH W/O CONTRAST,15482.0,15482.0,364.9,1824.5,31 APC,5572,HC MRI PELVIS WITH CONTRAST,10891.0,10891.0,364.9,1824.5,31 APC,5572,HC MRI THORACIC SP W W/O CONTRA,15482.0,15482.0,364.9,1824.5,31 APC,5572,HC MRI THORICIC SPINE W/CONTRAST,10891.0,10891.0,364.9,1824.5,31 APC,5572,HC MRI THROACIC SPINE W/CONT,11040.0,11040.0,364.9,1824.5,31 APC,5572,HC MRI UP EXT NONJOINT W W/O CONT,15482.0,15482.0,364.9,1824.5,31 APC,5572,HC MRI UP EXT NONJOINT W/CONTRAST,10891.0,10891.0,364.9,1824.5,31 APC,5572,HC MRI UP EXTRM JOINT W W/O CONTR,15482.0,15482.0,364.9,1824.5,31 APC,5572,HC PYELOGRAM RETROGRADE,1410.0,1410.0,364.9,1157.28,31 APC,5572,HC RADONC MRI CHEST W W/O CONTRAST,15482.0,15482.0,364.9,1824.5,31 APC,5572,HC RADONC MRI ORBIT/FACE/NECK W W/O CONT,10972.0,10972.0,364.9,1824.5,31 APC,5572,HC SHOULDER ARTHROGRM (S/I),1802.0,1802.0,364.9,1441.6,31 APC,5573,HC 2D TEE W OR W/O FOL W/CONIN,2737.0,2737.0,819.93,2600.41,31 APC,5573,HC CISTERNOGRAM S/I ONLY,2906.0,2906.0,819.93,2600.41,31 APC,5573,HC HC MYELOGRAPHY VIA 2 OR MORE REGIONS,1746.0,1746.0,614.95,2600.41,32 APC,5573,HC MRI CHEST W/CONT,11040.0,11040.0,819.93,4099.65,31 APC,5573,HC MRI CHEST W/CONTRAST,10891.0,10891.0,819.93,4099.65,31 APC,5573,HC MRI LOWER JOINT W/CONTRAST,10891.0,10891.0,819.93,4099.65,31 APC,5573,HC MRI UPPER JOINT W/CONTRAST,10891.0,10891.0,819.93,4099.65,31 APC,5573,HC MYELO (ENTIRE) S/I ONLY,3363.0,3363.0,819.93,2690.4,31 APC,5573,HC MYELOGRAM (CERV) S/I ONLY,3059.0,3059.0,819.93,2600.41,31 APC,5573,HC MYELOGRAM (LUMB) S/I ONLY,3059.0,3059.0,819.93,2600.41,31 APC,5573,HC MYELOGRAM (THOR) S/I ONLY,2986.0,2986.0,819.93,2600.41,31 APC,5573,HC MYELOGRAPHY VIA LUMBAR INJECTION,1746.0,1746.0,614.95,2600.41,32 APC,5573,HC MYELOGRAPHY VIA LUMBOSACRAL,1746.0,1746.0,614.95,2600.41,32 APC,5573,HC MYELOGRAPHY VIA THORACIC,1746.0,1746.0,614.95,2600.41,32 APC,5573,HC TEE W OR W/O FOL W/CONTCONG,2334.0,2334.0,819.93,2600.41,31 APC,5573,HC TEE W/CONTRAST CONGENITAL,2334.0,2334.0,819.93,2600.41,31 APC,5573,HC TTE W OR W/O CONTR CONT ECG,3160.0,3160.0,819.93,2600.41,31 APC,5573,HC TTE W OR WO FOL WCONDOPPLER,11761.0,11761.0,819.93,4099.65,31 APC,5591,HC BONE MARROW IMG MULTI AREAS,2050.0,2050.0,418.13,1640.0,31 APC,5591,HC BONE SCAN 3 PHASE,3933.0,3933.0,418.13,2090.65,31 APC,5591,HC BONE SCAN LIMITED AREA,2050.0,2050.0,418.13,1640.0,31 APC,5591,HC BONE SCAN TOTAL BODY,4002.0,4002.0,418.13,2090.65,31 APC,5591,HC BONE VASCULAR FLOW,2149.0,2149.0,418.13,1719.2,31 APC,5591,HC CARD BL POOL MULT W/EF WM,4187.0,4187.0,418.13,2090.65,31 APC,5591,HC CARD.BL.POOL W/VEF WM,3423.0,3423.0,418.13,2090.65,31 APC,5591,HC GASTRIC EMPTYING,3635.0,3635.0,418.13,2090.65,31 APC,5591,HC GASTRIC EMPTYING IMAG STUDY,1468.0,1468.0,418.13,1326.1,31 APC,5591,HC GASTRIC MUCOSA IMAGE,1238.0,1238.0,418.13,1326.1,31 APC,5591,HC GIBLEED,2148.0,2148.0,418.13,1718.4,31 APC,5591,HC HEPATOBILIARY WITH GB,1727.0,1727.0,418.13,1381.6,31 APC,5591,HC INJ RADIOACT TRACE SENTIN NODE,1234.0,1234.0,418.13,1326.1,31 APC,5591,HC INJ SENTINAL NODE,287.0,287.0,229.6,1326.1,31 APC,5591,HC KIDNEY-VASCULAR FLOW,2594.0,2594.0,418.13,2075.2,31 APC,5591,HC LIVER SCAN,2527.0,2527.0,418.13,2021.6,31 APC,5591,HC NM HEART MI PLANAR,2569.0,2569.0,418.13,2055.2,31 APC,5591,HC PARATHYROID SCAN,2851.0,2851.0,418.13,2090.65,31 APC,5591,HC PARATHYROID SCAN W/SPECT,1803.0,1803.0,418.13,1442.4,31 APC,5591,HC PERITONEAL SHUNT PATENCY,3409.0,3409.0,418.13,2090.65,31 APC,5591,HC PULM VENTILATION IMAGING,1893.0,1893.0,418.13,1514.4,31 APC,5591,HC PULMONARY PERFUSION IMAGING,2760.0,2760.0,418.13,2090.65,31 APC,5591,HC QUANT DIFF PULM PERF,1343.0,1343.0,418.13,1326.1,31 APC,5591,HC SALIVARY GLAND FUNCT STUDY,2984.0,2984.0,418.13,2090.65,31 APC,5591,HC SALIVARY GLAND SCAN,1364.0,1364.0,418.13,1326.1,31 APC,5591,HC THY IMG VAS FL W/SING/MULT UPT,1306.0,1306.0,418.13,1326.1,31 APC,5591,HC THYROIDIMG W/VASCULAR FLOW,843.0,843.0,418.13,1326.1,31 APC,5591,HC TUMOR LOCAL SING AREA,1405.0,1405.0,418.13,1326.1,31 APC,5591,HC TUMOR LOCALIZATION,4948.0,4948.0,418.13,2090.65,31 APC,5592,HC CSF FLOW-SHUNT EVAL,1701.0,1701.0,567.91,1801.13,31 APC,5592,HC GASTRIC EMPTYING W/SB/TRANMUL,1468.0,1468.0,567.91,1801.13,31 APC,5592,HC KIDNEY FLOW/FUNCTION,3334.0,3334.0,567.91,2667.2,31 APC,5592,HC KIDNEY IMG W/FF W PM SING,3481.0,3481.0,567.91,2784.8,31 APC,5592,HC KIDNEY IMG W/FF W/PM MULTI,3021.0,3021.0,567.91,2416.8,31 APC,5592,HC LYMPH NODE SCAN,1522.0,1522.0,567.91,1801.13,31 APC,5592,HC MYO IMG SPECT INFARCT,3423.0,3423.0,567.91,2738.4,31 APC,5592,HC PARATHYROID SCAN W/SPECT CT,1803.0,1803.0,567.91,1801.13,31 APC,5592,HC PRETX PLANNING NON HODGKINS,5106.0,5106.0,567.91,2839.55,31 APC,5592,HC PULM VENT PERF IMAGING,1868.0,1868.0,567.91,1801.13,31 APC,5592,HC QUANT DIFF VENT PERF,4859.0,4859.0,567.91,2839.55,31 APC,5592,HC QUANT HEPATOBILIARY WITH GB,1727.0,1727.0,567.91,1801.13,31 APC,5592,HC SOFT TISSUE SCAN TOTAL,3455.0,3455.0,567.91,2764.0,31 APC,5592,HC THYROID SCAN TOTAL BODY,5596.0,5596.0,567.91,2839.55,31 APC,5592,HC TUMOR LOCALIZ-WHL BODY 2-3 DAY,9057.0,9057.0,567.91,2839.55,31 APC,5592,HC TUMOR SPECT,4604.0,4604.0,567.91,2839.55,31 APC,5593,HC HEART MUSCLE IMAGING,7950.0,7950.0,1354.12,6360.0,31 APC,5593,HC HT MUSC IMAGEPLANARMULT,4440.0,4440.0,1354.12,4294.59,31 APC,5593,HC HT MUSCLE IMAGE SPECTMULT,10761.0,10761.0,1354.12,6770.6,31 APC,5593,HC HT MUSCLE IMAGE SPECTSING,10761.0,10761.0,1354.12,6770.6,31 APC,5593,HC MAPS HT MUSCLE IMAGE SPECTMULT,1250.0,1250.0,1000.0,4294.59,31 APC,5593,HC MYOCARDIAL PERFUSION PLANAR SINGLE,4440.0,4440.0,1354.12,4294.59,31 APC,5593,HC RP LOCLZJ TUM SPECT 2 AREA 1D IMG/1 AREA IMG>2,4872.0,4872.0,1354.12,4294.59,31 APC,5593,HC RP LOCLZJ TUM SPECT W/CT 1 AREA 1 DAY IMAGING,4872.0,4872.0,1354.12,4294.59,31 APC,5594,HC BRAIN (PET) METABOLIC EVAL,23886.0,23886.0,1495.63,7478.15,31 APC,5594,HC MYOCADIAL PET W/CT,5527.0,5527.0,1495.63,4743.39,31 APC,5594,HC MYOCRD IMG PET RST/STRS W/CT,5527.0,5527.0,1495.63,4743.39,31 APC,5594,HC PET W./CT LTD.AREA,23886.0,23886.0,1495.63,7478.15,31 APC,5594,HC PET W/CT SKULL TO MIDTHIGH,23886.0,23886.0,1495.63,7478.15,31 APC,5594,HC PET W/CT WHOLW BODY,23886.0,23886.0,1495.63,7478.15,31 APC,5594,HC PET WHOLE BODY,19562.0,19562.0,1495.63,7478.15,31 APC,5594,HC RP LOCLZJ TUM SPECT CT 2AREA 1D IMG/1 AR IMG>2,5527.0,5527.0,1495.63,4743.39,31 APC,5611,HC BASIC DOSIMETRY,1586.0,1586.0,140.58,702.9,31 APC,5611,HC CONT PHYS SUP-WKLY,2408.0,2408.0,140.58,702.9,31 APC,5611,HC PROF PHYSICS CONSULT,7220.0,7220.0,140.58,702.9,31 APC,5611,HC SIMULATION SIMPLE,3810.0,3810.0,140.58,702.9,31 APC,5611,HC SPECIAL PHYSICS CONSULT -PROTON TX,7220.0,7220.0,140.58,702.9,31 APC,5611,HC TREAT DEVICES-SIMPLE,1746.0,1746.0,140.58,702.9,31 APC,5611,HC TRMENT DEVICES INT,2727.0,2727.0,140.58,702.9,31 APC,5612,HC DESIGN MLC DEVICE FOR IMRT,12393.0,12393.0,391.63,1958.15,31 APC,5612,HC SIMULATION COMPLEX,6289.0,6289.0,391.63,1958.15,31 APC,5612,HC SPECIAL PORT PLANS,3577.0,3577.0,391.63,1958.15,31 APC,5612,HC TELETHX ISODOSE PLAN CPLX,13427.0,13427.0,391.63,1958.15,31 APC,5612,HC TELETHX ISODOSE PLAN SIMPLE,6887.0,6887.0,391.63,1958.15,31 APC,5612,HC TRMENT DEVICES COMPLEX,4960.0,4960.0,391.63,1958.15,31 APC,5613,HC 3-D RADIOTHERAPY PLAN,34299.0,34299.0,1447.71,7238.55,31 APC,5613,HC INTERST MARK THOR FOR RT PERQ,24850.0,24850.0,1447.71,7238.55,31 APC,5613,HC INTRST MRK ABD/PEL FOR RT PERQ,33515.0,33515.0,1447.71,7238.55,31 APC,5613,HC PLACE DEVICE/MARKER NON PROS,5344.0,5344.0,1085.78,4591.41,32 APC,5613,HC PLACE RT DEVICE/MARKER PROS,1527.0,1527.0,1221.6,4591.41,31 APC,5613,"HC RADIOTHERAPY DOSE PLAN IMRT """"TC",21246.0,21246.0,1447.71,7238.55,31 APC,5621,HC RADIATION TREATMENT DELIVERY,5980.0,5980.0,106.72,533.6,31 APC,5622,HC RAD TX DELIVERY 1 MEV INTERMED,8461.0,8461.0,403.41,2017.05,31 APC,5623,HC RADIATION TREATMENT DELIVERY,10901.0,10901.0,577.92,2889.6,31 APC,5623,HC SPECIAL TREATMENT PROCEDURES,12205.0,12205.0,577.92,2889.6,31 APC,5624,HC HDR INTERST/INTRACAV-12> CHAN,12755.0,12755.0,728.47,3642.35,31 APC,5624,HC HDR RDNCL NTRSTL/ICAV BR 2-12,28984.0,28984.0,728.47,3642.35,31 APC,5624,HC HDR RDNCL NTRSTL/ICAV BRCHTX1,16174.0,16174.0,728.47,3642.35,31 APC,5626,HC IMAGE GUIDED LIN DEL(1 TRMT),64689.0,64689.0,1870.18,9350.9,31 APC,5626,HC IMAGE GUIDED LIN DEL(2-5 TRMT),64689.0,64689.0,1870.18,9350.9,31 APC,5626,HC STEREOTACTIC BODY RAD THERA,70272.0,70272.0,4590.64,22953.2,31 APC,5626,HC STEREOTACTIC BODY RAD THERA (2-5),70272.0,70272.0,4590.64,22953.2,31 APC,5626,HC STEREOTACTIC BODY RADIATION DELIVERY - GAMMA KN,70272.0,70272.0,4590.64,22953.2,31 APC,5627,HC SRS MULTISOURCE,122253.0,122253.0,8542.64,42713.2,31 APC,5661,HC ISO HYPERTHYRIOD,5025.0,5025.0,244.05,1220.25,31 APC,5661,HC NM RN TH METS TH,6979.0,6979.0,244.05,1220.25,31 APC,5661,HC THERAPY/THYROID CA,5025.0,5025.0,244.05,1220.25,31 APC,5671,HC ANTIBODY SCREEN,215.0,215.0,54.5,172.85,31 APC,5671,HC CYTO CELL BLOCK,1057.0,1057.0,54.5,272.5,31 APC,5671,HC CYTO NON-GYN CELL ENHANCEMENT,572.0,572.0,54.5,272.5,31 APC,5671,HC CYTOGENIC STUDY BASIC,840.0,840.0,54.5,272.5,31 APC,5671,HC CYTOGENIC STUDY EXTENSIVE,1533.0,1533.0,54.5,272.5,31 APC,5671,HC DNA ANALYSIS BY FLOW CYTOMETRY,1361.0,1361.0,54.5,272.5,31 APC,5671,HC FINE NEEDLE ASPIRATION BX,671.0,671.0,54.5,272.5,31 APC,5671,HC GROUP I STAIN,1101.0,1101.0,54.5,272.5,31 APC,5671,HC MAPS LEVEL III-SURGICAL PATHOLOG,59.0,59.0,47.2,172.85,31 APC,5671,HC MAPS LEVL IV-SURG PATH GROSS MIC,228.0,228.0,54.5,182.4,31 APC,5671,HC MAPS SPECIAL STAIN INTRP/REP GRP,149.0,149.0,54.5,172.85,31 APC,5671,HC MAPS THAWING CRYOPRESRVED SPERM,158.0,158.0,54.5,172.85,31 APC,5671,HC OUTSIDE CONSULT T/F,885.0,885.0,54.5,272.5,31 APC,5671,HC PATHOLOGY CLINICAL CONSULT 5-20 MIN,390.0,390.0,54.5,272.5,31 APC,5671,HC PATHOLOGY CLINICAL CONSULTATION CLINICAL PROBLE,237.0,237.0,54.5,189.6,31 APC,5671,HC PLCY DEVIATION CONSULT FEE,493.0,493.0,54.5,272.5,31 APC,5671,HC PROSTATE NEEDLE BIOPSY,1057.0,1057.0,54.5,272.5,31 APC,5671,HC SURG PATH LEVEL III,541.0,541.0,54.5,272.5,31 APC,5671,HC SURG PATH LEVEL IV,1057.0,1057.0,54.5,272.5,31 APC,5671,HC TELOMERE LENGTH,1372.0,1372.0,54.5,272.5,31 APC,5672,HC 1P 19Q FISH,1342.0,1342.0,178.2,891.0,31 APC,5672,HC ALK GENE REARRANGEMENTS BY FISH LUNG,1312.0,1312.0,178.2,891.0,31 APC,5672,HC ANITHUMAN GLOBULIN TEST INDIRECT EACH ANTISERUM,287.0,287.0,178.2,565.16,31 APC,5672,HC ANTIBODY TITER INTERP,276.0,276.0,178.2,565.16,31 APC,5672,HC ANTIGLOBULIN COMBATIBILITY EACH,448.0,448.0,178.2,565.16,31 APC,5672,HC ANTIHUMAN GLOBULIN TEST INDIRECT EACH ANTIBODY,276.0,276.0,178.2,565.16,31 APC,5672,HC ARC RETIC SEP,331.0,331.0,133.65,565.16,32 APC,5672,HC AUTOLOGUS BLOOD HANDLING,748.0,748.0,178.2,598.4,31 APC,5672,HC COMPREHENSIVE REVIEW CONSULTATION,1057.0,1057.0,178.2,845.6,31 APC,5672,HC DDIT3 (CHOP) (12Q13) FISH (ARUP),1046.0,1046.0,178.2,836.8,31 APC,5672,HC ELECTRONIC CROSSMATCH,290.0,290.0,178.2,565.16,31 APC,5672,HC ERBB2 (HER2) IHC,173.0,173.0,138.4,565.16,31 APC,5672,HC ERBB2 (HER2/NEU),396.0,396.0,178.2,565.16,31 APC,5672,HC EWSR1 (22Q12) FISH,951.0,951.0,178.2,760.8,31 APC,5672,HC FISHURINEEACH SPECIMEN,588.0,588.0,178.2,565.16,31 APC,5672,HC FOXO1 (FKHR) (13Q14) FISH,927.0,927.0,178.2,741.6,31 APC,5672,HC FROZEN/SECTION,1235.0,1235.0,178.2,891.0,31 APC,5672,HC FUS (16P11) FISH,1095.0,1095.0,178.2,876.0,31 APC,5672,HC IMMEDIATE SPIN CROSSMATCH,293.0,293.0,178.2,565.16,31 APC,5672,HC IMMUNOFLUORESCENT STAIN,936.0,936.0,178.2,748.8,31 APC,5672,HC IMMUNOFLUORINDIRECT EA ANTIB,1306.0,1306.0,178.2,891.0,31 APC,5672,HC IMMUNOHISTO ANTIBODY STAIN,317.0,317.0,178.2,565.16,31 APC,5672,HC IMMUNOPEROXIDASE STAIN,656.0,656.0,178.2,565.16,31 APC,5672,HC INCUBATION COMBATIBILITY EACH,302.0,302.0,178.2,565.16,31 APC,5672,HC INSITU HYBRIDIZATION (FISH),1232.0,1232.0,178.2,891.0,31 APC,5672,HC ISH MULTIPLEX PRB MANUAL,3121.0,3121.0,178.2,891.0,31 APC,5672,HC ISH MULTIPLEX STAIN,2457.0,2457.0,178.2,891.0,31 APC,5672,HC LAB PATHOLOGY CONSULTATION,469.0,469.0,178.2,565.16,31 APC,5672,HC M/PHMTRC ALYS ISHMULTIPLEX,595.0,595.0,178.2,565.16,31 APC,5672,HC MAPS COMPREHENSIVE REVIEW OF DATA,176.0,176.0,140.8,565.16,31 APC,5672,HC MAPS CULTUR-OOCYTE/EMBRYO> 4 DAY,3000.0,3000.0,178.2,891.0,31 APC,5672,HC MAPS THAWING-CRYOPRESERVD EMBRYO,194.0,194.0,155.2,565.16,31 APC,5672,HC MDM2 FISH,1207.0,1207.0,178.2,891.0,31 APC,5672,HC NEEDLE ASPIRATION EVAL,596.0,596.0,178.2,565.16,31 APC,5672,HC NEUTRALIZATION,220.0,220.0,176.0,565.16,31 APC,5672,HC PANCREATOBILIARY FISH,1201.0,1201.0,178.2,891.0,31 APC,5672,HC PARANEOPLASTIC PEMPHIGUS AB SCREEN,1404.0,1404.0,178.2,891.0,31 APC,5672,HC PATHOLOGY CLINICAL CONSULTATION CLINICAL PROBLE,708.0,708.0,178.2,566.4,62 APC,5672,HC PEMPHI CELL SURFACE,572.0,572.0,178.2,565.16,31 APC,5672,HC PLATELET POOLING,419.0,419.0,133.65,565.16,32 APC,5672,HC PRETREAT W/ENZ,411.0,411.0,178.2,565.16,31 APC,5672,HC RBC ANTIBODY ELUTION,299.0,299.0,178.2,565.16,31 APC,5672,HC ROS1 FISH,1474.0,1474.0,178.2,891.0,31 APC,5672,HC ROS1 IHC,313.0,313.0,178.2,565.16,31 APC,5672,HC SERUM PROCESSING CHARGE,868.0,868.0,133.65,694.4,32 APC,5672,HC TRXN BB CONSULT FEE,655.0,655.0,178.2,565.16,31 APC,5672,HC TUMR IHC AB,797.0,797.0,178.2,637.6,31 APC,5672,HC UROVYSION FISH,993.0,993.0,178.2,794.4,31 APC,5673,HC 1P19Q,1561.0,1561.0,374.91,1248.8,31 APC,5673,HC ALL MRD FLOW INITIAL,633.0,633.0,374.91,1189.03,31 APC,5673,HC ANTIBODY INTERPRETATIONS,596.0,596.0,374.91,1189.03,31 APC,5673,HC ANTIGEN TYPING OF UNITS,307.0,307.0,245.6,1189.03,31 APC,5673,HC BLOOD FETAL HGB,679.0,679.0,374.91,1189.03,31 APC,5673,HC BLOOD TYPING RBC ANTIGENS,215.0,215.0,172.0,1189.03,31 APC,5673,HC CLL MRD FLOW INITIAL,633.0,633.0,374.91,1189.03,31 APC,5673,HC F C - FIRST MARKER,679.0,679.0,374.91,1189.03,31 APC,5673,HC HER 2/NEU SERUM,502.0,502.0,374.91,1189.03,31 APC,5673,HC IGH-BCL2 T(14 18) BY FISH,1356.0,1356.0,374.91,1189.03,31 APC,5673,HC IHC MULTIPLEX,2088.0,2088.0,374.91,1670.4,31 APC,5673,HC IMMUNOHISTO ANTIBODY SLIDE,1266.0,1266.0,374.91,1189.03,31 APC,5673,HC ISH PRB MAN INITIAL SNGLE,869.0,869.0,374.91,1189.03,31 APC,5673,HC MAPS IMMUNHST ANTIBD SLDEA MULT,306.0,306.0,244.8,1189.03,31 APC,5673,HC MINIMAL RESIDUAL DISEASE (MRD),543.0,543.0,374.91,1189.03,31 APC,5673,HC MLL MRD FLOW INITIAL,1265.0,1265.0,374.91,1189.03,31 APC,5673,HC ROS1 FISH,3536.0,3536.0,374.91,1874.55,31 APC,5673,HC SURG PATH LEVEL V T/F,1836.0,1836.0,374.91,1468.8,31 APC,5674,HC BONE MARROW INTERPRETATION,615.0,615.0,492.0,2672.59,31 APC,5674,HC ELECTRON MICROSCOPY,3615.0,3615.0,842.69,2892.0,31 APC,5674,HC LEUKOCYTE CYTOCHEMISTRIES,599.0,599.0,479.2,2672.59,31 APC,5674,HC MYELOPEROXIDASE STAIN,1103.0,1103.0,842.69,2672.59,31 APC,5674,HC NERVE TEASING PREPARATIONS,1459.0,1459.0,842.69,2672.59,31 APC,5674,HC SURG PATH LEVEL VI,3198.0,3198.0,842.69,2672.59,31 APC,5674,HC TOUCH PREPINITIAL,231.0,231.0,184.8,2672.59,31 APC,5691,HC ADMIN HEPATITIS B VACC,237.0,237.0,48.98,189.6,31 APC,5691,HC ADMIN INFLUENZA VIRUS,237.0,237.0,48.98,189.6,31 APC,5691,HC ADMIN PNEUMOCOCCAL VAC,459.0,459.0,48.98,244.9,31 APC,5691,HC APPL ON-BODY INJECTOR FOR TIMED SUBQ INJECTION,519.0,519.0,48.98,244.9,31 APC,5691,HC HYDRAT IV INF EA ADD HRUPTO8,335.5,335.5,48.98,244.9,62 APC,5691,HC IV INF EA ADD HR,368.0,368.0,48.98,244.9,31 APC,5691,HC IV INF TX/PX/DX INI EA ADD HR,960.0,960.0,48.98,244.9,31 APC,5691,HC IV PUSH EA ADDL SEQ,329.0,329.0,48.98,244.9,31 APC,5691,HC MAPS ADMIN PNEUMOCOCCAL VAC,84.0,84.0,48.98,155.34,31 APC,5691,HC MAPS ADMINISTER FLU VACCINE,108.0,108.0,48.98,155.34,31 APC,5691,HC TX/PROPH/DX IV INJ EACH ADDL,1253.0,1253.0,48.98,244.9,31 APC,5692,HC CHEMO EA AD SEQ INFUS,656.0,656.0,75.31,376.55,31 APC,5692,HC CHEMO HORMONAL SQ/IM,540.0,540.0,75.31,376.55,31 APC,5692,HC CHEMO INFUS EACH ADD HR,592.0,592.0,75.31,376.55,31 APC,5692,HC CHEMO INTRALESIONAL UP TO 7,540.0,540.0,75.31,376.55,31 APC,5692,HC CHEMO IV PUSHEA ADD DRUG,957.0,957.0,75.31,376.55,31 APC,5692,HC CHEMO SQ/IM NON-HOR,540.0,540.0,75.31,376.55,31 APC,5692,HC INTRAMSCINJ.ANTIBIOTIC,277.5,277.5,75.31,245.6,62 APC,5692,HC IV INF EA ADD SEQ INFUS,447.0,447.0,75.31,357.6,31 APC,5692,HC IV INF TX/DXADD SEQUP TO 1H,425.0,425.0,75.31,340.0,31 APC,5692,HC MAPS CHEMO HORMON ANTINEOPL SQ/IM,165.0,165.0,75.31,238.85,31 APC,5692,HC MAPS CHEMO INTRALESIONAL UP TO 7,195.0,195.0,75.31,238.85,31 APC,5692,HC MAPS INTRAMSCINJ.ANTIBIOTIC,72.0,72.0,57.6,238.85,31 APC,5692,HC MAPS VACCINE INITIAL,60.0,60.0,48.0,238.85,31 APC,5692,HC SQ/IM INJ NON CHEMO,248.0,248.0,75.31,238.85,31 APC,5692,HC THER/PROPH/DIAG INJ SC/IM,307.0,307.0,75.31,245.6,31 APC,5692,HC TX/PX/DX INJ INTRA-ARTERIAL,217.0,217.0,75.31,238.85,31 APC,5692,HC VACCINE INITIAL,310.0,310.0,75.31,248.0,31 APC,5693,HC CHEMO INTRALESIONAL OVER 7,540.0,540.0,222.47,705.56,31 APC,5693,HC HEPATIC PUMP,645.0,645.0,222.47,705.56,31 APC,5693,HC HYDRATIONIV INF INITUPTO 1HR,799.5,799.5,222.47,1037.6,62 APC,5693,HC INJ W/FLUOREVAL CV DEVIDE,899.0,899.0,222.47,719.2,31 APC,5693,HC IV INF INITITAL 1ST HR,724.0,724.0,222.47,705.56,31 APC,5693,HC IV INF TX/PX/DX INI UP TO 1HR,960.0,960.0,222.47,768.0,31 APC,5693,HC IV PUSH INITIAL,528.0,528.0,222.47,705.56,31 APC,5693,HC PORTABLE PUMP REFILL,645.0,645.0,222.47,705.56,31 APC,5693,HC THERAP/PROPHYL/DX INJ IV,1297.0,1297.0,222.47,1037.6,62 APC,5694,HC APHERESIS WBC THERAPEUTIC,185.0,185.0,148.0,1095.69,31 APC,5694,HC CAR-T CLL ADMN AUTOLOGOUS,212715.0,212715.0,9923.63,66157.55,32 APC,5694,HC CHEMO ADM PERITONEAL C,1621.0,1621.0,345.48,1296.8,31 APC,5694,HC CHEMO INFUSION 1ST HR,1608.0,1608.0,345.48,1286.4,31 APC,5694,HC CHEMO IV PUSH INITIAL,957.0,957.0,345.48,1095.69,31 APC,5694,HC CHEMO PROLONG INFUS>8H,1373.0,1373.0,345.48,1098.4,31 APC,5694,HC CHEMO VIA OMMAYA,1621.0,1621.0,345.48,1296.8,62 APC,5694,HC CHEMO VIA SPINAL TAP,2299.0,2299.0,345.48,1727.4,31 APC,5694,HC DECLOT VASC ACCESS DEVC/CATH,1007.0,1007.0,345.48,1095.69,31 APC,5694,HC MAPS CHEMO IV INFUSION 1 HR,453.0,453.0,345.48,1095.69,31 APC,5694,HC THROMBOLYTIC TX STROKE INFSN,920.0,920.0,345.48,1095.69,31 APC,5694,HC VAP - DECLOT VASC ACCESS DEVC/CATH,1378.0,1378.0,345.48,1102.4,31 APC,5721,HC ALCOHOL ABLATION,37667.0,37667.0,100.94,672.9,32 APC,5721,HC COUGH ASSIST TREATMENT,131.0,131.0,100.94,426.82,32 APC,5721,HC DX GASTR INTUB W/ASP SPECS,1440.0,1440.0,134.58,672.9,31 APC,5721,HC EMG 3 EXTREMITY W/OR WO PARASP,6505.0,6505.0,134.58,672.9,31 APC,5721,HC EMG ANL/URETH SPHNCTR-NO NEEDL,836.0,836.0,134.58,668.8,31 APC,5721,HC EXTENDED THERAPY,711.0,711.0,100.94,568.8,32 APC,5721,HC EXTENDED THERAPY-NEONATE,480.0,480.0,100.94,426.82,32 APC,5721,HC FORCED VITAL CAPACITY,331.0,331.0,134.58,426.82,31 APC,5721,HC HUMIDIFIER DISP. NEONATAL CHNG,144.0,144.0,100.94,426.82,32 APC,5721,HC IFR (INSTANTANEOUS WAVE-FREE RATIO) HEART FLOW,10944.0,10944.0,100.94,672.9,32 APC,5721,HC MAPS AUDIOMETRY AIR BONE,173.0,173.0,134.58,426.82,31 APC,5721,HC MAPS COMPREHENSIVE HEARING TEST,190.0,190.0,134.58,426.82,31 APC,5721,HC MAPS DEVELOPMENTAL TST ADMIN PHYS/QHP 1ST HOUR,275.0,275.0,134.58,426.82,31 APC,5721,HC MAPS DILAT URETH STRIC-SUPS/INST,118.0,118.0,94.4,426.82,31 APC,5721,HC MAPS EMG URETHRAL SPHINCTER,343.0,343.0,134.58,426.82,31 APC,5721,HC MAPS INSRT COMPL INDWELL CATH (FX),134.0,134.0,107.2,426.82,31 APC,5721,HC MAPS NEUROMUSCULAR JUNCTION TEST,176.0,176.0,134.58,426.82,31 APC,5721,HC MAPS REPROGRAM COCHLEAR IMPLT 7/>,190.0,190.0,134.58,426.82,31 APC,5721,HC MAPS VEMP TEST I R CERVICAL,225.0,225.0,134.58,426.82,31 APC,5721,HC NEGATIVE INSPIRATORY FUNCTION,331.0,331.0,134.58,426.82,31 APC,5721,HC NEUROMUSCULAR JUNCTION TEST,2172.0,2172.0,134.58,672.9,31 APC,5721,HC OVERNIGHT OXIMETRY STUDY,1575.0,1575.0,134.58,672.9,31 APC,5721,HC OXIMETRY(ONE TIME) SPOT CHECK-NEONATE,1065.0,1065.0,134.58,672.9,31 APC,5721,HC PULMONARY COND ASSESSMENT,369.0,369.0,100.94,426.82,32 APC,5721,HC VITAL CAPAC-TECH,3401.0,3401.0,134.58,672.9,31 APC,5722,HC 3-4 NERVE CONDUCTION STUDIES,2309.0,2309.0,225.84,1129.2,31 APC,5722,HC 5-6 NERVE CONDUCTION STUDIES,3345.0,3345.0,225.84,1129.2,31 APC,5722,HC 95867 NEEDLE EMG-CRANIAL NERVES-UNILAT,2367.0,2367.0,225.84,1129.2,31 APC,5722,HC 95907 1-2 NERVE CONDUCTION STUDIES,1279.0,1279.0,225.84,1023.2,31 APC,5722,HC 95908 3-4 NERVE CONDUCTION STUDIES,2309.0,2309.0,225.84,1129.2,31 APC,5722,HC 95909 5-6 NERVE CONDUCTION STUDIES,3345.0,3345.0,225.84,1129.2,31 APC,5722,HC AUDITORY EVOKED POTENTIALS NEURODIAGNOSTIC WIT,1085.0,1085.0,225.84,868.0,31 APC,5722,HC BEDSIDE SPIROMETRY,1134.0,1134.0,225.84,907.2,31 APC,5722,HC CARDIOPULMONARY RESUSCIT,750.0,750.0,225.84,716.25,31 APC,5722,HC CARDIOVASCULAR STRESS TEST,3328.0,3328.0,225.84,1129.2,31 APC,5722,HC EEG AWAKE AND ASLEEP,2099.0,2099.0,225.84,1129.2,31 APC,5722,HC EEG AWAKE AND DROWSY,1952.0,1952.0,225.84,1129.2,31 APC,5722,HC EEG EXTENDED 41-60 MINUTES,2135.0,2135.0,225.84,1129.2,31 APC,5722,HC EEG OVER 1 HOUR,2698.0,2698.0,225.84,1129.2,31 APC,5722,HC EEG SETUP FOR EAP,1952.0,1952.0,225.84,1129.2,31 APC,5722,HC EEG W/O VID 2-12 HR UNMNTR,8878.0,8878.0,225.84,1129.2,31 APC,5722,HC EEG W/O VID 2-12HR CONT MNTR,8878.0,8878.0,225.84,1129.2,31 APC,5722,HC EEG WO VID 2-12HR INTMT MNTR,8878.0,8878.0,225.84,1129.2,31 APC,5722,HC EEG-ROUTINE,2099.0,2099.0,225.84,1129.2,31 APC,5722,HC EMG CRANIAL BIL T/F,658.0,658.0,225.84,716.25,31 APC,5722,HC GASTRIC INTUBATION,744.0,744.0,225.84,716.25,31 APC,5722,HC HOME SLEEP TEST/TYPE 3 PORTA,920.0,920.0,225.84,736.0,31 APC,5722,HC LWR XTR VASC STDY BILAT,3959.0,3959.0,225.84,1129.2,31 APC,5722,HC MAPS CARDIOVASCULAR STRESS TEST,253.0,253.0,202.4,716.25,31 APC,5722,HC MAPS EEG AWAKE AND DROWSY,210.0,210.0,168.0,716.25,31 APC,5722,HC MAPS EEG EXTENDED 41-60 MINUTES,243.0,243.0,194.4,716.25,31 APC,5722,HC MAPS EEG EXTND MNTR 61-119 MIN,769.0,769.0,225.84,716.25,31 APC,5722,HC MAPS LWR XTR VASC STDY BILAT,522.0,522.0,225.84,716.25,31 APC,5722,HC MAPS MUSCLE TEST ONE FIBER,170.0,170.0,136.0,716.25,31 APC,5722,HC MAPS NRV CNDJ TST 3-4 STUDIES,193.0,193.0,154.4,716.25,31 APC,5722,HC MAPS NRV CNDJ TST 5-6 STUDIES,334.0,334.0,225.84,716.25,31 APC,5722,HC MAPS NUBHVL XM PHYS/QHP 1ST HR,335.0,335.0,225.84,716.25,31 APC,5722,HC MAPS NVR CNDJ TST 1-2 STUDIES,193.0,193.0,154.4,716.25,31 APC,5722,HC MAPS SPIROMETRY,195.0,195.0,156.0,716.25,31 APC,5722,HC MAPS TYMPANOMETRY REFLEX THRESH,130.0,130.0,104.0,716.25,31 APC,5722,HC MAPS UROFLOWMETRY,134.0,134.0,107.2,716.25,31 APC,5722,HC MAPS VISUAL EVOKD POTENTL(VEP) T,193.0,193.0,154.4,716.25,31 APC,5722,HC MAPS VOLUME PULSE RECOGNITION BILAT,273.0,273.0,218.4,716.25,31 APC,5722,HC MUSCLE TEST ONE FIBER,3944.0,3944.0,225.84,1129.2,31 APC,5722,HC MUSCLE TEST THOR PARASPINAL,784.0,784.0,225.84,716.25,31 APC,5722,HC NEONATAL RESUSCITATION,750.0,750.0,225.84,716.25,31 APC,5722,HC PSYCL TST EVAL PHYS/QHP 1ST,302.5,302.5,225.84,716.25,31 APC,5722,HC SLEEP STUDY UNATT RESP EFFT,920.0,920.0,225.84,736.0,31 APC,5722,HC SLP STDY UNATTENDED,428.0,428.0,225.84,716.25,31 APC,5722,HC SPIROMETRY,2110.0,2110.0,225.84,1129.2,31 APC,5722,HC STRESS STUDY,3328.0,3328.0,225.84,1129.2,31 APC,5722,HC US GUIDED COMPRESS ANEUYSM,7182.0,7182.0,225.84,1129.2,31 APC,5722,HC VEEG 2-12 HR UNMONITORED,8878.0,8878.0,225.84,1129.2,31 APC,5722,HC VISUAL EVOKED RESPONSE,2123.0,2123.0,225.84,1129.2,31 APC,5722,HC VOLUME PULSE RECOGNITION BILAT,473.0,473.0,225.84,716.25,31 APC,5723,HC 11-13 NERVE CONDUCTION STUDIES,6434.0,6434.0,390.3,1951.5,31 APC,5723,HC 13 OR > NERVE CONDUCTION STUDI,6949.0,6949.0,390.3,1951.5,31 APC,5723,HC 7-8 NERVE CONDUCTION STUDIES,4373.0,4373.0,390.3,1951.5,31 APC,5723,HC 9-10 NERVE CONDUCTION STUDIES,5406.0,5406.0,390.3,1951.5,31 APC,5723,HC 95910 7-8 NERVE CONDUCTION STUDIES,4373.0,4373.0,390.3,1951.5,31 APC,5723,HC 95911 9-10 NERVE CONDUCTION STUDIES,5406.0,5406.0,390.3,1951.5,31 APC,5723,HC 95912 11-13 NERVE CONDUCTION STUDIES,6434.0,6434.0,390.3,1951.5,31 APC,5723,HC 95913 13 OR > NERVE CONDUCTION STUDIES,6949.0,6949.0,390.3,1951.5,31 APC,5723,HC EEG W/O VID EA 12-26HR CONT,8878.0,8878.0,390.3,1951.5,31 APC,5723,HC EEG W/O VID EA 12-26HR INTMT,8878.0,8878.0,390.3,1951.5,31 APC,5723,HC EEG WO VID EA 12-26HR UNMNTR,8878.0,8878.0,390.3,1951.5,31 APC,5723,HC END TIDAL CO2 - CON,1976.0,1976.0,390.3,1580.8,31 APC,5723,HC END TIDAL CO2 - PRN,2035.0,2035.0,390.3,1628.0,31 APC,5723,HC END TIDAL CO2 - PRN-NEONATE,1376.0,1376.0,390.3,1237.84,31 APC,5723,HC GASTRO.REFLUX TEST W/ N/C/E,2662.0,2662.0,390.3,1951.5,31 APC,5723,HC MAPS 7-8 NERVE CONDUCTION STUDIES,323.0,323.0,258.4,1237.84,31 APC,5723,HC MAPS 9-10 NERVE CONDUCTION STUDIES,342.0,342.0,273.6,1237.84,31 APC,5723,HC MAPS BRONCHOSPASAM EVALUATION,283.0,283.0,226.4,1237.84,31 APC,5723,HC MAPS EVOKED AUDITORY TST COMPLETE,289.0,289.0,231.2,1237.84,31 APC,5723,HC MAPS NERVE CONDCTN STUDS 13 OR MORE,321.0,321.0,256.8,1237.84,31 APC,5723,HC MAPS NRPSYC TST EVAL PHYS/QHP 1ST,350.0,350.0,280.0,1237.84,31 APC,5723,HC MAPS NRV CNDJ TEST 11-12 STUDIES,339.0,339.0,271.2,1237.84,31 APC,5723,HC MULTI SPIROMETRY W/AGENT,1665.0,1665.0,390.3,1332.0,31 APC,5723,HC PLETHYSMOGRAPHY FOR DETERMINATION OF LUNG VOL A,2394.0,2394.0,390.3,1915.2,31 APC,5723,HC PRE/POST BRONCHODILATOR SPIRO,3116.0,3116.0,390.3,1951.5,31 APC,5723,HC REMOTE 30 DAY ECG TECH SUPP,2200.0,2200.0,390.3,1760.0,31 APC,5723,HC SLEEP STUDY ATTENDED,876.0,876.0,390.3,1237.84,31 APC,5723,HC TILT TABLE EVALUATION,2832.0,2832.0,390.3,1951.5,31 APC,5723,HC VEEG 2-12 HR CONT MNTR,8878.0,8878.0,390.3,1951.5,31 APC,5723,HC VEEG 2-12 HR INTMT MNTR,8878.0,8878.0,390.3,1951.5,31 APC,5723,HC VEEG EA 12-26 HR UNMNTR,4589.0,4589.0,390.3,1951.5,31 APC,5723,HC VEEG EA 12-26HR INTMT MNTR,4589.0,4589.0,390.3,1951.5,31 APC,5724,HC ELECTROCONVULSIVE THERAPY,2298.0,2298.0,898.19,2848.61,27 APC,5724,HC MULTIPLE SLEEP LATENCY TEST,5159.0,5159.0,898.19,4127.2,31 APC,5724,HC POLYSOM 6/> YRS 4/> PARAM,7644.0,7644.0,898.19,4490.95,31 APC,5724,HC POLYSOM 6/>YRS CPAP 4/> PARM,8715.0,8715.0,898.19,4490.95,31 APC,5724,HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND,7281.0,7281.0,898.19,4490.95,31 APC,5724,HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTN,8301.0,8301.0,898.19,4490.95,31 APC,5724,HC POLYSOM ANY AGE 1-3> PARAM,7097.0,7097.0,898.19,4490.95,31 APC,5724,HC SOMATOSENSORY TESTING,2957.0,2957.0,898.19,2848.61,31 APC,5724,HC VEEG EA 12-26HR CONT MNTR,4589.0,4589.0,898.19,3671.2,31 APC,5731,HC BLOOD BANK CONSULT FEE,248.0,248.0,30.25,151.25,31 APC,5731,HC CHD RISK IMT STUDY,139.0,139.0,22.69,111.2,32 APC,5731,HC CYTO OTHER SOURCE PREP SCRE,412.0,412.0,30.25,151.25,31 APC,5731,HC CYTOSPIN T/F,530.0,530.0,30.25,151.25,31 APC,5731,HC DILUTION,419.0,419.0,30.25,151.25,31 APC,5731,HC EXAM/SELECT RETRIEVED ARCHIVAL,179.0,179.0,30.25,143.2,31 APC,5731,HC GROSS ANALYSIS LEVEL I,265.0,265.0,30.25,151.25,31 APC,5731,HC ILR INTER IN PERSON,1095.0,1095.0,30.25,151.25,31 APC,5731,HC MAPS ILR DEVICE INTERROGATE,39.0,39.0,30.25,95.94,31 APC,5731,HC MAPS SCREEN PAP SMEAR TO LAB,65.0,65.0,30.25,95.94,31 APC,5731,HC MISCELLANEOUS CYTO SMEAR T/F,333.0,333.0,30.25,151.25,31 APC,5731,HC MR SAFETY IMPLANT /FB ASSMT CLIN STAF 1ST 15 MI,74.0,74.0,22.69,95.94,32 APC,5732,HC BRUSH CYTOLOGY T/F,472.0,472.0,39.07,195.35,31 APC,5732,HC CYTOPATH CONCENTRATE TECH,469.0,469.0,39.07,195.35,31 APC,5732,HC GROUP RH,165.0,165.0,39.07,132.0,31 APC,5732,HC MAPS EXHALED NITRIC OXIDE MEAS,67.0,67.0,39.07,123.91,31 APC,5732,HC MAPS TYMPANOMETRY,140.0,140.0,39.07,123.91,31 APC,5732,HC NEGATIVE INSPIRATORY,305.0,305.0,39.07,195.35,31 APC,5732,HC OUTSIDE SLIDE CONSULT-CYTOLOGY,710.0,710.0,39.07,195.35,31 APC,5732,HC PSYCH ASSESSMENT,190.58,190.58,39.07,152.46,28 APC,5732,HC RESP THERAPEUTIC PROCEDURE,305.0,305.0,39.07,195.35,31 APC,5732,HC RH PHENOTYPE,385.0,385.0,39.07,195.35,31 APC,5732,HC RH TYPE,166.0,166.0,39.07,132.8,31 APC,5732,HC SURG PATH LEVEL II,412.0,412.0,39.07,195.35,31 APC,5733,HC MR SAFETY IMPLANT POS /IMMOBLJ SUPVJ PHYS/QHP,178.0,178.0,46.28,195.68,32 APC,5733,HC AG SCREEN/PT SERUM,362.0,362.0,61.7,289.6,31 APC,5733,HC AMBULATORY CONTINUOUS GLUCOSE MONITORING VIA A,195.0,195.0,61.7,195.68,31 APC,5733,HC ANITHUMAN GLOBULIN TESTS DIRECT EACH ANTISERUM,138.0,138.0,61.7,195.68,31 APC,5733,HC CVC CATH FLUSH,324.0,324.0,61.7,259.2,31 APC,5733,HC DIFF AUTO ADS,242.0,242.0,61.7,195.68,31 APC,5733,HC DIRECT COOMBS,138.0,138.0,61.7,195.68,31 APC,5733,HC ECG MONIT/REPRT UP TO 48 HRS SCANNING W REPORT,1805.0,1805.0,61.7,308.5,31 APC,5733,HC EKG TRAC REPT,1271.0,1271.0,61.7,308.5,31 APC,5733,HC INTRA OP CONSULT,599.0,599.0,61.7,308.5,31 APC,5733,HC IRRIGATION IMPLANTED VAD,217.0,217.0,61.7,195.68,31 APC,5733,HC LUNG FUNCTION TEST (MBC/MVV),717.0,717.0,61.7,308.5,31 APC,5733,HC MAPS ECG MONIT/REPRT UP TO 48 HRS SCANNING W R,200.0,200.0,61.7,195.68,31 APC,5733,HC MAPS EKG TRACING,317.0,317.0,61.7,253.6,31 APC,5733,HC MAPS MEAS PV URINE/BLADDER CAP,127.0,127.0,61.7,195.68,31 APC,5733,HC MAPS REMOVAL OF IMPACTED CERUMEN,80.0,80.0,46.28,195.68,32 APC,5733,HC MAPS SPEECH AUDIOMETRY COMPLETE,96.0,96.0,61.7,195.68,31 APC,5733,HC MAPS SPEECH THRESHOLD AUDIOMETRY,57.0,57.0,45.6,195.68,31 APC,5733,HC MAPS STENGER TEST PURE TONE,94.0,94.0,61.7,195.68,31 APC,5733,HC MEAS PV URINE/BLADDER CAP,630.0,630.0,61.7,308.5,31 APC,5733,HC PATHOGEN TEST FOR PLATELETS,204.0,204.0,61.7,195.68,31 APC,5733,HC PHYS/QHP SVCS OP PULM REHAB W/CONT OXIMTRY MNTR,199.0,199.0,61.7,195.68,31 APC,5733,HC PRE-RX RBCS CHEM,411.0,411.0,61.7,308.5,31 APC,5733,HC REMOVAL OF IMPACTED CERUMEN,645.0,645.0,46.28,308.5,32 APC,5733,HC REMOVE IMPACTED EAR WAX UNI,227.0,227.0,61.7,195.68,31 APC,5734,HC 95860 NEEDLE EMG-1 EXTREMITY,1425.0,1425.0,139.16,695.8,31 APC,5734,HC ABG DRAWN,511.0,511.0,139.16,441.35,31 APC,5734,HC ABO GROUP,175.0,175.0,139.16,441.35,31 APC,5734,HC ACAPELLA TREATMENT,216.0,216.0,139.16,441.35,31 APC,5734,HC ACAPELLA TREATMENT-NEONATE,216.0,216.0,139.16,441.35,31 APC,5734,HC ANOSCOPY DIAG.,2621.0,2621.0,139.16,695.8,31 APC,5734,HC APPLICFINGERSPLNT STTIC,566.0,566.0,139.16,452.8,31 APC,5734,HC APPLICSHRTARMSPLINT STTIC,716.0,716.0,139.16,572.8,31 APC,5734,HC ARTERIAL PVR/DOPPLER LIM,1926.0,1926.0,139.16,695.8,31 APC,5734,HC CHEST PHYS THRAPY,290.0,290.0,139.16,441.35,31 APC,5734,HC CHEST PHYSIO - AIRWAY CLRNC EV,566.0,566.0,139.16,452.8,31 APC,5734,HC CHEST WALL MANIPULATION TO FACILITATE LUNG FUNC,566.0,566.0,139.16,452.8,31 APC,5734,HC COLLECT BLOOD PICC/CVC,758.0,758.0,139.16,606.4,31 APC,5734,HC COLLECT BLOOD PORT,258.0,258.0,139.16,441.35,31 APC,5734,HC CONT NEBULIZER 1ST HR,786.0,786.0,139.16,628.8,31 APC,5734,HC ECG MONIT/REPRT UP TO 48 HRS CONN/RECORD/DISCON,1222.0,1222.0,139.16,695.8,31 APC,5734,HC EMG 1 EXTREMITY T/F,963.0,963.0,139.16,695.8,31 APC,5734,HC EMG 3 EXTREMITY W/OR WO PARASP,2403.0,2403.0,139.16,695.8,31 APC,5734,HC ENT-EPISTAXIS/ANTSPL CAUT.UNL,974.0,974.0,139.16,695.8,31 APC,5734,HC EPISTAXISANT COMPLEX UNILAT,1220.0,1220.0,139.16,695.8,31 APC,5734,HC EVAC SUBUNG HEMATOMA,723.0,723.0,139.16,578.4,31 APC,5734,HC GROUP II STAIN,1101.0,1101.0,139.16,695.8,31 APC,5734,HC I D OF DENTOALVEOLAR ABSC,1400.0,1400.0,139.16,695.8,31 APC,5734,HC INSRT NO-INDWELL/STRAIGHT CATH,640.0,640.0,139.16,512.0,31 APC,5734,HC MAPS ANOSCOPY DIAG.,156.0,156.0,124.8,441.35,31 APC,5734,HC MAPS APPLICFINGERSPLNT STTIC,94.0,94.0,75.2,441.35,31 APC,5734,HC MAPS APPLICSHRTARMSPLINT STTIC,483.0,483.0,139.16,441.35,31 APC,5734,HC MAPS DILATE FEMALE URETHRA SUBS,118.0,118.0,94.4,441.35,31 APC,5734,HC MAPS ECG MONIT/REPRT UP TO 48 HRS CONN/RECORD/D,200.0,200.0,139.16,441.35,31 APC,5734,HC MAPS ENT-EPISTAXIS/ANTSPL CAUT.UNL,141.0,141.0,112.8,441.35,31 APC,5734,HC MAPS EPISTAXISANT COMPLEX UNILAT,142.0,142.0,113.6,441.35,31 APC,5734,HC MAPS INSERT DRUG IMPLANT DEVICE,169.0,169.0,135.2,441.35,31 APC,5734,HC MAPS INSRT NO-INDWELL/STRAIGHT CATH,155.0,155.0,124.0,441.35,31 APC,5734,HC MAPS MUSCLE TEST NONPARASPINAL,230.0,230.0,139.16,441.35,31 APC,5734,HC MAPS PSYCH/NEUROPSYCH TEST ADMIN SCORING 2 OR,222.0,222.0,139.16,441.35,31 APC,5734,HC MAPS PURE TONE AUDIOMETRY AIR,142.0,142.0,113.6,441.35,31 APC,5734,HC MAPS REM FB EAC NO CEN ANES,323.0,323.0,139.16,441.35,31 APC,5734,HC MAPS SPECIAL STAIN INTRP/REP GR,74.0,74.0,59.2,441.35,31 APC,5734,HC MAPS UPR/L XTREMITY ART 2 LEVELS,123.0,123.0,98.4,441.35,31 APC,5734,HC MAPS URETHRAL CATHETERIZATION,387.0,387.0,139.16,441.35,31 APC,5734,HC MAPS VISUAL FIELD EXAMINATION(S) EXTENDED,120.0,120.0,96.0,441.35,31 APC,5734,HC MUSCLE TEST NONPARASPINAL,1425.0,1425.0,139.16,695.8,31 APC,5734,HC PULM STRESS TEST 6 MIN WALKHR OXIMETRY AND O2 T,709.0,709.0,139.16,567.2,31 APC,5734,HC REM FB EAC NO CEN ANES,777.0,777.0,139.16,621.6,31 APC,5734,HC THERAPEUTIC PHLEBOTOMY,423.0,423.0,139.16,441.35,31 APC,5734,HC URETHRAL CATHETERIZATION,788.0,788.0,139.16,630.4,31 APC,5734,HCá ARTERIAL PUNCTURE-NEONATE,345.0,345.0,139.16,441.35,31 APC,5735,HC INC SERUM/DRUGS,406.0,406.0,324.8,1481.85,31 APC,5735,HC INTRAOSSEOUS NEEDLE PLACEMENT,493.0,493.0,394.4,1481.85,31 APC,5735,HC MAPS RAPID DESENSITIZATION,264.0,264.0,211.2,1481.85,31 APC,5735,HC MAPS REMOV NONBIODG DRUG DEL IMP,245.0,245.0,196.0,1481.85,31 APC,5735,HC MAPS REMOVE/INSERT DRUG IMPLANT,294.0,294.0,235.2,1481.85,31 APC,5735,HC PLC NASO/ORO-GASTRO FEED TUBE,630.0,630.0,467.24,1481.85,31 APC,5735,HC REMOVAL FB PHARYNX,1604.0,1604.0,467.24,1481.85,31 APC,5735,HC REMOVAL FBCORNEAL W/OSI/LMP,3272.0,3272.0,467.24,2336.2,31 APC,5735,HC RPR<2.5CM FL/MTH 2/3 ANT TNG,1095.0,1095.0,467.24,1481.85,31 APC,5741,HC DFB INTER S/D/M/LD IN PERSON,1748.0,1748.0,39.04,195.2,31 APC,5741,HC ILR PROGRAM EVAL,1095.0,1095.0,39.04,195.2,31 APC,5741,HC INTERRO EVAL CARDIAC MODULJ,130.0,130.0,39.04,123.82,31 APC,5741,HC INTERROGATE SUBQ DEFIB,570.0,570.0,39.04,195.2,31 APC,5741,HC IV OCT FOR PROC INIT VESSEL,899.0,899.0,39.04,195.2,31 APC,5741,HC MAPS ELEC ALYS IMPLT SMPL CN NPGT PRGRMG,189.0,189.0,39.04,151.2,31 APC,5741,HC MAPS ICM DEVICE EVAL,44.0,44.0,35.2,123.82,31 APC,5741,HC MAPS ILR DEVICE EVAL PROGR IMPLANTABLE LOOP,556.0,556.0,39.04,195.2,31 APC,5741,HC MAPS INTERRO EVAL CARDIAC MODULJ,70.0,70.0,39.04,123.82,31 APC,5741,HC MAPS INTERROG DEV EVAL ICDS SS IP,45.0,45.0,36.0,123.82,31 APC,5741,HC MAPS INTERROG DEVICE EVAL HEART,352.0,352.0,39.04,195.2,31 APC,5741,HC MAPS INTERROGATE SUBQ DEFIB,77.0,77.0,39.04,123.82,31 APC,5741,HC MAPS PM DEVICE EVAL IN PERSON,352.0,352.0,39.04,195.2,31 APC,5741,HC MAPS PM DEVICE PROGR EVAL DUAL,556.0,556.0,39.04,195.2,31 APC,5741,HC MAPS PM DEVICE PROGR EVAL MULTI,44.0,44.0,35.2,123.82,31 APC,5741,HC MAPS PM DEVICE PROGR EVAL SNGL,44.0,44.0,35.2,123.82,31 APC,5741,HC MAPS PM PHONE R-STRIP DEVICE EVAL,42.0,42.0,33.6,123.82,31 APC,5741,HC MAPS PM/ICD REMOTE TECH SERV,398.0,398.0,39.04,195.2,31 APC,5741,HC MAPS PRGRMG DEV EVAL ICDS SS IP,45.0,45.0,36.0,123.82,31 APC,5741,HC MAPS PRGRMG DEV EVAL IMPLTBL SYS,79.0,79.0,39.04,123.82,31 APC,5741,HC MAPS PRGRMG EVAL CARDIAC MODULJ,70.0,70.0,39.04,123.82,31 APC,5741,HC MAPS PRGRMG EVAL IMPLANTABLE DFB DUAL LEAD,556.0,556.0,39.04,195.2,31 APC,5741,HC MAPS PRGRMG EVAL IMPLANTABLE DFB MULTIPLE LEAD,556.0,556.0,39.04,195.2,31 APC,5741,HC MAPS PRGRMG EVAL IMPLANTABLE DFB SINGLE LEAD,556.0,556.0,39.04,195.2,31 APC,5741,HC MAPS REM INTERROG DEV ICDS TECH,45.0,45.0,36.0,123.82,31 APC,5741,HC PCM INTER S/D/M/LD IN PERSON,1095.0,1095.0,39.04,195.2,31 APC,5741,HC PM DEVICE PROGR EVAL DUAL,108.0,108.0,39.04,123.82,31 APC,5741,HC PM DEVICE PROGR EVAL MULTI,1095.0,1095.0,39.04,195.2,31 APC,5741,HC PM DEVICE PROGR EVAL SNGL,1095.0,1095.0,39.04,195.2,31 APC,5741,HC PRGRMG EVAL CARDIAC MODULJ,130.0,130.0,39.04,123.82,31 APC,5741,HC PRGRMG EVAL IMPLANTABLE DFB MULTIPLE LEAD,1748.0,1748.0,39.04,195.2,31 APC,5741,HC PRGRMG EVAL IMPLANTABLE DFB DUAL LEAD,1748.0,1748.0,39.04,195.2,31 APC,5741,HC PRGRMG EVAL IMPLANTABLE DFB SINGLE LEAD,1748.0,1748.0,39.04,195.2,31 APC,5741,HC PRGRMG EVL LDLS PM 1CHMBR IP,180.0,180.0,29.28,144.0,32 APC,5741,HC PROGRAMMING DEVICE EVAL IMPL CCM-D SYS IN PERSO,112.0,112.0,29.28,123.82,32 APC,5742,HC ANALYZE NEUROSTIM,1686.0,1686.0,99.44,497.2,31 APC,5742,HC ELECTRONIC ANALYSIS OF IMPLANTED NEUROSTIMULATO,1752.0,1752.0,99.44,497.2,31 APC,5742,HC INTERROGATION VAD IN PERSON,435.0,435.0,99.44,348.0,31 APC,5742,HC MAPS ANALYZE NEUROSTIM COMPLEX,156.0,156.0,99.44,315.37,31 APC,5742,HC MAPS ANALYZE NEUROSTIM SIMPLE,450.0,450.0,99.44,360.0,31 APC,5742,HC MAPS ELEC ALYS IMPLT BRN NPGT PRGRMG 1ST 15 MIN,189.0,189.0,99.44,315.37,31 APC,5742,HC MAPS ELEC ALYS IMPLT CPLX CN NPGT PRGRMG,188.0,188.0,99.44,315.37,31 APC,5742,HC MR SAFETY IMPLT ELECTRONICS PREPJ SUPVJ PHYS/QH,275.0,275.0,74.58,315.37,32 APC,5743,HC ELECT ANAL ANTITACH P/M SYS,5640.0,5640.0,321.25,1606.25,31 APC,5743,HC MAPS ANALYZE SP INF PUMP W/REPROG,287.0,287.0,229.6,1018.84,31 APC,5743,HC MAPS ANALYZE SPINE INFUS PUMP,280.0,280.0,224.0,1018.84,31 APC,5771,HC CARDIAC REHAB/MONITOR,565.0,565.0,134.83,452.0,31 APC,5771,HC OUTPATIENT CARDIAC REHAB W/O CONT ECG MONITOR,565.0,565.0,134.83,452.0,31 APC,5781,HC CARDIOVERSION ELECTRIC INT,2250.0,2250.0,691.3,2192.46,31 APC,5781,HC CARDIOVERSION-INTERNAL,2250.0,2250.0,691.3,2192.46,31 APC,5781,HC CARDIOVERSIONELECTIVE/EMER,3809.0,3809.0,691.3,3047.2,31 APC,5781,HC NB RESUSCITATION,750.0,750.0,600.0,2192.46,31 APC,5791,HC AEROSOL/VAPINHA INITEVAL,615.0,615.0,229.04,726.4,31 APC,5791,HC BIPAP EMERGENT,1023.0,1023.0,229.04,818.4,31 APC,5791,HC BIPAP NON-EMERGENT,1023.0,1023.0,229.04,818.4,31 APC,5791,HC BIPAP NON-EMERGENT SUBSEQ DAY,1023.0,1023.0,229.04,818.4,31 APC,5791,HC BIPAP NON-EMERGENT-NEONATE,726.0,726.0,229.04,726.4,31 APC,5791,HC CHEST MANIP/LUNG FUNC INITIAL,215.0,215.0,172.0,726.4,31 APC,5791,HC CPAP - NEONATE,305.0,305.0,229.04,726.4,31 APC,5791,HC CPAP EMERGENT,1023.0,1023.0,229.04,818.4,31 APC,5791,HC CPAP EMERGENT-NEONATE,691.0,691.0,229.04,726.4,31 APC,5791,HC CPAP EMERGENTSUBSEQ DAY,744.0,744.0,229.04,726.4,31 APC,5791,HC CPAP NEONATE,1264.0,1264.0,229.04,1011.2,31 APC,5791,HC CPAP NON EMER SUBSEQ DAY,782.0,782.0,229.04,726.4,31 APC,5791,HC CPAP NON-EMERGENT,1868.0,1868.0,229.04,1145.2,31 APC,5791,HC CPAP NON-EMERGENT-NEONATE,1868.0,1868.0,229.04,1145.2,31 APC,5791,HC DRY POWDER INHALER,385.0,385.0,229.04,726.4,31 APC,5791,HC EZPAP TREATMENT,517.0,517.0,229.04,726.4,31 APC,5791,HC HAND HELD NEBULZR,609.0,609.0,229.04,726.4,31 APC,5791,HC HAND HELD NEBULZR-NEONATE,410.0,410.0,229.04,726.4,31 APC,5791,HC INDUCED SPUTUM,609.0,609.0,229.04,726.4,31 APC,5791,HC INHALATION TREATMENT,385.0,385.0,229.04,726.4,31 APC,5791,HC MDI/DPI,609.0,609.0,229.04,726.4,31 APC,5791,HC MDI/DPI-NEONATE,609.0,609.0,229.04,726.4,31 APC,5791,HC MEDICATION NEBULIZER- NEONATE,410.0,410.0,229.04,726.4,31 APC,5791,HC NASAL CPAP,1201.0,1201.0,229.04,960.8,31 APC,5791,HC NON-INV VENT 1ST DAY-NEONATE,1023.0,1023.0,229.04,818.4,31 APC,5791,HC NON-INV VENT SUBQ DAY NEONATE,1023.0,1023.0,229.04,818.4,31 APC,5791,HC NON-INVAS VENT SBSQ DAY TX EMR,744.0,744.0,229.04,726.4,31 APC,5791,HC POS AIRWAY PRESSURE CPAP,1868.0,1868.0,229.04,1145.2,31 APC,5791,HC SURFACTANT ADMIN THRU TUBE-NEONATE,275.0,275.0,220.0,726.4,31 APC,5791,HC THERAPY VEST,215.0,215.0,172.0,726.4,31 APC,5791,HC VOLUME VENT TREAT-NEONATE,385.0,385.0,229.04,726.4,31 APC,5791,HC VOLUME VENT.TREAT,385.0,385.0,229.04,726.4,31 APC,5801,HC HIGH FREQ OSCILLAT INTITAL DAY-NEONATE,4604.0,4604.0,646.17,3230.85,31 APC,5801,HC HIGH FREQ OSCILLAT SUBSEQ DAY-NEONATE,4604.0,4604.0,646.17,3230.85,31 APC,5801,HC NON-INVASIVE VENT DAY SUBSEQ-NEONATE,744.0,744.0,595.2,2049.33,31 APC,5801,HC VENT MGMT INPAT INIT DAY,1868.0,1868.0,646.17,2049.33,31 APC,5801,HC VENT MGMT INPAT INIT DAY-NEONATE,1868.0,1868.0,646.17,2049.33,31 APC,5801,HC VENT MGMT INPAT SUBQ DAY,1868.0,1868.0,646.17,2049.33,31 APC,5801,HC VENT MGMT INPAT SUBQ DAY-NEONATE,1868.0,1868.0,646.17,2049.33,31 APC,5801,HC VENTILATOR TRANSPORT,3481.0,3481.0,646.17,2784.8,31 APC,5801,HC VENTILATOR TRANSPORT-NEONATE,2354.0,2354.0,646.17,2049.33,31 APC,5821,HC MAPS BEHAV CHNG SMOKING 3-10 MIN,33.0,33.0,26.4,124.29,31 APC,5822,HC GROUP THERAPY,15.76,15.76,12.61,337.0,31 APC,5822,HC GROUP THERAPY-TDP,15.76,15.76,12.61,337.0,31 APC,5822,HC MAPS CA SCREEN PELVIC/BREAST EXAM,56.0,56.0,44.8,337.0,31 APC,5822,HC MAPS INIT/SUB PSYCH CARE M 1ST 30,105.0,105.0,84.0,337.0,31 APC,5822,HC MAPS INITL PSYCH COLLABRTV CARE MGMT1ST 70 MINS,100.0,100.0,80.0,337.0,31 APC,5822,HC MAPS VISIT TO DETERMINE LDCT ELIGIBL,85.0,85.0,68.0,337.0,31 APC,5822,HC SPECIALIZED GROUP THERAPY,299.25,299.25,106.26,337.0,31 APC,5823,COLLATERAL FAM NON MD CLINICAL PSYCHOLOGIST,46.25,46.25,37.0,588.79,31 APC,5823,COLLATERAL FAM NON MD GRAD STUDENT,12.5,12.5,10.0,588.79,31 APC,5823,COLLATERAL FAM NON MD LICENSED MASTER,36.25,36.25,29.0,588.79,31 APC,5823,COLLATERAL FAM NON MD POSTDOC,30.0,30.0,24.0,588.79,31 APC,5823,HC PSYCHIATRIC DIAGNOSTIC EVALUATION NO MEDICAL S,299.25,299.25,185.65,588.79,28 APC,5823,HC CBE MD,108.94,108.94,87.15,588.79,31 APC,5823,HC CBE NON-MD,151.26,151.26,121.01,588.79,31 APC,5823,HC CBE-PHD. ADULTS,139.16,139.16,111.33,588.79,31 APC,5823,HC CBR MD,217.88,217.88,174.3,588.79,31 APC,5823,HC CRC EVALUATION,1350.0,1350.0,185.65,928.25,31 APC,5823,HC CRNP EVALUATION,711.48,711.48,185.65,588.79,31 APC,5823,HC CRNP EVALUATION - AUDIO ONLY TELEHEALTH,711.48,711.48,185.65,588.79,31 APC,5823,HC FAMILY COLLATERAL THERAPY - EXPOSED BASED CBT,29.0,29.0,23.2,588.79,31 APC,5823,HC FAMILY THERAPY - EXPOSED BASED CBT,29.0,29.0,23.2,588.79,31 APC,5823,HC FAMILY THERAPY-TFCBT,70.18,70.18,56.14,588.79,31 APC,5823,HC IND THERAPY COMPLEX MD ( 60 MINS),456.54,456.54,185.65,588.79,31 APC,5823,HC IND THERAPY MODERATE MD (45 MINS),342.08,342.08,185.65,588.79,31 APC,5823,HC INDIVIDUAL THERAPY - EXPOSED BASED CBT,58.0,58.0,46.4,588.79,31 APC,5823,HC INDIVIDUAL THERAPY NON MD,147.07999999999998,147.07999999999998,82.85,588.79,62 APC,5823,HC INDIVIDUAL THERAPY NON MD-MODERATE,129.94,129.94,103.95,588.79,31 APC,5823,HC INDIVIDUAL THERAPY- TFCBT,140.36,140.36,112.29,588.79,31 APC,5823,HC MAPS PSYCH DIAG EVAL W/MED SRVCS,298.0,298.0,185.65,588.79,31 APC,5823,HC MAPS PSYCH DIAGNOSTIC EVALUATION,344.0,344.0,185.65,588.79,28 APC,5823,HC O/P PSYCH FAMILY COLLATERAL W/O PT --TFCBT,70.18,70.18,56.14,588.79,31 APC,5823,HC PSYCH COLLATERAL FAM MD W/O PT,118.8,118.8,95.04,588.79,31 APC,5823,HC PSYCH COLLATERAL FAM NON MD W/O PT,55.26,55.26,44.21,588.79,31 APC,5823,HC PSYCH FAM/COUPLE NON-MD W/PT,43.5,43.5,34.8,588.79,31 APC,5823,HC PSYCH FAM/COUPLES MD W/PT,108.64,108.64,86.91,588.79,31 APC,5823,HC PSYCH INDIV THERAPY W/MD (30 MINS),228.24,228.24,182.59,588.79,31 APC,5823,HC PSYCHIATRIC EVAL,711.48,711.48,185.65,588.79,31 APC,5823,HC SPECIALIZED INDIVIDUALTHERAPY (INACTIVE),106.0,106.0,84.8,588.79,31 APC,5823,PSYCH DIAGNOSTIC EVALUATION,350.0,350.0,185.65,588.79,31 APC,5823,THERAPY NON MD CLINICAL PSYCHOLOGIST,46.25,46.25,37.0,588.79,31 APC,5823,THERAPY NON MD GRAD STUDENT,12.5,12.5,10.0,588.79,31 APC,5823,THERAPY NON MD LICENSED MASTER,36.25,36.25,29.0,588.79,31 APC,5823,THERAPY NON MD POSTDOC,30.0,30.0,24.0,588.79,31 APC,6002,HC MAPS GRAFIX STRAVIX PRIME PL SQCM,345.0,345.0,130.16,412.8,31 APC,704,AFLIBERCEPT 8 MG/0.07ML INTRAVITREAL SOLN,9450.0,9450.0,306.98,1275.75,29 APC,7043,INFLIXIMAB 100 MG IV SOLR,2957.5,2957.5,32.42,567.68,58 APC,7046,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP,3994.5,3994.5,104.01,1177.47,348 APC,7048,ALTEPLASE (TPA) 0.1 MG/ML IN SWFI SYRINGE,318.0,318.0,42.93,282.28,29 APC,7048,ALTEPLASE (TPA) 1 MG/ML SYRINGE EVD CLEARANCE,255.0,255.0,34.43,282.28,29 APC,7048,ALTEPLASE (TPA) INJECTION 1MG/ML ORD,616.0,616.0,41.58,415.26,87 APC,7048,ALTEPLASE (TPA) INJECTION 5MG/5ML ORD,1455.0,1455.0,93.83,282.28,58 APC,7048,ALTEPLASE 100 MG IV SOLR,31682.0,31682.0,93.83,4277.07,29 APC,7048,ALTEPLASE 12.5 MCG/0.1ML NSS INTRAVITREAL INJ,318.0,318.0,0.14,282.28,58 APC,7048,ALTEPLASE 2 MG INJECTION SOLR,635.0,635.0,85.73,282.28,58 APC,7048,ALTEPLASE 50 MG IV SOLR,15841.0,15841.0,93.83,2138.54,29 APC,706,TALQUETAMABTGVS 3 MG/1.5ML SC SOLN,2901.0,2901.0,74.92,391.64,29 APC,706,TALQUETAMABTGVS 40 MG/ML SC SOLN,38676.0,38676.0,74.92,5221.26,29 APC,720,GLOFITAMABGXBM 10 MG/10ML IV SOLN,37892.0,37892.0,2843.59,8554.65,29 APC,720,GLOFITAMABGXBM 2.5 MG/2.5ML IV SOLN,9473.0,9473.0,1278.86,8554.65,29 APC,725,SECUKINUMAB 125 MG/5ML IV SOLN,7691.0,7691.0,18.07,1038.29,29 APC,726,DEXRAZOXANE HCL 250 MG IV SOLR,909.0,909.0,58.01,174.53,87 APC,726,DEXRAZOXANE HCL 500 MG IV SOLR,1544.0,1544.0,58.01,266.63,174 APC,728,MIRIKIZUMABMRKZ 300 MG/15ML IV SOLN,34536.0,34536.0,41.92,4662.36,29 APC,729,MOTIXAFORTIDE ACETATE 62 MG SC SOLR,21240.0,21240.0,26.48,2867.4,29 APC,731,SARGRAMOSTIM 250 MCG INJECTION SOLR,1111.0,1111.0,61.74,185.75,58 APC,734,LEVOTHYROXINE SODIUM 100 MCG/5ML IV SOLN,320.0,320.0,6.94,43.2,29 APC,736,AMPHOTERICIN B LIPOSOME 50 MG IV SUSR,1015.5,1015.5,20.72,150.26,87 APC,737,CIPAGLUCOSIDASE ALFAATGA 105 MG IV SOLR,6560.0,6560.0,91.2,885.6,29 APC,738,RASBURICASE 1.5 MG IV SOLR,3869.0,3869.0,383.37,1153.34,58 APC,738,RASBURICASE 7.5 MG IV SOLR,19342.0,19342.0,383.37,2611.17,29 APC,741,CYCLOPHOSPHAMIDE 1 GM/5ML IV SOLN,2164.0,2164.0,0.7,356.0,58 APC,741,CYCLOPHOSPHAMIDE 2 GM/10ML IV SOLN,5274.0,5274.0,0.7,711.99,58 APC,741,CYCLOPHOSPHAMIDE 500 MG/2.5ML IV SOLN,1319.0,1319.0,0.7,178.06,58 APC,743,CYCLOPHOSPHAMIDE 1 G INJECTION SOLR,1691.0,1691.0,0.58,334.4,174 APC,743,CYCLOPHOSPHAMIDE 2 G INJECTION SOLR,4747.0,4747.0,0.58,711.99,116 APC,743,CYCLOPHOSPHAMIDE 500 MG INJECTION SOLR,792.0,792.0,0.58,178.06,232 APC,745,TORIPALIMABTPZI 240 MG/6ML IV SOLN,32652.0,32652.0,40.21,4408.02,29 APC,752,DACTINOMYCIN 0.5 MG IV SOLR,2283.0,2283.0,243.0,926.54,116 APC,759,NALTREXONE 380 MG IM SUSR,5908.0,5908.0,4.24,797.58,29 APC,763,BUPIVACAINE LIPOSOME 1.3 INJECTION SUSP,820.0,820.0,55.35,1355.0,154 APC,764,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,6.0,6.0,0.41,14.0,396 APC,764,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,10.0,10.0,0.41,24.0,506 APC,764,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN,12.0,12.0,0.54,30.0,154 APC,765,DONANEMABAZBT 350 MG/20ML IV SOLN,2505.0,2505.0,4.17,338.18,29 APC,766,HC RN CERETEC (PER DOSE),5058.0,5058.0,682.83,2790.92,30 APC,768,TARLATAMABDLLE 1 MG IV SOLR,5400.0,5400.0,729.0,4712.92,29 APC,768,TARLATAMABDLLE 10 MG IV SOLR,54000.0,54000.0,1566.59,7290.0,29 APC,771,HC RN IND111DTPA 0.5MCI,12176.0,12176.0,745.62,2243.12,29 APC,774,HC TC-99M BICISATE UP TO 25 MCI,2209.0,2209.0,298.22,2333.07,29 APC,777,HC INDIUM IN-111 WBCDXPER DOSE,4943.0,4943.0,667.31,3318.84,29 APC,779,HC RN IND-III PENTETRE UP TO 6MCI,8848.0,8848.0,1194.48,6019.63,29 APC,780,HC IODN I-123 IOBENGUANE STDYDOSE,9494.0,9494.0,1281.69,6971.97,29 APC,781,HC IODINE I-123 IOFLUPANE DX 5MCI,7872.0,7872.0,1062.72,4174.88,29 APC,785,CYCLOPHOSPHAMIDE 1 G INJECTION SOLR,2473.0,2473.0,3.84,333.86,29 APC,785,CYCLOPHOSPHAMIDE 500 MG INJECTION SOLR,1237.0,1237.0,3.84,167.0,29 APC,798,PHENOBARBITAL SODIUM 100 MG IV SOLR,481.0,481.0,1.18,64.94,29 APC,800,HC MAPS LEUPROLIDE ACETATE /3.75 MG,3101.0,3101.0,418.64,5306.42,29 APC,800,LEUPROLIDE ACETATE (3 MONTH) 11.25 MG IM KIT,18526.0,18526.0,1763.87,5306.42,29 APC,800,LEUPROLIDE ACETATE (PED) 11.25 MG IM KIT,13487.0,13487.0,1763.87,5306.42,29 APC,800,LEUPROLIDE ACETATE (PED) 15 MG IM KIT,14855.0,14855.0,1763.87,5306.42,29 APC,800,LEUPROLIDE ACETATE (PED) 7.5 MG IM KIT,7429.0,7429.0,1002.92,5306.42,29 APC,800,LEUPROLIDE ACETATE 3.75 MG IM KIT,6176.0,6176.0,833.76,5306.42,29 APC,802,ETOPOSIDE 50 MG PO CAPS,302.0,302.0,40.77,261.1,29 APC,804,CAPECITABINE 150 MG PO TABS,42.5,42.5,0.04,6.62,58 APC,805,CABOTEGRAVIR ER 600 MG/3ML IM SUER,14138.0,14138.0,7.15,1908.63,58 APC,806,EMTRICITABINETENOFOVIR DF 200300 MG PO TABS,211.0,211.0,1.08,29.97,203 APC,810,GOSERELIN ACETATE 10.8 MG SC IMPL,10022.0,10022.0,777.5,2339.04,29 APC,810,GOSERELIN ACETATE 3.6 MG SC IMPL,3044.5,3044.5,339.39,2339.04,58 APC,812,CARMUSTINE 100 MG IV SOLR,1944.0,1944.0,170.64,699.82,232 APC,822,ROMIPLOSTIM 125 MCG SC SOLR,4720.0,4720.0,11.05,637.2,29 APC,822,ROMIPLOSTIM 500 MCG SC SOLR,18878.0,18878.0,11.05,2548.53,29 APC,822,ROMIPLOSTIM SUBCUTANEOUS INJECTION,9439.0,9439.0,11.05,1274.27,29 APC,825,NELARABINE 5 MG/ML IV SOLN,2380.0,2380.0,65.16,392.85,203 APC,827,FLOXURIDINE 0.5 G INJECTION SOLR,13565.0,13565.0,1831.28,12800.51,29 APC,840,MELPHALAN HCL 50 MG IV SOLR,918.0,918.0,86.94,1218.11,319 APC,843,PEGASPARGASE 750 UNIT/ML IM SOLN,96535.0,96535.0,13032.23,85510.94,29 APC,844,PENTOSTATIN 10 MG IV SOLR,10625.0,10625.0,1434.38,7632.6,29 APC,856,PORFIMER SODIUM 75 MG IV SOLR,83963.0,83963.0,11335.01,72888.78,30 APC,858,CLADRIBINE 10 MG/10ML IV SOLN,1413.0,1413.0,7.42,211.41,87 APC,860,HC RN I-131 MIBG (PER 0.5 MCI),4645.0,4645.0,627.08,2867.04,29 APC,864,MITOXANTRONE HCL 20 MG/10ML IV CONC,1045.0,1045.0,30.88,198.18,58 APC,864,MITOXANTRONE HCL 25 MG/12.5ML IV CONC,777.0,777.0,30.88,104.9,29 APC,864,MITOXANTRONE HCL 30 MG/15ML IV CONC,932.0,932.0,30.88,125.82,29 APC,870,CALASPARGASE PEGOLMKNL 3750 UNIT/5ML IV SOLN,104531.0,104531.0,82.08,14111.69,29 APC,874,HC MAPS SYNVISC/SYNVISC-1IA INJ1M,30.0,30.0,4.05,22.75,29 APC,874,HYLAN GF 20 16 MG/2ML INTRAARTIC SOSY,1644.0,1644.0,7.56,221.94,29 APC,874,HYLAN GF 20 48 MG/6ML INTRAARTIC SOSY,4931.0,4931.0,7.56,665.69,29 APC,875,HC MAPS EUFLEXXA INTRA-ARTICLR INJ,352.0,352.0,47.52,317.28,29 APC,875,SODIUM HYALURONATE (VISCOSUP) 20 MG/2ML INTRAARTIC,1299.0,1299.0,105.46,317.28,29 APC,877,HC MAPS ORTHOVISCINTRA-ARTICULR IN,210.0,210.0,28.35,334.71,29 APC,887,AZATHIOPRINE SODIUM 100 MG INJECTION SOLR,900.0,900.0,121.5,762.72,29 APC,890,LYMPHOCYTEANTITHYMO IMM GLOB 50 MG/ML IV SOLN,16222.0,16222.0,2037.15,15968.38,58 APC,9002,TENECTEPLASE 50 MG IV KIT,28180.0,28180.0,186.97,3804.3,58 APC,9004,INCLISIRAN SODIUM 284 MG/1.5ML SC SOSY,12297.0,12297.0,12.69,1660.1,29 APC,9006,TACROLIMUS 5 MG/ML IV SOLN,892.0,892.0,120.42,789.55,29 APC,9008,TEZEPELUMABEKKO 210 MG/1.91ML SC SOSY,14980.0,14980.0,17.82,2022.3,29 APC,9009,VUTRISIRAN SODIUM 25 MG/0.5ML SC SOSY,417150.0,417150.0,5009.56,56315.25,29 APC,9010,EFGARTIGIMOD ALFAFCAB 400 MG/20ML IV SOLN,22286.0,22286.0,32.22,3008.61,29 APC,9013,RISANKIZUMABRZAA 600 MG/10ML IV SOLN,36431.0,36431.0,14.93,4918.19,29 APC,9017,RANIBIZUMABNUNA 0.5 MG/0.05ML INTRAVITREAL SOLN,4191.0,4191.0,60.22,565.79,58 APC,902,BOTOX 200 UNITS INJECTION SOLR,4652.0,4652.0,6.51,628.02,29 APC,902,BOTOX COSMETIC 50 UNITS IM SOLR,1304.0,1304.0,6.51,176.04,29 APC,902,HC MAPS BOTULINUM TOXN TYPE APER U,15.0,15.0,2.03,19.58,29 APC,902,ONABOTULINUMTOXINA (COSMETIC) 100 UNITS IM SOLR,2362.0,2362.0,6.51,318.87,29 APC,902,ONABOTULINUMTOXINA 100 UNITS INJECTION SOLR,2326.0,2326.0,6.51,314.01,29 APC,902,ONABOTULINUMTOXINA 25 UNITS/1ML INJECTION SOLR OR,2085.0,2085.0,6.51,281.48,29 APC,902,ONABOTULINUMTOXINA 50 UNITS/1ML INJECTION SOLR OR,2085.0,2085.0,6.51,281.48,29 APC,9025,GLUCAGON HCL (DIAGNOSTIC) 1 MG INJECTION SOLR,910.0,910.0,122.85,430.97,58 APC,9025,GLUCAGON HCL (RDNA) 1 MG INJECTION SOLR (WRAPPER),798.0,798.0,78.84,430.97,174 APC,9027,BORTEZOMIB 1 MG/ML IV SOLR (WRAPPER),1080.0,1080.0,6.97,145.8,29 APC,9028,INOTUZUMAB OZOGAMICIN 0.9 MG IV SOLR,83370.0,83370.0,2816.77,11254.95,29 APC,9029,GUSELKUMAB 100 MG/ML SC SOAJ,49943.0,49943.0,72.94,6742.31,29 APC,9029,GUSELKUMAB 100 MG/ML SC SOSY,49943.0,49943.0,72.94,6742.31,29 APC,9029,GUSELKUMAB 200 MG/20ML IV SOLN,49943.0,49943.0,72.94,6742.31,29 APC,9032,BACLOFEN 10000 MCG/20ML INTRATHECAL SOSY,914.0,914.0,123.39,545.92,29 APC,9032,BACLOFEN 20000 MCG/20ML INTRATHECAL SOSY,1828.0,1828.0,181.47,545.92,29 APC,9032,BACLOFEN 40000 MCG/20ML INTRATHECAL SOSY,3660.0,3660.0,181.47,545.92,29 APC,9033,CIDOFOVIR 15 MG/ML IV SOLN,533.0,533.0,71.95,1577.85,29 APC,9033,CIDOFOVIR 75 MG/ML IV SOLN,3112.0,3112.0,359.64,1577.85,58 APC,9036,INFLIXIMABABDA 100 MG IV SOLR,2713.0,2713.0,27.75,366.26,29 APC,9038,ESTROGENS CONJUGATED 25 MG INJECTION SOLR,1325.0,1325.0,178.88,1178.57,29 APC,9042,GLUCAGON HCL (RDNA) 1 MG INJECTION SOLR (WRAPPER),1058.0,1058.0,136.08,495.97,58 APC,9044,IBUTILIDE FUMARATE 1 MG/10ML IV SOLN,1547.5,1547.5,151.06,597.19,116 APC,9046,FIBRINOGEN CONCENTRATE (HUMAN) IV SOLR,3960.0,3960.0,1.23,534.6,58 APC,9048,BEVACIZUMABMALY 100 MG/4ML IV SOLN,2587.0,2587.0,33.01,349.25,58 APC,9048,BEVACIZUMABMALY 400 MG/16ML IV SOLN,10693.0,10693.0,33.01,1490.13,58 APC,9051,LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN,28055.5,28055.5,38.22,4321.89,58 APC,9054,HC LU-177 PSMA 1 MCI,515.0,515.0,69.53,780.12,29 APC,9056,HC GALLIUM-68 DOTATATE PER 0.1 MCI,289.0,289.0,39.02,149.31,29 APC,9057,NIVOLUMABRELATLIMABRMBW 24080 MG/20ML IV SOLN,53364.0,53364.0,201.65,7204.14,29 APC,9063,HC MAPS RH IG MINIDOSE IM,95.0,95.0,12.83,240.67,29 APC,9070,VORETIGENE NEPARVOVECRZYL 5000000000000 VG/ML INTR,467500.0,467500.0,3026.8,63112.5,58 APC,9073,BUPRENORPHINE ER 100 MG/0.5ML SC SOSY,7260.0,7260.0,980.1,6012.39,58 APC,9075,ANTIHEMOPHIL FACTOR (RAHFPFM) 1000 UNITS IV SOLR,3657426.0,3657426.0,1.57,7.85,62 APC,9075,ANTIHEMOPHIL FACTOR (RAHFPFM) 2000 UNITS IV SOLR,15057.0,15057.0,1.57,7.85,62 APC,9075,ANTIHEMOPHIL FACTOR (RAHFPFM) 500 UNITS IV SOLR,3135.0,3135.0,1.57,7.85,62 APC,9088,PENICILLIN G BENZATHINE PROC 1200000 UNIT/2ML IM,876.0,876.0,19.52,118.26,29 APC,9097,EPOETIN ALFAEPBX 10000 UNIT/ML INJECTION SOLN,398.0,398.0,7.57,53.73,58 APC,9097,EPOETIN ALFAEPBX 2000 UNIT/ML INJECTION SOLN,80.0,80.0,7.57,22.76,58 APC,9097,EPOETIN ALFAEPBX 20000 UNIT/ML INJECTION SOLN,795.0,795.0,7.57,107.33,58 APC,9097,EPOETIN ALFAEPBX 3000 UNIT/ML INJECTION SOLN,120.0,120.0,7.57,22.76,58 APC,9097,EPOETIN ALFAEPBX 4000 UNIT/ML INJECTION SOLN,159.0,159.0,7.57,22.76,58 APC,9097,EPOETIN ALFAEPBX 40000 UNIT/ML INJECTION SOLN,1589.0,1589.0,7.57,214.52,58 APC,9103,FULVESTRANT 250 MG/5ML IM SOSY,1800.0,1800.0,27.11,243.0,58 APC,9104,ANTITHYMOCYTE GLOB (RABBIT) 25 MG IV SOLR,3839.0,3839.0,518.26,3037.74,29 APC,9108,HC THYROGEN 0.9MG 1 VIAL,12153.0,12153.0,1640.66,6394.76,29 APC,9108,THYROTROPIN ALFA 0.9 MG IM SOLR,7119.0,7119.0,961.07,6394.76,58 APC,9109,MIRVETUXIMAB SORAVTANSINEGYNX 100 MG/20ML IV SOLN,23354.0,23354.0,71.17,3152.79,29 APC,9110,TREMELIMUMABACTL 25 MG/1.25ML IV SOLN,11934.0,11934.0,143.02,1611.09,29 APC,9110,TREMELIMUMABACTL 300 MG/15ML IV SOLN,143208.0,143208.0,143.02,19333.08,29 APC,9111,TECLISTAMABCQYV 153 MG/1.7ML SC SOLN,34976.0,34976.0,34.58,4721.76,29 APC,9111,TECLISTAMABCQYV 30 MG/3ML SC SOLN,6858.0,6858.0,34.58,925.83,29 APC,9115,SPESOLIMABSBZO 450 MG/7.5ML IV SOLN,187761.0,187761.0,65.73,25347.74,29 APC,9117,RANIBIZUMABEQRN 0.3 MG/0.05ML INTRAVITREAL SOLN,2938.0,2938.0,83.34,396.63,29 APC,9117,RANIBIZUMABEQRN 0.5 MG/0.05ML INTRAVITREAL SOLN,4896.0,4896.0,83.34,660.96,29 APC,9118,PEGFILGRASTIMPBBK 6 MG/0.6ML SC SOSY,9000.0,9000.0,127.23,1215.0,29 APC,9122,TRIPTORELIN PAMOATE 11.25 MG IM SUSR,9310.0,9310.0,463.2,1393.48,58 APC,9122,TRIPTORELIN PAMOATE 22.5 MG IM SUSR,18620.0,18620.0,463.2,2513.7,58 APC,9122,TRIPTORELIN PAMOATE 3.75 MG IM SUSR,3104.0,3104.0,419.04,1393.48,58 APC,9123,PEMETREXED DISODIUM 1 GM/40ML IV SOLN,3240.0,3240.0,4.19,437.4,29 APC,9123,PEMETREXED DISODIUM 100 MG/4ML IV SOLN,396.0,396.0,4.19,53.46,29 APC,9123,PEMETREXED DISODIUM 500 MG/20ML IV SOLN,1793.0,1793.0,4.19,242.06,29 APC,9125,RISPERIDONE MICROSPHERES ER 12.5 MG IM SRER,1107.0,1107.0,11.18,149.45,29 APC,9125,RISPERIDONE MICROSPHERES ER 25 MG IM SRER,2213.0,2213.0,11.18,298.75,58 APC,9125,RISPERIDONE MICROSPHERES ER 37.5 MG IM SRER,3319.0,3319.0,11.18,448.07,58 APC,9125,RISPERIDONE MICROSPHERES ER 50 MG IM SRER,4315.0,4315.0,11.18,597.51,87 APC,9126,NATALIZUMAB 300 MG/15ML IV CONC,29554.0,29554.0,24.51,3989.79,29 APC,9127,PEMETREXED DISODIUM 100 MG IV SOLR,364.0,364.0,9.74,49.14,29 APC,9127,PEMETREXED DISODIUM 500 MG IV SOLR,1640.0,1640.0,9.74,221.4,29 APC,9129,PEGFILGRASTIMFPGK 6 MG/0.6ML SC SOSY,15481.0,15481.0,147.24,2089.93,29 APC,9131,ADOTRASTUZUMAB EMTANSINE 100 MG IV SOLR,14151.0,14151.0,42.19,1910.39,29 APC,9131,ADOTRASTUZUMAB EMTANSINE 160 MG IV SOLR,22641.0,22641.0,42.19,3056.54,29 APC,9132,PROTHROMBIN COMPLEX CONC HUMAN 1000 UNITS IV KIT,10977.0,10977.0,2.09,1481.9,58 APC,9132,PROTHROMBIN COMPLEX CONC HUMAN 500 UNITS IV KIT,6165.0,6165.0,2.09,832.28,58 APC,9133,RABIES IMMUNE GLOBULIN 1500 UNIT/5ML INJECTION SOL,12158.5,12158.5,279.95,1653.62,58 APC,9133,RABIES IMMUNE GLOBULIN 300 UNIT/ML INJECTION SOLN,2432.0,2432.0,279.95,842.2,58 APC,9133,RABIES IMMUNE GLOBULIN 900 UNIT/3ML INJECTION SOLN,7350.0,7350.0,279.95,992.25,29 APC,9134,RABIES IMMUNE GLOBULIN 300 UNIT/2ML INJECTION SOLN,3259.0,3259.0,352.44,1060.28,29 APC,9135,VARICELLAZOSTER IMMUNE GLOB 125 UNIT/1.2ML IM SOLN,8211.0,8211.0,1108.49,7110.03,58 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 10 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 11 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 12 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 13 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 14 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 15 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 16 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 17 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 18 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 19 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 20 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 21 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 22 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 23 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 24 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 25 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 26 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 27 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 28 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 29 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 30 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 31 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 32 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 33 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 34 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 35 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 36 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 37 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 38 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 39 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 40 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 41 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 42 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 43 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 44 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 45 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 46 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 47 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9138,ETRANACOGENE DEZAPARVOVECDRLB 48 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,29 APC,9139,HC RABIES SHOT (IM),328.0,328.0,44.28,961.93,29 APC,9139,RABIES VACCINE PCEC IM SUSR,1365.0,1365.0,159.17,961.93,87 APC,9149,UBLITUXIMABXIIY 150 MG/6ML IV SOLN,37701.0,37701.0,70.18,5089.64,29 APC,9150,MOSUNETUZUMABAXGB 1 MG/ML IV SOLN,2204.0,2204.0,297.54,1971.64,29 APC,9150,MOSUNETUZUMABAXGB 30 MG/30ML IV SOLN,66098.0,66098.0,655.38,8923.23,29 APC,9154,BENDAMUSTINE HCL 100 MG/4ML IV SOLN,11786.0,11786.0,31.99,1591.11,29 APC,9155,LENACAPAVIR SODIUM 463.5 MG/1.5ML SC SOLN,70200.0,70200.0,22.3,9477.0,29 APC,9157,LECANEMABIRMB 200 MG/2ML IV SOLN,918.0,918.0,1.33,123.93,29 APC,9157,LECANEMABIRMB 500 MG/5ML IV SOLN,2294.0,2294.0,1.33,309.69,29 APC,9159,BEVACIZUMABADCD 100 MG/4ML IV SOLN,2439.0,2439.0,38.16,329.27,29 APC,9159,BEVACIZUMABADCD 400 MG/16ML IV SOLN,10405.0,10405.0,38.16,1404.68,29 APC,9166,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR,1085.0,1085.0,0.64,146.48,29 APC,9173,PEGFILGRASTIMJMDB 6 MG/0.6ML SC SOSY,7515.0,7515.0,98.87,1014.53,58 APC,9174,HC MAPS INJ DUROLANE 1MG,59.0,59.0,6.52,19.61,29 APC,9178,MEROPENEMVABORBACTAM 2 (11) G IV SOLR,778.0,778.0,2.18,105.03,58 APC,9179,ARIPIPRAZOLE LAUROXIL ER 675 MG/2.4ML IM PRSY,8512.0,8512.0,3.24,1149.12,29 APC,9180,PATISIRAN SODIUM 10 MG/5ML IV SOLN,35226.0,35226.0,99.97,4755.51,29 APC,9182,MOGAMULIZUMABKPKC 20 MG/5ML IV SOLN,16549.0,16549.0,253.47,2234.12,29 APC,9186,RITUXIMAB 1 MG/0.1ML INTRAVITREAL INJ ORD,1.0,1.0,0.14,224.92,58 APC,9186,RITUXIMAB 100 MG/10ML IV SOLN,3383.0,3383.0,74.76,456.71,29 APC,9186,RITUXIMAB 500 MG/50ML IV SOLN,16912.0,16912.0,74.76,2283.12,29 APC,9187,BUROSUMABTWZA 10 MG/ML SC SOLN,16026.0,16026.0,498.02,2163.51,29 APC,9187,BUROSUMABTWZA 20 MG/ML SC SOLN,32051.0,32051.0,498.02,4326.89,29 APC,9187,BUROSUMABTWZA 30 MG/ML SC SOLN,48076.0,48076.0,498.02,6490.26,29 APC,9188,CROTALIDAE IMMUNE FAB (EQUINE) IV SOLR,4752.0,4752.0,641.52,14816.85,58 APC,9189,IBALIZUMABUIYK 200 MG/1.33ML IV SOLN,7423.0,7423.0,77.54,1002.11,29 APC,9193,FILGRASTIMAAFI 300 MCG/0.5ML INJECTION SOSY,789.0,789.0,0.28,106.52,29 APC,9193,FILGRASTIMAAFI 300 MCG/ML INJECTION SOLN,789.0,789.0,0.28,106.52,58 APC,9193,FILGRASTIMAAFI 480 MCG/0.8ML INJECTION SOSY,1262.0,1262.0,0.28,170.37,29 APC,9193,FILGRASTIMAAFI 480 MCG/1.6ML INJECTION SOLN,1262.0,1262.0,0.28,170.37,29 APC,9194,HC CAR T PROTOCOL,1.0,1.0,0.14,1704352.77,29 APC,9194,HC KYMRIAH UP TO 600M CAR POST CELLS,2500000.0,2500000.0,337500.0,1704352.77,29 APC,9195,PEGFILGRASTIMCBQV (INF DEV) 6 MG/0.6ML SC SOSY,15030.0,15030.0,161.99,2029.05,29 APC,9195,PEGFILGRASTIMCBQV 6 MG/0.6ML SC SOSY,15030.0,15030.0,161.99,2029.05,29 APC,9198,COAG FACT XA INACTIVATEDZHZO 200 MG IV SOLR,9000.0,9000.0,131.37,1215.0,87 APC,9199,CAPLACIZUMABYHDP 11 MG INJECTION KIT,29672.0,29672.0,802.25,4005.72,29 APC,9200,REMDESIVIR 100 MG IV SOLR,2015.5,2015.5,6.9,291.47,58 APC,9201,RABIES IMMUNE GLOBULIN 1500 UNIT/10ML INJECTION SO,12252.0,12252.0,240.13,1654.02,29 APC,9201,RABIES IMMUNE GLOBULIN 300 UNIT/2ML INJECTION SOLN,2685.0,2685.0,240.13,722.42,29 APC,9203,CYCLOPHOSPHAMIDE 1 GM/5ML IV SOLN,900.0,900.0,0.61,121.5,29 APC,9203,CYCLOPHOSPHAMIDE 2 GM/10ML IV SOLN,1800.0,1800.0,0.61,243.0,29 APC,9203,CYCLOPHOSPHAMIDE 500 MG/2.5ML IV SOLN,540.0,540.0,0.61,72.9,29 APC,9204,TISOTUMAB VEDOTINTFTV 40 MG IV SOLR,24682.0,24682.0,196.07,3332.07,29 APC,9205,LONCASTUXIMAB TESIRINELPYL 10 MG IV SOLR,97284.0,97284.0,221.22,13133.34,29 APC,9208,AGALSIDASE BETA 35 MG IV SOLR,26838.0,26838.0,230.32,3623.13,29 APC,9208,AGALSIDASE BETA 5 MG IV SOLR,3834.0,3834.0,230.32,692.89,29 APC,9213,PEMETREXED DISODIUM 100 MG IV SOLR,573.0,573.0,3.59,392.99,174 APC,9213,PEMETREXED DISODIUM 500 MG IV SOLR,2855.0,2855.0,3.59,1964.93,174 APC,9213,PEMETREXED DISODIUM 750 MG IV SOLR,19264.0,19264.0,3.59,2600.64,29 APC,9214,BEVACIZUMAB 100 MG/4ML IV SOLN,2869.0,2869.0,73.63,387.31,29 APC,9214,BEVACIZUMAB 100 MG/4ML OPHTHALMIC SOLN,92.0,92.0,12.42,221.51,29 APC,9214,BEVACIZUMAB 400 MG/16ML IV SOLN,12242.0,12242.0,73.63,1652.67,29 APC,9215,CETUXIMAB 100 MG/50ML IV SOLN,2895.0,2895.0,80.34,390.83,29 APC,9215,CETUXIMAB 200 MG/100ML IV SOLN,5790.0,5790.0,80.34,781.65,29 APC,9217,HC MAPS LEUPROLIDE ACETATE DEPOT 7.5 MG,1522.0,1522.0,170.78,513.77,29 APC,9217,LEUPROLIDE ACETATE (3 MONTH) 22.5 MG IM KIT,22077.0,22077.0,170.78,2980.39,29 APC,9217,LEUPROLIDE ACETATE (3 MONTH) 22.5 MG SC KIT,4879.0,4879.0,170.78,658.67,58 APC,9217,LEUPROLIDE ACETATE (4 MONTH) 30 MG IM KIT,29435.0,29435.0,170.78,3973.73,29 APC,9217,LEUPROLIDE ACETATE (4 MONTH) 30 MG SC KIT,6505.0,6505.0,170.78,878.18,29 APC,9217,LEUPROLIDE ACETATE (6 MONTH) 45 MG IM KIT,44154.0,44154.0,170.78,5960.79,29 APC,9217,LEUPROLIDE ACETATE (6 MONTH) 45 MG SC KIT,9757.0,9757.0,170.78,1317.2,29 APC,9217,LEUPROLIDE ACETATE 7.5 MG IM KIT,7359.0,7359.0,170.78,993.47,29 APC,9217,LEUPROLIDE ACETATE 7.5 MG SC KIT,1627.0,1627.0,170.78,513.77,58 APC,9219,PROCAINAMIDE HCL 100 MG/ML INJECTION SOLN,332.0,332.0,41.31,1036.48,116 APC,9219,PROCAINAMIDE HCL 500 MG/ML INJECTION SOLN,2160.0,2160.0,291.6,1036.48,58 APC,9225,FLUOCINOLONE ACETONIDE 0.59 MG INTRAVITREAL IMPL,68490.0,68490.0,338.94,9246.15,29 APC,9230,ABATACEPT 125 MG/ML SC SOSY,5126.0,5126.0,44.77,692.01,29 APC,9230,ABATACEPT 250 MG IV SOLR,5265.0,5265.0,44.77,710.78,29 APC,9233,RANIBIZUMAB 0.3 MG/0.05ML INTRAVITREAL SOSY,4212.0,4212.0,65.44,568.62,29 APC,9233,RANIBIZUMAB 0.5 MG/0.05ML INTRAVITREAL SOSY,7020.0,7020.0,65.44,947.7,29 APC,9235,PANITUMUMAB 100 MG/5ML IV SOLN,6212.0,6212.0,173.67,838.62,29 APC,9235,PANITUMUMAB 400 MG/20ML IV SOLN,24846.0,24846.0,173.67,3354.21,29 APC,9237,LANREOTIDE ACETATE 60 MG/0.2ML SC SOLN,21917.0,21917.0,35.39,2958.8,29 APC,9237,LANREOTIDE ACETATE 90 MG/0.3ML SC SOLN,29189.0,29189.0,35.39,3940.52,29 APC,9237,SOMATULINE DEPOT 120 MG/0.5ML SC SOLN,34424.0,34424.0,35.39,4647.24,29 APC,9239,BUPRENORPHINE ER 300 MG/1.5ML SC SOSY,7260.0,7260.0,980.1,6012.39,58 APC,9240,IXABEPILONE 15 MG IV SOLR,7111.0,7111.0,139.98,959.99,29 APC,9240,IXABEPILONE 45 MG IV SOLR,21331.0,21331.0,139.98,2879.69,58 APC,9241,SIROLIMUS PROTEINBOUND PART 100 MG IV SUSR,27486.0,27486.0,87.11,3710.61,29 APC,9243,BENDAMUSTINE HCL 100 MG IV SOLR,10699.0,10699.0,2.05,1444.37,29 APC,9243,BENDAMUSTINE HCL 25 MG IV SOLR,2675.0,2675.0,2.05,361.13,29 APC,9250,EPCORITAMABBYSP (EPKINLY) SC INJ 0.16 MG/1ML NSS (,1830.0,1830.0,56.8,247.05,29 APC,9250,EPCORITAMABBYSP (EPKINLY) SC INJ 0.8 MG/1ML NSS (D,4569.0,4569.0,56.8,616.82,29 APC,9250,EPCORITAMABBYSP 4 MG/0.8ML SC SOLN,4753.0,4753.0,56.8,641.66,29 APC,9250,EPCORITAMABBYSP 48 MG/0.8ML SC SOLN,57026.0,57026.0,56.8,7698.51,29 APC,9252,PLERIXAFOR 24 MG/1.2ML SC SOLN,18843.0,18843.0,30.66,4844.61,58 APC,9253,TEMOZOLOMIDE 100 MG IV SOLR,3612.0,3612.0,10.4,487.62,29 APC,9255,PALIPERIDONE PALMITATE ER 156 MG/ML IM SUSY,8350.0,8350.0,15.11,1127.25,29 APC,9255,PALIPERIDONE PALMITATE ER 234 MG/1.5ML IM SUSY,12524.0,12524.0,15.11,1690.74,29 APC,9255,PALIPERIDONE PALMITATE ER 78 MG/0.5ML IM SUSY,4175.0,4175.0,15.11,563.63,29 APC,9256,DEXAMETHASONE 0.7 MG INTRAVITREAL IMPL,4943.0,4943.0,204.54,667.31,29 APC,9257,EMICIZUMABKXWH 105 MG/0.7ML SC SOLN,42317.0,42317.0,56.46,282.3,31 APC,9257,EMICIZUMABKXWH 150 MG/ML SC SOLN,60453.0,60453.0,56.46,282.3,31 APC,9257,EMICIZUMABKXWH 30 MG/ML SC SOLN,12091.0,12091.0,56.46,282.3,31 APC,9257,EMICIZUMABKXWH 60 MG/0.4ML SC SOLN,24181.0,24181.0,56.46,282.3,31 APC,9259,PRALATREXATE 20 MG/ML IV SOLN,26412.0,26412.0,392.72,3565.62,29 APC,9259,PRALATREXATE 40 MG/2ML IV SOLN,52823.0,52823.0,392.72,7131.11,29 APC,9260,OFATUMUMAB 100 MG/5ML IV CONC,2110.5,2110.5,62.23,293.36,58 APC,9260,OFATUMUMAB 1000 MG/50ML IV CONC,21722.0,21722.0,62.23,2932.47,29 APC,9262,TOFERSEN 100 MG/15ML INTRATHECAL SOLN,52765.0,52765.0,160.01,7123.28,29 APC,9264,TOCILIZUMAB 162 MG/0.9ML SC SOAJ,4230.0,4230.0,5.61,571.05,29 APC,9264,TOCILIZUMAB 162 MG/0.9ML SC SOSY,4230.0,4230.0,5.61,571.05,29 APC,9264,TOCILIZUMAB 200 MG/10ML IV SOLN,4781.0,4781.0,5.61,645.44,29 APC,9264,TOCILIZUMAB 400 MG/20ML IV SOLN,9561.0,9561.0,5.61,1290.74,29 APC,9264,TOCILIZUMAB 80 MG/4ML IV SOLN,1913.0,1913.0,5.61,258.25,29 APC,9269,C1 ESTERASE INHIBITOR (HUMAN) 500 UNITS IV KIT,14646.0,14646.0,75.86,1977.21,29 APC,927,ANTIHEM FACTOR RECOMB (RFVIII) 1000 UNITS IV KIT,8043.0,8043.0,1.59,7.95,31 APC,927,ANTIHEM FACTOR RECOMB (RFVIII) 12411800 UNITS IV S,8890.5,8890.5,1.59,7.95,62 APC,927,ANTIHEM FACTOR RECOMB (RFVIII) 18012400 UNITS IV S,14705.0,14705.0,1.59,7.95,31 APC,927,ANTIHEM FACTOR RECOMB (RFVIII) 220400 UNITS IV SOL,1646.0,1646.0,1.59,7.95,31 APC,927,ANTIHEM FACTOR RECOMB (RFVIII) 401800 UNITS IV SOL,3084.0,3084.0,1.59,7.95,31 APC,927,ANTIHEM FACTOR RECOMB (RFVIII) 8011240 UNITS IV SO,6515.0,6515.0,1.59,7.95,31 APC,927,ANTIHEMOPHIL FACTOR (RAHFPFM) 1000 UNITS IV SOLR,6978.0,6978.0,1.59,7.95,31 APC,927,ANTIHEMOPHIL FACTOR (RAHFPFM) 2000 UNITS IV SOLR,13128.0,13128.0,1.59,7.95,31 APC,927,ANTIHEMOPHIL FACTOR (RAHFPFM) 250 UNITS IV SOLR,1425.0,1425.0,1.59,7.95,62 APC,927,ANTIHEMOPHIL FACTOR (RAHFPFM) 500 UNITS IV SOLR,3377.5,3377.5,1.59,7.95,62 APC,9271,VELAGLUCERASE ALFA 400 UNITS IV SOLR,5260.0,5260.0,386.43,1162.53,29 APC,9272,DENOSUMAB 120 MG/1.7ML SC SOLN,11828.0,11828.0,29.46,1596.78,29 APC,9272,DENOSUMAB 60 MG/ML SC SOSY,6431.0,6431.0,29.46,868.19,58 APC,9274,CROTALIDAE POLYVAL IMMUNE FAB IV SOLR,11513.0,11513.0,1554.26,5494.9,58 APC,9276,CABAZITAXEL 60 MG IV SOLN,46140.0,46140.0,230.8,6228.9,29 APC,9278,HC MAPS INCOBOTULINUMTOXIN A,10.0,10.0,1.35,15.81,29 APC,9278,INCOBOTULINUMTOXINA 100 UNITS IM SOLR,1840.0,1840.0,5.25,248.4,29 APC,9278,INCOBOTULINUMTOXINA 50 UNITS IM SOLR,965.0,965.0,5.25,130.28,29 APC,928,FACTOR IX COMPLEX 1000 UNITS IV SOLR,4710.0,4710.0,1.7,8.5,31 APC,928,FACTOR IX COMPLEX 500 UNITS IV SOLR,3044.0,3044.0,1.7,8.5,31 APC,9281,PEGLOTICASE 8 MG/ML IV SOLN,66900.0,66900.0,3768.81,11338.08,58 APC,9284,IPILIMUMAB 200 MG/40ML IV SOLN,125325.0,125325.0,186.91,16918.88,29 APC,9284,IPILIMUMAB 50 MG/10ML IV SOLN,31332.0,31332.0,186.91,4229.82,29 APC,9286,BELATACEPT 250 MG IV SOLR,3492.0,3492.0,3.89,471.42,29 APC,9287,BRENTUXIMAB VEDOTIN 50 MG IV SOLR,42272.0,42272.0,268.45,5706.72,29 APC,929,ANTIINHIBITOR COAGULANT CMPLX 2500 UNITS IV SOLR,21113.0,21113.0,2.44,12.2,31 APC,929,ANTIINHIBITOR COAGULANT CMPLX 500 UNITS IV SOLR,4809.0,4809.0,2.44,12.2,31 APC,9293,GLUCARPIDASE 1000 UNITS IV SOLR,148227.0,148227.0,336.52,20010.65,30 APC,9295,CARFILZOMIB 10 MG IV SOLR,1966.0,1966.0,55.61,265.41,29 APC,9295,CARFILZOMIB 30 MG IV SOLR,5896.0,5896.0,55.61,795.96,29 APC,9295,CARFILZOMIB 60 MG IV SOLR,11791.0,11791.0,55.61,1591.79,29 APC,9300,OMALIZUMAB 150 MG SC SOLR,4986.0,4986.0,45.5,673.11,29 APC,9300,OMALIZUMAB 150 MG/ML SC SOSY,4986.0,4986.0,45.5,673.11,29 APC,9300,OMALIZUMAB 75 MG/0.5ML SC SOSY,2493.0,2493.0,45.5,336.56,29 APC,9301,AMINOLEVULINIC ACID HCL 10 EX GEL,1307.0,1307.0,1.79,176.45,29 APC,9302,DAUNORUBICINCYTARABINE LIPO 44100 MG IV SUSR,37638.0,37638.0,260.49,5081.13,58 APC,9304,CEMIPLIMABRWLC 350 MG/7ML IV SOLN,37073.0,37073.0,28.69,5004.86,29 APC,9306,TILDRAKIZUMABASMN 100 MG/ML SC SOSY,62055.0,62055.0,123.78,8377.43,58 APC,9309,TAGRAXOFUSPERZS 1000 MCG/ML IV SOLN,115738.0,115738.0,357.02,15624.63,29 APC,931,COAGULATION FACTOR IX 1000 UNITS IV SOLR,5010.0,5010.0,1.37,6.85,31 APC,9312,RAVULIZUMABCWVZ 1100 MG/11ML IV SOLN,84533.0,84533.0,224.8,11411.95,29 APC,9312,RAVULIZUMABCWVZ 300 MG/3ML IV SOLN,23055.0,23055.0,224.8,3112.43,29 APC,9313,BELRAPZO 100 MG/4ML IV SOLN,8906.0,8906.0,13.65,1202.31,29 APC,9313,BENDAMUSTINE HCL 100 MG/4ML IV SOLN,9360.0,9360.0,13.65,1263.6,29 APC,9314,TRASTUZUMABHYALURONIDASEOYSK 60010000 MGUNT/5ML SC,16831.0,16831.0,61.07,2272.18,29 APC,932,COAGULATION FACTOR IX (RECOMB) 1000 UNITS IV KIT,6243.0,6243.0,1.83,9.15,31 APC,932,COAGULATION FACTOR IX (RECOMB) 2000 UNITS IV KIT,13278.0,13278.0,1.83,9.15,31 APC,932,COAGULATION FACTOR IX (RECOMB) 250 UNITS IV KIT,1598.0,1598.0,1.83,9.15,31 APC,932,COAGULATION FACTOR IX (RECOMB) 3000 UNITS IV KIT,18054.0,18054.0,1.83,9.15,31 APC,932,COAGULATION FACTOR IX (RECOMB) 500 UNITS IV KIT,3269.0,3269.0,1.83,9.15,31 APC,9321,FOSPHENYTOIN SODIUM 100 MG PE/2ML INJECTION SOLN,76.5,76.5,1.01,19.71,300 APC,9321,FOSPHENYTOIN SODIUM 500 MG PE/10ML INJECTION SOLN,233.0,233.0,1.01,59.0,300 APC,9322,HC MAPS BCG LIVE INTRAVESICAL 1MG,8.5,8.5,1.15,9.86,29 APC,9324,PHENYLEPHRINEKETOROLAC 10.3 INTRAOCULAR SOLN,1700.0,1700.0,229.5,1700.0,44 APC,9325,ERAVACYCLINE DIHYDROCHLORIDE 100 MG IV SOLR,396.0,396.0,1.29,53.46,58 APC,9325,ERAVACYCLINE DIHYDROCHLORIDE 50 MG IV SOLR,222.0,222.0,1.29,29.97,58 APC,9327,ROMOSOZUMABAQQG 105 MG/1.17ML SC SOSY,4507.0,4507.0,12.11,608.45,116 APC,9329,BEVACIZUMABAWWB 100 MG/4ML IV SOLN,2512.0,2512.0,23.84,339.12,29 APC,9329,BEVACIZUMABAWWB 400 MG/16ML IV SOLN,10718.0,10718.0,23.84,1446.93,29 APC,9330,TRASTUZUMABANNS 150 MG IV SOLR,4897.0,4897.0,51.44,661.1,29 APC,9330,TRASTUZUMABANNS 420 MG IV SOLR,13710.0,13710.0,51.44,1850.85,58 APC,9331,POLATUZUMAB VEDOTINPIIQ 140 MG IV SOLR,67002.0,67002.0,136.77,9045.27,29 APC,9331,POLATUZUMAB VEDOTINPIIQ 30 MG IV SOLR,14358.0,14358.0,136.77,1938.33,29 APC,9336,RITUXIMABABBS 100 MG/10ML IV SOLN,3044.0,3044.0,30.14,410.94,29 APC,9336,RITUXIMABABBS 500 MG/50ML IV SOLN,15220.0,15220.0,30.14,2054.7,29 APC,9341,TRASTUZUMABDKST 150 MG IV SOLR,4769.0,4769.0,37.71,643.82,29 APC,9341,TRASTUZUMABDKST 420 MG IV SOLR,11381.0,11381.0,37.71,1796.99,116 APC,9343,GIVOSIRAN SODIUM 189 MG/ML SC SOLN,153418.0,153418.0,120.68,20711.43,29 APC,9345,PEGFILGRASTIMBMEZ 6 MG/0.6ML SC SOSY,14132.0,14132.0,119.29,1907.82,29 APC,9347,LUSPATERCEPTAAMT 25 MG SC SOLR,14233.0,14233.0,42.77,1921.46,29 APC,9347,LUSPATERCEPTAAMT 75 MG SC SOLR,42697.0,42697.0,42.77,5764.1,29 APC,9348,BEVACIZUMABBVZR 100 MG/4ML IV SOLN,2209.0,2209.0,25.8,298.22,29 APC,9348,BEVACIZUMABBVZR 400 MG/16ML IV SOLN,9422.0,9422.0,25.8,1271.97,29 APC,9349,TRASTUZUMABPKRB 150 MG IV SOLR,5049.0,5049.0,55.43,681.62,29 APC,9349,TRASTUZUMABPKRB 420 MG IV SOLR,14138.0,14138.0,55.43,1908.63,58 APC,9350,TRASTUZUMABQYYP 150 MG IV SOLR,4360.0,4360.0,8.2,588.6,29 APC,9350,TRASTUZUMABQYYP 420 MG IV SOLR,12208.0,12208.0,8.2,1648.08,58 APC,9353,FAMTRASTUZUMAB DERUXTECNXKI 100 MG IV SOLR,10111.0,10111.0,31.3,1364.99,29 APC,9355,TEPROTUMUMABTRBW 500 MG IV SOLR,58976.0,58976.0,369.31,7961.76,29 APC,9357,EPTINEZUMABJJMR 100 MG/ML IV SOLN,6581.0,6581.0,20.5,888.44,29 APC,9359,CRIZANLIZUMABTMCA 100 MG/10ML IV SOLN,8831.0,8831.0,129.59,1192.19,29 APC,9364,ENFORTUMAB VEDOTINEJFV 20 MG IV SOLR,10113.0,10113.0,36.72,1365.26,29 APC,9364,ENFORTUMAB VEDOTINEJFV 30 MG IV SOLR,15169.0,15169.0,36.72,2047.82,29 APC,9367,RITUXIMABPVVR 100 MG/10ML IV SOLN,2581.0,2581.0,13.27,348.44,29 APC,9367,RITUXIMABPVVR 500 MG/50ML IV SOLN,12903.0,12903.0,13.27,1741.91,29 APC,9374,MITOMYCIN 80 (2 X 40) MG UL SOLR,88128.0,88128.0,323.9,11897.28,29 APC,9376,SACITUZUMAB GOVITECANHZIY 180 MG IV SOLR,8871.0,8871.0,36.98,1197.59,29 APC,9377,ISATUXIMABIRFC 100 MG/5ML IV SOLN,2850.0,2850.0,84.3,384.75,29 APC,9377,ISATUXIMABIRFC 500 MG/25ML IV SOLN,14247.0,14247.0,84.3,1923.35,29 APC,9378,DARATUMUMABHYALURONIDASEFIHJ 180030000 MGUT/15ML S,34896.0,34896.0,55.06,4710.96,29 APC,9381,INFLIXIMABAXXQ 100 MG IV SOLR,1800.0,1800.0,23.81,243.0,29 APC,9382,TRASTUZUMABDTTB 420 MG IV SOLR,13353.0,13353.0,27.27,1802.66,58 APC,9385,TAFASITAMABCXIX 200 MG IV SOLR,4854.0,4854.0,14.24,655.29,29 APC,9388,FERRIC DERISOMALTOSE(ONE DOSE) 1000 MG/10ML IV SOL,11689.0,11689.0,22.83,1578.02,29 APC,9389,LURBINECTEDIN 4 MG IV SOLR,28908.0,28908.0,210.78,3902.58,29 APC,9390,PERTUZTRASTUZHYALURONZZXF 60602000 MGMGU/ML SC SOL,31961.0,31961.0,60.96,4314.74,29 APC,9390,PERTUZTRASTUZHYALURONZZXF 80402000 MGMGU/ML SC SOL,47943.0,47943.0,60.96,6472.31,29 APC,9406,PEGFILGRASTIMAPGF 6 MG/0.6ML SC SOSY,14130.0,14130.0,133.05,1907.55,29 APC,9411,RITUXIMABARRX 100 MG/10ML IV SOLN,2581.0,2581.0,20.9,348.44,29 APC,9411,RITUXIMABARRX 500 MG/50ML IV SOLN,12903.0,12903.0,20.9,1741.91,29 APC,9413,HC BREYANZI CAR T,2500000.0,2500000.0,337500.0,1691326.22,29 APC,9414,CABOTEGRAVIR RILPIVIRINE ER 400 MG/2ML 600 MG/,15897.0,15897.0,24.16,2146.1,29 APC,9414,CABOTEGRAVIR RILPIVIRINE ER 600 MG/3ML 900 MG/,23846.0,23846.0,24.16,3219.21,29 APC,9416,EVINACUMABDGNB 1200 MG/8ML IV SOLN,151857.0,151857.0,197.17,20500.69,29 APC,9416,EVINACUMABDGNB 345 MG/2.3ML IV SOLN,43659.0,43659.0,197.17,5893.97,29 APC,9418,MARGETUXIMABCMKB 250 MG/10ML IV SOLN,8504.0,8504.0,53.75,1148.04,87 APC,9422,HC ABECMA CAR T,2500000.0,2500000.0,337500.0,1678933.06,29 APC,9426,CEFIDEROCOL SULFATE TOSYLATE 1 G IV SOLR,791.0,791.0,2.42,106.79,58 APC,9429,ROMIDEPSIN 10 MG IV SOLR,11516.0,11516.0,30.91,1554.66,58 APC,943,OCTAGAM 1 G/10 ML IV SOLN (WRAPPER),5245.0,5245.0,47.38,1888.11,116 APC,943,OCTAGAM 1 G/20 ML IV SOLN (WRAPPER),2623.0,2623.0,47.38,944.06,116 APC,9430,HC PIFLUFOLASTAT F-18 DIAGNOSTIC PER MCI,1865.0,1865.0,251.78,1042.38,29 APC,9431,DOSTARLIMABGXLY 500 MG/10ML IV SOLN,41628.0,41628.0,247.44,5619.78,29 APC,9432,AMIVANTAMABVMJW 350 MG/7ML IV SOLN,13127.0,13127.0,22.56,1772.15,58 APC,9433,AVALGLUCOSIDASE ALFANGPT 100 MG IV SOLR,6677.0,6677.0,81.3,901.4,29 APC,9434,ANIFROLUMABFNIA 300 MG/2ML IV SOLN,18826.0,18826.0,18.34,2541.51,29 APC,9436,PEGFILGRASTIM 6 MG/0.6ML SC PSKT,23105.0,23105.0,122.84,614.2,31 APC,9436,PEGFILGRASTIM 6 MG/0.6ML SC SOSY,23105.0,23105.0,122.84,614.2,31 APC,9437,ASPARAGINASE ERWINIA CHRYRYWN 10 MG/0.5ML IM SOLN,18468.0,18468.0,56.18,2493.18,29 APC,944,GAMMAGARD 1 G/10 ML IV SOLN (WRAPPER),6866.0,6866.0,47.29,2471.58,203 APC,944,IMMUNE GLOBULIN (HUMAN) 10 GM/100ML INJECTION SOLN,6103.0,6103.0,47.29,823.91,29 APC,944,IMMUNE GLOBULIN (HUMAN) 20 GM/200ML INJECTION SOLN,12206.0,12206.0,47.29,1647.81,29 APC,944,IMMUNE GLOBULIN (HUMAN) 5 GM/50ML INJECTION SOLN,3052.0,3052.0,47.29,412.02,29 APC,9441,FERRIC CARBOXYMALTOSE 750 MG/15ML IV SOLN,5362.0,5362.0,1.12,723.87,29 APC,9443,HC GALLIUM ILLUCCIX 1 MCI,2283.0,2283.0,308.21,1439.58,29 APC,9444,SUTIMLIMABJOME 1100 MG/22ML IV SOLN,6904.0,6904.0,19.03,932.04,29 APC,9447,FILGRASTIMAYOW 300 MCG/0.5ML SC SOSY,573.0,573.0,0.34,77.36,29 APC,9447,FILGRASTIMAYOW 480 MCG/0.8ML SC SOSY,916.0,916.0,0.34,123.66,58 APC,9449,BLINATUMOMAB 35 MCG IV SOLR,18523.0,18523.0,163.68,2500.61,29 APC,9452,CEFTOLOZANETAZOBACTAM 1.5 (10.5) G IV SOLR,572.0,572.0,8.95,77.22,29 APC,9453,NIVOLUMAB 100 MG/10ML IV SOLN,11452.0,11452.0,33.57,1546.02,29 APC,9453,NIVOLUMAB 120 MG/12ML IV SOLN,13743.0,13743.0,33.57,1855.31,29 APC,9453,NIVOLUMAB 240 MG/24ML IV SOLN,27485.0,27485.0,33.57,3710.48,29 APC,9453,NIVOLUMAB 40 MG/4ML IV SOLN,4581.0,4581.0,33.57,618.44,29 APC,9455,SILTUXIMAB 100 MG IV SOLR,5406.0,5406.0,168.68,729.81,29 APC,9455,SILTUXIMAB 400 MG IV SOLR,21621.0,21621.0,168.68,2918.84,29 APC,9460,CANGRELOR TETRASODIUM 50 MG IV SOLR,3436.0,3436.0,19.94,463.86,58 APC,9463,APREPITANT 130 MG/18ML IV EMUL,1573.0,1573.0,1.71,212.36,29 APC,9466,BENRALIZUMAB 30 MG/ML SC SOSY,20437.0,20437.0,163.96,2759.0,29 APC,9466,HC MAPS INJ BENRALIZUMAB 1MG,501.0,501.0,67.64,493.27,29 APC,9467,RITUXIMABHYALURONIDASE HUMAN 140023400 MG UT/11.7M,23676.0,23676.0,36.87,3196.26,29 APC,9467,RITUXIMABHYALURONIDASE HUMAN 160026800 MG UT/13.4M,27058.0,27058.0,36.87,3652.83,29 APC,9470,ARIPIPRAZOLE LAUROXIL ER 1064 MG/3.9ML IM PRSY,13417.0,13417.0,3.34,1811.3,29 APC,9470,ARIPIPRAZOLE LAUROXIL ER 662 MG/2.4ML IM PRSY,8348.0,8348.0,3.34,1126.98,29 APC,9470,ARIPIPRAZOLE LAUROXIL ER 882 MG/3.2ML IM PRSY,11122.0,11122.0,3.34,1501.47,29 APC,9472,TALIMOGENE LAHERPAREPVEC 1000000 UNIT/ML INTRALESI,240.0,240.0,32.4,222.44,29 APC,9472,TALIMOGENE LAHERPAREPVEC 100000000 UNIT/ML INTRALE,23952.0,23952.0,73.94,3233.52,29 APC,9473,MEPOLIZUMAB 100 MG SC SOLR,12467.0,12467.0,31.88,1683.05,29 APC,9473,MEPOLIZUMAB 100 MG/ML SC SOSY,13280.0,13280.0,31.88,1792.8,29 APC,9474,IRINOTECAN HCL LIPOSOME 43 MG/10ML IV INJ,10206.0,10206.0,65.96,1377.81,29 APC,9477,ELOTUZUMAB 300 MG IV SOLR,8032.0,8032.0,8.04,1084.32,29 APC,9477,ELOTUZUMAB 400 MG IV SOLR,10709.0,10709.0,8.04,1445.72,29 APC,9478,SEBELIPASE ALFA 20 MG/10ML IV SOLN,36756.0,36756.0,540.08,4962.06,29 APC,948,GAMUNEXC 1 G/10 ML IV SOLN (WRAPPER),5103.0,5103.0,49.08,2755.62,232 APC,948,IMMUNE GLOBULIN (HUMAN) 1 GM/10ML INJECTION SOLN,511.0,511.0,49.08,147.64,58 APC,9480,TRABECTEDIN 1 MG IV SOLR,12413.0,12413.0,391.07,1675.76,29 APC,9481,RESLIZUMAB 100 MG/10ML IV SOLN,3856.0,3856.0,11.13,520.56,29 APC,9482,SOTALOL HCL 150 MG/10ML IV SOLN,11866.0,11866.0,18.82,1601.91,30 APC,9483,ATEZOLIZUMAB 1200 MG/20ML IV SOLN,39327.0,39327.0,93.91,5309.15,29 APC,9483,ATEZOLIZUMAB 840 MG/14ML IV SOLN,25694.0,25694.0,93.91,3468.69,29 APC,9484,ETEPLIRSEN 100 MG/2ML IV SOLN,5760.0,5760.0,125.52,777.6,30 APC,9484,ETEPLIRSEN 500 MG/10ML IV SOLN,28800.0,28800.0,125.52,3888.0,30 APC,9487,USTEKINUMAB 130 MG/26ML IV SOLN,7289.0,7289.0,12.49,984.02,29 APC,9489,NUSINERSEN 12 MG/5ML INTRATHECAL SOLN,450000.0,450000.0,1286.15,60750.0,29 APC,9490,BEZLOTOXUMAB 1000 MG/40ML IV SOLN,13680.0,13680.0,39.82,1846.8,29 APC,9491,AVELUMAB 200 MG/10ML IV SOLN,6970.0,6970.0,104.99,940.95,29 APC,9492,DURVALUMAB 120 MG/2.4ML IV SOLN,3567.0,3567.0,86.27,481.55,29 APC,9492,DURVALUMAB 500 MG/10ML IV SOLN,14861.0,14861.0,86.27,2006.24,29 APC,9493,EDARAVONE 30 MG/100ML IV SOLN,2291.0,2291.0,17.47,309.29,58 APC,9494,OCRELIZUMAB 300 MG/10ML IV SOLN,70972.0,70972.0,59.32,9581.22,29 APC,9495,GEMTUZUMAB OZOGAMICIN 4.5 MG IV SOLR,35628.0,35628.0,240.16,4809.78,29 APC,9498,HC CARVYKTI,2500000.0,2500000.0,337500.0,1767884.98,29 APC,9501,HC PLATELET PHERES LEUKOREDUCED,3372.0,3372.0,511.59,2557.95,31 APC,9508,HC FRESH FROZEN PLASMA,483.0,483.0,85.98,386.4,31 APC,9511,HC CRYOPRECIPITATE EACH UNIT,495.0,495.0,71.95,359.75,31 APC,9512,HC LEUKOCYTE POOR RBC,1134.0,1134.0,184.91,907.2,31 APC,9513,HC PLASMA FRZ BETWEEN 8-24HOUR,1519.0,1519.0,73.77,368.85,31 APC,9515,HC PLATELETS EACH UNIT,1193.0,1193.0,53.17,265.85,31 APC,9517,HC RED BLOOD CELLS UNIT,1443.0,1443.0,150.57,752.85,31 APC,9521,HC PLATELETS LEUKOREDUCED IRRAD,1233.0,1233.0,189.59,947.95,31 APC,9522,HC RBC LEUKOREDUCED IRRADIATED,1502.0,1502.0,265.41,1201.6,31 APC,9523,HC CRYOPRECIPITATEREDUCEDPLASMA,1519.0,1519.0,132.05,660.25,31 APC,9526,HC PLATELETS LEUKOCYTES REDUCED,1551.0,1551.0,144.26,721.3,31 APC,9527,HC BLOOD L/R FROZ/DEGLY/WASH,3672.0,3672.0,265.19,1325.95,31 APC,9530,HC PLATE PHERES LEUKOREDU IRRAD,2879.0,2879.0,680.61,2303.2,31 APC,9536,HC PLATELETS PATHOGEN REDUCED,3125.0,3125.0,607.43,2500.0,31 APC,963,ALBUMIN HUMAN 5 IV SOLN,298.0,298.0,23.63,159.68,551 APC,965,ALBUMIN HUMAN 25 IV SOLN,324.0,324.0,14.18,159.68,435 APC,965,ALBUMIN HUMAN 5 IV SOLN (CNR),18.0,18.0,2.43,159.68,29 APR-DRG,001-1,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,,,50000.0,86042.39,9 APR-DRG,001-2,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,,,68173.17,97335.86,9 APR-DRG,001-3,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,,,86729.53,125951.42,9 APR-DRG,001-4,LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,,,120000.0,249408.85,9 APR-DRG,002-1,HEART AND/OR LUNG TRANSPLANT,,,50000.0,158893.02,9 APR-DRG,002-2,HEART AND/OR LUNG TRANSPLANT,,,122954.11,179775.05,9 APR-DRG,002-3,HEART AND/OR LUNG TRANSPLANT,,,140000.0,237409.88,9 APR-DRG,002-4,HEART AND/OR LUNG TRANSPLANT,,,220000.0,475579.21,9 APR-DRG,004-1,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,,,47779.84,74705.65,9 APR-DRG,004-2,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,,,70000.0,107978.11,9 APR-DRG,004-3,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,,,91000.0,168969.83,9 APR-DRG,004-4,TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,,,110000.0,245574.23,9 APR-DRG,005-1,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,,,28593.26,43382.61,9 APR-DRG,005-2,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,,,54901.54,82603.39,9 APR-DRG,005-3,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,,,77000.0,123882.24,9 APR-DRG,005-4,TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,,,88000.0,170700.74,9 APR-DRG,006-1,PANCREAS TRANSPLANT,,,50000.0,73127.83,9 APR-DRG,006-2,PANCREAS TRANSPLANT,,,72732.6,105282.99,9 APR-DRG,006-3,PANCREAS TRANSPLANT,,,85000.0,122121.69,9 APR-DRG,006-4,PANCREAS TRANSPLANT,,,85000.0,158464.61,9 APR-DRG,007-1,ALLOGENEIC BONE MARROW TRANSPLANT,,,67355.47,101453.26,9 APR-DRG,007-2,ALLOGENEIC BONE MARROW TRANSPLANT,,,79955.51,114928.91,9 APR-DRG,007-3,ALLOGENEIC BONE MARROW TRANSPLANT,,,116953.8,163204.24,9 APR-DRG,007-4,ALLOGENEIC BONE MARROW TRANSPLANT,,,200000.0,277045.75,9 APR-DRG,008-1,AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY,,,36989.48,53254.47,9 APR-DRG,008-2,AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY,,,41916.84,63049.79,9 APR-DRG,008-3,AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY,,,54233.46,80330.49,9 APR-DRG,008-4,AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY,,,89540.0,120994.1,9 APR-DRG,009-1,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),,,50000.0,78755.14,9 APR-DRG,009-2,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),,,56331.86,107548.47,9 APR-DRG,009-3,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),,,136097.25,214283.35,9 APR-DRG,009-4,EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),,,139000.0,327322.88,9 APR-DRG,011-1,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,,,50000.0,128163.8,9 APR-DRG,011-2,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,,,50000.0,277752.25,9 APR-DRG,011-3,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,,,213464.0,327335.97,9 APR-DRG,011-4,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,,,50021.0,436128.62,9 APR-DRG,020-1,OPEN CRANIOTOMY FOR TRAUMA,,,19759.59,27694.55,9 APR-DRG,020-2,OPEN CRANIOTOMY FOR TRAUMA,,,25170.17,35809.57,9 APR-DRG,020-3,OPEN CRANIOTOMY FOR TRAUMA,,,34710.65,51174.17,9 APR-DRG,020-4,OPEN CRANIOTOMY FOR TRAUMA,,,51803.23,74116.74,9 APR-DRG,021-1,OPEN CRANIOTOMY EXCEPT TRAUMA,,,23155.4,32677.39,9 APR-DRG,021-2,OPEN CRANIOTOMY EXCEPT TRAUMA,,,30442.56,43222.11,9 APR-DRG,021-3,OPEN CRANIOTOMY EXCEPT TRAUMA,,,42287.4,59704.02,9 APR-DRG,021-4,OPEN CRANIOTOMY EXCEPT TRAUMA,,,62108.61,84838.01,9 APR-DRG,022-1,VENTRICULAR SHUNT PROCEDURES,,,13861.37,19820.27,9 APR-DRG,022-2,VENTRICULAR SHUNT PROCEDURES,,,17336.4,24959.91,9 APR-DRG,022-3,VENTRICULAR SHUNT PROCEDURES,,,26300.35,36639.22,9 APR-DRG,022-4,VENTRICULAR SHUNT PROCEDURES,,,49203.12,66487.46,9 APR-DRG,023-1,SPINAL PROCEDURES,,,16889.26,23894.45,9 APR-DRG,023-2,SPINAL PROCEDURES,,,23907.09,33804.58,9 APR-DRG,023-3,SPINAL PROCEDURES,,,38577.36,53280.4,9 APR-DRG,023-4,SPINAL PROCEDURES,,,58018.32,78399.3,9 APR-DRG,024-1,OPEN EXTRACRANIAL VASCULAR PROCEDURES,,,9779.01,13928.76,9 APR-DRG,024-2,OPEN EXTRACRANIAL VASCULAR PROCEDURES,,,12905.48,18464.68,9 APR-DRG,024-3,OPEN EXTRACRANIAL VASCULAR PROCEDURES,,,23318.23,32887.27,9 APR-DRG,024-4,OPEN EXTRACRANIAL VASCULAR PROCEDURES,,,38046.6,51432.2,9 APR-DRG,026-1,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,,,13621.96,19406.68,9 APR-DRG,026-2,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,,,20701.4,28892.11,9 APR-DRG,026-3,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,,,20702.44,38410.88,9 APR-DRG,026-4,OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,,,45076.76,60911.56,9 APR-DRG,027-1,OTHER OPEN CRANIOTOMY,,,17383.05,25116.7,9 APR-DRG,027-2,OTHER OPEN CRANIOTOMY,,,24681.66,34500.9,9 APR-DRG,027-3,OTHER OPEN CRANIOTOMY,,,36420.87,50140.81,9 APR-DRG,027-4,OTHER OPEN CRANIOTOMY,,,50568.31,71401.85,9 APR-DRG,029-1,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,,,18291.42,25175.96,9 APR-DRG,029-2,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,,,22128.2,31577.36,9 APR-DRG,029-3,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,,,33359.54,45346.86,9 APR-DRG,029-4,OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,,,44920.96,60701.03,9 APR-DRG,030-1,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,,,15443.97,21821.56,9 APR-DRG,030-2,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,,,26345.24,37476.28,9 APR-DRG,030-3,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,,,33861.26,48024.71,9 APR-DRG,030-4,PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,,,45771.23,64716.5,9 APR-DRG,040-1,SPINAL DISORDERS AND INJURIES,,,10559.75,14836.19,9 APR-DRG,040-2,SPINAL DISORDERS AND INJURIES,,,14706.36,20263.49,9 APR-DRG,040-3,SPINAL DISORDERS AND INJURIES,,,20954.9,28316.05,9 APR-DRG,040-4,SPINAL DISORDERS AND INJURIES,,,28344.17,39271.39,9 APR-DRG,041-1,NERVOUS SYSTEM MALIGNANCY,,,7369.03,12085.5,9 APR-DRG,041-2,NERVOUS SYSTEM MALIGNANCY,,,9477.98,14110.24,9 APR-DRG,041-3,NERVOUS SYSTEM MALIGNANCY,,,13649.25,19388.16,9 APR-DRG,041-4,NERVOUS SYSTEM MALIGNANCY,,,21830.7,29499.5,9 APR-DRG,042-1,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,,,7689.42,10728.67,9 APR-DRG,042-2,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,,,9882.87,13734.93,9 APR-DRG,042-3,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,,,14224.02,19470.88,9 APR-DRG,042-4,DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,,,26094.38,35871.3,9 APR-DRG,043-1,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",,,8333.72,14804.09,9 APR-DRG,043-2,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",,,12183.71,21738.84,9 APR-DRG,043-3,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",,,22724.1,32005.77,9 APR-DRG,043-4,"MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",,,41784.81,56816.29,9 APR-DRG,044-1,INTRACRANIAL HEMORRHAGE,,,8511.52,12002.78,9 APR-DRG,044-2,INTRACRANIAL HEMORRHAGE,,,11145.96,15531.27,9 APR-DRG,044-3,INTRACRANIAL HEMORRHAGE,,,15984.41,22011.68,9 APR-DRG,044-4,INTRACRANIAL HEMORRHAGE,,,24816.33,33941.62,9 APR-DRG,045-1,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,,,7241.4,10928.68,9 APR-DRG,045-2,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,,,8339.11,14059.62,9 APR-DRG,045-3,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,,,14293.55,19593.1,9 APR-DRG,045-4,CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,,,23202.05,32482.33,9 APR-DRG,046-1,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,,,7974.6,11148.44,9 APR-DRG,046-2,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,,,9479.12,13815.17,9 APR-DRG,046-3,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,,,12985.58,17877.01,9 APR-DRG,046-4,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,,,23001.36,32267.51,9 APR-DRG,047-1,TRANSIENT ISCHEMIA,,,7161.3,10249.65,9 APR-DRG,047-2,TRANSIENT ISCHEMIA,,,8285.31,11713.88,9 APR-DRG,047-3,TRANSIENT ISCHEMIA,,,11176.77,15103.0,9 APR-DRG,047-4,TRANSIENT ISCHEMIA,,,17956.94,24264.95,9 APR-DRG,048-1,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",,,7114.65,9968.16,9 APR-DRG,048-2,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",,,8683.16,12080.56,9 APR-DRG,048-3,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",,,12780.49,17328.85,9 APR-DRG,048-4,"PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",,,21223.36,30014.36,9 APR-DRG,049-1,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,,,12665.18,17114.28,9 APR-DRG,049-2,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,,,14356.05,20284.48,9 APR-DRG,049-3,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,,,20864.24,29205.7,9 APR-DRG,049-4,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,,,31467.99,45232.04,9 APR-DRG,050-1,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,,,7655.09,11208.93,9 APR-DRG,050-2,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,,,13760.15,20144.97,9 APR-DRG,050-3,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,,,22622.87,30645.24,9 APR-DRG,050-4,NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,,,38408.36,52461.86,9 APR-DRG,051-1,VIRAL MENINGITIS,,,5598.95,8969.37,9 APR-DRG,051-2,VIRAL MENINGITIS,,,8278.27,12165.75,9 APR-DRG,051-3,VIRAL MENINGITIS,,,14043.58,19070.87,9 APR-DRG,051-4,VIRAL MENINGITIS,,,23251.34,31419.19,9 APR-DRG,052-1,ALTERATION IN CONSCIOUSNESS,,,6371.76,8875.54,9 APR-DRG,052-2,ALTERATION IN CONSCIOUSNESS,,,8166.49,11379.31,9 APR-DRG,052-3,ALTERATION IN CONSCIOUSNESS,,,11854.52,16485.61,9 APR-DRG,052-4,ALTERATION IN CONSCIOUSNESS,,,20918.81,28831.61,9 APR-DRG,053-1,SEIZURE,,,5563.74,7934.77,9 APR-DRG,053-2,SEIZURE,,,5337.65,10818.8,9 APR-DRG,053-3,SEIZURE,,,12099.22,17093.04,9 APR-DRG,053-4,SEIZURE,,,24022.39,32461.1,9 APR-DRG,054-1,MIGRAINE AND OTHER HEADACHES,,,6991.42,9766.92,9 APR-DRG,054-2,MIGRAINE AND OTHER HEADACHES,,,8231.62,11713.88,9 APR-DRG,054-3,MIGRAINE AND OTHER HEADACHES,,,11466.35,15494.31,9 APR-DRG,054-4,MIGRAINE AND OTHER HEADACHES,,,18424.33,24896.52,9 APR-DRG,055-1,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,,,7423.6,10179.28,9 APR-DRG,055-2,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,,,10396.03,14249.75,9 APR-DRG,055-3,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,,,16132.29,22061.07,9 APR-DRG,055-4,HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,,,27441.96,38193.59,9 APR-DRG,056-1,"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA",,,9860.75,15455.25,2 APR-DRG,056-2,"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA",,,13660.85,17049.0,2 APR-DRG,056-3,"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA",,,20830.17,106138.11,2 APR-DRG,056-4,"BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA",,,37170.1,75000.0,2 APR-DRG,057-1,"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",,,9743.46,32299.0,2 APR-DRG,057-2,"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",,,10391.12,14090.49,2 APR-DRG,057-3,"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",,,19688.17,23820.37,2 APR-DRG,057-4,"CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",,,33260.12,131673.31,2 APR-DRG,058-1,OTHER DISORDERS OF NERVOUS SYSTEM,,,7943.8,11255.85,9 APR-DRG,058-2,OTHER DISORDERS OF NERVOUS SYSTEM,,,8455.76,16405.36,9 APR-DRG,058-3,OTHER DISORDERS OF NERVOUS SYSTEM,,,16183.34,22762.32,9 APR-DRG,058-4,OTHER DISORDERS OF NERVOUS SYSTEM,,,21970.65,30652.65,9 APR-DRG,059-1,ANOXIC AND OTHER SEVERE BRAIN DAMAGE,,,6968.54,9859.52,9 APR-DRG,059-2,ANOXIC AND OTHER SEVERE BRAIN DAMAGE,,,11158.28,15976.96,9 APR-DRG,059-3,ANOXIC AND OTHER SEVERE BRAIN DAMAGE,,,14425.58,22095.64,9 APR-DRG,059-4,ANOXIC AND OTHER SEVERE BRAIN DAMAGE,,,23826.11,32647.76,9 APR-DRG,073-1,ORBIT AND EYE PROCEDURES,,,9956.81,14143.58,9 APR-DRG,073-2,ORBIT AND EYE PROCEDURES,,,14073.5,19170.87,9 APR-DRG,073-3,ORBIT AND EYE PROCEDURES,,,19516.65,28674.82,9 APR-DRG,073-4,ORBIT AND EYE PROCEDURES,,,35265.17,50801.32,9 APR-DRG,082-1,EYE INFECTIONS AND OTHER EYE DISORDERS,,,6107.7,8643.43,9 APR-DRG,082-2,EYE INFECTIONS AND OTHER EYE DISORDERS,,,8118.08,11201.53,9 APR-DRG,082-3,EYE INFECTIONS AND OTHER EYE DISORDERS,,,11879.17,16476.97,9 APR-DRG,082-4,EYE INFECTIONS AND OTHER EYE DISORDERS,,,21541.11,29108.19,9 APR-DRG,089-1,MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,17515.96,24620.39,9 APR-DRG,089-2,MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,23298.87,32187.26,9 APR-DRG,089-3,MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,39627.44,55233.54,9 APR-DRG,089-4,MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,56595.91,76477.23,9 APR-DRG,091-1,OTHER MAJOR HEAD AND NECK PROCEDURES,,,16631.36,24180.88,9 APR-DRG,091-2,OTHER MAJOR HEAD AND NECK PROCEDURES,,,25982.59,38594.83,9 APR-DRG,091-3,OTHER MAJOR HEAD AND NECK PROCEDURES,,,39366.9,57653.35,9 APR-DRG,091-4,OTHER MAJOR HEAD AND NECK PROCEDURES,,,61161.51,86283.73,9 APR-DRG,092-1,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,15677.22,21838.84,9 APR-DRG,092-2,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,19666.29,27357.5,9 APR-DRG,092-3,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,33091.96,44716.69,9 APR-DRG,092-4,FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,52794.34,71340.21,9 APR-DRG,095-1,CLEFT LIP AND PALATE REPAIR,,,9128.54,13076.88,9 APR-DRG,095-2,CLEFT LIP AND PALATE REPAIR,,,10710.26,14472.62,9 APR-DRG,095-3,CLEFT LIP AND PALATE REPAIR,,,18445.45,24925.07,9 APR-DRG,095-4,CLEFT LIP AND PALATE REPAIR,,,32167.75,46082.68,9 APR-DRG,097-1,TONSIL AND ADENOID PROCEDURES,,,6373.52,9134.81,9 APR-DRG,097-2,TONSIL AND ADENOID PROCEDURES,,,10697.06,14454.78,9 APR-DRG,097-3,TONSIL AND ADENOID PROCEDURES,,,17613.66,23801.08,9 APR-DRG,097-4,TONSIL AND ADENOID PROCEDURES,,,31985.55,43221.61,9 APR-DRG,098-1,"OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES",,,9074.85,13092.93,9 APR-DRG,098-2,"OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES",,,14883.28,21773.41,9 APR-DRG,098-3,"OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES",,,23490.75,33340.37,9 APR-DRG,098-4,"OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES",,,37332.76,53480.4,9 APR-DRG,110-1,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",,,5548.9,12778.11,9 APR-DRG,110-2,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",,,9289.62,14604.08,9 APR-DRG,110-3,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",,,14806.71,20100.52,9 APR-DRG,110-4,"EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",,,25178.97,34524.35,9 APR-DRG,111-1,VERTIGO AND OTHER LABYRINTH DISORDERS,,,6665.75,9270.61,9 APR-DRG,111-2,VERTIGO AND OTHER LABYRINTH DISORDERS,,,7518.66,10333.6,9 APR-DRG,111-3,VERTIGO AND OTHER LABYRINTH DISORDERS,,,9868.79,13528.75,9 APR-DRG,111-4,VERTIGO AND OTHER LABYRINTH DISORDERS,,,15069.01,23485.8,9 APR-DRG,113-1,INFECTIONS OF UPPER RESPIRATORY TRACT,,,3642.26,5312.48,9 APR-DRG,113-2,INFECTIONS OF UPPER RESPIRATORY TRACT,,,5274.15,7676.74,9 APR-DRG,113-3,INFECTIONS OF UPPER RESPIRATORY TRACT,,,8043.26,11959.57,9 APR-DRG,113-4,INFECTIONS OF UPPER RESPIRATORY TRACT,,,15869.99,23032.7,9 APR-DRG,114-1,DENTAL DISEASES AND DISORDERS,,,4711.71,6452.02,9 APR-DRG,114-2,DENTAL DISEASES AND DISORDERS,,,6245.89,8910.11,9 APR-DRG,114-3,DENTAL DISEASES AND DISORDERS,,,10270.16,13877.92,9 APR-DRG,114-4,DENTAL DISEASES AND DISORDERS,,,23050.65,37046.64,9 APR-DRG,115-1,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",,,5388.58,7494.02,9 APR-DRG,115-2,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",,,7645.41,10975.59,9 APR-DRG,115-3,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",,,12062.25,16372.03,9 APR-DRG,115-4,"OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",,,23859.55,32241.07,9 APR-DRG,120-1,MAJOR RESPIRATORY AND CHEST PROCEDURES,,,18391.76,25822.89,9 APR-DRG,120-2,MAJOR RESPIRATORY AND CHEST PROCEDURES,,,22714.42,31982.31,9 APR-DRG,120-3,MAJOR RESPIRATORY AND CHEST PROCEDURES,,,33772.36,48138.28,9 APR-DRG,120-4,MAJOR RESPIRATORY AND CHEST PROCEDURES,,,59315.73,80152.47,9 APR-DRG,121-1,OTHER RESPIRATORY AND CHEST PROCEDURES,,,14427.34,19983.24,9 APR-DRG,121-2,OTHER RESPIRATORY AND CHEST PROCEDURES,,,18524.67,26192.04,9 APR-DRG,121-3,OTHER RESPIRATORY AND CHEST PROCEDURES,,,28439.23,40505.99,9 APR-DRG,121-4,OTHER RESPIRATORY AND CHEST PROCEDURES,,,46492.11,63967.09,9 APR-DRG,130-1,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,,,25245.87,38636.81,9 APR-DRG,130-2,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,,,31993.47,46638.25,9 APR-DRG,130-3,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,,,40480.35,56894.07,9 APR-DRG,130-4,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,,,53446.56,75415.54,9 APR-DRG,131-1,CYSTIC FIBROSIS - PULMONARY DISEASE,,,10421.56,14909.03,9 APR-DRG,131-2,CYSTIC FIBROSIS - PULMONARY DISEASE,,,17370.73,24406.81,9 APR-DRG,131-3,CYSTIC FIBROSIS - PULMONARY DISEASE,,,21674.9,32604.55,9 APR-DRG,131-4,CYSTIC FIBROSIS - PULMONARY DISEASE,,,25588.27,38347.91,9 APR-DRG,132-1,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,,,4547.99,6239.67,9 APR-DRG,132-2,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,,,6728.24,10441.01,9 APR-DRG,132-3,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,,,4993.8,17579.47,9 APR-DRG,132-4,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,,,8949.85,25603.02,9 APR-DRG,133-1,RESPIRATORY FAILURE,,,5679.04,8271.82,9 APR-DRG,133-2,RESPIRATORY FAILURE,,,7648.93,11021.27,9 APR-DRG,133-3,RESPIRATORY FAILURE,,,11944.3,16217.71,9 APR-DRG,133-4,RESPIRATORY FAILURE,,,20558.81,27780.82,9 APR-DRG,134-1,PULMONARY EMBOLISM,,,5425.55,7887.86,9 APR-DRG,134-2,PULMONARY EMBOLISM,,,7244.04,10557.06,9 APR-DRG,134-3,PULMONARY EMBOLISM,,,11469.87,16749.82,9 APR-DRG,134-4,PULMONARY EMBOLISM,,,20462.87,27651.17,9 APR-DRG,135-1,MAJOR CHEST AND RESPIRATORY TRAUMA,,,6862.91,9495.31,9 APR-DRG,135-2,MAJOR CHEST AND RESPIRATORY TRAUMA,,,8772.94,12022.53,9 APR-DRG,135-3,MAJOR CHEST AND RESPIRATORY TRAUMA,,,12882.59,17512.8,9 APR-DRG,135-4,MAJOR CHEST AND RESPIRATORY TRAUMA,,,12100.1,32028.16,9 APR-DRG,136-1,RESPIRATORY MALIGNANCY,,,8361.01,11298.11,9 APR-DRG,136-2,RESPIRATORY MALIGNANCY,,,9369.72,13416.4,9 APR-DRG,136-3,RESPIRATORY MALIGNANCY,,,12930.12,18609.13,9 APR-DRG,136-4,RESPIRATORY MALIGNANCY,,,20858.08,28551.36,9 APR-DRG,137-1,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,,,5594.54,7964.4,9 APR-DRG,137-2,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,,,6538.12,9816.3,9 APR-DRG,137-3,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,,,10087.08,14489.27,9 APR-DRG,137-4,MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,,,19408.39,27266.14,9 APR-DRG,138-1,BRONCHIOLITIS AND RSV PNEUMONIA,,,3251.46,4617.4,9 APR-DRG,138-2,BRONCHIOLITIS AND RSV PNEUMONIA,,,5081.39,7596.49,9 APR-DRG,138-3,BRONCHIOLITIS AND RSV PNEUMONIA,,,9929.52,13417.62,9 APR-DRG,138-4,BRONCHIOLITIS AND RSV PNEUMONIA,,,18883.85,25946.35,9 APR-DRG,139-1,OTHER PNEUMONIA,,,4518.06,6675.48,9 APR-DRG,139-2,OTHER PNEUMONIA,,,6318.95,9147.15,9 APR-DRG,139-3,OTHER PNEUMONIA,,,9702.43,13779.37,9 APR-DRG,139-4,OTHER PNEUMONIA,,,16599.67,22531.45,9 APR-DRG,140-1,CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,5062.02,7480.44,9 APR-DRG,140-2,CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,6362.08,9102.71,9 APR-DRG,140-3,CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,9031.72,12339.83,9 APR-DRG,140-4,CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,16171.02,21874.64,9 APR-DRG,141-1,ASTHMA,,,4122.85,6213.74,9 APR-DRG,141-2,ASTHMA,,,6086.58,8902.7,9 APR-DRG,141-3,ASTHMA,,,9277.3,12536.28,9 APR-DRG,141-4,ASTHMA,,,16661.29,22514.15,9 APR-DRG,142-1,INTERSTITIAL AND ALVEOLAR LUNG DISEASES,,,6643.74,9496.54,9 APR-DRG,142-2,INTERSTITIAL AND ALVEOLAR LUNG DISEASES,,,8707.81,12266.99,9 APR-DRG,142-3,INTERSTITIAL AND ALVEOLAR LUNG DISEASES,,,13615.8,18580.73,9 APR-DRG,142-4,INTERSTITIAL AND ALVEOLAR LUNG DISEASES,,,21296.41,28942.73,9 APR-DRG,143-1,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,5531.17,7876.75,9 APR-DRG,143-2,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,7876.9,11180.54,9 APR-DRG,143-3,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,12336.87,17279.46,9 APR-DRG,143-4,"OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,21571.92,29149.82,9 APR-DRG,144-1,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,5330.49,8060.7,9 APR-DRG,144-2,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,8097.83,11242.27,9 APR-DRG,144-3,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,11420.58,16022.64,9 APR-DRG,144-4,"RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,20364.28,27517.96,9 APR-DRG,145-1,ACUTE BRONCHITIS AND RELATED SYMPTOMS,,,4971.36,7298.96,9 APR-DRG,145-2,ACUTE BRONCHITIS AND RELATED SYMPTOMS,,,6223.89,8991.59,9 APR-DRG,145-3,ACUTE BRONCHITIS AND RELATED SYMPTOMS,,,8678.76,12208.96,9 APR-DRG,145-4,ACUTE BRONCHITIS AND RELATED SYMPTOMS,,,14342.84,20186.94,9 APR-DRG,160-1,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,,,32522.47,45850.57,9 APR-DRG,160-2,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,,,43712.44,64835.01,9 APR-DRG,160-3,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,,,58644.14,86539.29,9 APR-DRG,160-4,MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,,,147311.87,199060.37,9 APR-DRG,161-1,IMPLANTABLE HEART ASSIST SYSTEMS,,,117988.01,187390.06,9 APR-DRG,161-2,IMPLANTABLE HEART ASSIST SYSTEMS,,,134689.81,187390.06,9 APR-DRG,161-3,IMPLANTABLE HEART ASSIST SYSTEMS,,,177349.54,254673.29,9 APR-DRG,161-4,IMPLANTABLE HEART ASSIST SYSTEMS,,,251646.25,340045.89,9 APR-DRG,162-1,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,39735.7,57820.02,9 APR-DRG,162-2,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,48536.81,69389.46,9 APR-DRG,162-3,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,63395.45,91785.1,9 APR-DRG,162-4,CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,92300.31,125474.86,9 APR-DRG,163-1,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,34779.3,48822.26,9 APR-DRG,163-2,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,41310.38,58254.61,9 APR-DRG,163-3,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,54601.39,78931.69,9 APR-DRG,163-4,CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,82415.67,111367.09,9 APR-DRG,165-1,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,37398.78,52961.87,9 APR-DRG,165-2,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,42591.95,59104.01,9 APR-DRG,165-3,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,52529.4,73300.68,9 APR-DRG,165-4,CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,71745.02,98639.6,9 APR-DRG,166-1,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,31565.7,44481.4,9 APR-DRG,166-2,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,36737.75,51659.37,9 APR-DRG,166-3,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,45454.36,64515.26,9 APR-DRG,166-4,CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,62236.23,87936.85,9 APR-DRG,167-1,OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES,,,24326.94,35504.63,9 APR-DRG,167-2,OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES,,,31993.47,44996.23,9 APR-DRG,167-3,OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES,,,42966.03,61347.28,9 APR-DRG,167-4,OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES,,,73238.72,98966.4,9 APR-DRG,169-1,MAJOR ABDOMINAL VASCULAR PROCEDURES,,,25750.22,36405.88,9 APR-DRG,169-2,MAJOR ABDOMINAL VASCULAR PROCEDURES,,,29723.44,43409.77,9 APR-DRG,169-3,MAJOR ABDOMINAL VASCULAR PROCEDURES,,,36574.03,54803.89,9 APR-DRG,169-4,MAJOR ABDOMINAL VASCULAR PROCEDURES,,,55529.11,78402.04,9 APR-DRG,170-1,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK",,,20060.62,30119.3,9 APR-DRG,170-2,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK",,,22957.35,32320.59,9 APR-DRG,170-3,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK",,,33180.86,44836.81,9 APR-DRG,170-4,"PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK",,,55054.69,74394.59,9 APR-DRG,171-1,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",,,14213.45,20889.43,9 APR-DRG,171-2,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",,,17818.75,25298.19,9 APR-DRG,171-3,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",,,24311.98,34291.01,9 APR-DRG,171-4,"PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",,,38220.0,52587.79,9 APR-DRG,174-1,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,,,17610.14,25064.85,9 APR-DRG,174-2,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,,,22442.43,31761.32,9 APR-DRG,174-3,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,,,26805.58,37296.03,9 APR-DRG,174-4,PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,,,38181.27,52903.84,9 APR-DRG,175-1,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,,,19075.67,28641.49,9 APR-DRG,175-2,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,,,24859.46,37851.6,9 APR-DRG,175-3,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,,,30477.77,43423.35,9 APR-DRG,175-4,PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,,,43123.59,59522.53,9 APR-DRG,176-1,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",,,17538.85,24108.03,9 APR-DRG,176-2,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",,,23363.12,32865.05,9 APR-DRG,176-3,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",,,32049.81,44169.05,9 APR-DRG,176-4,"INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",,,46023.85,62267.05,9 APR-DRG,177-1,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,,,13242.59,18368.38,9 APR-DRG,177-2,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,,,20296.51,27859.98,9 APR-DRG,177-3,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,,,26489.59,35794.99,9 APR-DRG,177-4,CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,,,36153.29,49822.29,9 APR-DRG,178-1,EXTERNAL HEART ASSIST SYSTEMS,,,45109.32,61733.7,9 APR-DRG,178-2,EXTERNAL HEART ASSIST SYSTEMS,,,50039.31,68593.14,9 APR-DRG,178-3,EXTERNAL HEART ASSIST SYSTEMS,,,61097.25,84244.17,9 APR-DRG,178-4,EXTERNAL HEART ASSIST SYSTEMS,,,79356.1,107232.74,9 APR-DRG,179-1,DEFIBRILLATOR IMPLANTS,,,31417.82,46192.56,9 APR-DRG,179-2,DEFIBRILLATOR IMPLANTS,,,37227.14,54645.87,9 APR-DRG,179-3,DEFIBRILLATOR IMPLANTS,,,46027.37,66094.31,9 APR-DRG,179-4,DEFIBRILLATOR IMPLANTS,,,60415.1,86789.91,9 APR-DRG,180-1,OTHER CIRCULATORY SYSTEM PROCEDURES,,,13543.62,20021.51,9 APR-DRG,180-2,OTHER CIRCULATORY SYSTEM PROCEDURES,,,15974.73,22775.9,9 APR-DRG,180-3,OTHER CIRCULATORY SYSTEM PROCEDURES,,,20328.2,32932.96,9 APR-DRG,180-4,OTHER CIRCULATORY SYSTEM PROCEDURES,,,39854.53,53854.84,9 APR-DRG,181-1,LOWER EXTREMITY ARTERIAL PROCEDURES,,,15756.44,24158.65,9 APR-DRG,181-2,LOWER EXTREMITY ARTERIAL PROCEDURES,,,23025.13,33192.22,9 APR-DRG,181-3,LOWER EXTREMITY ARTERIAL PROCEDURES,,,31431.03,44335.72,9 APR-DRG,181-4,LOWER EXTREMITY ARTERIAL PROCEDURES,,,46217.49,64523.9,9 APR-DRG,182-1,OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES,,,17355.76,23452.59,9 APR-DRG,182-2,OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES,,,21118.61,28537.27,9 APR-DRG,182-3,OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES,,,25769.59,35766.36,9 APR-DRG,182-4,OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES,,,41166.91,55823.67,9 APR-DRG,183-1,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,,,34871.72,50396.37,9 APR-DRG,183-2,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,,,38109.1,54733.52,9 APR-DRG,183-3,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,,,48099.35,68282.02,9 APR-DRG,183-4,PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,,,67660.01,93966.64,9 APR-DRG,190-1,ACUTE MYOCARDIAL INFARCTION,,,6015.28,11404.0,9 APR-DRG,190-2,ACUTE MYOCARDIAL INFARCTION,,,9447.18,13188.0,9 APR-DRG,190-3,ACUTE MYOCARDIAL INFARCTION,,,12739.12,17617.74,9 APR-DRG,190-4,ACUTE MYOCARDIAL INFARCTION,,,21113.33,29447.68,9 APR-DRG,191-1,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,,,9845.03,13874.43,9 APR-DRG,191-2,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,,,11689.04,16499.19,9 APR-DRG,191-3,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,,,15634.97,22487.0,9 APR-DRG,191-4,CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,,,25332.13,34230.93,9 APR-DRG,192-1,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,10031.63,14500.38,9 APR-DRG,192-2,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,13026.95,18589.37,9 APR-DRG,192-3,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,19173.37,27116.75,9 APR-DRG,192-4,CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,31830.64,44313.5,9 APR-DRG,193-1,ACUTE AND SUBACUTE ENDOCARDITIS,,,10674.17,15296.69,9 APR-DRG,193-2,ACUTE AND SUBACUTE ENDOCARDITIS,,,12237.41,16691.79,9 APR-DRG,193-3,ACUTE AND SUBACUTE ENDOCARDITIS,,,16435.96,22861.09,9 APR-DRG,193-4,ACUTE AND SUBACUTE ENDOCARDITIS,,,23984.54,33593.47,9 APR-DRG,194-1,HEART FAILURE,,,5224.86,7307.6,9 APR-DRG,194-2,HEART FAILURE,,,7085.6,10222.49,9 APR-DRG,194-3,HEART FAILURE,,,11506.84,16674.51,9 APR-DRG,194-4,HEART FAILURE,,,20027.78,32116.88,9 APR-DRG,196-1,CARDIAC ARREST AND SHOCK,,,4729.31,6637.21,9 APR-DRG,196-2,CARDIAC ARREST AND SHOCK,,,6175.48,8344.83,9 APR-DRG,196-3,CARDIAC ARREST AND SHOCK,,,10262.24,13867.21,9 APR-DRG,196-4,CARDIAC ARREST AND SHOCK,,,18933.08,27129.1,9 APR-DRG,197-1,PERIPHERAL AND OTHER VASCULAR DISORDERS,,,5922.86,8228.61,9 APR-DRG,197-2,PERIPHERAL AND OTHER VASCULAR DISORDERS,,,7433.85,10792.87,9 APR-DRG,197-3,PERIPHERAL AND OTHER VASCULAR DISORDERS,,,12440.73,16994.27,9 APR-DRG,197-4,PERIPHERAL AND OTHER VASCULAR DISORDERS,,,22105.32,30205.72,9 APR-DRG,198-1,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,,,5697.53,7873.04,9 APR-DRG,198-2,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,,,6721.2,9295.3,9 APR-DRG,198-3,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,,,8893.53,12231.18,9 APR-DRG,198-4,ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,,,18620.61,25161.76,9 APR-DRG,199-1,HYPERTENSION,,,5914.06,8126.14,9 APR-DRG,199-2,HYPERTENSION,,,6906.04,9552.1,9 APR-DRG,199-3,HYPERTENSION,,,9879.35,14283.09,9 APR-DRG,199-4,HYPERTENSION,,,19232.35,26873.54,9 APR-DRG,200-1,CARDIAC STRUCTURAL AND VALVULAR DISORDERS,,,6399.05,9071.84,9 APR-DRG,200-2,CARDIAC STRUCTURAL AND VALVULAR DISORDERS,,,8479.84,12170.69,9 APR-DRG,200-3,CARDIAC STRUCTURAL AND VALVULAR DISORDERS,,,13139.61,17972.07,9 APR-DRG,200-4,CARDIAC STRUCTURAL AND VALVULAR DISORDERS,,,24280.29,32809.6,9 APR-DRG,201-1,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,,,4593.76,6545.85,9 APR-DRG,201-2,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,,,6251.17,8807.64,9 APR-DRG,201-3,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,,,9431.33,13154.66,9 APR-DRG,201-4,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,,,17341.68,24048.77,9 APR-DRG,203-1,CHEST PAIN,,,5849.8,8203.92,9 APR-DRG,203-2,CHEST PAIN,,,6648.14,9289.13,9 APR-DRG,203-3,CHEST PAIN,,,8335.48,11507.71,9 APR-DRG,203-4,CHEST PAIN,,,14483.67,19571.58,9 APR-DRG,204-1,SYNCOPE AND COLLAPSE,,,6572.45,9178.02,9 APR-DRG,204-2,SYNCOPE AND COLLAPSE,,,7581.15,10408.91,9 APR-DRG,204-3,SYNCOPE AND COLLAPSE,,,9911.92,13393.83,9 APR-DRG,204-4,SYNCOPE AND COLLAPSE,,,16470.28,22256.05,9 APR-DRG,205-1,CARDIOMYOPATHY,,,5754.74,8057.0,9 APR-DRG,205-2,CARDIOMYOPATHY,,,7333.82,9987.91,9 APR-DRG,205-3,CARDIOMYOPATHY,,,10810.6,15690.53,9 APR-DRG,205-4,CARDIOMYOPATHY,,,21593.92,29306.93,9 APR-DRG,206-1,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",,,6194.84,10260.76,9 APR-DRG,206-2,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",,,8904.97,12302.79,9 APR-DRG,206-3,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",,,13371.1,18483.2,9 APR-DRG,206-4,"MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",,,23578.77,32197.13,9 APR-DRG,207-1,OTHER CIRCULATORY SYSTEM DIAGNOSES,,,5589.26,7918.72,9 APR-DRG,207-2,OTHER CIRCULATORY SYSTEM DIAGNOSES,,,7037.19,10373.11,9 APR-DRG,207-3,OTHER CIRCULATORY SYSTEM DIAGNOSES,,,9775.51,14996.69,9 APR-DRG,207-4,OTHER CIRCULATORY SYSTEM DIAGNOSES,,,20837.83,28172.34,9 APR-DRG,220-1,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,15110.38,21263.52,9 APR-DRG,220-2,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,21857.98,30532.89,9 APR-DRG,220-3,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,31413.42,44775.24,9 APR-DRG,220-4,"MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,52586.61,75167.39,9 APR-DRG,222-1,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,8648.84,11780.55,9 APR-DRG,222-2,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,14407.98,20469.67,9 APR-DRG,222-3,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,21953.92,32792.21,9 APR-DRG,222-4,"OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,39527.98,55749.6,9 APR-DRG,223-1,OTHER SMALL AND LARGE BOWEL PROCEDURES,,,11621.27,16512.77,9 APR-DRG,223-2,OTHER SMALL AND LARGE BOWEL PROCEDURES,,,14898.25,21072.15,9 APR-DRG,223-3,OTHER SMALL AND LARGE BOWEL PROCEDURES,,,21108.93,29667.44,9 APR-DRG,223-4,OTHER SMALL AND LARGE BOWEL PROCEDURES,,,25727.95,53265.58,9 APR-DRG,224-1,PERITONEAL ADHESIOLYSIS,,,12753.2,18132.57,9 APR-DRG,224-2,PERITONEAL ADHESIOLYSIS,,,16284.56,22800.59,9 APR-DRG,224-3,PERITONEAL ADHESIOLYSIS,,,24033.83,34135.46,9 APR-DRG,224-4,PERITONEAL ADHESIOLYSIS,,,38560.64,52442.1,9 APR-DRG,226-1,ANAL AND PERINEAL PROCEDURES,,,8727.17,12070.68,9 APR-DRG,226-2,ANAL AND PERINEAL PROCEDURES,,,10687.38,15200.4,9 APR-DRG,226-3,ANAL AND PERINEAL PROCEDURES,,,16461.48,23714.2,9 APR-DRG,226-4,ANAL AND PERINEAL PROCEDURES,,,26608.42,35955.56,9 APR-DRG,227-1,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",,,12064.89,16810.31,9 APR-DRG,227-2,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",,,14935.22,20519.05,9 APR-DRG,227-3,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",,,21997.93,30423.01,9 APR-DRG,227-4,"HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",,,39263.92,53429.78,9 APR-DRG,228-1,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",,,10439.16,14197.9,9 APR-DRG,228-2,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",,,12668.7,17765.89,9 APR-DRG,228-3,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",,,17947.26,24773.48,9 APR-DRG,228-4,"INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",,,31433.67,44273.99,9 APR-DRG,229-1,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,,,11750.66,16388.08,9 APR-DRG,229-2,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,,,16204.46,23284.56,9 APR-DRG,229-3,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,,,25199.22,34547.81,9 APR-DRG,229-4,OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,,,40364.17,55348.35,9 APR-DRG,230-1,MAJOR SMALL BOWEL PROCEDURES,,,11601.02,16806.61,9 APR-DRG,230-2,MAJOR SMALL BOWEL PROCEDURES,,,19235.87,27247.62,9 APR-DRG,230-3,MAJOR SMALL BOWEL PROCEDURES,,,28302.8,40061.54,9 APR-DRG,230-4,MAJOR SMALL BOWEL PROCEDURES,,,45022.18,63583.14,9 APR-DRG,231-1,MAJOR LARGE BOWEL PROCEDURES,,,14330.52,20501.77,9 APR-DRG,231-2,MAJOR LARGE BOWEL PROCEDURES,,,18513.23,26285.87,9 APR-DRG,231-3,MAJOR LARGE BOWEL PROCEDURES,,,26464.06,37802.22,9 APR-DRG,231-4,MAJOR LARGE BOWEL PROCEDURES,,,40267.34,56128.62,9 APR-DRG,232-1,GASTRIC FUNDOPLICATION,,,16794.26,98054.11,2 APR-DRG,232-2,GASTRIC FUNDOPLICATION,,,20900.54,35754.32,2 APR-DRG,232-3,GASTRIC FUNDOPLICATION,,,33320.62,44183.75,2 APR-DRG,232-4,GASTRIC FUNDOPLICATION,,,53461.88,249234.15,2 APR-DRG,233-1,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,,,10336.18,14686.8,9 APR-DRG,233-2,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,,,12988.22,18954.81,9 APR-DRG,233-3,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,,,19998.12,27023.17,9 APR-DRG,233-4,APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,,,32246.97,43574.86,9 APR-DRG,234-1,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,,,9856.47,13727.52,9 APR-DRG,234-2,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,,,12026.16,16749.82,9 APR-DRG,234-3,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,,,18683.98,25789.56,9 APR-DRG,234-4,APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,,,25594.43,37212.08,9 APR-DRG,240-1,DIGESTIVE MALIGNANCY,,,7911.23,10996.58,9 APR-DRG,240-2,DIGESTIVE MALIGNANCY,,,9421.65,13683.07,9 APR-DRG,240-3,DIGESTIVE MALIGNANCY,,,11655.0,19941.26,9 APR-DRG,240-4,DIGESTIVE MALIGNANCY,,,23823.47,32192.3,9 APR-DRG,241-1,PEPTIC ULCER AND GASTRITIS,,,6943.89,9687.91,9 APR-DRG,241-2,PEPTIC ULCER AND GASTRITIS,,,8607.47,11664.5,9 APR-DRG,241-3,PEPTIC ULCER AND GASTRITIS,,,13158.09,17780.34,9 APR-DRG,241-4,PEPTIC ULCER AND GASTRITIS,,,24636.77,33291.31,9 APR-DRG,242-1,MAJOR ESOPHAGEAL DISORDERS,,,6743.2,9111.99,9 APR-DRG,242-2,MAJOR ESOPHAGEAL DISORDERS,,,8401.5,11623.76,9 APR-DRG,242-3,MAJOR ESOPHAGEAL DISORDERS,,,12977.65,17536.51,9 APR-DRG,242-4,MAJOR ESOPHAGEAL DISORDERS,,,24180.83,33708.28,9 APR-DRG,243-1,OTHER ESOPHAGEAL DISORDERS,,,6215.09,8860.72,9 APR-DRG,243-2,OTHER ESOPHAGEAL DISORDERS,,,8085.51,11374.37,9 APR-DRG,243-3,OTHER ESOPHAGEAL DISORDERS,,,11802.59,16125.11,9 APR-DRG,243-4,OTHER ESOPHAGEAL DISORDERS,,,21167.03,29793.37,9 APR-DRG,244-1,DIVERTICULITIS AND DIVERTICULOSIS,,,5084.91,7259.45,9 APR-DRG,244-2,DIVERTICULITIS AND DIVERTICULOSIS,,,7132.25,10006.43,9 APR-DRG,244-3,DIVERTICULITIS AND DIVERTICULOSIS,,,11188.21,15699.17,9 APR-DRG,244-4,DIVERTICULITIS AND DIVERTICULOSIS,,,20511.28,28868.65,9 APR-DRG,245-1,INFLAMMATORY BOWEL DISEASE,,,5891.17,8249.6,9 APR-DRG,245-2,INFLAMMATORY BOWEL DISEASE,,,7912.11,11141.03,9 APR-DRG,245-3,INFLAMMATORY BOWEL DISEASE,,,11450.63,17196.74,9 APR-DRG,245-4,INFLAMMATORY BOWEL DISEASE,,,19911.86,29513.11,9 APR-DRG,246-1,GASTROINTESTINAL VASCULAR INSUFFICIENCY,,,5958.95,8529.85,9 APR-DRG,246-2,GASTROINTESTINAL VASCULAR INSUFFICIENCY,,,7803.84,10894.11,9 APR-DRG,246-3,GASTROINTESTINAL VASCULAR INSUFFICIENCY,,,11792.03,16476.97,9 APR-DRG,246-4,GASTROINTESTINAL VASCULAR INSUFFICIENCY,,,13215.61,26638.96,9 APR-DRG,247-1,INTESTINAL OBSTRUCTION,,,4699.38,6696.47,9 APR-DRG,247-2,INTESTINAL OBSTRUCTION,,,6322.47,8953.32,9 APR-DRG,247-3,INTESTINAL OBSTRUCTION,,,10388.11,14354.69,9 APR-DRG,247-4,INTESTINAL OBSTRUCTION,,,18565.16,25756.23,9 APR-DRG,248-1,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,,,5487.16,7759.46,9 APR-DRG,248-2,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,,,7473.77,10580.52,9 APR-DRG,248-3,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,,,11535.89,16033.75,9 APR-DRG,248-4,MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,,,20381.89,28001.96,9 APR-DRG,249-1,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING",,,5018.89,7170.56,9 APR-DRG,249-2,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING",,,6252.93,8907.64,9 APR-DRG,249-3,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING",,,9614.41,13264.54,9 APR-DRG,249-4,"OTHER GASTROENTERITIS, NAUSEA AND VOMITING",,,17022.17,24410.51,9 APR-DRG,251-1,ABDOMINAL PAIN,,,5748.58,7896.5,9 APR-DRG,251-2,ABDOMINAL PAIN,,,7198.27,9875.57,9 APR-DRG,251-3,ABDOMINAL PAIN,,,9607.37,12983.05,9 APR-DRG,251-4,ABDOMINAL PAIN,,,15372.68,20772.87,9 APR-DRG,252-1,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",,,5799.63,8948.38,9 APR-DRG,252-2,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",,,8220.18,11675.61,9 APR-DRG,252-3,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",,,12661.66,17711.57,9 APR-DRG,252-4,"MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",,,18846.95,32902.09,9 APR-DRG,253-1,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,,,5983.59,8455.78,9 APR-DRG,253-2,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,,,7792.4,10892.88,9 APR-DRG,253-3,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,,,11793.79,16399.19,9 APR-DRG,253-4,OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,,,20566.73,28221.72,9 APR-DRG,254-1,OTHER DIGESTIVE SYSTEM DIAGNOSES,,,5869.17,8352.07,9 APR-DRG,254-2,OTHER DIGESTIVE SYSTEM DIAGNOSES,,,7788.0,10908.93,9 APR-DRG,254-3,OTHER DIGESTIVE SYSTEM DIAGNOSES,,,11684.64,16222.64,9 APR-DRG,254-4,OTHER DIGESTIVE SYSTEM DIAGNOSES,,,20056.21,27390.84,9 APR-DRG,260-1,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",,,18479.78,25858.7,9 APR-DRG,260-2,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",,,24957.16,35330.55,9 APR-DRG,260-3,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",,,33519.74,46830.85,9 APR-DRG,260-4,"MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",,,56272.0,79156.38,9 APR-DRG,261-1,MAJOR BILIARY TRACT PROCEDURES,,,15495.9,22404.29,9 APR-DRG,261-2,MAJOR BILIARY TRACT PROCEDURES,,,22599.11,31621.81,9 APR-DRG,261-3,MAJOR BILIARY TRACT PROCEDURES,,,28281.67,38765.21,9 APR-DRG,261-4,MAJOR BILIARY TRACT PROCEDURES,,,48048.3,73601.91,9 APR-DRG,263-1,CHOLECYSTECTOMY,,,11587.82,16617.72,9 APR-DRG,263-2,CHOLECYSTECTOMY,,,14878.88,20562.26,9 APR-DRG,263-3,CHOLECYSTECTOMY,,,20149.52,28300.74,9 APR-DRG,263-4,CHOLECYSTECTOMY,,,33290.01,47640.75,9 APR-DRG,264-1,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",,,13032.23,18488.14,9 APR-DRG,264-2,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",,,16811.8,23232.7,9 APR-DRG,264-3,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",,,24787.28,34915.72,9 APR-DRG,264-4,"OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",,,44736.99,62747.31,9 APR-DRG,279-1,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,,,5098.99,7180.43,9 APR-DRG,279-2,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,,,7310.93,10371.87,9 APR-DRG,279-3,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,,,12762.01,17812.81,9 APR-DRG,279-4,HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,,,24267.09,33851.5,9 APR-DRG,280-1,ALCOHOLIC LIVER DISEASE,,,6057.53,8676.77,9 APR-DRG,280-2,ALCOHOLIC LIVER DISEASE,,,8287.95,11549.68,9 APR-DRG,280-3,ALCOHOLIC LIVER DISEASE,,,13090.32,18168.37,9 APR-DRG,280-4,ALCOHOLIC LIVER DISEASE,,,26160.39,35716.98,9 APR-DRG,281-1,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,,,7188.59,10729.91,9 APR-DRG,281-2,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,,,8912.9,14346.05,9 APR-DRG,281-3,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,,,14070.86,19459.77,9 APR-DRG,281-4,MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,,,21811.33,29603.24,9 APR-DRG,282-1,DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,5274.15,7523.65,9 APR-DRG,282-2,DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,7214.11,10433.6,9 APR-DRG,282-3,DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,12310.46,17062.17,9 APR-DRG,282-4,DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,25469.44,36257.73,9 APR-DRG,283-1,OTHER DISORDERS OF THE LIVER,,,6028.48,8146.2,9 APR-DRG,283-2,OTHER DISORDERS OF THE LIVER,,,8015.97,11269.43,9 APR-DRG,283-3,OTHER DISORDERS OF THE LIVER,,,12395.84,17179.46,9 APR-DRG,283-4,OTHER DISORDERS OF THE LIVER,,,23406.25,32165.03,9 APR-DRG,284-1,DISORDERS OF GALLBLADDER AND BILIARY TRACT,,,5888.53,9902.73,9 APR-DRG,284-2,DISORDERS OF GALLBLADDER AND BILIARY TRACT,,,9466.54,13302.81,9 APR-DRG,284-3,DISORDERS OF GALLBLADDER AND BILIARY TRACT,,,9626.86,18489.37,9 APR-DRG,284-4,DISORDERS OF GALLBLADDER AND BILIARY TRACT,,,21981.21,31030.44,9 APR-DRG,303-1,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,,,38074.77,54633.52,9 APR-DRG,303-2,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,,,45026.58,63026.33,9 APR-DRG,303-3,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,,,59732.06,86657.81,9 APR-DRG,303-4,DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,,,93630.29,126521.24,9 APR-DRG,304-1,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,,,24585.72,34231.75,9 APR-DRG,304-2,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,,,33242.48,46638.25,9 APR-DRG,304-3,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,,,46525.55,64918.97,9 APR-DRG,304-4,DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,,,65491.21,88497.31,9 APR-DRG,305-1,AMPUTATION OF LOWER LIMB EXCEPT TOES,,,11071.14,15318.92,9 APR-DRG,305-2,AMPUTATION OF LOWER LIMB EXCEPT TOES,,,15055.8,20854.86,9 APR-DRG,305-3,AMPUTATION OF LOWER LIMB EXCEPT TOES,,,23161.56,31923.05,9 APR-DRG,305-4,AMPUTATION OF LOWER LIMB EXCEPT TOES,,,39593.99,53502.78,9 APR-DRG,308-1,HIP AND FEMUR FRACTURE REPAIR,,,13000.54,18170.84,9 APR-DRG,308-2,HIP AND FEMUR FRACTURE REPAIR,,,16809.16,23432.71,9 APR-DRG,308-3,HIP AND FEMUR FRACTURE REPAIR,,,21280.57,29751.39,9 APR-DRG,308-4,HIP AND FEMUR FRACTURE REPAIR,,,31213.62,42870.25,9 APR-DRG,309-1,OTHER SIGNIFICANT HIP AND FEMUR SURGERY,,,14863.04,21225.24,9 APR-DRG,309-2,OTHER SIGNIFICANT HIP AND FEMUR SURGERY,,,19913.62,27805.66,9 APR-DRG,309-3,OTHER SIGNIFICANT HIP AND FEMUR SURGERY,,,27727.15,37923.21,9 APR-DRG,309-4,OTHER SIGNIFICANT HIP AND FEMUR SURGERY,,,39848.37,54512.53,9 APR-DRG,310-1,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,,,12886.11,17647.37,9 APR-DRG,310-2,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,,,17704.32,24203.1,9 APR-DRG,310-3,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,,,25266.11,34882.39,9 APR-DRG,310-4,VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES,,,35722.88,50880.34,9 APR-DRG,312-1,"SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES",,,14983.63,21159.81,9 APR-DRG,312-2,"SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES",,,22065.71,30510.67,9 APR-DRG,312-3,"SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES",,,32819.1,46697.51,9 APR-DRG,312-4,"SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES",,,62813.64,84879.15,9 APR-DRG,313-1,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,,,14023.33,19523.96,9 APR-DRG,313-2,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,,,18918.12,26011.79,9 APR-DRG,313-3,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,,,26684.99,36945.4,9 APR-DRG,313-4,KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,,,40002.4,54652.04,9 APR-DRG,314-1,FOOT AND TOE PROCEDURES,,,9633.78,13570.72,9 APR-DRG,314-2,FOOT AND TOE PROCEDURES,,,12897.56,17888.12,9 APR-DRG,314-3,FOOT AND TOE PROCEDURES,,,19468.24,26914.28,9 APR-DRG,314-4,FOOT AND TOE PROCEDURES,,,31610.59,43173.96,9 APR-DRG,315-1,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",,,12406.4,17432.55,9 APR-DRG,315-2,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",,,18448.09,25329.05,9 APR-DRG,315-3,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",,,24548.75,34272.5,9 APR-DRG,315-4,"SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",,,38513.11,53681.64,9 APR-DRG,316-1,HAND AND WRIST PROCEDURES,,,9753.49,13696.65,9 APR-DRG,316-2,HAND AND WRIST PROCEDURES,,,12879.95,18321.46,9 APR-DRG,316-3,HAND AND WRIST PROCEDURES,,,19748.14,27382.19,9 APR-DRG,316-4,HAND AND WRIST PROCEDURES,,,28263.19,43504.83,9 APR-DRG,317-1,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",,,10913.59,14994.22,9 APR-DRG,317-2,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",,,14218.73,19974.59,9 APR-DRG,317-3,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",,,20590.5,28500.74,9 APR-DRG,317-4,"TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",,,33907.03,48682.75,9 APR-DRG,320-1,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,,,12126.5,16573.27,9 APR-DRG,320-2,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,,,16746.67,23151.22,9 APR-DRG,320-3,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,,,23875.4,33307.04,9 APR-DRG,320-4,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,,,36985.96,50856.88,9 APR-DRG,321-1,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,,,16794.2,23337.64,9 APR-DRG,321-2,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,,,22627.28,31731.69,9 APR-DRG,321-3,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,,,35575.88,49708.7,9 APR-DRG,321-4,SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES,,,49593.05,67014.36,9 APR-DRG,322-1,SHOULDER AND ELBOW JOINT REPLACEMENT,,,16114.68,21953.66,9 APR-DRG,322-2,SHOULDER AND ELBOW JOINT REPLACEMENT,,,19948.83,26956.56,9 APR-DRG,322-3,SHOULDER AND ELBOW JOINT REPLACEMENT,,,26369.0,36241.68,9 APR-DRG,322-4,SHOULDER AND ELBOW JOINT REPLACEMENT,,,37656.67,50884.91,9 APR-DRG,323-1,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,,,15408.76,21640.07,9 APR-DRG,323-2,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,,,18632.05,26134.01,9 APR-DRG,323-3,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,,,24624.45,35146.59,9 APR-DRG,323-4,NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,,,35635.74,49146.96,9 APR-DRG,324-1,ELECTIVE HIP JOINT REPLACEMENT,,,13653.65,18528.88,9 APR-DRG,324-2,ELECTIVE HIP JOINT REPLACEMENT,,,16805.64,22709.21,9 APR-DRG,324-3,ELECTIVE HIP JOINT REPLACEMENT,,,23992.46,33653.96,9 APR-DRG,324-4,ELECTIVE HIP JOINT REPLACEMENT,,,36691.1,49580.14,9 APR-DRG,325-1,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,,,20130.15,28569.88,9 APR-DRG,325-2,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,,,24556.67,35386.11,9 APR-DRG,325-3,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,,,30537.62,42866.55,9 APR-DRG,325-4,NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,,,38006.99,53606.34,9 APR-DRG,326-1,ELECTIVE KNEE JOINT REPLACEMENT,,,13399.27,18267.14,9 APR-DRG,326-2,ELECTIVE KNEE JOINT REPLACEMENT,,,15390.28,20796.66,9 APR-DRG,326-3,ELECTIVE KNEE JOINT REPLACEMENT,,,20299.15,28357.53,9 APR-DRG,326-4,ELECTIVE KNEE JOINT REPLACEMENT,,,33636.8,45452.92,9 APR-DRG,340-1,FRACTURE OF FEMUR,,,5112.2,7143.4,9 APR-DRG,340-2,FRACTURE OF FEMUR,,,6709.76,9066.8,9 APR-DRG,340-3,FRACTURE OF FEMUR,,,10129.33,13687.62,9 APR-DRG,340-4,FRACTURE OF FEMUR,,,15602.41,21083.3,9 APR-DRG,341-1,FRACTURE OF PELVIS OR DISLOCATION OF HIP,,,5674.64,7742.18,9 APR-DRG,341-2,FRACTURE OF PELVIS OR DISLOCATION OF HIP,,,7214.99,9749.51,9 APR-DRG,341-3,FRACTURE OF PELVIS OR DISLOCATION OF HIP,,,10872.22,14691.47,9 APR-DRG,341-4,FRACTURE OF PELVIS OR DISLOCATION OF HIP,,,19803.6,26760.31,9 APR-DRG,342-1,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",,,6099.78,8442.19,9 APR-DRG,342-2,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",,,7998.37,10829.91,9 APR-DRG,342-3,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",,,11439.95,15496.7,9 APR-DRG,342-4,"FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",,,20697.0,28100.73,9 APR-DRG,343-1,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,,,8869.77,12707.74,9 APR-DRG,343-2,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,,,10785.96,15055.95,9 APR-DRG,343-3,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,,,16531.9,22740.1,9 APR-DRG,343-4,MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,,,26149.83,35425.61,9 APR-DRG,344-1,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",,,7101.45,10142.24,9 APR-DRG,344-2,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",,,7023.95,13691.71,9 APR-DRG,344-3,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",,,14477.51,20232.62,9 APR-DRG,344-4,"OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",,,23180.92,32229.23,9 APR-DRG,346-1,CONNECTIVE TISSUE DISORDERS,,,7436.8,10903.99,9 APR-DRG,346-2,CONNECTIVE TISSUE DISORDERS,,,10183.9,15318.92,9 APR-DRG,346-3,CONNECTIVE TISSUE DISORDERS,,,16134.05,22853.68,9 APR-DRG,346-4,CONNECTIVE TISSUE DISORDERS,,,30314.93,41849.24,9 APR-DRG,347-1,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",,,7156.02,9945.94,9 APR-DRG,347-2,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",,,9213.92,12654.65,9 APR-DRG,347-3,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",,,12980.29,17944.91,9 APR-DRG,347-4,"OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",,,22210.94,30013.32,9 APR-DRG,349-1,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",,,6486.19,8990.36,9 APR-DRG,349-2,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",,,8893.53,12284.27,9 APR-DRG,349-3,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",,,9420.6,17724.44,9 APR-DRG,349-4,"MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",,,21835.98,29506.64,9 APR-DRG,351-1,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,,,5727.45,8118.73,9 APR-DRG,351-2,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,,,7395.43,10169.4,9 APR-DRG,351-3,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,,,10955.84,14963.35,9 APR-DRG,351-4,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,,,19631.96,26528.38,9 APR-DRG,361-1,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,,,16248.47,22674.66,9 APR-DRG,361-2,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,,,21469.81,30236.59,9 APR-DRG,361-3,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,,,10801.65,41657.87,9 APR-DRG,361-4,SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,,,56868.78,76845.95,9 APR-DRG,362-1,MASTECTOMY PROCEDURES,,,15518.79,21722.79,9 APR-DRG,362-2,MASTECTOMY PROCEDURES,,,23300.63,32676.16,9 APR-DRG,362-3,MASTECTOMY PROCEDURES,,,25310.12,34201.2,9 APR-DRG,362-4,MASTECTOMY PROCEDURES,,,27958.64,42381.35,9 APR-DRG,363-1,BREAST PROCEDURES EXCEPT MASTECTOMY,,,13297.17,18457.27,9 APR-DRG,363-2,BREAST PROCEDURES EXCEPT MASTECTOMY,,,21116.85,29436.57,9 APR-DRG,363-3,BREAST PROCEDURES EXCEPT MASTECTOMY,,,28657.52,40226.97,9 APR-DRG,363-4,BREAST PROCEDURES EXCEPT MASTECTOMY,,,30188.19,43667.8,9 APR-DRG,364-1,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",,,8297.64,11605.24,9 APR-DRG,364-2,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",,,10991.04,15316.45,9 APR-DRG,364-3,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",,,18301.1,25285.84,9 APR-DRG,364-4,"OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",,,32545.36,43978.07,9 APR-DRG,380-1,SKIN ULCERS,,,5278.55,8016.26,9 APR-DRG,380-2,SKIN ULCERS,,,7422.72,10268.17,9 APR-DRG,380-3,SKIN ULCERS,,,11497.16,15806.58,9 APR-DRG,380-4,SKIN ULCERS,,,19942.67,27571.09,9 APR-DRG,381-1,MAJOR SKIN DISORDERS,,,4587.6,6556.96,9 APR-DRG,381-2,MAJOR SKIN DISORDERS,,,8669.96,11715.59,9 APR-DRG,381-3,MAJOR SKIN DISORDERS,,,14427.34,19495.46,9 APR-DRG,381-4,MAJOR SKIN DISORDERS,,,30545.55,41275.75,9 APR-DRG,382-1,MALIGNANT BREAST DISORDERS,,,7973.72,10774.77,9 APR-DRG,382-2,MALIGNANT BREAST DISORDERS,,,8501.84,12767.0,9 APR-DRG,382-3,MALIGNANT BREAST DISORDERS,,,12593.01,17191.81,9 APR-DRG,382-4,MALIGNANT BREAST DISORDERS,,,22468.84,30361.81,9 APR-DRG,383-1,CELLULITIS AND OTHER SKIN INFECTIONS,,,4644.81,6595.23,9 APR-DRG,383-2,CELLULITIS AND OTHER SKIN INFECTIONS,,,6399.05,8871.84,9 APR-DRG,383-3,CELLULITIS AND OTHER SKIN INFECTIONS,,,10068.6,13758.38,9 APR-DRG,383-4,CELLULITIS AND OTHER SKIN INFECTIONS,,,18890.76,26345.13,9 APR-DRG,384-1,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",,,7145.46,9739.76,9 APR-DRG,384-2,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",,,8611.87,11975.62,9 APR-DRG,384-3,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",,,12133.54,17032.54,9 APR-DRG,384-4,"CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",,,21824.53,29491.17,9 APR-DRG,385-1,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",,,5048.82,7438.47,9 APR-DRG,385-2,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",,,7195.63,9723.34,9 APR-DRG,385-3,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",,,11215.5,15678.19,9 APR-DRG,385-4,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",,,22369.38,30227.41,9 APR-DRG,401-1,ADRENAL PROCEDURES,,,12083.37,17262.18,9 APR-DRG,401-2,ADRENAL PROCEDURES,,,17147.16,23591.97,9 APR-DRG,401-3,ADRENAL PROCEDURES,,,28968.23,43817.19,9 APR-DRG,401-4,ADRENAL PROCEDURES,,,49219.84,70032.68,9 APR-DRG,403-1,PROCEDURES FOR OBESITY,,,10675.05,15297.93,9 APR-DRG,403-2,PROCEDURES FOR OBESITY,,,13243.47,18912.84,9 APR-DRG,403-3,PROCEDURES FOR OBESITY,,,22166.93,31195.87,9 APR-DRG,403-4,PROCEDURES FOR OBESITY,,,42467.84,61944.83,9 APR-DRG,404-1,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",,,10878.38,15412.75,9 APR-DRG,404-2,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",,,15034.68,21711.68,9 APR-DRG,404-3,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",,,25544.26,35975.01,9 APR-DRG,404-4,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",,,52113.06,70419.61,9 APR-DRG,405-1,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",,,12740.0,18211.58,9 APR-DRG,405-2,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",,,16087.4,22121.56,9 APR-DRG,405-3,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",,,24275.01,32939.13,9 APR-DRG,405-4,"OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",,,42564.66,62870.77,9 APR-DRG,420-1,DIABETES,,,5093.71,7071.79,9 APR-DRG,420-2,DIABETES,,,6696.55,9257.03,9 APR-DRG,420-3,DIABETES,,,10230.55,14011.48,9 APR-DRG,420-4,DIABETES,,,18822.18,26314.26,9 APR-DRG,421-1,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",,,4327.5,7139.69,9 APR-DRG,421-2,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",,,8086.39,10927.02,9 APR-DRG,421-3,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",,,12277.02,16589.75,9 APR-DRG,421-4,"MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",,,21006.83,28386.22,9 APR-DRG,422-1,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,,,4232.88,6003.86,9 APR-DRG,422-2,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,,,5870.93,8098.98,9 APR-DRG,422-3,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,,,8618.91,11817.59,9 APR-DRG,422-4,HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,,,14726.61,19899.85,9 APR-DRG,423-1,INBORN ERRORS OF METABOLISM,,,6916.6,9481.73,9 APR-DRG,423-2,INBORN ERRORS OF METABOLISM,,,9809.82,13329.98,9 APR-DRG,423-3,INBORN ERRORS OF METABOLISM,,,14132.48,20398.06,9 APR-DRG,423-4,INBORN ERRORS OF METABOLISM,,,22756.85,73023.21,9 APR-DRG,424-1,OTHER ENDOCRINE DISORDERS,,,5898.21,8263.18,9 APR-DRG,424-2,OTHER ENDOCRINE DISORDERS,,,8375.09,11970.68,9 APR-DRG,424-3,OTHER ENDOCRINE DISORDERS,,,12556.92,17998.0,9 APR-DRG,424-4,OTHER ENDOCRINE DISORDERS,,,21676.66,29291.35,9 APR-DRG,425-1,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,,,4750.43,6575.48,9 APR-DRG,425-2,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,,,6399.05,8778.01,9 APR-DRG,425-3,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,,,9440.13,12994.16,9 APR-DRG,425-4,OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,,,18497.38,25430.29,9 APR-DRG,426-1,NON-HYPOVOLEMIC SODIUM DISORDERS,,,4921.19,6859.44,9 APR-DRG,426-2,NON-HYPOVOLEMIC SODIUM DISORDERS,,,6620.86,9278.02,9 APR-DRG,426-3,NON-HYPOVOLEMIC SODIUM DISORDERS,,,10354.66,14221.36,9 APR-DRG,426-4,NON-HYPOVOLEMIC SODIUM DISORDERS,,,18202.52,25113.0,9 APR-DRG,427-1,THYROID DISORDERS,,,5293.52,7539.7,9 APR-DRG,427-2,THYROID DISORDERS,,,7258.15,10358.48,9 APR-DRG,427-3,THYROID DISORDERS,,,12318.39,16645.65,9 APR-DRG,427-4,THYROID DISORDERS,,,21620.33,30024.24,9 APR-DRG,440-1,KIDNEY TRANSPLANT,,,46851.23,66619.01,9 APR-DRG,440-2,KIDNEY TRANSPLANT,,,50461.81,71187.04,9 APR-DRG,440-3,KIDNEY TRANSPLANT,,,57306.24,83533.04,9 APR-DRG,440-4,KIDNEY TRANSPLANT,,,87122.98,122863.69,9 APR-DRG,441-1,MAJOR BLADDER PROCEDURES,,,20322.91,29463.73,9 APR-DRG,441-2,MAJOR BLADDER PROCEDURES,,,25771.35,36710.83,9 APR-DRG,441-3,MAJOR BLADDER PROCEDURES,,,33612.16,47424.69,9 APR-DRG,441-4,MAJOR BLADDER PROCEDURES,,,55640.9,75186.74,9 APR-DRG,442-1,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,,,13742.55,19594.34,9 APR-DRG,442-2,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,,,16156.93,22970.97,9 APR-DRG,442-3,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,,,25034.62,35320.67,9 APR-DRG,442-4,KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,,,43655.23,58990.67,9 APR-DRG,443-1,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,,,13156.33,18589.37,9 APR-DRG,443-2,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,,,15882.31,22332.68,9 APR-DRG,443-3,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,,,21734.75,30466.22,9 APR-DRG,443-4,KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,,,37709.49,50956.27,9 APR-DRG,444-1,RENAL DIALYSIS ACCESS DEVICE PROCEDURES,,,12012.96,17686.88,9 APR-DRG,444-2,RENAL DIALYSIS ACCESS DEVICE PROCEDURES,,,17809.07,24372.24,9 APR-DRG,444-3,RENAL DIALYSIS ACCESS DEVICE PROCEDURES,,,24497.7,34637.94,9 APR-DRG,444-4,RENAL DIALYSIS ACCESS DEVICE PROCEDURES,,,38704.99,55210.08,9 APR-DRG,445-1,OTHER BLADDER PROCEDURES,,,10435.64,15201.63,9 APR-DRG,445-2,OTHER BLADDER PROCEDURES,,,14582.26,20980.79,9 APR-DRG,445-3,OTHER BLADDER PROCEDURES,,,19994.6,28479.75,9 APR-DRG,445-4,OTHER BLADDER PROCEDURES,,,29792.98,42718.39,9 APR-DRG,446-1,URETHRAL AND TRANSURETHRAL PROCEDURES,,,9375.88,13160.84,9 APR-DRG,446-2,URETHRAL AND TRANSURETHRAL PROCEDURES,,,11838.68,17109.09,9 APR-DRG,446-3,URETHRAL AND TRANSURETHRAL PROCEDURES,,,18476.26,25671.04,9 APR-DRG,446-4,URETHRAL AND TRANSURETHRAL PROCEDURES,,,28734.1,40970.2,9 APR-DRG,447-1,"OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES",,,14000.45,18918.6,9 APR-DRG,447-2,"OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES",,,16242.31,22668.49,9 APR-DRG,447-3,"OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES",,,24790.8,33720.63,9 APR-DRG,447-4,"OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES",,,42856.89,58955.85,9 APR-DRG,461-1,KIDNEY AND URINARY TRACT MALIGNANCY,,,7428.88,10478.05,9 APR-DRG,461-2,KIDNEY AND URINARY TRACT MALIGNANCY,,,8700.77,12512.67,9 APR-DRG,461-3,KIDNEY AND URINARY TRACT MALIGNANCY,,,13401.91,19025.19,9 APR-DRG,461-4,KIDNEY AND URINARY TRACT MALIGNANCY,,,11523.76,32725.54,9 APR-DRG,462-1,NEPHRITIS AND NEPHROSIS,,,5655.28,7997.74,9 APR-DRG,462-2,NEPHRITIS AND NEPHROSIS,,,8045.02,11357.09,9 APR-DRG,462-3,NEPHRITIS AND NEPHROSIS,,,15256.49,21247.47,9 APR-DRG,462-4,NEPHRITIS AND NEPHROSIS,,,29288.62,39577.29,9 APR-DRG,463-1,KIDNEY AND URINARY TRACT INFECTIONS,,,5105.15,7137.22,9 APR-DRG,463-2,KIDNEY AND URINARY TRACT INFECTIONS,,,6426.33,9161.97,9 APR-DRG,463-3,KIDNEY AND URINARY TRACT INFECTIONS,,,9150.55,12510.2,9 APR-DRG,463-4,KIDNEY AND URINARY TRACT INFECTIONS,,,15123.58,20828.94,9 APR-DRG,465-1,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,,,4418.6,8865.66,9 APR-DRG,465-2,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,,,4988.75,10864.48,9 APR-DRG,465-3,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,,,11711.05,15888.07,9 APR-DRG,465-4,URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,,,21825.41,29492.36,9 APR-DRG,466-1,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",,,5566.38,7968.11,9 APR-DRG,466-2,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",,,7244.92,10254.59,9 APR-DRG,466-3,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",,,7768.65,16078.2,9 APR-DRG,466-4,"MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",,,19841.45,27122.93,9 APR-DRG,468-1,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",,,5319.92,7677.98,9 APR-DRG,468-2,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",,,7161.3,9982.98,9 APR-DRG,468-3,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",,,10845.81,15462.13,9 APR-DRG,468-4,"OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",,,20854.55,28180.45,9 APR-DRG,469-1,ACUTE KIDNEY INJURY,,,4844.62,6853.26,9 APR-DRG,469-2,ACUTE KIDNEY INJURY,,,6650.78,9694.08,9 APR-DRG,469-3,ACUTE KIDNEY INJURY,,,12058.73,16617.72,9 APR-DRG,469-4,ACUTE KIDNEY INJURY,,,24057.6,32508.68,9 APR-DRG,470-1,CHRONIC KIDNEY DISEASE,,,5166.77,7431.06,9 APR-DRG,470-2,CHRONIC KIDNEY DISEASE,,,6438.66,10234.83,9 APR-DRG,470-3,CHRONIC KIDNEY DISEASE,,,11932.86,16124.7,9 APR-DRG,470-4,CHRONIC KIDNEY DISEASE,,,22500.53,30404.63,9 APR-DRG,480-1,MAJOR MALE PELVIC PROCEDURES,,,51105.65,51105.65,1 APR-DRG,480-2,MAJOR MALE PELVIC PROCEDURES,,,53166.39,53166.39,1 APR-DRG,480-3,MAJOR MALE PELVIC PROCEDURES,,,39332.92,39332.92,1 APR-DRG,480-4,MAJOR MALE PELVIC PROCEDURES,,,406155.2,406155.2,1 APR-DRG,482-1,TRANSURETHRAL PROSTATECTOMY,,,8348.69,11459.56,9 APR-DRG,482-2,TRANSURETHRAL PROSTATECTOMY,,,11302.64,16210.3,9 APR-DRG,482-3,TRANSURETHRAL PROSTATECTOMY,,,18094.25,26374.76,9 APR-DRG,482-4,TRANSURETHRAL PROSTATECTOMY,,,27979.77,37808.65,9 APR-DRG,483-1,"PENIS, TESTES AND SCROTAL PROCEDURES",,,10093.24,13670.73,9 APR-DRG,483-2,"PENIS, TESTES AND SCROTAL PROCEDURES",,,14487.2,20854.86,9 APR-DRG,483-3,"PENIS, TESTES AND SCROTAL PROCEDURES",,,20990.11,31469.95,9 APR-DRG,483-4,"PENIS, TESTES AND SCROTAL PROCEDURES",,,38816.78,54958.22,9 APR-DRG,484-1,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,12115.06,16762.16,9 APR-DRG,484-2,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,15445.73,20871.59,9 APR-DRG,484-3,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,24861.22,33594.6,9 APR-DRG,484-4,OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,46436.66,62749.17,9 APR-DRG,500-1,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM",,,6792.5,10020.01,9 APR-DRG,500-2,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM",,,8417.34,11865.74,9 APR-DRG,500-3,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM",,,12803.37,17932.56,9 APR-DRG,500-4,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM",,,20269.22,28084.68,9 APR-DRG,501-1,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,,,5016.25,7552.05,9 APR-DRG,501-2,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,,,6971.18,9652.1,9 APR-DRG,501-3,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,,,10735.79,14507.11,9 APR-DRG,501-4,MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,,,21775.24,29477.31,9 APR-DRG,510-1,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES",,,64646.12,64646.12,1 APR-DRG,510-2,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES",,,43634.24,43634.24,1 APR-DRG,510-3,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES",,,40962.37,40962.37,1 APR-DRG,510-4,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES",,,137644.7,137644.7,1 APR-DRG,511-1,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY,,,13740.79,19777.06,9 APR-DRG,511-2,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY,,,16457.08,23891.98,9 APR-DRG,511-3,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY,,,26186.8,36557.74,9 APR-DRG,511-4,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY,,,46039.69,66837.54,9 APR-DRG,512-1,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,,,19649.89,55265.66,2 APR-DRG,512-2,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,,,22569.72,58083.26,2 APR-DRG,512-3,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,,,37289.86,48954.25,2 APR-DRG,512-4,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,,,63941.16,81000.0,2 APR-DRG,513-1,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,,,10180.38,14722.6,9 APR-DRG,513-2,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,,,12965.33,18130.1,9 APR-DRG,513-3,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,,,20234.89,29903.25,9 APR-DRG,513-4,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,,,40784.9,55112.03,9 APR-DRG,514-1,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,11119.55,15025.69,9 APR-DRG,514-2,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,16785.39,22681.86,9 APR-DRG,514-3,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,22704.73,30680.57,9 APR-DRG,514-4,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,,,47066.88,63600.79,9 APR-DRG,517-1,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,,,8490.4,11472.95,9 APR-DRG,517-2,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,,,11137.16,15531.27,9 APR-DRG,517-3,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,,,17585.5,23763.02,9 APR-DRG,517-4,DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,,,26689.39,36064.99,9 APR-DRG,518-1,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,8953.38,12616.38,9 APR-DRG,518-2,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,15114.78,21148.7,9 APR-DRG,518-3,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,23260.14,33329.26,9 APR-DRG,518-4,OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,36857.45,55259.46,9 APR-DRG,519-1,UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA,,,9738.52,13680.6,9 APR-DRG,519-2,UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA,,,12872.91,17994.3,9 APR-DRG,519-3,UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA,,,22400.18,32704.55,9 APR-DRG,519-4,UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA,,,35235.25,54118.69,9 APR-DRG,530-1,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,6784.57,9938.53,9 APR-DRG,530-2,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,8816.07,12495.39,9 APR-DRG,530-3,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,13729.34,19165.93,9 APR-DRG,530-4,FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,22519.01,30429.61,9 APR-DRG,531-1,FEMALE REPRODUCTIVE SYSTEM INFECTIONS,,,4040.15,7348.34,9 APR-DRG,531-2,FEMALE REPRODUCTIVE SYSTEM INFECTIONS,,,7009.9,9695.31,9 APR-DRG,531-3,FEMALE REPRODUCTIVE SYSTEM INFECTIONS,,,11997.99,16268.32,9 APR-DRG,531-4,FEMALE REPRODUCTIVE SYSTEM INFECTIONS,,,19216.5,30163.75,9 APR-DRG,532-1,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,,,5293.52,7218.71,9 APR-DRG,532-2,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,,,6996.7,9575.56,9 APR-DRG,532-3,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,,,10122.29,13678.1,9 APR-DRG,532-4,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,,,18780.81,25378.23,9 APR-DRG,539-1,CESAREAN SECTION WITH STERILIZATION,,,5651.76,7991.57,9 APR-DRG,539-2,CESAREAN SECTION WITH STERILIZATION,,,7369.91,10431.14,9 APR-DRG,539-3,CESAREAN SECTION WITH STERILIZATION,,,14216.09,20346.21,9 APR-DRG,539-4,CESAREAN SECTION WITH STERILIZATION,,,30476.01,41181.79,9 APR-DRG,540-1,CESAREAN SECTION WITHOUT STERILIZATION,,,5627.99,7964.4,9 APR-DRG,540-2,CESAREAN SECTION WITHOUT STERILIZATION,,,7193.87,10178.04,9 APR-DRG,540-3,CESAREAN SECTION WITHOUT STERILIZATION,,,11064.98,15451.02,9 APR-DRG,540-4,CESAREAN SECTION WITHOUT STERILIZATION,,,25002.05,34912.59,9 APR-DRG,541-1,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,,,5504.76,7908.85,9 APR-DRG,541-2,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,,,6148.19,8794.06,9 APR-DRG,541-3,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,,,8976.27,12957.13,9 APR-DRG,541-4,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,,,15898.15,26643.9,9 APR-DRG,542-1,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,,,3815.66,5400.14,9 APR-DRG,542-2,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,,,4716.99,6595.23,9 APR-DRG,542-3,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,,,8801.11,12400.32,9 APR-DRG,542-4,VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,,,25053.1,34983.87,9 APR-DRG,543-1,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,5691.37,7832.3,9 APR-DRG,543-2,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,7141.93,9953.35,9 APR-DRG,543-3,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,11101.95,16190.54,9 APR-DRG,543-4,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,26570.57,35904.42,9 APR-DRG,547-1,ANTEPARTUM WITH O.R. PROCEDURE,,,5589.26,8013.79,9 APR-DRG,547-2,ANTEPARTUM WITH O.R. PROCEDURE,,,10592.31,14667.05,9 APR-DRG,547-3,ANTEPARTUM WITH O.R. PROCEDURE,,,16043.39,22952.45,9 APR-DRG,547-4,ANTEPARTUM WITH O.R. PROCEDURE,,,30611.56,44097.44,9 APR-DRG,548-1,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,,,4399.5,6205.1,9 APR-DRG,548-2,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,,,11014.81,15167.06,9 APR-DRG,548-3,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,,,17708.72,23929.54,9 APR-DRG,548-4,POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,,,32926.48,45295.0,9 APR-DRG,560-1,VAGINAL DELIVERY,,,3380.84,4745.8,9 APR-DRG,560-2,VAGINAL DELIVERY,,,3901.04,5497.67,9 APR-DRG,560-3,VAGINAL DELIVERY,,,5899.97,8310.09,9 APR-DRG,560-4,VAGINAL DELIVERY,,,12156.43,16585.62,9 APR-DRG,561-1,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,,,2599.23,3803.8,9 APR-DRG,561-2,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,,,4321.78,6245.84,9 APR-DRG,561-3,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,,,8024.77,11227.45,9 APR-DRG,561-4,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,,,16958.79,23479.62,9 APR-DRG,564-1,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,3447.74,4787.78,9 APR-DRG,564-2,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,4700.26,6707.58,9 APR-DRG,564-3,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,8008.93,11291.65,9 APR-DRG,564-4,"ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,15775.81,24469.77,9 APR-DRG,566-1,ANTEPARTUM WITHOUT O.R. PROCEDURE,,,2902.02,4158.13,9 APR-DRG,566-2,ANTEPARTUM WITHOUT O.R. PROCEDURE,,,4304.17,6031.02,9 APR-DRG,566-3,ANTEPARTUM WITHOUT O.R. PROCEDURE,,,7792.4,11123.75,9 APR-DRG,566-4,ANTEPARTUM WITHOUT O.R. PROCEDURE,,,17583.74,23760.64,9 APR-DRG,580-1,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE",,,2975.07,4107.51,9 APR-DRG,580-2,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE",,,4167.74,6450.78,9 APR-DRG,580-3,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE",,,8245.7,12731.2,9 APR-DRG,580-4,"NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE",,,15503.83,20950.09,9 APR-DRG,581-1,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",,,982.3,1438.19,9 APR-DRG,581-2,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",,,1742.79,2551.63,9 APR-DRG,581-3,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",,,3538.4,5180.57,9 APR-DRG,581-4,"NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",,,7732.3,12179.5,9 APR-DRG,583-1,NEONATE WITH ECMO,,,197852.01,298990.49,9 APR-DRG,583-2,NEONATE WITH ECMO,,,231932.44,339572.45,9 APR-DRG,583-3,NEONATE WITH ECMO,,,302067.57,442257.35,9 APR-DRG,583-4,NEONATE WITH ECMO,,,499560.46,761706.22,9 APR-DRG,588-1,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,163392.22,239222.67,9 APR-DRG,588-2,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,,,174515.3,266243.96,9 APR-DRG,588-3,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,,,185637.49,310709.31,9 APR-DRG,588-4,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,,,334024.96,489046.19,9 APR-DRG,589-1,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION",,,153901.03,217467.38,9 APR-DRG,589-2,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION",,,153787.49,217467.38,9 APR-DRG,589-3,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION",,,153675.7,217467.39,9 APR-DRG,589-4,"NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION",,,3789.26,5120.37,9 APR-DRG,591-1,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,,,11909.97,42025.78,9 APR-DRG,591-2,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,,,121413.77,197894.04,9 APR-DRG,591-3,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,,,157428.87,230723.29,9 APR-DRG,591-4,NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,,,216414.53,316852.67,9 APR-DRG,593-1,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,,,71173.77,120441.4,9 APR-DRG,593-2,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,,,105934.59,158259.67,9 APR-DRG,593-3,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,,,136926.4,196759.44,9 APR-DRG,593-4,NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,,,201204.69,271884.95,9 APR-DRG,602-1,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,59055.19,86462.75,9 APR-DRG,602-2,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,86064.98,126007.8,9 APR-DRG,602-3,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,111240.43,162867.2,9 APR-DRG,602-4,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,147964.09,216634.34,9 APR-DRG,603-1,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,11195.35,24673.45,9 APR-DRG,603-2,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,50448.6,73861.84,9 APR-DRG,603-3,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,66918.89,97976.0,9 APR-DRG,603-4,NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,109189.56,159864.52,9 APR-DRG,607-1,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,38331.79,57338.53,9 APR-DRG,607-2,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,59334.21,86871.26,9 APR-DRG,607-3,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,81744.08,119681.57,9 APR-DRG,607-4,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,104197.08,156628.76,9 APR-DRG,608-1,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,22590.31,33074.49,9 APR-DRG,608-2,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,38429.49,56264.64,9 APR-DRG,608-3,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,59798.08,87550.41,9 APR-DRG,608-4,NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,64442.01,94349.59,9 APR-DRG,609-1,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,,,41841.14,61259.65,9 APR-DRG,609-2,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,,,52292.62,76561.66,9 APR-DRG,609-3,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,,,79827.01,116874.78,9 APR-DRG,609-4,NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,,,245820.21,359905.56,9 APR-DRG,611-1,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,,,15642.9,22902.78,9 APR-DRG,611-2,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,,,29845.79,43697.24,9 APR-DRG,611-3,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,,,48307.96,70727.73,9 APR-DRG,611-4,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,,,97689.76,143027.66,9 APR-DRG,612-1,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,25222.98,36928.99,9 APR-DRG,612-2,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,35820.58,52444.94,9 APR-DRG,612-3,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,55858.31,81782.19,9 APR-DRG,612-4,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,86953.1,127308.1,9 APR-DRG,613-1,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,17607.5,26330.31,9 APR-DRG,613-2,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,30762.96,45040.07,9 APR-DRG,613-3,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,50710.9,74245.87,9 APR-DRG,613-4,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,96715.39,141601.06,9 APR-DRG,614-1,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,,,12180.19,17833.03,9 APR-DRG,614-2,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,,,24782.88,36284.64,9 APR-DRG,614-3,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,,,39650.32,58165.71,9 APR-DRG,614-4,NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,,,60518.08,88604.57,9 APR-DRG,621-1,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,,,5957.19,8721.92,9 APR-DRG,621-2,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,,,18409.36,26953.16,9 APR-DRG,621-3,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,,,35628.69,52164.0,9 APR-DRG,621-4,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,,,72471.19,106105.11,9 APR-DRG,622-1,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,14919.37,21843.47,9 APR-DRG,622-2,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,22660.72,33177.58,9 APR-DRG,622-3,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,35574.12,52084.1,9 APR-DRG,622-4,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,47343.26,69315.31,9 APR-DRG,623-1,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,11435.55,16742.79,9 APR-DRG,623-2,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,19374.06,28365.58,9 APR-DRG,623-3,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,28874.93,54068.07,9 APR-DRG,623-4,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,51325.28,75145.39,9 APR-DRG,625-1,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,11677.6,17097.18,9 APR-DRG,625-2,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,17542.37,25683.79,9 APR-DRG,625-3,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,29851.95,43706.26,9 APR-DRG,625-4,NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,63566.21,93067.34,9 APR-DRG,626-1,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,1509.54,2210.12,9 APR-DRG,626-2,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,3108.86,4551.69,9 APR-DRG,626-3,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,9583.61,14031.37,9 APR-DRG,626-4,NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,,,16896.3,26329.08,9 APR-DRG,630-1,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,,,27360.99,40059.24,9 APR-DRG,630-2,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,,,47377.59,71226.54,9 APR-DRG,630-3,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,,,115675.75,169360.95,9 APR-DRG,630-4,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,,,206345.05,302109.94,9 APR-DRG,631-1,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,,,10142.53,14849.69,9 APR-DRG,631-2,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,,,38180.39,55899.94,9 APR-DRG,631-3,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,,,63061.86,92328.91,9 APR-DRG,631-4,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,,,229643.92,336221.83,9 APR-DRG,633-1,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,,,2182.89,3426.02,9 APR-DRG,633-2,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,,,10224.39,15012.74,9 APR-DRG,633-3,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,,,26768.61,39191.95,9 APR-DRG,633-4,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,,,79991.6,117115.77,9 APR-DRG,634-1,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,5720.41,9942.23,9 APR-DRG,634-2,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,11175.01,16361.34,9 APR-DRG,634-3,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,24338.38,35633.84,9 APR-DRG,634-4,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,48540.33,71067.94,9 APR-DRG,636-1,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,7369.03,10792.87,9 APR-DRG,636-2,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,11156.52,17470.82,9 APR-DRG,636-3,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,24861.22,36399.33,9 APR-DRG,636-4,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,36365.14,66258.51,9 APR-DRG,639-1,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,3201.28,5071.74,9 APR-DRG,639-2,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,6928.05,10143.36,9 APR-DRG,639-3,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,20615.14,30182.64,9 APR-DRG,639-4,NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,25678.05,43224.58,9 APR-DRG,640-1,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,1108.17,1547.44,9 APR-DRG,640-2,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,1657.41,2314.4,9 APR-DRG,640-3,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,3563.93,5135.94,9 APR-DRG,640-4,"NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,8700.77,28430.37,9 APR-DRG,650-1,SPLENECTOMY,,,15002.99,20291.89,9 APR-DRG,650-2,SPLENECTOMY,,,21089.57,29563.73,9 APR-DRG,650-3,SPLENECTOMY,,,27753.55,37502.97,9 APR-DRG,650-4,SPLENECTOMY,,,42315.57,58227.44,9 APR-DRG,651-1,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,,,12402.88,17588.11,9 APR-DRG,651-2,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,,,17553.81,24994.48,9 APR-DRG,651-3,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,,,24334.86,33886.07,9 APR-DRG,651-4,OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,,,57043.05,77081.44,9 APR-DRG,660-1,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,,,5582.22,9594.08,9 APR-DRG,660-2,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,,,7924.43,12236.12,9 APR-DRG,660-3,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,,,14219.61,19356.06,9 APR-DRG,660-4,MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,,,27285.29,36870.21,9 APR-DRG,661-1,COAGULATION AND PLATELET DISORDERS,,,7796.8,11360.79,9 APR-DRG,661-2,COAGULATION AND PLATELET DISORDERS,,,10898.62,15506.58,9 APR-DRG,661-3,COAGULATION AND PLATELET DISORDERS,,,16132.29,22475.89,9 APR-DRG,661-4,COAGULATION AND PLATELET DISORDERS,,,27170.86,36715.59,9 APR-DRG,662-1,SICKLE CELL ANEMIA CRISIS,,,5855.08,8426.15,9 APR-DRG,662-2,SICKLE CELL ANEMIA CRISIS,,,8100.47,11555.86,9 APR-DRG,662-3,SICKLE CELL ANEMIA CRISIS,,,13344.7,18486.9,9 APR-DRG,662-4,SICKLE CELL ANEMIA CRISIS,,,24527.63,33508.28,9 APR-DRG,663-1,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,,,5419.39,7752.05,9 APR-DRG,663-2,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,,,7546.83,10769.42,9 APR-DRG,663-3,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,,,10756.03,15115.21,9 APR-DRG,663-4,OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,,,19729.66,26660.4,9 APR-DRG,680-1,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,16032.82,22726.52,9 APR-DRG,680-2,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,21700.43,31279.83,9 APR-DRG,680-3,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,35114.66,49603.76,9 APR-DRG,680-4,"MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,67674.98,91448.21,9 APR-DRG,681-1,"OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,12832.42,18107.88,9 APR-DRG,681-2,"OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,17313.51,24305.57,9 APR-DRG,681-3,"OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,27397.95,38202.23,9 APR-DRG,681-4,"OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,58434.65,78961.89,9 APR-DRG,690-1,ACUTE LEUKEMIA,,,12014.72,19691.87,9 APR-DRG,690-2,ACUTE LEUKEMIA,,,22063.07,35476.23,9 APR-DRG,690-3,ACUTE LEUKEMIA,,,38327.39,54987.85,9 APR-DRG,690-4,ACUTE LEUKEMIA,,,62670.17,84685.28,9 APR-DRG,691-1,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",,,7885.7,14791.74,9 APR-DRG,691-2,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",,,7910.15,20306.7,9 APR-DRG,691-3,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",,,21534.95,30216.83,9 APR-DRG,691-4,"LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",,,29255.81,51253.18,9 APR-DRG,692-1,RADIOTHERAPY,,,10857.25,16297.95,9 APR-DRG,692-2,RADIOTHERAPY,,,18259.73,24805.58,9 APR-DRG,692-3,RADIOTHERAPY,,,27453.41,37097.39,9 APR-DRG,692-4,RADIOTHERAPY,,,36221.95,48946.19,9 APR-DRG,694-1,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,,,6651.66,10013.84,9 APR-DRG,694-2,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,,,9450.7,13053.43,9 APR-DRG,694-3,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,,,14212.57,19851.13,9 APR-DRG,694-4,LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,,,23674.71,32763.81,9 APR-DRG,695-1,"NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,8119.84,11915.12,9 APR-DRG,695-2,CHEMOTHERAPY FOR ACUTE LEUKEMIA,,,13080.64,18990.62,9 APR-DRG,695-3,CHEMOTHERAPY FOR ACUTE LEUKEMIA,,,25038.14,37933.08,9 APR-DRG,695-4,CHEMOTHERAPY FOR ACUTE LEUKEMIA,,,54928.81,74921.7,9 APR-DRG,696-1,OTHER CHEMOTHERAPY,,,6990.54,10799.05,9 APR-DRG,696-2,OTHER CHEMOTHERAPY,,,9477.98,13485.54,9 APR-DRG,696-3,OTHER CHEMOTHERAPY,,,10817.05,21859.83,9 APR-DRG,696-4,OTHER CHEMOTHERAPY,,,28235.9,40310.92,9 APR-DRG,710-1,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,,,8354.45,18598.01,9 APR-DRG,710-2,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,,,19420.71,27430.34,9 APR-DRG,710-3,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,,,28599.43,40667.72,9 APR-DRG,710-4,INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,,,45216.7,62521.38,9 APR-DRG,711-1,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",,,11280.63,15778.19,9 APR-DRG,711-2,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",,,16237.03,22415.4,9 APR-DRG,711-3,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",,,25078.63,36213.29,9 APR-DRG,711-4,"POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",,,45009.86,60954.67,9 APR-DRG,720-1,SEPTICEMIA AND DISSEMINATED INFECTIONS,,,6209.75,9042.21,9 APR-DRG,720-2,SEPTICEMIA AND DISSEMINATED INFECTIONS,,,8696.37,12696.63,9 APR-DRG,720-3,SEPTICEMIA AND DISSEMINATED INFECTIONS,,,14123.67,20185.71,9 APR-DRG,720-4,SEPTICEMIA AND DISSEMINATED INFECTIONS,,,26216.73,37223.19,9 APR-DRG,721-1,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,6059.29,8979.25,9 APR-DRG,721-2,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,8779.1,12543.54,9 APR-DRG,721-3,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,14566.41,20649.92,9 APR-DRG,721-4,"POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,25438.63,35228.08,9 APR-DRG,722-1,FEVER AND INFLAMMATORY CONDITIONS,,,4421.24,6410.04,9 APR-DRG,722-2,FEVER AND INFLAMMATORY CONDITIONS,,,6436.02,8811.34,9 APR-DRG,722-3,FEVER AND INFLAMMATORY CONDITIONS,,,8904.09,12071.92,9 APR-DRG,722-4,FEVER AND INFLAMMATORY CONDITIONS,,,10220.6,19694.09,9 APR-DRG,723-1,VIRAL ILLNESS,,,4148.38,6017.44,9 APR-DRG,723-2,VIRAL ILLNESS,,,6071.61,8666.89,9 APR-DRG,723-3,VIRAL ILLNESS,,,10079.16,14307.78,9 APR-DRG,723-4,VIRAL ILLNESS,,,20395.97,27610.59,9 APR-DRG,724-1,OTHER INFECTIOUS AND PARASITIC DISEASES,,,5203.74,7568.1,9 APR-DRG,724-2,OTHER INFECTIOUS AND PARASITIC DISEASES,,,7607.56,10886.7,9 APR-DRG,724-3,OTHER INFECTIOUS AND PARASITIC DISEASES,,,12473.3,17157.24,9 APR-DRG,724-4,OTHER INFECTIOUS AND PARASITIC DISEASES,,,24253.0,33677.42,9 APR-DRG,740-1,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,,,2766.22,9381.65,8 APR-DRG,740-2,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,,,2063.46,15989.74,8 APR-DRG,740-3,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,,,2307.66,29197.61,8 APR-DRG,740-4,MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,,,2186.03,59495.03,8 APR-DRG,750-1,SCHIZOPHRENIA,,,950.67,6208.84,8 APR-DRG,750-2,SCHIZOPHRENIA,,,1119.25,8602.54,8 APR-DRG,750-3,SCHIZOPHRENIA,,,1374.5,13147.8,8 APR-DRG,750-4,SCHIZOPHRENIA,,,1321.36,26499.84,8 APR-DRG,751-1,MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES,,,910.21,3784.64,8 APR-DRG,751-2,MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES,,,940.76,5097.01,8 APR-DRG,751-3,MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES,,,1366.52,10302.15,8 APR-DRG,751-4,MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES,,,1339.93,21258.65,8 APR-DRG,752-1,DISORDERS OF PERSONALITY AND IMPULSE CONTROL,,,1294.99,4255.98,8 APR-DRG,752-2,DISORDERS OF PERSONALITY AND IMPULSE CONTROL,,,1260.37,5306.81,8 APR-DRG,752-3,DISORDERS OF PERSONALITY AND IMPULSE CONTROL,,,2254.39,12758.7,8 APR-DRG,752-4,DISORDERS OF PERSONALITY AND IMPULSE CONTROL,,,3164.77,28145.86,8 APR-DRG,753-1,BIPOLAR DISORDERS,,,1000.66,4475.94,8 APR-DRG,753-2,BIPOLAR DISORDERS,,,1034.23,5994.42,8 APR-DRG,753-3,BIPOLAR DISORDERS,,,1359.42,10919.53,8 APR-DRG,753-4,BIPOLAR DISORDERS,,,1310.51,21287.3,8 APR-DRG,754-1,DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,,,37827.5,37827.5,1 APR-DRG,754-2,DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,,,58323.45,58323.45,1 APR-DRG,754-3,DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,,,118394.95,118394.95,1 APR-DRG,754-4,DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,,,597400.0,597400.0,1 APR-DRG,755-1,ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,,,1057.6,2876.14,8 APR-DRG,755-2,ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,,,959.79,4000.9,8 APR-DRG,755-3,ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,,,1452.77,9091.44,8 APR-DRG,755-4,ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,,,511.94,10965.74,8 APR-DRG,756-1,ACUTE ANXIETY AND DELIRIUM STATES,,,2048.25,4774.46,8 APR-DRG,756-2,ACUTE ANXIETY AND DELIRIUM STATES,,,2591.36,7101.62,8 APR-DRG,756-3,ACUTE ANXIETY AND DELIRIUM STATES,,,3639.85,11274.42,8 APR-DRG,756-4,ACUTE ANXIETY AND DELIRIUM STATES,,,3388.68,18751.28,8 APR-DRG,757-1,ORGANIC MENTAL HEALTH DISTURBANCES,,,1023.99,6074.83,8 APR-DRG,757-2,ORGANIC MENTAL HEALTH DISTURBANCES,,,1358.52,8672.78,8 APR-DRG,757-3,ORGANIC MENTAL HEALTH DISTURBANCES,,,1955.45,13120.07,8 APR-DRG,757-4,ORGANIC MENTAL HEALTH DISTURBANCES,,,2865.41,30568.21,8 APR-DRG,758-1,BEHAVIORAL DISORDERS,,,1098.86,4765.22,8 APR-DRG,758-2,BEHAVIORAL DISORDERS,,,1198.36,6366.88,8 APR-DRG,758-3,BEHAVIORAL DISORDERS,,,1455.84,10333.58,8 APR-DRG,758-4,BEHAVIORAL DISORDERS,,,5366.53,35105.15,8 APR-DRG,759-1,EATING DISORDERS,,,1605.28,10989.77,8 APR-DRG,759-2,EATING DISORDERS,,,1733.31,13777.18,8 APR-DRG,759-3,EATING DISORDERS,,,2036.44,19158.85,8 APR-DRG,759-4,EATING DISORDERS,,,2434.2,38900.88,8 APR-DRG,760-1,OTHER MENTAL HEALTH DISORDERS,,,1204.17,4829.92,8 APR-DRG,760-2,OTHER MENTAL HEALTH DISORDERS,,,1623.48,7364.1,8 APR-DRG,760-3,OTHER MENTAL HEALTH DISORDERS,,,1819.25,9856.69,8 APR-DRG,760-4,OTHER MENTAL HEALTH DISORDERS,,,2019.49,23664.37,8 APR-DRG,770-1,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",,,1557.64,2747.67,8 APR-DRG,770-2,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",,,2360.98,4487.03,8 APR-DRG,770-3,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",,,3306.57,7603.47,8 APR-DRG,770-4,"DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",,,3654.96,19035.01,8 APR-DRG,772-1,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,,,1140.0,56679.35,6 APR-DRG,772-2,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,,,1140.0,22912.9,6 APR-DRG,772-3,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,,,1140.0,55642.95,6 APR-DRG,772-4,ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,,,1140.0,58960.47,6 APR-DRG,773-1,OPIOID ABUSE AND DEPENDENCE,,,1006.67,3266.15,8 APR-DRG,773-2,OPIOID ABUSE AND DEPENDENCE,,,1379.41,4938.97,8 APR-DRG,773-3,OPIOID ABUSE AND DEPENDENCE,,,2216.75,9077.58,8 APR-DRG,773-4,OPIOID ABUSE AND DEPENDENCE,,,2485.88,20254.96,8 APR-DRG,774-1,COCAINE ABUSE AND DEPENDENCE,,,1612.01,3825.3,8 APR-DRG,774-2,COCAINE ABUSE AND DEPENDENCE,,,1515.1,4852.1,8 APR-DRG,774-3,COCAINE ABUSE AND DEPENDENCE,,,2280.13,8547.08,8 APR-DRG,774-4,COCAINE ABUSE AND DEPENDENCE,,,2229.23,21370.48,8 APR-DRG,775-1,ALCOHOL ABUSE AND DEPENDENCE,,,1597.49,4159.86,8 APR-DRG,775-2,ALCOHOL ABUSE AND DEPENDENCE,,,2116.8,6334.53,8 APR-DRG,775-3,ALCOHOL ABUSE AND DEPENDENCE,,,2643.58,11463.89,8 APR-DRG,775-4,ALCOHOL ABUSE AND DEPENDENCE,,,2655.19,26736.44,8 APR-DRG,776-1,OTHER DRUG ABUSE AND DEPENDENCE,,,1386.14,3755.06,8 APR-DRG,776-2,OTHER DRUG ABUSE AND DEPENDENCE,,,1747.78,5248.58,8 APR-DRG,776-3,OTHER DRUG ABUSE AND DEPENDENCE,,,2911.66,10761.49,8 APR-DRG,776-4,OTHER DRUG ABUSE AND DEPENDENCE,,,3194.94,20497.11,8 APR-DRG,792-1,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,15015.31,20935.11,9 APR-DRG,792-2,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,18962.13,26542.67,9 APR-DRG,792-3,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,27044.99,38944.22,9 APR-DRG,792-4,EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,46111.87,66096.78,9 APR-DRG,793-1,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,11254.22,15688.06,9 APR-DRG,793-2,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,14836.63,20967.21,9 APR-DRG,793-3,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,21472.45,29923.0,9 APR-DRG,793-4,MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,37455.99,52161.85,9 APR-DRG,794-1,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,9042.28,12554.65,9 APR-DRG,794-2,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,12205.72,16996.74,9 APR-DRG,794-3,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,17362.81,24416.68,9 APR-DRG,794-4,NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,34848.84,50654.4,9 APR-DRG,810-1,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,,,5288.24,7444.64,9 APR-DRG,810-2,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,,,7353.18,10353.36,9 APR-DRG,810-3,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,,,11439.07,16460.92,9 APR-DRG,810-4,HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,,,21674.02,31521.81,9 APR-DRG,811-1,ALLERGIC REACTIONS,,,3664.27,5358.16,9 APR-DRG,811-2,ALLERGIC REACTIONS,,,5354.25,7786.62,9 APR-DRG,811-3,ALLERGIC REACTIONS,,,10394.27,15033.72,9 APR-DRG,811-4,ALLERGIC REACTIONS,,,21448.69,29256.32,9 APR-DRG,812-1,POISONING OF MEDICINAL AGENTS,,,3966.18,5728.54,9 APR-DRG,812-2,POISONING OF MEDICINAL AGENTS,,,6198.36,8557.01,9 APR-DRG,812-3,POISONING OF MEDICINAL AGENTS,,,9566.88,13627.51,9 APR-DRG,812-4,POISONING OF MEDICINAL AGENTS,,,8711.8,26741.44,9 APR-DRG,813-1,OTHER COMPLICATIONS OF TREATMENT,,,5995.92,8369.35,9 APR-DRG,813-2,OTHER COMPLICATIONS OF TREATMENT,,,8186.73,11406.47,9 APR-DRG,813-3,OTHER COMPLICATIONS OF TREATMENT,,,12005.03,16716.48,9 APR-DRG,813-4,OTHER COMPLICATIONS OF TREATMENT,,,20623.94,29432.86,9 APR-DRG,815-1,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",,,4559.43,6314.98,9 APR-DRG,815-2,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",,,7175.38,9695.99,9 APR-DRG,815-3,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",,,11794.67,16102.89,9 APR-DRG,815-4,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",,,24243.32,34239.16,9 APR-DRG,816-1,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,4722.27,6724.87,9 APR-DRG,816-2,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,6878.76,9295.16,9 APR-DRG,816-3,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,12030.75,17515.27,9 APR-DRG,816-4,TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,12951.87,33541.61,9 APR-DRG,817-1,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,,,4097.33,5703.85,9 APR-DRG,817-2,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,,,5919.34,8326.14,9 APR-DRG,817-3,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,,,10639.85,15585.59,9 APR-DRG,817-4,INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,,,22764.59,31736.63,9 APR-DRG,841-1,CHEMOTHERAPY FOR ACUTE LEUKEMIA,,,50000.0,70268.56,9 APR-DRG,841-2,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT,,,50000.0,73967.6,9 APR-DRG,841-3,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT,,,87280.53,117940.9,9 APR-DRG,841-4,EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT,,,190000.0,314345.34,9 APR-DRG,842-1,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS,,,16820.6,23322.83,9 APR-DRG,842-2,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS,,,25575.06,35151.53,9 APR-DRG,842-3,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS,,,47127.61,65425.16,9 APR-DRG,842-4,BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS,,,119249.36,161973.35,9 APR-DRG,843-1,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT,,,7891.86,10664.16,9 APR-DRG,843-2,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT,,,10664.49,14410.77,9 APR-DRG,843-3,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT,,,18756.16,25687.09,9 APR-DRG,843-4,EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT,,,7482.0,37996.58,9 APR-DRG,844-1,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,,,5061.14,7453.28,9 APR-DRG,844-2,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,,,8749.18,12504.03,9 APR-DRG,844-3,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,,,15504.71,20951.28,9 APR-DRG,844-4,PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,,,29548.28,39928.16,9 APR-DRG,850-1,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",,,14691.4,20351.15,9 APR-DRG,850-2,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",,,23100.82,32014.41,9 APR-DRG,850-3,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",,,33820.77,47892.6,9 APR-DRG,850-4,"PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",,,75914.52,102582.18,9 APR-DRG,860-1,REHABILITATION,,,1388.0,14942.43,9 APR-DRG,860-2,REHABILITATION,,,1388.0,18992.34,9 APR-DRG,860-3,REHABILITATION,,,1388.0,25058.28,9 APR-DRG,860-4,REHABILITATION,,,1388.0,31076.64,9 APR-DRG,861-1,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",,,5319.92,7343.4,9 APR-DRG,861-2,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",,,6908.68,9613.83,9 APR-DRG,861-3,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",,,10293.05,14078.14,9 APR-DRG,861-4,"SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",,,16650.72,22974.67,9 APR-DRG,862-1,OTHER AFTERCARE AND CONVALESCENCE,,,5343.35,10486.94,9 APR-DRG,862-2,OTHER AFTERCARE AND CONVALESCENCE,,,10875.74,14696.23,9 APR-DRG,862-3,OTHER AFTERCARE AND CONVALESCENCE,,,15230.08,20580.19,9 APR-DRG,862-4,OTHER AFTERCARE AND CONVALESCENCE,,,15551.02,22566.49,9 APR-DRG,863-1,NEONATAL AFTERCARE,,,6683.53,18412.82,9 APR-DRG,863-2,NEONATAL AFTERCARE,,,22937.15,33623.1,9 APR-DRG,863-3,NEONATAL AFTERCARE,,,6728.9,65177.0,9 APR-DRG,863-4,NEONATAL AFTERCARE,,,98048.0,132490.84,9 APR-DRG,890-1,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,,,7844.33,10890.41,9 APR-DRG,890-2,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,,,11284.15,15349.78,9 APR-DRG,890-3,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,,,14606.07,26468.59,9 APR-DRG,890-4,HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,,,34234.46,47166.66,9 APR-DRG,892-1,HIV WITH MAJOR HIV RELATED CONDITION,,,10757.07,29766.01,2 APR-DRG,892-2,HIV WITH MAJOR HIV RELATED CONDITION,,,13229.97,74806.0,2 APR-DRG,892-3,HIV WITH MAJOR HIV RELATED CONDITION,,,18940.0,31900.5,2 APR-DRG,892-4,HIV WITH MAJOR HIV RELATED CONDITION,,,16777.1,30993.4,2 APR-DRG,893-1,HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,,,10106.44,19009.58,2 APR-DRG,893-2,HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,,,14276.91,35795.0,2 APR-DRG,893-3,HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,,,17299.22,48974.0,2 APR-DRG,893-4,HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,,,29594.6,69596.49,2 APR-DRG,894-1,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,,,7891.86,10664.16,9 APR-DRG,894-2,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,,,8765.02,11844.05,9 APR-DRG,894-3,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,,,11188.21,15432.5,9 APR-DRG,894-4,HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,,,18860.02,25610.54,9 APR-DRG,910-1,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,24730.07,34272.5,9 APR-DRG,910-2,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,31380.85,42404.49,9 APR-DRG,910-3,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,45295.92,61207.71,9 APR-DRG,910-4,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,67605.44,93690.09,9 APR-DRG,911-1,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,19226.19,25980.06,9 APR-DRG,911-2,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,24679.9,33644.08,9 APR-DRG,911-3,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,35321.51,51566.78,9 APR-DRG,911-4,EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,68176.69,92126.17,9 APR-DRG,912-1,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,20054.45,27824.18,9 APR-DRG,912-2,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,26670.03,37500.97,9 APR-DRG,912-3,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,26081.74,52555.69,9 APR-DRG,912-4,MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,61193.2,82856.48,9 APR-DRG,930-1,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,,,8927.86,12439.83,9 APR-DRG,930-2,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,,,11262.15,15668.31,9 APR-DRG,930-3,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,,,17608.38,24246.31,9 APR-DRG,930-4,MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,,,31144.08,43013.46,9 APR-DRG,950-1,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,15592.73,21920.32,9 APR-DRG,950-2,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,20319.39,28529.14,9 APR-DRG,950-3,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,31388.78,44209.79,9 APR-DRG,950-4,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,52907.88,73590.8,9 APR-DRG,951-1,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,11296.47,16359.68,9 APR-DRG,951-2,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,16556.54,23708.02,9 APR-DRG,951-3,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,24682.54,34805.84,9 APR-DRG,951-4,MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,41758.4,57702.73,9 APR-DRG,952-1,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,10072.12,14094.19,9 APR-DRG,952-2,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,13614.04,19864.71,9 APR-DRG,952-3,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,21234.8,30213.13,9 APR-DRG,952-4,NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,36768.55,52556.92,9 CDM,0000100449J0740,CIDOFOVIR 15 MG/ML IV SOLN,533.0,533.0,71.95,1577.85,119 CDM,0000100873J8540,DEXAMETHASONE 0.25 MG PO SPLIT TABLET,1.0,1.0,0.01,1.0,112 CDM,0000100917J7512,PREDNISONE 1.25 MG PO SPLIT TABLET,1.0,1.0,0.01,1.0,112 CDM,0000101310J1450,FLUCONAZOLE (DIFLUCAN) IVPB 2 MG/ML NSS (REPACKAGE,14.0,14.0,1.89,14.0,112 CDM,0000101311J2515,PENTOBARBITAL INFUSION 2000MG/40ML,6826.0,6826.0,36.26,6826.0,119 CDM,0000101332J0285,AMPHOTERICIN B 100 MCG/ML NASAL IRRIGATION ORD,28.0,28.0,3.78,96.37,112 CDM,0000101336J2795,ROPIVACAINE 0.2 200ML,293.0,293.0,0.05,293.0,112 CDM,0000101398J3010,FENTANYL PCA 1500 MCG/30ML (CNR) (WRAPPER),10.0,10.0,0.85,10.0,112 CDM,0000101400J0290,AMPICILLIN IVPB 1G/50ML NSS (CNR),31.0,31.0,0.49,31.0,112 CDM,0000101404J0290,AMPICILLIN IVPB 2G/100ML NSS (CNR),56.0,56.0,0.49,56.0,112 CDM,0000101405J2270,MORPHINE SULFATE 1 MG/ML IV SOLN (WRAPPER),44.0,44.0,2.78,44.0,112 CDM,0000101657J3260,TOBRAMYCIN FORTE 15 MG/ML OPHTH SOLN ORD,114.0,114.0,1.97,114.0,112 CDM,0000101662J3370,VANCOMYCIN 50 MG/ML EYE DROPS ORD,27.0,27.0,1.86,27.0,111 CDM,0000101663J3370,VANCOMYCIN 25 MG/ML EYE DROPS ORD,540.0,540.0,1.86,540.0,111 CDM,0000101701J0713,CEFTAZIDIME 50 MG/ML OPHTH SOLN ORD,183.0,183.0,1.47,183.0,112 CDM,0000101702J0690,CEFAZOLIN FORTE 50 MG/ML OPHTH SOLN ORD,89.0,89.0,0.81,89.0,112 CDM,0000101748J2997,ALTEPLASE (TPA) 1 MG/ML SYRINGE EVD CLEARANCE,255.0,255.0,34.43,282.28,119 CDM,0000101767J1450,FLUCONAZOLE IN SODIUM CHLORIDE 2000.9 MG/100ML IV,14.0,14.0,1.89,14.0,112 CDM,0000101769J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,1.0,1.0,0.14,1.0,112 CDM,0000101848J3285,TREPROSTINIL 20 MG/20ML INJECTION SOLN,664.0,664.0,54.48,664.0,119 CDM,0000101849J3285,TREPROSTINIL 200 MG/20ML INJECTION SOLN,6632.0,6632.0,54.48,6632.0,119 CDM,0000101850J3285,TREPROSTINIL 50 MG/20ML INJECTION SOLN,1658.0,1658.0,54.48,1658.0,119 CDM,0000101856J2997,ALTEPLASE (TPA) INJECTION 1MG/ML ORD,308.0,308.0,41.58,308.0,119 CDM,0000101857J2997,ALTEPLASE (TPA) INJECTION 5MG/5ML ORD,1372.0,1372.0,91.48,1372.0,119 CDM,00001019002J2003,LIDOCAINE HCL (CARDIAC) 100 MG/5ML IV SOSY (WRAPPE,22.0,22.0,0.01,22.0,111 CDM,00001019006J2003,LIDOCAINE IV SYRINGE 8MG/ML DRIP(10ML)(NEO/PED),22.0,22.0,0.01,22.0,111 CDM,00001019007J2003,LIDOCAINE IV SYRINGE 8MG/ML DRIP(5ML)(NEO/PED),11.0,11.0,0.01,11.0,111 CDM,0000102011J3010,FENTANYL CITRATE 0.05 MG/ML INJECTION SOLN EPIDURA,1.0,1.0,0.14,2.44,112 CDM,0000102012J3010,FENTANYL CITRATE 0.05 MG/ML INJECTION SOLN INTRATH,1.0,1.0,0.14,2.44,112 CDM,0000102015J1171,HYDROMORPHONE PCA 30 MG/30 ML PCA (OR),138.0,138.0,0.09,138.0,112 CDM,0000102016J0690,CEFAZOLIN 100 MG/ML (ANESTHESIA),2.0,2.0,0.27,2.0,112 CDM,0000102043J1325,EPOPROSTENOL (FLOLAN) 1.5 MG IN 50 ML INHALATION S,170.0,170.0,15.65,170.0,112 CDM,0000102044J1325,EPOPROSTENOL (FLOLAN) 1.5 MG IN 50 ML INHALATION S,170.0,170.0,15.65,170.0,112 CDM,0000102071J2274,MORPHINE SULFATE (PF) 0.5 MG/ML INJECTION SOLN,3.0,3.0,0.41,26.77,112 CDM,0000102072J1644,HEPARIN 5000 UNITS/ML (OR),90.0,90.0,0.18,90.0,112 CDM,0000102086J0461,ATROPINE SULFATE 0.4 MG/ML INJECTION SOLN (WRAPPER,32.0,32.0,0.07,32.0,112 CDM,0000102089J0330,SUCCINYLCHOLINE CHLORIDE 100 MG/5ML IV SOSY (WRAPP,49.0,49.0,0.81,49.0,111 CDM,0000102094J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),83.0,83.0,0.38,83.0,112 CDM,0000102095J2795,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,53.0,53.0,0.05,53.0,112 CDM,0000102097J2003,LIDOCAINE HCL (PF) 1.5 INJECTION SOLN,24.0,24.0,0.01,24.0,111 CDM,0000102098J0690,CEFAZOLIN SODIUM 1 G INJECTION SOLR,23.0,23.0,0.81,23.0,112 CDM,0000102099J0585,ONABOTULINUMTOXINA 25 UNITS/1ML INJECTION SOLR OR,2085.0,2085.0,6.26,2085.0,119 CDM,0000102100J0585,ONABOTULINUMTOXINA 50 UNITS/1ML INJECTION SOLR OR,2085.0,2085.0,6.26,2085.0,119 CDM,0000102101J0702,BETAMETHASONE SOD PHOS ACET 6 (33) MG/ML INJECTI,48.0,48.0,6.48,48.0,112 CDM,0000102143J1642,HEPARIN SOD (PORK) LOCK FLUSH 10 UNIT/ML IV SOLN (,22.0,22.0,0.02,22.0,112 CDM,0000102144J2371,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),864.0,864.0,0.01,864.0,108 CDM,0000102145J0171,EPINEPHRINE (ANAPHYLAXIS) 1 MG/ML INJECTION SOLN,450.0,450.0,0.76,450.0,111 CDM,0000102147J2305,NITROGLYCERIN 5 MG/ML IV SOLN,75.0,75.0,1.41,75.0,112 CDM,0000102162J2371,PHENYLEPHRINE 100 MCG/ML BOLUS INJECTION 10ML (WRA,2.0,2.0,0.01,2.0,108 CDM,0000102166J3010,FENTANYL 250 MCG/25 ML SYRINGE INJECTION SOLN ORD,27.0,27.0,0.85,27.0,112 CDM,0000102170J3010,FENTANYL PCA 250 MCG/25ML (CNR),1080.0,1080.0,0.85,1080.0,112 CDM,0000102176J2540,PENICILLIN G K IVPB 3MU/100ML NSS (CNR),45.0,45.0,0.75,45.0,112 CDM,0000102177J2540,PENICILLIN G K IVPB 5MU/100ML NSS (CNR),44.0,44.0,0.75,44.0,112 CDM,0000102184J1171,HYDROMORPHONE PCA HIGH CONCENTRATION 150 MG/30ML,204.0,204.0,0.09,204.0,112 CDM,0000102197J1644,HEPARIN SODIUM (PORCINE) 5 UNITS/ML (5000 UNITS/ 1,5.0,5.0,0.18,5.0,112 CDM,0000102217J2274,MORPHINE SULFATE (PF) 0.5 MG/ML INJECTION SOLN,5.0,5.0,0.68,26.77,112 CDM,0000102799J1100,DEXAMETHASONE IVPB 8MG/50ML NSS (CNR),22.0,22.0,0.11,22.0,112 CDM,0000102800J1100,DEXAMETHASONE IVPB 10MG/50ML NSS (CNR),23.0,23.0,0.11,23.0,112 CDM,0000102801J1100,DEXAMETHASONE IVPB 12MG/50ML NSS (CNR),24.0,24.0,0.11,24.0,112 CDM,0000102802J1100,DEXAMETHASONE IVPB 20MG/50ML NSS (CNR),28.0,28.0,0.11,28.0,112 CDM,0000103000J3010,HIGH DOSE FENTANYL CADD PUMP 50 MCG/ML (CNR),63.0,63.0,0.85,63.0,112 CDM,0000103001J1171,HIGH DOSE HYDROMORPHONE CADD PUMP 10 MG/ML (CNR),234.0,234.0,0.09,234.0,112 CDM,0000103004J1171,LOW DOSE HYDROMORPHONE CADD PUMP 2 MG/ML (CNR),234.0,234.0,0.09,234.0,112 CDM,0000103009J3370,VANCOMYCIN IVPB 1G/250ML NSS (CNR),99.0,99.0,1.86,99.0,111 CDM,0000103010J3370,VANCOMYCIN IVPB 500MG/100ML NSS (CNR),135.0,135.0,1.86,135.0,111 CDM,0000103011J3370,VANCOMYCIN IVPB 750MG/250ML NSS (CNR),78.0,78.0,1.86,78.0,111 CDM,0000103012J3370,VANCOMYCIN IVPB 1.25G/250ML NSS (CNR),117.0,117.0,1.86,117.0,111 CDM,0000103013J3370,VANCOMYCIN IVPB 1.5G/500ML NSS (CNR),136.0,136.0,1.86,136.0,111 CDM,0000103014J3370,VANCOMYCIN IVPB 1.75G/500ML NSS (CNR),156.0,156.0,1.86,156.0,111 CDM,0000103015J3370,VANCOMYCIN HCL IN NACL 20.9 GM/500ML IV SOLN,175.0,175.0,1.86,175.0,111 CDM,0000103016J3370,VANCOMYCIN IVPB 2.5G/500ML NSS (CNR),794.0,794.0,1.86,794.0,111 CDM,0000103017J3370,VANCOMYCIN IVPB 2.25G/500ML NSS (CNR),794.0,794.0,1.86,794.0,111 CDM,0000103041J0690,CEFAZOLIN SODIUM 2 GM/20ML IV SOSY,9.0,9.0,0.81,9.0,112 CDM,0000103042J7502,CYCLOSPORINE MODIFIED 100 MG/ML PO SOLN,18.0,18.0,1.81,18.0,112 CDM,0000103044J0690,CEFAZOLIN SODIUM 1 GM/10ML IV SOSY,28.0,28.0,0.81,28.0,112 CDM,0000103056J7517,MYCOPHENOLATE MOFETIL 200 MG/ML PO SUSR,133.0,133.0,0.15,133.0,112 CDM,0000103057J7517,MYCOPHENOLATE MOFETIL 200 MG/ML PO SUSR,67.0,67.0,0.15,67.0,112 CDM,0000103070J1644,HEPARIN SODIUM (PORCINE) 10 UNITS/ML NSS (10000 UN,49.0,49.0,0.18,49.0,112 CDM,0000103071J0295,AMPICILLINSULBACTAM IVPB 1.5G/100ML NSS (CNR),19.0,19.0,1.33,19.0,112 CDM,0000103072J0295,AMPICILLINSULBACTAM IVPB 3G/100ML NSS (CNR),59.0,59.0,1.33,59.0,112 CDM,0000103073J0696,CEFTRIAXONE IVPB 2G/50ML NSS (CNR),16.0,16.0,0.45,16.0,112 CDM,0000103074J0696,CEFTRIAXONE IVPB 1G/50ML NSS (CNR),15.0,15.0,0.45,15.0,112 CDM,0000103077J0690,CEFAZOLIN IVPB 2G/100ML D5W (CNR),48.0,48.0,0.81,48.0,112 CDM,0000103078J0692,CEFEPIME IVPB 2G/50ML NSS (CNR),45.0,45.0,0.87,45.0,112 CDM,0000103079J0457,AZTREONAM IVPB 1G/50ML NSS (CNR),119.0,119.0,2.07,119.0,112 CDM,0000103081J0666,BUPIVACAINE LIPOSOME 1.3 INJECTION SUSP,410.0,410.0,1.44,410.0,112 CDM,0000103082J2540,PENICILLIN G K IVPB 2MU/100ML NSS (CNR),24.0,24.0,0.75,24.0,112 CDM,0000103083J2540,PENICILLIN G K IVPB 4MU/100ML NSS (CNR),44.0,44.0,0.75,44.0,112 CDM,0000103084J0690,CEFAZOLIN IVPB 500MG/50ML NSS (CNR),18.0,18.0,0.81,18.0,112 CDM,0000103085J0690,CEFAZOLIN IVPB 1G/50ML NSS (CNR),27.0,27.0,0.81,27.0,112 CDM,0000103086J0690,CEFAZOLIN IVPB 2G/50ML NSS (CNR),45.0,45.0,0.81,45.0,112 CDM,0000103087J0692,CEFEPIME IVPB 500MG/50ML NSS (CNR),19.0,19.0,0.87,19.0,112 CDM,0000103088J0637,CASPOFUNGIN IVPB 50MG/250ML NSS (CNR),1216.0,1216.0,2.27,1216.0,112 CDM,0000103091J0696,CEFTRIAXONE IV SYRINGE 1G/10ML (CNR),62.0,62.0,0.45,62.0,112 CDM,0000103093J0690,CEFAZOLIN IV SYRINGE 500MG/5ML (CNR),10.0,10.0,0.81,10.0,112 CDM,0000103095J0692,CEFEPIME IVPB 1G/50ML NSS (CNR),21.0,21.0,0.87,21.0,112 CDM,0000103096J0696,CEFTRIAXONE IV SYRINGE 2G/20ML (CNR),62.0,62.0,0.45,62.0,112 CDM,0000103097J0690,CEFAZOLIN IVPB 500MG/50ML D5W (CNR),18.0,18.0,0.81,18.0,112 CDM,0000103106J7502,CYCLOSPORINE MODIFIED 100 MG/ML PO SOLN,5.0,5.0,0.68,5.0,112 CDM,0000103178J0330,SUCCINYLCHOLINE CHLORIDE 100 MG/5ML IV SOSY (WRAPP,29.0,29.0,0.81,29.0,111 CDM,0000103180J3010,FENTANYL CITRATE PF 5 MCG/ML (NEO),1.0,1.0,0.14,2.44,112 CDM,0000103186J2404,NICARDIPINE 0.1 MG/ML BOLUS SYRINGE,2.0,2.0,0.07,2.0,112 CDM,0000103194J1100,DEXAMETHASONE 2 MG/0.5 ML SYRINGE,2.0,2.0,0.11,2.0,112 CDM,0000103233J3370,VANCOMYCIN 25 MG/ML EYE DROPS ORD,270.0,270.0,1.86,270.0,111 CDM,0000103247J0278,AMIKACIN 20MG/ML OPHTHALMIC SOLUTION ORD,236.0,236.0,0.54,236.0,112 CDM,0000103280J3370,VANCOMYCIN 14 MG/ML EYE DROPS ORD,267.0,267.0,1.86,267.0,111 CDM,0000103290J9035,BEVACIZUMAB 100 MG/4ML OPHTHALMIC SOLN,92.0,92.0,12.42,221.51,119 CDM,0000103300J7517,MYCOPHENOLATE MOFETIL 200 MG/ML PO SUSR,34.0,34.0,0.15,34.0,112 CDM,0000103305J3010,FENTANYL PCA 250 MCG/25ML (CNR),9.0,9.0,0.85,9.0,112 CDM,0000103307J1325,EPOPROSTENOL (FLOLAN) INHALATION 1.5MG/50ML (CNR),276.0,276.0,15.65,276.0,112 CDM,0000103309J1171,HIGH DOSE HYDROMORPHONE CADD PUMP 10 MG/ML (CNR),234.0,234.0,0.09,234.0,112 CDM,0000103311J3490,LIDOCAINE HCL 2 INJECTION SOLN,2.0,2.0,0.27,2.0,111 CDM,0000103312J1815,INSULIN REGULAR(HUMAN) IN NACL 1000.9 UT/100ML IV,60.0,60.0,0.22,60.0,111 CDM,0000103315J2270,MORPHINE INFUSION 100MG/100ML D5W (CNR),18.0,18.0,2.43,18.0,112 CDM,0000103316J2270,MORPHINE INFUSION 250MG/250ML D5W (CNR),81.0,81.0,2.78,81.0,112 CDM,0000103321J3480,POTASSIUM CHLORIDE IVPB 20MEQ/250ML NSS (CNR),9.0,9.0,0.1,9.0,112 CDM,0000103322J3480,POTASSIUM CHLORIDE IVPB 40MEQ/500ML NSS (CNR),15.0,15.0,0.1,15.0,112 CDM,0000103324J3480,POTASSIUM CHLORIDE IVPB 60MEQ/500ML NSS (CNR),30.0,30.0,0.1,30.0,112 CDM,0000103352J8540,DEXAMETHASONE 0.5 MG/5ML PO ELIX,4.0,4.0,0.01,4.0,112 CDM,0000103368J2405,ONDANSETRON IVPB 16MG/100ML NSS (CNR),63.0,63.0,0.09,63.0,112 CDM,0000103370J1200,DIPHENHYDRAMINE IVPB 25MG/50ML NSS (CNR),10.0,10.0,0.71,10.0,112 CDM,0000103371J1200,DIPHENHYDRAMINE IVPB 50MG/50ML NSS (CNR),19.0,19.0,0.71,19.0,112 CDM,0000103385J2540,PENICILLIN G K IVPB 1MU/100ML NSS (CNR),15.0,15.0,0.75,15.0,112 CDM,0000103387J3490,LIDOCAINE HCL 2 INJECTION SOLN,3.0,3.0,0.41,3.0,111 CDM,0000103388J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,18.0,18.0,0.05,18.0,112 CDM,0000103411J2270,MORPHINE INFUSION 100 MG/100ML NSS (CNR),18.0,18.0,2.43,18.0,112 CDM,0000103432J7517,MYCOPHENOLATE MOFETIL 200 MG/ML PO SUSR,27.0,27.0,0.15,27.0,112 CDM,0000103451J7502,CYCLOSPORINE MODIFIED 100 MG/ML PO SOLN,14.0,14.0,1.81,14.0,112 CDM,0000103456J1230,METHADONE HCL 10 MG/ML PO CONC,1.0,1.0,0.14,42.91,112 CDM,0000103457J1230,METHADONE HCL 10 MG/ML PO CONC,2.0,2.0,0.27,42.91,112 CDM,0000103475J2260,MILRINONE IV SYRINGE(NEO/PED)(50ML)(200MCG/ML),29.0,29.0,1.31,29.0,112 CDM,0000103492J7520,SIROLIMUS 1 MG/ML PO SOLN,59.0,59.0,0.96,59.0,112 CDM,0000103493J7520,SIROLIMUS 1 MG/ML PO SOLN,118.0,118.0,0.96,118.0,112 CDM,0000103494J7520,SIROLIMUS 1 MG/ML PO SOLN,590.0,590.0,0.96,590.0,112 CDM,0000103551J3480,POTASSIUM CHLORIDE 20 MEQ/50ML IV SOLN,17.0,17.0,0.1,17.0,112 CDM,0000103552J2795,ROPIVACAINE 0.2 500ML,732.0,732.0,0.05,732.0,112 CDM,0000103553J3010,FENTANYL INFUSION 1600MCG/100ML NSS WRAPPER (CNR),44.0,44.0,0.85,44.0,112 CDM,0000103554J2710,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,87.0,87.0,0.71,87.0,111 CDM,0000103558J0171,EPINEPHRINE 0.3 MG/0.3ML INJECTION SOAJ,45.0,45.0,0.76,45.0,111 CDM,0000103559J1644,HEPARIN (PORCINE) IN NACL 10000.9 UT/500ML IV SOL,17.0,17.0,0.18,17.0,112 CDM,0000103560J3480,POTASSIUM CHLORIDE 40 MEQ/100ML IV SOLN,28.0,28.0,0.1,28.0,112 CDM,0000103561J1642,HEPARIN (PORCINE) IN NACL 20.45 UNIT/ML INJECTION,17.0,17.0,0.02,17.0,112 CDM,0000103562J0690,CEFAZOLIN IV SYRINGE 3G/30ML (CNR),12.0,12.0,0.81,12.0,112 CDM,0000103564J2270,MORPHINE SULFATE (PF) 2 MG/ML IV SOLN,1.0,1.0,0.14,4.84,112 CDM,0000103565J1171,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,1.0,1.0,0.09,1.0,112 CDM,0000103566J3370,VANCOMYCIN IVPB 1.5G/500ML D5W (CNR),136.0,136.0,1.86,136.0,111 CDM,0000103567J3370,VANCOMYCIN IVPB 1.75G/500ML D5W (CNR),156.0,156.0,1.86,156.0,111 CDM,0000103568J3370,VANCOMYCIN IVPB 2G/500ML D5W (CNR),175.0,175.0,1.86,175.0,111 CDM,0000103570J3010,FENTANYL INFUSION 1600MCG/100ML D5W (CNR),4398.0,4398.0,0.85,4398.0,112 CDM,0000103572J0690,AMPICILLIN IV SYRINGE 1G/10ML (CNR),26.0,26.0,0.81,26.0,112 CDM,0000103573J0690,AMPICILLIN IV SYRINGE 2G/20ML (CNR),101.0,101.0,0.81,101.0,112 CDM,0000103576J0692,CEFEPIME IV SYRINGE 1G/10ML (CNR),14.0,14.0,0.87,14.0,112 CDM,0000103577J0692,CEFEPIME IV SYRINGE 2G/20ML (CNR),28.0,28.0,0.87,28.0,112 CDM,0000103584J1171,HYDROMORPHONE 1 MG/5 ML IV SYRINGE ORD,1.0,1.0,0.09,1.0,112 CDM,0000103585J1171,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,1.0,1.0,0.09,1.0,112 CDM,0000103589J2274,MORPHINE SULFATE (PF) 1 MG/ML INJECTION SOLN,5.0,5.0,0.68,26.77,112 CDM,0000103590J2274,MORPHINE SULFATE (PF) 1 MG/ML INJECTION SOLN,10.0,10.0,1.35,26.77,112 CDM,0000103616J2795,ROPIVACAINE 0.2 100ML,140.0,140.0,0.05,140.0,112 CDM,0000103621J3480,POTASSIUM CHLORIDE IVPB 40MEQ/100ML D5W (CNR),18.0,18.0,0.1,18.0,112 CDM,0000103624J3010,FENTANYL CITRATE (PF) 100 MCG/2ML INJECTION SOLN,3.0,3.0,0.41,3.0,112 CDM,0000103630J1171,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,2.0,2.0,0.09,2.0,112 CDM,0000103631J1171,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,3.0,3.0,0.09,3.0,112 CDM,0000103642J2997,ALTEPLASE (TPA) INJECTION 1MG/ML ORD,616.0,616.0,83.16,616.0,119 CDM,0000103643J2997,ALTEPLASE (TPA) INJECTION 5MG/5ML ORD,1538.0,1538.0,91.48,1538.0,119 CDM,0000103644J2997,ALTEPLASE (TPA) INJECTION 1MG/ML ORD,3076.0,3076.0,91.48,3076.0,119 CDM,0000103656J2371,PHENYLEPHRINE 100 MCG/ML INFUSION (50ML)(WRAPPER),9.0,9.0,0.01,9.0,108 CDM,0000103660J7608,ACETYLCYSTEINE 20 ORAL SOLN,12.0,12.0,1.62,19.23,112 CDM,0000103661J7608,ACETYLCYSTEINE 20 ORAL SOLN,23.0,23.0,3.11,23.0,112 CDM,0000103662J7608,ACETYLCYSTEINE 20 ORAL SOLN,34.0,34.0,4.59,34.0,112 CDM,0000103684J2710,NEOSTIGMINE METHYLSULFATE 2 MG/2ML IV SOSY,21.0,21.0,0.71,21.0,111 CDM,0000103701J1171,HYDROMORPHONE PCA 1 MG/ML STOCK SOLUTION NDC,2295.0,2295.0,0.09,2295.0,112 CDM,0000103706J0171,EPINEPHRINE PF 1 MG/ML INJECTION SOLN,8.0,8.0,0.76,8.0,111 CDM,0000103707J2310,NALOXONE HCL 0.4 MG/ML INJECTION SOLN,57.0,57.0,7.7,57.0,111 CDM,0000103708J3475,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,53.0,53.0,0.41,53.0,112 CDM,0000103711J0692,CEFEPIME IV SYRINGE 2G/20ML (CNR),41.0,41.0,0.87,41.0,112 CDM,0000103713J2274,MORPHINE SULFATE (PF) 0.5 MG/ML INJECTION SOLN,2.0,2.0,0.27,26.77,112 CDM,0000103728J1920,LABETALOL HCL 5 MG/ML IV SOLN,2.0,2.0,0.27,2.0,112 CDM,0000103730J3475,MAGNESIUM SULFATE 20 GM/500ML IV SOLN,245.0,245.0,0.41,245.0,112 CDM,0000103735J7685,TOBRAMYCIN 40 MG/ML INHALATION NEBU UPHS COMPOUNDE,160.0,160.0,21.6,160.0,111 CDM,0000103784Q0162,ONDANSETRON HCL 4 MG/5ML PO SOLN,72.0,72.0,0.01,72.0,112 CDM,0000103824J2997,ALTEPLASE (TPA) 0.1 MG/ML IN SWFI SYRINGE,318.0,318.0,42.93,318.0,119 CDM,0000103961J3490,INVESTIGATIONAL LIDOCAINE HCL (OBS) 1 IJ SOLN,1.0,1.0,0.14,1.0,111 CDM,0000104148J7502,CYCLOSPORINE MODIFIED 100 MG/ML PO SOLN,23.0,23.0,1.81,23.0,112 CDM,0000104149J7502,CYCLOSPORINE MODIFIED 100 MG/ML PO SOLN,27.0,27.0,1.81,27.0,112 CDM,0000104183J1100,DEXAMETHASONE SODIUM PHOSPHATE 100 MG/10ML INJECTI,1.0,1.0,0.11,1.0,112 CDM,0000104187J1325,EPOPROSTENOL (VELETRI) INHALATION 1.5MG/50ML (CNR),188.0,188.0,15.65,188.0,112 CDM,0000104208J0457,AZTREONAM IVPB 2G/100ML NSS (CNR),108.0,108.0,2.07,108.0,112 CDM,0000104211J0665,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,6.0,6.0,0.01,6.0,112 CDM,0000104217J1230,METHADONE HCL 10 MG/ML INJECTION SOLN,141.0,141.0,17.7,141.0,112 CDM,0000104232J3010,FENTANYL INFUSION 4000MCG/250ML NSS (CNR),312.0,312.0,0.85,312.0,112 CDM,0000104298J2590,OXYTOCIN INFUSION 30 UNITS/500ML NSS (WRAPPER)(CNR,26.0,26.0,0.86,26.0,111 CDM,0000104304J3490,INVESTIGATIONAL LIDOCAINE HCL (UPCC 08216) 1 IJ,1.0,1.0,0.14,1.0,111 CDM,0000104405J8499,EFAVIRENZ 600 MG/5ML ORAL SUSPENSION ORD,23.0,23.0,3.11,23.0,105 CDM,0000104616J1644,HEPARIN SODIUM (PORCINE) 50 UNITS/ML (5000 UNITS/1,12.0,12.0,0.18,12.0,112 CDM,0000104682J1720,HYDROCORTISONE NA SUCCINATE PF 1 MG/ML INJECTION (,11.0,11.0,1.49,47.31,112 CDM,0000104689J0290,AMPICILLIN SODIUM 30 MG/ML INJECTION (NEO) (CNR),7.0,7.0,0.49,7.0,112 CDM,0000104769J2795,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,79.0,79.0,0.05,79.0,112 CDM,0000104793J1100,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML INJECTION,3.0,3.0,0.11,3.0,112 CDM,0000104929J1644,HEPARIN INHALATION SOLUTION (5000 UNITS/3ML),46.0,46.0,0.18,46.0,112 CDM,0000104945J1450,FLUCONAZOLE 40 MG/ML PO SUSR,15.0,15.0,2.03,15.0,112 CDM,0000104946J1450,FLUCONAZOLE 40 MG/ML PO SUSR,29.0,29.0,2.39,29.0,112 CDM,0000104969J2004,LIDOCAINE 0.9 EPINEPHRINE 0.9 100000SODIUM BICARBO,1.0,1.0,0.01,1.0,111 CDM,0000104973J2260,MILRINONE IV SYRINGE 200 MCG/ML (NEO)(30ML)(PREMIX,18.0,18.0,1.31,18.0,112 CDM,0000105080J1230,METHADONE HCL 10 MG/ML PO CONC,1.0,1.0,0.14,42.91,112 CDM,0000105103Q0244,CASIRIVIMABIMDEVIMAB (REGENCOV) (EUA) IVPB 600MG/1,7.0,7.0,0.01,7.0,111 CDM,0000105104J2004,LIDOCAINE 0.45 EPINEPHRINE 0.9 200000SODIUM BICARB,1.0,1.0,0.01,1.0,111 CDM,0000105116J2795,ROPIVACAINE 0.2 800ML,1172.0,1172.0,0.05,1172.0,112 CDM,0000105118J1230,METHADONE HCL 10 MG/ML PO CONC,2.0,2.0,0.27,42.91,112 CDM,0000105125J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,36.0,36.0,0.05,36.0,112 CDM,0000105164J2274,MORPHINE SULFATE (PF) 0.5 MG/ML INJECTION SOLN,2.0,2.0,0.27,26.77,112 CDM,0000105172J1230,METHADONE HCL 10 MG/ML PO CONC,2.0,2.0,0.27,42.91,112 CDM,0000105196J2997,ALTEPLASE 12.5 MCG/0.1ML NSS INTRAVITREAL INJ,1.0,1.0,0.14,282.28,119 CDM,0000105200J0713,CEFTAZIDIME 2.25 MG/0.1ML INTRAVITREAL INJ ORD,19.0,19.0,1.47,19.0,112 CDM,0000105205J3370,VANCOMYCIN 1 MG/0.1ML INTRAVITREAL INJECTION ORD,29.0,29.0,1.86,29.0,111 CDM,0000105206J9312,RITUXIMAB 1 MG/0.1ML INTRAVITREAL INJ ORD,1.0,1.0,0.14,224.92,119 CDM,0000105207J7999,BEVACIZUMAB 1.25 MG/0.05ML INTRAVITREAL INJ ORD,36.0,36.0,4.86,36.0,111 CDM,0000105208J0285,AMPHOTERICIN B OPHTHALMIC SOLUTION 0.5 MG/ML ORD,1.0,1.0,0.14,96.37,112 CDM,0000105210J0285,AMPHOTERICIN B OPHTHALMIC SOLUTION 0.15,180.0,180.0,24.3,180.0,112 CDM,0000105211J0285,AMPHOTERICIN B OPHTHALMIC SOLUTION 2 MG/ML ORD,1.0,1.0,0.14,96.37,112 CDM,0000105212J0285,AMPHOTERICIN B OPHTHALMIC SOLUTION 5 MG/ML ORD,1.0,1.0,0.14,96.37,112 CDM,0000105214J0690,CEFAZOLIN FORTE 25 MG/ML OPHTHALMIC SOLUTION,35.0,35.0,0.81,35.0,112 CDM,0000105215J0770,COLISTIMETHATE 7.5 MG/ML OPHTH SOLN ORD,1.0,1.0,0.14,28.99,112 CDM,0000105216J7516,CYCLOSPORINE 0.5 MG/ML (0.05 ) OPHTHALMIC SOL ORD,158.0,158.0,21.33,161.13,112 CDM,0000105217J7516,CYCLOSPORINE 10 MG/ML (1 ) OPHTHALMIC SOLN ORD,1.0,1.0,0.14,161.13,112 CDM,0000105218J7516,CYCLOSPORINE 20 MG/ML (2 ) OPHTHALMIC SOLN ORD,1.0,1.0,0.14,161.13,112 CDM,0000105219J1450,FLUCONAZOLE 2 MG/ML OPHTHALMIC SOLN ORD,1.0,1.0,0.14,5.02,112 CDM,0000105221J1580,GENTAMICIN 15 MG/ML (1.5 ) OPHTHALMIC SOLN,188.0,188.0,2.17,188.0,112 CDM,0000105223J2540,PENICILLIN G POTASSIUM 100000 UNITS/ML OPHTHALMIC,1.0,1.0,0.14,1.75,112 CDM,0000105224J2540,PENICILLIN G POTASSIUM 333000 UNITS/ML OPHTHALMIC,1.0,1.0,0.14,1.75,112 CDM,0000105225J0285,AMPHOTERICIN B 5 MCG/0.1ML OPHTHALMIC SOLUTION,1.0,1.0,0.14,96.37,112 CDM,0000105226J0278,AMIKACIN 400 MCG/0.1ML INTRAVITREAL INJ ORD,14.0,14.0,0.54,14.0,112 CDM,0000105227J3465,VORICONAZOLE 10 MG/ML (1 ) OPHTHALMIC SOLN ORD,218.0,218.0,0.75,218.0,112 CDM,0000105228J0736,CLINDAMYCIN 1 MG/0.1ML INTRAVITREAL INJ ORD,12.0,12.0,1.62,12.0,112 CDM,0000105232J7315,MITOMYCIN 0.4 MG/ML INTRAVITREAL INJ ORD,66.0,66.0,8.91,973.69,111 CDM,0000105233J7315,MITOMYCIN 0.3 MG/ML INTRAVITREAL INJ ORD,50.0,50.0,6.75,973.69,111 CDM,0000105234J7315,MITOMYCIN 0.2 MG/ML INTRAVITREAL INJ ORD,33.0,33.0,4.46,973.69,111 CDM,0000105235J1790,DROPERIDOL 2.5 MG/ML INJECTION SOLN,5.0,5.0,0.68,16.94,112 CDM,0000105236J2997,ALTEPLASE 12.5 MCG/0.1ML NSS INTRAVITREAL INJ,635.0,635.0,85.73,635.0,119 CDM,0000105240J0713,CEFTAZIDIME 2.25 MG/0.1ML INTRAVITREAL INJ ORD,19.0,19.0,1.47,19.0,112 CDM,0000105245J3370,VANCOMYCIN 1 MG/0.1ML INTRAVITREAL INJECTION ORD,29.0,29.0,1.86,29.0,111 CDM,0000105246J9312,RITUXIMAB 1 MG/0.1ML INTRAVITREAL INJ ORD,1.0,1.0,0.14,224.92,119 CDM,0000105247J0278,AMIKACIN 400 MCG/0.1ML INTRAVITREAL INJ ORD,14.0,14.0,0.54,14.0,112 CDM,0000105248J0736,CLINDAMYCIN 1 MG/0.1ML INTRAVITREAL INJ ORD,12.0,12.0,1.62,12.0,112 CDM,0000105255J8499,ENTECAVIR 0.05 MG/ML PO SOLN,165.0,165.0,22.28,165.0,105 CDM,0000105260J3465,VORICONAZOLE 100 MCG/0.1ML OPTHALMIC INJ ORD,2.0,2.0,0.27,2.0,112 CDM,0000105261J3465,VORICONAZOLE 100 MCG/0.1ML OPTHALMIC INJ ORD,1.0,1.0,0.14,1.71,112 CDM,0000105277J3010,FENTANYL CITRATENACL 100.9 MCG/ML IV SOSY,12.0,12.0,0.85,12.0,112 CDM,0000105285J1265,DOPAMINE IV SYRINGE 1.6MG/ML D5W (NEO) 30ML PREMIX,7.0,7.0,0.66,7.0,112 CDM,0000105286J1265,DOPAMINE INFUSION 1.6MG/ML D5W (PED) 50ML PREMIX,11.0,11.0,0.66,11.0,112 CDM,0000105288J1644,HEPARIN SODIUM (PORCINE) INFUSION 100 UNIT/ML NSS,31.0,31.0,0.18,31.0,112 CDM,0000105322J1265,DOPAMINE 24 MG/30 ML D5W (0.8 MG/ML) INFUSION (NEO,6.0,6.0,0.66,6.0,112 CDM,0000105380J2270,MORPHINE SULFATE 1 MG/ML IV SOLN (WRAPPER),44.0,44.0,2.78,44.0,112 CDM,0000105381J2251,MIDAZOLAM HCLSODIUM CHLORIDE 1000.9 MG/100ML IV S,73.0,73.0,0.17,73.0,112 CDM,0000105423J1250,DOBUTAMINE IV SYRINGE 1MG/ML D5W (NEO) 30ML (1MG/M,11.0,11.0,1.49,15.72,112 CDM,0000105424J1250,DOBUTAMINE IV SYRINGE 2MG/ML D5W (NEO) 30ML (2MG/M,18.0,18.0,2.43,18.0,112 CDM,0000105425J1250,DOBUTAMINE IV SYRINGE 4MG/ML D5W (NEO) 30ML (4MG/M,14.0,14.0,1.89,15.72,112 CDM,0000105426J1250,DOBUTAMINE IV SYRINGE 4MG/ML D5W (PED) 50ML PREMIX,22.0,22.0,2.97,22.0,112 CDM,0000105458J1644,HEPARIN (PORCINE) IN NACL 50000.9 UT/500ML IV SOL,45.0,45.0,0.18,45.0,112 CDM,0000105559J7510,PREDNISOLONE 15 MG/5ML PO SOLN (WRAPPER),8.0,8.0,0.27,8.0,112 CDM,0000105565J2371,PHENYLEPHRINE HCL (PRESSORS) 0.4 MG/10ML IV SOSY,16.0,16.0,0.01,16.0,108 CDM,0000105590J3360,DIAZEPAM 5 MG/ML INJECTION SOLN,68.0,68.0,6.17,68.0,112 CDM,0000105598J2060,LORAZEPAM 2 MG/ML INJECTION SOLN,7.0,7.0,0.95,7.0,112 CDM,0000105651J3010,FENTANYL CITRATENACL 10.9 MG/100ML IV SOLN,126.0,126.0,0.85,126.0,112 CDM,0000105695J0637,CASPOFUNGIN IVPB 50MG/250ML NSS (CNR),1216.0,1216.0,2.27,1216.0,112 CDM,0000105752Q0138,FERUMOXYTOL (FERAHEME) 510 MG/100 ML NSS (CNR),3268.0,3268.0,0.31,3268.0,119 CDM,0000105770P9047,ALBUMIN HUMAN 5 IV SOLN (CNR),18.0,18.0,2.43,159.68,119 CDM,0000105842J3121,TESTOSTERONE ENANTHATE 200 MG/ML IM SOLN,60.0,60.0,0.05,60.0,112 CDM,0000105967J1250,DEXMEDETOMIDINE IV SYRINGE 4 MCG/ML NSS (NEO)(30ML,54.0,54.0,7.29,54.0,112 CDM,0000106017J3370,VANCOMYCIN IVPB 500MG/100ML D5W (CNR),135.0,135.0,1.86,135.0,111 CDM,0000106018J3370,VANCOMYCIN IVPB 750MG/250ML D5W (CNR),78.0,78.0,1.86,78.0,111 CDM,0000106019J3370,VANCOMYCIN IVPB 1G/250ML D5W (CNR),99.0,99.0,1.86,99.0,111 CDM,0000106020J3370,VANCOMYCIN IVPB 1.25G/250ML D5W (CNR),69.0,69.0,1.86,69.0,111 CDM,0000106021J3370,VANCOMYCIN IVPB 2.25G/500ML D5W (CNR),1.0,1.0,0.14,1.0,111 CDM,0000106022J3370,VANCOMYCIN IVPB 2.5G/500ML D5W (CNR),1.0,1.0,0.14,1.0,111 CDM,0000106056J3370,CEFEPIME IM SYRINGE 280 MG/ML SWFI (NEO/PED)(CNR),21.0,21.0,1.86,21.0,111 CDM,0000106198J2251,MIDAZOLAM IV SYRINGE 1MG/ML NSS (NEO)(30ML)(PREMIX,22.0,22.0,0.17,22.0,112 CDM,0000106245J9321,EPCORITAMABBYSP (EPKINLY) SC INJ 0.8 MG/1ML NSS (D,4569.0,4569.0,5.31,4569.0,119 CDM,0000106250J1644,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,2.0,2.0,0.18,2.0,112 CDM,0000106251J1644,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,6.0,6.0,0.18,6.0,112 CDM,0000106255J9321,EPCORITAMABBYSP (EPKINLY) SC INJ 0.16 MG/1ML NSS (,1830.0,1830.0,5.31,1830.0,119 CDM,0000106301J1450,KETAMINE INFUSION 500 MG/50ML (10 MG/ML VIAL),181.0,181.0,2.39,181.0,112 CDM,0000106548J3490,SULBACTAM 1 GRAM VIAL (XACDURO KIT INGREDIENT),570.0,570.0,76.95,570.0,111 CDM,0000106587J2404,NICARDIPINE 0.1 MG/ML BOLUS SYRINGE,18.0,18.0,0.07,18.0,112 CDM,0000106636J2305,NITROGLYCERIN 20 MCG/ML IV SOLN,11.0,11.0,1.41,11.0,112 CDM,0000106638J1171,HYDROMORPHONE HCL 0.1 MG/ML IV SOLN,18.0,18.0,0.09,18.0,112 CDM,0000106639J1171,HYDROMORPHONE HCL 0.2 MG/ML,18.0,18.0,0.09,18.0,112 CDM,0000106706J2185,MEROPENEM IVPB 2G/100ML NSS (CNR),228.0,228.0,0.38,228.0,112 CDM,0000106820J0637,CASPOFUNGIN IVPB 50 MG/100 ML NSS (CNR),1216.0,1216.0,2.27,1216.0,112 CDM,0000106821J0295,AMPICILLINSULBACTAM IVPB 1.5G/50ML NSS (CNR),29.0,29.0,1.33,29.0,112 CDM,0000106843J0171,EPINEPHRINENACL 80.9 MG/250ML IV SOLN,256.0,256.0,0.76,256.0,111 CDM,0000106904J1956,LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN,9.0,9.0,1.22,9.0,112 CDM,0000109007J2405,ONDANSETRON 16MG DEXAMETH 12MG IVPB 100ML NSS (C,71.0,71.0,0.09,71.0,112 CDM,0000109009J2405,ONDANSETRON 16MG DEXAMETH 20MG IVPB 100ML NSS (C,74.0,74.0,0.09,74.0,112 CDM,0000109011J2469,PALONOSETRON IVPB 0.25MG/50ML NSS (CNR),1038.0,1038.0,0.34,1038.0,112 CDM,0000109012J2469,PALONOSETRON 0.25MG DEXAMETH 20MG IVPB 50ML NSS,1047.0,1047.0,0.34,1047.0,112 CDM,0000109013J2469,PALONOSETRON 0.25MG DEXAMETH 12MG IVPB 50ML NSS,1043.0,1043.0,0.34,1043.0,112 CDM,0000109069J2469,PALONOSETRON 0.25MG DEXAMETH 10MG IVPB 50ML NSS,1042.0,1042.0,0.34,1042.0,112 CDM,0000109195J1644,HEPARIN SODIUM (PORCINE) 5000 UNITS/100ML PLASMALY,12.0,12.0,0.18,12.0,112 CDM,0000109214J0171,EPINEPHRINE HCLNACL 40.9 MG/250ML IV SOLN,41.0,41.0,0.76,41.0,111 CDM,0000109217J1644,HEPARIN 10000 UNITS/500ML NSS (PREMIX) (CNR),29.0,29.0,0.18,29.0,112 CDM,0000109218J3370,VANCOMYCIN IVPB 750MG/100ML NSS (CNR),28.0,28.0,1.86,28.0,111 CDM,0000109219J3370,VANCOMYCIN IVPB 1G/100ML NSS (CNR),28.0,28.0,1.86,28.0,111 CDM,0000109221J3370,VANCOMYCIN IVPB 1.5G/250ML NSS (CNR),69.0,69.0,1.86,69.0,111 CDM,0000109222J3370,VANCOMYCIN IVPB 1.75G/250ML NSS (CNR),69.0,69.0,1.86,69.0,111 CDM,0000109223J3370,VANCOMYCIN IVPB 2G/250ML NSS (CNR),69.0,69.0,1.86,69.0,111 CDM,0000200001J3010,FENTANYL 250 MCG/25 ML SYRINGE INJECTION SOLN ORD,27.0,27.0,0.85,27.0,112 CDM,0002757501J2267,MIRIKIZUMABMRKZ 300 MG/15ML IV SOLN,34536.0,34536.0,41.92,34536.0,119 CDM,0002759701J2359,OLANZAPINE 10 MG IM SOLR,181.0,181.0,0.75,181.0,112 CDM,0002762301J9305,PEMETREXED DISODIUM 500 MG IV SOLR,14555.0,14555.0,3.59,14555.0,119 CDM,0002764001J9305,PEMETREXED DISODIUM 100 MG IV SOLR,2911.0,2911.0,3.59,2911.0,119 CDM,0002766901J9308,RAMUCIRUMAB 100 MG/10ML IV SOLN,5245.0,5245.0,72.91,5245.0,119 CDM,0002767801J9308,RAMUCIRUMAB 500 MG/50ML IV SOLN,26223.0,26223.0,72.91,26223.0,119 CDM,0002831501J1815,INSULIN NPH (HUMAN) (ISOPHANE) 100 UNIT/ML SC SUSP,161.0,161.0,0.22,161.0,111 CDM,0002840001J3110,TERIPARATIDE 600 MCG/2.4ML SC SOPN,15444.0,15444.0,47.34,15444.0,111 CDM,0002940101J0175,DONANEMABAZBT 350 MG/20ML IV SOLN,2505.0,2505.0,4.09,2505.0,119 CDM,0003029305J3301,TRIAMCINOLONE ACETONIDE 40 MG/ML INJECTION SUSP,34.0,34.0,0.74,34.0,112 CDM,0003029320J3301,TRIAMCINOLONE ACETONIDE 40 MG/ML INJECTION SUSP,172.0,172.0,0.74,172.0,112 CDM,0003037113J0485,BELATACEPT 250 MG IV SOLR,3492.0,3492.0,3.89,3492.0,119 CDM,0003049420J3301,TRIAMCINOLONE ACETONIDE 10 MG/ML INJECTION SUSP,44.0,44.0,0.74,44.0,112 CDM,0003083050S0176,HYDROXYUREA 500 MG PO CAPS,5.0,5.0,0.41,5.0,111 CDM,0003161412J8499,ENTECAVIR 0.05 MG/ML PO SOLN,3459.0,3459.0,29.55,3459.0,105 CDM,0003218713J0129,ABATACEPT 250 MG IV SOLR,5265.0,5265.0,43.8,5265.0,119 CDM,0003218811J0129,ABATACEPT 125 MG/ML SC SOSY,5126.0,5126.0,43.8,5126.0,119 CDM,0003229111J9176,ELOTUZUMAB 300 MG IV SOLR,8032.0,8032.0,7.72,8032.0,119 CDM,0003232711J9228,IPILIMUMAB 50 MG/10ML IV SOLN,31332.0,31332.0,180.05,31332.0,119 CDM,0003232822J9228,IPILIMUMAB 200 MG/40ML IV SOLN,125325.0,125325.0,180.05,125325.0,119 CDM,0003256016J0457,AZTREONAM 1 G INJECTION SOLR,108.0,108.0,2.07,108.0,112 CDM,0003257016J0457,AZTREONAM 2 G INJECTION SOLR,215.0,215.0,2.07,215.0,112 CDM,0003373413J9299,NIVOLUMAB 240 MG/24ML IV SOLN,27485.0,27485.0,32.3,27485.0,119 CDM,0003375614J9299,NIVOLUMAB 120 MG/12ML IV SOLN,13743.0,13743.0,32.3,13743.0,119 CDM,0003377211J9299,NIVOLUMAB 40 MG/4ML IV SOLN,4581.0,4581.0,32.3,4581.0,119 CDM,0003377412J9299,NIVOLUMAB 100 MG/10ML IV SOLN,11452.0,11452.0,32.3,11452.0,119 CDM,0003452211J9176,ELOTUZUMAB 400 MG IV SOLR,10709.0,10709.0,7.72,10709.0,119 CDM,0003712511J9298,NIVOLUMABRELATLIMABRMBW 24080 MG/20ML IV SOLN,53364.0,53364.0,193.86,53364.0,119 CDM,0004025901J7517,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,33.0,33.0,0.15,33.0,112 CDM,0004026001J7517,MYCOPHENOLATE MOFETIL 500 MG PO TABS,65.0,65.0,0.15,65.0,112 CDM,0004026129J7517,MYCOPHENOLATE MOFETIL 200 MG/ML PO SUSR,4972.0,4972.0,0.15,4972.0,112 CDM,0004029809J7519,MYCOPHENOLATE MOFETIL HCL 500 MG IV SOLR,389.0,389.0,0.37,389.0,112 CDM,0004038140J1324,ENFUVIRTIDE 90 MG SC SOLR,216.0,216.0,0.66,216.0,111 CDM,0004110020J8522,CAPECITABINE 150 MG PO TABS,49.0,49.0,0.04,49.0,119 CDM,0004110150J8521,CAPECITABINE 500 MG PO TABS,163.0,163.0,22.01,163.0,111 CDM,0006046102J8501,APREPITANT 80 MG PO CAPS,788.0,788.0,2.72,788.0,112 CDM,0006046401J8501,APREPITANT 40 MG PO CAPS,425.0,425.0,2.72,425.0,112 CDM,0006302500J0565,BEZLOTOXUMAB 1000 MG/40ML IV SOLN,13680.0,13680.0,39.82,13680.0,119 CDM,0006302601J9271,PEMBROLIZUMAB 100 MG/4ML IV SOLN,20408.0,20408.0,57.6,20408.0,119 CDM,0006302602J9271,PEMBROLIZUMAB 100 MG/4ML IV SOLN,20408.0,20408.0,57.6,20408.0,119 CDM,0006306100J1453,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR,1205.0,1205.0,0.11,1205.0,112 CDM,0006306101J1453,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR,1205.0,1205.0,0.11,1205.0,112 CDM,0006307503C9399,LETERMOVIR 240 MG PO TABS,941.0,941.0,127.04,941.0,113 CDM,0006307504C9399,LETERMOVIR 240 MG PO TABS,941.0,941.0,127.04,941.0,113 CDM,0006307601C9399,LETERMOVIR 480 MG PO TABS,941.0,941.0,127.04,941.0,113 CDM,0006307602C9399,LETERMOVIR 480 MG PO TABS,941.0,941.0,127.04,941.0,113 CDM,0006307603C9399,LETERMOVIR 480 MG PO TABS,941.0,941.0,127.04,941.0,113 CDM,0006307604C9399,LETERMOVIR 480 MG PO TABS,941.0,941.0,127.04,941.0,113 CDM,0006351659J0743,IMIPENEMCILASTATIN 500 MG IV SOLR,118.0,118.0,6.97,118.0,112 CDM,0006382210J0637,CASPOFUNGIN ACETATE 50 MG IV SOLR,1216.0,1216.0,2.27,1216.0,112 CDM,0006382310J0637,CASPOFUNGIN ACETATE 70 MG IV SOLR,1264.0,1264.0,2.27,1264.0,112 CDM,0006385601J0742,IMIPENEMCILASTATINRELEBACTAM 1.25 G IV SOLR,1105.0,1105.0,2.5,1105.0,112 CDM,0006385602J0742,IMIPENEMCILASTATINRELEBACTAM 1.25 G IV SOLR,1105.0,1105.0,2.5,1105.0,112 CDM,0006417588A4216,STERILE WATER FOR INJECTION SOLN,1.0,1.0,0.14,1.0,111 CDM,0006417589A4216,STERILE WATER FOR INJECTION SOLN,1.0,1.0,0.14,1.0,111 CDM,0006430900A4216,STERILE WATER FOR INJECTION SOLN,1.0,1.0,0.14,1.0,111 CDM,0006430901A4216,STERILE WATER FOR INJECTION SOLN,1.0,1.0,0.14,1.0,111 CDM,0006500401C9399,LETERMOVIR 480 MG/24ML IV SOLN,1302.0,1302.0,175.77,1302.0,113 CDM,0006500402C9399,LETERMOVIR 480 MG/24ML IV SOLN,1302.0,1302.0,175.77,1302.0,113 CDM,0008010001J9229,INOTUZUMAB OZOGAMICIN 0.9 MG IV SOLR,83370.0,83370.0,2658.13,83370.0,119 CDM,0008092351J2470,PANTOPRAZOLE SODIUM 40 MG IV SOLR,19.0,19.0,1.93,19.0,111 CDM,0008092355J2470,PANTOPRAZOLE SODIUM 40 MG IV SOLR,19.0,19.0,1.93,19.0,111 CDM,0008092360J2470,PANTOPRAZOLE SODIUM 40 MG IV SOLR,19.0,19.0,1.93,19.0,111 CDM,0008103004J7520,SIROLIMUS 1 MG/ML PO SOLN,7072.0,7072.0,0.96,7072.0,112 CDM,0008103006J7520,SIROLIMUS 1 MG/ML PO SOLN,7072.0,7072.0,0.96,7072.0,112 CDM,0008104010J7520,SIROLIMUS 0.5 MG PO TABS,58.0,58.0,0.96,58.0,112 CDM,0008104105J7520,SIROLIMUS 1 MG PO TABS,124.0,124.0,0.96,124.0,112 CDM,0008117901J9330,TEMSIROLIMUS 25 MG/ML IV SOLN,6371.0,6371.0,20.32,6371.0,119 CDM,0008400101J2470,PANTOPRAZOLE SODIUM 40 MG IV SOLR,18.0,18.0,1.93,18.0,111 CDM,0008451001J9203,GEMTUZUMAB OZOGAMICIN 4.5 MG IV SOLR,35628.0,35628.0,233.12,35628.0,119 CDM,0009000302J2919,METHYLPREDNISOLONE SODIUM SUCC 500 MG INJECTION SO,171.0,171.0,0.26,171.0,112 CDM,0009000501J1720,HYDROCORTISONE SOD SUC (PF) 1000 MG INJECTION SOLR,571.0,571.0,20.94,571.0,112 CDM,0009001103J1720,HYDROCORTISONE SOD SUC (PF) 100 MG INJECTION SOLR,78.0,78.0,10.53,78.0,112 CDM,0009001104J1720,HYDROCORTISONE SOD SUC (PF) 100 MG INJECTION SOLR,78.0,78.0,10.53,78.0,112 CDM,0009001612J1720,HYDROCORTISONE SOD SUC (PF) 500 MG INJECTION SOLR,286.0,286.0,20.94,286.0,112 CDM,0009001820J2919,METHYLPREDNISOLONE SODIUM SUCC 1000 MG INJECTION S,249.0,249.0,0.26,249.0,112 CDM,0009002001J7509,METHYLPREDNISOLONE 2 MG PO TABS,6.0,6.0,0.13,6.0,112 CDM,0009003905J2919,METHYLPREDNISOLONE SODIUM SUCC 40 MG INJECTION SOL,25.0,25.0,0.26,25.0,112 CDM,0009003928J2919,METHYLPREDNISOLONE SODIUM SUCC 40 MG INJECTION SOL,24.0,24.0,0.26,24.0,112 CDM,0009003930J2919,METHYLPREDNISOLONE SODIUM SUCC 40 MG INJECTION SOL,24.0,24.0,0.26,24.0,112 CDM,0009003932J2919,METHYLPREDNISOLONE SODIUM SUCC 40 MG INJECTION SOL,24.0,24.0,0.26,24.0,112 CDM,0009003933J2919,METHYLPREDNISOLONE SODIUM SUCC 40 MG INJECTION SOL,24.0,24.0,0.26,24.0,112 CDM,0009004722J2919,METHYLPREDNISOLONE SODIUM SUCC 125 MG INJECTION SO,38.0,38.0,0.26,38.0,112 CDM,0009004725J2919,METHYLPREDNISOLONE SODIUM SUCC 125 MG INJECTION SO,38.0,38.0,0.26,38.0,112 CDM,0009004726J2919,METHYLPREDNISOLONE SODIUM SUCC 125 MG INJECTION SO,38.0,38.0,0.26,38.0,112 CDM,0009004727J2919,METHYLPREDNISOLONE SODIUM SUCC 125 MG INJECTION SO,38.0,38.0,0.26,38.0,112 CDM,0009005602J7509,METHYLPREDNISOLONE 4 MG PO TABS,2.0,2.0,0.13,2.0,112 CDM,0009007301J7509,METHYLPREDNISOLONE 16 MG PO TABS,11.0,11.0,0.13,11.0,112 CDM,0009008202J9206,IRINOTECAN HCL 300 MG/15ML IV SOLN,410.0,410.0,1.4,410.0,112 CDM,0009008601J1071,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN,76.0,76.0,0.03,76.0,112 CDM,0009021501J0270,ALPROSTADIL 500 MCG/ML INJECTION SOLN,553.0,553.0,6.54,553.0,111 CDM,0009021505J0270,ALPROSTADIL 500 MCG/ML INJECTION SOLN,553.0,553.0,6.54,553.0,111 CDM,0009028002J1010,METHYLPREDNISOLONE ACETATE 40 MG/ML INJECTION SUSP,178.0,178.0,0.12,178.0,112 CDM,0009030602J1010,METHYLPREDNISOLONE ACETATE 80 MG/ML INJECTION SUSP,356.0,356.0,0.12,356.0,112 CDM,0009041701J1071,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN,86.0,86.0,0.03,86.0,112 CDM,0009041702J1071,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN,498.0,498.0,0.03,498.0,112 CDM,0009060204J0736,CLINDAMYCIN PHOSPHATE 600 MG/4ML INJECTION SOLN,11.0,11.0,1.49,11.0,112 CDM,0009069801J2919,METHYLPREDNISOLONE SODIUM SUCC 1000 MG INJECTION S,159.0,159.0,0.26,159.0,112 CDM,0009072805J0736,CLINDAMYCIN PHOSPHATE 9 GM/60ML INJECTION SOLN,85.0,85.0,1.67,85.0,112 CDM,0009072809J0736,CLINDAMYCIN PHOSPHATE 9 GM/60ML INJECTION SOLN,85.0,85.0,1.67,85.0,112 CDM,0009074630J1050,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP,190.0,190.0,0.35,190.0,111 CDM,0009074635J1050,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP,190.0,190.0,0.35,190.0,111 CDM,0009075801J2919,METHYLPREDNISOLONE SODIUM SUCC 500 MG INJECTION SO,88.0,88.0,0.26,88.0,112 CDM,0009077520J0736,CLINDAMYCIN PHOSPHATE 600 MG/4ML INJECTION SOLN,11.0,11.0,1.49,11.0,112 CDM,0009077526J0736,CLINDAMYCIN PHOSPHATE 600 MG/4ML INJECTION SOLN,11.0,11.0,1.49,11.0,112 CDM,0009082501J1720,HYDROCORTISONE SOD SUC (PF) 100 MG INJECTION SOLR,58.0,58.0,7.83,58.0,112 CDM,0009085001J2919,METHYLPREDNISOLONE SODIUM SUCC 2000 MG INJECTION S,392.0,392.0,0.26,392.0,112 CDM,0009087021J0736,CLINDAMYCIN PHOSPHATE 300 MG/2ML INJECTION SOLN,9.0,9.0,1.22,9.0,112 CDM,0009087026J0736,CLINDAMYCIN PHOSPHATE 300 MG/2ML INJECTION SOLN,9.0,9.0,1.22,9.0,112 CDM,0009090211J0736,CLINDAMYCIN PHOSPHATE 900 MG/6ML INJECTION SOLN,16.0,16.0,1.67,16.0,112 CDM,0009090218J0736,CLINDAMYCIN PHOSPHATE 900 MG/6ML INJECTION SOLN,16.0,16.0,1.67,16.0,112 CDM,0009307301J1010,METHYLPREDNISOLONE ACETATE 40 MG/ML INJECTION SUSP,41.0,41.0,0.12,41.0,112 CDM,0009307303J1010,METHYLPREDNISOLONE ACETATE 40 MG/ML INJECTION SUSP,41.0,41.0,0.12,41.0,112 CDM,0009307322J1010,METHYLPREDNISOLONE ACETATE 40 MG/ML INJECTION SUSP,41.0,41.0,0.12,41.0,112 CDM,0009307323J1010,METHYLPREDNISOLONE ACETATE 40 MG/ML INJECTION SUSP,41.0,41.0,0.12,41.0,112 CDM,0009316901J0270,ALPROSTADIL 500 MCG/ML INJECTION SOLN,553.0,553.0,6.54,553.0,111 CDM,0009316906J0270,ALPROSTADIL 500 MCG/ML INJECTION SOLN,553.0,553.0,6.54,553.0,111 CDM,0009347501J1010,METHYLPREDNISOLONE ACETATE 80 MG/ML INJECTION SUSP,71.0,71.0,0.12,71.0,112 CDM,0009347503J1010,METHYLPREDNISOLONE ACETATE 80 MG/ML INJECTION SUSP,72.0,72.0,0.12,72.0,112 CDM,0009379401J1742,IBUTILIDE FUMARATE 1 MG/10ML IV SOLN,1976.0,1976.0,186.77,1976.0,119 CDM,0009379422J1742,IBUTILIDE FUMARATE 1 MG/10ML IV SOLN,1976.0,1976.0,186.77,1976.0,119 CDM,0009407303J0736,CLINDAMYCIN PHOSPHATE 600 MG/4ML INJECTION SOLN,11.0,11.0,1.49,11.0,112 CDM,0009499201J2020,LINEZOLID 600 MG/300ML IV SOLN,173.0,173.0,2.74,173.0,112 CDM,0009499202J2020,LINEZOLID 600 MG/300ML IV SOLN,173.0,173.0,2.74,173.0,112 CDM,0009509101J9178,EPIRUBICIN HCL 50 MG/25ML IV SOLN,169.0,169.0,1.59,169.0,112 CDM,0009509301J9178,EPIRUBICIN HCL 200 MG/100ML IV SOLN,819.0,819.0,1.59,819.0,112 CDM,0009514001J2020,LINEZOLID 600 MG/300ML IV SOLN,119.0,119.0,2.74,119.0,112 CDM,0009514004J2020,LINEZOLID 600 MG/300ML IV SOLN,119.0,119.0,2.74,119.0,112 CDM,0009518201J0270,ALPROSTADIL (VASODILATOR) 20 MCG INTRACAVER KIT,381.0,381.0,6.54,381.0,111 CDM,0009518211J0270,ALPROSTADIL (VASODILATOR) 20 MCG INTRACAVER KIT,381.0,381.0,6.54,381.0,111 CDM,0009722401J7504,LYMPHOCYTEANTITHYMO IMM GLOB 50 MG/ML IV SOLN,17354.0,17354.0,2342.79,17354.0,119 CDM,0009722402J7504,LYMPHOCYTEANTITHYMO IMM GLOB 50 MG/ML IV SOLN,15090.0,15090.0,2037.15,15968.38,119 CDM,0009737611J1050,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSY,198.0,198.0,0.35,198.0,111 CDM,0009752903J9206,IRINOTECAN HCL 100 MG/5ML IV SOLN,149.0,149.0,1.4,149.0,112 CDM,0009752904J9206,IRINOTECAN HCL 40 MG/2ML IV SOLN,100.0,100.0,1.4,100.0,112 CDM,0009780701J2020,LINEZOLID 600 MG/300ML IV SOLN,288.0,288.0,2.74,288.0,112 CDM,0019086250Q9958,IOTHALAMATE MEGLUMINE 17.2 URETHRAL SOLN,113.0,113.0,0.07,113.0,104 CDM,0019095305Q9961,IOTHALAMATE MEGLUMINE 60 INJECTION SOLN,56.0,56.0,0.26,56.0,104 CDM,0019095323Q9961,IOTHALAMATE MEGLUMINE 60 INJECTION SOLN,44.0,44.0,0.26,44.0,104 CDM,0023114501J0585,ONABOTULINUMTOXINA 100 UNITS INJECTION SOLR,2326.0,2326.0,6.26,2326.0,119 CDM,0023334807J7312,DEXAMETHASONE 0.7 MG INTRAVITREAL IMPL,4943.0,4943.0,204.54,4943.0,119 CDM,0023391950J0585,BOTOX COSMETIC 50 UNITS IM SOLR,1304.0,1304.0,6.26,1304.0,119 CDM,0023392102J0585,BOTOX 200 UNITS INJECTION SOLR,4652.0,4652.0,6.26,4652.0,119 CDM,0023585801J7297,LEVONORGESTREL 20.1 MCG/DAY INTRAUTERINE IUD,3195.0,3195.0,431.33,3195.0,115 CDM,0023608201J1750,IRON DEXTRAN 50 MG/ML INJECTION SOLN,128.0,128.0,17.28,128.0,119 CDM,0023608210J1750,IRON DEXTRAN 50 MG/ML INJECTION SOLN,128.0,128.0,17.28,128.0,119 CDM,0023923201J0585,ONABOTULINUMTOXINA (COSMETIC) 100 UNITS IM SOLR,2362.0,2362.0,6.26,2362.0,119 CDM,0024065401J9227,ISATUXIMABIRFC 100 MG/5ML IV SOLN,2850.0,2850.0,79.35,2850.0,119 CDM,0024065601J9227,ISATUXIMABIRFC 500 MG/25ML IV SOLN,14247.0,14247.0,79.35,14247.0,119 CDM,0024279201J2916,NA FERRIC GLUC CPLX IN SUCROSE 12.5 MG/ML IV SOLN,115.0,115.0,1.99,115.0,112 CDM,0024279210J2916,NA FERRIC GLUC CPLX IN SUCROSE 12.5 MG/ML IV SOLN,115.0,115.0,1.99,115.0,112 CDM,0024515010J2783,RASBURICASE 1.5 MG IV SOLR,3869.0,3869.0,369.97,3869.0,119 CDM,0024515175J2783,RASBURICASE 7.5 MG IV SOLR,19342.0,19342.0,369.97,19342.0,119 CDM,0024515411J2783,RASBURICASE 1.5 MG IV SOLR,3869.0,3869.0,369.97,3869.0,119 CDM,0024582411J9043,CABAZITAXEL 60 MG IV SOLN,46140.0,46140.0,224.09,46140.0,119 CDM,0024586201J2562,PLERIXAFOR 24 MG/1.2ML SC SOLN,35886.0,35886.0,30.66,35886.0,119 CDM,0026378555J7192,ANTIHEM FACTOR RECOMB (RFVIII) 1000 UNITS IV KIT,8043.0,8043.0,1.54,8043.0,117 CDM,0026382225J7211,ANTIHEMOPHIL FACTOR (RAHFPFM) 500 UNITS IV SOLR,3135.0,3135.0,1.48,3135.0,116 CDM,0026382425J7211,ANTIHEMOPHIL FACTOR (RAHFPFM) 1000 UNITS IV SOLR,7306260.0,7306260.0,1.48,7306260.0,117 CDM,0026382650J7211,ANTIHEMOPHIL FACTOR (RAHFPFM) 2000 UNITS IV SOLR,13260.0,13260.0,1.48,13260.0,117 CDM,0026482201J7211,ANTIHEMOPHIL FACTOR (RAHFPFM) 500 UNITS IV SOLR,3135.0,3135.0,1.48,3135.0,116 CDM,0026482401J7211,ANTIHEMOPHIL FACTOR (RAHFPFM) 1000 UNITS IV SOLR,8592.0,8592.0,1.48,8592.0,117 CDM,0026482601J7211,ANTIHEMOPHIL FACTOR (RAHFPFM) 2000 UNITS IV SOLR,16854.0,16854.0,1.48,16854.0,117 CDM,0046074905J1410,ESTROGENS CONJUGATED 25 MG INJECTION SOLR,1325.0,1325.0,178.88,1325.0,119 CDM,0049001381J0295,AMPICILLINSULBACTAM SODIUM 1.5 (10.5) G INJECTION,28.0,28.0,1.33,28.0,112 CDM,0049001383J0295,AMPICILLINSULBACTAM SODIUM 1.5 (10.5) G INJECTION,28.0,28.0,1.33,28.0,112 CDM,0049001481J0295,AMPICILLINSULBACTAM SODIUM 3 (21) G INJECTION SOLR,53.0,53.0,1.33,53.0,112 CDM,0049001483J0295,AMPICILLINSULBACTAM SODIUM 3 (21) G INJECTION SOLR,53.0,53.0,1.33,53.0,112 CDM,0049002428J0295,AMPICILLINSULBACTAM SODIUM 15 (105) G IV SOLR,263.0,263.0,1.33,263.0,112 CDM,0049052022J2540,PENICILLIN G POTASSIUM 5000000 UNITS INJECTION SOL,46.0,46.0,0.75,46.0,112 CDM,0049052023J2540,PENICILLIN G POTASSIUM 5000000 UNITS INJECTION SOL,46.0,46.0,0.75,46.0,112 CDM,0049052083J2540,PENICILLIN G POTASSIUM 5000000 UNITS INJECTION SOL,46.0,46.0,0.75,46.0,112 CDM,0049052084J2540,PENICILLIN G POTASSIUM 5000000 UNITS INJECTION SOL,46.0,46.0,0.75,46.0,112 CDM,0049053022J2540,PENICILLIN G POTASSIUM 20000000 UNITS INJECTION SO,183.0,183.0,0.75,183.0,112 CDM,0049053028J2540,PENICILLIN G POTASSIUM 20000000 UNITS INJECTION SO,183.0,183.0,0.75,183.0,112 CDM,0049319001J3465,VORICONAZOLE 200 MG IV SOLR,218.0,218.0,0.75,218.0,112 CDM,0049319028J3465,VORICONAZOLE 200 MG IV SOLR,218.0,218.0,0.75,218.0,112 CDM,0049345019J1450,FLUCONAZOLE 40 MG/ML PO SUSR,102.0,102.0,2.39,102.0,112 CDM,0049392001J3486,ZIPRASIDONE MESYLATE 20 MG IM SOLR,232.0,232.0,3.14,232.0,112 CDM,0049392010J3486,ZIPRASIDONE MESYLATE 20 MG IM SOLR,232.0,232.0,3.14,232.0,112 CDM,0049392020J3486,ZIPRASIDONE MESYLATE 20 MG IM SOLR,232.0,232.0,3.14,232.0,112 CDM,0049392083J3486,ZIPRASIDONE MESYLATE 20 MG IM SOLR,232.0,232.0,3.14,232.0,112 CDM,0049419001J3465,VORICONAZOLE 200 MG IV SOLR,218.0,218.0,0.75,218.0,112 CDM,0052031510J0725,CHORIONIC GONADOTROPIN 10000 UNITS IM SOLR,419.0,419.0,15.4,419.0,112 CDM,0053010010J1411,ETRANACOGENE DEZAPARVOVECDRLB 10 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053011011J1411,ETRANACOGENE DEZAPARVOVECDRLB 11 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053012012J1411,ETRANACOGENE DEZAPARVOVECDRLB 12 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053013013J1411,ETRANACOGENE DEZAPARVOVECDRLB 13 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053014014J1411,ETRANACOGENE DEZAPARVOVECDRLB 14 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053015015J1411,ETRANACOGENE DEZAPARVOVECDRLB 15 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053016016J1411,ETRANACOGENE DEZAPARVOVECDRLB 16 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053017017J1411,ETRANACOGENE DEZAPARVOVECDRLB 17 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053018018J1411,ETRANACOGENE DEZAPARVOVECDRLB 18 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053019019J1411,ETRANACOGENE DEZAPARVOVECDRLB 19 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053020020J1411,ETRANACOGENE DEZAPARVOVECDRLB 20 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053021021J1411,ETRANACOGENE DEZAPARVOVECDRLB 21 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053022022J1411,ETRANACOGENE DEZAPARVOVECDRLB 22 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053023023J1411,ETRANACOGENE DEZAPARVOVECDRLB 23 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053024024J1411,ETRANACOGENE DEZAPARVOVECDRLB 24 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053025025J1411,ETRANACOGENE DEZAPARVOVECDRLB 25 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053026026J1411,ETRANACOGENE DEZAPARVOVECDRLB 26 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053027027J1411,ETRANACOGENE DEZAPARVOVECDRLB 27 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053028028J1411,ETRANACOGENE DEZAPARVOVECDRLB 28 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053029029J1411,ETRANACOGENE DEZAPARVOVECDRLB 29 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053030030J1411,ETRANACOGENE DEZAPARVOVECDRLB 30 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053031031J1411,ETRANACOGENE DEZAPARVOVECDRLB 31 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053032032J1411,ETRANACOGENE DEZAPARVOVECDRLB 32 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053033033J1411,ETRANACOGENE DEZAPARVOVECDRLB 33 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053034034J1411,ETRANACOGENE DEZAPARVOVECDRLB 34 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053035035J1411,ETRANACOGENE DEZAPARVOVECDRLB 35 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053036036J1411,ETRANACOGENE DEZAPARVOVECDRLB 36 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053037037J1411,ETRANACOGENE DEZAPARVOVECDRLB 37 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053038038J1411,ETRANACOGENE DEZAPARVOVECDRLB 38 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053039039J1411,ETRANACOGENE DEZAPARVOVECDRLB 39 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053040040J1411,ETRANACOGENE DEZAPARVOVECDRLB 40 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053041041J1411,ETRANACOGENE DEZAPARVOVECDRLB 41 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053042042J1411,ETRANACOGENE DEZAPARVOVECDRLB 42 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053043043J1411,ETRANACOGENE DEZAPARVOVECDRLB 43 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053044044J1411,ETRANACOGENE DEZAPARVOVECDRLB 44 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053045045J1411,ETRANACOGENE DEZAPARVOVECDRLB 45 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053046046J1411,ETRANACOGENE DEZAPARVOVECDRLB 46 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053047047J1411,ETRANACOGENE DEZAPARVOVECDRLB 47 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0053048048J1411,ETRANACOGENE DEZAPARVOVECDRLB 48 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 CDM,0054001720J7512,PREDNISONE 10 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,0054001820J7512,PREDNISONE 20 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,0054001825J7512,PREDNISONE 20 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,0054001920J7512,PREDNISONE 50 MG PO TABS,2.0,2.0,0.01,2.0,112 CDM,0054001925J7512,PREDNISONE 50 MG PO TABS,2.0,2.0,0.01,2.0,112 CDM,0054016325J7517,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,12.0,12.0,0.15,12.0,112 CDM,0054016329J7517,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,12.0,12.0,0.15,12.0,112 CDM,0054016625J7517,MYCOPHENOLATE MOFETIL 500 MG PO TABS,24.0,24.0,0.15,24.0,112 CDM,0054016629J7517,MYCOPHENOLATE MOFETIL 500 MG PO TABS,24.0,24.0,0.15,24.0,112 CDM,0054038225J8530,CYCLOPHOSPHAMIDE 25 MG PO CAPS,29.0,29.0,0.84,29.0,112 CDM,0054038325J8530,CYCLOPHOSPHAMIDE 50 MG PO CAPS,52.0,52.0,0.84,52.0,112 CDM,0054039168J1230,METHADONE HCL 10 MG/ML PO CONC,315.0,315.0,17.7,315.0,112 CDM,0054039268J1230,METHADONE HCL 10 MG/ML PO CONC,315.0,315.0,17.7,315.0,112 CDM,0054047021J7527,EVEROLIMUS 0.25 MG PO TABS,32.0,32.0,1.18,32.0,112 CDM,0054047121J7527,EVEROLIMUS 0.5 MG PO TABS,64.0,64.0,1.18,64.0,112 CDM,0054047221J7527,EVEROLIMUS 0.75 MG PO TABS,96.0,96.0,1.18,96.0,112 CDM,0054355344J1230,METHADONE HCL 10 MG/ML PO CONC,77.0,77.0,10.4,77.0,112 CDM,0054372144J7512,PREDNISONE 5 MG/ML PO CONC,468.0,468.0,0.01,468.0,112 CDM,0054372250J7512,PREDNISONE 5 MG/5ML PO SOLN,288.0,288.0,0.01,288.0,112 CDM,0054372263J7512,PREDNISONE 5 MG/5ML PO SOLN,1116.0,1116.0,0.01,1116.0,112 CDM,0054417925J8540,DEXAMETHASONE 0.5 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,0054418025J8540,DEXAMETHASONE 0.75 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,0054418125J8540,DEXAMETHASONE 1 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,0054418225J8540,DEXAMETHASONE 1.5 MG PO TABS,2.0,2.0,0.01,2.0,112 CDM,0054418325J8540,DEXAMETHASONE 2 MG PO TABS,2.0,2.0,0.01,2.0,112 CDM,0054418425J8540,DEXAMETHASONE 4 MG PO TABS,4.0,4.0,0.01,4.0,112 CDM,0054418625J8540,DEXAMETHASONE 6 MG PO TABS,6.0,6.0,0.01,6.0,112 CDM,0054455015J8610,METHOTREXATE SODIUM 2.5 MG PO TABS,13.0,13.0,0.15,13.0,112 CDM,0054472825J7512,PREDNISONE 5 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,0054472831J7512,PREDNISONE 5 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,0054474125J7512,PREDNISONE 1 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,0054474131J7512,PREDNISONE 1 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,0054474225J7512,PREDNISONE 2.5 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,0054817425J8540,DEXAMETHASONE 1 MG PO TABS,2.0,2.0,0.01,2.0,112 CDM,0054817525J8540,DEXAMETHASONE 4 MG PO TABS,4.0,4.0,0.01,4.0,112 CDM,0054817625J8540,DEXAMETHASONE 2 MG PO TABS,3.0,3.0,0.01,3.0,112 CDM,0054817925J8540,DEXAMETHASONE 0.5 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,0054818025J8540,DEXAMETHASONE 0.75 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,0054818125J8540,DEXAMETHASONE 1.5 MG PO TABS,2.0,2.0,0.01,2.0,112 CDM,0054818325J8540,DEXAMETHASONE 6 MG PO TABS,6.0,6.0,0.01,6.0,112 CDM,0054872425J7512,PREDNISONE 5 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,0054873925J7512,PREDNISONE 1 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,0054874025J7512,PREDNISONE 2.5 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,0054981725J7512,PREDNISONE 10 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,0054981729J7512,PREDNISONE 10 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,0054982831J7512,PREDNISONE 5 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,0065054301J3300,TRIAMCINOLONE ACETONIDE 40 MG/ML INTRAOCULAR SUSP,3399.0,3399.0,23.51,3399.0,119 CDM,0069004301J1643,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,44.0,44.0,0.27,44.0,112 CDM,0069005801J1643,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,13.0,13.0,0.27,13.0,112 CDM,0069005802J1643,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,13.0,13.0,0.27,13.0,112 CDM,0069005901J1644,HEPARIN SODIUM 5000 UNIT/ML (60 UNITS/KG) INJECTIO,42.0,42.0,0.18,42.0,112 CDM,0069005902J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,42.0,42.0,0.18,42.0,112 CDM,0069005903J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,16.0,16.0,0.18,16.0,112 CDM,0069005904J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,16.0,16.0,0.18,16.0,112 CDM,0069013701J1643,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,28.0,28.0,0.27,28.0,112 CDM,0069014601J9260,METHOTREXATE SODIUM (PF) 50 MG/2ML INJECTION SOLN,14.0,14.0,1.89,14.0,112 CDM,0069019602J1645,DALTEPARIN SODIUM 5000 UNIT/0.2ML SC SOSY,218.0,218.0,13.86,218.0,112 CDM,0069020701J3490,RSV PREFUSION F A B VAC RCMB 120 MCG/0.5ML IM SOLR,5310.0,5310.0,716.85,5310.0,111 CDM,0069020901J2704,PROPOFOL 200 MG/20ML IV EMUL,16.0,16.0,0.08,16.0,112 CDM,0069020910J2704,PROPOFOL 200 MG/20ML IV EMUL,16.0,16.0,0.08,16.0,112 CDM,0069023401J2704,PROPOFOL 500 MG/50ML IV EMUL,39.0,39.0,0.08,39.0,112 CDM,0069023801Q5119,RITUXIMABPVVR 100 MG/10ML IV SOLN,2581.0,2581.0,13.27,2581.0,119 CDM,0069024801J2704,PROPOFOL 1000 MG/100ML IV EMUL,78.0,78.0,0.08,78.0,112 CDM,0069024810J2704,PROPOFOL 1000 MG/100ML IV EMUL,78.0,78.0,0.08,78.0,112 CDM,0069024901Q5119,RITUXIMABPVVR 500 MG/50ML IV SOLN,12903.0,12903.0,13.27,12903.0,119 CDM,0069029101Q5110,FILGRASTIMAAFI 300 MCG/0.5ML INJECTION SOSY,789.0,789.0,0.28,789.0,119 CDM,0069029201Q5110,FILGRASTIMAAFI 480 MCG/0.8ML INJECTION SOSY,1262.0,1262.0,0.28,1262.0,119 CDM,0069029301Q5110,FILGRASTIMAAFI 300 MCG/ML INJECTION SOLN,789.0,789.0,0.28,789.0,119 CDM,0069029310Q5110,FILGRASTIMAAFI 300 MCG/ML INJECTION SOLN,789.0,789.0,0.28,789.0,119 CDM,0069029401Q5110,FILGRASTIMAAFI 480 MCG/1.6ML INJECTION SOLN,1262.0,1262.0,0.28,1262.0,119 CDM,0069030501Q5116,TRASTUZUMABQYYP 420 MG IV SOLR,12208.0,12208.0,8.2,12208.0,119 CDM,0069030601Q5116,TRASTUZUMABQYYP 420 MG IV SOLR,12208.0,12208.0,8.2,12208.0,119 CDM,0069030801Q5116,TRASTUZUMABQYYP 150 MG IV SOLR,4360.0,4360.0,8.2,4360.0,119 CDM,0069031501Q5118,BEVACIZUMABBVZR 100 MG/4ML IV SOLN,2209.0,2209.0,23.0,2209.0,119 CDM,0069032401Q5122,PEGFILGRASTIMAPGF 6 MG/0.6ML SC SOSY,14130.0,14130.0,117.01,14130.0,119 CDM,0069034201Q5118,BEVACIZUMABBVZR 400 MG/16ML IV SOLN,9422.0,9422.0,23.0,9422.0,119 CDM,0069034401J3490,RSV PREFUSION F A B VAC RCMB 120 MCG/0.5ML IM SOLR,1062.0,1062.0,143.37,1062.0,111 CDM,0069034405J3490,RSV PREFUSION F A B VAC RCMB 120 MCG/0.5ML IM SOLR,5310.0,5310.0,716.85,5310.0,111 CDM,0069035820J9000,DOXORUBICIN HCL 2 MG/ML IV SOLN,37.0,37.0,2.72,37.0,112 CDM,0069080901Q5103,INFLIXIMABDYYB 100 MG IV SOLR,3407.0,3407.0,11.55,3407.0,119 CDM,0069130501Q5106,EPOETIN ALFAEPBX 2000 UNIT/ML INJECTION SOLN,80.0,80.0,7.47,80.0,119 CDM,0069130510Q5106,EPOETIN ALFAEPBX 2000 UNIT/ML INJECTION SOLN,80.0,80.0,7.47,80.0,119 CDM,0069130601Q5106,EPOETIN ALFAEPBX 3000 UNIT/ML INJECTION SOLN,120.0,120.0,7.47,120.0,119 CDM,0069130610Q5106,EPOETIN ALFAEPBX 3000 UNIT/ML INJECTION SOLN,120.0,120.0,7.47,120.0,119 CDM,0069130701Q5106,EPOETIN ALFAEPBX 4000 UNIT/ML INJECTION SOLN,159.0,159.0,7.47,159.0,119 CDM,0069130710Q5106,EPOETIN ALFAEPBX 4000 UNIT/ML INJECTION SOLN,159.0,159.0,7.47,159.0,119 CDM,0069130801Q5106,EPOETIN ALFAEPBX 10000 UNIT/ML INJECTION SOLN,398.0,398.0,7.47,398.0,119 CDM,0069130810Q5106,EPOETIN ALFAEPBX 10000 UNIT/ML INJECTION SOLN,398.0,398.0,7.47,398.0,119 CDM,0069130901Q5106,EPOETIN ALFAEPBX 40000 UNIT/ML INJECTION SOLN,1589.0,1589.0,7.47,1589.0,119 CDM,0069130904Q5106,EPOETIN ALFAEPBX 40000 UNIT/ML INJECTION SOLN,1589.0,1589.0,7.47,1589.0,119 CDM,0069131101Q5106,EPOETIN ALFAEPBX 20000 UNIT/ML INJECTION SOLN,795.0,795.0,7.47,795.0,119 CDM,0069131110Q5106,EPOETIN ALFAEPBX 20000 UNIT/ML INJECTION SOLN,795.0,795.0,7.47,795.0,119 CDM,0069154220J9000,DOXORUBICIN HCL 2 MG/ML IV SOLN,236.0,236.0,2.72,236.0,112 CDM,0069303020J9000,DOXORUBICIN HCL 2 MG/ML IV SOLN,37.0,37.0,2.72,37.0,112 CDM,0069315083J0456,AZITHROMYCIN 500 MG IV SOLR,22.0,22.0,2.04,22.0,112 CDM,0069315084J0456,AZITHROMYCIN 500 MG IV SOLR,22.0,22.0,2.04,22.0,112 CDM,0069547101Q2009,FOSPHENYTOIN SODIUM 100 MG PE/2ML INJECTION SOLN,99.0,99.0,1.01,99.0,119 CDM,0069547102Q2009,FOSPHENYTOIN SODIUM 100 MG PE/2ML INJECTION SOLN,99.0,99.0,1.01,99.0,119 CDM,0069547401Q2009,FOSPHENYTOIN SODIUM 500 MG PE/10ML INJECTION SOLN,295.0,295.0,1.01,295.0,119 CDM,0069547402Q2009,FOSPHENYTOIN SODIUM 500 MG PE/10ML INJECTION SOLN,295.0,295.0,1.01,295.0,119 CDM,0069600102Q2009,FOSPHENYTOIN SODIUM 100 MG PE/2ML INJECTION SOLN,146.0,146.0,1.01,146.0,119 CDM,0069600110Q2009,FOSPHENYTOIN SODIUM 500 MG PE/10ML INJECTION SOLN,437.0,437.0,1.01,437.0,119 CDM,0069600121Q2009,FOSPHENYTOIN SODIUM 500 MG PE/10ML INJECTION SOLN,437.0,437.0,1.01,437.0,119 CDM,0069600125Q2009,FOSPHENYTOIN SODIUM 100 MG PE/2ML INJECTION SOLN,146.0,146.0,1.01,146.0,119 CDM,0074165801J2501,PARICALCITOL 5 MCG/ML IV SOLN,341.0,341.0,0.67,341.0,112 CDM,0074165805J2501,PARICALCITOL 5 MCG/ML IV SOLN,437.0,437.0,0.67,437.0,112 CDM,0074210001C9399,RISANKIZUMABRZAA 150 MG/ML SC SOAJ,75663.0,75663.0,10214.51,75663.0,114 CDM,0074210803J1950,LEUPROLIDE ACETATE (PED) 7.5 MG IM KIT,7429.0,7429.0,1002.92,7429.0,119 CDM,0074228203J1950,LEUPROLIDE ACETATE (PED) 11.25 MG IM KIT,13487.0,13487.0,1666.78,13487.0,119 CDM,0074244003J1950,LEUPROLIDE ACETATE (PED) 15 MG IM KIT,14855.0,14855.0,1666.78,14855.0,119 CDM,0074310832J7515,CYCLOSPORINE MODIFIED 25 MG PO CAPS,7.0,7.0,0.53,7.0,112 CDM,0074310932J7502,CYCLOSPORINE MODIFIED 100 MG PO CAPS,26.0,26.0,1.81,26.0,112 CDM,0074334603J9217,LEUPROLIDE ACETATE (3 MONTH) 22.5 MG IM KIT,22077.0,22077.0,155.42,22077.0,119 CDM,0074347303J9217,LEUPROLIDE ACETATE (6 MONTH) 45 MG IM KIT,44154.0,44154.0,155.42,44154.0,119 CDM,0074364103J1950,LEUPROLIDE ACETATE 3.75 MG IM KIT,6176.0,6176.0,833.76,6176.0,119 CDM,0074364203J9217,LEUPROLIDE ACETATE 7.5 MG IM KIT,7359.0,7359.0,155.42,7359.0,119 CDM,0074366303J1950,LEUPROLIDE ACETATE (3 MONTH) 11.25 MG IM KIT,18526.0,18526.0,1666.78,18526.0,119 CDM,0074368303J9217,LEUPROLIDE ACETATE (4 MONTH) 30 MG IM KIT,29435.0,29435.0,155.42,29435.0,119 CDM,0074379902J0135,ADALIMUMAB 40 MG/0.8ML SC PSKT,12461.0,12461.0,1682.24,12461.0,111 CDM,0074433902J0135,ADALIMUMAB 40 MG/0.8ML SC AJKT,12461.0,12461.0,1682.24,12461.0,111 CDM,0074463701J2501,PARICALCITOL 2 MCG/ML IV SOLN,22.0,22.0,0.67,22.0,112 CDM,0074501501J2327,RISANKIZUMABRZAA 600 MG/10ML IV SOLN,36431.0,36431.0,14.84,36431.0,119 CDM,0074726950J7502,CYCLOSPORINE MODIFIED 100 MG/ML PO SOLN,1424.0,1424.0,1.81,1424.0,112 CDM,0075062040J1650,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,36.0,36.0,0.53,36.0,112 CDM,0075062160J1650,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,54.0,54.0,0.53,54.0,112 CDM,0075062201J1650,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,72.0,72.0,0.53,72.0,112 CDM,0075062280J1650,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,72.0,72.0,0.53,72.0,112 CDM,0075062300J1650,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,90.0,90.0,0.53,90.0,112 CDM,0075062303J1650,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,90.0,90.0,0.53,90.0,112 CDM,0075062430J1650,ENOXAPARIN SODIUM 30 MG/0.3ML INJECTION SOSY,27.0,27.0,0.53,27.0,112 CDM,0075062603J1650,ENOXAPARIN SODIUM 300 MG/3ML INJECTION SOLN,268.0,268.0,0.53,268.0,112 CDM,0075291201J1650,ENOXAPARIN SODIUM 120 MG/0.8ML INJECTION SOSY,108.0,108.0,0.53,108.0,112 CDM,0075291501J1650,ENOXAPARIN SODIUM 150 MG/ML INJECTION SOSY,135.0,135.0,0.53,135.0,112 CDM,0075801301J1650,ENOXAPARIN SODIUM 30 MG/0.3ML INJECTION SOSY,24.0,24.0,0.53,24.0,112 CDM,0075801601J1650,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,179.0,179.0,0.53,179.0,112 CDM,0075801610J1650,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,179.0,179.0,0.53,179.0,112 CDM,0075801801J1650,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,239.0,239.0,0.53,239.0,112 CDM,0075801810J1650,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,239.0,239.0,0.53,239.0,112 CDM,0075802001J1650,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,299.0,299.0,0.53,299.0,112 CDM,0075802010J1650,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,299.0,299.0,0.53,299.0,112 CDM,0075802201J1650,ENOXAPARIN SODIUM 120 MG/0.8ML INJECTION SOSY,358.0,358.0,0.53,358.0,112 CDM,0075802210J1650,ENOXAPARIN SODIUM 120 MG/0.8ML INJECTION SOSY,358.0,358.0,0.53,358.0,112 CDM,0078010901J7516,CYCLOSPORINE 50 MG/ML IV SOLN,247.0,247.0,33.34,247.0,112 CDM,0078010961J7516,CYCLOSPORINE 50 MG/ML IV SOLN,247.0,247.0,33.34,247.0,112 CDM,0078018001J2354,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLN,51.0,51.0,0.61,51.0,112 CDM,0078018061J2354,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLN,51.0,51.0,0.61,51.0,112 CDM,0078018101J2354,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLN,99.0,99.0,0.61,99.0,112 CDM,0078018161J2354,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLN,99.0,99.0,0.61,99.0,112 CDM,0078018201J2354,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLN,476.0,476.0,0.61,476.0,112 CDM,0078018261J2354,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLN,476.0,476.0,0.61,476.0,112 CDM,0078024615J7515,CYCLOSPORINE MODIFIED 25 MG PO CAPS,10.0,10.0,0.53,10.0,112 CDM,0078024661J7515,CYCLOSPORINE MODIFIED 25 MG PO CAPS,10.0,10.0,0.53,10.0,112 CDM,0078024815J7502,CYCLOSPORINE MODIFIED 100 MG PO CAPS,39.0,39.0,1.81,39.0,112 CDM,0078024861J7502,CYCLOSPORINE MODIFIED 100 MG PO CAPS,39.0,39.0,1.81,39.0,112 CDM,0078027422J7502,CYCLOSPORINE MODIFIED 100 MG/ML PO SOLN,2100.0,2100.0,1.81,2100.0,112 CDM,0078033184J0480,BASILIXIMAB 20 MG IV SOLR,16092.0,16092.0,2172.42,16092.0,119 CDM,0078038566J7518,MYCOPHENOLATE SODIUM 180 MG PO TBEC,25.0,25.0,0.32,25.0,112 CDM,0078038666J7518,MYCOPHENOLATE SODIUM 360 MG PO TBEC,49.0,49.0,0.32,49.0,112 CDM,0078041420J7527,EVEROLIMUS 0.5 MG PO TABS,76.0,76.0,1.18,76.0,112 CDM,0078041461J7527,EVEROLIMUS 0.5 MG PO TABS,76.0,76.0,1.18,76.0,112 CDM,0078041520J7527,EVEROLIMUS 0.75 MG PO TABS,114.0,114.0,1.18,114.0,112 CDM,0078041561J7527,EVEROLIMUS 0.75 MG PO TABS,114.0,114.0,1.18,114.0,112 CDM,0078041720J7527,EVEROLIMUS 0.25 MG PO TABS,38.0,38.0,1.18,38.0,112 CDM,0078041761J7527,EVEROLIMUS 0.25 MG PO TABS,38.0,38.0,1.18,38.0,112 CDM,0078046761J0895,DEFEROXAMINE MESYLATE 500 MG INJECTION SOLR,500.0,500.0,8.47,500.0,112 CDM,0078046791J0895,DEFEROXAMINE MESYLATE 500 MG INJECTION SOLR,500.0,500.0,8.47,500.0,112 CDM,0078063941C9399,SECUKINUMAB (300 MG DOSE) 150 MG/ML SC SOAJ,13337.0,13337.0,1800.5,13337.0,113 CDM,0078063968C9399,SECUKINUMAB 150 MG/ML SC SOAJ,26673.0,26673.0,3600.86,26673.0,113 CDM,0078063997C9399,SECUKINUMAB 150 MG/ML SC SOSY,26673.0,26673.0,3600.86,26673.0,113 CDM,0078063998C9399,SECUKINUMAB (300 MG DOSE) 150 MG/ML SC SOSY,13337.0,13337.0,1800.5,13337.0,113 CDM,0078066913J9302,OFATUMUMAB 100 MG/5ML IV CONC,2173.0,2173.0,60.09,2173.0,119 CDM,0078066961J9302,OFATUMUMAB 100 MG/5ML IV CONC,2048.0,2048.0,60.09,2048.0,119 CDM,0078067461J9351,TOPOTECAN HCL 4 MG IV SOLR,4580.0,4580.0,1.25,4580.0,112 CDM,0078068361J9261,NELARABINE 5 MG/ML IV SOLN,2910.0,2910.0,63.38,2910.0,119 CDM,0078069061J9302,OFATUMUMAB 1000 MG/50ML IV CONC,21722.0,21722.0,60.09,21722.0,119 CDM,0078073461J0638,CANAKINUMAB 150 MG/ML SC SOLN,69998.0,69998.0,135.88,69998.0,119 CDM,0078079061J2353,OCTREOTIDE ACETATE 10 MG IM KIT,12685.0,12685.0,199.17,12685.0,119 CDM,0078079761J2353,OCTREOTIDE ACETATE 20 MG IM KIT,16619.0,16619.0,199.17,16619.0,119 CDM,0078080461J2353,OCTREOTIDE ACETATE 30 MG IM KIT,24886.0,24886.0,199.17,24886.0,119 CDM,0078081181J2353,OCTREOTIDE ACETATE 10 MG IM KIT,12685.0,12685.0,199.17,12685.0,119 CDM,0078081881J2353,OCTREOTIDE ACETATE 20 MG IM KIT,16619.0,16619.0,199.17,16619.0,119 CDM,0078082581J2353,OCTREOTIDE ACETATE 30 MG IM KIT,24886.0,24886.0,199.17,24886.0,119 CDM,0078088361J0791,CRIZANLIZUMABTMCA 100 MG/10ML IV SOLN,8831.0,8831.0,128.68,8831.0,119 CDM,0078100060J1306,INCLISIRAN SODIUM 284 MG/1.5ML SC SOSY,12297.0,12297.0,12.28,12297.0,119 CDM,0078116861J3247,SECUKINUMAB 125 MG/5ML IV SOLN,7691.0,7691.0,17.72,7691.0,119 CDM,0085056605J0702,BETAMETHASONE SOD PHOS ACET 6 (33) MG/ML INJECTI,135.0,135.0,6.89,135.0,112 CDM,0085138101J9328,TEMOZOLOMIDE 100 MG IV SOLR,3612.0,3612.0,10.39,3612.0,119 CDM,0093414545J7612,LEVALBUTEROL HCL 0.31 MG/3ML INHALATION NEBU,21.0,21.0,0.27,21.0,112 CDM,0093414645J7614,LEVALBUTEROL HCL 0.63 MG/3ML INHALATION NEBU,21.0,21.0,0.08,21.0,112 CDM,0093414656J7614,LEVALBUTEROL HCL 0.63 MG/3ML INHALATION NEBU,21.0,21.0,0.08,21.0,112 CDM,0093414845J7612,LEVALBUTEROL HCL 1.25 MG/3ML INHALATION NEBU,21.0,21.0,0.27,21.0,112 CDM,0093414856J7612,LEVALBUTEROL HCL 1.25 MG/3ML INHALATION NEBU,21.0,21.0,0.27,21.0,112 CDM,0093681519J7626,BUDESONIDE 0.25 MG/2ML INHALATION SUSP,29.0,29.0,1.05,29.0,112 CDM,0093681545J7626,BUDESONIDE 0.25 MG/2ML INHALATION SUSP,29.0,29.0,1.05,29.0,112 CDM,0093681555J7626,BUDESONIDE 0.25 MG/2ML INHALATION SUSP,29.0,29.0,1.05,29.0,112 CDM,0093681573J7626,BUDESONIDE 0.25 MG/2ML INHALATION SUSP,29.0,29.0,1.05,29.0,112 CDM,0093681619J7626,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,34.0,34.0,1.05,34.0,112 CDM,0093681645J7626,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,34.0,34.0,1.05,34.0,112 CDM,0093681719J7626,BUDESONIDE 1 MG/2ML INHALATION SUSP,70.0,70.0,1.05,70.0,112 CDM,0093733401J7517,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,12.0,12.0,0.15,12.0,112 CDM,0093733405J7517,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,12.0,12.0,0.15,12.0,112 CDM,0093747306J8522,CAPECITABINE 150 MG PO TABS,36.0,36.0,0.04,36.0,119 CDM,0093770456J0750,EMTRICITABINETENOFOVIR DF 200300 MG PO TABS,211.0,211.0,1.34,211.0,119 CDM,0093901819J7515,CYCLOSPORINE MODIFIED 25 MG PO CAPS,5.0,5.0,0.53,5.0,112 CDM,0093901865J7515,CYCLOSPORINE MODIFIED 25 MG PO CAPS,5.0,5.0,0.53,5.0,112 CDM,0093902019J7502,CYCLOSPORINE MODIFIED 100 MG PO CAPS,17.0,17.0,1.81,17.0,112 CDM,0093902065J7502,CYCLOSPORINE MODIFIED 100 MG PO CAPS,17.0,17.0,1.81,17.0,112 CDM,0093929119J8499,CLONAZEPAM 0.25 MG PO TBDP,4.0,4.0,0.54,4.0,105 CDM,0093929167J8499,CLONAZEPAM 0.25 MG PO TBDP,4.0,4.0,0.54,4.0,105 CDM,0093929219J8499,CLONAZEPAM 0.5 MG PO TBDP,4.0,4.0,0.54,4.0,105 CDM,0093929267J8499,CLONAZEPAM 0.5 MG PO TBDP,4.0,4.0,0.54,4.0,105 CDM,0093929319J8499,CLONAZEPAM 1 MG PO TBDP,5.0,5.0,0.68,5.0,105 CDM,0093929367J8499,CLONAZEPAM 1 MG PO TBDP,5.0,5.0,0.68,5.0,105 CDM,0115168774J7626,BUDESONIDE 0.25 MG/2ML INHALATION SUSP,29.0,29.0,1.05,29.0,112 CDM,0115168974J7626,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,34.0,34.0,1.05,34.0,112 CDM,0115168976J7626,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,34.0,34.0,1.05,34.0,112 CDM,0115169449J0171,EPINEPHRINE 0.3 MG/0.3ML INJECTION SOAJ,742.0,742.0,0.76,742.0,111 CDM,0115993176J7614,LEVALBUTEROL HCL 0.63 MG/3ML INHALATION NEBU,20.0,20.0,0.08,20.0,112 CDM,0115993178J7614,LEVALBUTEROL HCL 0.63 MG/3ML INHALATION NEBU,20.0,20.0,0.08,20.0,112 CDM,0121075908J7510,PREDNISOLONE 15 MG/5ML PO SOLN (WRAPPER),219.0,219.0,0.27,219.0,112 CDM,0121075910J7510,PREDNISOLONE 15 MG/5ML PO SOLN (WRAPPER),10.0,10.0,0.27,10.0,112 CDM,0143900601J1120,ACETAZOLAMIDE SODIUM 500 MG INJECTION SOLR,119.0,119.0,16.07,119.0,112 CDM,0143902201J9395,FULVESTRANT 250 MG/5ML IM SOSY,270.0,270.0,5.72,270.0,112 CDM,0143902202J9395,FULVESTRANT 250 MG/5ML IM SOSY,270.0,270.0,5.72,270.0,112 CDM,0143908601J9000,DOXORUBICIN HCL 2 MG/ML IV SOLN,126.0,126.0,2.72,126.0,112 CDM,0143908701J9000,DOXORUBICIN HCL 2 MG/ML IV SOLN,504.0,504.0,2.72,504.0,112 CDM,0143908901J9000,DOXORUBICIN HCL 2 MG/ML IV SOLN,40.0,40.0,2.72,40.0,112 CDM,0143909001J9000,DOXORUBICIN HCL 2 MG/ML IV SOLN,47.0,47.0,2.72,47.0,112 CDM,0143909101J9000,DOXORUBICIN HCL 2 MG/ML IV SOLN,108.0,108.0,2.72,108.0,112 CDM,0143909301J9000,DOXORUBICIN HCL 50 MG IV SOLR (NO VOL),947.0,947.0,2.72,947.0,112 CDM,0143909801J9041,BORTEZOMIB 1 MG/ML IV SOLR (WRAPPER),126.0,126.0,1.59,126.0,112 CDM,0143914001J0688,CEFAZOLIN SODIUM 3 G IV SOLR,32.0,32.0,0.88,32.0,112 CDM,0143914025J0688,CEFAZOLIN SODIUM 3 G IV SOLR,32.0,32.0,0.88,32.0,112 CDM,0143914101J1250,DOBUTAMINE HCL 12.5 MG/ML IV SOLN,28.0,28.0,3.78,28.0,112 CDM,0143914110J1250,DOBUTAMINE HCL 12.5 MG/ML IV SOLN,28.0,28.0,3.78,28.0,112 CDM,0143915601J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,5.0,5.0,0.39,5.0,111 CDM,0143915610J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,5.0,5.0,0.39,5.0,111 CDM,0143916201J3370,VANCOMYCIN HCL 1 G IV SOLR,21.0,21.0,1.86,21.0,111 CDM,0143916210J3370,VANCOMYCIN HCL 1 G IV SOLR,21.0,21.0,1.86,21.0,111 CDM,0143916301J3370,VANCOMYCIN HCL 5 G IV SOLR,150.0,150.0,1.86,150.0,111 CDM,0143916401J3370,VANCOMYCIN HCL 10 G IV SOLR,300.0,300.0,1.86,300.0,111 CDM,0143918001J0612,CALCIUM GLUCONATE 10 IV SOLN,37.0,37.0,0.03,37.0,112 CDM,0143918025J0612,CALCIUM GLUCONATE 10 IV SOLN,37.0,37.0,0.03,37.0,112 CDM,0143920401J9171,DOCETAXEL 20 MG/ML IV CONC,234.0,234.0,0.38,234.0,112 CDM,0143920901J2401,CHLOROPROCAINE HCL (PF) 2 INJECTION SOLN,77.0,77.0,0.03,77.0,112 CDM,0143920910J2401,CHLOROPROCAINE HCL (PF) 2 INJECTION SOLN,77.0,77.0,0.03,77.0,112 CDM,0143921001J2401,CHLOROPROCAINE HCL (PF) 3 INJECTION SOLN,81.0,81.0,0.03,81.0,112 CDM,0143921010J2401,CHLOROPROCAINE HCL (PF) 3 INJECTION SOLN,81.0,81.0,0.03,81.0,112 CDM,0143921701J9211,IDARUBICIN HCL 5 MG/5ML IV SOLN,279.0,279.0,37.05,279.0,112 CDM,0143923301J0515,BENZTROPINE MESYLATE 1 MG/ML INJECTION SOLN,162.0,162.0,13.81,162.0,112 CDM,0143923305J0515,BENZTROPINE MESYLATE 1 MG/ML INJECTION SOLN,162.0,162.0,13.81,162.0,112 CDM,0143924001J9040,BLEOMYCIN SULFATE 15 UNITS INJECTION SOLR,206.0,206.0,20.9,206.0,112 CDM,0143924501J9130,DACARBAZINE 200 MG IV SOLR,44.0,44.0,3.82,44.0,112 CDM,0143924510J9130,DACARBAZINE 200 MG IV SOLR,44.0,44.0,3.82,44.0,112 CDM,0143924801J1190,DEXRAZOXANE HCL 500 MG IV SOLR,1975.0,1975.0,32.09,1975.0,119 CDM,0143925201J1265,DOPAMINE HCL 40 MG/ML IV SOLN,11.0,11.0,0.66,11.0,112 CDM,0143925225J1265,DOPAMINE HCL 40 MG/ML IV SOLN,11.0,11.0,0.66,11.0,112 CDM,0143925401J1265,DOPAMINE HCL 40 MG/ML IV SOLN,22.0,22.0,0.66,22.0,112 CDM,0143925425J1265,DOPAMINE HCL 40 MG/ML IV SOLN,22.0,22.0,0.66,22.0,112 CDM,0143926001J9209,MESNA 100 MG/ML IV SOLN,90.0,90.0,1.33,90.0,112 CDM,0143926101J0690,CEFAZOLIN SODIUM 10 G INJECTION SOLR,31.0,31.0,0.81,31.0,112 CDM,0143926110J0690,CEFAZOLIN SODIUM 10 G INJECTION SOLR,31.0,31.0,0.81,31.0,112 CDM,0143926201J0690,CEFAZOLIN SODIUM 1 G INJECTION SOLR,4.0,4.0,0.54,4.0,112 CDM,0143926225J0690,CEFAZOLIN SODIUM 1 G INJECTION SOLR,4.0,4.0,0.54,4.0,112 CDM,0143926301J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,32.0,32.0,0.05,32.0,112 CDM,0143926310J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,32.0,32.0,0.05,32.0,112 CDM,0143927301J1110,DIHYDROERGOTAMINE MESYLATE 1 MG/ML INJECTION SOLN,539.0,539.0,41.04,539.0,112 CDM,0143927310J1110,DIHYDROERGOTAMINE MESYLATE 1 MG/ML INJECTION SOLN,539.0,539.0,41.04,539.0,112 CDM,0143927701J9000,DOXORUBICIN HCL 50 MG IV SOLR,947.0,947.0,2.72,947.0,112 CDM,0143927901J9280,MITOMYCIN 20 MG IV SOLR,2276.0,2276.0,25.94,2276.0,119 CDM,0143928001J9280,MITOMYCIN 40 MG IV SOLR,4551.0,4551.0,25.94,4551.0,119 CDM,0143928401J2470,PANTOPRAZOLE SODIUM 40 MG IV SOLR,24.0,24.0,1.93,24.0,111 CDM,0143928410J2470,PANTOPRAZOLE SODIUM 40 MG IV SOLR,24.0,24.0,1.93,24.0,111 CDM,0143929501J1631,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN,133.0,133.0,3.94,133.0,112 CDM,0143929801J2916,NA FERRIC GLUC CPLX IN SUCROSE 12.5 MG/ML IV SOLN,30.0,30.0,1.99,30.0,112 CDM,0143929810J2916,NA FERRIC GLUC CPLX IN SUCROSE 12.5 MG/ML IV SOLN,30.0,30.0,1.99,30.0,112 CDM,0143929901J1570,GANCICLOVIR SODIUM 500 MG IV SOLR,247.0,247.0,28.74,247.0,112 CDM,0143929910J1570,GANCICLOVIR SODIUM 500 MG IV SOLR,247.0,247.0,28.74,247.0,112 CDM,0143930001J2470,PANTOPRAZOLE SODIUM 40 MG IV SOLR,11.0,11.0,1.49,11.0,111 CDM,0143930010J2470,PANTOPRAZOLE SODIUM 40 MG IV SOLR,11.0,11.0,1.49,11.0,111 CDM,0143931501J1956,LEVOFLOXACIN IN D5W 250 MG/50ML IV SOLN,6.0,6.0,0.81,6.0,112 CDM,0143931524J1956,LEVOFLOXACIN IN D5W 250 MG/50ML IV SOLN,6.0,6.0,0.81,6.0,112 CDM,0143931601J1956,LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN,8.0,8.0,1.08,8.0,112 CDM,0143931624J1956,LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN,8.0,8.0,1.08,8.0,112 CDM,0143931701J1956,LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN,9.0,9.0,1.22,9.0,112 CDM,0143931724J1956,LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN,9.0,9.0,1.22,9.0,112 CDM,0143932001J1920,LABETALOL HCL 5 MG/ML IV SOLN,11.0,11.0,0.29,11.0,112 CDM,0143932801J0665,BUPIVACAINE HCL 0.25 INJECTION SOLN,36.0,36.0,0.01,36.0,112 CDM,0143932810J0665,BUPIVACAINE HCL 0.25 INJECTION SOLN,36.0,36.0,0.01,36.0,112 CDM,0143932901J0665,BUPIVACAINE HCL 0.5 INJECTION SOLN,40.0,40.0,0.01,40.0,112 CDM,0143932910J0665,BUPIVACAINE HCL 0.5 INJECTION SOLN,40.0,40.0,0.01,40.0,112 CDM,0143933001J0665,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,8.0,8.0,0.01,8.0,112 CDM,0143933010J0665,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,8.0,8.0,0.01,8.0,112 CDM,0143933101J0665,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,9.0,9.0,0.01,9.0,112 CDM,0143933110J0665,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,9.0,9.0,0.01,9.0,112 CDM,0143933201J0665,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,9.0,9.0,0.01,9.0,112 CDM,0143933210J0665,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,9.0,9.0,0.01,9.0,112 CDM,0143933301J0665,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,11.0,11.0,0.01,11.0,112 CDM,0143933310J0665,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,11.0,11.0,0.01,11.0,112 CDM,0143933401J0665,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,11.0,11.0,0.01,11.0,112 CDM,0143933410J0665,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,11.0,11.0,0.01,11.0,112 CDM,0143933501J0665,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,17.0,17.0,0.01,17.0,112 CDM,0143933510J0665,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,17.0,17.0,0.01,17.0,112 CDM,0143933801J0330,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,42.0,42.0,0.81,42.0,111 CDM,0143933825J0330,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,42.0,42.0,0.81,42.0,111 CDM,0143935501J3370,VANCOMYCIN HCL 750 MG IV SOLR,36.0,36.0,1.86,36.0,111 CDM,0143935510J3370,VANCOMYCIN HCL 750 MG IV SOLR,36.0,36.0,1.86,36.0,111 CDM,0143935701J3370,VANCOMYCIN HCL 1 G IV SOLR,58.0,58.0,1.86,58.0,111 CDM,0143935710J3370,VANCOMYCIN HCL 1 G IV SOLR,58.0,58.0,1.86,58.0,111 CDM,0143935901J3370,VANCOMYCIN HCL 10 G IV SOLR,78.0,78.0,1.86,78.0,111 CDM,0143936701J9260,METHOTREXATE SODIUM 1 G INJECTION SOLR,162.0,162.0,2.26,162.0,112 CDM,0143936801J0640,LEUCOVORIN CALCIUM 200 MG INJECTION SOLR,36.0,36.0,3.84,36.0,112 CDM,0143937501J3105,TERBUTALINE SULFATE 1 MG/ML INJECTION SOLN,5.0,5.0,0.68,16.41,112 CDM,0143937510J3105,TERBUTALINE SULFATE 1 MG/ML INJECTION SOLN,5.0,5.0,0.68,16.41,112 CDM,0143937801J0878,DAPTOMYCIN 500 MG IV SOLR,126.0,126.0,0.03,126.0,112 CDM,0143938001J2251,MIDAZOLAM HCLSODIUM CHLORIDE 1000.9 MG/100ML IV S,108.0,108.0,0.17,108.0,112 CDM,0143938010J2251,MIDAZOLAM HCLSODIUM CHLORIDE 1000.9 MG/100ML IV S,108.0,108.0,0.17,108.0,112 CDM,0143938110J3490,DOXYCYCLINE HYCLATE 100 MG IV SOLR,76.0,76.0,10.26,76.0,111 CDM,0143938401J1453,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR,234.0,234.0,0.11,234.0,112 CDM,0143938501J0894,DECITABINE 50 MG IV SOLR,360.0,360.0,0.65,360.0,112 CDM,0143938601J0137,ACETAMINOPHEN 10 MG/ML IV SOLN,44.0,44.0,0.05,44.0,112 CDM,0143938610J0137,ACETAMINOPHEN 10 MG/ML IV SOLN,44.0,44.0,0.05,44.0,112 CDM,0143939401J9201,GEMCITABINE HCL 200 MG IV SOLR,44.0,44.0,2.87,44.0,112 CDM,0143939801J1335,ERTAPENEM SODIUM 1 G INJECTION SOLR,324.0,324.0,9.02,324.0,112 CDM,0143939810J1335,ERTAPENEM SODIUM 1 G INJECTION SOLR,324.0,324.0,9.02,324.0,112 CDM,0143950101J1630,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLN,6.0,6.0,0.73,6.0,112 CDM,0143950125J1630,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLN,6.0,6.0,0.73,6.0,112 CDM,0143950301J1120,ACETAZOLAMIDE SODIUM 500 MG INJECTION SOLR,159.0,159.0,17.23,159.0,112 CDM,0143950401J9060,CISPLATIN 50 MG/50ML IV SOLN,56.0,56.0,1.95,56.0,112 CDM,0143950501J9060,CISPLATIN 100 MG/100ML IV SOLN,111.0,111.0,1.95,111.0,112 CDM,0143951001J9181,ETOPOSIDE 100 MG/5ML IV SOLN,34.0,34.0,0.98,34.0,112 CDM,0143951101J9181,ETOPOSIDE 500 MG/25ML IV SOLN,137.0,137.0,0.98,137.0,112 CDM,0143951201J9181,ETOPOSIDE 1 GM/50ML IV SOLN,274.0,274.0,0.98,274.0,112 CDM,0143951401J1790,DROPERIDOL 2.5 MG/ML INJECTION SOLN,35.0,35.0,4.73,35.0,112 CDM,0143951425J1790,DROPERIDOL 2.5 MG/ML INJECTION SOLN,35.0,35.0,4.73,35.0,112 CDM,0143951501J1790,DROPERIDOL 2.5 MG/ML INJECTION SOLN,18.0,18.0,2.43,18.0,112 CDM,0143951525J1790,DROPERIDOL 2.5 MG/ML INJECTION SOLN,18.0,18.0,2.43,18.0,112 CDM,0143951901J9260,METHOTREXATE SODIUM (PF) 50 MG/2ML INJECTION SOLN,13.0,13.0,1.76,13.0,112 CDM,0143951910J9260,METHOTREXATE SODIUM (PF) 50 MG/2ML INJECTION SOLN,13.0,13.0,1.76,13.0,112 CDM,0143952901J2680,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLN,436.0,436.0,6.2,436.0,112 CDM,0143953001J9208,IFOSFAMIDE 3 GM/60ML IV SOLN,388.0,388.0,23.5,388.0,112 CDM,0143953101J9208,IFOSFAMIDE 1 GM/20ML IV SOLN,133.0,133.0,17.96,133.0,112 CDM,0143953401J2020,LINEZOLID 600 MG/300ML IV SOLN,51.0,51.0,2.74,51.0,112 CDM,0143953410J2020,LINEZOLID 600 MG/300ML IV SOLN,51.0,51.0,2.74,51.0,112 CDM,0143954201J2404,NICARDIPINE HCL 2.5 MG/ML IV SOLN,73.0,73.0,0.07,73.0,112 CDM,0143954210J2404,NICARDIPINE HCL 2.5 MG/ML IV SOLN,73.0,73.0,0.07,73.0,112 CDM,0143955001J9150,DAUNORUBICIN HCL 50 MG/10ML IV SOLN,1208.0,1208.0,19.76,1208.0,112 CDM,0143955101J9150,DAUNORUBICIN HCL 20 MG/4ML IV SOLN,483.0,483.0,19.76,483.0,112 CDM,0143955110J9150,DAUNORUBICIN HCL 20 MG/4ML IV SOLN,483.0,483.0,19.76,483.0,112 CDM,0143955201J0640,LEUCOVORIN CALCIUM 350 MG INJECTION SOLR,94.0,94.0,3.84,94.0,112 CDM,0143955301J0640,LEUCOVORIN CALCIUM 200 MG INJECTION SOLR,87.0,87.0,3.84,87.0,112 CDM,0143955401J0640,LEUCOVORIN CALCIUM 100 MG INJECTION SOLR,58.0,58.0,3.84,58.0,112 CDM,0143955501J0640,LEUCOVORIN CALCIUM 50 MG INJECTION SOLR,36.0,36.0,3.84,36.0,112 CDM,0143955901J0883,ARGATROBAN 50 MG/50ML IV SOLN (WRAPPER),713.0,713.0,0.61,713.0,119 CDM,0143956401J2760,PHENTOLAMINE MESYLATE 5 MG INJECTION SOLR,1764.0,1764.0,238.14,1764.0,119 CDM,0143956410J2760,PHENTOLAMINE MESYLATE 5 MG INJECTION SOLR,1764.0,1764.0,238.14,1764.0,119 CDM,0143956501J9340,THIOTEPA 15 MG INJECTION SOLR,2700.0,2700.0,221.75,2700.0,111 CDM,0143956601J7501,AZATHIOPRINE SODIUM 100 MG INJECTION SOLR,900.0,900.0,121.5,900.0,119 CDM,0143956701J0697,CEFUROXIME SODIUM 1.5 G IV SOLR,17.0,17.0,1.89,17.0,112 CDM,0143956725J0697,CEFUROXIME SODIUM 1.5 G IV SOLR,17.0,17.0,1.89,17.0,112 CDM,0143956801J0697,CEFUROXIME SODIUM 750 MG INJECTION SOLR,9.0,9.0,1.22,9.0,112 CDM,0143957001J2916,NA FERRIC GLUC CPLX IN SUCROSE 12.5 MG/ML IV SOLN,115.0,115.0,1.99,115.0,112 CDM,0143957010J2916,NA FERRIC GLUC CPLX IN SUCROSE 12.5 MG/ML IV SOLN,115.0,115.0,1.99,115.0,112 CDM,0143957425J1953,LEVETIRACETAM 500 MG/5ML IV SOLN,5.0,5.0,0.04,5.0,112 CDM,0143957501J3490,LIDOCAINE HCL 2 INJECTION SOLN,14.0,14.0,1.89,14.0,111 CDM,0143957510J3490,LIDOCAINE HCL 2 INJECTION SOLN,14.0,14.0,1.89,14.0,111 CDM,0143957701J2003,LIDOCAINE HCL 1 INJECTION SOLN,11.0,11.0,0.01,11.0,111 CDM,0143957710J2003,LIDOCAINE HCL 1 INJECTION SOLN,11.0,11.0,0.01,11.0,111 CDM,0143958401J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),144.0,144.0,0.38,144.0,112 CDM,0143958410J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),144.0,144.0,0.38,144.0,112 CDM,0143958601J1596,GLYCOPYRROLATE 0.4 MG/2ML INJECTION SOLN,21.0,21.0,0.38,21.0,112 CDM,0143958701J1596,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLN,11.0,11.0,0.38,11.0,112 CDM,0143958725J1596,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLN,11.0,11.0,0.38,11.0,112 CDM,0143959401J2003,LIDOCAINE HCL (PF) 2 INJECTION SOLN,8.0,8.0,0.01,8.0,111 CDM,0143959425J2003,LIDOCAINE HCL (PF) 2 INJECTION SOLN,8.0,8.0,0.01,8.0,111 CDM,0143959501J2003,LIDOCAINE HCL (PF) 1 INJECTION SOLN,9.0,9.0,0.01,9.0,111 CDM,0143959501J3490,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),9.0,9.0,1.22,9.0,111 CDM,0143959525J2003,LIDOCAINE HCL (PF) 1 INJECTION SOLN,9.0,9.0,0.01,9.0,111 CDM,0143959525J3490,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),9.0,9.0,1.22,9.0,111 CDM,0143960601J9025,AZACITIDINE 100 MG INJECTION SUSR,360.0,360.0,0.21,360.0,112 CDM,0143962101J3420,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,25.0,25.0,0.64,25.0,112 CDM,0143962125J3420,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,25.0,25.0,0.64,25.0,112 CDM,0143962201J1920,LABETALOL HCL 5 MG/ML IV SOLN,26.0,26.0,0.29,26.0,112 CDM,0143962301J1920,LABETALOL HCL 5 MG/ML IV SOLN,51.0,51.0,0.29,51.0,112 CDM,0143963301J2404,NICARDIPINE HCL IN NACL 40 MG/200ML IV SOLN (WRAPP,586.0,586.0,0.07,586.0,112 CDM,0143963310J2404,NICARDIPINE HCL IN NACL 40 MG/200ML IV SOLN (WRAPP,586.0,586.0,0.07,586.0,112 CDM,0143963801J3030,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOLN,44.0,44.0,5.94,83.78,111 CDM,0143963805J3030,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOLN,44.0,44.0,5.94,83.78,111 CDM,0143965901J1071,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN,65.0,65.0,0.03,65.0,112 CDM,0143967301J1953,LEVETIRACETAM 500 MG/5ML IV SOLN,15.0,15.0,0.04,15.0,112 CDM,0143967325J1953,LEVETIRACETAM 500 MG/5ML IV SOLN,15.0,15.0,0.04,15.0,112 CDM,0143967401J0883,ARGATROBAN 250 MG/2.5ML IV SOLN,1800.0,1800.0,0.61,1800.0,119 CDM,0143967801J0696,CEFTRIAXONE SODIUM 10 G IV SOLR,72.0,72.0,0.45,72.0,112 CDM,0143967901J1596,GLYCOPYRROLATE 4 MG/20ML INJECTION SOLN,144.0,144.0,0.38,144.0,112 CDM,0143967910J1596,GLYCOPYRROLATE 4 MG/20ML INJECTION SOLN,144.0,144.0,0.38,144.0,112 CDM,0143968001J1596,GLYCOPYRROLATE 1 MG/5ML INJECTION SOLN,36.0,36.0,0.38,36.0,112 CDM,0143968101J1596,GLYCOPYRROLATE 0.4 MG/2ML INJECTION SOLN,19.0,19.0,0.38,19.0,112 CDM,0143968125J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),19.0,19.0,0.38,19.0,112 CDM,0143968201J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),10.0,10.0,0.38,10.0,112 CDM,0143968225J1596,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLN,10.0,10.0,0.38,10.0,112 CDM,0143968901J2404,NICARDIPINE HCL 2.5 MG/ML IV SOLN,92.0,92.0,0.07,92.0,112 CDM,0143968910J2404,NICARDIPINE HCL 2.5 MG/ML IV SOLN,92.0,92.0,0.07,92.0,112 CDM,0143970101J9206,IRINOTECAN HCL 100 MG/5ML IV SOLN,225.0,225.0,1.4,225.0,112 CDM,0143970201J9206,IRINOTECAN HCL 40 MG/2ML IV SOLN,90.0,90.0,1.4,90.0,112 CDM,0143970801J2260,MILRINONE LACTATE 50 MG/50ML IV SOLN,144.0,144.0,1.31,144.0,112 CDM,0143970901J2260,MILRINONE LACTATE 20 MG/20ML IV SOLN,34.0,34.0,1.31,34.0,112 CDM,0143970910J2260,MILRINONE LACTATE 20 MG/20ML IV SOLN,34.0,34.0,1.31,34.0,112 CDM,0143971010J2260,MILRINONE LACTATE 10 MG/10ML IV SOLN,23.0,23.0,1.31,23.0,112 CDM,0143971801J2260,MILRINONE LACTATE IN DEXTROSE 405 MG/200ML IV SOL,115.0,115.0,1.31,115.0,112 CDM,0143971810J2260,MILRINONE LACTATE IN DEXTROSE 405 MG/200ML IV SOL,115.0,115.0,1.31,115.0,112 CDM,0143971901J2260,MILRINONE LACTATE IN DEXTROSE 205 MG/100ML IV SOL,55.0,55.0,1.31,55.0,112 CDM,0143971910J2260,MILRINONE LACTATE IN DEXTROSE 205 MG/100ML IV SOL,55.0,55.0,1.31,55.0,112 CDM,0143972001J1956,LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN,23.0,23.0,1.89,23.0,112 CDM,0143972024J1956,LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN,23.0,23.0,1.89,23.0,112 CDM,0143972101J1956,LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN,22.0,22.0,1.89,22.0,112 CDM,0143972124J1956,LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN,22.0,22.0,1.89,22.0,112 CDM,0143972201J1956,LEVOFLOXACIN IN D5W 250 MG/50ML IV SOLN,22.0,22.0,1.89,22.0,112 CDM,0143972224J1956,LEVOFLOXACIN IN D5W 250 MG/50ML IV SOLN,22.0,22.0,1.89,22.0,112 CDM,0143972401J0735,CLONIDINE HCL (ANALGESIA) 100 MCG/ML EPIDURAL SOLN,152.0,152.0,16.74,152.0,112 CDM,0143972501J2675,PROGESTERONE 50 MG/ML IM OIL,123.0,123.0,0.63,123.0,112 CDM,0143972601J1071,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN,339.0,339.0,0.03,339.0,112 CDM,0143972901J0515,BENZTROPINE MESYLATE 1 MG/ML INJECTION SOLN,225.0,225.0,13.81,225.0,112 CDM,0143972905J0515,BENZTROPINE MESYLATE 1 MG/ML INJECTION SOLN,225.0,225.0,13.81,225.0,112 CDM,0143974601J3105,TERBUTALINE SULFATE 1 MG/ML INJECTION SOLN,15.0,15.0,2.03,16.41,112 CDM,0143974610J3105,TERBUTALINE SULFATE 1 MG/ML INJECTION SOLN,15.0,15.0,2.03,16.41,112 CDM,0143975001J3121,TESTOSTERONE ENANTHATE 200 MG/ML IM SOLN,296.0,296.0,0.05,296.0,112 CDM,0143975301J2919,METHYLPREDNISOLONE SODIUM SUCC 40 MG INJECTION SOL,15.0,15.0,0.26,15.0,112 CDM,0143975325J2919,METHYLPREDNISOLONE SODIUM SUCC 40 MG INJECTION SOL,15.0,15.0,0.26,15.0,112 CDM,0143975401J2919,METHYLPREDNISOLONE SODIUM SUCC 125 MG INJECTION SO,24.0,24.0,0.26,24.0,112 CDM,0143975425J2919,METHYLPREDNISOLONE SODIUM SUCC 125 MG INJECTION SO,24.0,24.0,0.26,24.0,112 CDM,0143983001J9260,METHOTREXATE SODIUM 1 G INJECTION SOLR,229.0,229.0,2.26,229.0,112 CDM,0143985101J2919,METHYLPREDNISOLONE SODIUM SUCC 1000 MG INJECTION S,151.0,151.0,0.26,151.0,112 CDM,0143985201J1955,LEVOCARNITINE 200 MG/ML IV SOLN,129.0,129.0,17.42,129.0,112 CDM,0143985210J1955,LEVOCARNITINE 200 MG/ML IV SOLN,129.0,129.0,17.42,129.0,112 CDM,0143985601J0696,CEFTRIAXONE SODIUM 2 G INJECTION SOLR,11.0,11.0,0.45,11.0,112 CDM,0143985625J0696,CEFTRIAXONE SODIUM 2 G INJECTION SOLR,11.0,11.0,0.45,11.0,112 CDM,0143985701J0696,CEFTRIAXONE SODIUM 1 G INJECTION SOLR,8.0,8.0,0.45,8.0,112 CDM,0143985725J0696,CEFTRIAXONE SODIUM 1 G INJECTION SOLR,8.0,8.0,0.45,8.0,112 CDM,0143985801J0696,CEFTRIAXONE SODIUM 500 MG INJECTION SOLR,5.0,5.0,0.45,5.0,112 CDM,0143985825J0696,CEFTRIAXONE SODIUM 500 MG INJECTION SOLR,5.0,5.0,0.45,5.0,112 CDM,0143985901J0696,CEFTRIAXONE SODIUM 250 MG INJECTION SOLR,4.0,4.0,0.45,4.0,112 CDM,0143985925J0696,CEFTRIAXONE SODIUM 250 MG INJECTION SOLR,4.0,4.0,0.45,4.0,112 CDM,0143987101J9065,CLADRIBINE 10 MG/10ML IV SOLN,1260.0,1260.0,7.42,1260.0,119 CDM,0143987201J1800,PROPRANOLOL HCL 1 MG/ML IV SOLN,29.0,29.0,3.92,29.0,111 CDM,0143987210J1800,PROPRANOLOL HCL 1 MG/ML IV SOLN,29.0,29.0,3.92,29.0,111 CDM,0143987501J0282,AMIODARONE HCL 150 MG/3ML IV SOLN,8.0,8.0,0.39,8.0,112 CDM,0143987510J0282,AMIODARONE HCL 150 MG/3ML IV SOLN,8.0,8.0,0.39,8.0,112 CDM,0143987525J0282,AMIODARONE HCL 150 MG/3ML IV SOLN,8.0,8.0,0.39,8.0,112 CDM,0143987701J0694,CEFOXITIN SODIUM 2 G IV SOLR,72.0,72.0,4.45,72.0,112 CDM,0143987725J0694,CEFOXITIN SODIUM 2 G IV SOLR,72.0,72.0,4.45,72.0,112 CDM,0143987825J0694,CEFOXITIN SODIUM 1 G IV SOLR,36.0,36.0,4.45,36.0,112 CDM,0143989001J2405,ONDANSETRON HCL 40 MG/20ML INJECTION SOLN,29.0,29.0,0.09,29.0,112 CDM,0143989010J2405,ONDANSETRON HCL 40 MG/20ML INJECTION SOLN,29.0,29.0,0.09,29.0,112 CDM,0143992390J0690,CEFAZOLIN SODIUM 500 MG INJECTION SOLR,8.0,8.0,0.81,8.0,112 CDM,0143992490J0690,CEFAZOLIN SODIUM 1 G INJECTION SOLR,5.0,5.0,0.68,5.0,112 CDM,0143997722J0697,CEFUROXIME FOR BONE CEMENT,22.0,22.0,1.89,22.0,112 CDM,0143997790J0697,CEFUROXIME SODIUM 1.5 G IV SOLR,22.0,22.0,1.89,22.0,112 CDM,0143997922J0697,CEFUROXIME SODIUM 750 MG INJECTION SOLR,11.0,11.0,1.49,11.0,112 CDM,0143997990J0697,CEFUROXIME SODIUM 750 MG INJECTION SOLR,11.0,11.0,1.49,11.0,112 CDM,0143998303J0690,CEFAZOLIN SODIUM 10 G INJECTION SOLR,40.0,40.0,0.81,40.0,112 CDM,0143998391J0690,CEFAZOLIN SODIUM 10 G INJECTION SOLR,40.0,40.0,0.81,40.0,112 CDM,0169183411J1815,INSULIN NPH (HUMAN) (ISOPHANE) 100 UNIT/ML SC SUSP,174.0,174.0,0.22,174.0,111 CDM,0169183711J1815,INSULIN ISOPHANE REGULAR (7030) 100 UNIT/ML SC,174.0,174.0,0.22,174.0,111 CDM,0169330312J1815,INSULIN ASPART 100 UNIT/ML SC SOCT,97.0,97.0,0.22,97.0,111 CDM,0169368512J1815,INSULIN ASPART PROT ASPART (7030) 100 UNIT/ML SC,261.0,261.0,0.22,261.0,111 CDM,0169706515J1610,GLUCAGON HCL (RDNA) 1 MG INJECTION SOLR (WRAPPER),1108.0,1108.0,149.58,1108.0,119 CDM,0169720101J7189,COAGULATION FACTOR VIIA RECOMB 1 MG IV SOLR,8070.0,8070.0,2.55,8070.0,117 CDM,0169720201J7189,COAGULATION FACTOR VIIA RECOMB 2 MG IV SOLR,16140.0,16140.0,2.55,16140.0,117 CDM,0169720501J7189,COAGULATION FACTOR VIIA RECOMB 5 MG IV SOLR,40350.0,40350.0,2.55,40350.0,117 CDM,0169720801J7189,COAGULATION FACTOR VIIA RECOMB 8 MG IV SOLR,62160.0,62160.0,2.55,62160.0,117 CDM,0169721811J7189,COAGULATION FACTOR VIIA RECOMB 8 MG IV SOLR,62160.0,62160.0,2.55,62160.0,117 CDM,0169750111J1815,INSULIN ASPART VIAL FOR SUBQ INFUSION PUMP 100 UNI,261.0,261.0,0.22,261.0,111 CDM,0172640649J7631,CROMOLYN SODIUM 20 MG/2ML INHALATION NEBU,21.0,21.0,0.21,21.0,112 CDM,0172731320J7502,CYCLOSPORINE MODIFIED 100 MG/ML PO SOLN,899.0,899.0,1.81,899.0,112 CDM,0173051700J1325,EPOPROSTENOL SODIUM (VELETRI) 0.5 MG IV SOLR,68.0,68.0,9.18,68.0,112 CDM,0173051900J1325,EPOPROSTENOL SODIUM (FLOLAN) 1.5 MG IV SOLR,163.0,163.0,15.65,163.0,112 CDM,0173088101J2182,MEPOLIZUMAB 100 MG SC SOLR,12467.0,12467.0,30.69,12467.0,119 CDM,0173089242J2182,MEPOLIZUMAB 100 MG/ML SC SOSY,13280.0,13280.0,30.69,13280.0,119 CDM,0173089803J9272,DOSTARLIMABGXLY 500 MG/10ML IV SOLN,41628.0,41628.0,240.06,41628.0,119 CDM,0185064910Q0163,DIPHENHYDRAMINE HCL 50 MG PO CAPS,1.0,1.0,0.02,1.0,111 CDM,0186198804J7626,BUDESONIDE 0.25 MG/2ML INHALATION SUSP,32.0,32.0,1.05,32.0,112 CDM,0186198904J7626,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,37.0,37.0,1.05,37.0,112 CDM,0186199004J7626,BUDESONIDE 1 MG/2ML INHALATION SUSP,74.0,74.0,1.05,74.0,112 CDM,0206886201J2543,PIPERACILLINTAZOBACTAM IN DEX 40.5 GM/100ML IV SOL,92.0,92.0,1.09,92.0,112 CDM,0206886202J2543,PIPERACILLINTAZOBACTAM IN DEX 40.5 GM/100ML IV SOL,92.0,92.0,1.09,92.0,112 CDM,0259160501J0588,INCOBOTULINUMTOXINA 50 UNITS IM SOLR,965.0,965.0,5.25,965.0,119 CDM,0259161001J0588,INCOBOTULINUMTOXINA 100 UNITS IM SOLR,1840.0,1840.0,5.25,1840.0,119 CDM,0264151031J7060,DEXTROSE 5 KVO FLUSH (INPATIENT),9.0,9.0,1.22,9.0,112 CDM,0264151032J7060,DEXTROSE 5 KVO FLUSH (INPATIENT),9.0,9.0,1.22,9.0,112 CDM,0264180031J7030,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),10.0,10.0,1.35,10.0,112 CDM,0264180031J7050,SODIUM CHLORIDE 0.9 IV SOLN,10.0,10.0,0.63,10.0,112 CDM,0264180032J7030,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),10.0,10.0,1.35,10.0,112 CDM,0264180032J7050,SODIUM CHLORIDE 0.9 IV SOLN,10.0,10.0,0.63,10.0,112 CDM,0264180036J7030,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),10.0,10.0,1.35,10.0,112 CDM,0264180036J7050,SODIUM CHLORIDE 0.9 IV SOLN,10.0,10.0,0.63,10.0,112 CDM,0264220300J7120,LACTATED RINGERS IRRIGATION SOLN,21.0,21.0,2.38,21.0,112 CDM,0264310311J0690,CEFAZOLIN SODIUMDEXTROSE 14 GM (50ML) IV SOLR,48.0,48.0,0.81,48.0,112 CDM,0264310511J0690,CEFAZOLIN SODIUMDEXTROSE 23 GM (50ML) IV SOLR,54.0,54.0,0.81,54.0,112 CDM,0264312311J0694,CEFOXITIN SODIUMDEXTROSE 14 GM (50ML) IV SOLR,68.0,68.0,4.45,68.0,112 CDM,0264312511J0694,CEFOXITIN SODIUMDEXTROSE 22.2 GM (50ML) IV SOLR,121.0,121.0,4.45,121.0,104 CDM,0264315311J0696,CEFTRIAXONE SODIUMDEXTROSE 13.74 GM (50ML) IV SOLR,71.0,71.0,0.45,71.0,112 CDM,0264315511J0696,CEFTRIAXONE SODIUMDEXTROSE 22.22 GM (50ML) IV SOLR,95.0,95.0,0.45,95.0,112 CDM,0264318311J2184,MEROPENEMSODIUM CHLORIDE 500 MG/50ML IV SOLR,74.0,74.0,0.54,74.0,112 CDM,0264318511J2184,MEROPENEMSODIUM CHLORIDE 1 GM/50ML IV SOLR,108.0,108.0,0.54,108.0,112 CDM,0264319311J0703,CEFEPIMEDEXTROSE 15 GM (50ML) IV SOLR,71.0,71.0,1.55,71.0,112 CDM,0264319511J0703,CEFEPIMEDEXTROSE 25 GM (50ML) IV SOLR,108.0,108.0,1.55,108.0,112 CDM,0264405080J0136,ACETAMINOPHEN 10 MG/ML IV SOLN,23.0,23.0,0.05,23.0,112 CDM,0264410090J0136,ACETAMINOPHEN 10 MG/ML IV SOLN,30.0,30.0,0.05,30.0,112 CDM,0264420452J3475,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,16.0,16.0,0.41,16.0,112 CDM,0264420654J3475,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,13.0,13.0,0.41,13.0,112 CDM,0264440054J3475,MAGNESIUM SULFATE IN D5W 15 GM/100ML IV SOLN,11.0,11.0,0.41,11.0,112 CDM,0264553532J1836,METRONIDAZOLE 500 MG/100ML IV SOLN,12.0,12.0,0.03,12.0,112 CDM,0264705505J2402,CHLOROPROCAINE HCL 50 MG/5ML INTRATHECAL SOLN,1106.0,1106.0,0.31,1106.0,111 CDM,0264705510J2402,CHLOROPROCAINE HCL 50 MG/5ML INTRATHECAL SOLN,1106.0,1106.0,0.31,1106.0,111 CDM,0264751000J7070,DEXTROSE 5 LARGE VOLUME FLUSH (INTEROP),15.0,15.0,2.03,15.0,112 CDM,0264751010J7060,DEXTROSE 5 KVO FLUSH (INPATIENT),14.0,14.0,1.75,14.0,112 CDM,0264751020J7060,DEXTROSE 5 KVO FLUSH (INPATIENT),13.0,13.0,1.75,13.0,112 CDM,0264761000J7042,DEXTROSESODIUM CHLORIDE 50.9 IV SOLN,15.0,15.0,1.18,15.0,112 CDM,0264761010J7042,DEXTROSESODIUM CHLORIDE 50.9 IV SOLN,15.0,15.0,1.18,15.0,112 CDM,0264775000J7120,LACTATED RINGERS IV SOLN FLUSH (NONINTEROP),12.0,12.0,1.62,12.0,112 CDM,0264775010J7120,LACTATED RINGERS IV SOLN BOLUS,14.0,14.0,1.89,14.0,112 CDM,0264775020J7120,LACTATED RINGERS IV SOLN FLUSH (NONINTEROP),7.0,7.0,0.95,7.0,112 CDM,0264780000J7030,SODIUM CHLORIDE 0.9 LARGE VOLUME FLUSH (NONINTERO,9.0,9.0,1.22,9.0,112 CDM,0264780009J7030,SODIUM CHLORIDE 0.9 IV SOLN,9.0,9.0,1.22,9.0,112 CDM,0264780010J7040,SODIUM CHLORIDE 0.9 LARGE VOLUME FLUSH (NONINTERO,12.0,12.0,1.25,12.0,112 CDM,0264780020J7030,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),11.0,11.0,1.49,11.0,112 CDM,0264780020J7050,SODIUM CHLORIDE 0.9 IV SOLN,11.0,11.0,0.63,11.0,112 CDM,0264785000A4216,STERILE WATER FOR INJECTION SOLN,15.0,15.0,0.71,15.0,111 CDM,0264786500J3480,KCL (POTASSIUM CHLORIDE) IN NACL 200.9 MEQ/L IV S,24.0,24.0,0.1,24.0,112 CDM,0264937988J0665,BUPIVACAINE IN DEXTROSE 0.758.25 INTRATHECAL SOL,17.0,17.0,0.01,17.0,112 CDM,0264958720J1644,HEPARIN SOD (PORCINE) IN D5W 100 UNIT/ML IV SOLN,58.0,58.0,0.18,58.0,112 CDM,0264959820J2002,LIDOCAINE IN D5W 85 MG/ML IV SOLN,29.0,29.0,0.01,29.0,107 CDM,0264987200J1644,HEPARIN (PORCINE) IN NACL 20000.9 UNIT/L IV SOLN,21.0,21.0,0.18,21.0,112 CDM,0264987210J1644,HEPARIN (PORCINE) IN NACL 10000.9 UT/500ML IV SOL,15.0,15.0,0.18,15.0,112 CDM,0270014957Q9958,DIATRIZOATE MEGLUMINE 30 URETHRAL SOLN,199.0,199.0,0.07,199.0,104 CDM,0270014960Q9958,DIATRIZOATE MEGLUMINE 30 URETHRAL SOLN,111.0,111.0,0.07,111.0,104 CDM,0270044540Q9963,DIATRIZOATE MEGLUMINE SODIUM 6610 ENEMA MCP,251.0,251.0,0.22,251.0,104 CDM,0270055615J2805,SINCALIDE 5 MCG INJECTION SOLR,470.0,470.0,63.45,470.0,112 CDM,0270111101A9579,GADOTERIDOL 279.3 MG/ML IV SOLN,210.0,210.0,1.46,210.0,104 CDM,0270111102A9579,GADOTERIDOL 279.3 MG/ML IV SOLN,307.0,307.0,1.46,307.0,104 CDM,0270111103A9579,GADOTERIDOL 279.3 MG/ML IV SOLN,379.0,379.0,1.46,379.0,104 CDM,0270111104A9579,GADOTERIDOL 279.3 MG/ML IV SOLN,107.0,107.0,1.46,107.0,104 CDM,0270111170A9576,GADOTERIDOL 279.3 MG/ML IV SOLN,995.0,995.0,1.41,995.0,104 CDM,0270131415Q9966,IOPAMIDOL 41 IV SOLN,441.0,441.0,0.4,441.0,104 CDM,0270131525Q9967,IOPAMIDOL 61 IV SOLN,80.0,80.0,0.15,80.0,104 CDM,0270131530Q9967,IOPAMIDOL 61 IV SOLN,85.0,85.0,0.15,85.0,104 CDM,0270131535Q9967,IOPAMIDOL 61 IV SOLN,165.0,165.0,0.15,165.0,104 CDM,0270131550Q9967,IOPAMIDOL 61 IV SOLN,241.0,241.0,0.15,241.0,104 CDM,0270131604Q9967,IOPAMIDOL 76 IV SOLN,226.0,226.0,0.15,226.0,104 CDM,0270131630Q9967,IOPAMIDOL 76 IV SOLN,180.0,180.0,0.15,180.0,104 CDM,0270131635Q9967,IOPAMIDOL 76 IV SOLN,183.0,183.0,0.15,183.0,104 CDM,0270131637Q9967,IOPAMIDOL 76 IV SOLN,254.0,254.0,0.15,254.0,104 CDM,0270131702Q9966,IOPAMIDOL 51 IV SOLN,144.0,144.0,0.4,144.0,104 CDM,0270141111Q9966,IOPAMIDOL 41 INJECTION SOLN,233.0,233.0,0.4,233.0,104 CDM,0270141215Q9967,IOPAMIDOL 61 INJECTION SOLN,310.0,310.0,0.15,310.0,104 CDM,0270516412A9577,GADOBENATE DIMEGLUMINE 529 MG/ML IV SOLN,107.0,107.0,1.74,107.0,104 CDM,0270516413A9577,GADOBENATE DIMEGLUMINE 529 MG/ML IV SOLN,210.0,210.0,1.74,210.0,104 CDM,0270516414A9577,GADOBENATE DIMEGLUMINE 529 MG/ML IV SOLN,307.0,307.0,1.74,307.0,104 CDM,0270516415A9577,GADOBENATE DIMEGLUMINE 529 MG/ML IV SOLN,379.0,379.0,1.74,379.0,104 CDM,0270709916Q9950,SULFUR HEXAFLUORIDE MICROSPH 60.725 MG INJECTION S,512.0,512.0,18.17,512.0,112 CDM,0270709973Q9950,SULFUR HEXAFLUORIDE MICROSPH 60.725 MG INJECTION S,522.0,522.0,18.17,522.0,112 CDM,0310072010J9395,FULVESTRANT 250 MG/5ML IM SOSY,3491.0,3491.0,5.72,3491.0,112 CDM,0310111001J3490,SODIUM ZIRCONIUM CYCLOSILICATE 10 G PO PACK,99.0,99.0,13.37,99.0,111 CDM,0310111030J3490,SODIUM ZIRCONIUM CYCLOSILICATE 10 G PO PACK,99.0,99.0,13.37,99.0,111 CDM,0310111039J3490,SODIUM ZIRCONIUM CYCLOSILICATE 10 G PO PACK,99.0,99.0,13.37,99.0,111 CDM,0310173030J0517,BENRALIZUMAB 30 MG/ML SC SOSY,20437.0,20437.0,163.96,20437.0,119 CDM,0310304000J0491,ANIFROLUMABFNIA 300 MG/2ML IV SOLN,18826.0,18826.0,17.76,18826.0,119 CDM,0310320001J7169,COAG FACT XA INACTIVATEDZHZO 200 MG IV SOLR,9000.0,9000.0,124.5,9000.0,119 CDM,0310320004J7169,COAG FACT XA INACTIVATEDZHZO 200 MG IV SOLR,9000.0,9000.0,124.5,9000.0,119 CDM,0310320005J7169,COAG FACT XA INACTIVATEDZHZO 200 MG IV SOLR,9000.0,9000.0,124.5,9000.0,119 CDM,0310450012J9173,DURVALUMAB 120 MG/2.4ML IV SOLN,3567.0,3567.0,83.88,3567.0,119 CDM,0310450525J9347,TREMELIMUMABACTL 25 MG/1.25ML IV SOLN,11934.0,11934.0,138.43,11934.0,119 CDM,0310453530J9347,TREMELIMUMABACTL 300 MG/15ML IV SOLN,143208.0,143208.0,138.43,143208.0,119 CDM,0310461150J9173,DURVALUMAB 500 MG/10ML IV SOLN,14861.0,14861.0,83.88,14861.0,119 CDM,0310621039J8499,DAPAGLIFLOZIN PROPANEDIOL 10 MG PO TABS,70.0,70.0,9.45,70.0,105 CDM,0310621095J8499,DAPAGLIFLOZIN PROPANEDIOL 10 MG PO TABS,70.0,70.0,9.45,70.0,105 CDM,0338000801J1453,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR,108.0,108.0,0.11,108.0,112 CDM,0338001702J7060,DEXTROSE 5 KVO FLUSH (INPATIENT),15.0,15.0,1.75,15.0,112 CDM,0338001703J7060,DEXTROSE 5 KVO FLUSH (INPATIENT),15.0,15.0,1.75,15.0,112 CDM,0338001704J7070,DEXTROSE 5 LARGE VOLUME FLUSH (INTEROP),18.0,18.0,2.43,18.0,112 CDM,0338001710J7060,DEXTROSE 5 IV SOLN,10.0,10.0,1.35,10.0,112 CDM,0338001711J7060,DEXTROSE 5 IV SOLN,10.0,10.0,1.35,10.0,112 CDM,0338001718J7060,DEXTROSE 5 IV SOLN,9.0,9.0,1.22,9.0,112 CDM,0338001731J7060,DEXTROSE 5 IV SOLN,9.0,9.0,1.22,9.0,112 CDM,0338001738J7060,DEXTROSE 5 IV SOLN,9.0,9.0,1.22,9.0,112 CDM,0338001741J7060,DEXTROSE 5 IV SOLN,10.0,10.0,1.35,10.0,112 CDM,0338001748J7060,DEXTROSE 5 IV SOLN,10.0,10.0,1.35,10.0,112 CDM,0338004902J7030,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),15.0,15.0,1.99,15.0,112 CDM,0338004902J7050,SODIUM CHLORIDE 0.9 IV SOLN,15.0,15.0,0.63,15.0,112 CDM,0338004903J7040,SODIUM CHLORIDE 0.9 LARGE VOLUME FLUSH (NONINTERO,15.0,15.0,1.25,15.0,112 CDM,0338004904J7030,SODIUM CHLORIDE 0.9 LARGE VOLUME FLUSH (NONINTERO,18.0,18.0,1.99,18.0,112 CDM,0338004911J7030,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),9.0,9.0,1.22,9.0,112 CDM,0338004911J7050,SODIUM CHLORIDE 0.9 IV SOLN,9.0,9.0,0.63,9.0,112 CDM,0338004918J7030,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),9.0,9.0,1.22,9.0,112 CDM,0338004918J7050,SODIUM CHLORIDE 0.9 IV SOLN,9.0,9.0,0.63,9.0,112 CDM,0338004931J7030,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),9.0,9.0,1.22,9.0,112 CDM,0338004931J7050,SODIUM CHLORIDE 0.9 IV SOLN,9.0,9.0,0.63,9.0,112 CDM,0338004938J7030,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),9.0,9.0,1.22,9.0,112 CDM,0338004938J7050,SODIUM CHLORIDE 0.9 IV SOLN,9.0,9.0,0.63,9.0,112 CDM,0338004941J7030,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),9.0,9.0,1.22,9.0,112 CDM,0338004941J7050,SODIUM CHLORIDE 0.9 IV SOLN,9.0,9.0,0.63,9.0,112 CDM,0338004948J7050,SODIUM CHLORIDE 0.9 IV SOLN,9.0,9.0,0.63,9.0,112 CDM,0338006230J7060,DEXTROSE 5 KVO FLUSH (INPATIENT),20.0,20.0,1.75,20.0,112 CDM,0338006301Q2050,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP,1153.0,1153.0,104.01,1153.0,119 CDM,0338006620J7060,DEXTROSE 5 KVO FLUSH (INPATIENT),21.0,21.0,1.75,21.0,112 CDM,0338006701Q2050,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP,6063.0,6063.0,104.01,6063.0,119 CDM,0338006910J1885,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,5.0,5.0,0.33,5.0,112 CDM,0338007010J7070,DEXTROSE 5 IV SOLN (INGREDIENT),24.0,24.0,2.94,24.0,112 CDM,0338007225J1885,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,7.0,7.0,0.33,7.0,112 CDM,0338008903J7042,DEXTROSESODIUM CHLORIDE 50.9 IV SOLN,101.0,101.0,1.18,101.0,112 CDM,0338008904J7042,DEXTROSESODIUM CHLORIDE 50.9 IV SOLN,18.0,18.0,1.18,18.0,112 CDM,0338011404J7120,LACTATED RINGERS IRRIGATION SOLN,30.0,30.0,2.38,30.0,112 CDM,0338011703J7120,LACTATED RINGERS IV SOLN FLUSH (NONINTEROP),17.0,17.0,2.29,17.0,112 CDM,0338011704J7120,LACTATED RINGERS IV SOLN FLUSH (NONINTEROP),18.0,18.0,2.38,18.0,112 CDM,0338012204J3370,VANCOMYCIN HCL IN DEXTROSE 1.255 GM/250ML IV SOLN,165.0,165.0,1.86,165.0,111 CDM,0338012404J3370,VANCOMYCIN HCL IN DEXTROSE 1.55 GM/300ML IV SOLN,169.0,169.0,1.86,169.0,111 CDM,0338012612J1815,INSULIN REGULAR(HUMAN) IN NACL 1000.9 UT/100ML IV,126.0,126.0,0.22,126.0,111 CDM,0338013729J7120,LACTATED RINGERS IRRIGATION SOLN,105.0,105.0,2.38,105.0,112 CDM,0338040903J2002,LIDOCAINE IN D5W 45 MG/ML IV SOLN,24.0,24.0,0.01,24.0,107 CDM,0338041102J2002,LIDOCAINE IN D5W 85 MG/ML IV SOLN,33.0,33.0,0.01,33.0,107 CDM,0338042418J1644,HEPARIN (PORCINE) IN NACL 10000.9 UT/500ML IV SOL,18.0,18.0,0.18,18.0,112 CDM,0338043304J1644,HEPARIN (PORCINE) IN NACL 20000.9 UNIT/L IV SOLN,27.0,27.0,0.18,27.0,112 CDM,0338050348J1580,GENTAMICIN IN SALINE 0.8 MG/ML IV SOLN,15.0,15.0,2.03,15.0,112 CDM,0338050548J1580,GENTAMICIN IN SALINE 10.9 MG/ML IV SOLN,16.0,16.0,2.16,16.0,112 CDM,0338050941J1580,GENTAMICIN IN SALINE 1.60.9 MG/ML IV SOLN,15.0,15.0,2.03,15.0,112 CDM,0338051141J1580,GENTAMICIN IN SALINE 20.9 MG/ML IV SOLN,15.0,15.0,2.03,15.0,112 CDM,0338055111J7060,DEXTROSE 5 IV SOLN,21.0,21.0,1.75,21.0,112 CDM,0338055118J7060,DEXTROSE 5 IV SOLN,21.0,21.0,1.75,21.0,112 CDM,0338055311J7030,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),21.0,21.0,1.99,21.0,112 CDM,0338055311J7050,SODIUM CHLORIDE 0.9 IV SOLN,21.0,21.0,0.63,21.0,112 CDM,0338055318J7030,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),21.0,21.0,1.99,21.0,112 CDM,0338055318J7050,SODIUM CHLORIDE 0.9 IV SOLN,21.0,21.0,0.63,21.0,112 CDM,0338068304J3480,POTASSIUM CL IN DEXTROSE 5 20 MEQ/L IV SOLN,36.0,36.0,0.1,36.0,112 CDM,0338069104J3480,KCL (POTASSIUM CHLORIDE) IN NACL 200.9 MEQ/L IV S,36.0,36.0,0.1,36.0,112 CDM,0338069504J3480,POTASSIUM CHLORIDE IN NACL 400.9 MEQ/L IV SOLN,39.0,39.0,0.1,39.0,112 CDM,0338070341J3480,POTASSIUM CHLORIDE 20 MEQ/50ML IV SOLN,14.0,14.0,0.1,14.0,112 CDM,0338070348J3480,POTASSIUM CHLORIDE 40 MEQ/100ML IV SOLN,15.0,15.0,0.1,15.0,112 CDM,0338070434J3480,POTASSIUM CHLORIDE IN NACL 200.45 MEQ/L IV SOLN (,27.0,27.0,0.1,27.0,112 CDM,0338070548J3480,POTASSIUM CHLORIDE 20 MEQ/100ML IV SOLN,15.0,15.0,0.1,15.0,112 CDM,0338070948J3480,POTASSIUM CHLORIDE 10 MEQ/100ML IV SOLN,15.0,15.0,0.1,15.0,112 CDM,0338100502J1265,DOPAMINEDEXTROSE 0.85 MG/ML IV SOLN,44.0,44.0,0.66,44.0,112 CDM,0338100702J1265,DOPAMINEDEXTROSE 1.65 MG/ML IV SOLN,54.0,54.0,0.66,54.0,112 CDM,0338100902J1265,DOPAMINEDEXTROSE 3.25 MG/ML IV SOLN,75.0,75.0,0.66,75.0,112 CDM,0338101948S0032,NAFCILLIN SODIUM IN DEXTROSE 2 GM/100ML IV SOLN,88.0,88.0,11.88,88.0,111 CDM,0338102541J2540,PENICILLIN G POT IN DEXTROSE 60000 UNIT/ML IV SOLN,39.0,39.0,0.75,39.0,112 CDM,0338104702J2305,NITROGLYCERIN IN D5W 1005 MCG/ML IV SOLN,77.0,77.0,1.41,77.0,112 CDM,0338104902J2305,NITROGLYCERIN IN D5W 2005 MCG/ML IV SOLN,85.0,85.0,1.41,85.0,112 CDM,0338105102J2305,NITROGLYCERIN IN D5W 4005 MCG/ML IV SOLN,93.0,93.0,1.41,93.0,112 CDM,0338105548J1836,METRONIDAZOLE 500 MG/100ML IV SOLN,9.0,9.0,0.03,9.0,112 CDM,0338107502J1250,DOBUTAMINEDEXTROSE 25 MG/ML IV SOLN,150.0,150.0,7.39,150.0,112 CDM,0338107702J1250,DOBUTAMINEDEXTROSE 45 MG/ML IV SOLN,110.0,110.0,7.39,110.0,112 CDM,0338130501J9209,MESNA 100 MG/ML IV SOLN,90.0,90.0,1.33,90.0,112 CDM,0338170840J3475,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,46.0,46.0,0.41,46.0,112 CDM,0338170940J3475,MAGNESIUM SULFATE IN D5W 15 GM/100ML IV SOLN,24.0,24.0,0.41,24.0,112 CDM,0338171540J3475,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,23.0,23.0,0.41,23.0,112 CDM,0338171940J3475,MAGNESIUM SULFATE 4 GM/50ML IV SOLN,23.0,23.0,0.41,23.0,112 CDM,0338341024J0736,CLINDAMYCIN PHOSPHATE IN D5W 300 MG/50ML IV SOLN,26.0,26.0,1.67,26.0,112 CDM,0338341050J0736,CLINDAMYCIN PHOSPHATE IN D5W 300 MG/50ML IV SOLN,26.0,26.0,1.67,26.0,112 CDM,0338350341J0689,CEFAZOLIN SODIUMDEXTROSE 14 GM/50ML IV SOLN,19.0,19.0,1.01,19.0,112 CDM,0338350841J0689,CEFAZOLIN SODIUMDEXTROSE 24 GM/100ML IV SOLN,34.0,34.0,1.01,34.0,112 CDM,0338355248J3370,VANCOMYCIN HCL IN DEXTROSE 15 GM/200ML IV SOLN,98.0,98.0,1.86,98.0,111 CDM,0338361224J0736,CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN,39.0,39.0,1.67,39.0,112 CDM,0338361250J0736,CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN,39.0,39.0,1.67,39.0,112 CDM,0338361624J0736,CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN,39.0,39.0,1.67,39.0,112 CDM,0338381424J0736,CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN,47.0,47.0,1.67,47.0,112 CDM,0338381450J0736,CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN,47.0,47.0,1.67,47.0,112 CDM,0338399101J9208,IFOSFAMIDE 1 G IV SOLR,133.0,133.0,17.96,133.0,112 CDM,0338399301J9208,IFOSFAMIDE 3 G IV SOLR,377.0,377.0,23.5,377.0,112 CDM,0338411424J0736,CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN,47.0,47.0,1.67,47.0,112 CDM,0338500241J0696,CEFTRIAXONE SODIUM IN DEXTROSE 20 MG/ML IV SOLN,52.0,52.0,0.45,52.0,112 CDM,0338500341J0696,CEFTRIAXONE SODIUM IN DEXTROSE 40 MG/ML IV SOLN,122.0,122.0,0.45,122.0,112 CDM,0338519741S0028,FAMOTIDINE (PEPCID) IV SYRINGE 0.4MG/ML NSS (NEO/P,41.0,41.0,0.9,41.0,111 CDM,0338601048J2260,MILRINONE LACTATE IN DEXTROSE 205 MG/100ML IV SOL,122.0,122.0,1.31,122.0,112 CDM,0338601137J2260,MILRINONE LACTATE IN DEXTROSE 405 MG/200ML IV SOL,247.0,247.0,1.31,247.0,112 CDM,0338604537J1450,FLUCONAZOLE IN SODIUM CHLORIDE 4000.9 MG/200ML IV,75.0,75.0,2.39,75.0,112 CDM,0338604648J1450,FLUCONAZOLE IN SODIUM CHLORIDE 2000.9 MG/100ML IV,68.0,68.0,2.39,68.0,112 CDM,0338915130J7050,SODIUM CHLORIDE 0.9 IV SOLN,23.0,23.0,0.63,23.0,112 CDM,0338915930J7050,SODIUM CHLORIDE 0.9 IV SOLN,23.0,23.0,0.63,23.0,112 CDM,0338954124J1836,METRONIDAZOLE 500 MG/100ML IV SOLN,5.0,5.0,0.03,5.0,112 CDM,0338954302J7050,SODIUM CHLORIDE 0.9 IV SOLN,20.0,20.0,0.63,20.0,112 CDM,0338954304J7040,SODIUM CHLORIDE (NSS) 0.9 FLUSH FOR TAGRAXOFUSPEZ,21.0,21.0,1.25,21.0,112 CDM,0338954306J7030,SODIUM CHLORIDE 0.9 IV SOLN,24.0,24.0,1.99,24.0,112 CDM,0338954524J0737,CLINDAMYCIN PHOSPHATE IN NACL 3000.9 MG/50ML IV S,26.0,26.0,1.72,26.0,112 CDM,0338954550J0737,CLINDAMYCIN PHOSPHATE IN NACL 3000.9 MG/50ML IV S,26.0,26.0,1.72,26.0,112 CDM,0338954924J0737,CLINDAMYCIN PHOSPHATE IN NACL 6000.9 MG/50ML IV S,39.0,39.0,1.72,39.0,112 CDM,0338954950J0737,CLINDAMYCIN PHOSPHATE IN NACL 6000.9 MG/50ML IV S,39.0,39.0,1.72,39.0,112 CDM,0338955324J0737,CLINDAMYCIN PHOSPHATE IN NACL 9000.9 MG/50ML IV S,47.0,47.0,1.72,47.0,112 CDM,0338955350J0737,CLINDAMYCIN PHOSPHATE IN NACL 9000.9 MG/50ML IV S,47.0,47.0,1.72,47.0,112 CDM,0338963201J2543,PIPERACILLINTAZOBACTAM IN DEX 20.25 GM/50ML IV SOL,55.0,55.0,1.09,55.0,112 CDM,0338963224J2543,PIPERACILLINTAZOBACTAM IN DEX 20.25 GM/50ML IV SOL,55.0,55.0,1.09,55.0,112 CDM,0338963801J2543,PIPERACILLINTAZOBACTAM IN DEX 40.5 GM/100ML IV SOL,92.0,92.0,1.09,92.0,112 CDM,0338963812J2543,PIPERACILLINTAZOBACTAM IN DEX 40.5 GM/100ML IV SOL,92.0,92.0,1.09,92.0,112 CDM,0362109560J2004,LIDOCAINEEPINEPHRINE 2 1 100000 INJECTION SOLN,5.0,5.0,0.01,5.0,111 CDM,0378001401J8610,METHOTREXATE SODIUM 2.5 MG PO TABS,19.0,19.0,0.15,19.0,112 CDM,0378204501J7507,TACROLIMUS 0.5 MG PO CAPS,7.0,7.0,0.15,7.0,112 CDM,0378204601J7507,TACROLIMUS 1 MG PO CAPS,14.0,14.0,0.15,14.0,112 CDM,0378204701J7507,TACROLIMUS 5 MG PO CAPS,67.0,67.0,0.15,67.0,112 CDM,0378326694J8560,ETOPOSIDE 50 MG PO CAPS,302.0,302.0,40.77,302.0,119 CDM,0378447205J7517,MYCOPHENOLATE MOFETIL 500 MG PO TABS,24.0,24.0,0.15,24.0,112 CDM,0378773293Q0162,ONDANSETRON 4 MG PO TBDP,67.0,67.0,0.01,67.0,112 CDM,0378773493Q0162,ONDANSETRON 8 MG PO TBDP,112.0,112.0,0.01,112.0,112 CDM,0378797031J7644,IPRATROPIUM BROMIDE 0.02 INHALATION SOLN,7.0,7.0,0.37,7.0,112 CDM,0378797052J7644,IPRATROPIUM BROMIDE 0.02 INHALATION SOLN,6.0,6.0,0.37,6.0,112 CDM,0378797055J7644,IPRATROPIUM BROMIDE 0.02 INHALATION SOLN,7.0,7.0,0.37,7.0,112 CDM,0378797064J7644,IPRATROPIUM BROMIDE 0.02 INHALATION SOLN,6.0,6.0,0.37,6.0,112 CDM,0378797091J7644,IPRATROPIUM BROMIDE 0.02 INHALATION SOLN,6.0,6.0,0.37,6.0,112 CDM,0378797093J7644,IPRATROPIUM BROMIDE 0.02 INHALATION SOLN,6.0,6.0,0.37,6.0,112 CDM,0378827031J7613,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,5.0,5.0,0.07,5.0,112 CDM,0378827052J7613,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,5.0,5.0,0.07,5.0,112 CDM,0378827055J7613,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,5.0,5.0,0.07,5.0,112 CDM,0378827064J7613,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,4.0,4.0,0.07,4.0,112 CDM,0378827091J7613,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,4.0,4.0,0.07,4.0,112 CDM,0378827093J7613,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,4.0,4.0,0.07,4.0,112 CDM,0378969052J7612,LEVALBUTEROL HCL 0.31 MG/3ML INHALATION NEBU,21.0,21.0,0.27,21.0,112 CDM,0378969152J7614,LEVALBUTEROL HCL 0.63 MG/3ML INHALATION NEBU,21.0,21.0,0.08,21.0,112 CDM,0406052710J1230,METHADONE HCL 10 MG/ML PO CONC,315.0,315.0,17.7,315.0,112 CDM,0406872510J1230,METHADONE HCL 10 MG/ML PO CONC,315.0,315.0,17.7,315.0,112 CDM,0407069010A9579,GADODIAMIDE 287 MG/ML IV SOLN,205.0,205.0,1.46,205.0,104 CDM,0407069015A9579,GADODIAMIDE 287 MG/ML IV SOLN,300.0,300.0,1.46,300.0,104 CDM,0407069020A9579,GADODIAMIDE 287 MG/ML IV SOLN,371.0,371.0,1.46,371.0,104 CDM,0407141110Q9965,IOHEXOL 180 MG/ML INJECTION SOLN,145.0,145.0,1.04,145.0,104 CDM,0407141210Q9966,IOHEXOL 240 MG/ML INJECTION SOLN,157.0,157.0,0.4,157.0,104 CDM,0407141220Q9966,IOHEXOL 240 MG/ML INJECTION SOLN,166.0,166.0,0.4,166.0,104 CDM,0407141230Q9966,IOHEXOL 240 MG/ML INJECTION SOLN,141.0,141.0,0.4,141.0,104 CDM,0407141233Q9966,IOHEXOL 240 MG/ML INJECTION SOLN,273.0,273.0,0.4,273.0,104 CDM,0407141310Q9967,IOHEXOL 300 MG/ML INJECTION SOLN,145.0,145.0,0.15,145.0,104 CDM,0407141359Q9967,IOHEXOL 300 MG/ML INJECTION SOLN,150.0,150.0,0.15,150.0,104 CDM,0407141361Q9967,IOHEXOL 300 MG/ML INJECTION SOLN,167.0,167.0,0.15,167.0,104 CDM,0407141363Q9967,IOHEXOL 300 MG/ML INJECTION SOLN,327.0,327.0,0.15,327.0,104 CDM,0407141472Q9967,IOHEXOL 350 MG/ML IV SOLN,1545.0,1545.0,0.15,1545.0,104 CDM,0407141489Q9967,IOHEXOL 350 MG/ML IV SOLN,182.0,182.0,0.15,182.0,104 CDM,0407141491Q9967,IOHEXOL 350 MG/ML IV SOLN,364.0,364.0,0.15,364.0,104 CDM,0407141493Q9967,IOHEXOL 350 MG/ML IV SOLN,502.0,502.0,0.15,502.0,104 CDM,0407222302Q9967,IODIXANOL 320 MG/ML IV SOLN,401.0,401.0,0.15,401.0,104 CDM,0407222316Q9967,IODIXANOL 320 MG/ML IV SOLN,191.0,191.0,0.15,191.0,104 CDM,0407222317Q9967,IODIXANOL 320 MG/ML IV SOLN,382.0,382.0,0.15,382.0,104 CDM,0407222319Q9967,IODIXANOL 320 MG/ML IV SOLN,538.0,538.0,0.15,538.0,104 CDM,0407222321Q9967,IODIXANOL 320 MG/ML IV SOLN,649.0,649.0,0.15,649.0,104 CDM,0407222362Q9967,IODIXANOL 320 MG/ML IV SOLN,191.0,191.0,0.15,191.0,104 CDM,0407270701Q9956,PERFLUTREN PROTEIN A MICROSPH IV SUSP,506.0,506.0,40.21,506.0,107 CDM,0407270703Q9956,PERFLUTREN PROTEIN A MICROSPH IV SUSP,506.0,506.0,40.21,506.0,107 CDM,0407270718Q9956,PERFLUTREN PROTEIN A MICROSPH IV SUSP,506.0,506.0,40.21,506.0,107 CDM,0409000701J2004,LIDOCAINEEPINEPHRINE 1 1 100000 INJECTION SOLN,9.0,9.0,0.01,9.0,111 CDM,0409000710J2004,LIDOCAINEEPINEPHRINE 1 1 100000 INJECTION SOLN,9.0,9.0,0.01,9.0,111 CDM,0409012001J0877,DAPTOMYCIN 350 MG IV SOLR,180.0,180.0,0.04,180.0,112 CDM,0409012201J0877,DAPTOMYCIN 500 MG IV SOLR,285.0,285.0,0.04,285.0,112 CDM,0409012501J1920,LABETALOL HCL 5 MG/ML IV SOLN,15.0,15.0,0.29,15.0,112 CDM,0409012525J1920,LABETALOL HCL 5 MG/ML IV SOLN,15.0,15.0,0.29,15.0,112 CDM,0409014411J0456,AZITHROMYCIN 500 MG IV SOLR,37.0,37.0,2.04,37.0,112 CDM,0409014421J0456,AZITHROMYCIN 500 MG IV SOLR,37.0,37.0,2.04,37.0,112 CDM,0409015201J1836,METRONIDAZOLE 500 MG/100ML IV SOLN,8.0,8.0,0.03,8.0,112 CDM,0409015224J1836,METRONIDAZOLE 500 MG/100ML IV SOLN,8.0,8.0,0.03,8.0,112 CDM,0409018101J9201,GEMCITABINE HCL 1 GM/26.3ML IV SOLN,143.0,143.0,2.87,143.0,112 CDM,0409018125J9201,GEMCITABINE HCL 1 GM/26.3ML IV SOLN,143.0,143.0,2.87,143.0,112 CDM,0409018201J9201,GEMCITABINE HCL 2 GM/52.6ML IV SOLN,327.0,327.0,2.87,327.0,112 CDM,0409018225J9201,GEMCITABINE HCL 2 GM/52.6ML IV SOLN,328.0,328.0,2.87,328.0,112 CDM,0409018301J9201,GEMCITABINE HCL 200 MG/5.26ML IV SOLN,34.0,34.0,2.87,34.0,112 CDM,0409018325J9201,GEMCITABINE HCL 200 MG/5.26ML IV SOLN,34.0,34.0,2.87,34.0,112 CDM,0409018501J9201,GEMCITABINE HCL 200 MG IV SOLR,41.0,41.0,2.87,41.0,112 CDM,0409018601J9201,GEMCITABINE HCL 1 G IV SOLR,183.0,183.0,2.87,183.0,112 CDM,0409018701J9201,GEMCITABINE HCL 2 G IV SOLR,409.0,409.0,2.87,409.0,112 CDM,0409020102J9171,DOCETAXEL 20 MG/2ML IV SOLN,252.0,252.0,0.38,252.0,112 CDM,0409020110J9171,DOCETAXEL 80 MG/8ML IV SOLN,908.0,908.0,0.38,908.0,112 CDM,0409020120J9171,DOCETAXEL 160 MG/16ML IV SOLN,1934.0,1934.0,0.38,1934.0,112 CDM,0409021202J2260,MILRINONE LACTATE 20 MG/20ML IV SOLN,41.0,41.0,1.31,41.0,112 CDM,0409021203J2260,MILRINONE LACTATE 50 MG/50ML IV SOLN,109.0,109.0,1.31,109.0,112 CDM,0409021211J2260,MILRINONE LACTATE 20 MG/20ML IV SOLN,41.0,41.0,1.31,41.0,112 CDM,0409021801J0692,CEFEPIME HCL 2 G IV SOLR,36.0,36.0,0.87,36.0,112 CDM,0409022201J2185,MEROPENEM 500 MG IV SOLR,38.0,38.0,0.38,38.0,112 CDM,0409030201J9351,TOPOTECAN HCL 4 MG/4ML IV SOLN,250.0,250.0,1.25,250.0,112 CDM,0409033220J9040,BLEOMYCIN SULFATE 15 UNITS INJECTION SOLR,182.0,182.0,20.9,182.0,112 CDM,0409036601J9171,DOCETAXEL 20 MG/ML IV CONC,252.0,252.0,0.38,252.0,112 CDM,0409036701J9171,DOCETAXEL 80 MG/4ML IV CONC,1005.0,1005.0,0.38,1005.0,112 CDM,0409080101J9268,PENTOSTATIN 10 MG IV SOLR,10625.0,10625.0,1434.38,10625.0,119 CDM,0409082901J0457,AZTREONAM 1 G INJECTION SOLR,119.0,119.0,2.07,119.0,112 CDM,0409082911J0457,AZTREONAM 1 G INJECTION SOLR,119.0,119.0,2.07,119.0,112 CDM,0409083001J0457,AZTREONAM 2 G INJECTION SOLR,234.0,234.0,2.07,234.0,112 CDM,0409083011J0457,AZTREONAM 2 G INJECTION SOLR,234.0,234.0,2.07,234.0,112 CDM,0409100501J1644,HEPARIN (PORCINE) IN NACL 10000.9 UT/500ML IV SOL,23.0,23.0,0.18,23.0,112 CDM,0409100520J1644,HEPARIN (PORCINE) IN NACL 10000.9 UT/500ML IV SOL,23.0,23.0,0.18,23.0,112 CDM,0409104501J9294,PEMETREXED DISODIUM 100 MG/4ML IV SOLN,396.0,396.0,2.57,396.0,119 CDM,0409106720J0670,MEPIVACAINE HCL (PF) 2 INJECTION SOLN,19.0,19.0,2.57,19.0,112 CDM,0409111201J0594,BUSULFAN 6 MG/ML IV SOLN,1423.0,1423.0,0.89,1423.0,119 CDM,0409111210J0594,BUSULFAN 6 MG/ML IV SOLN,1423.0,1423.0,0.89,1423.0,119 CDM,0409113405J2270,MORPHINE SULFATE 50 MG/ML IV SOLN,119.0,119.0,2.78,119.0,112 CDM,0409114001J0883,ARGATROBAN 250 MG/2.5ML IV SOLN,979.0,979.0,0.61,979.0,119 CDM,0409115901J0665,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,8.0,8.0,0.01,8.0,112 CDM,0409115902J0665,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,8.0,8.0,0.01,8.0,112 CDM,0409115909J0665,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,7.0,7.0,0.01,7.0,112 CDM,0409115910J0665,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,7.0,7.0,0.01,7.0,112 CDM,0409115918J0665,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,8.0,8.0,0.01,8.0,112 CDM,0409115919J0665,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,8.0,8.0,0.01,8.0,112 CDM,0409116001J0665,BUPIVACAINE HCL 0.25 INJECTION SOLN,13.0,13.0,0.01,13.0,112 CDM,0409116018J0665,BUPIVACAINE HCL 0.25 INJECTION SOLN,13.0,13.0,0.01,13.0,112 CDM,0409116201J0665,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,9.0,9.0,0.01,9.0,112 CDM,0409116202J0665,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,9.0,9.0,0.01,9.0,112 CDM,0409116218J0665,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,9.0,9.0,0.01,9.0,112 CDM,0409116219J0665,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,9.0,9.0,0.01,9.0,112 CDM,0409116301J0665,BUPIVACAINE HCL 0.5 INJECTION SOLN,11.0,11.0,0.01,11.0,112 CDM,0409116318J0665,BUPIVACAINE HCL 0.5 INJECTION SOLN,11.0,11.0,0.01,11.0,112 CDM,0409116501J0665,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,9.0,9.0,0.01,9.0,112 CDM,0409116502J0665,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,15.0,15.0,0.01,15.0,112 CDM,0409116518J0665,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,9.0,9.0,0.01,9.0,112 CDM,0409116519J0665,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,15.0,15.0,0.01,15.0,112 CDM,0409117603J2175,MEPERIDINE HCL 25 MG/ML INJECTION SOLN,22.0,22.0,2.97,34.83,112 CDM,0409117630J2175,MEPERIDINE HCL 25 MG/ML INJECTION SOLN,22.0,22.0,2.97,34.83,112 CDM,0409117803J2175,MEPERIDINE HCL 50 MG/ML INJECTION SOLN,28.0,28.0,3.78,34.83,112 CDM,0409117830J2175,MEPERIDINE HCL 50 MG/ML INJECTION SOLN,28.0,28.0,3.78,34.83,112 CDM,0409117930J2175,MEPERIDINE HCL 75 MG/ML INJECTION SOLN,24.0,24.0,3.24,34.83,112 CDM,0409118069J2175,MEPERIDINE HCL 100 MG/ML INJECTION SOLN,24.0,24.0,3.24,34.83,112 CDM,0409120703J1580,GENTAMICIN SULFATE 40 MG/ML INJECTION SOLN,13.0,13.0,1.76,13.0,112 CDM,0409120713J1580,GENTAMICIN SULFATE 40 MG/ML INJECTION SOLN,13.0,13.0,1.76,13.0,112 CDM,0409120901J2004,LIDOCAINEEPINEPHRINE (PF) 1.5 1 200000 INJECTION,20.0,20.0,0.01,20.0,111 CDM,0409120910J2004,LIDOCAINEEPINEPHRINE (PF) 1.5 1 200000 INJECTION,20.0,20.0,0.01,20.0,111 CDM,0409120965J2004,LIDOCAINEEPINEPHRINE (PF) 1.5 1 200000 INJECTION,17.0,17.0,0.01,17.0,111 CDM,0409120970J2004,LIDOCAINEEPINEPHRINE (PF) 1.5 1 200000 INJECTION,18.0,18.0,0.01,18.0,111 CDM,0409121501J2310,NALOXONE HCL 0.4 MG/ML INJECTION SOLN,57.0,57.0,7.7,57.0,111 CDM,0409121521J2310,NALOXONE HCL 0.4 MG/ML INJECTION SOLN,57.0,57.0,7.7,57.0,111 CDM,0409121901J2310,NALOXONE HCL 4 MG/10ML INJECTION SOLN,428.0,428.0,8.7,428.0,111 CDM,0409127303J3360,DIAZEPAM 5 MG/ML INJECTION SOLN,122.0,122.0,6.17,122.0,112 CDM,0409127332J3360,DIAZEPAM 5 MG/ML INJECTION SOLN,122.0,122.0,6.17,122.0,112 CDM,0409128303J1171,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,10.0,10.0,0.09,10.0,112 CDM,0409128304J1171,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,13.0,13.0,0.09,13.0,112 CDM,0409128305J1171,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,13.0,13.0,0.09,13.0,112 CDM,0409128317J1171,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,18.0,18.0,0.09,18.0,112 CDM,0409128331J1171,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,10.0,10.0,0.09,10.0,112 CDM,0409128337J1171,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,18.0,18.0,0.09,18.0,112 CDM,0409130403J1171,HYDROMORPHONE HCL 4 MG/ML INJECTION SOLN,12.0,12.0,0.09,12.0,112 CDM,0409130431J1171,HYDROMORPHONE HCL 4 MG/ML INJECTION SOLN,12.0,12.0,0.09,12.0,112 CDM,0409131203J1171,HYDROMORPHONE HCL 2 MG/ML INJECTION SOLN,13.0,13.0,0.09,13.0,112 CDM,0409131230J1171,HYDROMORPHONE HCL 2 MG/ML INJECTION SOLN,13.0,13.0,0.09,13.0,112 CDM,0409131611J1644,HEPARIN SODIUM (PORCINE) PF 5000 UNIT/0.5ML INJECT,15.0,15.0,0.18,15.0,112 CDM,0409131632J1644,HEPARIN SODIUM (PORCINE) PF 5000 UNIT/0.5ML INJECT,15.0,15.0,0.18,15.0,112 CDM,0409131901J3370,VANCOMYCIN HCL 10 G IV SOLR,783.0,783.0,1.86,783.0,111 CDM,0409132305J2003,LIDOCAINE HCL (CARDIAC) 100 MG/5ML IV SOSY (WRAPPE,22.0,22.0,0.01,22.0,111 CDM,0409132315J2003,LIDOCAINE HCL (CARDIAC) 100 MG/5ML IV SOSY (WRAPPE,22.0,22.0,0.01,22.0,111 CDM,0409139021J2185,MEROPENEM 500 MG IV SOLR,38.0,38.0,0.38,38.0,112 CDM,0409139051J2185,MEROPENEM 500 MG IV SOLR,38.0,38.0,0.38,38.0,112 CDM,0409139121J2185,MEROPENEM 1 G IV SOLR,75.0,75.0,0.38,75.0,112 CDM,0409139122J2185,MEROPENEM 1 G IV SOLR,75.0,75.0,0.38,75.0,112 CDM,0409141801J2175,MEPERIDINE HCL 50 MG/ML INJECTION SOLN,39.0,39.0,5.27,39.0,112 CDM,0409141811J2175,MEPERIDINE HCL 50 MG/ML INJECTION SOLN,39.0,39.0,5.27,39.0,112 CDM,0409146301J2300,NALBUPHINE HCL 10 MG/ML INJECTION SOLN,17.0,17.0,2.29,17.0,112 CDM,0409146349J2300,NALBUPHINE HCL 10 MG/ML INJECTION SOLN,16.0,16.0,2.16,16.0,112 CDM,0409146369J2300,NALBUPHINE HCL 10 MG/ML INJECTION SOLN,16.0,16.0,2.16,16.0,112 CDM,0409146401J2300,NALBUPHINE HCL 10 MG/ML INJECTION SOLN,142.0,142.0,3.43,142.0,112 CDM,0409146461J2300,NALBUPHINE HCL 10 MG/ML INJECTION SOLN,142.0,142.0,3.43,142.0,112 CDM,0409146501J2300,NALBUPHINE HCL 20 MG/ML INJECTION SOLN,28.0,28.0,3.43,28.0,112 CDM,0409146571J2300,NALBUPHINE HCL 20 MG/ML INJECTION SOLN,28.0,28.0,3.43,28.0,112 CDM,0409146701J2300,NALBUPHINE HCL 20 MG/ML INJECTION SOLN,210.0,210.0,3.43,210.0,112 CDM,0409146761J2300,NALBUPHINE HCL 20 MG/ML INJECTION SOLN,210.0,210.0,3.43,210.0,112 CDM,0409155910J0665,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,15.0,15.0,0.01,15.0,112 CDM,0409155918J0665,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,15.0,15.0,0.01,15.0,112 CDM,0409155919J0665,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,17.0,17.0,0.01,17.0,112 CDM,0409155930J0665,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,17.0,17.0,0.01,17.0,112 CDM,0409156010J0665,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,18.0,18.0,0.01,18.0,112 CDM,0409156018J0665,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,18.0,18.0,0.01,18.0,112 CDM,0409156019J0665,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,18.0,18.0,0.01,18.0,112 CDM,0409156029J0665,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,18.0,18.0,0.01,18.0,112 CDM,0409158210J0665,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,18.0,18.0,0.01,18.0,112 CDM,0409158218J0665,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,18.0,18.0,0.01,18.0,112 CDM,0409158219J0665,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,28.0,28.0,0.01,28.0,112 CDM,0409158229J0665,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,28.0,28.0,0.01,28.0,112 CDM,0409158750J0665,BUPIVACAINE HCL 0.25 INJECTION SOLN,26.0,26.0,0.01,26.0,112 CDM,0409161050J0665,BUPIVACAINE HCL 0.5 INJECTION SOLN,23.0,23.0,0.01,23.0,112 CDM,0409162301J0595,BUTORPHANOL TARTRATE 1 MG/ML INJECTION SOLN,27.0,27.0,3.65,27.0,112 CDM,0409162321J0595,BUTORPHANOL TARTRATE 1 MG/ML INJECTION SOLN,27.0,27.0,3.65,27.0,112 CDM,0409162601J0595,BUTORPHANOL TARTRATE 2 MG/ML INJECTION SOLN,33.0,33.0,4.46,33.0,112 CDM,0409163010J0461,ATROPINE SULFATE 1 MG/10ML INJECTION SOSY,37.0,37.0,0.07,37.0,112 CDM,0409163015J0461,ATROPINE SULFATE 1 MG/10ML INJECTION SOSY,36.0,36.0,0.07,36.0,112 CDM,0409163910J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),89.0,89.0,0.39,89.0,111 CDM,0409176102J0665,BUPIVACAINE IN DEXTROSE 0.758.25 INTRATHECAL SOL,17.0,17.0,0.01,17.0,112 CDM,0409176105J0665,BUPIVACAINE IN DEXTROSE 0.758.25 INTRATHECAL SOL,20.0,20.0,0.01,20.0,112 CDM,0409176110J0665,BUPIVACAINE IN DEXTROSE 0.758.25 INTRATHECAL SOL,20.0,20.0,0.01,20.0,112 CDM,0409178203J2310,NALOXONE HCL 0.4 MG/ML INJECTION SOCT,56.0,56.0,7.56,56.0,111 CDM,0409178269J2310,NALOXONE HCL 0.4 MG/ML INJECTION SOCT,56.0,56.0,7.56,56.0,111 CDM,0409188602J1953,LEVETIRACETAM 500 MG/5ML IV SOLN,14.0,14.0,0.04,14.0,112 CDM,0409188622J1953,LEVETIRACETAM 500 MG/5ML IV SOLN,14.0,14.0,0.04,14.0,112 CDM,0409189001J2270,MORPHINE SULFATE (PF) 2 MG/ML IV SOLN,8.0,8.0,1.08,8.0,112 CDM,0409189003J2270,MORPHINE SULFATE (PF) 2 MG/ML IV SOLN,8.0,8.0,1.08,8.0,112 CDM,0409189013J2270,MORPHINE SULFATE (PF) 2 MG/ML IV SOLN,16.0,16.0,2.16,16.0,112 CDM,0409189023J2270,MORPHINE SULFATE (PF) 2 MG/ML IV SOLN,16.0,16.0,2.16,16.0,112 CDM,0409189101J2270,MORPHINE SULFATE (PF) 4 MG/ML IV SOLN,8.0,8.0,1.08,8.0,112 CDM,0409189103J2270,MORPHINE SULFATE (PF) 4 MG/ML IV SOLN,8.0,8.0,1.08,8.0,112 CDM,0409189113J2270,MORPHINE SULFATE (PF) 4 MG/ML IV SOLN,16.0,16.0,2.16,16.0,112 CDM,0409189123J2270,MORPHINE SULFATE (PF) 4 MG/ML IV SOLN,16.0,16.0,2.16,16.0,112 CDM,0409189201J2270,MORPHINE SULFATE (PF) 8 MG/ML IV SOLN,9.0,9.0,1.22,9.0,112 CDM,0409189203J2270,MORPHINE SULFATE (PF) 8 MG/ML IV SOLN,9.0,9.0,1.22,9.0,112 CDM,0409189301J2270,MORPHINE SULFATE (PF) 10 MG/ML IV SOLN (WRAPPER),9.0,9.0,1.22,9.0,112 CDM,0409189303J2270,MORPHINE SULFATE (PF) 10 MG/ML IV SOLN (WRAPPER),9.0,9.0,1.22,9.0,112 CDM,0409189313J2270,MORPHINE SULFATE (PF) 10 MG/ML IV SOLN (WRAPPER),19.0,19.0,2.57,19.0,112 CDM,0409189620J2270,MORPHINE SULFATE 50 MG/ML IV SOLN,68.0,68.0,2.78,68.0,112 CDM,0409190201J2690,PROCAINAMIDE HCL 100 MG/ML INJECTION SOLN,332.0,332.0,44.82,1036.48,119 CDM,0409190211J2690,PROCAINAMIDE HCL 100 MG/ML INJECTION SOLN,332.0,332.0,44.82,1036.48,119 CDM,0409198301J2260,MILRINONE LACTATE IN DEXTROSE 405 MG/200ML IV SOL,116.0,116.0,1.31,116.0,112 CDM,0409198310J2260,MILRINONE LACTATE IN DEXTROSE 405 MG/200ML IV SOL,116.0,116.0,1.31,116.0,112 CDM,0409198503J2060,LORAZEPAM 2 MG/ML INJECTION SOLN,13.0,13.0,1.32,13.0,112 CDM,0409198530J2060,LORAZEPAM 2 MG/ML INJECTION SOLN,13.0,13.0,1.32,13.0,112 CDM,0409201105J1953,LEVETIRACETAM 500 MG/5ML IV SOLN,14.0,14.0,0.04,14.0,112 CDM,0409201125J1953,LEVETIRACETAM 500 MG/5ML IV SOLN,14.0,14.0,0.04,14.0,112 CDM,0409201232J0592,BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLN,45.0,45.0,4.13,45.0,112 CDM,0409205001J3475,MAGNESIUM SULFATE 20 GM/500ML IV SOLN,23.0,23.0,0.41,23.0,112 CDM,0409205020J3475,MAGNESIUM SULFATE 20 GM/500ML IV SOLN,23.0,23.0,0.41,23.0,112 CDM,0409206605J2003,LIDOCAINE HCL (PF) 2 INJECTION SOLN,10.0,10.0,0.01,10.0,111 CDM,0409206610J2003,LIDOCAINE HCL (PF) 2 INJECTION SOLN (WRAPPER),10.0,10.0,0.01,10.0,111 CDM,0409216817J3475,MAGNESIUM SULFATE 50 INJECTION SOLN,18.0,18.0,0.41,18.0,112 CDM,0409216877J3475,MAGNESIUM SULFATE 50 INJECTION SOLN,18.0,18.0,0.41,18.0,112 CDM,0409218801J9294,PEMETREXED DISODIUM 500 MG/20ML IV SOLN,1793.0,1793.0,2.57,1793.0,119 CDM,0409222001J1956,LEVOFLOXACIN IN D5W 250 MG/50ML IV SOLN,16.0,16.0,1.89,16.0,112 CDM,0409222024J1956,LEVOFLOXACIN IN D5W 250 MG/50ML IV SOLN,16.0,16.0,1.89,16.0,112 CDM,0409222201J1644,HEPARIN (PORCINE) IN NACL 20000.9 UNIT/L IV SOLN,27.0,27.0,0.18,27.0,112 CDM,0409222212J1644,HEPARIN (PORCINE) IN NACL 20000.9 UNIT/L IV SOLN,27.0,27.0,0.18,27.0,112 CDM,0409226720J1920,LABETALOL HCL 5 MG/ML IV SOLN,15.0,15.0,0.29,15.0,112 CDM,0409226754J1920,LABETALOL HCL 5 MG/ML IV SOLN,38.0,38.0,0.29,38.0,112 CDM,0409230504J2250,MIDAZOLAM HCL (PF) 5 MG/5ML INJECTION SOLN,5.0,5.0,0.13,5.0,112 CDM,0409230505J2250,MIDAZOLAM HCL 5 MG/5ML INJECTION SOLN,5.0,5.0,0.13,5.0,112 CDM,0409230516J2250,MIDAZOLAM HCL (PF) 2 MG/2ML INJECTION SOLN,4.0,4.0,0.13,4.0,112 CDM,0409230517J2250,MIDAZOLAM HCL (PF) 2 MG/2ML INJECTION SOLN,4.0,4.0,0.13,4.0,112 CDM,0409230550J2250,MIDAZOLAM HCL (PF) 5 MG/5ML INJECTION SOLN,4.0,4.0,0.13,4.0,112 CDM,0409230555J2250,MIDAZOLAM HCL (PF) 5 MG/5ML INJECTION SOLN,4.0,4.0,0.13,4.0,112 CDM,0409230801J2250,MIDAZOLAM HCL (PF) 5 MG/ML INJECTION SOLN,5.0,5.0,0.13,5.0,112 CDM,0409230802J2250,MIDAZOLAM HCL (PF) 10 MG/2ML INJECTION SOLN,5.0,5.0,0.13,5.0,112 CDM,0409230821J2250,MIDAZOLAM HCL (PF) 5 MG/ML INJECTION SOLN,5.0,5.0,0.13,5.0,112 CDM,0409230822J2250,MIDAZOLAM HCL (PF) 10 MG/2ML INJECTION SOLN,5.0,5.0,0.13,5.0,112 CDM,0409230849J2250,MIDAZOLAM HCL 5 MG/ML INJECTION SOLN,5.0,5.0,0.13,5.0,112 CDM,0409230850J2250,MIDAZOLAM HCL (PF) 10 MG/2ML INJECTION SOLN,5.0,5.0,0.13,5.0,112 CDM,0409230869J2250,MIDAZOLAM HCL (PF) 5 MG/ML INJECTION SOLN,5.0,5.0,0.13,5.0,112 CDM,0409230870J2250,MIDAZOLAM HCL (PF) 10 MG/2ML INJECTION SOLN,5.0,5.0,0.13,5.0,112 CDM,0409233715J0895,DEFEROXAMINE MESYLATE 2 G INJECTION SOLR,127.0,127.0,8.47,127.0,112 CDM,0409233725J0895,DEFEROXAMINE MESYLATE 2 G INJECTION SOLR,127.0,127.0,8.47,127.0,112 CDM,0409233924J1920,LABETALOL HCL 5 MG/ML IV SOLN,33.0,33.0,0.29,33.0,112 CDM,0409233934J1920,LABETALOL HCL 5 MG/ML IV SOLN,33.0,33.0,0.29,33.0,112 CDM,0409234401J1250,DOBUTAMINE HCL 250 MG/20ML IV SOLN,27.0,27.0,3.65,27.0,112 CDM,0409234402J1250,DOBUTAMINE HCL 250 MG/20ML IV SOLN,25.0,25.0,3.38,25.0,112 CDM,0409234462J1250,DOBUTAMINE HCL 250 MG/20ML IV SOLN,25.0,25.0,3.38,25.0,112 CDM,0409234468J1250,DOBUTAMINE HCL 250 MG/20ML IV SOLN,25.0,25.0,3.38,25.0,112 CDM,0409234488J1250,DOBUTAMINE HCL 250 MG/20ML IV SOLN,25.0,25.0,3.38,25.0,112 CDM,0409234631J1250,DOBUTAMINE IV SYRINGE 1MG/ML D5W (NEO) 30ML (1MG/M,38.0,38.0,5.13,38.0,112 CDM,0409234732J1250,DOBUTAMINEDEXTROSE 25 MG/ML IV SOLN,58.0,58.0,7.39,58.0,112 CDM,0409255201J1171,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,10.0,10.0,0.09,10.0,112 CDM,0409258501J0690,CEFAZOLIN SODIUM 1 G IV SOLR,10.0,10.0,0.81,10.0,112 CDM,0409258511J0690,CEFAZOLIN 1 G IV (WRAPPER),10.0,10.0,0.81,10.0,112 CDM,0409258704J2250,MIDAZOLAM HCL 10 MG/10ML INJECTION SOLN,9.0,9.0,0.13,9.0,112 CDM,0409258705J2250,MIDAZOLAM HCL 10 MG/10ML INJECTION SOLN,9.0,9.0,0.13,9.0,112 CDM,0409259603J2250,MIDAZOLAM HCL 25 MG/5ML INJECTION SOLN,18.0,18.0,0.13,18.0,112 CDM,0409259605J2250,MIDAZOLAM HCL 50 MG/10ML INJECTION SOLN,28.0,28.0,0.13,28.0,112 CDM,0409259615J2250,MIDAZOLAM HCL 50 MG/10ML INJECTION SOLN,28.0,28.0,0.13,28.0,112 CDM,0409263401J1171,HYDROMORPHONE HCL PF 10 MG/ML INJECTION SOLN,16.0,16.0,0.09,16.0,112 CDM,0409263405J1171,HYDROMORPHONE HCL PF 50 MG/5ML INJECTION SOLN,40.0,40.0,0.09,40.0,112 CDM,0409263410J1171,HYDROMORPHONE HCL PF 10 MG/ML INJECTION SOLN,16.0,16.0,0.09,16.0,112 CDM,0409263450J1171,HYDROMORPHONE HCL PF 500 MG/50ML INJECTION SOLN,441.0,441.0,0.09,441.0,112 CDM,0409268901J0295,AMPICILLINSULBACTAM SODIUM 1.5 (10.5) G IV SOLR,20.0,20.0,1.33,20.0,112 CDM,0409272001J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,7.0,7.0,0.18,7.0,112 CDM,0409272002J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,13.0,13.0,0.18,13.0,112 CDM,0409272030J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,7.0,7.0,0.18,7.0,112 CDM,0409272031J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,13.0,13.0,0.18,13.0,112 CDM,0409272101J1644,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,12.0,12.0,0.18,12.0,112 CDM,0409272130J1644,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,12.0,12.0,0.18,12.0,112 CDM,0409272301J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,8.0,8.0,0.18,8.0,112 CDM,0409272302J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,42.0,42.0,0.18,42.0,112 CDM,0409272330J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,8.0,8.0,0.18,8.0,112 CDM,0409298703J0295,AMPICILLINSULBACTAM SODIUM 3 (21) G IV SOLR,34.0,34.0,1.33,34.0,112 CDM,0409298723J0295,AMPICILLINSULBACTAM SODIUM 3 (21) G IV SOLR,34.0,34.0,1.33,34.0,112 CDM,0409317701J2004,LIDOCAINEEPINEPHRINE 0.5 1 200000 INJECTION SOLN,14.0,14.0,0.01,14.0,111 CDM,0409317801J2004,LIDOCAINEEPINEPHRINE 1 1 100000 INJECTION SOLN,9.0,9.0,0.01,9.0,111 CDM,0409317802J2004,LIDOCAINEEPINEPHRINE 1 1 100000 INJECTION SOLN,21.0,21.0,0.01,21.0,111 CDM,0409317803J2004,LIDOCAINEEPINEPHRINE 1 1 100000 INJECTION SOLN,15.0,15.0,0.01,15.0,111 CDM,0409317817J2004,LIDOCAINEEPINEPHRINE 1 1 100000 INJECTION SOLN,21.0,21.0,0.01,21.0,111 CDM,0409317818J2004,LIDOCAINEEPINEPHRINE 1 1 100000 INJECTION SOLN,15.0,15.0,0.01,15.0,111 CDM,0409318101J2004,LIDOCAINEEPINEPHRINE (PF) 1.5 1 200000 INJECTION,34.0,34.0,0.01,34.0,111 CDM,0409318111J2004,LIDOCAINEEPINEPHRINE (PF) 1.5 1 200000 INJECTION,34.0,34.0,0.01,34.0,111 CDM,0409318201J2004,LIDOCAINEEPINEPHRINE 2 1 100000 INJECTION SOLN,12.0,12.0,0.01,12.0,111 CDM,0409318202J2004,LIDOCAINEEPINEPHRINE 2 1 100000 INJECTION SOLN,19.0,19.0,0.01,19.0,111 CDM,0409318203J2004,LIDOCAINEEPINEPHRINE 2 1 100000 INJECTION SOLN,18.0,18.0,0.01,18.0,111 CDM,0409318211J2004,LIDOCAINEEPINEPHRINE 2 1 100000 INJECTION SOLN,12.0,12.0,0.01,12.0,111 CDM,0409318301J2004,LIDOCAINEEPINEPHRINE (PF) 2 1 200000 INJECTION SO,19.0,19.0,0.01,19.0,111 CDM,0409321312J3360,DIAZEPAM 5 MG/ML INJECTION SOLN,181.0,181.0,6.17,181.0,112 CDM,0409330001J0744,CIPROFLOXACIN IN D5W 400 MG/200ML IV SOLN,14.0,14.0,0.83,14.0,112 CDM,0409330703J7608,ACETYLCYSTEINE 10 INHALATION SOLN,52.0,52.0,7.02,52.0,112 CDM,0409330803J7608,ACETYLCYSTEINE 20 INHALATION SOLN,51.0,51.0,6.89,51.0,112 CDM,0409330811J7608,ACETYLCYSTEINE 20 INHALATION SOLN,51.0,51.0,6.89,51.0,112 CDM,0409335601J1171,HYDROMORPHONE HCL 2 MG/ML INJECTION SOLN,6.0,6.0,0.09,6.0,112 CDM,0409336501J1171,HYDROMORPHONE HCL 2 MG/ML INJECTION SOLN,6.0,6.0,0.09,6.0,112 CDM,0409336510J1171,HYDROMORPHONE HCL 2 MG/ML INJECTION SOLN,7.0,7.0,0.09,7.0,112 CDM,0409336511J1171,HYDROMORPHONE HCL 2 MG/ML INJECTION SOLN,7.0,7.0,0.09,7.0,112 CDM,0409337402J2543,PIPERACILLIN SODTAZOBACTAM SO 2.25 (20.25) G IV SO,32.0,32.0,1.09,32.0,112 CDM,0409337411J2543,PIPERACILLIN SODTAZOBACTAM SO 2.25 (20.25) G IV SO,32.0,32.0,1.09,32.0,112 CDM,0409337813J2543,PIPERACILLIN SODTAZOBACTAM SO 3.375 (30.375) G IV,44.0,44.0,1.09,44.0,112 CDM,0409337904J2543,PIPERACILLIN SODTAZOBACTAM SO 4.5 (40.5) G IV SOLR,57.0,57.0,1.09,57.0,112 CDM,0409338302J2543,PIPERACILLIN SODTAZOBACTAM SO 2.25 (20.25) G IV SO,26.0,26.0,1.09,26.0,112 CDM,0409338513J2543,PIPERACILLIN SODTAZOBACTAM SO 3.375 (30.375) G IV,38.0,38.0,1.09,38.0,112 CDM,0409339004J2543,PIPERACILLIN SODTAZOBACTAM SO 4.5 (40.5) G IV SOLR,51.0,51.0,1.09,51.0,112 CDM,0409341401J2765,METOCLOPRAMIDE HCL 5 MG/ML INJECTION SOLN,5.0,5.0,0.68,5.0,112 CDM,0409341411J2765,METOCLOPRAMIDE HCL 5 MG/ML INJECTION SOLN,5.0,5.0,0.68,5.0,112 CDM,0409341418J2765,METOCLOPRAMIDE HCL 5 MG/ML INJECTION SOLN,5.0,5.0,0.68,5.0,112 CDM,0409341421J2765,METOCLOPRAMIDE HCL 5 MG/ML INJECTION SOLN,5.0,5.0,0.68,5.0,112 CDM,0409351021J1335,ERTAPENEM SODIUM 1 G INJECTION SOLR,324.0,324.0,9.02,324.0,112 CDM,0409351022J1335,ERTAPENEM SODIUM 1 G INJECTION SOLR,324.0,324.0,9.02,324.0,112 CDM,0409351501J3370,VANCOMYCIN HCL 1.5 G IV SOLR,88.0,88.0,1.86,88.0,111 CDM,0409351511J3370,VANCOMYCIN HCL 1.5 G IV SOLR,88.0,88.0,1.86,88.0,111 CDM,0409353201J9294,PEMETREXED DISODIUM 1 GM/40ML IV SOLN,3240.0,3240.0,2.57,3240.0,119 CDM,0409357801J3260,TOBRAMYCIN SULFATE 80 MG/2ML INJECTION SOLN,11.0,11.0,1.49,11.0,112 CDM,0409361301J0665,BUPIVACAINE IN DEXTROSE 0.758.25 INTRATHECAL SOL,11.0,11.0,0.01,11.0,112 CDM,0409361311J0665,BUPIVACAINE IN DEXTROSE 0.758.25 INTRATHECAL SOL,11.0,11.0,0.01,11.0,112 CDM,0409372001J0290,AMPICILLIN SODIUM 2 G INJECTION SOLR,26.0,26.0,0.49,26.0,112 CDM,0409372411J1250,DOBUTAMINEDEXTROSE 45 MG/ML IV SOLN,76.0,76.0,7.39,76.0,112 CDM,0409372432J1250,DOBUTAMINEDEXTROSE 45 MG/ML IV SOLN,76.0,76.0,7.39,76.0,112 CDM,0409379301J1885,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,11.0,11.0,0.33,11.0,112 CDM,0409379319J1885,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,11.0,11.0,0.33,11.0,112 CDM,0409379501J1885,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,24.0,24.0,0.33,24.0,112 CDM,0409379519J1885,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,24.0,24.0,0.33,24.0,112 CDM,0409379601J1885,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN,12.0,12.0,0.33,12.0,112 CDM,0409381411J2274,MORPHINE SULFATE (PF) 0.5 MG/ML INJECTION SOLN,30.0,30.0,4.05,30.0,112 CDM,0409381412J2274,MORPHINE SULFATE (PF) 0.5 MG/ML INJECTION SOLN,30.0,30.0,4.05,30.0,112 CDM,0409381511J2274,MORPHINE SULFATE (PF) 1 MG/ML INJECTION SOLN,33.0,33.0,4.46,33.0,112 CDM,0409381512J2274,MORPHINE SULFATE (PF) 1 MG/ML INTRATHECAL SOLN (OR,33.0,33.0,4.46,33.0,112 CDM,0409403101J2150,MANNITOL 25 IV SOLN,11.0,11.0,1.49,11.0,111 CDM,0409403116J2150,MANNITOL 25 IV SOLN,11.0,11.0,1.49,11.0,111 CDM,0409409201J3490,CUPRIC CHLORIDE 0.4 MG/ML IV SOLN,115.0,115.0,15.53,115.0,111 CDM,0409409211J3490,CUPRIC CHLORIDE 0.4 MG/ML IV SOLN,115.0,115.0,15.53,115.0,111 CDM,0409412101J3475,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,29.0,29.0,0.41,29.0,112 CDM,0409412150J3475,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,29.0,29.0,0.41,29.0,112 CDM,0409426401J1171,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,12.0,12.0,0.09,12.0,112 CDM,0409426411J1171,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,12.0,12.0,0.09,12.0,112 CDM,0409427501J2003,LIDOCAINE HCL 0.5 INJECTION SOLN,18.0,18.0,0.01,18.0,111 CDM,0409427601J2003,LIDOCAINE HCL 1 INJECTION SOLN,6.0,6.0,0.01,6.0,111 CDM,0409427602J2003,LIDOCAINE HCL 1 INJECTION SOLN,12.0,12.0,0.01,12.0,111 CDM,0409427616J2003,LIDOCAINE HCL 1 INJECTION SOLN,6.0,6.0,0.01,6.0,111 CDM,0409427617J2003,LIDOCAINE HCL 1 INJECTION SOLN,12.0,12.0,0.01,12.0,111 CDM,0409427701J3490,LIDOCAINE HCL 2 INJECTION SOLN,9.0,9.0,1.22,9.0,111 CDM,0409427702J3490,LIDOCAINE HCL 2 INJECTION SOLN,16.0,16.0,2.16,16.0,111 CDM,0409427716J3490,LIDOCAINE HCL 2 INJECTION SOLN,9.0,9.0,1.22,9.0,111 CDM,0409427717J3490,LIDOCAINE HCL 2 INJECTION SOLN,16.0,16.0,2.16,16.0,111 CDM,0409427801J3490,LIDOCAINE HCL (PF) 0.5 INJECTION SOLN,16.0,16.0,2.16,16.0,111 CDM,0409427816J3490,LIDOCAINE HCL (PF) 0.5 INJECTION SOLN,16.0,16.0,2.16,16.0,111 CDM,0409427902J2003,LIDOCAINE HCL (PF) 1 INJECTION SOLN,12.0,12.0,0.01,12.0,111 CDM,0409427902J3490,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),12.0,12.0,1.62,12.0,111 CDM,0409427916J2003,LIDOCAINE HCL (PF) 1 INJECTION SOLN,12.0,12.0,0.01,12.0,111 CDM,0409427916J3490,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),12.0,12.0,1.62,12.0,111 CDM,0409428201J2003,LIDOCAINE HCL (PF) 2 INJECTION SOLN (WRAPPER),8.0,8.0,0.01,8.0,111 CDM,0409428202J2003,LIDOCAINE HCL (PF) 2 INJECTION SOLN,16.0,16.0,0.01,16.0,111 CDM,0409428212J2003,LIDOCAINE HCL (PF) 2 INJECTION SOLN,16.0,16.0,0.01,16.0,111 CDM,0409428301J2003,LIDOCAINE HCL (PF) 4 INJECTION SOLN,18.0,18.0,0.01,18.0,111 CDM,0409428311J2003,LIDOCAINE HCL (PF) 4 INJECTION SOLN,18.0,18.0,0.01,18.0,111 CDM,0409433201J3370,VANCOMYCIN HCL 500 MG IV SOLR,30.0,30.0,1.86,30.0,111 CDM,0409433211J3370,VANCOMYCIN HCL 500 MG IV SOLR,30.0,30.0,1.86,30.0,111 CDM,0409434673S0017,AMINOCAPROIC ACID 250 MG/ML IV SOLN,27.0,27.0,3.65,27.0,111 CDM,0409444401J1956,LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN,14.0,14.0,1.89,14.0,112 CDM,0409444424J1956,LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN,14.0,14.0,1.89,14.0,112 CDM,0409452002J1644,HEPARIN SOD (PORCINE) IN D5W 100 UNIT/ML IV SOLN,40.0,40.0,0.18,40.0,112 CDM,0409452030J1644,HEPARIN SOD (PORCINE) IN D5W 100 UNIT/ML IV SOLN,40.0,40.0,0.18,40.0,112 CDM,0409468812J1450,FLUCONAZOLE (DIFLUCAN) IVPB 600 MG/300 ML NSS,26.0,26.0,2.39,26.0,112 CDM,0409468816J1450,FLUCONAZOLE IN SODIUM CHLORIDE 4000.9 MG/200ML IV,26.0,26.0,2.39,26.0,112 CDM,0409468818J1450,FLUCONAZOLE IN SODIUM CHLORIDE 2000.9 MG/100ML IV,27.0,27.0,2.39,27.0,112 CDM,0409468822J1450,FLUCONAZOLE IN SODIUM CHLORIDE 2000.9 MG/100ML IV,27.0,27.0,2.39,27.0,112 CDM,0409469924J2704,PROPOFOL 1000 MG/100ML IV EMUL,78.0,78.0,0.08,78.0,112 CDM,0409469930J2704,PROPOFOL 200 MG/20ML IV EMUL,16.0,16.0,0.08,16.0,112 CDM,0409469933J2704,PROPOFOL 500 MG/50ML IV EMUL,39.0,39.0,0.08,39.0,112 CDM,0409469953J2704,PROPOFOL 500 MG/50ML IV EMUL,39.0,39.0,0.08,39.0,112 CDM,0409469954J2704,PROPOFOL 1000 MG/100ML IV EMUL,78.0,78.0,0.08,78.0,112 CDM,0409471302J2003,LIDOCAINE HCL (PF) 1 INJECTION SOLN,7.0,7.0,0.01,7.0,111 CDM,0409471302J3490,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),7.0,7.0,0.95,7.0,111 CDM,0409471312J2003,LIDOCAINE HCL (PF) 1 INJECTION SOLN,7.0,7.0,0.01,7.0,111 CDM,0409471332J2003,LIDOCAINE HCL (PF) 1 INJECTION SOLN,5.0,5.0,0.01,5.0,111 CDM,0409471332J3490,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),5.0,5.0,0.68,5.0,111 CDM,0409471342J2003,LIDOCAINE HCL (PF) 1 INJECTION SOLN,5.0,5.0,0.01,5.0,111 CDM,0409471365J2003,LIDOCAINE HCL (PF) 1 INJECTION SOLN,6.0,6.0,0.01,6.0,111 CDM,0409471365J3490,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),6.0,6.0,0.81,6.0,111 CDM,0409471375J2003,LIDOCAINE HCL (PF) 1 INJECTION SOLN,8.0,8.0,0.01,8.0,111 CDM,0409471375J3490,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),8.0,8.0,1.08,8.0,111 CDM,0409475503J2405,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,5.0,5.0,0.09,5.0,112 CDM,0409475518J2405,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,5.0,5.0,0.09,5.0,112 CDM,0409475901J2405,ONDANSETRON HCL 40 MG/20ML INJECTION SOLN,26.0,26.0,0.09,26.0,112 CDM,0409477601J2003,LIDOCAINE HCL (PF) 1.5 INJECTION SOLN,37.0,37.0,0.01,37.0,111 CDM,0409488710A4216,STERILE WATER FOR INJECTION SOLN,4.0,4.0,0.54,4.0,111 CDM,0409488717A4216,STERILE WATER FOR INJECTION SOLN,4.0,4.0,0.54,4.0,111 CDM,0409488720A4216,STERILE WATER FOR INJECTION SOLN,6.0,6.0,0.71,6.0,111 CDM,0409488723A4216,STERILE WATER FOR INJECTION SOLN,6.0,6.0,0.71,6.0,111 CDM,0409488724A4216,STERILE WATER FOR INJECTION SOLN,10.0,10.0,0.71,10.0,111 CDM,0409488725A4216,STERILE WATER FOR INJECTION SOLN,18.0,18.0,0.71,18.0,111 CDM,0409488750A4216,STERILE WATER FOR INJECTION SOLN,10.0,10.0,0.71,10.0,111 CDM,0409488799A4216,STERILE WATER FOR INJECTION SOLN,18.0,18.0,0.71,18.0,111 CDM,0409490311J2003,LIDOCAINE HCL (CARDIAC) 100 MG/5ML IV SOSY (WRAPPE,23.0,23.0,0.01,23.0,111 CDM,0409490334J2003,LIDOCAINE HCL (CARDIAC) 100 MG/5ML IV SOSY (WRAPPE,23.0,23.0,0.01,23.0,111 CDM,0409490434J2003,LIDOCAINE HCL (CARDIAC) 50 MG/5ML IV SOSY,65.0,65.0,0.01,65.0,111 CDM,0409491011J0461,ATROPINE SULFATE 0.5 MG/5ML INJECTION SOSY,59.0,59.0,0.07,59.0,112 CDM,0409491034J0461,ATROPINE SULFATE 0.5 MG/5ML INJECTION SOSY,59.0,59.0,0.07,59.0,112 CDM,0409491111J0461,ATROPINE SULFATE 1 MG/10ML INJECTION SOSY,67.0,67.0,0.07,67.0,112 CDM,0409491134J0461,ATROPINE SULFATE 1 MG/10ML INJECTION SOSY,67.0,67.0,0.07,67.0,112 CDM,0409492120J0171,EPINEPHRINE 1 MG/10ML INJECTION SOSY,19.0,19.0,0.76,19.0,111 CDM,0409492134J0171,EPINEPHRINE HCL 0.1 MG/ML INJECTION (WRAPPER),19.0,19.0,0.76,19.0,111 CDM,0409493301J0171,EPINEPHRINE 1 MG/10ML IV SOSY,34.0,34.0,0.76,34.0,111 CDM,0409493311J0171,EPINEPHRINE 1 MG/10ML IV SOSY,34.0,34.0,0.76,34.0,111 CDM,0409501701J3370,VANCOMYCIN HCL 10 G IV SOLR,783.0,783.0,1.86,783.0,111 CDM,0409508211J0713,CEFTAZIDIME 1 G INJECTION SOLR,16.0,16.0,1.47,16.0,112 CDM,0409508216J0713,CEFTAZIDIME 1 G INJECTION SOLR,16.0,16.0,1.47,16.0,112 CDM,0409508411J0713,CEFTAZIDIME 2 G IV SOLR,35.0,35.0,1.47,35.0,112 CDM,0409508413J0713,CEFTAZIDIME 2 G IV SOLR,35.0,35.0,1.47,35.0,112 CDM,0409508611J0713,CEFTAZIDIME 6 G INJECTION SOLR,111.0,111.0,1.47,111.0,112 CDM,0409509216J0713,CEFTAZIDIME 1 G IV SOLR,22.0,22.0,1.47,22.0,112 CDM,0409509311J0713,CEFTAZIDIME 2 G IV SOLR,44.0,44.0,1.47,44.0,112 CDM,0409509314J0713,CEFTAZIDIME 2 G IV SOLR,44.0,44.0,1.47,44.0,112 CDM,0409523901J3475,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,59.0,59.0,0.41,59.0,112 CDM,0409523960J3475,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,59.0,59.0,0.41,59.0,112 CDM,0409582001J1265,DOPAMINE HCL 40 MG/ML IV SOLN,15.0,15.0,0.66,15.0,112 CDM,0409582011J1265,DOPAMINE HCL 40 MG/ML IV SOLN,15.0,15.0,0.66,15.0,112 CDM,0409592101J0280,AMINOPHYLLINE 25 MG/ML IV SOLN,60.0,60.0,5.17,60.0,112 CDM,0409592116J0280,AMINOPHYLLINE 25 MG/ML IV SOLN,60.0,60.0,5.17,60.0,112 CDM,0409592201J0280,AMINOPHYLLINE 25 MG/ML IV SOLN,39.0,39.0,5.17,39.0,112 CDM,0409592216J0280,AMINOPHYLLINE 25 MG/ML IV SOLN,39.0,39.0,5.17,39.0,112 CDM,0409601002J2704,PROPOFOL 200 MG/20ML IV EMUL,16.0,16.0,0.08,16.0,112 CDM,0409601025J2704,PROPOFOL 200 MG/20ML IV EMUL,16.0,16.0,0.08,16.0,112 CDM,0409610202J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),16.0,16.0,0.39,16.0,111 CDM,0409610204J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),11.0,11.0,0.39,11.0,111 CDM,0409610210J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,21.0,21.0,0.39,21.0,111 CDM,0409610218J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),11.0,11.0,0.39,11.0,111 CDM,0409610219J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),16.0,16.0,0.39,16.0,111 CDM,0409610220J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,21.0,21.0,0.39,21.0,111 CDM,0409610225J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),13.0,13.0,0.39,13.0,111 CDM,0409610226J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,11.0,11.0,0.39,11.0,111 CDM,0409610227J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,19.0,19.0,0.39,19.0,111 CDM,0409610235J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),13.0,13.0,0.39,13.0,111 CDM,0409610236J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),11.0,11.0,0.39,11.0,111 CDM,0409610237J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),19.0,19.0,0.39,19.0,111 CDM,0409647644J1364,ERYTHROMYCIN LACTOBIONATE 500 MG IV SOLR,305.0,305.0,20.16,305.0,112 CDM,0409647654J1364,ERYTHROMYCIN LACTOBIONATE 500 MG IV SOLR,305.0,305.0,20.16,305.0,112 CDM,0409648201J1364,ERYTHROMYCIN LACTOBIONATE 500 MG IV SOLR,328.0,328.0,20.16,328.0,112 CDM,0409648211J1364,ERYTHROMYCIN LACTOBIONATE 500 MG IV SOLR,328.0,328.0,20.16,328.0,112 CDM,0409650901J3370,VANCOMYCIN HCL 5 G IV SOLR,330.0,330.0,1.86,330.0,111 CDM,0409650949J3370,VANCOMYCIN HCL 5 G IV SOLR,75.0,75.0,1.86,75.0,111 CDM,0409653101J3370,VANCOMYCIN HCL 750 MG IV SOLR,25.0,25.0,1.86,25.0,111 CDM,0409653111J3370,VANCOMYCIN HCL 750 MG IV SOLR,25.0,25.0,1.86,25.0,111 CDM,0409653112J3370,VANCOMYCIN HCL 750 MG IV SOLR,36.0,36.0,1.86,36.0,111 CDM,0409653301J3370,VANCOMYCIN HCL 1 G IV SOLR,57.0,57.0,1.86,57.0,111 CDM,0409653311J3370,VANCOMYCIN HCL 1 G IV SOLR,59.0,59.0,1.86,59.0,111 CDM,0409653321J3370,VANCOMYCIN HCL 1 G IV SOLR,59.0,59.0,1.86,59.0,111 CDM,0409653331J3370,VANCOMYCIN HCL 1 G IV SOLR,14.0,14.0,1.86,14.0,111 CDM,0409653359J3370,VANCOMYCIN HCL 1 G IV SOLR,14.0,14.0,1.86,14.0,111 CDM,0409653401J3370,VANCOMYCIN HCL 500 MG IV SOLR,20.0,20.0,1.86,20.0,111 CDM,0409653411J3370,VANCOMYCIN HCL 500 MG IV SOLR,20.0,20.0,1.86,20.0,111 CDM,0409653501J3370,VANCOMYCIN HCL 1 G IV SOLR,30.0,30.0,1.86,30.0,111 CDM,0409653511J3370,VANCOMYCIN HCL 1 G IV SOLR,31.0,31.0,1.86,31.0,111 CDM,0409656201J1071,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN,80.0,80.0,0.03,80.0,112 CDM,0409662902J0330,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,70.0,70.0,0.81,70.0,111 CDM,0409662912J0330,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,70.0,70.0,0.81,70.0,111 CDM,0409663501J3480,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,18.0,18.0,0.1,18.0,112 CDM,0409663518J3480,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,18.0,18.0,0.1,18.0,112 CDM,0409665106J3480,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,14.0,14.0,0.1,14.0,112 CDM,0409665119J3480,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,14.0,14.0,0.1,14.0,112 CDM,0409665305J3480,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,19.0,19.0,0.1,19.0,112 CDM,0409665318J3480,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,19.0,19.0,0.1,19.0,112 CDM,0409672711J3475,MAGNESIUM SULFATE IN D5W 15 GM/100ML IV SOLN,30.0,30.0,0.41,30.0,112 CDM,0409672723J3475,MAGNESIUM SULFATE IN D5W 15 GM/100ML IV SOLN,30.0,30.0,0.41,30.0,112 CDM,0409672750J3475,MAGNESIUM SULFATE IN D5W 15 GM/100ML IV SOLN,30.0,30.0,0.41,30.0,112 CDM,0409672755J3475,MAGNESIUM SULFATE IN D5W 15 GM/100ML IV SOLN,30.0,30.0,0.41,30.0,112 CDM,0409672903J3475,MAGNESIUM SULFATE 20 GM/500ML IV SOLN,245.0,245.0,0.41,245.0,112 CDM,0409672911J3475,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,59.0,59.0,0.41,59.0,112 CDM,0409672923J3475,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,29.0,29.0,0.41,29.0,112 CDM,0409672924J3475,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,59.0,59.0,0.41,59.0,112 CDM,0409672941J3475,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,29.0,29.0,0.41,29.0,112 CDM,0409677802J2060,LORAZEPAM 2 MG/ML INJECTION SOLN,7.0,7.0,0.95,7.0,112 CDM,0409710002J7060,DEXTROSE 5 IV SOLN,22.0,22.0,1.75,22.0,112 CDM,0409710066J7060,DEXTROSE 5 KVO FLUSH (INPATIENT),16.0,16.0,1.75,16.0,112 CDM,0409710067J7060,DEXTROSE 5 KVO FLUSH (INPATIENT),16.0,16.0,1.75,16.0,112 CDM,0409710068J7060,DEXTROSE 5 IV SOLN,16.0,16.0,1.75,16.0,112 CDM,0409710102J7030,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),22.0,22.0,1.99,22.0,112 CDM,0409710102J7050,SODIUM CHLORIDE 0.9 IV SOLN,22.0,22.0,0.63,22.0,112 CDM,0409710104J7050,SODIUM CHLORIDE 0.9 IV SOLN,22.0,22.0,0.63,22.0,112 CDM,0409710166J7030,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),17.0,17.0,1.99,17.0,112 CDM,0409710166J7050,SODIUM CHLORIDE 0.9 IV SOLN,17.0,17.0,0.63,17.0,112 CDM,0409710167J7030,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),16.0,16.0,1.99,16.0,112 CDM,0409710167J7050,SODIUM CHLORIDE 0.9 IV SOLN,16.0,16.0,0.63,16.0,112 CDM,0409710168J7050,SODIUM CHLORIDE 0.9 IV SOLN,17.0,17.0,0.63,17.0,112 CDM,0409710169J7050,SODIUM CHLORIDE 0.9 IV SOLN,16.0,16.0,0.63,16.0,112 CDM,0409724101J0171,EPINEPHRINE PF 1 MG/ML INJECTION SOLN,8.0,8.0,0.76,8.0,111 CDM,0409733201J0696,CEFTRIAXONE SODIUM 1 G INJECTION SOLR,6.0,6.0,0.45,6.0,112 CDM,0409733211J0696,CEFTRIAXONE SODIUM 1 G INJECTION SOLR,6.0,6.0,0.45,6.0,112 CDM,0409733220J0696,CEFTRIAXONE SODIUM 1 G INJECTION SOLR,6.0,6.0,0.45,6.0,112 CDM,0409733221J0696,CEFTRIAXONE SODIUM 1 G INJECTION SOLR,6.0,6.0,0.45,6.0,112 CDM,0409733304J0696,CEFTRIAXONE SODIUM 1 G IV SOLR,15.0,15.0,0.45,15.0,112 CDM,0409733311J0696,CEFTRIAXONE SODIUM 1 G IV SOLR,15.0,15.0,0.45,15.0,112 CDM,0409733349J0696,CEFTRIAXONE SODIUM 1 G IV SOLR,16.0,16.0,0.45,16.0,112 CDM,0409733410J0696,CEFTRIAXONE SODIUM 10 G IV SOLR,63.0,63.0,0.45,63.0,112 CDM,0409733420J0696,CEFTRIAXONE SODIUM 10 G IV SOLR,63.0,63.0,0.45,63.0,112 CDM,0409733503J0696,CEFTRIAXONE SODIUM 2 G INJECTION SOLR,11.0,11.0,0.45,11.0,112 CDM,0409733513J0696,CEFTRIAXONE SODIUM 2 G INJECTION SOLR,11.0,11.0,0.45,11.0,112 CDM,0409733520J0696,CEFTRIAXONE SODIUM 2 G INJECTION SOLR,11.0,11.0,0.45,11.0,112 CDM,0409733521J0696,CEFTRIAXONE SODIUM 2 G INJECTION SOLR,11.0,11.0,0.45,11.0,112 CDM,0409733604J0696,CEFTRIAXONE SODIUM 2 G IV SOLR,29.0,29.0,0.45,29.0,112 CDM,0409733611J0696,CEFTRIAXONE SODIUM 2 G IV SOLR,29.0,29.0,0.45,29.0,112 CDM,0409733701J0696,CEFTRIAXONE SODIUM 250 MG INJECTION SOLR,3.0,3.0,0.41,3.0,112 CDM,0409733711J0696,CEFTRIAXONE SODIUM 250 MG INJECTION SOLR,3.0,3.0,0.41,3.0,112 CDM,0409733720J0696,CEFTRIAXONE SODIUM 250 MG INJECTION SOLR,3.0,3.0,0.41,3.0,112 CDM,0409733721J0696,CEFTRIAXONE SODIUM 250 MG INJECTION SOLR,3.0,3.0,0.41,3.0,112 CDM,0409733801J0696,CEFTRIAXONE SODIUM 500 MG INJECTION SOLR,4.0,4.0,0.45,4.0,112 CDM,0409733811J0696,CEFTRIAXONE SODIUM 500 MG INJECTION SOLR,4.0,4.0,0.45,4.0,112 CDM,0409733820J0696,CEFTRIAXONE SODIUM 500 MG INJECTION SOLR,4.0,4.0,0.45,4.0,112 CDM,0409733821J0696,CEFTRIAXONE SODIUM 500 MG INJECTION SOLR,4.0,4.0,0.45,4.0,112 CDM,0409741803J7100,DEXTRAN 40 IN D5W 10 IV SOLN,141.0,141.0,19.04,150.72,111 CDM,0409741813J7100,DEXTRAN 40 IN D5W 10 IV SOLN,141.0,141.0,19.04,150.72,111 CDM,0409741903J7110,DEXTRAN 40 IN SALINE 100.9 IV SOLN,144.0,144.0,14.52,144.0,111 CDM,0409762003J1644,HEPARIN (PORCINE) IN NACL 10000.9 UT/500ML IV SOL,20.0,20.0,0.18,20.0,112 CDM,0409762013J1644,HEPARIN (PORCINE) IN NACL 10000.9 UT/500ML IV SOL,20.0,20.0,0.18,20.0,112 CDM,0409762049J1644,HEPARIN (PORCINE) IN NACL 20000.9 UNIT/L IV SOLN,24.0,24.0,0.18,24.0,112 CDM,0409765005J1644,HEPARIN (PORCINE) IN NACL 1000.45 UNIT/ML INJECTI,54.0,54.0,0.18,54.0,112 CDM,0409765030J1644,HEPARIN (PORCINE) IN NACL 1000.45 UNIT/ML INJECTI,54.0,54.0,0.18,54.0,112 CDM,0409765052J1644,HEPARIN (PORCINE) IN NACL 1000.45 UNIT/ML INJECTI,54.0,54.0,0.18,54.0,112 CDM,0409765062J1644,HEPARIN (PORCINE) IN NACL 1000.45 UNIT/ML INJECTI,54.0,54.0,0.18,54.0,112 CDM,0409780911J1265,DOPAMINEDEXTROSE 1.65 MG/ML IV SOLN,52.0,52.0,0.66,52.0,112 CDM,0409780922J1265,DOPAMINEDEXTROSE 1.65 MG/ML IV SOLN,52.0,52.0,0.66,52.0,112 CDM,0409781011J1265,DOPAMINEDEXTROSE 3.25 MG/ML IV SOLN,78.0,78.0,0.66,78.0,112 CDM,0409781022J1265,DOPAMINEDEXTROSE 3.25 MG/ML IV SOLN,78.0,78.0,0.66,78.0,112 CDM,0409795309J7120,LACTATED RINGERS IV SOLN FLUSH (NONINTEROP),18.0,18.0,2.38,18.0,112 CDM,0409909332J3010,FENTANYL CITRATE (PF) 100 MCG/2ML INJECTION SOLN,7.0,7.0,0.85,7.0,112 CDM,0409909338J3010,FENTANYL CITRATE (PF) 1000 MCG/20ML INJECTION SOLN,23.0,23.0,0.85,23.0,112 CDM,0409909412J3010,FENTANYL CITRATE (PF) 100 MCG/2ML INJECTION SOLN,6.0,6.0,0.81,6.0,112 CDM,0409909416J3010,FENTANYL CITRATE (PF) 1000 MCG/20ML INJECTION SOLN,28.0,28.0,0.85,28.0,112 CDM,0409909417J3010,FENTANYL CITRATE (PF) 500 MCG/10ML INJECTION SOLN,14.0,14.0,0.85,14.0,112 CDM,0409909418J3010,FENTANYL CITRATE (PF) 250 MCG/5ML INJECTION SOLN,9.0,9.0,0.85,9.0,112 CDM,0409909422J3010,FENTANYL CITRATE (PF) 100 MCG/2ML INJECTION SOLN,6.0,6.0,0.81,6.0,112 CDM,0409909425J3010,FENTANYL CITRATE (PF) 250 MCG/5ML INJECTION SOLN,9.0,9.0,0.85,9.0,112 CDM,0409909428J3010,FENTANYL CITRATE (PF) 500 MCG/10ML INJECTION SOLN,14.0,14.0,0.85,14.0,112 CDM,0409909431J3010,FENTANYL CITRATE (PF) 1000 MCG/20ML INJECTION SOLN,28.0,28.0,0.85,28.0,112 CDM,0409909441J3010,FENTANYL CITRATE (PF) 2500 MCG/50ML INJECTION SOLN,79.0,79.0,0.85,79.0,112 CDM,0409909461J3010,FENTANYL CITRATE (PF) 2500 MCG/50ML INJECTION SOLN,79.0,79.0,0.85,79.0,112 CDM,0409910420J1265,DOPAMINE HCL 40 MG/ML IV SOLN,12.0,12.0,0.66,12.0,112 CDM,0409910421J1265,DOPAMINE HCL 40 MG/ML IV SOLN,12.0,12.0,0.66,12.0,112 CDM,0409913705J3490,LIDOCAINE HCL (CARDIAC) PF 50 MG/5ML IV SOSY,45.0,45.0,6.08,45.0,111 CDM,0409915701J3430,VITAMIN K1 1 MG/0.5ML INJECTION SOLN,18.0,18.0,2.21,18.0,112 CDM,0409915731J3430,VITAMIN K1 1 MG/0.5ML INJECTION SOLN,18.0,18.0,2.21,18.0,112 CDM,0409915750J3430,VITAMIN K1 1 MG/0.5ML INJECTION SOLN,16.0,16.0,2.16,16.0,112 CDM,0409915801J3430,VITAMIN K1 10 MG/ML INJECTION SOLN,177.0,177.0,2.21,177.0,112 CDM,0409915811J3430,VITAMIN K1 10 MG/ML INJECTION SOLN,173.0,173.0,2.21,173.0,112 CDM,0409915825J3430,VITAMIN K1 10 MG/ML INJECTION SOLN,173.0,173.0,2.21,173.0,112 CDM,0409915831J3430,VITAMIN K1 10 MG/ML INJECTION SOLN,177.0,177.0,2.21,177.0,112 CDM,0409915855J3430,VITAMIN K1 10 MG/ML INJECTION SOLN,172.0,172.0,2.21,172.0,112 CDM,0409956601J0692,CEFEPIME HCL 1 G INJECTION SOLR,22.0,22.0,0.87,22.0,112 CDM,0409956610J0692,CEFEPIME HCL 1 G INJECTION SOLR,22.0,22.0,0.87,22.0,112 CDM,0409963005J0461,ATROPINE SULFATE 0.25 MG/5ML INJECTION SOSY,89.0,89.0,0.07,89.0,112 CDM,0409973501J0692,CEFEPIME HCL 2 G IV SOLR,37.0,37.0,0.87,37.0,112 CDM,0409973510J0692,CEFEPIME HCL 2 G IV SOLR,37.0,37.0,0.87,37.0,112 CDM,0456040001J0712,CEFTAROLINE FOSAMIL 400 MG IV SOLR,883.0,883.0,3.95,883.0,119 CDM,0456040010J0712,CEFTAROLINE FOSAMIL 400 MG IV SOLR,883.0,883.0,3.95,883.0,119 CDM,0456060001J0712,CEFTAROLINE FOSAMIL 600 MG IV SOLR,883.0,883.0,3.95,883.0,119 CDM,0456060010J0712,CEFTAROLINE FOSAMIL 600 MG IV SOLR,883.0,883.0,3.95,883.0,119 CDM,0456270001J0714,CEFTAZIDIMEAVIBACTAM 2.5 (20.5) G IV SOLR,1425.0,1425.0,100.73,1425.0,119 CDM,0456270010J0714,CEFTAZIDIMEAVIBACTAM 2.5 (20.5) G IV SOLR,1425.0,1425.0,100.73,1425.0,119 CDM,0469060773J7507,TACROLIMUS 0.5 MG PO CAPS,13.0,13.0,0.15,13.0,112 CDM,0469061773J7507,TACROLIMUS 1 MG PO CAPS,26.0,26.0,0.15,26.0,112 CDM,0469065773J7507,TACROLIMUS 5 MG PO CAPS,130.0,130.0,0.15,130.0,112 CDM,0469301601J7525,TACROLIMUS 5 MG/ML IV SOLN,892.0,892.0,120.42,892.0,119 CDM,0469305130J0289,AMPHOTERICIN B LIPOSOME 50 MG IV SUSR,1113.0,1113.0,20.72,1113.0,119 CDM,0469321110J2248,MICAFUNGIN SODIUM 100 MG IV SOLR,674.0,674.0,0.25,674.0,112 CDM,0469325010J2248,MICAFUNGIN SODIUM 50 MG IV SOLR,337.0,337.0,0.25,337.0,112 CDM,0469342510C9399,ZOLBETUXIMABCLZB 100 MG IV SOLR,5760.0,5760.0,777.6,5760.0,113 CDM,0469650189J2785,REGADENOSON 0.4 MG/5ML IV SOLN,928.0,928.0,2.68,928.0,112 CDM,0480145308J2794,RISPERIDONE MICROSPHERES ER 50 MG IM SRER,4204.0,4204.0,10.94,4204.0,119 CDM,0487020101J7620,IPRATROPIUMALBUTEROL 0.52.5 (3) MG/3ML INHALATION,7.0,7.0,0.19,7.0,112 CDM,0487020160J7620,IPRATROPIUMALBUTEROL 0.52.5 (3) MG/3ML INHALATION,7.0,7.0,0.19,7.0,112 CDM,0487610501A4216,STERILE WATER FOR INJECTION SOLN,8.0,8.0,0.71,8.0,111 CDM,0487950100J7613,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,3.0,3.0,0.07,3.0,112 CDM,0487950101J7613,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,3.0,3.0,0.07,3.0,112 CDM,0487950103J7613,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,3.0,3.0,0.07,3.0,112 CDM,0487950125J7613,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,3.0,3.0,0.07,3.0,112 CDM,0487950160J7613,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,3.0,3.0,0.07,3.0,112 CDM,0487960101J7626,BUDESONIDE 0.25 MG/2ML INHALATION SUSP,29.0,29.0,1.05,29.0,112 CDM,0487960130J7626,BUDESONIDE 0.25 MG/2ML INHALATION SUSP,18.0,18.0,1.05,18.0,112 CDM,0487970101J7626,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,34.0,34.0,1.05,34.0,112 CDM,0487970130J7626,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,19.0,19.0,1.05,19.0,112 CDM,0487980101J7644,IPRATROPIUM BROMIDE 0.02 INHALATION SOLN,2.0,2.0,0.27,2.0,112 CDM,0487980130J7644,IPRATROPIUM BROMIDE 0.02 INHALATION SOLN,4.0,4.0,0.37,4.0,112 CDM,0487980160J7644,IPRATROPIUM BROMIDE 0.02 INHALATION SOLN,4.0,4.0,0.37,4.0,112 CDM,0487990130J7611,ALBUTEROL SULFATE (5 MG/ML) 0.5 INHALATION NEBU,3.0,3.0,0.16,3.0,112 CDM,0487990401J7613,ALBUTEROL SULFATE 1.25 MG/3ML INHALATION NEBU,5.0,5.0,0.07,5.0,112 CDM,0517002010J0706,CAFFEINE CITRATE 60 MG/3ML IV SOLN,68.0,68.0,1.02,68.0,111 CDM,0517003101J3420,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,27.0,27.0,0.64,27.0,112 CDM,0517003125J3420,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,27.0,27.0,0.64,27.0,112 CDM,0517065001J1439,FERRIC CARBOXYMALTOSE 750 MG/15ML IV SOLN,5362.0,5362.0,1.11,5362.0,119 CDM,0517071001J1451,FOMEPIZOLE 1 GM/ML IV SOLN,6234.0,6234.0,6.03,6234.0,119 CDM,0517072001J0702,BETAMETHASONE SOD PHOS ACET 6 (33) MG/ML INJECTI,199.0,199.0,6.89,199.0,112 CDM,0517073501J2404,NICARDIPINE HCL 2.5 MG/ML IV SOLN,111.0,111.0,0.07,111.0,112 CDM,0517073510J2404,NICARDIPINE HCL 2.5 MG/ML IV SOLN,111.0,111.0,0.07,111.0,112 CDM,0517074001J2210,METHYLERGONOVINE MALEATE 0.2 MG/ML INJECTION SOLN,110.0,110.0,14.85,110.0,112 CDM,0517074020J2210,METHYLERGONOVINE MALEATE 0.2 MG/ML INJECTION SOLN,110.0,110.0,14.85,110.0,112 CDM,0517079101J0702,BETAMETHASONE SOD PHOS ACET 6 (33) MG/ML INJECTI,145.0,145.0,6.89,145.0,112 CDM,0517090101J0360,HYDRALAZINE HCL 20 MG/ML INJECTION SOLN,54.0,54.0,4.08,54.0,112 CDM,0517090125J0360,HYDRALAZINE HCL 20 MG/ML INJECTION SOLN,54.0,54.0,4.08,54.0,112 CDM,0517095501J2359,OLANZAPINE 10 MG IM SOLR,143.0,143.0,0.75,143.0,112 CDM,0517100101J0461,ATROPINE SULFATE 1 MG/ML IV SOLN (WRAPPER),62.0,62.0,0.07,62.0,112 CDM,0517100125J0461,ATROPINE SULFATE 1 MG/ML IV SOLN (WRAPPER),62.0,62.0,0.07,62.0,112 CDM,0517100401J0461,ATROPINE SULFATE 0.4 MG/ML INJECTION SOLN (WRAPPER,41.0,41.0,0.07,41.0,112 CDM,0517100425J0461,ATROPINE SULFATE 0.4 MG/ML INJECTION SOLN (WRAPPER,41.0,41.0,0.07,41.0,112 CDM,0517101025J0461,ATROPINE SULFATE FOR ENDOTRACHEAL ADMIN ONLY,46.0,46.0,0.07,46.0,112 CDM,0517102001J2599,VASOPRESSIN 20 UNIT/ML IV SOLN,180.0,180.0,0.48,180.0,112 CDM,0517102025J2599,VASOPRESSIN 20 UNIT/ML IV SOLN,180.0,180.0,0.48,180.0,112 CDM,0517104501J1955,LEVOCARNITINE 200 MG/ML IV SOLN,129.0,129.0,17.42,129.0,112 CDM,0517104505J1955,LEVOCARNITINE 200 MG/ML IV SOLN,129.0,129.0,17.42,129.0,112 CDM,0517182001J1205,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR,600.0,600.0,40.38,600.0,112 CDM,0517198001J0500,DICYCLOMINE HCL 10 MG/ML IM SOLN,147.0,147.0,11.33,147.0,112 CDM,0517198005J0500,DICYCLOMINE HCL 10 MG/ML IM SOLN,147.0,147.0,11.33,147.0,112 CDM,0517231001J1756,IRON SUCROSE 20 MG/ML IV SOLN,441.0,441.0,0.22,441.0,112 CDM,0517231005J1756,IRON SUCROSE 20 MG/ML IV SOLN,441.0,441.0,0.22,441.0,112 CDM,0517232501J1756,IRON SUCROSE 20 MG/ML IV SOLN,111.0,111.0,0.22,111.0,112 CDM,0517232510J1756,IRON SUCROSE 20 MG/ML IV SOLN,111.0,111.0,0.22,111.0,112 CDM,0517234010J1756,IRON SUCROSE 20 MG/ML IV SOLN,221.0,221.0,0.22,221.0,112 CDM,0517234025J1756,IRON SUCROSE 20 MG/ML IV SOLN,221.0,221.0,0.22,221.0,112 CDM,0517234099J1756,IRON SUCROSE 20 MG/ML IV SOLN,180.0,180.0,0.22,180.0,112 CDM,0517301001A4216,STERILE WATER FOR INJECTION SOLN,12.0,12.0,0.71,12.0,111 CDM,0517301025A4216,STERILE WATER FOR INJECTION SOLN,12.0,12.0,0.71,12.0,111 CDM,0517302025A4216,STERILE WATER FOR INJECTION SOLN,13.0,13.0,0.71,13.0,111 CDM,0517303001J0171,EPINEPHRINE 1 MG/ML INJECTION (WRAPPER),720.0,720.0,0.76,720.0,111 CDM,0517400225J2440,PAPAVERINE HCL 30 MG/ML INJECTION SOLN,150.0,150.0,20.25,150.0,111 CDM,0517420101J3410,HYDROXYZINE HCL 25 MG/ML IM SOLN,97.0,97.0,12.31,97.0,112 CDM,0517420125J3410,HYDROXYZINE HCL 25 MG/ML IM SOLN,97.0,97.0,12.31,97.0,112 CDM,0517430001J9264,PACLITAXEL PROTEINBOUND PART 100 MG IV SUSR,5901.0,5901.0,8.18,5901.0,119 CDM,0517460125J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),49.0,49.0,0.38,49.0,112 CDM,0517460225J1596,GLYCOPYRROLATE 0.4 MG/2ML INJECTION SOLN,87.0,87.0,0.38,87.0,112 CDM,0517462025J1596,GLYCOPYRROLATE 4 MG/20ML INJECTION SOLN,480.0,480.0,0.38,480.0,112 CDM,0517481001J2305,NITROGLYCERIN 5 MG/ML IV SOLN,56.0,56.0,1.41,56.0,112 CDM,0517481025J2305,NITROGLYCERIN 5 MG/ML IV SOLN,56.0,56.0,1.41,56.0,112 CDM,0517560125J3410,HYDROXYZINE HCL 50 MG/ML IM SOLN,107.0,107.0,12.31,107.0,112 CDM,0517560225J3410,HYDROXYZINE HCL 50 MG/ML IM SOLN,147.0,147.0,12.31,147.0,112 CDM,0517750425J7608,ACETYLCYSTEINE 10 INHALATION SOLN,36.0,36.0,4.86,36.0,112 CDM,0517760401J7608,ACETYLCYSTEINE 20 INHALATION SOLN,48.0,48.0,6.48,48.0,112 CDM,0517760425J7608,ACETYLCYSTEINE 20 INHALATION SOLN,48.0,48.0,6.48,48.0,112 CDM,0517912001S0017,AMINOCAPROIC ACID 250 MG/ML IV SOLN,34.0,34.0,4.59,34.0,111 CDM,0517912025S0017,AMINOCAPROIC ACID 250 MG/ML IV SOLN,34.0,34.0,4.59,34.0,111 CDM,0517919101S0017,AMINOCAPROIC ACID 250 MG/ML IV SOLN,33.0,33.0,4.46,33.0,111 CDM,0517919125S0017,AMINOCAPROIC ACID 250 MG/ML IV SOLN,33.0,33.0,4.46,33.0,111 CDM,0517970201J1790,DROPERIDOL 2.5 MG/ML INJECTION SOLN,34.0,34.0,4.59,34.0,112 CDM,0517970225J1790,DROPERIDOL 2.5 MG/ML INJECTION SOLN,34.0,34.0,4.59,34.0,112 CDM,0527145006Q0167,DRONABINOL 2.5 MG PO CAPS,18.0,18.0,1.35,18.0,112 CDM,0527192736J1230,METHADONE HCL 10 MG/ML PO CONC,77.0,77.0,10.4,77.0,112 CDM,0527296137Q0161,CHLORPROMAZINE HCL 10 MG PO TABS,13.0,13.0,0.33,13.0,111 CDM,0527296237Q0161,CHLORPROMAZINE HCL 25 MG PO TABS,23.0,23.0,0.33,23.0,111 CDM,0527296337J3230,CHLORPROMAZINE HCL 50 MG PO TABS,32.0,32.0,4.32,56.1,112 CDM,0527296437Q0161,CHLORPROMAZINE HCL 100 MG PO TABS,45.0,45.0,0.33,45.0,111 CDM,0527296537Q0161,CHLORPROMAZINE HCL 200 MG PO TABS,69.0,69.0,0.33,69.0,111 CDM,0536133434J3490,DEXTROMETHORPHAN HBR 15 MG PO CAPS,1.0,1.0,0.14,1.0,111 CDM,0548339000J2003,LIDOCAINE HCL (CARDIAC) 100 MG/5ML IV SOSY (WRAPPE,15.0,15.0,0.01,15.0,111 CDM,0548540000J1050,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP,162.0,162.0,0.35,162.0,111 CDM,0548540025J1050,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP,190.0,190.0,0.35,190.0,111 CDM,0548560100J1650,ENOXAPARIN SODIUM 30 MG/0.3ML INJECTION SOSY,17.0,17.0,0.53,17.0,112 CDM,0548560200J1650,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,22.0,22.0,0.53,22.0,112 CDM,0548560300J1650,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,33.0,33.0,0.53,33.0,112 CDM,0548560400J1650,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,44.0,44.0,0.53,44.0,112 CDM,0548560500J1650,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,54.0,54.0,0.53,54.0,112 CDM,0548560600J1650,ENOXAPARIN SODIUM 120 MG/0.8ML INJECTION SOSY,65.0,65.0,0.53,65.0,112 CDM,0548560700J1650,ENOXAPARIN SODIUM 150 MG/ML INJECTION SOSY,81.0,81.0,0.53,81.0,112 CDM,0548560800J1650,ENOXAPARIN SODIUM 300 MG/3ML INJECTION SOLN,116.0,116.0,0.53,116.0,112 CDM,0548570100J1050,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSY,198.0,198.0,0.35,198.0,111 CDM,0548585000J1610,GLUCAGON HCL (RDNA) 1 MG INJECTION SOLR (WRAPPER),1008.0,1008.0,136.08,1008.0,119 CDM,0548590000J0834,COSYNTROPIN 0.25 MG INJECTION SOLR,384.0,384.0,20.65,384.0,112 CDM,0548909010J3470,HYALURONIDASE BOVINE 150 UNIT/ML INJECTION SOLN,201.0,201.0,27.14,201.0,112 CDM,0548960200J2710,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,65.0,65.0,0.71,65.0,111 CDM,0548970100J2598,VASOPRESSIN 20 UNIT/ML IV SOLN,180.0,180.0,0.53,180.0,112 CDM,0555009696J8499,CLONAZEPAM 0.5 MG PO TBDP,4.0,4.0,0.54,4.0,105 CDM,0562780601J2788,RHO D IMMUNE GLOBULIN 250 UNITS IM SOSY,200.0,200.0,22.93,200.0,112 CDM,0574080530J0132,ACETYLCYSTEINE 200 MG/ML IV SOLN,677.0,677.0,0.37,677.0,112 CDM,0574082001J1071,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN,70.0,70.0,0.03,70.0,112 CDM,0574085005J1110,DIHYDROERGOTAMINE MESYLATE 1 MG/ML INJECTION SOLN,473.0,473.0,41.04,473.0,112 CDM,0574085010J1110,DIHYDROERGOTAMINE MESYLATE 1 MG/ML INJECTION SOLN,450.0,450.0,41.04,450.0,112 CDM,0591213657J2704,PROPOFOL 1000 MG/100ML IV EMUL,103.0,103.0,0.08,103.0,112 CDM,0591213680J2704,PROPOFOL 200 MG/20ML IV EMUL,21.0,21.0,0.08,21.0,112 CDM,0591312879J2675,PROGESTERONE 50 MG/ML IM OIL,117.0,117.0,0.63,117.0,112 CDM,0591410201Q0175,PERPHENAZINE 4 MG PO TABS,8.0,8.0,0.48,8.0,111 CDM,0591410301Q0175,PERPHENAZINE 8 MG PO TABS,9.0,9.0,0.48,9.0,111 CDM,0591410401Q0175,PERPHENAZINE 16 MG PO TABS,12.0,12.0,0.48,12.0,111 CDM,0591438579J1456,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR,1085.0,1085.0,0.13,1085.0,119 CDM,0591505201J7512,PREDNISONE 5 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,0591530701Q0169,PROMETHAZINE HCL 25 MG PO TABS,2.0,2.0,0.09,2.0,111 CDM,0591544301J7512,PREDNISONE 20 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,0597003510J1747,SPESOLIMABSBZO 450 MG/7.5ML IV SOLN,187761.0,187761.0,61.43,187761.0,119 CDM,0603459321J7509,METHYLPREDNISOLONE 4 MG PO TABS,5.0,5.0,0.13,5.0,112 CDM,0603506121Q0175,PERPHENAZINE 4 MG PO TABS,5.0,5.0,0.48,5.0,111 CDM,0603506221Q0175,PERPHENAZINE 8 MG PO TABS,6.0,6.0,0.48,6.0,111 CDM,0603506321Q0175,PERPHENAZINE 16 MG PO TABS,8.0,8.0,0.48,8.0,111 CDM,0603533521J7512,PREDNISONE 1 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,0603533621J7512,PREDNISONE 2.5 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,0603533721J7512,PREDNISONE 5 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,0603533732J7512,PREDNISONE 5 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,0603533821J7512,PREDNISONE 10 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,0603533832J7512,PREDNISONE 10 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,0603533921J7512,PREDNISONE 20 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,0603533928J7512,PREDNISONE 20 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,0603533932J7512,PREDNISONE 20 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,0641012121J1171,HYDROMORPHONE HCL 2 MG/ML INJECTION SOLN,6.0,6.0,0.09,6.0,112 CDM,0641036721J1100,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION,6.0,6.0,0.11,6.0,112 CDM,0641036725J1100,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION,6.0,6.0,0.11,6.0,112 CDM,0641037621J1200,DIPHENHYDRAMINE HCL 50 MG/ML INJECTION SOLN,5.0,5.0,0.68,5.0,112 CDM,0641037625J1200,DIPHENHYDRAMINE HCL 50 MG/ML INJECTION SOLN,5.0,5.0,0.68,5.0,112 CDM,0641039112J1644,HEPARIN SODIUM (PORCINE) 25 UNITS/ML (2500 UNITS/1,11.0,11.0,0.18,11.0,112 CDM,0641040012J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,10.0,10.0,0.18,10.0,112 CDM,0641040037J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,10.0,10.0,0.18,10.0,112 CDM,0641047621J2560,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLN,95.0,95.0,12.83,95.0,112 CDM,0641047625J2560,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLN,95.0,95.0,12.83,95.0,112 CDM,0641047721J2560,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLN,247.0,247.0,27.36,247.0,112 CDM,0641047725J2560,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLN,247.0,247.0,27.36,247.0,112 CDM,0641049321J1165,PHENYTOIN SODIUM 50 MG/ML INJECTION SOLN,6.0,6.0,0.47,6.0,112 CDM,0641049325J1165,PHENYTOIN SODIUM 50 MG/ML INJECTION SOLN,6.0,6.0,0.47,6.0,112 CDM,0641139731J3230,CHLORPROMAZINE HCL 25 MG/ML INJECTION SOLN,104.0,104.0,14.04,104.0,112 CDM,0641139735J3230,CHLORPROMAZINE HCL 25 MG/ML INJECTION SOLN,104.0,104.0,14.04,104.0,112 CDM,0641139831J3230,CHLORPROMAZINE HCL 50 MG/2ML INJECTION SOLN,120.0,120.0,16.2,120.0,112 CDM,0641139835J3230,CHLORPROMAZINE HCL 50 MG/2ML INJECTION SOLN,120.0,120.0,16.2,120.0,112 CDM,0641141031J1160,DIGOXIN 0.25 MG/ML INJECTION SOLN,20.0,20.0,2.7,20.09,112 CDM,0641141035J1160,DIGOXIN 0.25 MG/ML INJECTION SOLN,20.0,20.0,2.7,20.09,112 CDM,0641234139J1171,HYDROMORPHONE HCL 2 MG/ML INJECTION SOLN,78.0,78.0,0.09,78.0,112 CDM,0641234141J1171,HYDROMORPHONE HCL 2 MG/ML INJECTION SOLN,78.0,78.0,0.09,78.0,112 CDM,0641245030J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,35.0,35.0,0.18,35.0,112 CDM,0641245055J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,35.0,35.0,0.18,35.0,112 CDM,0641246030J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,43.0,43.0,0.18,43.0,112 CDM,0641255510J1165,PHENYTOIN SODIUM 50 MG/ML INJECTION SOLN,8.0,8.0,0.47,8.0,112 CDM,0641256941J1245,DIPYRIDAMOLE 5 MG/ML IV SOLN,72.0,72.0,3.86,72.0,112 CDM,0641256944J1245,DIPYRIDAMOLE 5 MG/ML IV SOLN,72.0,72.0,3.86,72.0,112 CDM,0641600101J2060,LORAZEPAM 2 MG/ML INJECTION SOLN,7.0,7.0,0.95,7.0,112 CDM,0641600125J2060,LORAZEPAM 2 MG/ML INJECTION SOLN,7.0,7.0,0.95,7.0,112 CDM,0641600701J1939,BUMETANIDE 0.25 MG/ML INJECTION SOLN,12.0,12.0,0.36,12.0,112 CDM,0641600710J1939,BUMETANIDE 0.25 MG/ML INJECTION SOLN,12.0,12.0,0.36,12.0,112 CDM,0641600801J1939,BUMETANIDE 0.25 MG/ML INJECTION SOLN,11.0,11.0,0.36,11.0,112 CDM,0641600810J1939,BUMETANIDE 0.25 MG/ML INJECTION SOLN,11.0,11.0,0.36,11.0,112 CDM,0641601901J2274,MORPHINE SULFATE (PF) 1 MG/ML INTRATHECAL SOLN (OR,105.0,105.0,10.79,105.0,112 CDM,0641601910J2274,MORPHINE SULFATE (PF) 1 MG/ML INTRATHECAL SOLN (OR,105.0,105.0,10.79,105.0,112 CDM,0641602001J2274,MORPHINE SULFATE (PF) 0.5 MG/ML INJECTION SOLN,105.0,105.0,10.79,105.0,112 CDM,0641602010J2274,MORPHINE SULFATE (PF) 0.5 MG/ML INJECTION SOLN,105.0,105.0,10.79,105.0,112 CDM,0641602101S0028,FAMOTIDINE 200 MG/20ML IV SOLN,32.0,32.0,0.9,32.0,111 CDM,0641602201S0028,FAMOTIDINE (PF) 20 MG/2ML IV SOLN,4.0,4.0,0.54,4.0,111 CDM,0641602225S0028,FAMOTIDINE (PF) 20 MG/2ML IV SOLN,4.0,4.0,0.54,4.0,111 CDM,0641602301S0028,FAMOTIDINE 40 MG/4ML IV SOLN,9.0,9.0,0.9,9.0,111 CDM,0641602401J3010,FENTANYL CITRATE (PF) 100 MCG/2ML INJECTION SOLN,6.0,6.0,0.81,6.0,112 CDM,0641602501J3010,FENTANYL CITRATE (PF) 250 MCG/5ML INJECTION SOLN,9.0,9.0,0.85,9.0,112 CDM,0641602510J3010,FENTANYL CITRATE (PF) 250 MCG/5ML INJECTION SOLN,9.0,9.0,0.85,9.0,112 CDM,0641602701J3010,FENTANYL CITRATE (PF) 100 MCG/2ML INJECTION SOLN,8.0,8.0,0.85,8.0,112 CDM,0641602725J3010,FENTANYL CITRATE (PF) 100 MCG/2ML INJECTION SOLN,8.0,8.0,0.85,8.0,112 CDM,0641602801J3010,FENTANYL CITRATE (PF) 250 MCG/5ML INJECTION SOLN,11.0,11.0,0.85,11.0,112 CDM,0641602901J3010,FENTANYL CITRATE (PF) 1000 MCG/20ML INJECTION SOLN,40.0,40.0,0.85,40.0,112 CDM,0641603001J3010,FENTANYL CITRATE (PF) 2500 MCG/50ML INJECTION SOLN,90.0,90.0,0.85,90.0,112 CDM,0641604001J2274,MORPHINE SULF MICROINFUSION PF 500 MG/20ML (25 MG/,1274.0,1274.0,10.79,1274.0,112 CDM,0641604101J1885,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,6.0,6.0,0.33,6.0,112 CDM,0641604125J1885,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,6.0,6.0,0.33,6.0,112 CDM,0641604201J1885,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,6.0,6.0,0.33,6.0,112 CDM,0641604225J1885,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,6.0,6.0,0.33,6.0,112 CDM,0641604401J2060,LORAZEPAM 2 MG/ML INJECTION SOLN,5.0,5.0,0.68,5.0,112 CDM,0641604425J2060,LORAZEPAM 2 MG/ML INJECTION SOLN,5.0,5.0,0.68,5.0,112 CDM,0641604501J2060,LORAZEPAM 4 MG/ML INJECTION SOLN,11.0,11.0,1.32,11.0,112 CDM,0641604525J2060,LORAZEPAM 4 MG/ML INJECTION SOLN,11.0,11.0,1.32,11.0,112 CDM,0641604601J2060,LORAZEPAM 2 MG/ML INJECTION SOLN,39.0,39.0,1.32,39.0,112 CDM,0641604610J2060,LORAZEPAM 2 MG/ML INJECTION SOLN,39.0,39.0,1.32,39.0,112 CDM,0641604710J2060,LORAZEPAM 4 MG/ML INJECTION SOLN,53.0,53.0,1.32,53.0,112 CDM,0641604801J2060,LORAZEPAM 2 MG/ML INJECTION SOLN,5.0,5.0,0.68,5.0,112 CDM,0641604825J2060,LORAZEPAM 2 MG/ML INJECTION SOLN,5.0,5.0,0.68,5.0,112 CDM,0641605001J2060,LORAZEPAM 2 MG/ML INJECTION SOLN,39.0,39.0,1.32,39.0,112 CDM,0641605010J2060,LORAZEPAM 2 MG/ML INJECTION SOLN,39.0,39.0,1.32,39.0,112 CDM,0641605101J2060,LORAZEPAM 4 MG/ML INJECTION SOLN,34.0,34.0,1.32,34.0,112 CDM,0641605110J2060,LORAZEPAM 4 MG/ML INJECTION SOLN,34.0,34.0,1.32,34.0,112 CDM,0641605201J2175,MEPERIDINE HCL 25 MG/ML INJECTION SOLN,10.0,10.0,1.35,34.83,112 CDM,0641605225J2175,MEPERIDINE HCL 25 MG/ML INJECTION SOLN,10.0,10.0,1.35,34.83,112 CDM,0641605301J2175,MEPERIDINE HCL 50 MG/ML INJECTION SOLN,10.0,10.0,1.35,34.83,112 CDM,0641605325J2175,MEPERIDINE HCL 50 MG/ML INJECTION SOLN,10.0,10.0,1.35,34.83,112 CDM,0641605401J2175,MEPERIDINE HCL 100 MG/ML INJECTION SOLN,11.0,11.0,1.49,34.83,112 CDM,0641605425J2175,MEPERIDINE HCL 100 MG/ML INJECTION SOLN,11.0,11.0,1.49,34.83,112 CDM,0641605601J2250,MIDAZOLAM HCL 10 MG/10ML INJECTION SOLN,8.0,8.0,0.13,8.0,112 CDM,0641605610J2250,MIDAZOLAM HCL 10 MG/10ML INJECTION SOLN,8.0,8.0,0.13,8.0,112 CDM,0641605701J2250,MIDAZOLAM HCL 2 MG/2ML INJECTION SOLN,3.0,3.0,0.13,3.0,112 CDM,0641605710J2250,MIDAZOLAM HCL 2 MG/2ML INJECTION SOLN,3.0,3.0,0.13,3.0,112 CDM,0641605725J2250,MIDAZOLAM HCL 2 MG/2ML INJECTION SOLN,3.0,3.0,0.13,3.0,112 CDM,0641605901J2250,MIDAZOLAM HCL 5 MG/5ML INJECTION SOLN,6.0,6.0,0.13,6.0,112 CDM,0641605910J2250,MIDAZOLAM HCL 5 MG/5ML INJECTION SOLN,6.0,6.0,0.13,6.0,112 CDM,0641606001J2250,MIDAZOLAM HCL 50 MG/10ML INJECTION SOLN,25.0,25.0,0.13,25.0,112 CDM,0641606010J2250,MIDAZOLAM HCL 50 MG/10ML INJECTION SOLN,25.0,25.0,0.13,25.0,112 CDM,0641606101J2250,MIDAZOLAM HCL 5 MG/ML INJECTION SOLN,5.0,5.0,0.13,5.0,112 CDM,0641606125J2250,MIDAZOLAM HCL 5 MG/ML INJECTION SOLN,5.0,5.0,0.13,5.0,112 CDM,0641606325J2250,MIDAZOLAM HCL 10 MG/2ML INJECTION SOLN,5.0,5.0,0.13,5.0,112 CDM,0641607801J2405,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,4.0,4.0,0.09,4.0,112 CDM,0641607825J2405,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,4.0,4.0,0.09,4.0,112 CDM,0641607901J2405,ONDANSETRON HCL 40 MG/20ML INJECTION SOLN,29.0,29.0,0.09,29.0,112 CDM,0641608001J2405,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,3.0,3.0,0.09,3.0,112 CDM,0641608025J2405,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,3.0,3.0,0.09,3.0,112 CDM,0641610301J2800,METHOCARBAMOL 1000 MG/10ML INJECTION SOLN,101.0,101.0,4.53,101.0,112 CDM,0641611601J0295,AMPICILLINSULBACTAM SODIUM 1.5 (10.5) G INJECTION,16.0,16.0,1.33,16.0,112 CDM,0641611610J0295,AMPICILLINSULBACTAM SODIUM 1.5 (10.5) G INJECTION,16.0,16.0,1.33,16.0,112 CDM,0641611701J0295,AMPICILLINSULBACTAM SODIUM 3 (21) G INJECTION SOLR,28.0,28.0,1.33,28.0,112 CDM,0641611710J0295,AMPICILLINSULBACTAM SODIUM 3 (21) G INJECTION SOLR,28.0,28.0,1.33,28.0,112 CDM,0641611801J0295,AMPICILLINSULBACTAM SODIUM 15 (105) G IV SOLR,143.0,143.0,1.33,143.0,112 CDM,0641612501J2270,MORPHINE SULFATE 4 MG/ML IV SOLN,9.0,9.0,1.22,9.0,112 CDM,0641612525J2270,MORPHINE SULFATE 4 MG/ML IV SOLN,9.0,9.0,1.22,9.0,112 CDM,0641612701J2270,MORPHINE SULFATE 10 MG/ML IV SOLN,10.0,10.0,1.35,10.0,112 CDM,0641612725J2270,MORPHINE SULFATE 10 MG/ML IV SOLN,10.0,10.0,1.35,10.0,112 CDM,0641613201J2310,NALOXONE HCL 0.4 MG/ML INJECTION SOLN,22.0,22.0,2.97,22.0,111 CDM,0641613225J2310,NALOXONE HCL 0.4 MG/ML INJECTION SOLN,22.0,22.0,2.97,22.0,111 CDM,0641613501J0780,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,27.0,27.0,2.31,27.0,112 CDM,0641613525J0780,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,27.0,27.0,2.31,27.0,112 CDM,0641613601Q2009,FOSPHENYTOIN SODIUM 100 MG PE/2ML INJECTION SOLN,54.0,54.0,1.01,54.0,119 CDM,0641613625Q2009,FOSPHENYTOIN SODIUM 100 MG PE/2ML INJECTION SOLN,54.0,54.0,1.01,54.0,119 CDM,0641613701Q2009,FOSPHENYTOIN SODIUM 500 MG PE/10ML INJECTION SOLN,171.0,171.0,1.01,171.0,119 CDM,0641613710Q2009,FOSPHENYTOIN SODIUM 500 MG PE/10ML INJECTION SOLN,171.0,171.0,1.01,171.0,119 CDM,0641613801J1165,PHENYTOIN SODIUM 50 MG/ML INJECTION SOLN,5.0,5.0,0.47,5.0,112 CDM,0641613825J1165,PHENYTOIN SODIUM 50 MG/ML INJECTION SOLN,5.0,5.0,0.47,5.0,112 CDM,0641614201J2371,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),15.0,15.0,0.01,15.0,108 CDM,0641614225J2371,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),15.0,15.0,0.01,15.0,108 CDM,0641614501J1100,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION S,4.0,4.0,0.11,4.0,112 CDM,0641614525J1100,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION S,4.0,4.0,0.11,4.0,112 CDM,0641614701A4216,STERILE WATER FOR INJECTION SOLN,12.0,12.0,0.71,12.0,111 CDM,0641614710A4216,STERILE WATER FOR INJECTION SOLN,12.0,12.0,0.71,12.0,111 CDM,0641614725A4216,STERILE WATER FOR INJECTION SOLN,19.0,19.0,0.71,19.0,111 CDM,0641614901J2710,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,33.0,33.0,0.71,33.0,111 CDM,0641614910J2710,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,33.0,33.0,0.71,33.0,111 CDM,0641615101J1171,HYDROMORPHONE HCL 2 MG/ML INJECTION SOLN,11.0,11.0,0.09,11.0,112 CDM,0641615125J1171,HYDROMORPHONE HCL 2 MG/ML INJECTION SOLN,11.0,11.0,0.09,11.0,112 CDM,0641616601J0278,AMIKACIN SULFATE 1 GM/4ML INJECTION SOLN,58.0,58.0,0.54,58.0,112 CDM,0641616610J0278,AMIKACIN SULFATE 1 GM/4ML INJECTION SOLN,58.0,58.0,0.54,58.0,112 CDM,0641616701J0278,AMIKACIN SULFATE 500 MG/2ML INJECTION SOLN,29.0,29.0,0.54,29.0,112 CDM,0641616710J0278,AMIKACIN SULFATE 500 MG/2ML INJECTION SOLN,29.0,29.0,0.54,29.0,112 CDM,0641616901J1171,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,14.0,14.0,0.09,14.0,112 CDM,0641616910J1171,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,14.0,14.0,0.09,14.0,112 CDM,0641617301J0500,DICYCLOMINE HCL 10 MG/ML IM SOLN,88.0,88.0,11.33,88.0,112 CDM,0641617310J0500,DICYCLOMINE HCL 10 MG/ML IM SOLN,88.0,88.0,11.33,88.0,112 CDM,0641617401J2354,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLN,17.0,17.0,0.61,17.0,112 CDM,0641617410J2354,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLN,17.0,17.0,0.61,17.0,112 CDM,0641617501J2354,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLN,24.0,24.0,0.61,24.0,112 CDM,0641617510J2354,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLN,24.0,24.0,0.61,24.0,112 CDM,0641617601J2354,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLN,126.0,126.0,0.61,126.0,112 CDM,0641617610J2354,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLN,126.0,126.0,0.61,126.0,112 CDM,0641617801J2354,OCTREOTIDE ACETATE 1000 MCG/ML INJECTION SOLN,864.0,864.0,0.61,864.0,112 CDM,0641618210J2360,ORPHENADRINE CITRATE 30 MG/ML INJECTION SOLN,57.0,57.0,6.39,57.0,112 CDM,0641618401J1160,DIGOXIN 0.25 MG/ML INJECTION SOLN,20.0,20.0,2.7,20.09,112 CDM,0641618425J1160,DIGOXIN 0.25 MG/ML INJECTION SOLN,20.0,20.0,2.7,20.09,112 CDM,0641618801J2371,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,72.0,72.0,0.01,72.0,108 CDM,0641618810J2371,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,72.0,72.0,0.01,72.0,108 CDM,0641618901J2371,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,144.0,144.0,0.01,144.0,108 CDM,0641618910J2371,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),144.0,144.0,0.01,144.0,108 CDM,0641619001J2250,MIDAZOLAM HCL 50 MG/10ML INJECTION SOLN,11.0,11.0,0.13,11.0,112 CDM,0641619010J2250,MIDAZOLAM HCL 50 MG/10ML INJECTION SOLN,11.0,11.0,0.13,11.0,112 CDM,0641619401J2704,PROPOFOL 200 MG/20ML IV EMUL,22.0,22.0,0.08,22.0,112 CDM,0641619410J2704,PROPOFOL 200 MG/20ML IV EMUL,22.0,22.0,0.08,22.0,112 CDM,0641619501J2704,PROPOFOL 500 MG/50ML IV EMUL,54.0,54.0,0.08,54.0,112 CDM,0641619601J2704,PROPOFOL 1000 MG/100ML IV EMUL,108.0,108.0,0.08,108.0,112 CDM,0641620401J1644,HEPARIN SODIUM (PORCINE) PF 5000 UNIT/0.5ML INJECT,22.0,22.0,0.18,22.0,112 CDM,0641620410J1644,HEPARIN SODIUM (PORCINE) PF 5000 UNIT/0.5ML INJECT,22.0,22.0,0.18,22.0,112 CDM,0641620501J2310,NALOXONE HCL 2 MG/2ML INJECTION SOSY,114.0,114.0,8.7,114.0,111 CDM,0641620510J2310,NALOXONE HCL 2 MG/2ML INJECTION SOSY,114.0,114.0,8.7,114.0,111 CDM,0641620601J1171,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,12.0,12.0,0.09,12.0,112 CDM,0641620610J1171,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,12.0,12.0,0.09,12.0,112 CDM,0641622801J3411,THIAMINE HCL 100 MG/ML INJECTION SOLN,36.0,36.0,1.76,36.0,112 CDM,0641622825J3411,THIAMINE HCL 100 MG/ML INJECTION SOLN,36.0,36.0,1.76,36.0,112 CDM,0641623101J0360,HYDRALAZINE HCL 20 MG/ML INJECTION SOLN,54.0,54.0,4.08,54.0,112 CDM,0641623125J0360,HYDRALAZINE HCL 20 MG/ML INJECTION SOLN,54.0,54.0,4.08,54.0,112 CDM,0641623401J0330,SUCCINYLCHOLINE CHLORIDE 100 MG/5ML IV SOSY (WRAPP,90.0,90.0,0.81,90.0,111 CDM,0641624401J3360,DIAZEPAM 5 MG/ML INJECTION SOLN,89.0,89.0,6.17,89.0,112 CDM,0641624410J3360,DIAZEPAM 5 MG/ML INJECTION SOLN,89.0,89.0,6.17,89.0,112 CDM,0641624701J3010,FENTANYL CITRATE (PF) 50 MCG/ML INJECTION SOLN (WR,8.0,8.0,0.85,8.0,112 CDM,0641624725J3010,FENTANYL CITRATE (PF) 50 MCG/ML INJECTION SOLN (WR,8.0,8.0,0.85,8.0,112 CDM,0641625301J2785,REGADENOSON 0.4 MG/5ML IV SOLN,108.0,108.0,2.68,108.0,112 CDM,0641625901J1171,HYDROMORPHONE HCL 0.2 MG/ML INJECTION SOLN,10.0,10.0,0.09,10.0,112 CDM,0641625910J1171,HYDROMORPHONE HCL 0.2 MG/ML INJECTION SOLN,10.0,10.0,0.09,10.0,112 CDM,0641626501J2710,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,8.0,8.0,0.71,8.0,111 CDM,0641626510J2710,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,8.0,8.0,0.71,8.0,111 CDM,0641626701J0706,CAFFEINE CITRATE 60 MG/3ML IV SOLN,36.0,36.0,1.02,36.0,111 CDM,0641626710J0706,CAFFEINE CITRATE 60 MG/3ML IV SOLN,36.0,36.0,1.02,36.0,111 CDM,0641628201J1200,DIPHENHYDRAMINE HCL 50 MG/ML INJECTION SOLN,5.0,5.0,0.68,5.0,112 CDM,0641628225J1200,DIPHENHYDRAMINE HCL 50 MG/ML INJECTION SOLN,3.0,3.0,0.41,3.0,112 CDM,0703001801J1171,HYDROMORPHONE HCL PF 500 MG/50ML INJECTION SOLN,373.0,373.0,0.09,373.0,112 CDM,0703011001J1171,HYDROMORPHONE HCL PF 10 MG/ML INJECTION SOLN,13.0,13.0,0.09,13.0,112 CDM,0703011003J1171,HYDROMORPHONE HCL PF 10 MG/ML INJECTION SOLN,13.0,13.0,0.09,13.0,112 CDM,0703024101J3301,TRIAMCINOLONE ACETONIDE 40 MG/ML INJECTION SUSP,30.0,30.0,0.74,30.0,112 CDM,0703024301J3301,TRIAMCINOLONE ACETONIDE 40 MG/ML INJECTION SUSP,148.0,148.0,0.74,148.0,112 CDM,0703066601J3285,TREPROSTINIL 20 MG/20ML INJECTION SOLN,4355.0,4355.0,54.48,4355.0,119 CDM,0703067601J3285,TREPROSTINIL 50 MG/20ML INJECTION SOLN,10887.0,10887.0,54.48,10887.0,119 CDM,0703068601J3285,TREPROSTINIL 100 MG/20ML INJECTION SOLN,21774.0,21774.0,54.48,21774.0,119 CDM,0703321601J9267,PACLITAXEL 100 MG/16.7ML IV CONC,120.0,120.0,0.1,120.0,112 CDM,0703321801J9267,PACLITAXEL 300 MG/50ML IV CONC,360.0,360.0,0.1,360.0,112 CDM,0703367101J9260,METHOTREXATE SODIUM (PF) 50 MG/2ML INJECTION SOLN,38.0,38.0,2.26,38.0,112 CDM,0703367501J9260,METHOTREXATE SODIUM (PF) 250 MG/10ML INJECTION SOL,33.0,33.0,2.26,33.0,112 CDM,0703367801J9260,METHOTREXATE SODIUM (PF) 1 GM/40ML INJECTION SOLN,120.0,120.0,2.26,120.0,112 CDM,0703398501J9263,OXALIPLATIN 50 MG/10ML IV SOLN,180.0,180.0,0.05,180.0,112 CDM,0703398601J9263,OXALIPLATIN 100 MG/20ML IV SOLN,360.0,360.0,0.05,360.0,112 CDM,0703409401J2469,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,126.0,126.0,0.34,126.0,112 CDM,0703423901J9045,CARBOPLATIN 600 MG/60ML IV SOLN,238.0,238.0,2.11,238.0,112 CDM,0703424401J9045,CARBOPLATIN 50 MG/5ML IV SOLN,30.0,30.0,2.11,30.0,112 CDM,0703424601J9045,CARBOPLATIN 150 MG/15ML IV SOLN,76.0,76.0,2.11,76.0,112 CDM,0703424801J9045,CARBOPLATIN 450 MG/45ML IV SOLN,234.0,234.0,2.11,234.0,112 CDM,0703424881J9045,CARBOPLATIN 450 MG/45ML IV SOLN,234.0,234.0,2.11,234.0,112 CDM,0703450201J2765,METOCLOPRAMIDE HCL 5 MG/ML INJECTION SOLN,13.0,13.0,1.0,13.0,112 CDM,0703450204J2765,METOCLOPRAMIDE HCL 5 MG/ML INJECTION SOLN,13.0,13.0,1.0,13.0,112 CDM,0703450291J2765,METOCLOPRAMIDE HCL 5 MG/ML INJECTION SOLN,4.0,4.0,0.54,4.0,112 CDM,0703476801J9267,PACLITAXEL 300 MG/50ML IV CONC,360.0,360.0,0.1,360.0,112 CDM,0703574711J9060,CISPLATIN 50 MG/50ML IV SOLN,73.0,73.0,1.95,73.0,112 CDM,0703574811J9060,CISPLATIN 100 MG/100ML IV SOLN,146.0,146.0,1.95,146.0,112 CDM,0703877601J0153,ADENOSINE 3 MG/ML IV SOLN (CATH LAB INFUSION),312.0,312.0,0.32,312.0,112 CDM,0713035102J0780,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,17.0,17.0,2.29,17.0,112 CDM,0713035109J0780,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,17.0,17.0,2.29,17.0,112 CDM,0713035125J0780,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,17.0,17.0,2.29,17.0,112 CDM,0781206701J7517,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,12.0,12.0,0.15,12.0,112 CDM,0781206705J7517,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,12.0,12.0,0.15,12.0,112 CDM,0781210201J7507,TACROLIMUS 0.5 MG PO CAPS,7.0,7.0,0.15,7.0,112 CDM,0781210301J7507,TACROLIMUS 1 MG PO CAPS,14.0,14.0,0.15,14.0,112 CDM,0781210401J7507,TACROLIMUS 5 MG PO CAPS,67.0,67.0,0.15,67.0,112 CDM,0781232106J8501,APREPITANT 40 MG PO CAPS,330.0,330.0,2.72,330.0,112 CDM,0781232151J8501,APREPITANT 40 MG PO CAPS,330.0,330.0,2.72,330.0,112 CDM,0781232246J8501,APREPITANT 80 MG PO CAPS,612.0,612.0,2.72,612.0,112 CDM,0781232268J8501,APREPITANT 80 MG PO CAPS,612.0,612.0,2.72,612.0,112 CDM,0781232306J8501,APREPITANT 125 MG PO CAPS,956.0,956.0,2.72,956.0,112 CDM,0781300094J2185,MEROPENEM 500 MG IV SOLR,55.0,55.0,0.38,55.0,112 CDM,0781305972J1160,DIGOXIN 0.25 MG/ML INJECTION SOLN,23.0,23.0,3.11,23.0,112 CDM,0781305995J1160,DIGOXIN 0.25 MG/ML INJECTION SOLN,23.0,23.0,3.11,23.0,112 CDM,0781309894J2185,MEROPENEM 1 G IV SOLR,110.0,110.0,0.38,110.0,112 CDM,0781309895J2185,MEROPENEM 1 G IV SOLR,110.0,110.0,0.38,110.0,112 CDM,0781311090J2543,PIPERACILLIN SODTAZOBACTAM SO 2.25 (20.25) G IV SO,37.0,37.0,1.09,37.0,112 CDM,0781311095J2543,PIPERACILLIN SODTAZOBACTAM SO 2.25 (20.25) G IV SO,37.0,37.0,1.09,37.0,112 CDM,0781311390J2543,PIPERACILLIN SODTAZOBACTAM SO 3.375 (30.375) G IV,56.0,56.0,1.09,56.0,112 CDM,0781311395J2543,PIPERACILLIN SODTAZOBACTAM SO 3.375 (30.375) G IV,56.0,56.0,1.09,56.0,112 CDM,0781311491J2543,PIPERACILLIN SODTAZOBACTAM SO 4.5 (40.5) G IV SOLR,71.0,71.0,1.09,71.0,112 CDM,0781311495J2543,PIPERACILLIN SODTAZOBACTAM SO 4.5 (40.5) G IV SOLR,71.0,71.0,1.09,71.0,112 CDM,0781315401Q0138,FERUMOXYTOL 510 MG/17ML IV SOLN,3260.0,3260.0,0.31,3260.0,119 CDM,0781315606J0131,ACETAMINOPHEN 10 MG/ML IV SOLN,134.0,134.0,0.05,134.0,112 CDM,0781315695J0131,ACETAMINOPHEN 10 MG/ML IV SOLN,134.0,134.0,0.05,134.0,112 CDM,0781315894J0583,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,3412.0,3412.0,0.16,3412.0,112 CDM,0781315895J0583,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,3412.0,3412.0,0.16,3412.0,112 CDM,0781315972J2359,OLANZAPINE 10 MG IM SOLR,125.0,125.0,0.75,125.0,112 CDM,0781320470J2404,NICARDIPINE HCL 2.5 MG/ML IV SOLN,759.0,759.0,0.07,759.0,112 CDM,0781320495J2404,NICARDIPINE HCL 2.5 MG/ML IV SOLN,759.0,759.0,0.07,759.0,112 CDM,0781320685J0696,CEFTRIAXONE SODIUM 250 MG INJECTION SOLR,6.0,6.0,0.45,6.0,112 CDM,0781320695J0696,CEFTRIAXONE SODIUM 250 MG INJECTION SOLR,45.0,45.0,0.45,45.0,112 CDM,0781320785J0696,CEFTRIAXONE SODIUM 500 MG INJECTION SOLR,81.0,81.0,0.45,81.0,112 CDM,0781320795J0696,CEFTRIAXONE SODIUM 500 MG INJECTION SOLR,81.0,81.0,0.45,81.0,112 CDM,0781320885J0696,CEFTRIAXONE SODIUM 1 G INJECTION SOLR,138.0,138.0,0.45,138.0,112 CDM,0781320895J0696,CEFTRIAXONE SODIUM 1 G INJECTION SOLR,138.0,138.0,0.45,138.0,112 CDM,0781320990J0696,CEFTRIAXONE SODIUM 2 G INJECTION SOLR,275.0,275.0,0.45,275.0,112 CDM,0781320995J0696,CEFTRIAXONE SODIUM 2 G INJECTION SOLR,275.0,275.0,0.45,275.0,112 CDM,0781321046J0696,CEFTRIAXONE SODIUM 10 G IV SOLR,1346.0,1346.0,0.45,1346.0,112 CDM,0781322280J0692,CEFEPIME HCL 1 G INJECTION SOLR,61.0,61.0,0.87,61.0,112 CDM,0781322295J0692,CEFEPIME HCL 1 G INJECTION SOLR,62.0,62.0,0.87,62.0,112 CDM,0781322395J0692,CEFEPIME HCL 2 G IV SOLR,243.0,243.0,0.87,243.0,112 CDM,0781322402J1650,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,98.0,98.0,0.53,98.0,112 CDM,0781323294J2470,PANTOPRAZOLE SODIUM 40 MG IV SOLR,19.0,19.0,1.93,19.0,111 CDM,0781323295J2470,PANTOPRAZOLE SODIUM 40 MG IV SOLR,19.0,19.0,1.93,19.0,111 CDM,0781323394J9074,CYCLOPHOSPHAMIDE 500 MG INJECTION SOLR,1237.0,1237.0,3.84,1237.0,119 CDM,0781323801J1650,ENOXAPARIN SODIUM 30 MG/0.3ML INJECTION SOSY,26.0,26.0,0.53,26.0,112 CDM,0781323863J1650,ENOXAPARIN SODIUM 30 MG/0.3ML INJECTION SOSY,26.0,26.0,0.53,26.0,112 CDM,0781324494J9074,CYCLOPHOSPHAMIDE 1 G INJECTION SOLR,2473.0,2473.0,3.84,2473.0,119 CDM,0781324602J1650,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,34.0,34.0,0.53,34.0,112 CDM,0781324664J1650,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,34.0,34.0,0.53,34.0,112 CDM,0781325394J9025,AZACITIDINE 100 MG INJECTION SUSR,1853.0,1853.0,0.21,1853.0,112 CDM,0781325603J1650,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,51.0,51.0,0.53,51.0,112 CDM,0781325666J1650,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,51.0,51.0,0.53,51.0,112 CDM,0781326204J1650,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,68.0,68.0,0.53,68.0,112 CDM,0781326268J1650,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,68.0,68.0,0.53,68.0,112 CDM,0781326805J1650,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,84.0,84.0,0.53,84.0,112 CDM,0781326869J1650,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,84.0,84.0,0.53,84.0,112 CDM,0781328809J0736,CLINDAMYCIN PHOSPHATE IN D5W 300 MG/50ML IV SOLN,30.0,30.0,1.67,30.0,112 CDM,0781328891J0736,CLINDAMYCIN PHOSPHATE IN D5W 300 MG/50ML IV SOLN,30.0,30.0,1.67,30.0,112 CDM,0781328909J0736,CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN,45.0,45.0,1.67,45.0,112 CDM,0781328991J0736,CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN,45.0,45.0,1.67,45.0,112 CDM,0781329009J0736,CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN,55.0,55.0,1.67,55.0,112 CDM,0781329091J0736,CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN,55.0,55.0,1.67,55.0,112 CDM,0781329905J1650,ENOXAPARIN SODIUM 150 MG/ML INJECTION SOSY,126.0,126.0,0.53,126.0,112 CDM,0781329969J1650,ENOXAPARIN SODIUM 150 MG/ML INJECTION SOSY,126.0,126.0,0.53,126.0,112 CDM,0781331275J2469,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,1020.0,1020.0,0.34,1020.0,112 CDM,0781331570J9263,OXALIPLATIN 50 MG/10ML IV SOLN,637.0,637.0,0.05,637.0,112 CDM,0781331780J9263,OXALIPLATIN 100 MG/20ML IV SOLN,1274.0,1274.0,0.05,1274.0,112 CDM,0781335603J1650,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,147.0,147.0,0.53,147.0,112 CDM,0781340485J0290,AMPICILLIN SODIUM 1 G INJECTION SOLR,26.0,26.0,0.49,26.0,112 CDM,0781340495J0290,AMPICILLIN SODIUM 1 G INJECTION SOLR,26.0,26.0,0.49,26.0,112 CDM,0781340778J0290,AMPICILLIN SODIUM 500 MG INJECTION SOLR,14.0,14.0,0.49,14.0,112 CDM,0781340880J0290,AMPICILLIN SODIUM 2 G INJECTION SOLR,51.0,51.0,0.49,51.0,112 CDM,0781340895J0290,AMPICILLIN SODIUM 2 G INJECTION SOLR,51.0,51.0,0.49,51.0,112 CDM,0781340946J0290,AMPICILLIN SODIUM 10 G IV SOLR,324.0,324.0,0.49,324.0,112 CDM,0781340995J0290,AMPICILLIN SODIUM 10 G IV SOLR,324.0,324.0,0.49,324.0,112 CDM,0781341170J0330,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,72.0,72.0,0.81,72.0,111 CDM,0781341195J0330,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,72.0,72.0,0.81,72.0,111 CDM,0781341215J0290,AMPICILLIN SODIUM 1 G IV SOLR,54.0,54.0,0.49,54.0,112 CDM,0781341315J0290,AMPICILLIN SODIUM 2 G IV SOLR,105.0,105.0,0.49,105.0,112 CDM,0781341575J2469,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,1020.0,1020.0,0.34,1020.0,112 CDM,0781341694J3465,VORICONAZOLE 200 MG IV SOLR,458.0,458.0,0.75,458.0,112 CDM,0781342080J3285,TREPROSTINIL 20 MG/20ML INJECTION SOLN,4298.0,4298.0,54.48,4298.0,119 CDM,0781342101J0637,CASPOFUNGIN ACETATE 50 MG IV SOLR,353.0,353.0,2.27,353.0,112 CDM,0781342194J0637,CASPOFUNGIN ACETATE 50 MG IV SOLR,353.0,353.0,2.27,353.0,112 CDM,0781342271J2371,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),12.0,12.0,0.01,12.0,108 CDM,0781342275J2371,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),83.0,83.0,0.01,83.0,108 CDM,0781342292J2371,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),12.0,12.0,0.01,12.0,108 CDM,0781342301J0637,CASPOFUNGIN ACETATE 70 MG IV SOLR,372.0,372.0,2.27,372.0,112 CDM,0781342394J0637,CASPOFUNGIN ACETATE 70 MG IV SOLR,372.0,372.0,2.27,372.0,112 CDM,0781342580J3285,TREPROSTINIL 50 MG/20ML INJECTION SOLN,10744.0,10744.0,54.48,10744.0,119 CDM,0781342780J3285,TREPROSTINIL 100 MG/20ML INJECTION SOLN,21488.0,21488.0,54.48,21488.0,119 CDM,0781343080J3285,TREPROSTINIL 200 MG/20ML INJECTION SOLN,42975.0,42975.0,54.48,42975.0,119 CDM,0781343346J2020,LINEZOLID 600 MG/300ML IV SOLN,234.0,234.0,2.74,234.0,112 CDM,0781344071J0834,COSYNTROPIN 0.25 MG INJECTION SOLR,289.0,289.0,20.65,289.0,112 CDM,0781344095J0834,COSYNTROPIN 0.25 MG INJECTION SOLR,289.0,289.0,20.65,289.0,112 CDM,0781344312J1652,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN,152.0,152.0,0.67,152.0,112 CDM,0781344394J1652,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN,152.0,152.0,0.67,152.0,112 CDM,0781344395J1652,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN,89.0,89.0,0.67,89.0,112 CDM,0781344795J0583,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,3510.0,3510.0,0.16,3510.0,112 CDM,0781345070J0690,CEFAZOLIN SODIUM 500 MG INJECTION SOLR,15.0,15.0,0.81,15.0,112 CDM,0781345095J0690,CEFAZOLIN SODIUM 500 MG INJECTION SOLR,30.0,30.0,0.81,30.0,112 CDM,0781345170J0690,CEFAZOLIN SODIUM 1 G INJECTION SOLR,23.0,23.0,0.81,23.0,112 CDM,0781345196J0690,CEFAZOLIN SODIUM 1 G INJECTION SOLR,23.0,23.0,0.81,23.0,112 CDM,0781345246J0690,CEFAZOLIN SODIUM 10 G INJECTION SOLR,180.0,180.0,0.81,180.0,112 CDM,0781345295J0690,CEFAZOLIN SODIUM 10 G INJECTION SOLR,180.0,180.0,0.81,180.0,112 CDM,0781345895J2371,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,83.0,83.0,0.01,83.0,108 CDM,0781346512J1652,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN,357.0,357.0,0.67,357.0,112 CDM,0781346595J1652,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN,208.0,208.0,0.67,208.0,112 CDM,0781346670J2371,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),139.0,139.0,0.01,139.0,108 CDM,0781353191J9264,PACLITAXEL PROTEINBOUND PART 100 MG IV SUSR,5120.0,5120.0,8.18,5120.0,119 CDM,0781353201J9395,FULVESTRANT 250 MG/5ML IM SOSY,3273.0,3273.0,5.72,3273.0,112 CDM,0781353212J9395,FULVESTRANT 250 MG/5ML IM SOSY,3273.0,3273.0,5.72,3273.0,112 CDM,0781382571J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),11.0,11.0,0.38,11.0,112 CDM,0781382596J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),11.0,11.0,0.38,11.0,112 CDM,0781382975J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),42.0,42.0,0.38,42.0,112 CDM,0781382996J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),42.0,42.0,0.38,42.0,112 CDM,0781383180J1596,GLYCOPYRROLATE 4 MG/20ML INJECTION SOLN,150.0,150.0,0.38,150.0,112 CDM,0781400332J9218,LEUPROLIDE ACETATE 1 MG/0.2ML INJECTION KIT,2673.0,2673.0,8.91,2673.0,111 CDM,0781517501J7517,MYCOPHENOLATE MOFETIL 500 MG PO TABS,24.0,24.0,0.15,24.0,112 CDM,0781517505J7517,MYCOPHENOLATE MOFETIL 500 MG PO TABS,24.0,24.0,0.15,24.0,112 CDM,0781613594J2540,PENICILLIN G POTASSIUM 5000000 UNITS INJECTION SOL,127.0,127.0,0.75,127.0,112 CDM,0781613595J2540,PENICILLIN G POTASSIUM 5000000 UNITS INJECTION SOL,127.0,127.0,0.75,127.0,112 CDM,0781613694J2540,PENICILLIN G POTASSIUM 20000000 UNITS INJECTION SO,481.0,481.0,0.75,481.0,112 CDM,0781751787J7626,BUDESONIDE 1 MG/2ML INHALATION SUSP,70.0,70.0,1.05,70.0,112 CDM,0781804701Q0175,PERPHENAZINE 4 MG PO TABS,8.0,8.0,0.48,8.0,111 CDM,0781905370J0330,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,72.0,72.0,0.81,72.0,111 CDM,0781905395J0330,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,72.0,72.0,0.81,72.0,111 CDM,0781905501J9395,FULVESTRANT 250 MG/5ML IM SOSY,3273.0,3273.0,5.72,3273.0,112 CDM,0781905512J9395,FULVESTRANT 250 MG/5ML IM SOSY,3273.0,3273.0,5.72,3273.0,112 CDM,0781910572J2359,OLANZAPINE 10 MG IM SOLR,125.0,125.0,0.75,125.0,112 CDM,0781915894J0583,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,3412.0,3412.0,0.16,3412.0,112 CDM,0781915895J0583,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,3412.0,3412.0,0.16,3412.0,112 CDM,0781921090J2543,PIPERACILLIN SODTAZOBACTAM SO 2.25 (20.25) G IV SO,37.0,37.0,1.09,37.0,112 CDM,0781921095J2543,PIPERACILLIN SODTAZOBACTAM SO 2.25 (20.25) G IV SO,37.0,37.0,1.09,37.0,112 CDM,0781921390J2543,PIPERACILLIN SODTAZOBACTAM SO 3.375 (30.375) G IV,56.0,56.0,1.09,56.0,112 CDM,0781921395J2543,PIPERACILLIN SODTAZOBACTAM SO 3.375 (30.375) G IV,56.0,56.0,1.09,56.0,112 CDM,0781921491J2543,PIPERACILLIN SODTAZOBACTAM SO 4.5 (40.5) G IV SOLR,71.0,71.0,1.09,71.0,112 CDM,0781921495J2543,PIPERACILLIN SODTAZOBACTAM SO 4.5 (40.5) G IV SOLR,71.0,71.0,1.09,71.0,112 CDM,0781922775J2371,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),83.0,83.0,0.01,83.0,108 CDM,0781922795J2371,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),83.0,83.0,0.01,83.0,108 CDM,0781922870J2371,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),139.0,139.0,0.01,139.0,108 CDM,0781926185J0290,AMPICILLIN SODIUM 1 G INJECTION SOLR,26.0,26.0,0.49,26.0,112 CDM,0781931570J9263,OXALIPLATIN 50 MG/10ML IV SOLN,637.0,637.0,0.05,637.0,112 CDM,0781931780J9263,OXALIPLATIN 100 MG/20ML IV SOLN,1274.0,1274.0,0.05,1274.0,112 CDM,0781940278J0290,AMPICILLIN SODIUM 250 MG INJECTION SOLR,13.0,13.0,0.49,13.0,112 CDM,0781940295J0290,AMPICILLIN SODIUM 250 MG INJECTION SOLR,13.0,13.0,0.49,13.0,112 CDM,0781940485J0290,AMPICILLIN SODIUM 1 G INJECTION SOLR,26.0,26.0,0.49,26.0,112 CDM,0781940495J0290,AMPICILLIN SODIUM 1 G INJECTION SOLR,26.0,26.0,0.49,26.0,112 CDM,0781940778J0290,AMPICILLIN SODIUM 500 MG INJECTION SOLR,14.0,14.0,0.49,14.0,112 CDM,0781940795J0290,AMPICILLIN SODIUM 500 MG INJECTION SOLR,14.0,14.0,0.49,14.0,112 CDM,0781940880J0290,AMPICILLIN SODIUM 2 G INJECTION SOLR,51.0,51.0,0.49,51.0,112 CDM,0781940895J0290,AMPICILLIN SODIUM 2 G INJECTION SOLR,51.0,51.0,0.49,51.0,112 CDM,0781940995J0290,AMPICILLIN SODIUM 10 G IV SOLR,324.0,324.0,0.49,324.0,112 CDM,0832601700Q0161,CHLORPROMAZINE HCL 10 MG PO TABS,13.0,13.0,0.33,13.0,111 CDM,0832601800Q0161,CHLORPROMAZINE HCL 25 MG PO TABS,23.0,23.0,0.33,23.0,111 CDM,0832601900J3230,CHLORPROMAZINE HCL 50 MG PO TABS,32.0,32.0,4.32,56.1,112 CDM,0832601989J3230,CHLORPROMAZINE HCL 50 MG PO TABS,46.0,46.0,6.21,56.1,112 CDM,0832602000Q0161,CHLORPROMAZINE HCL 100 MG PO TABS,45.0,45.0,0.33,45.0,111 CDM,0832602100Q0161,CHLORPROMAZINE HCL 200 MG PO TABS,69.0,69.0,0.33,69.0,111 CDM,0904205661Q0163,DIPHENHYDRAMINE HCL 50 MG PO CAPS,1.0,1.0,0.02,1.0,111 CDM,0904530760Q0163,DIPHENHYDRAMINE HCL 50 MG PO CAPS,1.0,1.0,0.02,1.0,111 CDM,0904530780Q0163,DIPHENHYDRAMINE HCL 50 MG PO CAPS,1.0,1.0,0.02,1.0,111 CDM,0904655161Q0162,ONDANSETRON HCL 4 MG PO TABS,3.0,3.0,0.01,3.0,112 CDM,0904655261Q0162,ONDANSETRON HCL 8 MG PO TABS,3.0,3.0,0.01,3.0,112 CDM,0904660061Q0175,PERPHENAZINE 4 MG PO TABS,6.0,6.0,0.48,6.0,111 CDM,0904662361J7507,TACROLIMUS 0.5 MG PO CAPS,4.0,4.0,0.15,4.0,112 CDM,0904662461J7507,TACROLIMUS 5 MG PO CAPS,33.0,33.0,0.15,33.0,112 CDM,0904691461J7509,METHYLPREDNISOLONE 4 MG PO TABS,7.0,7.0,0.13,7.0,112 CDM,0904692361J7512,PREDNISONE 10 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,0904693961S0176,HYDROXYUREA 500 MG PO CAPS,4.0,4.0,0.41,4.0,111 CDM,0904707861J7517,MYCOPHENOLATE MOFETIL 500 MG PO TABS,4.0,4.0,0.15,4.0,112 CDM,0904709761J7507,TACROLIMUS 1 MG PO CAPS,5.0,5.0,0.15,5.0,112 CDM,0904712761J7512,PREDNISONE 20 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,0904712961Q0161,CHLORPROMAZINE HCL 10 MG PO TABS,16.0,16.0,0.33,16.0,111 CDM,0904713061Q0161,CHLORPROMAZINE HCL 25 MG PO TABS,19.0,19.0,0.33,19.0,111 CDM,0904713161J3230,CHLORPROMAZINE HCL 50 MG PO TABS,29.0,29.0,3.92,56.1,112 CDM,0904713261Q0161,CHLORPROMAZINE HCL 100 MG PO TABS,45.0,45.0,0.33,45.0,111 CDM,0904717207J0750,EMTRICITABINETENOFOVIR DF 200300 MG PO TABS,8.0,8.0,1.08,8.0,119 CDM,0904724804J7520,SIROLIMUS 1 MG PO TABS,36.0,36.0,0.96,36.0,112 CDM,0904726661J8540,DEXAMETHASONE 4 MG PO TABS,4.0,4.0,0.01,4.0,112 CDM,0904730461Q0169,PROMETHAZINE HCL 25 MG PO TABS,1.0,1.0,0.09,1.0,111 CDM,0944049301P9047,ALBUMIN HUMAN 25 IV SOLN,105.0,105.0,14.18,159.68,119 CDM,0944049302P9047,ALBUMIN HUMAN 25 IV SOLN,417.0,417.0,45.9,417.0,119 CDM,0944049303P9047,ALBUMIN HUMAN 25 IV SOLN,105.0,105.0,14.18,159.68,119 CDM,0944049304P9047,ALBUMIN HUMAN 25 IV SOLN,417.0,417.0,45.9,417.0,119 CDM,0944049505P9045,ALBUMIN HUMAN 5 IV SOLN,217.0,217.0,29.3,217.0,119 CDM,0944049506P9045,ALBUMIN HUMAN 5 IV SOLN,217.0,217.0,29.3,217.0,119 CDM,0944265603J1566,GAMMAGARD S/D LESS IGA 1 G/10 ML IV SOLN (WRAPPER),4037.0,4037.0,78.89,4037.0,119 CDM,0944265804J1566,GAMMAGARD S/D LESS IGA 1 G/10 ML IV SOLN (WRAPPER),8074.0,8074.0,78.89,8074.0,119 CDM,0944270002J1569,GAMMAGARD 1 G/10 ML IV SOLN (WRAPPER),611.0,611.0,46.46,611.0,119 CDM,0944270003J1569,GAMMAGARD 1 G/10 ML IV SOLN (WRAPPER),1526.0,1526.0,46.46,1526.0,119 CDM,0944270004J1569,IMMUNE GLOBULIN (HUMAN) 5 GM/50ML INJECTION SOLN,3052.0,3052.0,46.46,3052.0,119 CDM,0944270005J1569,IMMUNE GLOBULIN (HUMAN) 10 GM/100ML INJECTION SOLN,6103.0,6103.0,46.46,6103.0,119 CDM,0944270006J1569,IMMUNE GLOBULIN (HUMAN) 20 GM/200ML INJECTION SOLN,12206.0,12206.0,46.46,12206.0,119 CDM,0944270007J1569,GAMMAGARD 1 G/10 ML IV SOLN (WRAPPER),18308.0,18308.0,46.46,18308.0,119 CDM,0944270008J1569,GAMMAGARD 1 G/10 ML IV SOLN (WRAPPER),611.0,611.0,46.46,611.0,119 CDM,0944270009J1569,GAMMAGARD 1 G/10 ML IV SOLN (WRAPPER),1526.0,1526.0,46.46,1526.0,119 CDM,0944270012J1569,GAMMAGARD 1 G/10 ML IV SOLN (WRAPPER),12206.0,12206.0,46.46,12206.0,119 CDM,0944270013J1569,GAMMAGARD 1 G/10 ML IV SOLN (WRAPPER),18308.0,18308.0,46.46,18308.0,119 CDM,0944283401J7192,ANTIHEM FACTOR RECOMB (RFVIII) 12411800 UNITS IV S,8300.0,8300.0,1.54,8300.0,117 CDM,0944284110J7192,ANTIHEM FACTOR RECOMB (RFVIII) 220400 UNITS IV SOL,1646.0,1646.0,1.54,1646.0,113 CDM,0944284210J7192,ANTIHEM FACTOR RECOMB (RFVIII) 401800 UNITS IV SOL,3084.0,3084.0,1.54,3084.0,116 CDM,0944284310J7192,ANTIHEM FACTOR RECOMB (RFVIII) 8011240 UNITS IV SO,6515.0,6515.0,1.54,6515.0,116 CDM,0944284410J7192,ANTIHEM FACTOR RECOMB (RFVIII) 12411800 UNITS IV S,9481.0,9481.0,1.54,9481.0,117 CDM,0944284510J7192,ANTIHEM FACTOR RECOMB (RFVIII) 18012400 UNITS IV S,14705.0,14705.0,1.54,14705.0,117 CDM,0944288401J0257,ALPHA1PROTEINASE INHIBITOR 1000 MG/50ML IV SOLN,2220.0,2220.0,5.51,2220.0,119 CDM,0944304510J7192,ANTIHEMOPHIL FACTOR (RAHFPFM) 2000 UNITS IV SOLR,13128.0,13128.0,1.54,13128.0,117 CDM,0944305102J7192,ANTIHEMOPHIL FACTOR (RAHFPFM) 250 UNITS IV SOLR,1425.0,1425.0,1.54,1425.0,113 CDM,0944305103J7192,ANTIHEMOPHIL FACTOR (RAHFPFM) 250 UNITS IV SOLR,1425.0,1425.0,1.54,1425.0,113 CDM,0944305202J7192,ANTIHEMOPHIL FACTOR (RAHFPFM) 500 UNITS IV SOLR,3335.0,3335.0,1.54,3335.0,116 CDM,0944305203J7192,ANTIHEMOPHIL FACTOR (RAHFPFM) 500 UNITS IV SOLR,3420.0,3420.0,1.54,3420.0,116 CDM,0944305302J7192,ANTIHEMOPHIL FACTOR (RAHFPFM) 1000 UNITS IV SOLR,6978.0,6978.0,1.54,6978.0,117 CDM,0944417705J2724,PROTEIN C CONCENTRATE (HUMAN) 500 UNITS IV SOLR,2700.0,2700.0,15.01,2700.0,119 CDM,0944500101J7188,ANTIHEMOPHILIC FACTOR RPFVIII 500 UNITS IV SOLR,5310.0,5310.0,3.23,5310.0,116 CDM,0955100310J1650,ENOXAPARIN SODIUM 30 MG/0.3ML INJECTION SOSY,24.0,24.0,0.53,24.0,112 CDM,0955100401J1650,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,31.0,31.0,0.53,31.0,112 CDM,0955100410J1650,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,31.0,31.0,0.53,31.0,112 CDM,0955100601J1650,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,47.0,47.0,0.53,47.0,112 CDM,0955100610J1650,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,47.0,47.0,0.53,47.0,112 CDM,0955100801J1650,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,62.0,62.0,0.53,62.0,112 CDM,0955100810J1650,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,62.0,62.0,0.53,62.0,112 CDM,0955101010J1650,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,77.0,77.0,0.53,77.0,112 CDM,0955101201J1650,ENOXAPARIN SODIUM 120 MG/0.8ML INJECTION SOSY,93.0,93.0,0.53,93.0,112 CDM,0955101210J1650,ENOXAPARIN SODIUM 120 MG/0.8ML INJECTION SOSY,93.0,93.0,0.53,93.0,112 CDM,0955101501J1650,ENOXAPARIN SODIUM 150 MG/ML INJECTION SOSY,116.0,116.0,0.53,116.0,112 CDM,0955101510J1650,ENOXAPARIN SODIUM 150 MG/ML INJECTION SOSY,116.0,116.0,0.53,116.0,112 CDM,0955101601J1650,ENOXAPARIN SODIUM 300 MG/3ML INJECTION SOLN,231.0,231.0,0.53,231.0,112 CDM,0955102001J9171,DOCETAXEL 20 MG/ML IV CONC,393.0,393.0,0.38,393.0,112 CDM,0955102104J9171,DOCETAXEL 80 MG/4ML IV CONC,1566.0,1566.0,0.38,1566.0,112 CDM,0990707426J3480,POTASSIUM CHLORIDE 10 MEQ/100ML IV SOLN,18.0,18.0,0.1,18.0,112 CDM,0990707526J3480,POTASSIUM CHLORIDE 20 MEQ/100ML IV SOLN,18.0,18.0,0.1,18.0,112 CDM,0990707714J3480,POTASSIUM CHLORIDE 20 MEQ/50ML IV SOLN,18.0,18.0,0.1,18.0,112 CDM,0990707726J3480,POTASSIUM CHLORIDE 40 MEQ/100ML IV SOLN,19.0,19.0,0.1,19.0,112 CDM,0990711509J3480,KCL (POTASSIUM CHLORIDE) IN NACL 200.9 MEQ/L IV S,24.0,24.0,0.1,24.0,112 CDM,0990711807A4216,STERILE WATER FOR INJECTION SOLN,18.0,18.0,0.71,18.0,111 CDM,0990782808J7120,LACTATED RINGERS IRRIGATION SOLN,45.0,45.0,2.38,45.0,112 CDM,0990790509J3480,POTASSIUM CL IN DEXTROSE 5 20 MEQ/L IV SOLN,27.0,27.0,0.1,27.0,112 CDM,0990792202J7060,DEXTROSE 5 IV SOLN,19.0,19.0,1.75,19.0,112 CDM,0990792203J7060,DEXTROSE 5 IV SOLN,20.0,20.0,1.75,20.0,112 CDM,0990792209J7070,DEXTROSE 5 IV SOLN BOLUS,39.0,39.0,2.94,39.0,112 CDM,0990792253J7060,DEXTROSE 5 IV SOLN,19.0,19.0,1.75,19.0,112 CDM,0990792261J7060,DEXTROSE 5 IV SOLN,57.0,57.0,1.75,57.0,112 CDM,0990792313J7060,DEXTROSE 5 IV SOLN,9.0,9.0,1.22,9.0,112 CDM,0990792323J7060,DEXTROSE 5 IV SOLN,8.0,8.0,1.08,8.0,112 CDM,0990792336J7060,DEXTROSE 5 IV SOLN,8.0,8.0,1.08,8.0,112 CDM,0990792337J7060,DEXTROSE 5 IV SOLN,8.0,8.0,1.08,8.0,112 CDM,0990794103J7042,DEXTROSESODIUM CHLORIDE 50.9 IV SOLN,20.0,20.0,1.18,20.0,112 CDM,0990794109J7042,DEXTROSESODIUM CHLORIDE 50.9 IV SOLN,18.0,18.0,1.18,18.0,112 CDM,0990795302J7120,LACTATED RINGERS IV SOLN FLUSH (NONINTEROP),20.0,20.0,2.38,20.0,112 CDM,0990795303J7120,LACTATED RINGERS IV SOLN,20.0,20.0,2.38,20.0,112 CDM,0990795309J7120,LACTATED RINGERS IV SOLN,18.0,18.0,2.38,18.0,112 CDM,0990798302J7030,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),20.0,20.0,1.99,20.0,112 CDM,0990798302J7050,SODIUM CHLORIDE 0.9 IV SOLN,20.0,20.0,0.63,20.0,112 CDM,0990798303J7040,SODIUM CHLORIDE 0.9 LARGE VOLUME FLUSH (NONINTERO,20.0,20.0,1.25,20.0,112 CDM,0990798309J7030,SODIUM CHLORIDE 0.9 LARGE VOLUME FLUSH (NONINTERO,18.0,18.0,1.99,18.0,112 CDM,0990798361J7030,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),19.0,19.0,1.99,19.0,112 CDM,0990798361J7050,SODIUM CHLORIDE 0.9 IV SOLN,19.0,19.0,0.63,19.0,112 CDM,0990798413J7030,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),9.0,9.0,1.22,9.0,112 CDM,0990798413J7050,SODIUM CHLORIDE 0.9 IV SOLN,9.0,9.0,0.63,9.0,112 CDM,0990798420J7050,SODIUM CHLORIDE 0.9 IV SOLN,9.0,9.0,0.63,9.0,112 CDM,0990798423J7030,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),9.0,9.0,1.22,9.0,112 CDM,0990798423J7050,SODIUM CHLORIDE 0.9 IV SOLN,9.0,9.0,0.63,9.0,112 CDM,0990798437J7030,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),7.0,7.0,0.95,7.0,112 CDM,0990799009A4216,STERILE WATER FOR INJECTION SOLN,18.0,18.0,0.71,18.0,111 CDM,0990925739J3480,POTASSIUM CHLORIDE IN NACL 200.45 MEQ/L IV SOLN (,24.0,24.0,0.1,24.0,112 CDM,1.35331E 14,TETANUSDIPHTHERIA TOXOIDS TD 22 LF/0.5ML IM SUSP,101.0,101.0,10.0,101.0,230 CDM,1.35333E 14,RABIES IMMUNE GLOBULIN 1500 UNIT/5ML INJECTION SOL,12158.5,12158.5,10.0,12249.0,244 CDM,1.35333E 14,RABIES IMMUNE GLOBULIN 300 UNIT/ML INJECTION SOLN,2432.0,2432.0,10.0,2450.0,244 CDM,1.35333E 14,RABIES IMMUNE GLOBULIN 900 UNIT/3ML INJECTION SOLN,7350.0,7350.0,10.0,7350.0,122 CDM,1.35336E 14,HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5ML IM SOSY,319.0,319.0,10.0,414.64,122 CDM,1.35336E 14,HEPATITIS B IMMUNE GLOBULIN 220 UNIT/ML IM SOLN,1741.0,1741.0,10.0,2881.0,366 CDM,1.95158E 14,FLULAVAL QUADRIVALENT 0.5 ML IM SUSY,68.0,68.0,10.0,75.48,124 CDM,1.95158E 14,INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY,71.0,71.0,10.0,78.81,248 CDM,1001905561J1805,ESMOLOL HCLSODIUM CHLORIDE 2500 MG/250ML IV SOLN,486.0,486.0,0.21,486.0,112 CDM,1001907587J1805,ESMOLOL HCLSODIUM CHLORIDE 2000 MG/100ML IV SOLN,1815.0,1815.0,0.21,1815.0,112 CDM,1001907901J9059,BENDAMUSTINE HCL 100 MG/4ML IV SOLN,8424.0,8424.0,15.22,8424.0,111 CDM,1001912001J1805,ESMOLOL HCL 100 MG/10ML IV SOLN,44.0,44.0,0.21,44.0,112 CDM,1001912039J1805,ESMOLOL HCL 100 MG/10ML IV SOLN,44.0,44.0,0.21,44.0,112 CDM,1001966610J1805,ESMOLOL HCLSODIUM CHLORIDE 2000 MG/100ML IV SOLN,576.0,576.0,0.21,576.0,112 CDM,1001967210J1805,ESMOLOL HCLSODIUM CHLORIDE 2500 MG/250ML IV SOLN,563.0,563.0,0.21,563.0,112 CDM,1001992501J9208,IFOSFAMIDE 1 G IV SOLR,133.0,133.0,17.96,133.0,112 CDM,1001992582J9208,IFOSFAMIDE 1 G IV SOLR,133.0,133.0,17.96,133.0,112 CDM,1001992602J9208,IFOSFAMIDE 3 G IV SOLR,388.0,388.0,23.5,388.0,112 CDM,1001992616J9208,IFOSFAMIDE 3 G IV SOLR,388.0,388.0,23.5,388.0,112 CDM,1001993525J9075,CYCLOPHOSPHAMIDE 500 MG INJECTION SOLR,792.0,792.0,0.58,792.0,119 CDM,1001993801J9075,CYCLOPHOSPHAMIDE 500 MG INJECTION SOLR,666.0,666.0,0.58,666.0,119 CDM,1001993825J9075,CYCLOPHOSPHAMIDE 500 MG INJECTION SOLR,666.0,666.0,0.58,666.0,119 CDM,1001993901J9075,CYCLOPHOSPHAMIDE 1 G INJECTION SOLR,1332.0,1332.0,0.58,1332.0,119 CDM,1001994201J9075,CYCLOPHOSPHAMIDE 2 G INJECTION SOLR,2664.0,2664.0,0.58,2664.0,119 CDM,1001994325J9075,CYCLOPHOSPHAMIDE 500 MG INJECTION SOLR,1319.0,1319.0,0.58,1319.0,119 CDM,1001995301J9209,MESNA 100 MG/ML IV SOLN,90.0,90.0,1.33,90.0,112 CDM,1001995362J9209,MESNA 100 MG/ML IV SOLN,90.0,90.0,1.33,90.0,112 CDM,1001995501J9075,CYCLOPHOSPHAMIDE 500 MG INJECTION SOLR,1319.0,1319.0,0.58,1319.0,119 CDM,1001995550J9075,CYCLOPHOSPHAMIDE 500 MG INJECTION SOLR,1319.0,1319.0,0.58,1319.0,119 CDM,1001995601J9075,CYCLOPHOSPHAMIDE 1 G INJECTION SOLR,1691.0,1691.0,0.58,1691.0,119 CDM,1001995616J9075,CYCLOPHOSPHAMIDE 1 G INJECTION SOLR,1691.0,1691.0,0.58,1691.0,119 CDM,1001995701J9075,CYCLOPHOSPHAMIDE 2 G INJECTION SOLR,5274.0,5274.0,0.58,5274.0,119 CDM,1001995711J9075,CYCLOPHOSPHAMIDE 2 G INJECTION SOLR,5274.0,5274.0,0.58,5274.0,119 CDM,1001998401J8530,CYCLOPHOSPHAMIDE 50 MG PO TABS,16.0,16.0,0.84,16.0,112 CDM,1001999101J9041,BORTEZOMIB 1 MG/ML IV SOLR (WRAPPER),228.0,228.0,1.59,228.0,112 CDM,1012231310J2404,NICARDIPINE HCL IN NACL 200.86 MG/200ML IV SOLN (,366.0,366.0,0.07,366.0,112 CDM,1012232501J2404,NICARDIPINE 40MG/200ML PREMIX (HUP IR ONLY),732.0,732.0,0.07,732.0,112 CDM,1012262001C9460,CANGRELOR TETRASODIUM 50 MG IV SOLR,3436.0,3436.0,18.71,3436.0,119 CDM,1012262010C9460,CANGRELOR TETRASODIUM 50 MG IV SOLR,3436.0,3436.0,18.71,3436.0,119 CDM,1013577501J7512,PREDNISONE 2.5 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,1013577901J7512,PREDNISONE 50 MG PO TABS,2.0,2.0,0.01,2.0,112 CDM,1014709213J1631,HALOPERIDOL DECANOATE 50 MG/ML IM SOLN,94.0,94.0,3.94,94.0,112 CDM,1014709225J1631,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN,178.0,178.0,3.94,178.0,112 CDM,101851J3285,TREPROSTINIL 100 MG/20ML INJECTION SOLN,3316.0,3316.0,54.48,3316.0,119 CDM,1051130012A9589,HEXAMINOLEVULINATE HCL 100 MG INTRAVESICAL SOLR,4706.0,4706.0,635.31,4706.0,112 CDM,1070200201Q0169,PROMETHAZINE HCL 12.5 MG PO TABS,2.0,2.0,0.09,2.0,111 CDM,1070200301Q0169,PROMETHAZINE HCL 25 MG PO TABS,2.0,2.0,0.09,2.0,111 CDM,11000007,HC PRIVATE GENERAL PAH 1,8264.0,8264.0,544.94,8264.0,69 CDM,1199401101Q9957,PERFLUTREN LIPID MICROSPHERE 6.52 MG/ML IV SUSP,338.0,338.0,40.21,338.0,104 CDM,1199401104Q9957,PERFLUTREN LIPID MICROSPHERE 6.52 MG/ML IV SUSP,338.0,338.0,40.21,338.0,104 CDM,1199401116Q9957,PERFLUTREN LIPID MICROSPHERE 6.52 MG/ML IV SUSP,1286.0,1286.0,40.21,1286.0,104 CDM,12000014,HC SEMIPRIVATE GENERAL PAH 1,7290.0,7290.0,544.94,7290.0,69 CDM,12000015,HC SEMIPRIVATE GENERAL PAH2,8264.0,8264.0,544.94,8264.0,69 CDM,12000022,HC SEMIPRIAVTE GENERAL PAH 3,6691.0,6691.0,544.94,6691.0,69 CDM,12200002,HC SEMIPRIVATE OB PAH 1,5900.0,5900.0,544.94,5900.0,69 CDM,12400001,HC SEMIPRIVATE PSYCHIATRIC PAH 1,7290.0,7290.0,544.94,7290.0,76 CDM,1249601001Q9991,BUPRENORPHINE ER 100 MG/0.5ML SC SOSY,7260.0,7260.0,980.1,7260.0,119 CDM,1249601005Q9991,BUPRENORPHINE ER 100 MG/0.5ML SC SOSY,7260.0,7260.0,980.1,7260.0,119 CDM,1249603001Q9992,BUPRENORPHINE ER 300 MG/1.5ML SC SOSY,7260.0,7260.0,980.1,7260.0,119 CDM,1249603005Q9992,BUPRENORPHINE ER 300 MG/1.5ML SC SOSY,7260.0,7260.0,980.1,7260.0,119 CDM,1353360250J7197,ANTITHROMBIN III (HUMAN) 500 UNITS IV SOLR,8496.0,8496.0,3.96,8496.0,119 CDM,1353360612J7197,ANTITHROMBIN III (HUMAN) 500 UNITS IV SOLR,9095.0,9095.0,3.96,9095.0,119 CDM,1353363402J1670,TETANUS IMMUNE GLOBULIN 250 UNIT/ML IM SOSY,2337.0,2337.0,315.5,2337.0,119 CDM,1353363420J1670,TETANUS IMMUNE GLOBULIN 250 UNIT/ML IM SOSY,2337.0,2337.0,315.5,2337.0,119 CDM,1353380012J1561,IMMUNE GLOBULIN (HUMAN) 1 GM/10ML INJECTION SOLN,511.0,511.0,48.03,511.0,119 CDM,1353380013J1561,IMMUNE GLOBULIN (HUMAN) 1 GM/10ML INJECTION SOLN,511.0,511.0,48.03,511.0,119 CDM,1353380015J1561,GAMUNEXC 1 G/10 ML IV SOLN (WRAPPER),1276.0,1276.0,48.03,1276.0,119 CDM,1353380020J1561,GAMUNEXC 1 G/10 ML IV SOLN (WRAPPER),2552.0,2552.0,48.03,2552.0,119 CDM,1353380021J1561,GAMUNEXC 1 G/10 ML IV SOLN (WRAPPER),2552.0,2552.0,48.03,2552.0,119 CDM,1353380024J1561,GAMUNEXC 1 G/10 ML IV SOLN (WRAPPER),10206.0,10206.0,48.03,10206.0,119 CDM,1353380025J1561,GAMUNEXC 1 G/10 ML IV SOLN (WRAPPER),10206.0,10206.0,48.03,10206.0,119 CDM,1353380040J1561,GAMUNEXC 1 G/10 ML IV SOLN (WRAPPER),20412.0,20412.0,48.03,20412.0,119 CDM,1353380071J1561,GAMUNEXC 1 G/10 ML IV SOLN (WRAPPER),5103.0,5103.0,48.03,5103.0,119 CDM,1353380072J1561,GAMUNEXC 1 G/10 ML IV SOLN (WRAPPER),5103.0,5103.0,48.03,5103.0,119 CDM,1366859180J8501,APREPITANT 40 MG PO CAPS,330.0,330.0,2.72,330.0,112 CDM,1366859181J8501,APREPITANT 40 MG PO CAPS,330.0,330.0,2.72,330.0,112 CDM,1366859182J8501,APREPITANT 40 MG PO CAPS,330.0,330.0,2.72,330.0,112 CDM,1366859283J8501,APREPITANT 80 MG PO CAPS,612.0,612.0,2.72,612.0,112 CDM,1366859284J8501,APREPITANT 80 MG PO CAPS,612.0,612.0,2.72,612.0,112 CDM,1366859285J8501,APREPITANT 80 MG PO CAPS,612.0,612.0,2.72,612.0,112 CDM,1366859286J8501,APREPITANT 80 MG PO CAPS,612.0,612.0,2.72,612.0,112 CDM,1366859386J8501,APREPITANT 125 MG PO CAPS,956.0,956.0,2.72,956.0,112 CDM,1392516604J7510,PREDNISOLONE SODIUM PHOSPHATE 6.7 (5 BASE) MG/5ML,295.0,295.0,0.27,295.0,112 CDM,1392551510S0080,PENTAMIDINE ISETHIONATE 300 MG INJECTION SOLR,542.0,542.0,73.17,542.0,111 CDM,1392552201J2545,PENTAMIDINE ISETHIONATE 300 MG INHALATION SOLR,542.0,542.0,69.73,542.0,111 CDM,1478910205J3246,TIROFIBAN HCL IN NACL 12.50.9 MG/250ML IV SOLN,600.0,600.0,3.43,600.0,112 CDM,1478910210J3246,TIROFIBAN HCL IN NACL 12.50.9 MG/250ML IV SOLN,600.0,600.0,3.43,600.0,112 CDM,1478910705J3480,POTASSIUM CHLORIDE 20 MEQ/50ML IV SOLN,90.0,90.0,0.1,90.0,112 CDM,1478910708J3480,POTASSIUM CHLORIDE 20 MEQ/50ML IV SOLN,90.0,90.0,0.1,90.0,112 CDM,1478910910J3480,POTASSIUM CHLORIDE 10 MEQ/100ML IV SOLN,144.0,144.0,0.1,144.0,112 CDM,1478910916J3480,POTASSIUM CHLORIDE 10 MEQ/100ML IV SOLN,144.0,144.0,0.1,144.0,112 CDM,1478911008J1953,LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN,51.0,51.0,0.04,51.0,112 CDM,1478911605J1364,ERYTHROMYCIN LACTOBIONATE 500 MG IV SOLR,720.0,720.0,20.16,720.0,112 CDM,1478911607J1364,ERYTHROMYCIN LACTOBIONATE 500 MG IV SOLR,720.0,720.0,20.16,720.0,112 CDM,1478912105J2440,PAPAVERINE HCL 30 MG/ML INJECTION SOLN,135.0,135.0,18.23,135.0,111 CDM,1478912107J2440,PAPAVERINE HCL 30 MG/ML INJECTION SOLN,135.0,135.0,18.23,135.0,111 CDM,1478913705J3480,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,76.0,76.0,0.1,76.0,112 CDM,1478913707J3480,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,76.0,76.0,0.1,76.0,112 CDM,1478922008J1953,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN,78.0,78.0,0.04,78.0,112 CDM,1478922010J1953,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN,78.0,78.0,0.04,78.0,112 CDM,1478933008J1953,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN,103.0,103.0,0.04,103.0,112 CDM,1478933015J1953,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN,103.0,103.0,0.04,103.0,112 CDM,1478970002J0780,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,65.0,65.0,2.31,65.0,112 CDM,1478990002J2690,PROCAINAMIDE HCL 500 MG/ML INJECTION SOLN,2160.0,2160.0,183.03,2160.0,119 CDM,1478990007J2690,PROCAINAMIDE HCL 500 MG/ML INJECTION SOLN,2160.0,2160.0,183.03,2160.0,119 CDM,1478990107J2690,PROCAINAMIDE HCL 100 MG/ML INJECTION SOLN,2160.0,2160.0,183.03,2160.0,119 CDM,1505400431J9205,IRINOTECAN HCL LIPOSOME 43 MG/10ML IV INJ,10206.0,10206.0,64.22,10206.0,119 CDM,1505410604J1930,LANREOTIDE ACETATE 60 MG/0.2ML SC SOLN,21917.0,21917.0,35.39,21917.0,119 CDM,1505410904J1930,LANREOTIDE ACETATE 90 MG/0.3ML SC SOLN,29189.0,29189.0,35.39,29189.0,119 CDM,1505411204J1930,SOMATULINE DEPOT 120 MG/0.5ML SC SOLN,34424.0,34424.0,35.39,34424.0,119 CDM,1657181641J8700,TEMOZOLOMIDE 5 MG PO CAPS,44.0,44.0,0.27,44.0,112 CDM,1657181741J8700,TEMOZOLOMIDE 20 MG PO CAPS,173.0,173.0,0.27,173.0,112 CDM,1671400601J1650,ENOXAPARIN SODIUM 30 MG/0.3ML INJECTION SOSY,21.0,21.0,0.53,21.0,112 CDM,1671400610J1650,ENOXAPARIN SODIUM 30 MG/0.3ML INJECTION SOSY,21.0,21.0,0.53,21.0,112 CDM,1671401601J1650,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,29.0,29.0,0.53,29.0,112 CDM,1671401610J1650,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,29.0,29.0,0.53,29.0,112 CDM,1671401805J7626,BUDESONIDE 0.25 MG/2ML INHALATION SUSP,29.0,29.0,1.05,29.0,112 CDM,1671401830J7626,BUDESONIDE 0.25 MG/2ML INHALATION SUSP,29.0,29.0,1.05,29.0,112 CDM,1671401905J7626,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,34.0,34.0,1.05,34.0,112 CDM,1671401930J7626,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,34.0,34.0,1.05,34.0,112 CDM,1671402601J1650,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,43.0,43.0,0.53,43.0,112 CDM,1671402610J1650,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,43.0,43.0,0.53,43.0,112 CDM,1671402701J9206,IRINOTECAN HCL 40 MG/2ML IV SOLN,118.0,118.0,1.4,118.0,112 CDM,1671403601J1650,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,58.0,58.0,0.53,58.0,112 CDM,1671403610J1650,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,58.0,58.0,0.53,58.0,112 CDM,1671404001J3030,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOAJ,338.0,338.0,25.5,338.0,111 CDM,1671404601J1650,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,71.0,71.0,0.53,71.0,112 CDM,1671404610J1650,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,71.0,71.0,0.53,71.0,112 CDM,1671404701Q0161,CHLORPROMAZINE HCL 10 MG PO TABS,13.0,13.0,0.33,13.0,111 CDM,1671404801Q0161,CHLORPROMAZINE HCL 25 MG PO TABS,23.0,23.0,0.33,23.0,111 CDM,1671404901J3230,CHLORPROMAZINE HCL 50 MG PO TABS,31.0,31.0,4.19,56.1,112 CDM,1671405001Q0161,CHLORPROMAZINE HCL 100 MG PO TABS,44.0,44.0,0.33,44.0,111 CDM,1671405101Q0161,CHLORPROMAZINE HCL 200 MG PO TABS,68.0,68.0,0.33,68.0,111 CDM,1671405601J1650,ENOXAPARIN SODIUM 120 MG/0.8ML INJECTION SOSY,87.0,87.0,0.53,87.0,112 CDM,1671405610J1650,ENOXAPARIN SODIUM 120 MG/0.8ML INJECTION SOSY,87.0,87.0,0.53,87.0,112 CDM,1671406601J1650,ENOXAPARIN SODIUM 150 MG/ML INJECTION SOSY,106.0,106.0,0.53,106.0,112 CDM,1671406610J1650,ENOXAPARIN SODIUM 150 MG/ML INJECTION SOSY,106.0,106.0,0.53,106.0,112 CDM,1671407001J9395,FULVESTRANT 250 MG/5ML IM SOSY,2994.0,2994.0,5.72,2994.0,112 CDM,1671407002J9395,FULVESTRANT 250 MG/5ML IM SOSY,2994.0,2994.0,5.72,2994.0,112 CDM,1671409801J7507,TACROLIMUS 0.5 MG PO CAPS,7.0,7.0,0.15,7.0,112 CDM,1671409901J7507,TACROLIMUS 1 MG PO CAPS,14.0,14.0,0.15,14.0,112 CDM,1671411902J7682,TOBRAMYCIN 300 MG/5ML INHALATION NEBU,403.0,403.0,12.47,403.0,112 CDM,1671411903J7682,TOBRAMYCIN 300 MG/5ML INHALATION NEBU,403.0,403.0,12.47,403.0,112 CDM,1671413001J3301,TRIAMCINOLONE ACETONIDE 40 MG/ML INJECTION SUSP,31.0,31.0,0.74,31.0,112 CDM,1671413025J3301,TRIAMCINOLONE ACETONIDE 40 MG/ML INJECTION SUSP,31.0,31.0,0.74,31.0,112 CDM,1671413101J9206,IRINOTECAN HCL 100 MG/5ML IV SOLN,183.0,183.0,1.4,183.0,112 CDM,1671413701J9267,PACLITAXEL 300 MG/50ML IV CONC,330.0,330.0,0.1,330.0,112 CDM,1671414001J3301,TRIAMCINOLONE ACETONIDE 40 MG/ML INJECTION SUSP,164.0,164.0,0.74,164.0,112 CDM,1671415901Q0162,ONDANSETRON HCL 4 MG PO TABS,73.0,73.0,0.01,73.0,112 CDM,1671416001Q0162,ONDANSETRON HCL 8 MG PO TABS,117.0,117.0,0.01,117.0,112 CDM,1671418701J7520,SIROLIMUS 0.5 MG PO TABS,26.0,26.0,0.96,26.0,112 CDM,1671418801J7520,SIROLIMUS 1 MG PO TABS,51.0,51.0,0.96,51.0,112 CDM,1671420010Q0162,ONDANSETRON 4 MG PO TBDP,68.0,68.0,0.01,68.0,112 CDM,1671420030Q0162,ONDANSETRON 4 MG PO TBDP,68.0,68.0,0.01,68.0,112 CDM,1671420110Q0162,ONDANSETRON 8 MG PO TBDP,116.0,116.0,0.01,116.0,112 CDM,1671420130Q0162,ONDANSETRON 8 MG PO TBDP,113.0,113.0,0.01,113.0,112 CDM,1671424701J3370,VANCOMYCIN HCL 500 MG IV SOLR,19.0,19.0,1.86,19.0,111 CDM,1671424710J3370,VANCOMYCIN HCL 500 MG IV SOLR,19.0,19.0,1.86,19.0,111 CDM,1671424801J1453,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR,1017.0,1017.0,0.11,1017.0,112 CDM,1671430901J3370,VANCOMYCIN HCL 1 G IV SOLR,58.0,58.0,1.86,58.0,111 CDM,1671430910J3370,VANCOMYCIN HCL 1 G IV SOLR,58.0,58.0,1.86,58.0,111 CDM,1671452801J2704,PROPOFOL 200 MG/20ML IV EMUL,19.0,19.0,0.08,19.0,112 CDM,1671452810J2704,PROPOFOL 200 MG/20ML IV EMUL,19.0,19.0,0.08,19.0,112 CDM,1671452820J2704,PROPOFOL 200 MG/20ML IV EMUL,10.0,10.0,0.08,10.0,112 CDM,1671453401J0750,EMTRICITABINETENOFOVIR DF 200300 MG PO TABS,211.0,211.0,1.34,211.0,119 CDM,1671453601J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),11.0,11.0,0.38,11.0,112 CDM,1671453625J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),11.0,11.0,0.38,11.0,112 CDM,1671455601J0153,ADENOSINE 3 MG/ML IV SOLN (CATH LAB INFUSION),378.0,378.0,0.32,378.0,112 CDM,1671464401J3490,DOXYCYCLINE HYCLATE 100 MG IV SOLR,84.0,84.0,11.34,84.0,111 CDM,1671464410J3490,DOXYCYCLINE HYCLATE 100 MG IV SOLR,84.0,84.0,11.34,84.0,111 CDM,1671467102Q0162,ONDANSETRON HCL 4 MG/5ML PO SOLN,719.0,719.0,0.01,719.0,112 CDM,1671469001J2704,PROPOFOL 1000 MG/100ML IV EMUL,78.0,78.0,0.08,78.0,112 CDM,1671469010J2704,PROPOFOL 1000 MG/100ML IV EMUL,78.0,78.0,0.08,78.0,112 CDM,1671469601J1450,FLUCONAZOLE 40 MG/ML PO SUSR,389.0,389.0,2.39,389.0,112 CDM,1671481501J3489,ZOLEDRONIC ACID 4 MG/5ML IV CONC,1763.0,1763.0,5.08,1763.0,112 CDM,1671483401J2469,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,1121.0,1121.0,0.34,1121.0,112 CDM,1671485701J9075,CYCLOPHOSPHAMIDE 1 G INJECTION SOLR,2477.0,2477.0,0.58,2477.0,119 CDM,1671488601J9040,BLEOMYCIN SULFATE 15 UNITS INJECTION SOLR,142.0,142.0,19.17,142.0,112 CDM,1671488901J1335,ERTAPENEM SODIUM 1 G INJECTION SOLR,438.0,438.0,9.02,438.0,112 CDM,1671488910J1335,ERTAPENEM SODIUM 1 G INJECTION SOLR,438.0,438.0,9.02,438.0,112 CDM,1671489201J0878,DAPTOMYCIN 500 MG IV SOLR,1487.0,1487.0,0.03,1487.0,112 CDM,1671493001J9201,GEMCITABINE HCL 1 G IV SOLR,180.0,180.0,2.87,180.0,112 CDM,1671497701J2704,PROPOFOL 500 MG/50ML IV EMUL,39.0,39.0,0.08,39.0,112 CDM,1671497720J2704,PROPOFOL 500 MG/50ML IV EMUL,39.0,39.0,0.08,39.0,112 CDM,1671499701J0153,ADENOSINE 3 MG/ML IV SOLN (CATH LAB INFUSION),613.0,613.0,0.32,613.0,112 CDM,1672901901J7517,MYCOPHENOLATE MOFETIL 500 MG PO TABS,24.0,24.0,0.15,24.0,112 CDM,1672901916J7517,MYCOPHENOLATE MOFETIL 500 MG PO TABS,24.0,24.0,0.15,24.0,112 CDM,1672904101J7507,TACROLIMUS 0.5 MG PO CAPS,7.0,7.0,0.15,7.0,112 CDM,1672904201J7507,TACROLIMUS 1 MG PO CAPS,14.0,14.0,0.15,14.0,112 CDM,1672904301J7507,TACROLIMUS 5 MG PO CAPS,67.0,67.0,0.15,67.0,112 CDM,1672904854J8700,TEMOZOLOMIDE 5 MG PO CAPS,44.0,44.0,0.27,44.0,112 CDM,1672904953J8700,TEMOZOLOMIDE 20 MG PO CAPS,173.0,173.0,0.27,173.0,112 CDM,1672904954J8700,TEMOZOLOMIDE 20 MG PO CAPS,173.0,173.0,0.27,173.0,112 CDM,1672905053J8700,TEMOZOLOMIDE 100 MG PO CAPS,864.0,864.0,0.27,864.0,112 CDM,1672905054J8700,TEMOZOLOMIDE 100 MG PO CAPS,864.0,864.0,0.27,864.0,112 CDM,1672905153J8700,TEMOZOLOMIDE 250 MG PO CAPS,2159.0,2159.0,0.27,2159.0,112 CDM,1672909401J7517,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,12.0,12.0,0.15,12.0,112 CDM,1672909416J7517,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,12.0,12.0,0.15,12.0,112 CDM,1672910811J9280,MITOMYCIN 20 MG IV SOLR,2124.0,2124.0,25.94,2124.0,119 CDM,1672911408J9181,ETOPOSIDE 500 MG/25ML IV SOLN,171.0,171.0,0.98,171.0,112 CDM,1672911411J9181,ETOPOSIDE 1 GM/50ML IV SOLN,342.0,342.0,0.98,342.0,112 CDM,1672911431J9181,ETOPOSIDE 100 MG/5ML IV SOLN,35.0,35.0,0.98,35.0,112 CDM,1672911505J9280,MITOMYCIN 5 MG IV SOLR,818.0,818.0,25.94,818.0,119 CDM,1672911638J9280,MITOMYCIN 40 MG IV SOLR,4247.0,4247.0,25.94,4247.0,119 CDM,1672915131J9351,TOPOTECAN HCL 4 MG IV SOLR,1075.0,1075.0,1.25,1075.0,112 CDM,1672918929J7518,MYCOPHENOLATE SODIUM 360 MG PO TBEC,28.0,28.0,0.32,28.0,112 CDM,1672922361J9330,TEMSIROLIMUS 25 MG/ML IV SOLN,5733.0,5733.0,20.32,5733.0,119 CDM,1672922405J0894,DECITABINE 50 MG IV SOLR,5852.0,5852.0,0.65,5852.0,112 CDM,1672922903J9296,PEMETREXED DISODIUM 100 MG IV SOLR,364.0,364.0,5.31,364.0,119 CDM,1672923011J9296,PEMETREXED DISODIUM 500 MG IV SOLR,1640.0,1640.0,5.31,1640.0,119 CDM,1672924231J3489,ZOLEDRONIC ACID 4 MG/5ML IV CONC,2515.0,2515.0,5.08,2515.0,112 CDM,1672924331J9351,TOPOTECAN HCL 4 MG/4ML IV SOLN,1558.0,1558.0,1.25,1558.0,112 CDM,1672926129J7518,MYCOPHENOLATE SODIUM 180 MG PO TBEC,14.0,14.0,0.32,14.0,112 CDM,1672926763J9171,DOCETAXEL 20 MG/ML IV CONC,1096.0,1096.0,0.38,1096.0,112 CDM,1672926764J9171,DOCETAXEL 80 MG/4ML IV CONC,4382.0,4382.0,0.38,4382.0,112 CDM,1672927503J0583,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,3412.0,3412.0,0.16,3412.0,112 CDM,1672927567J0583,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,3412.0,3412.0,0.16,3412.0,112 CDM,1672927603J9190,FLUOROURACIL 500 MG/10ML IV SOLN,48.0,48.0,1.72,48.0,112 CDM,1672927605J9190,FLUOROURACIL 1 GM/20ML IV SOLN,87.0,87.0,1.72,87.0,112 CDM,1672927611J9190,FLUOROURACIL 2.5 GM/50ML IV SOLN,104.0,104.0,1.72,104.0,112 CDM,1672927638J9190,FLUOROURACIL 5 GM/100ML IV SOLN,207.0,207.0,1.72,207.0,112 CDM,1672927667J9190,FLUOROURACIL 1 GM/20ML IV SOLN,87.0,87.0,1.72,87.0,112 CDM,1672927668J9190,FLUOROURACIL 500 MG/10ML IV SOLN,48.0,48.0,1.72,48.0,112 CDM,1672927730J9260,METHOTREXATE SODIUM (PF) 50 MG/2ML INJECTION SOLN,15.0,15.0,2.03,15.0,112 CDM,1672927735J9260,METHOTREXATE SODIUM (PF) 1 GM/40ML INJECTION SOLN,124.0,124.0,2.26,124.0,112 CDM,1672928811J9060,CISPLATIN 50 MG/50ML IV SOLN,68.0,68.0,1.95,68.0,112 CDM,1672928838J9060,CISPLATIN 100 MG/100ML IV SOLN,130.0,130.0,1.95,130.0,112 CDM,1672929512J9045,CARBOPLATIN 600 MG/60ML IV SOLN,259.0,259.0,2.11,259.0,112 CDM,1672929534J9045,CARBOPLATIN 450 MG/45ML IV SOLN,234.0,234.0,2.11,234.0,112 CDM,1672929805J2405,ONDANSETRON HCL 40 MG/20ML INJECTION SOLN,29.0,29.0,0.09,29.0,112 CDM,1672930610J9025,AZACITIDINE 100 MG INJECTION SUSR,1853.0,1853.0,0.21,1853.0,112 CDM,1672931008J2501,PARICALCITOL 2 MCG/ML IV SOLN,16.0,16.0,0.67,16.0,112 CDM,1672931063J2501,PARICALCITOL 2 MCG/ML IV SOLN,16.0,16.0,0.67,16.0,112 CDM,1672931108J2501,PARICALCITOL 5 MCG/ML IV SOLN,38.0,38.0,0.67,38.0,112 CDM,1672931130J2501,PARICALCITOL 5 MCG/ML IV SOLN,76.0,76.0,0.67,76.0,112 CDM,1672931163J2501,PARICALCITOL 5 MCG/ML IV SOLN,38.0,38.0,0.67,38.0,112 CDM,1672931193J2501,PARICALCITOL 5 MCG/ML IV SOLN,76.0,76.0,0.67,76.0,112 CDM,1672939130J9196,GEMCITABINE HCL 200 MG/2ML IV SOLN,159.0,159.0,3.82,159.0,112 CDM,1672941903J9196,GEMCITABINE HCL 1 GM/10ML IV SOLN,238.0,238.0,3.82,238.0,112 CDM,1672942333J9196,GEMCITABINE HCL 1.5 GM/15ML IV SOLN,297.0,297.0,3.82,297.0,112 CDM,1672942605J9196,GEMCITABINE HCL 2 GM/20ML IV SOLN,423.0,423.0,3.82,423.0,112 CDM,1672943405J0878,DAPTOMYCIN 350 MG IV SOLR,998.0,998.0,0.03,998.0,112 CDM,1672943445J0878,DAPTOMYCIN 350 MG IV SOLR,998.0,998.0,0.03,998.0,112 CDM,1672943505J0878,DAPTOMYCIN 500 MG IV SOLR,1604.0,1604.0,0.03,1604.0,112 CDM,1672947331J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),97.0,97.0,0.38,97.0,112 CDM,1672947731J2785,REGADENOSON 0.4 MG/5ML IV SOLN,901.0,901.0,2.68,901.0,112 CDM,1672948403J0461,ATROPINE SULFATE 1 MG/10ML INJECTION SOSY,38.0,38.0,0.07,38.0,112 CDM,1672948445J0461,ATROPINE SULFATE 1 MG/10ML INJECTION SOSY,38.0,38.0,0.07,38.0,112 CDM,1672948601J8610,METHOTREXATE SODIUM 2.5 MG PO TABS,13.0,13.0,0.15,13.0,112 CDM,1672950008J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,9.0,9.0,0.39,9.0,111 CDM,1672950030J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,9.0,9.0,0.39,9.0,111 CDM,1672950143J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,12.0,12.0,0.39,12.0,111 CDM,1672950164J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,12.0,12.0,0.39,12.0,111 CDM,1672950203J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,13.0,13.0,0.39,13.0,111 CDM,1672950243J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,13.0,13.0,0.39,13.0,111 CDM,1672951205J0461,ATROPINE SULFATE 8 MG/20ML INJECTION SOLN,252.0,252.0,0.07,252.0,112 CDM,1672951243J0461,ATROPINE SULFATE 8 MG/20ML INJECTION SOLN,252.0,252.0,0.07,252.0,112 CDM,1672952508J0461,ATROPINE SULFATE 0.4 MG/ML INJECTION SOLN (WRAPPER,44.0,44.0,0.07,44.0,112 CDM,1672952563J0461,ATROPINE SULFATE 0.4 MG/ML INJECTION SOLN (WRAPPER,44.0,44.0,0.07,44.0,112 CDM,1672952608J0461,ATROPINE SULFATE 1 MG/ML IV SOLN,68.0,68.0,0.07,68.0,112 CDM,1672952663J0461,ATROPINE SULFATE 1 MG/ML IV SOLN,68.0,68.0,0.07,68.0,112 CDM,1672953308J3420,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,26.0,26.0,0.64,26.0,112 CDM,1672953363J3420,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,26.0,26.0,0.64,26.0,112 CDM,17100000,HC NEWBORN LEVEL 1 ROUTINE PAH 1,11741.0,11741.0,544.94,11741.0,70 CDM,1727170102J7030,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),1.0,1.0,0.14,4.33,112 CDM,1727170102J7050,SODIUM CHLORIDE 0.9 IV SOLN,1.0,1.0,0.14,1.44,112 CDM,1727170103J7050,SODIUM CHLORIDE 0.9 IV SOLN,25.0,25.0,0.63,25.0,112 CDM,1727170105J7050,SODIUM CHLORIDE 0.9 IV SOLN,29.0,29.0,0.63,29.0,112 CDM,1727170106J7040,SODIUM CHLORIDE 0.9 IV SOLN,29.0,29.0,1.25,29.0,112 CDM,1727172003J7060,DEXTROSE 5 IV SOLN (INGREDIENT),28.0,28.0,1.75,28.0,112 CDM,1727172006J7060,DEXTROSE 5 IV SOLN,35.0,35.0,1.75,35.0,112 CDM,17300002,HC NEWBORN LEVEL III SICK BABY PAH 1,14052.0,14052.0,544.94,14052.0,70 CDM,17400002,HC NEWBORN LEVEL IV ICU PAH 1,15078.0,15078.0,544.94,15078.0,70 CDM,1747842020J1920,LABETALOL HCL 5 MG/ML IV SOLN,94.0,94.0,0.29,94.0,112 CDM,1747854050J1171,HYDROMORPHONE HCL PF 500 MG/50ML INJECTION SOLN,383.0,383.0,0.09,383.0,112 CDM,1785675905J7510,PREDNISOLONE 15 MG/5ML PO SOLN (WRAPPER),8.0,8.0,0.27,8.0,112 CDM,1865711701J3473,HYALURONIDASE HUMAN 150 UNIT/ML INJECTION SOLN,201.0,201.0,0.36,201.0,112 CDM,1865711702J3473,HYALURONIDASE HUMAN 150 UNIT/ML INJECTION SOLN,201.0,201.0,0.36,201.0,112 CDM,1865711704J3473,HYALURONIDASE HUMAN 150 UNIT/ML INJECTION SOLN,201.0,201.0,0.36,201.0,112 CDM,20000002,HC INTENSICE CARE GENERAL PAH 1,10201.0,10201.0,544.94,10201.0,69 CDM,20000003,HC INTENSIVE CARE GENERAL PAH 2,12434.0,12434.0,544.94,12434.0,69 CDM,20000004,HC INTENSIVE CARE GENERAL PAH 3,12582.0,12582.0,544.94,12582.0,69 CDM,20600001,HC INTENSIVE CARE INTERMEDIATE ICU PAH 1,10201.0,10201.0,544.94,10201.0,69 CDM,2315519331J0770,COLISTIMETHATE SODIUM (CBA) 150 MG INJECTION SOLR,101.0,101.0,11.39,101.0,112 CDM,2315519341J0770,COLISTIMETHATE SODIUM (CBA) 150 MG INJECTION SOLR,101.0,101.0,11.39,101.0,112 CDM,2315521631J0740,CIDOFOVIR 75 MG/ML IV SOLN,2664.0,2664.0,301.1,2664.0,119 CDM,2315524031J2765,METOCLOPRAMIDE HCL 5 MG/ML INJECTION SOLN,8.0,8.0,1.0,8.0,112 CDM,2315524041J2765,METOCLOPRAMIDE HCL 5 MG/ML INJECTION SOLN,8.0,8.0,1.0,8.0,112 CDM,2315525831J0153,ADENOSINE 3 MG/ML IV SOLN (CATH LAB INFUSION),401.0,401.0,0.32,401.0,112 CDM,2315529031J0278,AMIKACIN SULFATE 500 MG/2ML INJECTION SOLN,27.0,27.0,0.54,27.0,112 CDM,2315529032J0278,AMIKACIN SULFATE 1 GM/4ML INJECTION SOLN,52.0,52.0,0.54,52.0,112 CDM,2315529041J0278,AMIKACIN SULFATE 500 MG/2ML INJECTION SOLN,27.0,27.0,0.54,27.0,112 CDM,2315529042J0278,AMIKACIN SULFATE 1 GM/4ML INJECTION SOLN,52.0,52.0,0.54,52.0,112 CDM,2315529431J0780,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,67.0,67.0,2.31,67.0,112 CDM,2315529441J0780,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,20.0,20.0,2.31,20.0,112 CDM,2315529442J0780,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,21.0,21.0,2.31,21.0,112 CDM,2315531331J1120,ACETAZOLAMIDE SODIUM 500 MG INJECTION SOLR,143.0,143.0,17.23,143.0,112 CDM,2315532631J1742,IBUTILIDE FUMARATE 1 MG/10ML IV SOLN,1119.0,1119.0,151.06,1119.0,119 CDM,2315534533J2704,PROPOFOL 1000 MG/100ML IV EMUL,59.0,59.0,0.08,59.0,112 CDM,2315534543J2704,PROPOFOL 1000 MG/100ML IV EMUL,59.0,59.0,0.08,59.0,112 CDM,2315547331J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),10.0,10.0,0.39,10.0,111 CDM,2315547332J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,13.0,13.0,0.39,13.0,111 CDM,2315547333J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,15.0,15.0,0.39,15.0,111 CDM,2315547341J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,10.0,10.0,0.39,10.0,111 CDM,2315547342J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,13.0,13.0,0.39,13.0,111 CDM,2315547344J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,15.0,15.0,0.39,15.0,111 CDM,2315549731J0780,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,33.0,33.0,2.31,33.0,112 CDM,2315549742J0780,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,33.0,33.0,2.31,33.0,112 CDM,2315552331J0780,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,67.0,67.0,2.31,67.0,112 CDM,2315554731J2405,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,2.0,2.0,0.09,2.0,112 CDM,2315554742J2405,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,2.0,2.0,0.09,2.0,112 CDM,2315554831J2405,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,4.0,4.0,0.09,4.0,112 CDM,2315554842J2405,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,4.0,4.0,0.09,4.0,112 CDM,2315554931J2405,ONDANSETRON HCL 40 MG/20ML INJECTION SOLN,32.0,32.0,0.09,32.0,112 CDM,2315555031J2405,ONDANSETRON HCL 40 MG/20ML INJECTION SOLN,19.0,19.0,0.09,19.0,112 CDM,2315560031J2250,MIDAZOLAM HCL 2 MG/2ML INJECTION SOLN,4.0,4.0,0.13,4.0,112 CDM,2315560041J2250,MIDAZOLAM HCL 2 MG/2ML INJECTION SOLN,4.0,4.0,0.13,4.0,112 CDM,2315560132J2250,MIDAZOLAM HCL 50 MG/10ML INJECTION SOLN,34.0,34.0,0.13,34.0,112 CDM,2315564941J9050,CARMUSTINE 100 MG IV SOLR,1944.0,1944.0,173.64,1944.0,119 CDM,2315568731J2354,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLN,11.0,11.0,0.61,11.0,112 CDM,2315568741J2354,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLN,11.0,11.0,0.61,11.0,112 CDM,2315568831J2354,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLN,15.0,15.0,0.61,15.0,112 CDM,2315568841J2354,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLN,15.0,15.0,0.61,15.0,112 CDM,2315568931J2354,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLN,71.0,71.0,0.61,71.0,112 CDM,2315568941J2354,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLN,71.0,71.0,0.61,71.0,112 CDM,2315574831S0080,PENTAMIDINE ISETHIONATE 300 MG INJECTION SOLR,352.0,352.0,47.52,352.0,111 CDM,2315574841S0080,PENTAMIDINE ISETHIONATE 300 MG INJECTION SOLR,352.0,352.0,47.52,352.0,111 CDM,2315578531J0278,AMIKACIN SULFATE 500 MG/2ML INJECTION SOLN,20.0,20.0,0.54,20.0,112 CDM,2315578541J0278,AMIKACIN SULFATE 500 MG/2ML INJECTION SOLN,20.0,20.0,0.54,20.0,112 CDM,2315578641J0278,AMIKACIN SULFATE 1 GM/4ML INJECTION SOLN,40.0,40.0,0.54,40.0,112 CDM,2315579041J9050,CARMUSTINE 100 MG IV SOLR,1264.0,1264.0,170.64,1264.0,119 CDM,2315580001Q0175,PERPHENAZINE 4 MG PO TABS,8.0,8.0,0.48,8.0,111 CDM,2315580101Q0175,PERPHENAZINE 8 MG PO TABS,9.0,9.0,0.48,9.0,111 CDM,2315583711J7515,CYCLOSPORINE MODIFIED 25 MG PO CAPS,5.0,5.0,0.53,5.0,112 CDM,2315583730J7515,CYCLOSPORINE MODIFIED 25 MG PO CAPS,5.0,5.0,0.53,5.0,112 CDM,2315583911J7502,CYCLOSPORINE MODIFIED 100 MG PO CAPS,17.0,17.0,1.81,17.0,112 CDM,2315583930J7502,CYCLOSPORINE MODIFIED 100 MG PO CAPS,17.0,17.0,1.81,17.0,112 CDM,2315584851J7517,MYCOPHENOLATE MOFETIL 200 MG/ML PO SUSR,4349.0,4349.0,0.15,4349.0,112 CDM,2315587031J9017,ARSENIC TRIOXIDE 12 MG/6ML IV SOLN,575.0,575.0,4.68,575.0,112 CDM,2315587041J9017,ARSENIC TRIOXIDE 12 MG/6ML IV SOLN,575.0,575.0,4.68,575.0,112 CDM,2420100201J0652,LEVOTHYROXINE SODIUM 100 MCG/ML IV SOLN,270.0,270.0,5.14,270.0,112 CDM,2420101020J2515,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLN,4357.0,4357.0,36.26,4357.0,119 CDM,2420101050J2515,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLN,8126.0,8126.0,36.26,8126.0,119 CDM,2420110001J0131,ACETAMINOPHEN 10 MG/ML IV SOLN,39.0,39.0,0.05,39.0,112 CDM,2420110024J0131,ACETAMINOPHEN 10 MG/ML IV SOLN,39.0,39.0,0.05,39.0,112 CDM,2420111001J0131,ACETAMINOPHEN 10 MG/ML IV SOLN,30.0,30.0,0.05,30.0,112 CDM,2420111024J0131,ACETAMINOPHEN 10 MG/ML IV SOLN,30.0,30.0,0.05,30.0,112 CDM,2420140002J0630,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLN,11272.0,11272.0,816.0,11272.0,111 CDM,2420841601J7311,FLUOCINOLONE ACETONIDE 0.59 MG INTRAVITREAL IMPL,68490.0,68490.0,333.23,68490.0,119 CDM,25000003,HC RABIES SHOT (IM),328.0,328.0,10.0,961.93,122 CDM,25000006,HC LOCM 300-399MG/ML IODIN PER ML,5.0,5.0,0.15,5.0,104 CDM,25000011,HC INJECTION DIPYRIDAMOLE 10MG,8.0,8.0,1.08,18.67,112 CDM,25000015,HC TC-99M PENTETAT DX UP TO 75MCI,515.0,515.0,17.98,515.0,111 CDM,25000022,HC MAPS ADMIN PNEUMOCOCCAL VAC,84.0,84.0,10.0,155.34,117 CDM,25000023,HC ADMIN HEPATITIS B VACC,237.0,237.0,20.87,237.0,114 CDM,25000024,HC ADMIN INFLUENZA VIRUS,237.0,237.0,10.0,237.0,117 CDM,25000043,HC HIB VACCINE PRP-OMP IM,171.0,171.0,10.0,171.0,114 CDM,25000049,HC MAPS INJECTION DIPYRIDAMOLE 10MG,12.0,12.0,1.62,18.67,112 CDM,25000051,HC MAPS PNEUMOCOCCAL VACC 23 VAL IM,113.0,113.0,10.0,146.82,124 CDM,25000053,HC MAPS CONIZATION OF CERVIX W/WO FULGURATION,1845.0,1845.0,8.91,1845.0,111 CDM,25000064,HC MAPS RH IGHUMANFULL-DOSE IM,145.0,145.0,10.0,145.0,114 CDM,25000069,HC MAPS 4VHPV VACCINE 3 DOSE IM,490.0,490.0,10.0,490.0,114 CDM,25000071,HC MAPS FLU VIR VAC SPLIT PR 3YR IM,40.0,40.0,6.76,44.4,124 CDM,25000073,HC MAPS FLU VIRUS VACSPLIT <3 YRS.,49.0,49.0,8.28,54.39,124 CDM,25000074,HC MAPS FLU VIRS VACENHNCD IMMUNGN,210.0,210.0,10.0,233.11,124 CDM,25000075,HC MAPS PNEUMOCOCCAL VACC 13 VAL IM,775.0,775.0,10.0,860.27,123 CDM,25000078,HC MAPS IIV4 VACC NO PRSV 3 YRS IM,58.0,58.0,9.8,64.38,124 CDM,25000087,HC MAPS TDAP VACCINE>7 YEARS IM,127.0,127.0,10.0,127.0,115 CDM,25000096,HC MAPS INJECTNALPROSTADIL1.25 MC,16.0,16.0,2.16,23.27,111 CDM,25000100,HC MAPS BOTULINUM TOXN TYPE APER U,15.0,15.0,2.03,19.58,119 CDM,25000103,HC MAPS BETAMETHASONE ACET SOD PHOS,40.0,40.0,5.4,40.0,112 CDM,25000108,HC MAPS METHYLPREDNISOLONE 20MG INJ,14.0,14.0,1.89,14.0,111 CDM,25000109,HC MAPS METHYLPREDNISOLONE 40MG INJ,11.0,11.0,1.49,11.0,111 CDM,25000110,HC MAPS INJ.METHYLPREDNIS.ACE.80MG,20.0,20.0,2.7,20.0,111 CDM,25000111,HC MAPS INJMEDROXYPROGEST1MG,1.0,1.0,0.14,1.22,111 CDM,25000113,HC MAPS TESTOSTERONE CYPIONAT 200MG,16.0,16.0,2.16,16.0,111 CDM,25000114,HC MAPS INJDEXAMTH ACETATE1MG,1.0,1.0,0.14,1.0,111 CDM,25000115,HC MAPS DEXAMETHASONE SODIUM PHOS1,5.0,5.0,0.11,5.0,112 CDM,25000117,HC MAPS GARAMYCN/GENTAMCN INJUPTO8,7.0,7.0,0.95,7.0,112 CDM,25000121,HC MAPS LIDOCAINE,4.0,4.0,0.03,4.0,111 CDM,25000123,HC MAPS METHYLERGONOVIN MALEATE INJ,18.0,18.0,2.43,46.0,112 CDM,25000134,HC MAPS INJ-TRIAMCINOLONE ACETONIDE 10MG,21.0,21.0,0.74,21.0,112 CDM,25000141,HC MAPS INTRAUTERINE COPPER CONTRAC,2410.0,2410.0,325.35,2635.14,115 CDM,25000142,HC MAPS ETONOGESTRL(CONTRCPT)IMPLNT,2675.0,2675.0,361.13,2831.3,115 CDM,25000145,HC MAPS HYALGAN/SUPARTZINTRA-ARTX,210.0,210.0,28.35,210.0,112 CDM,25000146,HC MAPS EUFLEXXA INTRA-ARTICLR INJ,352.0,352.0,47.52,352.0,119 CDM,25000147,HC MAPS ORTHOVISCINTRA-ARTICULR IN,210.0,210.0,28.35,334.71,119 CDM,25000148,HC MAPS SYNVISC/SYNVISC-1IA INJ1M,30.0,30.0,4.05,30.0,119 CDM,25000151,HC MAPS BCG (INTRAVESCL)PER INSTILLATION,250.0,250.0,33.75,250.0,111 CDM,25000157,HC MAPS LEUPROLIDE ACETATE DEPOT 7.5 MG,1522.0,1522.0,155.42,1522.0,119 CDM,25000158,HC MAPS HISTRELIN IMPLANT(VANTAS)5,6000.0,6000.0,810.0,11036.37,111 CDM,25000159,HC MAPS INJECTIONMITOMYCIN5 MG,175.0,175.0,23.63,175.0,119 CDM,25000161,HC MAPS INJ PERFLUTREN LIP MICROSM,183.0,183.0,24.71,183.0,104 CDM,25000165,HC MAPS MIFEPRISTONEORAL200MG,285.0,285.0,35.69,285.0,111 CDM,25000166,HC MAPS MISOPROSTOLORAL200MCG,5.0,5.0,0.68,5.0,111 CDM,25000171,HC MAPS INJECTIONREGADENOSON0.1 MG,105.0,105.0,2.68,105.0,112 CDM,25000172,HC MAPS INJRHO D IMM GLB300MICROG,259.0,259.0,34.97,259.0,112 CDM,25000175,HC MAPS THER INSULIN,190.0,190.0,25.65,190.0,111 CDM,25000183,HC TETANUS VACCINE IM,166.0,166.0,10.0,166.0,115 CDM,25000184,HC FLU VACC PRSV FREE INC ANTIG,70.0,70.0,10.0,107.98,124 CDM,25000186,HC NITRIC OXIDE(PER HR) -NEONATE,879.0,879.0,118.67,879.0,111 CDM,25000209,HC MAPS -HYDROCORISONE SODIUM SUCC I,10.0,10.0,1.35,47.31,112 CDM,25000247,HC MAPS AMINOPHYLLIN 250 MG INJ,11.0,11.0,1.49,22.95,112 CDM,2502110010J0690,CEFAZOLIN SODIUM 500 MG INJECTION SOLR,6.0,6.0,0.81,6.0,112 CDM,2502110110J0690,CEFAZOLIN SODIUM 1 G INJECTION SOLR,6.0,6.0,0.81,6.0,112 CDM,2502110299J0690,CEFAZOLIN SODIUM 10 G INJECTION SOLR,44.0,44.0,0.81,44.0,112 CDM,2502110610J0696,CEFTRIAXONE SODIUM 1 G INJECTION SOLR,9.0,9.0,0.45,9.0,112 CDM,2502110720J0696,CEFTRIAXONE SODIUM 2 G INJECTION SOLR,16.0,16.0,0.45,16.0,112 CDM,2502110910J0694,CEFOXITIN SODIUM 1 G IV SOLR,22.0,22.0,2.97,22.0,112 CDM,2502111020J0694,CEFOXITIN SODIUM 2 G IV SOLR,72.0,72.0,4.45,72.0,112 CDM,2502111506J0736,CLINDAMYCIN PHOSPHATE 900 MG/6ML INJECTION SOLN,18.0,18.0,1.67,18.0,112 CDM,2502111920J0697,CEFUROXIME SODIUM 1.5 G IV SOLR,20.0,20.0,1.89,20.0,112 CDM,2502112120J0692,CEFEPIME HCL 1 G INJECTION SOLR,22.0,22.0,0.87,22.0,112 CDM,2502112166J0692,CEFEPIME HCL 1 G INJECTION SOLR,61.0,61.0,0.87,61.0,112 CDM,2502112250J0692,CEFEPIME HCL 2 G IV SOLR,36.0,36.0,0.87,36.0,112 CDM,2502112720J0713,CEFTAZIDIME 1 G INJECTION SOLR,19.0,19.0,1.47,19.0,112 CDM,2502112850J0713,CEFTAZIDIME 2 G IV SOLR,40.0,40.0,1.47,40.0,112 CDM,2502113182J1836,METRONIDAZOLE 500 MG/100ML IV SOLN,9.0,9.0,0.03,9.0,112 CDM,2502113281J1956,LEVOFLOXACIN IN D5W 250 MG/50ML IV SOLN,26.0,26.0,1.89,26.0,112 CDM,2502113282J1956,LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN,40.0,40.0,1.89,40.0,112 CDM,2502113283J1956,LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN,40.0,40.0,1.89,40.0,112 CDM,2502113610J0290,AMPICILLIN SODIUM 1 G INJECTION SOLR,18.0,18.0,0.49,18.0,112 CDM,2502113720J0290,AMPICILLIN SODIUM 2 G INJECTION SOLR,27.0,27.0,0.49,27.0,112 CDM,2502114220J0295,AMPICILLINSULBACTAM SODIUM 1.5 (10.5) G INJECTION,20.0,20.0,1.33,20.0,112 CDM,2502114330J0295,AMPICILLINSULBACTAM SODIUM 3 (21) G INJECTION SOLR,33.0,33.0,1.33,33.0,112 CDM,2502114499J0295,AMPICILLINSULBACTAM SODIUM 15 (105) G IV SOLR,202.0,202.0,1.33,202.0,112 CDM,2502114610J2700,OXACILLIN SODIUM 1 G INJECTION SOLR,41.0,41.0,0.57,41.0,112 CDM,2502115010J3370,VANCOMYCIN HCL 500 MG IV SOLR,11.0,11.0,1.49,11.0,111 CDM,2502115120J3370,VANCOMYCIN HCL 1 G IV SOLR,19.0,19.0,1.86,19.0,111 CDM,2502115799J3370,VANCOMYCIN HCL 5 G IV SOLR,180.0,180.0,1.86,180.0,111 CDM,2502115899J3370,VANCOMYCIN HCL 10 G IV SOLR,360.0,360.0,1.86,360.0,111 CDM,2502116224J2700,OXACILLIN SODIUM 2 G INJECTION SOLR,81.0,81.0,0.57,81.0,112 CDM,2502117302J0278,AMIKACIN SULFATE 500 MG/2ML INJECTION SOLN,28.0,28.0,0.54,28.0,112 CDM,2502117304J0278,AMIKACIN SULFATE 1 GM/4ML INJECTION SOLN,56.0,56.0,0.54,56.0,112 CDM,2502117415J0878,DAPTOMYCIN 500 MG IV SOLR,87.0,87.0,0.03,87.0,112 CDM,2502117915J0878,DAPTOMYCIN 350 MG IV SOLR,234.0,234.0,0.03,234.0,112 CDM,2502117966J0878,DAPTOMYCIN 350 MG IV SOLR,193.0,193.0,0.03,193.0,112 CDM,2502117967J0878,DAPTOMYCIN 350 MG IV SOLR,193.0,193.0,0.03,193.0,112 CDM,2502118199J2543,PIPERACILLIN SODTAZOBACTAM SO 40.5 (364.5) G IV SO,314.0,314.0,1.09,314.0,112 CDM,2502118466J1450,FLUCONAZOLE IN SODIUM CHLORIDE 2000.9 MG/100ML IV,15.0,15.0,2.03,15.0,112 CDM,2502118467J1450,FLUCONAZOLE IN SODIUM CHLORIDE 4000.9 MG/200ML IV,16.0,16.0,2.16,16.0,112 CDM,2502118482J1450,FLUCONAZOLE IN SODIUM CHLORIDE 2000.9 MG/100ML IV,33.0,33.0,2.39,33.0,112 CDM,2502118487J1450,FLUCONAZOLE IN SODIUM CHLORIDE 4000.9 MG/200ML IV,51.0,51.0,2.39,51.0,112 CDM,2502118510J1570,GANCICLOVIR SODIUM 500 MG/10ML IV SOLN,216.0,216.0,28.74,216.0,112 CDM,2502118984J1455,FOSCARNET SODIUM 6000 MG/250ML IV SOLN,1773.0,1773.0,6.71,1773.0,112 CDM,2502119110J2248,MICAFUNGIN SODIUM 100 MG IV SOLR,674.0,674.0,0.25,674.0,112 CDM,2502119111J2248,MICAFUNGIN SODIUM 100 MG IV SOLR,674.0,674.0,0.25,674.0,112 CDM,2502119410J0637,CASPOFUNGIN ACETATE 50 MG IV SOLR,249.0,249.0,2.27,249.0,112 CDM,2502119510J0637,CASPOFUNGIN ACETATE 70 MG IV SOLR,285.0,285.0,2.27,285.0,112 CDM,2502120110J9209,MESNA 100 MG/ML IV SOLN,72.0,72.0,1.33,72.0,112 CDM,2502120111J9209,MESNA 100 MG/ML IV SOLN,72.0,72.0,1.33,72.0,112 CDM,2502120401J9390,VINORELBINE TARTRATE 10 MG/ML IV SOLN,90.0,90.0,1.96,90.0,112 CDM,2502120405J9390,VINORELBINE TARTRATE 50 MG/5ML IV SOLN,324.0,324.0,1.96,324.0,112 CDM,2502120725J9000,DOXORUBICIN HCL 2 MG/ML IV SOLN,89.0,89.0,2.72,89.0,112 CDM,2502120751J9000,DOXORUBICIN HCL 2 MG/ML IV SOLN,479.0,479.0,2.72,479.0,112 CDM,2502121598J9190,FLUOROURACIL 2.5 GM/50ML IV SOLN,99.0,99.0,1.72,99.0,112 CDM,2502121920J0894,DECITABINE 50 MG IV SOLR,360.0,360.0,0.65,360.0,112 CDM,2502122320J9100,CYTARABINE (PF) 100 MG/ML INJECTION SOLN,74.0,74.0,0.79,74.0,112 CDM,2502122905J9100,CYTARABINE (PF) 20 MG/ML INJECTION SOLN,36.0,36.0,0.79,36.0,112 CDM,2502123002J9206,IRINOTECAN HCL 40 MG/2ML IV SOLN,62.0,62.0,1.4,62.0,112 CDM,2502123005J9206,IRINOTECAN HCL 100 MG/5ML IV SOLN,111.0,111.0,1.4,111.0,112 CDM,2502123310J9263,OXALIPLATIN 50 MG/10ML IV SOLN,90.0,90.0,0.05,90.0,112 CDM,2502123320J9263,OXALIPLATIN 100 MG/20ML IV SOLN,180.0,180.0,0.05,180.0,112 CDM,2502123550J9201,GEMCITABINE HCL 1 G IV SOLR,179.0,179.0,2.87,179.0,112 CDM,2502124110J0594,BUSULFAN 6 MG/ML IV SOLN,1800.0,1800.0,0.89,1800.0,119 CDM,2502124202J9185,FLUDARABINE PHOSPHATE 50 MG IV SOLR (WRAPPER),783.0,783.0,71.65,783.0,112 CDM,2502124410J9041,BORTEZOMIB 1 MG/ML IV SOLR (WRAPPER),252.0,252.0,1.59,252.0,112 CDM,2502124501J9171,DOCETAXEL 20 MG/ML IV CONC,90.0,90.0,0.38,90.0,112 CDM,2502124504J9171,DOCETAXEL 80 MG/4ML IV CONC,306.0,306.0,0.38,306.0,112 CDM,2502125020J9280,MITOMYCIN 5 MG IV SOLR,876.0,876.0,25.94,876.0,119 CDM,2502125150J9280,MITOMYCIN 20 MG IV SOLR,2276.0,2276.0,25.94,2276.0,119 CDM,2502125350J9060,CISPLATIN 50 MG/50ML IV SOLN,101.0,101.0,1.95,101.0,112 CDM,2502125351J9060,CISPLATIN 100 MG/100ML IV SOLN,144.0,144.0,1.95,144.0,112 CDM,2502125416J9171,DOCETAXEL 160 MG/16ML IV SOLN,1229.0,1229.0,0.38,1229.0,112 CDM,2502125517J9267,PACLITAXEL 100 MG/16.7ML IV CONC,109.0,109.0,0.1,109.0,112 CDM,2502125550J9267,PACLITAXEL 300 MG/50ML IV CONC,216.0,216.0,0.1,216.0,112 CDM,2502125861J9245,MELPHALAN HCL 50 MG IV SOLR,720.0,720.0,86.94,720.0,119 CDM,2502130167J0153,ADENOSINE 6 MG/2ML IV SOLN,58.0,58.0,0.32,58.0,112 CDM,2502130168J0153,ADENOSINE 12 MG/4ML IV SOLN,94.0,94.0,0.32,94.0,112 CDM,2502130520J1205,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR,216.0,216.0,29.16,216.0,112 CDM,2502130566J1205,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR,115.0,115.0,15.53,115.0,112 CDM,2502130982J1805,ESMOLOL HCLSODIUM CHLORIDE 2000 MG/100ML IV SOLN,540.0,540.0,0.21,540.0,112 CDM,2502131102J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),8.0,8.0,0.39,8.0,111 CDM,2502131104J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,11.0,11.0,0.39,11.0,111 CDM,2502131110J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,12.0,12.0,0.39,12.0,111 CDM,2502131387J2260,MILRINONE LACTATE IN DEXTROSE 405 MG/200ML IV SOL,115.0,115.0,1.31,115.0,112 CDM,2502131501J2371,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,8.0,8.0,0.01,8.0,108 CDM,2502131598J2371,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,71.0,71.0,0.01,71.0,108 CDM,2502131599J2371,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),36.0,36.0,0.01,36.0,108 CDM,2502131720J1920,LABETALOL HCL 5 MG/ML IV SOLN,13.0,13.0,0.29,13.0,112 CDM,2502131740J1920,LABETALOL HCL 5 MG/ML IV SOLN,29.0,29.0,0.29,29.0,112 CDM,2502131802J0153,ADENOSINE 6 MG/2ML IV SOLN,22.0,22.0,0.32,22.0,112 CDM,2502132104J1939,BUMETANIDE 0.25 MG/ML INJECTION SOLN,9.0,9.0,0.36,9.0,112 CDM,2502132110J1939,BUMETANIDE 0.25 MG/ML INJECTION SOLN,10.0,10.0,0.36,10.0,112 CDM,2502140001J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,9.0,9.0,0.18,9.0,112 CDM,2502140010J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,13.0,13.0,0.18,13.0,112 CDM,2502140030J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,25.0,25.0,0.18,25.0,112 CDM,2502140067J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,9.0,9.0,0.18,9.0,112 CDM,2502140201J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,6.0,6.0,0.18,6.0,112 CDM,2502140210J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,31.0,31.0,0.18,31.0,112 CDM,2502140266J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,10.0,10.0,0.18,10.0,112 CDM,2502140301J1644,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,9.0,9.0,0.18,9.0,112 CDM,2502140304J1644,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,28.0,28.0,0.18,28.0,112 CDM,2502140401J1644,HEPARIN SODIUM (PORCINE) 20000 UNIT/ML INJECTION S,36.0,36.0,0.18,36.0,112 CDM,2502141070J1650,ENOXAPARIN SODIUM 30 MG/0.3ML INJECTION SOSY,10.0,10.0,0.53,10.0,112 CDM,2502141071J1650,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,32.0,32.0,0.53,32.0,112 CDM,2502141076J1650,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,14.0,14.0,0.53,14.0,112 CDM,2502141077J1650,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,22.0,22.0,0.53,22.0,112 CDM,2502141078J1650,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,29.0,29.0,0.53,29.0,112 CDM,2502141170J1650,ENOXAPARIN SODIUM 120 MG/0.8ML INJECTION SOSY,44.0,44.0,0.53,44.0,112 CDM,2502141171J1650,ENOXAPARIN SODIUM 150 MG/ML INJECTION SOSY,48.0,48.0,0.53,48.0,112 CDM,2502141450J0883,ARGATROBAN 50 MG/50ML IV SOLN (WRAPPER),630.0,630.0,0.61,630.0,119 CDM,2502141601J2562,PLERIXAFOR 24 MG/1.2ML SC SOLN,1800.0,1800.0,30.66,1800.0,119 CDM,2502146001J2597,DESMOPRESSIN ACETATE PF 4 MCG/ML INJECTION SOLN,184.0,184.0,3.41,184.0,112 CDM,2502146301J2354,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLN,17.0,17.0,0.61,17.0,112 CDM,2502146810J0650,LEVOTHYROXINE SODIUM 100 MCG IV SOLR,381.0,381.0,5.39,381.0,112 CDM,2502146910J0650,LEVOTHYROXINE SODIUM 200 MCG IV SOLR,686.0,686.0,5.39,686.0,112 CDM,2502150002J3411,THIAMINE HCL 100 MG/ML INJECTION SOLN,36.0,36.0,1.76,36.0,112 CDM,2502150201J3420,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,10.0,10.0,0.64,10.0,112 CDM,2502160103J0706,CAFFEINE CITRATE 60 MG/3ML IV SOLN,72.0,72.0,1.02,72.0,111 CDM,2502160820J2704,PROPOFOL 200 MG/20ML IV EMUL,21.0,21.0,0.08,21.0,112 CDM,2502160850J2704,PROPOFOL 500 MG/50ML IV EMUL,53.0,53.0,0.08,53.0,112 CDM,2502160851J2704,PROPOFOL 1000 MG/100ML IV EMUL,106.0,106.0,0.08,106.0,112 CDM,2502161110J2710,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,31.0,31.0,0.71,31.0,111 CDM,2502161281J3475,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,61.0,61.0,0.41,61.0,112 CDM,2502161282J3475,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,33.0,33.0,0.41,33.0,112 CDM,2502165502J2250,MIDAZOLAM HCL 2 MG/2ML INJECTION SOLN,3.0,3.0,0.13,3.0,112 CDM,2502166110J2250,MIDAZOLAM HCL 50 MG/10ML INJECTION SOLN,14.0,14.0,0.13,14.0,112 CDM,2502167166J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,90.0,90.0,0.05,90.0,112 CDM,2502167167J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,153.0,153.0,0.05,153.0,112 CDM,2502167182J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,140.0,140.0,0.05,140.0,112 CDM,2502167187J2795,ROPIVACAINE 0.2 200ML,279.0,279.0,0.05,279.0,112 CDM,2502167620J2515,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLN,5040.0,5040.0,36.26,5040.0,119 CDM,2502167650J2515,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLN,8100.0,8100.0,36.26,8100.0,119 CDM,2502168171J0476,BACLOFEN 50 MCG/ML INTRATHECAL SOSY,159.0,159.0,21.46,159.0,112 CDM,2502170001J1885,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,14.0,14.0,0.33,14.0,112 CDM,2502170101J1885,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,18.0,18.0,0.33,18.0,112 CDM,2502175110J2470,PANTOPRAZOLE SODIUM 40 MG IV SOLR,13.0,13.0,1.76,13.0,111 CDM,2502175111J2470,PANTOPRAZOLE SODIUM 40 MG IV SOLR,13.0,13.0,1.76,13.0,111 CDM,2502177702J2405,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,7.0,7.0,0.09,7.0,112 CDM,2502178005J1953,LEVETIRACETAM 500 MG/5ML IV SOLN,29.0,29.0,0.04,29.0,112 CDM,2502178305J2469,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,65.0,65.0,0.34,65.0,112 CDM,2502179002J0780,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,20.0,20.0,2.31,20.0,112 CDM,2502179003J0780,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,20.0,20.0,2.31,20.0,112 CDM,2502180601J1630,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLN,18.0,18.0,0.73,18.0,112 CDM,2502181230J0132,ACETYLCYSTEINE 200 MG/ML IV SOLN,360.0,360.0,0.37,360.0,112 CDM,2502181310J0640,LEUCOVORIN CALCIUM 50 MG INJECTION SOLR,36.0,36.0,3.84,36.0,112 CDM,2502181430J0640,LEUCOVORIN CALCIUM 100 MG INJECTION SOLR,72.0,72.0,3.84,72.0,112 CDM,2502181530J0640,LEUCOVORIN CALCIUM 200 MG INJECTION SOLR,144.0,144.0,3.84,144.0,112 CDM,2502181630J0640,LEUCOVORIN CALCIUM 350 MG INJECTION SOLR,252.0,252.0,3.84,252.0,112 CDM,2502182010J1010,METHYLPREDNISOLONE ACETATE 40 MG/ML INJECTION SUSP,258.0,258.0,0.12,258.0,112 CDM,2502182667J3489,ZOLEDRONIC ACID 4 MG/100ML IV SOLN,216.0,216.0,5.08,216.0,112 CDM,2502182682J3489,ZOLEDRONIC ACID 4 MG/100ML IV SOLN,648.0,648.0,5.08,648.0,112 CDM,2502182850J0640,LEUCOVORIN CALCIUM 500 MG INJECTION SOLR,360.0,360.0,3.84,360.0,112 CDM,2502182902J1451,FOMEPIZOLE 1.5 GM/1.5ML IV SOLN,3546.0,3546.0,6.03,3546.0,119 CDM,2502183082J3489,ZOLEDRONIC ACID 5 MG/100ML IV SOLN,1260.0,1260.0,5.08,1260.0,112 CDM,2502183301J1631,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN,144.0,144.0,3.94,144.0,112 CDM,2520800201J3246,TIROFIBAN HCL IN NACL 50.9 MG/100ML IV SOLN,332.0,332.0,3.43,332.0,112 CDM,2520800202J3246,TIROFIBAN HCL IN NACL 12.50.9 MG/250ML IV SOLN,897.0,897.0,3.43,897.0,112 CDM,2520890202J3246,TIROFIBAN HCL IN NACL 12.50.9 MG/250ML IV SOLN,897.0,897.0,3.43,897.0,112 CDM,2535702501J2787,RIBOFLAV5 RIBOFLAV5DEXTRAN 0.146 0.14620 OPHT,16416.0,16416.0,2216.16,16416.0,111 CDM,2535702503J2787,RIBOFLAV5 RIBOFLAV5DEXTRAN 0.146 0.14620 OPHT,16416.0,16416.0,2216.16,16416.0,111 CDM,2568200101J1300,ECULIZUMAB 300 MG/30ML IV SOLN,23483.0,23483.0,224.16,23483.0,111 CDM,2568200701J2840,SEBELIPASE ALFA 20 MG/10ML IV SOLN,36756.0,36756.0,508.46,36756.0,119 CDM,2568202501J1303,RAVULIZUMABCWVZ 300 MG/3ML IV SOLN,23055.0,23055.0,220.59,23055.0,119 CDM,2568202801J1303,RAVULIZUMABCWVZ 1100 MG/11ML IV SOLN,84533.0,84533.0,220.59,84533.0,119 CDM,26000001,HC IV INF TX/DXADD SEQUP TO 1H,425.0,425.0,19.24,425.0,124 CDM,26000002,HC IV INF TX/DXCONCURRENT INF,271.0,271.0,11.43,271.0,114 CDM,26000003,HC IV PUSH INITIAL,528.0,528.0,20.87,705.56,124 CDM,26000004,HC COLLECT BLOOD PORT,258.0,258.0,1.14,441.35,121 CDM,26000005,HC PORTABLE PUMP REFILL,645.0,645.0,75.92,705.56,124 CDM,26000006,HC COLLECT BLOOD PICC/CVC,758.0,758.0,1.14,758.0,121 CDM,26000007,HC HYDRAT IV INF EA ADD HRUPTO8,348.0,348.0,9.0,348.0,124 CDM,26000008,HC HYDRATIONIV INF INITUPTO 1HR,1297.0,1297.0,31.63,1297.0,124 CDM,26000009,HC IV INF EA ADD HR,368.0,368.0,12.29,368.0,124 CDM,26000010,HC IV INF INITITAL 1ST HR,724.0,724.0,39.3,724.0,124 CDM,26000011,HC IV INF EA ADD SEQ INFUS,447.0,447.0,19.24,447.0,124 CDM,26000012,HC IV INF TX/DXCONCURRENT INF,217.0,217.0,11.43,217.0,114 CDM,26000013,HC IV PUSH SAME DRUG ADON,307.0,307.0,41.45,307.0,112 CDM,26000015,HC IV PUSH EA ADDL SEQ,329.0,329.0,13.01,329.0,125 CDM,26000016,HC THER/PROPH/DIAG INJ SC/IM,307.0,307.0,12.7,307.0,124 CDM,26000026,HC MAPS INTRAMSCINJ.ANTIBIOTIC,72.0,72.0,12.17,238.85,125 CDM,26000028,HC THERAP/PROPHYL/DX INJ IV,1297.0,1297.0,20.87,1297.0,125 CDM,26000029,HC INTRAMSCINJ.ANTIBIOTIC,248.0,248.0,12.7,248.0,124 CDM,26000038,HC START IV FOR FLUIDS/MEDS,217.0,217.0,8.08,217.0,109 CDM,26000041,HC APPL ON-BODY INJECTOR FOR TIMED SUBQ INJECTION,519.0,519.0,17.99,519.0,118 CDM,27000002,HC MAPS PESSARY RUBBERANY TYPE,35.0,35.0,4.73,35.0,111 CDM,27000003,HC MAPS PESSARYNON-RUBBER TYPE,75.0,75.0,10.13,75.0,111 CDM,27000010,HC MAPS CAST SUP SHRT LEG FIBERGLASS,60.0,60.0,8.1,60.0,111 CDM,27000012,HC MAPS CAST SUP SHT ARM SPLINT FBRG,59.0,59.0,7.97,59.0,111 CDM,27000014,HC MAPS CAST SUP SHT ARM ADULT FBRGL,88.0,88.0,11.88,88.0,111 CDM,27000016,HC THERMOCOOL PUMP TUBING,300.0,300.0,40.5,300.0,108 CDM,27000017,HC BROCKENBROUGH NEEDLE,1042.0,1042.0,140.67,1042.0,108 CDM,27000018,HC OPTICAL DISK,1300.0,1300.0,175.5,1300.0,108 CDM,27000019,HC PLASMABLADE,1212.0,1212.0,163.62,1212.0,108 CDM,27000056,HC MAPS COLLAGEN IMP URINARY 2.5 ML,730.0,730.0,98.55,730.0,97 CDM,27000060,HC MAPS CAST SUP SHT ARM PED FBRGLAS,59.0,59.0,7.97,59.0,111 CDM,27000061,HC MAPS CAST SUP GAUNTLET FIBERGLASS,40.0,40.0,5.4,40.0,111 CDM,27000062,HC MAPS CAST SUP SHT ARM SPLNT PED F,35.0,35.0,4.73,35.0,111 CDM,27000063,HC MAPS CAST SUP LNG LEG CYLINDER PL,40.0,40.0,5.4,40.0,111 CDM,27000066,HC MAPS CAST SUP SHRT LEG PED FBRGLS,59.0,59.0,7.97,59.0,111 CDM,27000067,HC MAPS CAST SUP SHT LEG SPLNT FBRGL,59.0,59.0,7.97,59.0,111 CDM,27000068,HC MAPS FINGER SPLINT STATIC,10.0,10.0,1.35,10.0,111 CDM,27000069,HC OXYGEN HOURLY,88.0,88.0,11.88,88.0,108 CDM,27000070,HC OXYGEN DISPOSABLE,138.0,138.0,18.63,138.0,108 CDM,27000072,HC VENTILATOR TUBING,448.0,448.0,60.48,448.0,108 CDM,27000074,HC AEROSOL CHANGE-NEONATE,223.0,223.0,30.11,223.0,108 CDM,27000075,HC HUMIDIFER DISP CHANGE,152.0,152.0,20.52,152.0,108 CDM,27000077,HC HIGH FLOW O2 SYSTEM SE,299.0,299.0,40.37,299.0,108 CDM,27000078,HC HIGH FLOW O2 DAILY CHA,220.0,220.0,29.7,220.0,108 CDM,27000079,HC INCENTIVE SPIROMETER,433.0,433.0,36.54,433.0,106 CDM,27000080,HC MINI NEB,6.0,6.0,0.81,6.0,108 CDM,27000081,HC VALVED HOLDNG CHAMBERS FOR MDI-NEONATE,74.0,74.0,9.99,74.0,108 CDM,27000083,HC NIF MANOMETER,81.0,81.0,10.94,81.0,108 CDM,27000084,HC NON-INVASIVE MASK,198.0,198.0,26.73,198.0,108 CDM,27000085,HC PFT MOUTHPIECE/FILTER,4.0,4.0,0.54,4.0,108 CDM,27000087,HC COUGH ASSIST DEVICE,278.0,278.0,37.53,278.0,108 CDM,27000090,HC CF VALVED HOLDNG CHAMB FOR MDI,75.0,75.0,10.13,75.0,108 CDM,27000092,HC EPOPROSTENOL SET UP,168.0,168.0,22.68,168.0,108 CDM,27000095,HC NITRIC OXIDE (PER HOUR),879.0,879.0,118.67,879.0,111 CDM,27000103,HC PEEP VALVE,530.0,530.0,71.55,530.0,108 CDM,27000106,HC NASAL CANNULA,477.0,477.0,64.4,477.0,108 CDM,27000107,HC VENTI MASK,477.0,477.0,64.4,477.0,108 CDM,27000108,HC NON REBREATHING MSK,477.0,477.0,64.4,477.0,108 CDM,27000109,HC AEROSOL VIA MASK,477.0,477.0,64.4,477.0,108 CDM,27000110,HC AEROSOL VIA E-T TUBE,477.0,477.0,64.4,477.0,108 CDM,27000111,HC AEROSOL VIA TRAC COL,477.0,477.0,64.4,477.0,108 CDM,27000112,HC AERO VIA FACE TENT,477.0,477.0,64.4,477.0,108 CDM,27000113,HC OXYGEN-CONT,1467.0,1467.0,198.05,1467.0,108 CDM,27000114,HC OXYGEN-PRN,956.0,956.0,129.06,956.0,108 CDM,27000115,HC MANUAL RESUSCITATION BAG,615.0,615.0,83.03,615.0,108 CDM,27000118,HC E CYLINDERS MIXED GASES,339.0,339.0,45.77,339.0,108 CDM,27000121,HC VENTILATOR TUBING-NEONATE,448.0,448.0,60.48,448.0,108 CDM,27000129,HC COLD NEBULIZER,609.0,609.0,82.22,609.0,106 CDM,27000130,HC COLD NEBULIZER CHANGE,609.0,609.0,82.22,609.0,106 CDM,27000131,HC HUMIDIFIER DISP. CHNG,144.0,144.0,19.44,144.0,109 CDM,27000133,HC EXPIR RESPIR DEVICE-ACCAPELLA,5.0,5.0,0.68,5.0,108 CDM,27000134,HC VAPOTHERM SET-UP-NEONATE,313.0,313.0,42.26,313.0,108 CDM,27000135,HC VAPOTHERM - DAILY-NEONATE,231.0,231.0,31.19,231.0,108 CDM,27000137,HC MAPS CAST/SPLIT,99.0,99.0,13.37,99.0,111 CDM,27000422,HC FEMOSTOP DEVICE,1042.0,1042.0,140.67,1042.0,108 CDM,27000425,HC HMEF,16.0,16.0,2.16,16.0,108 CDM,27000435,HC NASAL CANNULA-NEONATE,477.0,477.0,64.4,477.0,108 CDM,27000436,HC OXYGEN-CONT-NEONATE,991.0,991.0,133.78,991.0,108 CDM,27000437,HC NON-INVASIVE MASK - NEONATE,132.0,132.0,17.82,132.0,108 CDM,27000438,HC EPOPROSTENOL SUBSEQ,168.0,168.0,22.68,168.0,108 CDM,27000443,HC AEROSOL-NEONATE,97.0,97.0,13.1,97.0,108 CDM,27000444,HC OXYGEN DISPOSABLE-NEONATE,313.0,313.0,42.26,313.0,108 CDM,27000480,MRGFUS - ESSENTIAL TREMOR,126863.0,126863.0,17126.51,126863.0,108 CDM,27100001,HC HELIOX HOURLY,114.0,114.0,15.39,114.0,108 CDM,27200222,HC CORDIS MICRO GUIDE CAT,1653.0,1653.0,223.16,1653.0,108 CDM,27200223,HC INTRAVASCULAR IMAGING,4365.0,4365.0,589.28,4365.0,108 CDM,27200224,HC RETRIEVAL DEVICE,1643.0,1643.0,221.81,1643.0,108 CDM,27200225,HC SUTURE DELIVERY DEVICE,54732.0,54732.0,7388.82,54732.0,108 CDM,27200226,HC HELIX-FX GUIDE,8606.0,8606.0,1161.81,8606.0,108 CDM,27200227,HC HELIX-FX APPLIER/ENDOA,23214.0,23214.0,3133.89,23214.0,108 CDM,27200228,HC ATHERECTOMY CATH DIRE,8168.0,8168.0,1102.68,8168.0,111 CDM,27200229,HC CATH TRANSLU ATHERECT,9156.0,9156.0,1236.06,9156.0,111 CDM,27200230,HC CATH TRANSLU ATHERECTO,19698.0,19698.0,2659.23,19698.0,111 CDM,27200231,HC CATH TRANSLU ATHERECTO,4458.0,4458.0,601.83,4458.0,111 CDM,27200232,HC CATH TRANSLU ANGIO N,2539.0,2539.0,342.77,2539.0,111 CDM,27200233,HC CATH TRANSLU ANGIO NON,4942.0,4942.0,667.17,4942.0,111 CDM,27200234,HC CATH TRANSLU ANGIO NON,897.0,897.0,121.1,897.0,111 CDM,27200235,HC CATH TRANSLU ANGIO NON,6082.0,6082.0,821.07,6082.0,111 CDM,27200236,HC CATH BALLOON TISSUE DI,3963.0,3963.0,535.0,3963.0,111 CDM,27200237,HC CATH EP DIAG NOT 3D,16343.0,16343.0,2206.31,16343.0,111 CDM,27200238,HC CATH EP DIAG NOT 3D<19,476.0,476.0,64.26,476.0,111 CDM,27200239,HC CATH EP DIAG NOT 3D<19,1415.0,1415.0,191.03,1415.0,111 CDM,27200240,HC CATHETER EPDIAG NOT,7545.0,7545.0,1018.58,7545.0,111 CDM,27200241,HC CATH EPDIAGNOT 3D 20,4717.0,4717.0,636.8,4717.0,111 CDM,27200242,HC CATH EP DIAG/ABL 3D,12587.0,12587.0,1699.25,12587.0,111 CDM,27200243,HC CATH EP DIAG/ABL 3D VE,897.0,897.0,121.1,897.0,111 CDM,27200244,HC CATH EP DIAG/ABL NOT,12270.0,12270.0,1656.45,12270.0,111 CDM,27200245,HC CATH EP DIAG/ABL NOT 3,1888.0,1888.0,254.88,1888.0,111 CDM,27200246,HC CATH EP DIAG/ABL NOT 3,3774.0,3774.0,509.49,3774.0,111 CDM,27200247,HC CATH EP DIAG/ABL<>3D V,6788.0,6788.0,916.38,6788.0,111 CDM,27200248,HC CATHETER INT-VAS ULTR,6445.0,6445.0,870.08,6445.0,111 CDM,27200249,HC CATHETER THROM/EMBOLE,9340.0,9340.0,1260.9,9340.0,111 CDM,27200250,HC CATHETER THROM/EMBOLE,3468.0,3468.0,468.18,3468.0,111 CDM,27200251,HC CATH INTERCARDIAC ECHO,10890.0,10890.0,1470.15,10890.0,111 CDM,27200252,HC CATH INTERCARDIAC ECHO,11435.0,11435.0,1543.73,11435.0,111 CDM,27200253,HC INTRACARDIAC ECHO CATH,6502.0,6502.0,877.77,6502.0,111 CDM,27200254,HC ANGIOSEAL,1948.0,1948.0,262.98,1948.0,111 CDM,27200255,HC INTRO/SHEATH STRBLE,851.0,851.0,114.89,851.0,111 CDM,27200256,HC INTRO/SHEATHSTRBLE,4189.0,4189.0,565.51,4189.0,111 CDM,27200258,HC GUIDEWIRE 1300,6437.0,6437.0,869.0,6437.0,111 CDM,27200259,HC GUIDEWIRE 700,3468.0,3468.0,468.18,3468.0,111 CDM,27200260,HC GUIDEWIRE 250,1179.0,1179.0,159.17,1179.0,111 CDM,27200261,HC GLIDEWIRE CATHETER,1081.0,1081.0,145.94,1081.0,111 CDM,27200262,HC EMBOLIZATION PROTECTIV,11944.0,11944.0,1612.44,11944.0,111 CDM,27200264,HC CATHETERGUIDING,1949.0,1949.0,263.12,1949.0,111 CDM,27200265,HC LEAD DEL SYS CATH,3681.0,3681.0,496.94,3681.0,111 CDM,27200266,HC INTRO/SHEATHFIXEDPEE,387.0,387.0,52.25,387.0,111 CDM,27200267,HC INTRO/SHEATH FIXEDNO,312.0,312.0,42.12,312.0,111 CDM,27200268,HC INTRODUCER FIXEDNON-P,756.0,756.0,102.06,756.0,111 CDM,27200269,HC INTRO/SHEATH NON GUID,1232.0,1232.0,166.32,1232.0,111 CDM,27200270,HC AORTIC VALVE SHEATH,2756.0,2756.0,372.06,2756.0,111 CDM,27200271,HC CATHTRNSLMN COATED NO,6611.0,6611.0,892.49,6611.0,111 CDM,27200571,HC VAP-BARD CATH-PERPH/CTRL/MIDLN,511.0,511.0,68.98,511.0,108 CDM,27200578,HC INTRODUCER OTHER THAN GUIDE,247.0,247.0,33.34,247.0,94 CDM,27400102,HC MAPS AMBULATORY SURGICAL BOOT EAC,60.0,60.0,8.1,60.0,98 CDM,27400103,HC MAPS WHO COCK-UP NONMOLDE PRE OTS,10.0,10.0,1.69,31.72,108 CDM,27500022,HC LEAD PMKR TRANSVENOU,2903.0,2903.0,391.91,2903.0,103 CDM,27500024,HC PM DUAL CHAMBER RATE,21247.0,21247.0,2868.35,21247.0,108 CDM,27500027,HC PM SINGLE CHAMBER RA,17572.0,17572.0,2372.22,17572.0,108 CDM,27500029,HC ADAPTOR/EXTENSION PAC,6667.0,6667.0,900.05,6667.0,108 CDM,27500030,HC LEAD PM NO TRANSV VD,3131.0,3131.0,422.69,3131.0,103 CDM,27500031,HC LEAD PMKR/AICD COMBIN,33982.0,33982.0,4587.57,33982.0,108 CDM,27500032,HC PM DUAL CHAMB NON-RA,44441.0,44441.0,5999.54,44441.0,108 CDM,27500035,HC PM SINGLE CHAMB NON-,38409.0,38409.0,5185.22,38409.0,108 CDM,27500039,HC PM NOT SINGLE OR DUAL,34852.0,34852.0,4705.02,34852.0,108 CDM,27800015,HC Y-90 SPHERES,55785.0,55785.0,7542.13,56360.76,123 CDM,27800027,HC BRACHYTXNON-STRHDR IR-192,2403.0,2403.0,139.3,2403.0,111 CDM,27800082,HC TRANSCATH STENT CCA W/,10108.0,10108.0,1364.58,10108.0,113 CDM,27800083,HC ANTIBACTERIAL ENVEL,3903.0,3903.0,526.91,3903.0,103 CDM,27800084,HC IMPELLA PERC CIRCLTRY,129646.0,129646.0,17502.21,129646.0,113 CDM,27800085,HC AAA ENDOPROS STENTGRAF,107753.0,107753.0,14546.66,107753.0,110 CDM,27800086,HC DEFIB DUAL CHAMBER I,63685.0,63685.0,8597.48,63685.0,113 CDM,27800088,HC DEFIB SINGLE CHAMBER,58986.0,58986.0,7963.11,58986.0,113 CDM,27800090,HC EVENT RECORDERCARDIAC,22549.0,22549.0,3044.12,22549.0,113 CDM,27800091,HC LEAD AICD ENDO SINGL,17858.0,17858.0,2410.83,17858.0,113 CDM,27800092,HC GRAFT PATCH MESH,1485.0,1485.0,200.48,1485.0,101 CDM,27800093,HC GRAFT PATCH MESH,1415.0,1415.0,191.03,1415.0,101 CDM,27800094,HC SEPTAL OCCLUDER,35619.0,35619.0,4808.57,35619.0,113 CDM,27800095,HC DRUG ELUTING STENT W/D,14107.0,14107.0,1904.45,14107.0,113 CDM,27800096,HC STENT NON-COATEDW/DEL,7791.0,7791.0,1051.79,7791.0,113 CDM,27800097,HC STENT NON-COA/NON-COV,11657.0,11657.0,1573.7,11657.0,113 CDM,27800098,HC STENT NON-COATED BALL,11669.0,11669.0,1575.32,11669.0,113 CDM,27800099,HC IVC FILTER,10803.0,10803.0,1458.41,10803.0,113 CDM,27800100,HC DEFIB NOT SINGLE OR DU,90443.0,90443.0,12209.81,90443.0,113 CDM,27800102,HC LEAD AICD ENDO DUAL,17401.0,17401.0,2349.14,17401.0,113 CDM,27800103,HC LEAD DEFIB NO ENDO 1O,42508.0,42508.0,5738.58,42508.0,113 CDM,27800104,HC SUBCUTANEOUS ARRAY PAT,10420.0,10420.0,1406.7,10420.0,113 CDM,27800105,HC LEAD L VENT COR VENOU,11327.0,11327.0,1529.15,11327.0,113 CDM,27800311,HC MAPS INTRATUBAL OCCLUSION DEVICE,1800.0,1800.0,243.0,1800.0,101 CDM,27800333,HC CATH BRACHYTX SEED ADM,2805.0,2805.0,378.68,2805.0,102 CDM,27800340,HC MICROSPHERES,5764.0,5764.0,778.14,5764.0,108 CDM,27800343,HC INTRAVAS BRACHYTX 1-,19058.0,19058.0,2572.83,19058.0,110 CDM,27800355,HC IRIDUM 192 HDR(NUCLETRON),2403.0,2403.0,139.3,2403.0,111 CDM,27800367,HC CARDIOMEMS SENSOR,64497.0,64497.0,8707.1,64497.0,113 CDM,27800403,HC MAPS SYNTHETIC IMPLNT URINARY 1ML,482.0,482.0,65.07,482.0,97 CDM,28000003,HC CHEMO ADM PERITONEAL C,1621.0,1621.0,17.1,1621.0,125 CDM,30000001,HC URINE PREGNANCY,339.0,339.0,4.0,339.0,122 CDM,30000002,HC HEMOCULT/HEMOPROMPT,132.0,132.0,2.63,132.0,122 CDM,30000005,HC FS GLUCOSE (BLOOD-REAGENT STRI,161.0,161.0,2.0,161.0,122 CDM,30000009,HC URINALYSIS (WITH MICROSCOPY,103.0,103.0,2.41,103.0,122 CDM,30000013,HC COLLECT VENOUS BLOOD BY VENIPU,28.0,28.0,1.14,29.62,118 CDM,30000014,HC COLLECT VENOUS BLOOD BY VENIPU,42.0,42.0,1.14,42.0,118 CDM,30000016,HC DIPSTICK URINE ANALYSIS,26.0,26.0,2.09,26.0,122 CDM,30000052,HC MAPS URINE PREGNANCY,26.0,26.0,3.22,27.31,122 CDM,30000053,HC DRUG ASSAY OF OXCARBAZEPINE,30.0,30.0,2.63,30.0,122 CDM,30000055,HC MAPS URINALYSIS (WITH MICROSCOPY,15.0,15.0,1.86,15.0,122 CDM,30000056,HC MAPS COLLECT VENOUS BLOOD BY VENIPU,35.0,35.0,1.14,35.0,118 CDM,30000068,HC ROUTINE VENIPUNCTURE,38.0,38.0,1.14,38.0,118 CDM,30000069,HC BMP IONIZED CALCIUM PANEL,78.0,78.0,8.24,78.0,122 CDM,30000070,HC BASIC METABOLIC PANEL,460.0,460.0,5.08,460.0,122 CDM,30000071,HC ELECTROLYTE PANEL,275.0,275.0,4.21,275.0,122 CDM,30000072,HC COMPREHENSIVE METABOLIC PANEL,596.0,596.0,6.34,596.0,122 CDM,30000073,HC OBSTETRIC PANEL,690.0,690.0,12.0,690.0,122 CDM,30000074,HC LIPID PANEL,356.0,356.0,8.03,356.0,122 CDM,30000075,HC RENAL FUNCTION PANEL,98.0,98.0,5.21,98.0,122 CDM,30000076,HC ACUTE HEPATITIS PANEL,1162.0,1162.0,28.58,1162.0,122 CDM,30000077,HC HEPATIC FUNCTION PANEL,412.0,412.0,4.9,412.0,122 CDM,30000079,HC DRUG ASSAY OF AMIKACIN,419.0,419.0,9.05,419.0,122 CDM,30000080,HC DRUG ASSAY OF CAFFEINE,401.0,401.0,11.92,401.0,122 CDM,30000081,HC DRUG ASSAY OF CARBAMAZEPINE,105.0,105.0,8.74,105.0,122 CDM,30000082,HC DRUG ASSAY OF CYCLOSPORINE,500.0,500.0,10.83,500.0,122 CDM,30000083,HC DRUG ASSAY OF CLOZAPINE,175.0,175.0,12.09,175.0,122 CDM,30000084,HC DRUG ASSAY OF DIGOXIN,366.0,366.0,7.97,366.0,122 CDM,30000085,HC DRUG ASSAY OF VALPROIC ACID,374.0,374.0,8.12,374.0,122 CDM,30000086,HC DRUG ASSAY OF VALPROIC ACID FREE,158.0,158.0,8.12,158.0,122 CDM,30000087,HC DRUG ASSAY OF VALPROIC ACID TOTAL,158.0,158.0,8.12,158.0,122 CDM,30000088,HC DRUG ASSAY OF ETHOSUXIMIDE,648.0,648.0,9.8,648.0,122 CDM,30000089,HC DRUG ASSAY OF EVEROLIMUS,146.0,146.0,8.24,146.0,122 CDM,30000090,HC DRUG ASSAY OF GENTAMICIN,472.0,472.0,9.83,472.0,122 CDM,30000091,HC DRUG ASSAY OF GABAPENTIN,207.0,207.0,11.17,207.0,122 CDM,30000092,HC DRUG ASSAY OF HALOPERIDOL,796.0,796.0,9.47,796.0,122 CDM,30000093,HC DRUG ASSAY OF LAMOTRIGINE,126.0,126.0,7.95,126.0,122 CDM,30000095,HC DRUG ASSAY OF LIDOCAINE,671.0,671.0,8.81,671.0,122 CDM,30000096,HC DRUG ASSAY OF LEVETIRACETAM,504.0,504.0,7.95,504.0,122 CDM,30000097,HC DRUG ASSAY OF LITHIUM,231.0,231.0,3.97,231.0,122 CDM,30000098,HC DRUG ASSAY OF MYCOPHENOLATE,192.0,192.0,10.83,192.0,122 CDM,30000099,HC DRUG ASSAY OF OXCARBAZEPINE,411.0,411.0,7.95,411.0,122 CDM,30000100,HC DRUG ASSAY OF PHENOBARBITAL,369.0,369.0,9.18,369.0,122 CDM,30000101,HC DRUG ASSAY OF PHENYTOIN,369.0,369.0,7.95,369.0,122 CDM,30000102,HC DRUG ASSAY OF PHENYTOIN FREE,362.0,362.0,8.26,362.0,122 CDM,30000103,HC DRUG ASSAY OF PRIMIDONE,468.0,468.0,9.95,468.0,122 CDM,30000105,HC DRUG ASSAY OF PROCAINAMIDE/ NAPA LEVELS,460.0,460.0,10.05,460.0,122 CDM,30000107,HC DRUG ASSAY OF SIROLIMUS,198.0,198.0,8.24,198.0,122 CDM,30000108,HC DRUG ASSAY OF TACROLIMUS,600.0,600.0,8.24,600.0,122 CDM,30000109,HC DRUG ASSAY OF THEOPHYLLINE,386.0,386.0,8.48,386.0,122 CDM,30000111,HC DRUG ASSAY OF TOBRAMYCIN,438.0,438.0,9.68,438.0,122 CDM,30000112,HC DRUG ASSAY OF TOPIRAMATE,374.0,374.0,7.15,374.0,122 CDM,30000113,HC DRUG ASSAY OF VANCOMYCIN,426.0,426.0,8.12,426.0,122 CDM,30000114,HC DRUG ASSAY ZONISAMIDE,158.0,158.0,7.95,158.0,122 CDM,30000115,HC DRUG ASSAY OF 5-FLUROCYTOSINE,145.0,145.0,11.18,145.0,122 CDM,30000117,HC DRUG ASSAY OF ALLOPURINOL,502.0,502.0,11.18,502.0,122 CDM,30000118,HC DRUG ASSAY OF AMIODARONE (N-DESETHYL AMIO),600.0,600.0,11.18,600.0,119 CDM,30000119,HC DRUG ASSAY OF AMOXAPINE,1256.0,1256.0,0.02,1256.0,115 CDM,30000120,HC DRUG ASSAY OF ISONIAZID,374.0,374.0,11.18,374.0,122 CDM,30000122,HC DRUG ASSAY OF BUPROPION,399.0,399.0,11.18,399.0,122 CDM,30000124,HC DRUG ASSAY OF CLOMIPRAMINE/NORCLOMIP,502.0,502.0,11.18,502.0,122 CDM,30000130,HC DRUG ASSAY OF ETHAMBUTOL,816.0,816.0,11.18,816.0,122 CDM,30000132,HC DRUG ASSAY OF FLECAINIDE,502.0,502.0,8.17,502.0,119 CDM,30000135,HC DRUG ASSAY OF ITRACONAZOLE,502.0,502.0,16.27,502.0,122 CDM,30000136,HC DRUG ASSAY OF LACOSAMIDE,502.0,502.0,11.89,502.0,119 CDM,30000140,HC DRUG ASSAY OF METHOTREXATE,507.0,507.0,16.91,507.0,119 CDM,30000148,HC DRUG ASSAY OF PROPANOLOL,476.0,476.0,11.18,476.0,122 CDM,30000150,HC DRUG ASSAY OF FLUOXETINE (PROZAC),207.0,207.0,11.18,207.0,122 CDM,30000151,HC RANDOM ANTIBIOTIC LE,419.0,419.0,11.18,419.0,122 CDM,30000153,HC DRUG ASSAY OF RIFAMPIN,411.0,411.0,11.18,411.0,122 CDM,30000155,HC DRUG ASSAY OF SERTRALINE,207.0,207.0,11.18,207.0,122 CDM,30000158,HC DRUG ASSAY OF TRAZADONE,223.0,223.0,11.18,223.0,122 CDM,30000160,HC DRUG ASSAY OF VORICONAZOLE,453.0,453.0,11.89,453.0,122 CDM,30000162,HC DRUG ASSAY OF POSACONAZOLE,329.0,329.0,16.27,329.0,122 CDM,30000163,HC DRUG SCREEN CLASS LIST A,1323.0,1323.0,37.28,1323.0,124 CDM,30000164,HC DRUG SCREEN QUANTALCOHOLS,335.0,335.0,0.02,335.0,115 CDM,30000165,HC ALKALOIDS NOS,335.0,335.0,0.02,335.0,112 CDM,30000167,HC DRUG SCREEN AMPHETAMINES 3/4,335.0,335.0,0.02,335.0,115 CDM,30000168,HC DRUG SCREEN AMPHETAMINES 5 OR MORE,227.0,227.0,0.02,227.0,115 CDM,30000169,HC DRUG SCREEN ANABOLIC STEROID 1/2,335.0,335.0,0.02,335.0,115 CDM,30000171,HC DRUG SCREEN ANALGESICS NON-OPIOID 1/2,335.0,335.0,0.02,335.0,115 CDM,30000179,HC DRUG SCREEN ANTIDEPRESSANT TRICYCLIC 1/2,335.0,335.0,0.02,335.0,115 CDM,30000185,HC DRUG SCREEN BARBITURATES,335.0,335.0,0.02,335.0,115 CDM,30000187,HC DRUG SCREEN BENZODIAZEPINES 1-12,335.0,335.0,0.02,335.0,115 CDM,30000188,HC DRUG SCREEN BENZODIAZEPINES 13 OR MORE,335.0,335.0,0.02,335.0,115 CDM,30000190,HC DRUG SCREEN CANNABINOIDS NATURAL,335.0,335.0,0.02,335.0,115 CDM,30000191,HC DRUG SCREEN COCAINE,335.0,335.0,0.02,335.0,115 CDM,30000192,HC DRUG SCREEN FENTANYL,335.0,335.0,0.02,335.0,115 CDM,30000193,HC DRUG SCREEN METHADONE,335.0,335.0,0.02,335.0,115 CDM,30000196,HC DRUG SCREEN OPIATES 1 OR MORE,335.0,335.0,0.02,335.0,115 CDM,30000198,HC DRUG SCREEN OPIOID OPIATE ANALOG 5/MORE,335.0,335.0,0.02,335.0,115 CDM,30000202,HC DRUG SCREEN TRAMADOL,335.0,335.0,0.02,335.0,112 CDM,30000203,HC DRUG SCREEN DRUG/SUBSTANCE NOS 1-3,335.0,335.0,0.02,335.0,115 CDM,30000204,HC METFORMIN,454.0,454.0,0.02,454.0,115 CDM,30000205,HC DRUG SCREEN DRUG/SUBSTANCE NOS 7 OR MORE,335.0,335.0,0.02,335.0,112 CDM,30000206,HC DEXAMETHASONE,207.0,207.0,11.18,207.0,122 CDM,30000207,HC PATHOLOGY CLINICAL CONSULT 5-20 MIN,390.0,390.0,23.71,390.0,116 CDM,30000208,HC LAB PATHOLOGY CONSULTATION,469.0,469.0,50.72,565.16,116 CDM,30000210,HC URINALYSIS AUTO W/SCOPE,195.0,195.0,1.9,195.0,122 CDM,30000212,HC URINALYSIS AUTOMATED WITHOUT MICROSCOPY,153.0,153.0,1.35,153.0,122 CDM,30000214,HC URINALYSIS MICROSCOPIC,33.0,33.0,1.83,33.0,122 CDM,30000215,HC URINE PREGNANCY TEST,339.0,339.0,4.0,339.0,122 CDM,30000216,HC URINALYSIS VOLUME MEASURE,82.0,82.0,2.18,82.0,119 CDM,30000218,HC ASPA (CANAVAN DISEASE) GENE ANALYSIS,1701.0,1701.0,28.35,1701.0,124 CDM,30000219,HC SOLID TUMOR- APC,1466.0,1466.0,181.78,2473.77,124 CDM,30000222,HC BCRABL QNT MAJOR P210,1866.0,1866.0,98.38,1866.0,121 CDM,30000223,HC BCRABL QUAL MAJOR P210,770.0,770.0,95.48,770.0,121 CDM,30000225,HC BCRABL QUAL MINOR P190,770.0,770.0,86.9,770.0,121 CDM,30000226,HC BCR-ABL1 MINOR QUANT,945.0,945.0,86.9,945.0,121 CDM,30000228,HC BCR-ABL1 QUAL TO QUANT,292.0,292.0,36.21,587.11,124 CDM,30000229,HC BCR-ABL1T(9 22)QUAL BY RT-PCR,292.0,292.0,36.21,926.08,124 CDM,30000230,HC BRAF CODON PCR 81210,2814.0,2814.0,105.24,2814.0,124 CDM,30000232,HC HEME PANEL-BRAF,1122.0,1122.0,105.24,1122.0,124 CDM,30000233,HC SOLID TUMOR-BRAF,1466.0,1466.0,105.24,1466.0,124 CDM,30000234,HC CFTR GENE COM VARIANTS,1584.0,1584.0,196.42,1765.26,124 CDM,30000236,HC CFTR GENE FULL SEQUENCE,4107.0,4107.0,279.75,4107.0,124 CDM,30000237,HC CYTOCHROME P450 2C19 9 MUTAT,1798.0,1798.0,174.82,1798.0,121 CDM,30000239,HC COMP.MICROARRAY ANALYSIS,9161.0,9161.0,696.0,9161.0,121 CDM,30000240,HC EGFR GENE COM VARIANTS,3249.0,3249.0,194.75,3249.0,124 CDM,30000241,HC SOLID TUMOR-EGFR,1466.0,1466.0,181.78,1466.0,124 CDM,30000242,HC PROTHROMBIN MUTATION,894.0,894.0,39.41,894.0,124 CDM,30000243,HC FACTOR V MUTATION,894.0,894.0,44.02,894.0,124 CDM,30000244,HC FANCONI ANEMIA GROUP C,1511.0,1511.0,20.02,1511.0,121 CDM,30000245,HC FMR1 W/REFLEX TO METHYLATION,362.0,362.0,31.18,362.0,124 CDM,30000246,HC FMR1 GENE CHARACTERIZATION REFLEX,1628.0,1628.0,26.93,1628.0,124 CDM,30000247,HC FLT3 GENE,1294.0,1294.0,99.31,1294.0,124 CDM,30000248,HC HEME PANEL-FLT3,1122.0,1122.0,99.31,1122.0,124 CDM,30000249,HC SOLID TUMOR-FLT3,1466.0,1466.0,99.31,1466.0,124 CDM,30000250,HC TKD VARIANTS,1272.0,1272.0,49.8,1272.0,121 CDM,30000251,HC GLYCO STORAGE DISEASE TYPE 1A,1203.0,1203.0,35.09,1203.0,121 CDM,30000252,HC GAUCHER DISEASE MUTATION ANALYSIS,1511.0,1511.0,28.35,1511.0,121 CDM,30000256,HC TSACHS MUTATION ANALYSIS,1701.0,1701.0,28.12,1701.0,124 CDM,30000257,HC HEMOCHROMATOSIS MUTATION,345.0,345.0,39.22,345.0,124 CDM,30000258,HC HBA1/HBA2 GENE,1424.0,1424.0,117.75,1424.0,121 CDM,30000259,HC FAMILIAL DYSAUTONOMIA,1203.0,1203.0,23.59,1203.0,124 CDM,30000260,HC IGH GENE REARRANGE AMP METH,1739.0,1739.0,118.79,1739.0,124 CDM,30000261,HC IGH VARI REGIONAL MUTATION,2039.0,2039.0,176.71,2039.0,124 CDM,30000262,HC PRE BME CHIMERISM ANALYSIS,5170.0,5170.0,139.84,5170.0,121 CDM,30000263,HC ADDITIONAL CHIMERISM SPECIMEN,1080.0,1080.0,133.92,1080.0,121 CDM,30000264,HC POST CHIMERISM ANALYSIS,4770.0,4770.0,124.48,4770.0,121 CDM,30000265,HC CD 33/66B CHIMERISM ANALYSIS,4477.0,4477.0,156.47,4477.0,121 CDM,30000268,HC POST CHIMERISM TCELL ANALYSIS,4770.0,4770.0,156.47,4770.0,121 CDM,30000269,HC HEME PANEL-JAK2,1122.0,1122.0,101.19,1122.0,124 CDM,30000270,HC JAK V617F,1570.0,1570.0,55.0,1570.0,124 CDM,30000271,HC SOLID TUMOR-JAK2,1466.0,1466.0,101.19,1466.0,124 CDM,30000272,HC HEME PANEL-KRAS,1122.0,1122.0,115.95,1122.0,124 CDM,30000273,HC KRAS CODON 12 13,2898.0,2898.0,115.95,2898.0,124 CDM,30000274,HC SOLID TUMOR-KRAS,1466.0,1466.0,115.95,1466.0,124 CDM,30000277,HC MUCOLIPIDOSIS TYPE IV,1511.0,1511.0,23.59,1511.0,121 CDM,30000278,HC MTHFR MUTATION DETECTION,273.0,273.0,33.85,273.0,121 CDM,30000284,HC HEME PANEL-NPM1,1122.0,1122.0,139.13,1122.0,124 CDM,30000288,HC LTX-PML/RARA (L FORM),721.0,721.0,89.4,721.0,124 CDM,30000289,HC PML- RAR TRANS PCR,3936.0,3936.0,124.39,3936.0,124 CDM,30000290,HC APL EXON 6,548.0,548.0,67.95,657.48,124 CDM,30000293,HC HEME PANEL-PTEN,1122.0,1122.0,139.13,1902.9,121 CDM,30000294,HC SOLID TUMOR-PTEN,1466.0,1466.0,181.78,1902.9,121 CDM,30000296,HC PMP22 GENE DUP/DELET,2609.0,2609.0,323.52,2609.0,124 CDM,30000298,HC NIEMAN PICK DISEASE ANALYSIS,1511.0,1511.0,28.2,1511.0,124 CDM,30000299,HC TRG GENE REARRANGEMENT ANAL,3108.0,3108.0,120.9,3108.0,121 CDM,30000300,HC UDP GLUCURONSYLTRANSFERASE 1A1,1007.0,1007.0,124.87,1007.0,121 CDM,30000301,HC HLA C1C2LR,6011.0,6011.0,241.27,6011.0,124 CDM,30000302,HC HLA ABDRLR,5450.0,5450.0,231.88,5450.0,124 CDM,30000303,HC HLA C1LR,2305.0,2305.0,231.88,2305.0,124 CDM,30000304,HC HLA LRA,899.0,899.0,76.46,899.0,124 CDM,30000306,HC HLA LRC,899.0,899.0,76.46,899.0,124 CDM,30000307,HC HLA B27,1209.0,1209.0,44.6,1209.0,124 CDM,30000309,HC HLA C2LR,3705.0,3705.0,132.44,3705.0,124 CDM,30000310,HC HLA CELIAC,899.0,899.0,73.33,899.0,124 CDM,30000312,HC HLA LRDQB,899.0,899.0,73.33,899.0,124 CDM,30000313,HC HLA LRDR,899.0,899.0,73.33,899.0,124 CDM,30000318,HC HLA HRA,2800.0,2800.0,106.35,2800.0,124 CDM,30000319,HC HLA HRB,2800.0,2800.0,106.35,2800.0,124 CDM,30000321,HC HLA 5701,2800.0,2800.0,99.28,2800.0,124 CDM,30000324,HC HLA HRDPB,1628.0,1628.0,74.21,1628.0,124 CDM,30000333,HC AML1-ETO T(8 21) QUANT,1386.0,1386.0,82.2,1386.0,121 CDM,30000335,HC APOLIPOROTEIN E,351.0,351.0,43.52,434.5,121 CDM,30000337,HC CBFB-MYH11 DETECTION QUANT,1144.0,1144.0,82.2,1144.0,121 CDM,30000338,HC DM1 DNA TEST,2501.0,2501.0,82.2,2501.0,121 CDM,30000339,HC HUNTINGTON S DISEASE,502.0,502.0,62.25,502.0,121 CDM,30000341,HC KENNEDY S DISEASE,1798.0,1798.0,82.2,1798.0,121 CDM,30000343,HC LTX- AML1/ETO,444.0,444.0,55.06,444.0,121 CDM,30000344,HC LTX- CBFB/MYH11 (A TYPE),444.0,444.0,55.06,444.0,121 CDM,30000347,HC LTX-CBFB/MYH11 (D TYPE),444.0,444.0,55.06,444.0,121 CDM,30000353,HC SOLID TUMOR-FGFR3,1466.0,1466.0,82.2,1466.0,121 CDM,30000355,HC C-KIT(D816V),1007.0,1007.0,74.92,1007.0,124 CDM,30000358,HC MPL MUTATION ANALYSIS,1356.0,1356.0,82.14,1356.0,121 CDM,30000360,HC BCR-ABL1 MUTATION ANALYSIS BY,2686.0,2686.0,180.0,2686.0,124 CDM,30000361,HC HEME PANEL-IDH1,1122.0,1122.0,115.95,1122.0,121 CDM,30000362,HC HEME PANEL-IDH2,1122.0,1122.0,139.13,1122.0,121 CDM,30000363,HC HEME PANEL-KRAS,1122.0,1122.0,115.95,1122.0,124 CDM,30000365,HC HEMOPHILIA A INVERSIONS REFLEX,857.0,857.0,101.19,857.0,121 CDM,30000368,HC SMARCB1 KNOWN MUTATION (KT2),857.0,857.0,101.19,857.0,121 CDM,30000369,HC SOLID TUMOR-ABL1,1466.0,1466.0,180.0,1466.0,124 CDM,30000370,HC SOLID TUMOR-IDH1,1466.0,1466.0,115.95,1466.0,121 CDM,30000371,HC SOLID TUMOR-KRAS,1466.0,1466.0,115.95,1466.0,124 CDM,30000373,HC Y CHROM MICRODELET,899.0,899.0,101.19,899.0,121 CDM,30000375,HC ATHAL ISO,2100.0,2100.0,150.18,2100.0,121 CDM,30000376,HC BETA THALASSEMIA DNA,2072.0,2072.0,150.18,2072.0,121 CDM,30000377,HC BETAGLOBIN (HBB) MUTATIONS,808.0,808.0,100.19,1029.41,121 CDM,30000381,HC HEME PANEL-KIT,1122.0,1122.0,139.13,1122.0,124 CDM,30000382,HC HEME PANEL-NRAS,1122.0,1122.0,139.13,1122.0,124 CDM,30000384,HC SOLID TUMOR-KIT,1466.0,1466.0,181.78,1466.0,124 CDM,30000385,HC SOLID TUMOR-NRAS,1466.0,1466.0,177.47,1466.0,124 CDM,30000386,HC SOLID TUMOR-PDGFRA,1466.0,1466.0,181.78,1466.0,124 CDM,30000387,HC SOLID TUMOR-RET,1466.0,1466.0,150.18,1466.0,121 CDM,30000389,HC CASR DNA SEQUENCING,7116.0,7116.0,164.66,7116.0,121 CDM,30000391,HC FABRY GENE ANALYSIS,3330.0,3330.0,164.66,3330.0,121 CDM,30000392,HC FAM HYPOCALURIC HYPERCAL(CASR),6914.0,6914.0,164.66,6914.0,121 CDM,30000393,HC HEME PANEL-TP53,1122.0,1122.0,139.13,2035.63,121 CDM,30000394,HC MULTIPLE ENDOCRINE NEOPL TYPE,2054.0,2054.0,164.66,2054.0,121 CDM,30000395,HC SOLID TUMOR-RET,1466.0,1466.0,164.66,1466.0,121 CDM,30000396,HC SOLID TUMOR-TP53,1466.0,1466.0,181.78,2035.63,121 CDM,30000397,HC F8 DELETION/DUPLICATION BILL,1025.0,1025.0,127.1,1025.0,121 CDM,30000399,HC TSC 1 GENE,4994.0,4994.0,169.73,4994.0,121 CDM,30000400,HC F8 SEQUENCING BILL,1468.0,1468.0,182.03,2683.95,121 CDM,30000401,HC FAM HEMIPL MIGRN TYPE III DNA,1888.0,1888.0,234.11,2683.95,121 CDM,30000405,HC TSC 2 GENE,7383.0,7383.0,462.43,7383.0,121 CDM,30000406,HC HEME PANEL-ATM,1122.0,1122.0,139.13,3774.0,121 CDM,30000408,HC SOLID TUMOR-ATM,1466.0,1466.0,181.78,4649.42,121 CDM,30000409,HC SOLID TUMOR PANEL 5-50 GENES,13782.0,13782.0,358.75,13782.0,124 CDM,30000410,HC HEME PANEL 5-50 GENES,12885.0,12885.0,455.72,12885.0,124 CDM,30000411,HC SOLID OR HEME PANEL 51 GENES,16835.0,16835.0,1595.37,16835.0,124 CDM,30000412,HC UNLISTED MOLECULAR PATHOLOGY,1080.0,1080.0,133.92,1080.0,112 CDM,30000413,HC UNLISTED MOLECULAR RBC OR PLATELET SNP ARRAY,2698.0,2698.0,177.17,2698.0,112 CDM,30000415,HC API2/MLT 1 T (11 18) BY PCR,1262.0,1262.0,156.49,1262.0,112 CDM,30000421,HC ARC F-RHCE RHD VARI SNP ARRAY,2698.0,2698.0,177.17,2698.0,112 CDM,30000422,HC ARC G-SNP ID RFLP 2-5 EXON SEQ,2698.0,2698.0,177.17,2698.0,112 CDM,30000425,HC ARC J-RHD RHCE SNP ARRAYS,2698.0,2698.0,177.17,2698.0,112 CDM,30000426,HC ARC K-SNP ID RFLP EXON SEQ,2698.0,2698.0,177.17,2698.0,112 CDM,30000431,HC C9ORF72 ANALYSIS,399.0,399.0,49.48,399.0,112 CDM,30000432,HC CALR MUTATION ANALYSIS,945.0,945.0,72.98,945.0,121 CDM,30000433,HC CARDIOMYOPATHY PANEL,13513.0,13513.0,177.17,13513.0,112 CDM,30000435,HC CIQ 4Q25-AF RSK GNTYP,811.0,811.0,100.56,811.0,112 CDM,30000440,HC DM2 DNA TEST,4079.0,4079.0,177.17,4079.0,112 CDM,30000444,HC HEME PANEL-ASXL1,1122.0,1122.0,139.13,2145.52,121 CDM,30000446,HC HEME PANEL-CDKN2A,1122.0,1122.0,139.13,1122.0,121 CDM,30000447,HC HEME PANEL-DDX3X,1122.0,1122.0,139.13,1122.0,112 CDM,30000448,HC HEME PANEL-DNMT3A,1122.0,1122.0,101.19,1122.0,121 CDM,30000449,HC HEME PANEL-ETV6,1122.0,1122.0,139.13,1122.0,112 CDM,30000450,HC HEME PANEL-EZH2,1532.0,1532.0,130.25,1532.0,121 CDM,30000451,HC HEME PANEL-FBXW7,1122.0,1122.0,139.13,1122.0,112 CDM,30000452,HC HEME PANEL-GNAS,1122.0,1122.0,139.13,1122.0,112 CDM,30000453,HC HEME PANEL-KLHL6,1122.0,1122.0,139.13,1122.0,112 CDM,30000454,HC HEME PANEL-MAPK1,1122.0,1122.0,139.13,1122.0,112 CDM,30000455,HC HEME PANEL-MYD88,1122.0,1122.0,80.77,1122.0,121 CDM,30000456,HC HEME PANEL-NOTCH1,1122.0,1122.0,139.13,2683.95,121 CDM,30000457,HC HEME PANEL-PHF6,1122.0,1122.0,139.13,1122.0,112 CDM,30000458,HC HEME PANEL-PTPN11,1122.0,1122.0,139.13,1122.0,121 CDM,30000459,HC HEME PANEL-RUNX1,1122.0,1122.0,139.13,1122.0,121 CDM,30000461,HC HEME PANEL-TET2,1122.0,1122.0,139.13,1122.0,112 CDM,30000462,HC HEME PANEL-WT1,1122.0,1122.0,139.13,1122.0,121 CDM,30000463,HC HEME PANEL-XPO1,1122.0,1122.0,139.13,1122.0,112 CDM,30000464,HC HEME PANEL-ZMYM3,1122.0,1122.0,139.13,1122.0,112 CDM,30000466,HC INTERLUKIN 28 B,1370.0,1370.0,38.38,1370.0,121 CDM,30000467,HC MATIT21-MOLEC,3246.0,3246.0,402.5,3246.0,124 CDM,30000470,HC PCA3 BY TMA,996.0,996.0,123.5,996.0,121 CDM,30000472,HC SCN 9A,11976.0,11976.0,177.17,11976.0,112 CDM,30000473,HC SOLID TUMOR-AKT1,1466.0,1466.0,177.17,1466.0,112 CDM,30000474,HC SOLID TUMOR-CDH1,1466.0,1466.0,169.73,1466.0,121 CDM,30000475,HC SOLID TUMOR-CSF1R,1466.0,1466.0,177.17,1466.0,112 CDM,30000476,HC SOLID TUMOR-CTNNB1,1466.0,1466.0,101.19,1466.0,121 CDM,30000477,HC SOLID TUMOR-ERBB2,1466.0,1466.0,177.17,1466.0,112 CDM,30000478,HC SOLID TUMOR-ERBB4,1466.0,1466.0,177.17,1466.0,112 CDM,30000479,HC SOLID TUMOR-FBXW7,1466.0,1466.0,177.17,1466.0,112 CDM,30000480,HC SOLID TUMOR-FGFR1,1466.0,1466.0,164.66,1466.0,121 CDM,30000481,HC SOLID TUMOR-FGFR2,1466.0,1466.0,150.18,1466.0,121 CDM,30000482,HC SOLID TUMOR-GNA11,1466.0,1466.0,177.17,1466.0,112 CDM,30000483,HC SOLID TUMOR-GNAQ,1466.0,1466.0,101.19,1466.0,121 CDM,30000484,HC SOLID TUMOR-GNAS,1466.0,1466.0,177.17,1466.0,112 CDM,30000485,HC SOLID TUMOR-HNF1A,1466.0,1466.0,164.66,1466.0,121 CDM,30000486,HC SOLID TUMOR-HRAS,1466.0,1466.0,150.18,1466.0,121 CDM,30000487,HC SOLID TUMOR-JAK3,1466.0,1466.0,177.17,1466.0,112 CDM,30000488,HC SOLID TUMOR-KDR,1466.0,1466.0,177.17,1466.0,112 CDM,30000489,HC SOLID TUMOR-MET,1466.0,1466.0,177.17,1466.0,112 CDM,30000490,HC SOLID TUMOR-MLH1,1466.0,1466.0,181.78,2142.03,124 CDM,30000491,HC SOLID TUMOR-NOTCH1,1466.0,1466.0,181.78,2683.95,121 CDM,30000492,HC SOLID TUMOR-PIK3CA,1466.0,1466.0,150.18,1466.0,121 CDM,30000493,HC SOLID TUMOR-PTPN11,1466.0,1466.0,169.73,1466.0,121 CDM,30000494,HC SOLID TUMOR-RB1,1466.0,1466.0,177.17,1466.0,112 CDM,30000495,HC SOLID TUMOR-SMAD4,1466.0,1466.0,169.73,1466.0,121 CDM,30000496,HC SOLID TUMOR-SMARCB1,1466.0,1466.0,177.17,1466.0,112 CDM,30000497,HC SOLID TUMOR-SMO,1466.0,1466.0,177.17,1466.0,112 CDM,30000498,HC SOLID TUMOR-SRC,1466.0,1466.0,177.17,1466.0,112 CDM,30000499,HC SOLID TUMOR-STK11,1466.0,1466.0,150.18,1466.0,121 CDM,30000500,HC SOLID TUMOR-VHL,1466.0,1466.0,150.18,1466.0,121 CDM,30000504,HC FTL CGEN ABNOR 3 PROTEINS,276.0,276.0,34.22,2806.66,121 CDM,30000509,HC BETA HYDROXYBUTERATE,132.0,132.0,4.9,132.0,122 CDM,30000511,HC ACYLCARNITINE PROFILE,470.0,470.0,10.12,470.0,119 CDM,30000512,HC ACTH,384.0,384.0,23.17,384.0,122 CDM,30000514,HC ALBUMIN SERUM,103.0,103.0,1.93,103.0,122 CDM,30000515,HC ALBUMIN URINE OR OTHER (NON-BLOOD),209.0,209.0,2.72,209.0,119 CDM,30000516,HC MICROALBUMIN QUANTITATIVE,175.0,175.0,3.47,175.0,122 CDM,30000517,HC ALDOLASE,281.0,281.0,5.83,281.0,122 CDM,30000518,HC ALDOSTERONE,1143.0,1143.0,24.45,1143.0,122 CDM,30000519,HC A1A FECES 24HR,189.0,189.0,8.06,189.0,122 CDM,30000520,HC ALPHA-1-ANTITRYPSIN TOTAL,357.0,357.0,8.06,357.0,122 CDM,30000521,HC ALPHA-1-ANTITRYPSIN PHENO,460.0,460.0,8.68,460.0,122 CDM,30000522,HC ALPHA-FETOPROTEIN SERUM,450.0,450.0,10.06,450.0,122 CDM,30000523,HC MATERNAL SERUM SCRNAFP ONLY,186.0,186.0,10.06,186.0,122 CDM,30000524,HC ALPHA-FETOPROTEIN AMNIOTIC,276.0,276.0,10.2,276.0,122 CDM,30000525,HC ALUMINUM,802.0,802.0,15.29,802.0,122 CDM,30000526,HC ALUMINUM URINE,802.0,802.0,15.29,802.0,122 CDM,30000527,HC AMINO ACID SINGLE QUAL,335.0,335.0,8.51,335.0,122 CDM,30000530,HC PHENYLALANINE,192.0,192.0,13.79,192.0,122 CDM,30000532,HC URINE CYSTINE,688.0,688.0,13.79,688.0,122 CDM,30000533,HC AMINOLEVULINIC ACID,454.0,454.0,9.87,454.0,122 CDM,30000534,HC AMINO ACIDS QUAN 6 OR MORE,1425.0,1425.0,10.12,1425.0,122 CDM,30000535,HC AMINO ACIDS QUAN 6 OR MORE URINE,2001.0,2001.0,10.12,2001.0,122 CDM,30000536,HC AMMONIA,404.0,404.0,5.0,404.0,121 CDM,30000538,HC AMYLASE,339.0,339.0,3.89,339.0,122 CDM,30000540,HC ANDROSTENEDIONE,569.0,569.0,17.57,569.0,122 CDM,30000541,HC ANGIOTENSIN CONVERTING ENZYME,405.0,405.0,8.76,405.0,122 CDM,30000542,HC APOLIPOPROTEIN,406.0,406.0,12.65,406.0,122 CDM,30000543,HC ARSENIC,534.0,534.0,11.38,534.0,119 CDM,30000544,HC ASCORBIC ACID (VIT C),393.0,393.0,5.93,393.0,122 CDM,30000546,HC BETA-2 MICROGLOBULIN,447.0,447.0,9.71,447.0,122 CDM,30000547,HC BILE ACIDS TOTAL,385.0,385.0,10.27,385.0,122 CDM,30000549,HC HCV FIBROSURETBIL,84.0,84.0,3.01,84.0,122 CDM,30000550,HC TOTAL BILI-LC,62.0,62.0,3.01,62.0,122 CDM,30000551,HC BILIRUBIN TOTAL,125.0,125.0,3.01,125.0,122 CDM,30000552,HC BILIRUBIN DIRECT,138.0,138.0,3.01,138.0,122 CDM,30000553,HC OCCULT BLOOD FECES,132.0,132.0,2.63,132.0,122 CDM,30000556,HC OCCULT BLOOD BY FECAL HEMOGLOB,174.0,174.0,2.8,174.0,122 CDM,30000557,HC CADMIUM,331.0,331.0,14.18,331.0,122 CDM,30000558,HC 25-HO-VIT D2D3,791.0,791.0,17.76,791.0,122 CDM,30000560,HC CALCITONIN,742.0,742.0,16.07,742.0,122 CDM,30000561,HC CALCIUM,123.0,123.0,1.93,123.0,122 CDM,30000562,HC IONIZED CALCIUM POC,369.0,369.0,8.21,369.0,122 CDM,30000563,HC CALCIUM IONIZED,381.0,381.0,8.21,381.0,122 CDM,30000564,HC CALCIUM URINE,175.0,175.0,3.62,175.0,122 CDM,30000565,HC CALCULUS SPECTROSCOPY,366.0,366.0,7.74,366.0,122 CDM,30000566,HC BLOOD CARBON DIOXIDE CONTENT,88.0,88.0,1.93,88.0,122 CDM,30000568,HC ASSAY CARBOXYHB POINT OF CARE,348.0,348.0,5.6,348.0,122 CDM,30000569,HC CEA (CARCINOEMBRYONIC ANTIGEN),519.0,519.0,11.38,519.0,122 CDM,30000570,HC CARNITINE FREE TOTAL,600.0,600.0,10.12,600.0,119 CDM,30000571,HC CAROTENE,271.0,271.0,5.53,271.0,122 CDM,30000574,HC CATECHOLAMINES FRACTION,684.0,684.0,15.15,684.0,122 CDM,30000575,HC CATECHOLAMINES FRACTION URINE,569.0,569.0,15.15,569.0,122 CDM,30000576,HC CERULOPLASMIN,476.0,476.0,6.44,476.0,122 CDM,30000578,HC LEPTIN LEVEL,245.0,245.0,8.47,245.0,119 CDM,30000581,HC CHLORIDE,113.0,113.0,1.93,113.0,122 CDM,30000582,HC CHLORIDE URINE,159.0,159.0,3.45,159.0,122 CDM,30000583,HC CHLORIDE OTHER,242.0,242.0,3.0,242.0,122 CDM,30000585,HC CHOLESTEROL SERUM,137.0,137.0,1.93,137.0,122 CDM,30000588,HC CHOLINESTERASE RBC,251.0,251.0,5.89,251.0,122 CDM,30000596,HC PHENELZINE,1393.0,1393.0,0.02,1393.0,112 CDM,30000601,HC PORPHYRINS PLASMA FRACTIONATIO,848.0,848.0,14.45,848.0,124 CDM,30000602,HC CHROMIUM,406.0,406.0,6.0,406.0,122 CDM,30000604,HC CITRATE URINE,724.0,724.0,16.68,724.0,119 CDM,30000606,HC C TELOPEPTIDE TYPE 1,109.0,109.0,11.21,109.0,119 CDM,30000607,HC N-TELOPEPTIDE,425.0,425.0,11.21,425.0,119 CDM,30000608,HC COPPER,340.0,340.0,7.45,340.0,122 CDM,30000609,HC CORTISOL SERUM FREE,486.0,486.0,10.03,486.0,122 CDM,30000610,HC CORTISOL URINE FREE,486.0,486.0,10.03,486.0,122 CDM,30000611,HC CORTISOL TOTAL,447.0,447.0,9.78,447.0,122 CDM,30000612,HC CREATINE 24 HOUR URINE,292.0,292.0,2.78,292.0,119 CDM,30000614,HC CANNABINOID GCMS,469.0,469.0,14.45,469.0,124 CDM,30000615,HC SULFONYLUREA URINE,502.0,502.0,14.45,502.0,124 CDM,30000616,HC CIQ OMEGA-3 -6 FA,682.0,682.0,14.45,682.0,124 CDM,30000618,HC PARATHYROID HORMONE,479.0,479.0,14.45,479.0,124 CDM,30000621,HC COENZYME Q10TOT,333.0,333.0,14.45,333.0,124 CDM,30000623,HC ESSENTIAL FATTY ACID SERUM,749.0,749.0,14.45,749.0,124 CDM,30000625,HC SYN GLUCOCORTICOID SCREEN UR,791.0,791.0,14.45,791.0,124 CDM,30000626,HC CREATINE KINASE,281.0,281.0,1.93,281.0,122 CDM,30000627,HC CPK ISOENZYME,385.0,385.0,8.03,385.0,122 CDM,30000628,HC CK-MB,438.0,438.0,6.93,438.0,122 CDM,30000629,HC CREATININE,136.0,136.0,1.93,136.0,122 CDM,30000630,HC CREATININE URINE OR OTHER,158.0,158.0,3.11,158.0,122 CDM,30000631,HC CREATININE CLEARANCE TEST,333.0,333.0,5.68,333.0,122 CDM,30000632,HC CRYOFIBRINOGEN,216.0,216.0,5.0,216.0,122 CDM,30000633,HC CRYOGLOBULIN,212.0,212.0,3.88,212.0,122 CDM,30000634,HC CYANIDE,174.0,174.0,11.64,174.0,122 CDM,30000635,HC VITAMIN B-12,419.0,419.0,9.05,419.0,122 CDM,30000636,HC VITAMIN B-12 BINDING CAPACITY,144.0,144.0,8.59,144.0,122 CDM,30000637,HC CYSTATIN C,656.0,656.0,11.11,656.0,122 CDM,30000638,HC DEHYDROEPIANDROSTERONE,237.0,237.0,15.16,237.0,122 CDM,30000639,HC DEHYDROEPIANDROSTERONE,1120.0,1120.0,13.34,1120.0,122 CDM,30000640,HC DESOXYCORTICOSTERONE,152.0,152.0,18.59,152.0,122 CDM,30000641,HC DEOXYCORTISOL,432.0,432.0,17.5,432.0,122 CDM,30000642,HC PCE/DIBUCAINE INHIBITION,82.0,82.0,7.0,82.0,122 CDM,30000643,HC VIT D 1 25-DIHYDROXY,1047.0,1047.0,23.1,1047.0,122 CDM,30000644,HC AIRWAY PEPSIN ASSAY,293.0,293.0,13.3,293.0,119 CDM,30000646,HC ALPHAGALACTOSIDASE,723.0,723.0,13.3,723.0,119 CDM,30000648,HC EYRTHOCYTE PBG DEAM,842.0,842.0,13.3,842.0,119 CDM,30000649,HC LYSO ENZ(GALACTOKINASE),1718.0,1718.0,13.3,1718.0,119 CDM,30000650,HC ELECTROPHORETIC TECHNIQUE,515.0,515.0,36.9,515.0,119 CDM,30000651,HC ERYTHROPOIETIN,412.0,412.0,11.27,412.0,122 CDM,30000652,HC ESTRADIOL,761.0,761.0,16.76,761.0,122 CDM,30000653,HC ESTROGEN,540.0,540.0,13.02,540.0,122 CDM,30000655,HC ESTRIOL,675.0,675.0,14.51,675.0,122 CDM,30000656,HC ESTRONE,406.0,406.0,13.0,406.0,122 CDM,30000657,HC ETHYLENE GLYCOL,572.0,572.0,8.94,572.0,119 CDM,30000658,HC FATS/LIPIDS FECES QUAL,212.0,212.0,3.06,212.0,122 CDM,30000659,HC FATS/LIPIDS FECES QUANT,504.0,504.0,4.02,504.0,122 CDM,30000661,HC FATTY ACIDS FREE,275.0,275.0,11.26,275.0,122 CDM,30000662,HC LONG CHAIN FATTY ACIDS,689.0,689.0,11.85,689.0,122 CDM,30000663,HC FERRITIN,381.0,381.0,8.18,381.0,122 CDM,30000664,HC FETAL FIBRONECTIN,2487.0,2487.0,20.0,2487.0,122 CDM,30000665,HC FOLIC ACID SERUM,403.0,403.0,8.82,403.0,122 CDM,30000666,HC FOLIC ACID RBC,583.0,583.0,10.59,583.0,122 CDM,30000670,HC CSF IGG,262.0,262.0,5.58,262.0,122 CDM,30000674,HC ASSAY IGA/IGD/IGG/IGM EACH,262.0,262.0,5.58,262.0,122 CDM,30000675,HC IGM,262.0,262.0,5.58,262.0,122 CDM,30000676,HC IMMUNOGLOBULIN A,262.0,262.0,5.58,262.0,122 CDM,30000677,HC IMMUNOGLOBULIN G,262.0,262.0,5.58,262.0,122 CDM,30000678,HC IMMUNOGLOBULIN M,262.0,262.0,5.58,262.0,122 CDM,30000679,HC MOTOR NEUROPATHY IGA,204.0,204.0,5.58,204.0,122 CDM,30000680,HC MOTOR NEUROPATHY IGG,258.0,258.0,5.58,258.0,122 CDM,30000681,HC MOTOR NEUROPATHY IGM,204.0,204.0,5.58,204.0,122 CDM,30000682,HC IGE,450.0,450.0,9.88,450.0,122 CDM,30000683,HC IGA1 (SIB),240.0,240.0,4.81,240.0,122 CDM,30000684,HC IGA2 (SIB),240.0,240.0,4.81,240.0,122 CDM,30000685,HC IGG SUB 1,583.0,583.0,4.81,583.0,122 CDM,30000686,HC IGG SUB 4,583.0,583.0,4.81,583.0,122 CDM,30000687,HC IGG SUBCLASSES,583.0,583.0,4.81,583.0,122 CDM,30000689,HC BLOOD GAS,706.0,706.0,15.64,706.0,124 CDM,30000694,HC GASTRIN,476.0,476.0,10.58,476.0,122 CDM,30000695,HC GLUCAGON,385.0,385.0,8.57,385.0,122 CDM,30000696,HC GLUCOSE OTHER FLUID,454.0,454.0,2.36,454.0,122 CDM,30000697,HC GLUCOSE CSF,454.0,454.0,2.36,454.0,122 CDM,30000698,HC URINE GLUCOSE,454.0,454.0,2.36,454.0,122 CDM,30000699,HC GLUCOSE,130.0,130.0,1.93,130.0,122 CDM,30000701,HC POST GLUCOSE DOSE-INCL,104.0,104.0,2.85,104.0,122 CDM,30000702,HC GLUCOSE TOLERANCE TEST (GTT),438.0,438.0,7.72,438.0,122 CDM,30000703,HC GTT-ADDED SAMPLES,119.0,119.0,2.35,119.0,122 CDM,30000704,HC G6PD QUANTITATION,262.0,262.0,5.82,262.0,122 CDM,30000705,HC G6PD SCREEN,277.0,277.0,3.63,277.0,122 CDM,30000706,HC GLUCOSE - POCT,88.0,88.0,1.97,88.0,124 CDM,30000707,HC GGT,179.0,179.0,1.93,179.0,122 CDM,30000708,HC GGT-LC,79.0,79.0,1.93,79.0,122 CDM,30000709,HC ALPHA-1-ACID GLUCOPROTEIN SER,226.0,226.0,10.06,226.0,122 CDM,30000710,HC FRUCTOSAMINE,335.0,335.0,10.06,335.0,122 CDM,30000711,HC FSH (FOLLICLE STIMULATING HORMONE),515.0,515.0,11.15,515.0,122 CDM,30000712,HC LH (LUTEINIZING HORMONE),525.0,525.0,11.11,525.0,122 CDM,30000713,HC GROWTH HORMONE,455.0,455.0,8.0,455.0,122 CDM,30000714,HC HAPTOGLOBIN,345.0,345.0,12.0,345.0,122 CDM,30000716,HC COBALT,534.0,534.0,13.18,534.0,122 CDM,30000717,HC MOLYBDENUM,289.0,289.0,13.18,289.0,122 CDM,30000718,HC SERUM IODINE QUANT EA,540.0,540.0,13.18,540.0,122 CDM,30000719,HC THALLIUM,180.0,180.0,13.18,180.0,122 CDM,30000720,HC HEMOGLOBIN ELECTROPHORESIS,369.0,369.0,7.72,369.0,122 CDM,30000722,HC FETAL HEMOGLOBIN ASSAY QUAL,263.0,263.0,4.8,263.0,122 CDM,30000723,HC HEMOGLOBIN A1C,262.0,262.0,5.83,262.0,122 CDM,30000724,HC METHEMAGLOBIN,255.0,255.0,3.0,255.0,122 CDM,30000725,HC PLASMA HEMOGLOBIN,185.0,185.0,3.5,185.0,122 CDM,30000726,HC SULFHEMOGLOBIN,435.0,435.0,3.0,435.0,122 CDM,30000728,HC HEMOSIDERIN,152.0,152.0,2.85,152.0,122 CDM,30000731,HC HISTAMINE CU INDEX,647.0,647.0,13.0,647.0,122 CDM,30000732,HC HISTAMINE BLOOD,647.0,647.0,13.0,647.0,122 CDM,30000733,HC HISTAMINE URINE,335.0,335.0,13.0,335.0,122 CDM,30000734,HC HOMOCYSTEINE,530.0,530.0,10.75,530.0,122 CDM,30000735,HC HOMOVANILLIC ACID,139.0,139.0,7.5,139.0,122 CDM,30000737,HC 5- (HIAA),324.0,324.0,7.74,324.0,122 CDM,30000740,HC ASSAY OF PROGESTERONE 17-D,223.0,223.0,16.3,223.0,122 CDM,30000743,HC ABTI-GBM AB,356.0,356.0,6.92,356.0,119 CDM,30000747,HC ANTI HISTONE AB,412.0,412.0,6.92,412.0,119 CDM,30000750,HC ANTI-MULLERIAN HORMONE,279.0,279.0,23.17,279.0,119 CDM,30000751,HC ANTI-MYELOPEROXIDASE ANTIBODY,120.0,120.0,6.92,120.0,119 CDM,30000754,HC ASIALO GM1 IGG,476.0,476.0,6.92,476.0,119 CDM,30000755,HC ASIALO GM1 IGM,476.0,476.0,6.92,476.0,119 CDM,30000756,HC ASIALO-GM1,238.0,238.0,6.92,238.0,119 CDM,30000757,HC B-ALCA IGG,356.0,356.0,6.92,356.0,119 CDM,30000758,HC B - AMCA IGG,356.0,356.0,6.92,356.0,119 CDM,30000759,HC B IMMUNOASSAYMULT-STEP,117.0,117.0,6.92,117.0,119 CDM,30000760,HC B-ACCA IGA,356.0,356.0,6.92,356.0,119 CDM,30000762,HC BULLOUS PEMPHIG ANTIGENS IGG,643.0,643.0,6.92,643.0,119 CDM,30000766,HC CENTROMERE ANTIBODY SCREEN,323.0,323.0,6.92,323.0,119 CDM,30000767,HC CHROMATIN AB IGG,230.0,230.0,6.92,230.0,119 CDM,30000771,HC EJ AB,99.0,99.0,6.92,99.0,119 CDM,30000776,HC GANGLIOSIDE ABSCOMBIND IGGLGM,233.0,233.0,6.92,233.0,119 CDM,30000777,HC GBM IGG BY MULTIPLEX BEAD,541.0,541.0,6.92,541.0,119 CDM,30000778,HC GLIADIN ABS,286.0,286.0,6.92,286.0,119 CDM,30000780,HC GLIADIN IGG,285.0,285.0,6.55,285.0,119 CDM,30000781,HC GLUTAMIC ACID DECARBOXYLASE AB,151.0,151.0,6.92,151.0,119 CDM,30000782,HC GM-1 ANTIBODIES,286.0,286.0,6.92,286.0,119 CDM,30000784,HC GM1 IGM,476.0,476.0,6.92,476.0,119 CDM,30000789,HC IMMUNOASSAY NONINFECT AB,356.0,356.0,6.92,356.0,119 CDM,30000790,HC IMMUNOASSAY NON INFECT. AB/AG,1316.0,1316.0,6.92,1316.0,119 CDM,30000792,HC KU AB,99.0,99.0,6.92,99.0,119 CDM,30000793,HC MAG ANTIBODY,356.0,356.0,6.92,356.0,119 CDM,30000794,HC MI-2 AB,99.0,99.0,6.92,99.0,119 CDM,30000796,HC MOTOR NEUROPATHY MAG IGM,238.0,238.0,6.92,238.0,119 CDM,30000797,HC MOTOR NEUROPATHY SGPG IGM,238.0,238.0,6.92,238.0,119 CDM,30000798,HC MSCLE-SPEC RCPTR TYROSNE KNASE,1659.0,1659.0,11.04,1659.0,119 CDM,30000801,HC MYOSITIS SRP,63.0,63.0,6.92,63.0,119 CDM,30000804,HC NEURONAL NUCL ABS IGG IMMBLOT,544.0,544.0,6.92,544.0,119 CDM,30000805,HC NMDAR TITER,450.0,450.0,7.23,450.0,122 CDM,30000806,HC OJ AB,99.0,99.0,6.92,99.0,119 CDM,30000808,HC P155/140 AB,99.0,99.0,6.92,99.0,119 CDM,30000811,HC PEMPHI DESMOGLEIN 3,492.0,492.0,6.92,492.0,119 CDM,30000815,HC PL-12 AB,99.0,99.0,6.92,99.0,119 CDM,30000816,HC PL-7 AB,99.0,99.0,6.92,99.0,119 CDM,30000817,HC PM/SCL COMPLEX AB,99.0,99.0,6.92,99.0,119 CDM,30000820,HC RNA POLYMERASE III ANTIBODY I,241.0,241.0,6.92,241.0,119 CDM,30000822,HC SERINE PROTEASE3IGG,120.0,120.0,6.92,120.0,119 CDM,30000823,HC SGPG ANTIBODY IGM,153.0,153.0,6.92,153.0,119 CDM,30000824,HC SLA ANTIBODY IGG,153.0,153.0,6.92,153.0,119 CDM,30000827,HC SRP AB,99.0,99.0,6.92,99.0,119 CDM,30000829,HC TTG ABS IGA,356.0,356.0,6.55,356.0,119 CDM,30000831,HC U2 SN RNP AB,99.0,99.0,6.92,99.0,119 CDM,30000835,HC ACETYLCHOLINE BINDING AB,144.0,144.0,11.04,144.0,119 CDM,30000836,HC ACETYLCHOLINE BLOCKING AB,680.0,680.0,6.92,680.0,119 CDM,30000837,HC ACETYLCHOLINE MODULATING AB,276.0,276.0,6.92,276.0,119 CDM,30000840,HC ALPHA SUBUNIT - LH FSH TSH,987.0,987.0,10.36,987.0,121 CDM,30000842,HC GLUTAMIC ACID DECARBOXYLASE AB,276.0,276.0,11.04,276.0,119 CDM,30000844,HC IGF BIND PROT 2,276.0,276.0,11.04,276.0,119 CDM,30000845,HC IGF BINDING PROTEIN-1,450.0,450.0,11.04,450.0,119 CDM,30000846,HC IMMUNOASSAY QUANTITATIVE RIA,680.0,680.0,11.04,680.0,119 CDM,30000847,HC INSULIN-LIKE GROW FACT 2(IGF-2,378.0,378.0,10.36,378.0,121 CDM,30000849,HC PANCREAT POLYPEP,276.0,276.0,11.04,276.0,119 CDM,30000851,HC PROCOLLAGEN TYPE I INTACT N-TP,618.0,618.0,11.04,618.0,119 CDM,30000856,HC VGCC ANTIBODY,618.0,618.0,7.23,618.0,122 CDM,30000857,HC VGKC AB,566.0,566.0,11.04,566.0,119 CDM,30000859,HC ANTIMOUSE AB,154.0,154.0,10.36,154.0,121 CDM,30000864,HC CYTOKINES,131.0,131.0,10.36,131.0,121 CDM,30000865,HC FECAL OCCULT BLOOD IMMUNO (SEN,119.0,119.0,2.8,119.0,122 CDM,30000866,HC INTACT FIBROBLAST GROWTH FACTOR 23,869.0,869.0,10.36,869.0,121 CDM,30000868,HC GQ1B ABS,517.0,517.0,10.36,517.0,121 CDM,30000870,HC HUMAN ANTIMOUSE ANTIBODIES,885.0,885.0,10.36,885.0,121 CDM,30000872,HC IMMUNOASSAY ANALYTE QUANT NOS,422.0,422.0,10.36,422.0,121 CDM,30000873,HC INHIBIN B,366.0,366.0,10.36,366.0,121 CDM,30000874,HC INTERFERON GAMMA,313.0,313.0,10.36,313.0,121 CDM,30000875,HC INTERLEUKIN 2 RECEPTOR BY MAFD,885.0,885.0,10.36,885.0,121 CDM,30000876,HC INTERLEUKIN 6,899.0,899.0,9.81,899.0,119 CDM,30000880,HC PANCREATIC ELASTASE FECAL,552.0,552.0,13.04,552.0,122 CDM,30000883,HC SULFATIDE AB,774.0,774.0,10.36,774.0,121 CDM,30000884,HC TATC ABS,324.0,324.0,10.36,324.0,121 CDM,30000886,HC TRYPTASE,412.0,412.0,10.36,412.0,121 CDM,30000887,HC TSH RECEPTOR AB,324.0,324.0,10.36,324.0,121 CDM,30000889,HC TUMOR NECROSIS FACTOR,517.0,517.0,10.36,517.0,121 CDM,30000891,HC VEG FACTOR,455.0,455.0,10.36,455.0,121 CDM,30000892,HC INSULIN TOTAL,307.0,307.0,6.86,307.0,122 CDM,30000893,HC INSULINFREE,196.0,196.0,7.77,196.0,122 CDM,30000894,HC IRON,182.0,182.0,3.88,182.0,122 CDM,30000896,HC ASSAY 17- KETOSTEROIDS,357.0,357.0,7.68,357.0,122 CDM,30000898,HC LACTIC ACID,292.0,292.0,6.94,292.0,122 CDM,30000899,HC LACTATE DEHYDROGENASE (LD LDH),165.0,165.0,1.93,165.0,122 CDM,30000900,HC LDH ISOENZYMES,352.0,352.0,7.67,352.0,122 CDM,30000901,HC LACTOFERRIN FECAL (QUAL),108.0,108.0,11.82,108.0,122 CDM,30000902,HC PLACENTAL LACTOGEN HUMAN,556.0,556.0,12.13,556.0,122 CDM,30000903,HC LEAD LEVEL,335.0,335.0,7.27,335.0,122 CDM,30000908,HC LIPASE,334.0,334.0,4.13,334.0,122 CDM,30000909,HC LIPOPROTEIN(A),340.0,340.0,8.59,340.0,122 CDM,30000911,HC LIPOPRO BLD ELECTROPHORETIC,185.0,185.0,6.76,185.0,122 CDM,30000912,HC LDL SUBCLASSES,493.0,493.0,20.32,493.0,122 CDM,30000915,HC LIPOPROTEIN BLD BY NMR,251.0,251.0,20.51,251.0,119 CDM,30000916,HC ASSAY OF LIPOPROTEIN,227.0,227.0,4.91,227.0,122 CDM,30000919,HC LOW DENSITY LIPOPROTEIN,227.0,227.0,6.3,227.0,122 CDM,30000920,HC MAGNESIUM,209.0,209.0,4.02,209.0,122 CDM,30000921,HC MANGANESE,948.0,948.0,13.96,948.0,119 CDM,30000923,HC BILE ACIDFRAC/TOTAL,584.0,584.0,14.47,584.0,121 CDM,30000924,HC CORTISONE URINE 24HR,723.0,723.0,14.47,723.0,121 CDM,30000925,HC MS MS/MS QUANT,2991.0,2991.0,14.47,2991.0,121 CDM,30000926,HC FAM AMYLOID(TTR GENE)MASS SPEC,390.0,390.0,14.47,390.0,121 CDM,30000927,HC LAXATIVESUR,580.0,580.0,0.02,580.0,112 CDM,30000928,HC NEWBORN SCREEN,446.0,446.0,14.47,446.0,121 CDM,30000929,HC SULFONYLUREA PANEL,287.0,287.0,0.02,287.0,112 CDM,30000931,HC URINE IODINE,196.0,196.0,14.47,196.0,121 CDM,30000932,HC MERCURY,447.0,447.0,9.76,447.0,122 CDM,30000933,HC DRUG ASSAY OF METANEPHRINES,537.0,537.0,10.16,537.0,122 CDM,30000935,HC MYELIN BASIC PROTEIN CSF,447.0,447.0,10.32,447.0,122 CDM,30000936,HC MYOGLOBIN,447.0,447.0,7.75,447.0,122 CDM,30000938,HC B-TYPE NATRIURETIC PEPTIDE,837.0,837.0,23.56,837.0,122 CDM,30000939,HC A2-MACROGLOBULIN,166.0,166.0,8.16,166.0,119 CDM,30000941,HC NASH FIBROSURE,544.0,544.0,8.16,544.0,119 CDM,30000943,HC RETINOL BINDING PROTEIN,123.0,123.0,8.16,123.0,119 CDM,30000944,HC URINE FREE KAPPA,599.0,599.0,9.81,599.0,124 CDM,30000945,HC URINE FREE LAMBDA,599.0,599.0,9.81,599.0,124 CDM,30000947,HC 5 NUCLEOTIDASE,307.0,307.0,6.69,307.0,124 CDM,30000948,HC CSF IGG INDEX,542.0,542.0,15.0,542.0,124 CDM,30000949,HC OLIGOCLONAL BANDS,517.0,517.0,15.0,517.0,124 CDM,30000950,HC ORGANIC ACIDS TOTAL QUANT,777.0,777.0,14.16,777.0,124 CDM,30000951,HC METHYLMALONIC ACID QUAN,552.0,552.0,12.73,552.0,124 CDM,30000952,HC OSMOLALITY,237.0,237.0,3.0,237.0,124 CDM,30000953,HC OSMOLALITY - URINE,237.0,237.0,3.0,237.0,124 CDM,30000954,HC OSTEOCALCIN,188.0,188.0,17.91,188.0,124 CDM,30000955,HC OXALATE,356.0,356.0,8.67,356.0,124 CDM,30000956,HC INTACT PARATHYROID HORMONE,1134.0,1134.0,24.77,1134.0,124 CDM,30000957,HC FLUID PH,160.0,160.0,2.0,160.0,124 CDM,30000958,HC DRUG ASSAY OF PHENCYCLIDINE,620.0,620.0,0.02,620.0,115 CDM,30000961,HC CALPROTECTIN FECAL,616.0,616.0,11.78,616.0,124 CDM,30000963,HC ACID PHOSPHATASE,1069.0,1069.0,4.58,1069.0,122 CDM,30000964,HC PROSTATIC ACID PHOSPHATASE,226.0,226.0,5.8,226.0,122 CDM,30000965,HC ALKALINE PHOSPHATASE,126.0,126.0,1.93,126.0,122 CDM,30000966,HC ALKALINE PHOSPHATASE ISOENZYMES,419.0,419.0,8.87,419.0,119 CDM,30000968,HC ASSAY OF PHOSPHORUS,152.0,152.0,1.93,152.0,122 CDM,30000969,HC PHOSPHORUS URINE,153.0,153.0,3.47,153.0,122 CDM,30000970,HC ASSAY OF URINE PHOSPHORUS,153.0,153.0,3.47,153.0,122 CDM,30000972,HC PORPHOBILINOGEN URINE,237.0,237.0,2.0,237.0,122 CDM,30000974,HC PORPHYRINS URINE QUANTITATIVE,454.0,454.0,7.5,454.0,122 CDM,30000975,HC PORPHYRINS FECAL,502.0,502.0,23.47,502.0,119 CDM,30000976,HC POTASSIUM POC,144.0,144.0,1.93,144.0,122 CDM,30000977,HC POTASSIUM SERUM,138.0,138.0,1.93,138.0,122 CDM,30000978,HC POTASSIUM URINE,186.0,186.0,2.84,186.0,122 CDM,30000980,HC PREALBUMIN,446.0,446.0,8.75,446.0,122 CDM,30000983,HC PREGNENOLONE,186.0,186.0,12.4,186.0,122 CDM,30000984,HC 17-HYDROXYPREGNENOLN,251.0,251.0,13.69,251.0,122 CDM,30000985,HC PROGESTERONE,572.0,572.0,12.52,572.0,122 CDM,30000986,HC PROCALCITONIN,618.0,618.0,16.33,618.0,122 CDM,30000987,HC MACROPROLACTIN,307.0,307.0,11.63,307.0,122 CDM,30000988,HC PROLACTIN,534.0,534.0,11.63,534.0,122 CDM,30000989,HC PROSTAGLANDIN D2,556.0,556.0,11.0,556.0,122 CDM,30000991,HC PSA TOTAL DIAGNOSTIC,462.0,462.0,11.03,462.0,122 CDM,30000992,HC PSA TOTAL SCREENING,444.0,444.0,11.03,444.0,122 CDM,30000993,HC PSA ULTRA SENSITIVE,114.0,114.0,11.03,114.0,122 CDM,30000994,HC PSA FREE,188.0,188.0,11.03,188.0,122 CDM,30000995,HC TOTAL PROTEIN,137.0,137.0,1.93,137.0,122 CDM,30000996,HC PROTEIN URINE,174.0,174.0,1.93,174.0,122 CDM,30000998,HC TOTAL PROTEIN CSF,228.0,228.0,1.93,228.0,122 CDM,30000999,HC S. PROTEIN REFRACT,58.0,58.0,3.37,58.0,122 CDM,30001000,HC MOTOR NEUROPATHY ELECTROPHORESIS,331.0,331.0,6.44,331.0,122 CDM,30001001,HC SERUM PROTEIN ELECTROPHORESIS,331.0,331.0,6.44,331.0,122 CDM,30001003,HC URINE PROTEIN ELETROPOHORESIS,787.0,787.0,10.7,787.0,122 CDM,30001005,HC 14-3-3 PROTEIN TAU/THETA CSF,166.0,166.0,17.53,166.0,124 CDM,30001006,HC 68KD (HSP-70) ABS,953.0,953.0,6.92,953.0,119 CDM,30001007,HC B WESTERN BLOTIMMU PROBE,175.0,175.0,17.53,175.0,124 CDM,30001008,HC CV2 AUTOAB,1263.0,1263.0,17.53,1263.0,124 CDM,30001009,HC FREE RBC PROTOPORPHYRIN,433.0,433.0,8.61,433.0,122 CDM,30001010,HC ZINC PROTOPORPHYRIN,153.0,153.0,8.61,153.0,122 CDM,30001011,HC PROINSULIN,219.0,219.0,8.0,219.0,122 CDM,30001012,HC VITAMIN B-6,600.0,600.0,16.86,600.0,122 CDM,30001013,HC PYRUVATE,366.0,366.0,8.0,366.0,122 CDM,30001014,HC PYRUVATE KINASE,144.0,144.0,5.66,144.0,122 CDM,30001018,HC ACETYLCHOLINE RECEPTOR AB,968.0,968.0,21.94,968.0,122 CDM,30001019,HC SOLUBLE TRANSFERRIN RECEPTOR,401.0,401.0,21.94,401.0,122 CDM,30001020,HC RENIN ACTIVITY,609.0,609.0,12.0,609.0,122 CDM,30001021,HC VITAMIN B2,478.0,478.0,8.0,478.0,122 CDM,30001022,HC SELENIUM,419.0,419.0,15.32,419.0,119 CDM,30001023,HC SEROTONIN,828.0,828.0,18.59,828.0,122 CDM,30001024,HC SEX HORMONE BINDING GLOB,143.0,143.0,13.04,143.0,122 CDM,30001026,HC SILICON,286.0,286.0,14.0,286.0,122 CDM,30001027,HC SODIUM SERUM POC,113.0,113.0,1.93,113.0,122 CDM,30001028,HC ASSAY OF SERUM SODIUM,161.0,161.0,1.93,161.0,122 CDM,30001029,HC SODIUM URINE,160.0,160.0,3.04,160.0,122 CDM,30001030,HC SODIUM URINE 24 HR,160.0,160.0,3.04,160.0,122 CDM,30001031,HC SODIUMOTHER SOURCE,267.0,267.0,2.92,267.0,122 CDM,30001032,HC SOMATOMEDIN C,561.0,561.0,12.76,561.0,122 CDM,30001033,HC SOMATOSTATIN QUANT,665.0,665.0,10.97,665.0,122 CDM,30001035,HC ADENOSINE DEAMINASE FLUID,117.0,117.0,4.86,117.0,119 CDM,30001037,HC CHOLESTEROL FLUID,168.0,168.0,4.86,168.0,119 CDM,30001039,HC CHYMOTRYPSINFECES,330.0,330.0,4.86,330.0,119 CDM,30001041,HC PORPHYRINS PROFILE,723.0,723.0,4.86,723.0,119 CDM,30001042,HC PORPHYRINS TOTAL,137.0,137.0,4.86,137.0,119 CDM,30001046,HC REDUCING SUBSTANCES FECAL,63.0,63.0,3.3,63.0,122 CDM,30001047,HC 15 ANHYDROGLUCITOL(GLYCOMARK),385.0,385.0,6.92,385.0,122 CDM,30001048,HC SULFATE URINE,102.0,102.0,3.29,102.0,119 CDM,30001049,HC FREE TESTOSTERONE,642.0,642.0,15.28,642.0,122 CDM,30001050,HC FREE TESTOSTERONE FEMALE,642.0,642.0,15.28,642.0,122 CDM,30001051,HC TOTAL TESTOSTERONE,713.0,713.0,15.49,713.0,122 CDM,30001052,HC TOTAL TESTOSTERONE FEMALE,254.0,254.0,15.49,254.0,122 CDM,30001053,HC VITAMIN B1 THIAMINE,566.0,566.0,7.0,566.0,122 CDM,30001055,HC THYROGLOBULIN,530.0,530.0,9.64,530.0,122 CDM,30001056,HC THYROXINE TOTAL,239.0,239.0,4.12,239.0,122 CDM,30001058,HC FREE THYROXINE (T4),289.0,289.0,5.41,289.0,122 CDM,30001059,HC THYROXINE BINDING GLOBULIN,407.0,407.0,8.87,407.0,122 CDM,30001060,HC THYROID STIMULATING HORMONE (TSH),468.0,468.0,10.08,468.0,122 CDM,30001061,HC THYROID STIMULATING (TSI),1300.0,1300.0,20.0,1300.0,122 CDM,30001062,HC VITAMIN E,384.0,384.0,8.51,384.0,122 CDM,30001063,HC CORTISOL BINDING GLOBULIN,368.0,368.0,10.8,368.0,122 CDM,30001064,HC ASPARTAMINE TRANSFERASE (AST),126.0,126.0,1.93,126.0,122 CDM,30001065,HC ALANINE TRANSFERASE (ALT),130.0,130.0,1.93,130.0,122 CDM,30001066,HC TRANSFERRIN,390.0,390.0,7.66,390.0,122 CDM,30001067,HC TRIGLYCERIDES,174.0,174.0,1.93,174.0,122 CDM,30001069,HC T3 UPTAKE,237.0,237.0,3.88,237.0,122 CDM,30001070,HC TRIIODOTHYRONINE (T3),384.0,384.0,8.0,384.0,122 CDM,30001071,HC FREE T3,469.0,469.0,10.16,469.0,122 CDM,30001072,HC REVERSE T3,508.0,508.0,9.46,508.0,122 CDM,30001073,HC TROPONIN,491.0,491.0,7.48,491.0,122 CDM,30001075,HC UREA NITROGEN,119.0,119.0,1.93,119.0,122 CDM,30001076,HC UREA NITROGEN URINE,159.0,159.0,3.34,159.0,119 CDM,30001077,HC URIC ACID,151.0,151.0,1.93,151.0,122 CDM,30001078,HC URIC ACID URINE,166.0,166.0,3.05,166.0,122 CDM,30001080,HC VANILLYL MANDELIC ACID,428.0,428.0,9.3,428.0,122 CDM,30001081,HC VASOACTIVE INT POLYPEPTIDE,1105.0,1105.0,21.2,1105.0,122 CDM,30001082,HC VASOPRESSIN (ADH),525.0,525.0,20.36,525.0,122 CDM,30001083,HC VITAMIN A,351.0,351.0,6.97,351.0,122 CDM,30001084,HC VITAMIN B3,191.0,191.0,10.24,191.0,119 CDM,30001085,HC VITAMIN K1,289.0,289.0,8.23,289.0,119 CDM,30001087,HC METHANOL,374.0,374.0,10.27,374.0,119 CDM,30001088,HC VOLATILES,374.0,374.0,10.27,374.0,119 CDM,30001091,HC ZINC,318.0,318.0,6.83,318.0,122 CDM,30001092,HC C-PEPTIDE,572.0,572.0,12.49,572.0,122 CDM,30001093,HC HCG TUMOR MARKER,159.0,159.0,9.03,159.0,122 CDM,30001094,HC HCG QUANTITATIVE,335.0,335.0,9.03,335.0,122 CDM,30001097,HC CHITOTRIOSIDASE,1839.0,1839.0,37.29,1839.0,112 CDM,30001098,HC FECAL POTASSIUM,1237.0,1237.0,4.86,1237.0,119 CDM,30001099,HC MISC CHEM TEST,517.0,517.0,37.29,517.0,112 CDM,30001101,HC OSMOLALITY STOOL,517.0,517.0,37.29,517.0,112 CDM,30001106,HC BL SMEAR W/DIFF WBC COUNT,179.0,179.0,2.28,179.0,122 CDM,30001107,HC PLATELET SCREEN,143.0,143.0,2.06,143.0,122 CDM,30001108,HC RBC MORPHOLOGY T/F,143.0,143.0,2.06,143.0,122 CDM,30001111,HC MANUAL DIFF WBC COUNT B-COAT,158.0,158.0,3.04,158.0,122 CDM,30001112,HC HEMATOCRIT,131.0,131.0,1.42,131.0,122 CDM,30001113,HC HEMOGLOBIN,117.0,117.0,1.42,117.0,122 CDM,30001114,HC COMPLETE CBC W/AUTO DIFF WBC,263.0,263.0,4.66,263.0,122 CDM,30001115,HC COMPLETE CBC AUTOMATED,249.0,249.0,3.88,249.0,122 CDM,30001117,HC AUTOMATED RETICULOCYTE COUNT,220.0,220.0,2.39,220.0,122 CDM,30001119,HC AUTOMATED LEUKOCYTE COUNT,144.0,144.0,1.52,144.0,122 CDM,30001120,HC AUTOMATED PLATELET COUNT,265.0,265.0,2.69,265.0,122 CDM,30001122,HC BONE MARROW INTERPRETATION,615.0,615.0,19.2,2672.59,124 CDM,30001124,HC FACTOR II ASSAY,331.0,331.0,4.0,331.0,124 CDM,30001125,HC FACTOR V ASSAY,723.0,723.0,5.0,723.0,124 CDM,30001126,HC FACTOR VII ASSAY,600.0,600.0,5.0,600.0,124 CDM,30001127,HC FACTOR VIII ASSAY,753.0,753.0,10.74,753.0,124 CDM,30001128,HC RISTOCETIN/VWF RCO,761.0,761.0,13.76,761.0,124 CDM,30001129,HC FACTOR VIII ANTIGEN,680.0,680.0,13.76,680.0,124 CDM,30001130,HC FACTOR VIII MULTIMERS,907.0,907.0,13.76,907.0,124 CDM,30001131,HC FACTOR IX ASSAY,625.0,625.0,5.0,625.0,124 CDM,30001132,HC FACTOR X ASSAY,560.0,560.0,10.74,560.0,124 CDM,30001133,HC FACTOR XA ASSAY,500.0,500.0,10.74,500.0,124 CDM,30001134,HC FACTOR XI ASSAY,648.0,648.0,10.74,648.0,124 CDM,30001135,HC FACTOR XII ASSAY,699.0,699.0,11.61,699.0,124 CDM,30001136,HC FACTOR XIII ASSAY,507.0,507.0,8.0,507.0,124 CDM,30001138,HC PREKALLIKREIN,644.0,644.0,11.36,644.0,124 CDM,30001139,HC HIGH MOLEC WI KININOGEN,629.0,629.0,11.36,629.0,124 CDM,30001140,HC ANTITHROMBIN III ACTIVITY,613.0,613.0,7.11,613.0,124 CDM,30001141,HC ANTITHROMBIN III ANTIGEN,564.0,564.0,6.49,564.0,124 CDM,30001142,HC PROTEIN C ANTIGEN,28.0,28.0,3.47,38.09,124 CDM,30001143,HC PROTEIN C ACTIVITY,706.0,706.0,8.3,706.0,124 CDM,30001145,HC PROTEIN S FREE,88.0,88.0,9.19,88.0,124 CDM,30001146,HC PROTEIN S FUNCTION TOTAL,503.0,503.0,9.19,503.0,124 CDM,30001147,HC ACTIVATED PROTEIN C RESISTANCE,165.0,165.0,9.19,165.0,124 CDM,30001148,HC FACTOR VIII INHIB ASSAY,734.0,734.0,7.55,734.0,124 CDM,30001149,HC INHIBITOR SCREEN,360.0,360.0,7.55,360.0,124 CDM,30001150,HC INHIBITOR SCREEN PT,114.0,114.0,7.55,114.0,124 CDM,30001151,HC ACTIVATED CLOTTING TIME-POC,351.0,351.0,2.57,351.0,122 CDM,30001156,HC D DIMER QUANTITATIVE,450.0,450.0,6.11,450.0,122 CDM,30001157,HC D-DIMER,600.0,600.0,6.11,600.0,124 CDM,30001158,HC FIBRINOGEN,137.0,137.0,5.83,137.0,124 CDM,30001159,HC IMMUNOLOGIC FIBRINOGEN,137.0,137.0,8.68,137.0,124 CDM,30001160,HC FIBRINOLYSINS SCREEN I R,84.0,84.0,3.0,84.0,122 CDM,30001161,HC ADAMTS13 ACTIVITY,718.0,718.0,15.55,718.0,122 CDM,30001162,HC ALPHA 2 ANTI PLASMIN,584.0,584.0,4.63,584.0,124 CDM,30001163,HC PLASMINOGEN ACTIVATOR INHIBITOR,851.0,851.0,10.31,851.0,122 CDM,30001164,HC PLASMINOGEN,630.0,630.0,3.92,630.0,124 CDM,30001166,HC KLEIHAUER - BETKE,433.0,433.0,4.64,433.0,124 CDM,30001167,HC FETAL ROSETTE TEST,524.0,524.0,5.62,524.0,122 CDM,30001169,HC HEPARIN ASSAY,530.0,530.0,6.53,530.0,124 CDM,30001170,HC HEPARSORB PTT T/F,241.0,241.0,7.1,241.0,124 CDM,30001174,HC LYSOZYME (MURAMIDASE),351.0,351.0,11.25,351.0,122 CDM,30001185,HC PHOSPHOLIPID NEUTRALIZATION PLATELET,455.0,455.0,10.79,455.0,124 CDM,30001187,HC PHSPHLPD NTRLIZTN HEX PHSPHLPD,53.0,53.0,6.57,57.02,124 CDM,30001188,HC PROTHROMBIN TIME,159.0,159.0,2.57,159.0,124 CDM,30001190,HC RUSSELL VIPER VENOM DILUTED RATIO,364.0,364.0,5.75,364.0,124 CDM,30001191,HC RUSSELL VIPER VENOM DILUTED,364.0,364.0,5.75,364.0,124 CDM,30001192,HC REPTILASE TIME,393.0,393.0,5.91,393.0,124 CDM,30001193,HC SEDIMENTATION RATE NONAUTOMATED,212.0,212.0,2.56,212.0,122 CDM,30001194,HC SEDIMENTATION RATE AUTOMATED,133.0,133.0,1.62,133.0,122 CDM,30001195,HC SICKLE CELL PREPARATION,192.0,192.0,3.0,192.0,122 CDM,30001196,HC THROMBIN TIME,334.0,334.0,3.46,334.0,124 CDM,30001197,HC TISSUE THROMBOPLASTIN INHIBITION,767.0,767.0,5.78,767.0,124 CDM,30001198,HC PARTIAL THROMBOPLASTIN TIME,271.0,271.0,3.61,271.0,122 CDM,30001200,HC BLOOD VISCOSITY EXAMINATION,281.0,281.0,4.0,281.0,122 CDM,30001203,HC HYPERSENSITIVITY,1175.0,1175.0,4.69,1175.0,122 CDM,30001207,HC ALLER AEROBASIDIUM PULLULANS,56.0,56.0,3.13,56.0,122 CDM,30001208,HC ALLERCOMMON/SHORT RAGWEED,56.0,56.0,3.13,56.0,122 CDM,30001211,HC ALLERFNGI/MLDCURVULARIA LUNA,56.0,56.0,3.13,56.0,122 CDM,30001212,HC ALLERFNGI/MLDHELMINTHOSPORIU,56.0,56.0,3.13,56.0,122 CDM,30001213,HC ALLERFNGI/MOLDCEPHALOSPORIUM,56.0,56.0,3.13,56.0,122 CDM,30001214,HC ALLERFNGI/MOLDMUCO RACEMOSUS,56.0,56.0,3.13,56.0,122 CDM,30001215,HC ALLERFUNGI/MOLDA.FUMIGATUS,56.0,56.0,3.13,56.0,122 CDM,30001216,HC ALLERGRASSORCH GRASS/COCKSFT,56.0,56.0,3.13,56.0,122 CDM,30001217,HC ALLERGRASSPERENNIAL RYE GRAS,56.0,56.0,3.13,56.0,122 CDM,30001218,HC ALLERGRASSSWEET VERNAL GRASS,56.0,56.0,3.13,56.0,122 CDM,30001219,HC ALLERINSECTCOCKROACHGERMAN,56.0,56.0,3.13,56.0,122 CDM,30001220,HC ALLERG FUNGI/MOLD EPICOCCUM,56.0,56.0,3.13,56.0,122 CDM,30001221,HC ALLERGAMERICAN BEECH TREE,56.0,56.0,3.13,56.0,122 CDM,30001224,HC ALLERGFUNGI/MOLDA.ALTERNATAS,56.0,56.0,3.13,56.0,122 CDM,30001226,HC ALLERGFUNGI/MOLDP.NOTATUM,56.0,56.0,3.13,56.0,122 CDM,30001227,HC ALLERGFUNGI/MOLDPHOMA BETAE,56.0,56.0,3.13,56.0,122 CDM,30001228,HC ALLERGFUNGI/MOLDR.NIGRICAN,56.0,56.0,3.13,56.0,122 CDM,30001229,HC ALLERGMITESD.PTERONYSSINUS,56.0,56.0,3.13,56.0,122 CDM,30001231,HC ALLERGEN SPECIFIC IGE EACH,216.0,216.0,3.13,216.0,122 CDM,30001232,HC ALLERGEN ANIMAL CAT DANDER,56.0,56.0,3.13,56.0,122 CDM,30001233,HC ALLERGEN ANIMAL DOG DANDER,56.0,56.0,3.13,56.0,122 CDM,30001235,HC ALLERGEN DOG EPITHELIUM,56.0,56.0,3.13,56.0,122 CDM,30001237,HC ALLERGENBOX ELDER/MAPLE TREE,56.0,56.0,3.13,56.0,122 CDM,30001238,HC ALLERGENFUNGI MOLDSA IGE,23.0,23.0,2.85,23.0,122 CDM,30001239,HC ALLERGENGRASSJOHNSON GRASS,56.0,56.0,3.13,56.0,122 CDM,30001240,HC ALLERGENGRASSTIMOTHY GRASS,426.0,426.0,3.13,426.0,122 CDM,30001241,HC ALLERGENMITESD.FARINAE,56.0,56.0,3.13,56.0,122 CDM,30001242,HC ALLERGENTREEALDER TREE,56.0,56.0,3.13,56.0,122 CDM,30001243,HC ALLERGENTREEBIRCH TREE,56.0,56.0,3.13,56.0,122 CDM,30001244,HC ALLERGENTREECOTTONWOOD TREE,56.0,56.0,3.13,56.0,122 CDM,30001245,HC ALLERGENTREEELM TREE,56.0,56.0,3.13,56.0,122 CDM,30001246,HC ALLERGENTREEOAK TREE,56.0,56.0,3.13,56.0,122 CDM,30001247,HC ALLERGENTREEPECAN TREE,56.0,56.0,3.13,56.0,122 CDM,30001248,HC ALLERGENTREESWEET GUM TREE,56.0,56.0,3.13,56.0,122 CDM,30001249,HC ALLERGENTREESYCAMORE TREE,56.0,56.0,3.13,56.0,122 CDM,30001250,HC ALLERGENTREEWALNUT TREE,56.0,56.0,3.13,56.0,122 CDM,30001251,HC ALLERGENTREEWHITE ASH TREE,56.0,56.0,3.13,56.0,122 CDM,30001252,HC ALLERGENTREEWILLOW TREE,56.0,56.0,3.13,56.0,122 CDM,30001253,HC ALLERGENWEEDCOCKLEBUR,56.0,56.0,3.13,56.0,122 CDM,30001254,HC ALLERGENWEEDENGLISH PLANTAIN,56.0,56.0,3.13,56.0,122 CDM,30001255,HC ALLERGENWEEDGIANT RAGWEED,56.0,56.0,3.13,56.0,122 CDM,30001256,HC ALLERGENWEEDLAMB S QUARTERS,56.0,56.0,3.13,56.0,122 CDM,30001257,HC ALLERGEN FUSARIUM MONLIFORME,263.0,263.0,3.13,263.0,122 CDM,30001258,HC ALLERGEN HORMODENDRUM HORDEI,56.0,56.0,3.13,56.0,122 CDM,30001261,HC HYPER PNEUMO IGE,59.0,59.0,3.13,59.0,122 CDM,30001262,HC LATEX ALLERGENIGE,502.0,502.0,3.13,502.0,122 CDM,30001264,HC RAST 1 ALLERGEN,245.0,245.0,3.13,245.0,122 CDM,30001265,HC VENOM RAST 1GE,263.0,263.0,3.13,263.0,122 CDM,30001266,HC LEUKOCYTE ANTIBODY IDENTIFICATION,492.0,492.0,5.0,492.0,122 CDM,30001267,HC CU INDEXLEUKO AN,126.0,126.0,5.0,126.0,122 CDM,30001268,HC NEUTROPHIL AB,228.0,228.0,5.0,228.0,122 CDM,30001269,HC HEPARIN ASSOCIATED ANTIBODIES,1640.0,1640.0,5.0,1640.0,124 CDM,30001270,HC HEPARIN INDUCED PLATELET AB,1665.0,1665.0,5.0,1665.0,124 CDM,30001273,HC PLATELET ANTIBODIES,1640.0,1640.0,5.0,1640.0,124 CDM,30001275,HC SEROTONIN RELEASE,1045.0,1045.0,5.0,1045.0,124 CDM,30001276,HC PLATELET ASSOC. IMM. ASSAY,671.0,671.0,7.48,671.0,122 CDM,30001277,HC ANTINUCLEAR ANTIBODIES,334.0,334.0,7.25,334.0,122 CDM,30001279,HC ANTI-NUCLEAR ABIGG IFA,120.0,120.0,6.7,120.0,122 CDM,30001280,HC ANTISTREPTOLYSIN O TITER,255.0,255.0,4.38,255.0,122 CDM,30001281,HC BLOOD BANK CONSULT FEE,248.0,248.0,30.25,248.0,119 CDM,30001282,HC TRXN BB CONSULT FEE,655.0,655.0,41.56,655.0,119 CDM,30001283,HC PLCY DEVIATION CONSULT FEE,493.0,493.0,41.56,493.0,124 CDM,30001284,HC C-REACTIVE PROTEIN,318.0,318.0,3.0,318.0,122 CDM,30001285,HC C-REACTIVE PROTEIN HIGH SENSITIVITY,318.0,318.0,7.77,318.0,122 CDM,30001286,HC BETA-2 GLYCOPROTEIN ANTIBODY,385.0,385.0,15.27,385.0,124 CDM,30001287,HC CARDIOLIPID ANTIBODY,642.0,642.0,15.27,642.0,124 CDM,30001288,HC PHOSPHATIDYLS IGA,201.0,201.0,9.64,201.0,119 CDM,30001289,HC PHOSPHATIDYLS IGG,201.0,201.0,9.64,201.0,119 CDM,30001290,HC PHOSPHATIDYLS IGM,201.0,201.0,9.64,201.0,119 CDM,30001291,HC CIRCULATING TUMOR CELL COUNT,2551.0,2551.0,150.47,2551.0,119 CDM,30001292,HC COLD AGGLUTININ SCREEN,154.0,154.0,4.84,154.0,122 CDM,30001293,HC COLD AGGLUTININ TITER,237.0,237.0,4.84,237.0,122 CDM,30001294,HC C1 ESTERASE INHIBITOR,374.0,374.0,7.2,374.0,122 CDM,30001295,HC C10 COMPLEMENT,339.0,339.0,7.2,339.0,122 CDM,30001296,HC C2 COMPLEMENT,374.0,374.0,7.2,374.0,122 CDM,30001297,HC C3 COMPLEMENT,339.0,339.0,7.2,339.0,122 CDM,30001300,HC C5 COMPLEMENT,160.0,160.0,7.2,160.0,122 CDM,30001301,HC C6 COMPLEMENT,160.0,160.0,7.2,160.0,122 CDM,30001302,HC C7 COMPLEMENT,239.0,239.0,7.2,239.0,122 CDM,30001303,HC C8 COMPLEMENT,239.0,239.0,7.2,239.0,122 CDM,30001304,HC C9 COMPLEMENT,239.0,239.0,7.2,239.0,122 CDM,30001307,HC C4 COMPLEMENT,339.0,339.0,7.2,339.0,122 CDM,30001313,HC C1EST FUNCTION,419.0,419.0,7.2,419.0,122 CDM,30001314,HC C3 NEPHRITIC FACTOR,399.0,399.0,7.2,399.0,122 CDM,30001316,HC COMPLEMENT TOTAL (CH50),554.0,554.0,12.19,554.0,122 CDM,30001317,HC SEROLOGICAL TITERS,680.0,680.0,5.36,680.0,122 CDM,30001319,HC CYC CITRUL PEP IGG,205.0,205.0,7.77,205.0,122 CDM,30001320,HC DEOXYRIBONUCLEASE ANTIBODY,126.0,126.0,7.95,126.0,122 CDM,30001321,HC ANTI DNA,215.0,215.0,8.24,215.0,122 CDM,30001324,HC ANTI RNP,161.0,161.0,10.76,161.0,122 CDM,30001325,HC ANTI SM/RNP,448.0,448.0,10.76,448.0,122 CDM,30001326,HC ANTI-JO-1,161.0,161.0,10.76,161.0,122 CDM,30001327,HC ANTI-SCL-70,625.0,625.0,10.76,625.0,122 CDM,30001331,HC EXTRACTABLE NUCLEAR AG AB EACH,165.0,165.0,10.76,165.0,122 CDM,30001332,HC JO-1 AB IGG,161.0,161.0,10.76,161.0,122 CDM,30001333,HC MI-2 ABS,168.0,168.0,10.76,168.0,122 CDM,30001334,HC MYOSITIS PANEL,63.0,63.0,7.81,63.0,122 CDM,30001335,HC PM SCL 100,237.0,237.0,10.76,237.0,122 CDM,30001336,HC SJGR SSA,313.0,313.0,10.76,313.0,122 CDM,30001337,HC SJOGREN ANTIBODY SSAB,313.0,313.0,10.76,313.0,122 CDM,30001338,HC ADRENAL AB SCREEN,139.0,139.0,7.23,139.0,122 CDM,30001339,HC AMPAR(GLU2),254.0,254.0,7.23,254.0,122 CDM,30001340,HC AMPAR(GLUR1),254.0,254.0,7.23,254.0,122 CDM,30001342,HC ANNA SCREEN,426.0,426.0,7.23,426.0,122 CDM,30001343,HC ANTI PARIETAL CELL ANTIBODY,191.0,191.0,7.23,191.0,122 CDM,30001344,HC ANTI RECTICULIN,180.0,180.0,7.23,180.0,122 CDM,30001345,HC ANTI STRIATED MUSCLE AB.,426.0,426.0,7.23,426.0,122 CDM,30001347,HC ATYPICAL ANCA,94.0,94.0,7.23,94.0,122 CDM,30001350,HC CASPR2,591.0,591.0,7.23,591.0,122 CDM,30001351,HC CSF NMO IGG,191.0,191.0,7.23,191.0,122 CDM,30001353,HC FLUOR NONINFECT AB SCREEN EA,460.0,460.0,7.23,460.0,122 CDM,30001355,HC FLURESNT AB (IE. ANA AMA) T/F,426.0,426.0,7.23,426.0,122 CDM,30001356,HC GABA-B-R,146.0,146.0,7.23,146.0,122 CDM,30001357,HC GAD-65,254.0,254.0,7.23,254.0,122 CDM,30001359,HC FLUORESCENT ANTIBODY SCREEN,541.0,541.0,7.23,541.0,122 CDM,30001361,HC LGI1,254.0,254.0,7.23,254.0,122 CDM,30001364,HC NMDAR CSF,591.0,591.0,7.23,591.0,122 CDM,30001365,HC NMDAR SERUM,426.0,426.0,7.23,426.0,122 CDM,30001366,HC NMO AB SCREEN,151.0,151.0,7.23,151.0,122 CDM,30001367,HC PARANEOPLASTIC ABS W/RFLX CSF,128.0,128.0,7.23,128.0,122 CDM,30001368,HC PARANEOPLASTIC SYNDRME AB PANL,180.0,180.0,7.23,180.0,122 CDM,30001373,HC ANCA SCREEN (TITER) T/F,1046.0,1046.0,7.23,1046.0,122 CDM,30001375,HC ENDOMYSIAL ANTIBODY,320.0,320.0,6.87,320.0,122 CDM,30001379,HC PARANEOPLSTIC AUTOAB EVALSER,3987.0,3987.0,7.23,3987.0,122 CDM,30001382,HC PHOSPHOLIP A2 RECPTRIGG TITER,816.0,816.0,7.23,816.0,122 CDM,30001383,HC PNEOE,3034.0,3034.0,7.23,3034.0,122 CDM,30001386,HC STRIA MUSC AB IGG TITER,237.0,237.0,7.23,237.0,122 CDM,30001388,HC CANCER ANTIGEN 15-3,580.0,580.0,12.49,580.0,122 CDM,30001389,HC CANCER ANTIGEN 27-29,580.0,580.0,12.49,580.0,122 CDM,30001390,HC CANCER ANTIGEN 19-9,580.0,580.0,12.49,580.0,122 CDM,30001391,HC CANCER ANTIGEN 125,580.0,580.0,12.49,580.0,122 CDM,30001392,HC HUMAN EPIDIDYMIS PROTEIN 4,1070.0,1070.0,12.49,1070.0,122 CDM,30001393,HC HETEROPHILE ANTIBODY SCREEN,220.0,220.0,3.11,220.0,122 CDM,30001394,HC HETEROPHILE ANTIBODY TITER,89.0,89.0,3.88,89.0,122 CDM,30001395,HC CHROMOGRANIN A,472.0,472.0,12.49,472.0,122 CDM,30001399,HC NEURON SPECIFIC ENOLASE,219.0,219.0,12.49,219.0,122 CDM,30001400,HC SOLUB MESOTHELIN RELAT PEPTIDE,338.0,338.0,12.49,338.0,122 CDM,30001402,HC PNEUMOCOCCAL ANTIBODIES,141.0,141.0,17.48,291.87,121 CDM,30001403,HC PROTEIN 14-3-3 CSF WITH REFLE,1695.0,1695.0,8.99,1695.0,122 CDM,30001404,HC TETANUS AB IGG,428.0,428.0,8.99,428.0,122 CDM,30001405,HC PHERESIS CMV NEG,339.0,339.0,10.85,339.0,122 CDM,30001409,HC HYPER PNEUMO GEL DIFFUSION,262.0,262.0,7.19,262.0,122 CDM,30001410,HC IMMUNE COMPLEX C1Q,339.0,339.0,14.62,339.0,122 CDM,30001412,HC IMMUNOFIX E-PHORESIS SERUM,125.0,125.0,13.4,125.0,122 CDM,30001413,HC BETA 2 TRANSFERRIN,250.0,250.0,17.61,250.0,122 CDM,30001414,HC IMMUNFIX E-PHORSIS/URINE/CSF,554.0,554.0,17.61,554.0,122 CDM,30001416,HC INHIBIN A,126.0,126.0,9.2,126.0,119 CDM,30001417,HC INSULIN ANTIBODIES,151.0,151.0,11.0,151.0,122 CDM,30001418,HC INTRINSIC FACTOR ANTIBODY,405.0,405.0,9.05,405.0,122 CDM,30001419,HC ISLET CELL ANTIBODY,393.0,393.0,14.14,393.0,122 CDM,30001420,HC IA-2 ANTIBODY,692.0,692.0,14.14,692.0,122 CDM,30001421,HC LEUKOCYTE HISTAMINE RELEASE,364.0,364.0,7.48,364.0,119 CDM,30001422,HC CELL FUNCTION ASSAY W/STIM,687.0,687.0,77.84,687.0,122 CDM,30001423,HC INFLIXIMAB ACTIV NEUTRALIZ AB,687.0,687.0,77.84,687.0,122 CDM,30001424,HC NEUTROPHIL OXIDATIVE BURST,1357.0,1357.0,77.84,1357.0,122 CDM,30001427,HC LYMPHOCYTE AG MYTOGEN PROLIF,478.0,478.0,29.42,478.0,122 CDM,30001432,HC ABSOLUTE CD 19,374.0,374.0,22.64,374.0,124 CDM,30001433,HC B CELLS TOTAL,885.0,885.0,22.64,885.0,124 CDM,30001434,HC ABSOLUTE CD2,286.0,286.0,16.07,286.0,124 CDM,30001435,HC ABSOLUTE CD3,286.0,286.0,16.07,286.0,124 CDM,30001436,HC ABSOLUTE CD4,286.0,286.0,16.07,286.0,124 CDM,30001437,HC ABSOLUTE CD45RA,286.0,286.0,16.07,286.0,124 CDM,30001438,HC ABSOLUTE CD45RA,286.0,286.0,16.07,286.0,124 CDM,30001439,HC ABSOLUTE CD8,284.0,284.0,16.07,284.0,124 CDM,30001440,HC ABSOLUTE HLA-DR,286.0,286.0,16.07,286.0,124 CDM,30001443,HC ABSOLUTE NATURAL KILLER CELLS,374.0,374.0,16.55,374.0,124 CDM,30001444,HC TOTAL NK CELLS,655.0,655.0,16.55,655.0,124 CDM,30001445,HC MN3 (CD4 MON BILLING),460.0,460.0,22.64,460.0,122 CDM,30001447,HC LYMPHOCYTE SUBSET PANEL 7 INFO,374.0,374.0,22.64,374.0,122 CDM,30001449,HC MN4 (CD4 MON BILLING),875.0,875.0,28.19,875.0,122 CDM,30001450,HC CD4 CD8 RATIO,468.0,468.0,28.19,468.0,122 CDM,30001452,HC CD34 STEM CELLS,642.0,642.0,42.0,642.0,122 CDM,30001453,HC ANTI THYROID MICROSOMAL,647.0,647.0,7.91,647.0,122 CDM,30001455,HC LIVERKIDNEY MICROSOMAL ANTIBO,405.0,405.0,7.91,405.0,122 CDM,30001459,HC RABIES TITER,507.0,507.0,10.15,507.0,119 CDM,30001463,HC CRYPTOCOCCAL ANTIGEN TITER,351.0,351.0,6.38,351.0,122 CDM,30001465,HC RHEUMATOID FACTOR QUANT,220.0,220.0,3.4,220.0,122 CDM,30001466,HC QUANTIFERON TB TEST,825.0,825.0,37.19,825.0,124 CDM,30001467,HC TSPOT,668.0,668.0,60.0,668.0,124 CDM,30001469,HC RPR-TEST FOR SYPHILIS,165.0,165.0,2.56,165.0,122 CDM,30001470,HC VDRL CSF,165.0,165.0,2.56,165.0,122 CDM,30001471,HC VDRL-SYPHILIS TESTCSF,254.0,254.0,2.56,254.0,122 CDM,30001472,HC RPR QUANTITATIVE,196.0,196.0,2.64,196.0,122 CDM,30001476,HC ASPERGILLUS ANTIBODY,136.0,136.0,9.03,136.0,122 CDM,30001479,HC ASPERGILLUS FUMIGATUS ABIGG,238.0,238.0,9.03,238.0,122 CDM,30001481,HC BARTONELLA HENSELAE ANTIBODY IGG,1925.0,1925.0,6.11,1925.0,122 CDM,30001482,HC BARTONELLA HENSELAE ANTIBODY IGM,1925.0,1925.0,6.11,1925.0,122 CDM,30001483,HC BARTONELLA QUINTANA ANTIBODY IGG,1925.0,1925.0,6.11,1925.0,122 CDM,30001484,HC BARTONELLA QUINTANA ANTIBODY IGM,1925.0,1925.0,6.11,1925.0,122 CDM,30001485,HC BLASTOMYCES ANTIBODY,93.0,93.0,7.74,93.0,122 CDM,30001486,HC B.PERTUSSIS IGG ANTIBODY,130.0,130.0,7.91,130.0,122 CDM,30001487,HC B.PERTUSSIS IGG W/REF,130.0,130.0,7.91,130.0,122 CDM,30001488,HC B. PERTUSSIS IGM ANTIBODY,130.0,130.0,7.91,130.0,122 CDM,30001489,HC BORRELIA AB CONFIRM,1150.0,1150.0,9.29,1150.0,124 CDM,30001492,HC BOR BURG C6 PEPTIDE AB,220.0,220.0,10.22,220.0,122 CDM,30001493,HC INFECTIOUS ANTIGEN ELISA,381.0,381.0,10.22,381.0,122 CDM,30001494,HC LYME AB,432.0,432.0,10.22,432.0,122 CDM,30001495,HC BRUCELLA ANTIBODIES IGG,258.0,258.0,5.36,258.0,122 CDM,30001496,HC BRUCELLA ANTIBODIES IGM,258.0,258.0,5.36,258.0,122 CDM,30001497,HC CANDIDA ANTIBODY,183.0,183.0,7.21,183.0,122 CDM,30001498,HC CHLAMYDIA IGG ANTIBODY,351.0,351.0,7.09,351.0,122 CDM,30001499,HC LGV PER SPECIES,351.0,351.0,7.09,351.0,122 CDM,30001500,HC CHLAMYDIA IGM ANTIBODY,249.0,249.0,7.61,249.0,122 CDM,30001501,HC LGV PER ISOTYPE,249.0,249.0,7.61,249.0,122 CDM,30001502,HC COCCIDIOIDES ANTIBODY (CF),279.0,279.0,6.88,279.0,122 CDM,30001503,HC COCCIDIOIDES ANTIBODY (ID),279.0,279.0,6.88,279.0,122 CDM,30001504,HC COCCIDIOIDES ANTIBODY IGG,279.0,279.0,6.88,279.0,122 CDM,30001505,HC COCCIDIOIDES ANTIBODY IGM,279.0,279.0,6.88,279.0,122 CDM,30001507,HC Q FEVER ANTIBODY PHASE II,104.0,104.0,7.27,104.0,122 CDM,30001509,HC CMV ANTIBODY,472.0,472.0,8.63,472.0,122 CDM,30001510,HC CMV ANTIBODY IGM,426.0,426.0,10.11,426.0,122 CDM,30001511,HC DIPHTHERIA ANTIBODY IGG,428.0,428.0,8.99,428.0,122 CDM,30001517,HC COXSACKIE TITER,495.0,495.0,7.82,495.0,119 CDM,30001519,HC ECHOVIRUS TITER,495.0,495.0,7.82,495.0,119 CDM,30001520,HC POLIOVIRUS 1,495.0,495.0,7.82,495.0,119 CDM,30001522,HC POLIOVIRUS 3,495.0,495.0,7.82,495.0,119 CDM,30001523,HC EPSTEIN-BARR ANTIBODY,1343.0,1343.0,7.87,1343.0,122 CDM,30001524,HC EPSTEIN-BARR ANTI-NUCLEAR AB,385.0,385.0,9.17,385.0,122 CDM,30001525,HC EPSTEIN-BARR IGG CAPSID VCA,455.0,455.0,10.88,455.0,122 CDM,30001526,HC EPSTEIN-BARR IGM CAPSID VCA,455.0,455.0,10.88,455.0,122 CDM,30001527,HC EBV PANEL,455.0,455.0,10.88,455.0,122 CDM,30001528,HC EBV VIRAL (APSII),455.0,455.0,10.88,455.0,122 CDM,30001529,HC EHRLICHIA IGM ANTIBODY,516.0,516.0,6.11,516.0,122 CDM,30001530,HC EHRLICHIA IGG ANTIBODY,516.0,516.0,6.11,516.0,122 CDM,30001531,HC HGE AGENT,953.0,953.0,6.11,953.0,122 CDM,30001533,HC FRANCISELLA TULARENSIS AB IGG,98.0,98.0,8.5,98.0,122 CDM,30001534,HC FRANCISELLA TULARENSIS AB IGM,98.0,98.0,8.5,98.0,122 CDM,30001537,HC S.CEREVISIAE ANTIBODYIGG,459.0,459.0,7.35,459.0,119 CDM,30001540,HC HELICOBACTER PYLORI IGG ANTIBODY,405.0,405.0,7.39,405.0,122 CDM,30001543,HC CYSTICERCOSIS IGGELISA,78.0,78.0,7.81,78.0,119 CDM,30001544,HC ECHINOCOCCUS ABS,1130.0,1130.0,7.81,1130.0,119 CDM,30001545,HC FILARIA IGG4 ANTIBODY,217.0,217.0,7.81,217.0,119 CDM,30001548,HC STRONGYLOIDES AB,186.0,186.0,7.81,186.0,119 CDM,30001549,HC TOXOCARA AB IGG,186.0,186.0,7.81,186.0,119 CDM,30001554,HC HTLV/HIV CONFIRM ANTIBODY,560.0,560.0,11.61,560.0,124 CDM,30001555,HC HEPATITIS DELTA ANTIBODY,393.0,393.0,10.3,393.0,122 CDM,30001557,HC HERPES ANTIBODY TITER,386.0,386.0,8.63,386.0,122 CDM,30001558,HC HERPES I/II IGM AB,386.0,386.0,8.63,386.0,122 CDM,30001560,HC HSV 1 IGG AB,405.0,405.0,7.91,405.0,122 CDM,30001561,HC HSV 2 IGG AB,516.0,516.0,11.61,516.0,122 CDM,30001563,HC HISTOPLASMA ID,390.0,390.0,8.27,390.0,122 CDM,30001564,HC HISTOPLASMA MYCELIA,390.0,390.0,8.27,390.0,122 CDM,30001565,HC HISTOPLASMA MYCELIA CF,113.0,113.0,8.27,113.0,122 CDM,30001566,HC HISTOPLASMA YEAST,390.0,390.0,8.27,390.0,122 CDM,30001567,HC HISTOPLASMA YEAST CF,113.0,113.0,8.27,113.0,122 CDM,30001570,HC HIV-1/HIV-2 1 RESULT ANTBDY,137.0,137.0,8.23,137.0,122 CDM,30001571,HC HEP B CORE ANTIBODY TOTAL,299.0,299.0,7.23,299.0,122 CDM,30001572,HC HEP B CORE ANTIBODY IGM,334.0,334.0,7.06,334.0,122 CDM,30001573,HC HEP B SURFACE ANTIBODY,292.0,292.0,6.44,292.0,122 CDM,30001574,HC HEPATITIS BE ANTIBODY,276.0,276.0,6.94,276.0,122 CDM,30001575,HC HEPATITIS A TOTAL ANTIBODY,60.0,60.0,7.43,60.0,122 CDM,30001576,HC HEPATITIS A IGM ANTIBODY,67.0,67.0,6.76,67.0,122 CDM,30001577,HC INFLU A IGG,405.0,405.0,8.13,405.0,119 CDM,30001578,HC INFLU A IGM,227.0,227.0,8.13,227.0,119 CDM,30001579,HC INFLU B IGG,227.0,227.0,8.13,227.0,119 CDM,30001580,HC INFLU B IGM,227.0,227.0,8.13,227.0,119 CDM,30001582,HC LEGIONELLA ANTIBODY,365.0,365.0,9.18,365.0,122 CDM,30001583,HC LEPTOSPIRA IGG ANTIBODY,126.0,126.0,9.72,126.0,122 CDM,30001585,HC MUMPS ANTIBODIES,405.0,405.0,7.83,405.0,119 CDM,30001588,HC MYCOPLASMA PNEUMONIAE TITER,405.0,405.0,7.94,405.0,122 CDM,30001589,HC PARVOVIRUS IGG ANTIBODY,405.0,405.0,9.02,405.0,122 CDM,30001590,HC PARVOVIRUS IGM ANTIBODY,1080.0,1080.0,9.02,1080.0,122 CDM,30001591,HC B.MICROTI ABIGG,136.0,136.0,15.94,136.0,122 CDM,30001592,HC B.MICROTI ABIGM,136.0,136.0,15.94,136.0,122 CDM,30001593,HC ENTAMOEBA HISTOLYTICA AB,405.0,405.0,7.43,405.0,119 CDM,30001594,HC TRYPANA CRUZI IGG,133.0,133.0,7.43,133.0,119 CDM,30001595,HC TRYPANA CRUZI IGM,133.0,133.0,7.43,133.0,119 CDM,30001597,HC ROCKY MT SPOT FEV IGG,405.0,405.0,11.61,405.0,122 CDM,30001598,HC ROCKY MT SPOT FEV IGM,405.0,405.0,11.61,405.0,122 CDM,30001599,HC RICKETTSIA TYPHI IGG,405.0,405.0,11.61,405.0,122 CDM,30001600,HC RICKETTSIA TYPHI IGM,405.0,405.0,11.61,405.0,122 CDM,30001602,HC RUBELLA ANTIBODY IGM,386.0,386.0,8.63,386.0,122 CDM,30001603,HC RUBELLA-IMMUNE STATUS,386.0,386.0,8.63,386.0,122 CDM,30001605,HC RUBEOLA AB IGG,255.0,255.0,7.73,255.0,122 CDM,30001608,HC RUBEOLA TITER IGM,255.0,255.0,7.73,255.0,122 CDM,30001611,HC TOXOPLASMA ANTIBODY,386.0,386.0,8.63,386.0,122 CDM,30001612,HC TOXOPLASMA ANTIBODY IGM,405.0,405.0,8.65,405.0,122 CDM,30001614,HC TREPONEMA PALLIDUM MICROHEMAGGL,335.0,335.0,7.94,335.0,122 CDM,30001615,HC TRICHINELLA ANTIBODY,165.0,165.0,7.54,165.0,122 CDM,30001616,HC VARICELLA-ZOSTER ANTIBODY,324.0,324.0,7.73,324.0,122 CDM,30001617,HC VARICELLA-ZOSTER IGG CSF,125.0,125.0,7.73,125.0,122 CDM,30001618,HC VARICELLA-ZOSTER IGM CSF,117.0,117.0,7.73,117.0,122 CDM,30001619,HC VZV IGM,117.0,117.0,7.73,117.0,122 CDM,30001621,HC ARBOVIRUS ABS CSF,802.0,802.0,8.63,802.0,122 CDM,30001622,HC WEST NILE VIRUS IGG ANTIBODY,138.0,138.0,8.63,138.0,122 CDM,30001623,HC CHIKUNGUNYA AB IGG,279.0,279.0,7.73,279.0,119 CDM,30001624,HC CHIKUNGUNYA AB IGM,279.0,279.0,7.73,279.0,119 CDM,30001626,HC DENGUE FEVER IGG,385.0,385.0,7.73,385.0,119 CDM,30001627,HC DENGUE FEVER IGM,385.0,385.0,7.73,385.0,119 CDM,30001628,HC HEPATITIS E ANTIBODYIGG,198.0,198.0,7.73,198.0,119 CDM,30001629,HC HEPATITIS E ANTIBODYIGM,209.0,209.0,7.73,209.0,119 CDM,30001630,HC HERPESVIRUS 6 ABIGG,385.0,385.0,7.73,385.0,119 CDM,30001631,HC HTLV I/II,202.0,202.0,7.73,202.0,119 CDM,30001632,HC JC VIRUS,2517.0,2517.0,7.73,2517.0,119 CDM,30001638,HC ANTI THYROGLOBIN IGG,830.0,830.0,9.55,830.0,122 CDM,30001639,HC ANTI THYROGLOBULIN AB,383.0,383.0,9.55,383.0,122 CDM,30001641,HC THYROGLOBULIN ANTIBODY,170.0,170.0,9.55,170.0,122 CDM,30001642,HC HEPATITIS C ANTIBODY,381.0,381.0,8.56,381.0,122 CDM,30001661,HC HLA COMPATIBLE,2046.0,2046.0,34.8,2046.0,122 CDM,30001665,HC HLA AUTO CROSSMATCH,2466.0,2466.0,65.69,2466.0,122 CDM,30001667,HC HLA FLOWCYTOMETRY CROSSMATCH,2466.0,2466.0,65.69,2466.0,122 CDM,30001673,HC HLA LSA1,3473.0,3473.0,102.0,3473.0,122 CDM,30001674,HC HLA LSA1C1Q,1201.0,1201.0,102.0,1201.0,122 CDM,30001675,HC HLA LSA2,3495.0,3495.0,92.73,3495.0,122 CDM,30001680,HC NK CELL FUNCTION,4469.0,4469.0,37.29,4469.0,112 CDM,30001682,HC PROTHROMBIN IGG,212.0,212.0,26.29,212.0,112 CDM,30001684,HC ANTIBODY SCREEN,215.0,215.0,8.45,215.0,122 CDM,30001685,HC RBC ANTIBODY ELUTION,299.0,299.0,8.45,565.16,122 CDM,30001686,HC ANTIBODY INTERPRETATIONS,596.0,596.0,8.45,1189.03,124 CDM,30001687,HC ANITHUMAN GLOBULIN TESTS DIRECT EACH ANTISERUM,138.0,138.0,5.39,195.68,122 CDM,30001688,HC DIRECT COOMBS,138.0,138.0,5.39,195.68,122 CDM,30001689,HC ANITHUMAN GLOBULIN TEST INDIRECT EACH ANTISERUM,287.0,287.0,5.72,565.16,122 CDM,30001690,HC ANTIBODY TITER INTERP,276.0,276.0,5.18,565.16,122 CDM,30001691,HC ANTIHUMAN GLOBULIN TEST INDIRECT EACH ANTIBODY,276.0,276.0,5.18,565.16,122 CDM,30001692,HC AUTOLOGUS BLOOD HANDLING,748.0,748.0,44.05,748.0,121 CDM,30001694,HC ABO GROUP,175.0,175.0,2.99,441.35,124 CDM,30001695,HC GROUP RH,165.0,165.0,2.99,165.0,122 CDM,30001696,HC RH TYPE,166.0,166.0,2.99,166.0,122 CDM,30001697,HC ANTIGEN TYPING OF UNITS,307.0,307.0,2.82,1189.03,122 CDM,30001698,HC AG SCREEN/PT SERUM,362.0,362.0,13.13,362.0,124 CDM,30001699,HC BLOOD TYPING RBC ANTIGENS,215.0,215.0,3.28,1189.03,122 CDM,30001701,HC RH PHENOTYPE,385.0,385.0,7.75,385.0,122 CDM,30001703,HC IMMEDIATE SPIN CROSSMATCH,293.0,293.0,21.0,565.16,124 CDM,30001704,HC INCUBATION COMBATIBILITY EACH,302.0,302.0,21.0,565.16,124 CDM,30001705,HC ANTIGLOBULIN COMBATIBILITY EACH,448.0,448.0,21.0,565.16,124 CDM,30001706,HC ELECTRONIC CROSSMATCH,290.0,290.0,21.0,565.16,124 CDM,30001709,HC ANTI-A TITER,192.0,192.0,7.27,192.0,122 CDM,30001710,HC ANTI-B TITER,103.0,103.0,7.27,103.0,122 CDM,30001711,HC AGG/HEMOLYSN INC,192.0,192.0,7.27,192.0,122 CDM,30001714,HC PLATELET POOLING,419.0,419.0,22.86,565.16,121 CDM,30001715,HC PRE-RX RBCS CHEM,411.0,411.0,11.77,411.0,119 CDM,30001716,HC PRETREAT W/ENZ,411.0,411.0,11.77,565.16,119 CDM,30001717,HC ARC RETIC SEP,331.0,331.0,12.56,565.16,119 CDM,30001718,HC INC SERUM/DRUGS,406.0,406.0,18.4,1481.85,119 CDM,30001719,HC DILUTION,419.0,419.0,12.56,419.0,119 CDM,30001720,HC NEUTRALIZATION,220.0,220.0,27.28,565.16,119 CDM,30001721,HC DIFF AUTO ADS,242.0,242.0,18.4,242.0,119 CDM,30001722,HC SERUM PROCESSING CHARGE,868.0,868.0,13.17,868.0,121 CDM,30001724,HC SPECIMEN CONCENTRATION,228.0,228.0,4.01,228.0,122 CDM,30001725,HC BLOOD CULTURE,555.0,555.0,6.19,555.0,122 CDM,30001726,HC STOOL CULTURE,374.0,374.0,5.66,374.0,122 CDM,30001727,HC STOOL ADD L PATHOGEN,315.0,315.0,2.61,315.0,122 CDM,30001728,HC BACTERIAL CULTURE,403.0,403.0,5.17,403.0,122 CDM,30001729,HC ENVIRONMENTAL CULTURE,448.0,448.0,5.17,448.0,122 CDM,30001730,HC RESPIRATORY CULTURE,231.0,231.0,5.17,231.0,122 CDM,30001732,HC CULTURE QUANT AEROBIC PRESUMPTIVE,392.0,392.0,5.22,392.0,122 CDM,30001733,HC CULTURE QUANT ANAEROBIC PRESUMPTIVE,503.0,503.0,5.22,503.0,122 CDM,30001734,HC ANAEROBIC CULTURE,511.0,511.0,5.68,511.0,122 CDM,30001735,HC CULTURE ANAEROBE ID EACH,287.0,287.0,4.85,287.0,122 CDM,30001736,HC CULTURE AEROBIC ISOLATE IDENTIFICATION,331.0,331.0,4.85,331.0,122 CDM,30001737,HC SCREENING CULTURE,242.0,242.0,3.98,242.0,122 CDM,30001738,HC STREP SCREEN,242.0,242.0,3.98,242.0,122 CDM,30001739,HC URINE CULTURE T/F,284.0,284.0,4.84,284.0,122 CDM,30001740,HC URINE CULT I.D.,231.0,231.0,4.85,231.0,122 CDM,30001741,HC FUNGUS CULTURE HAIRNAILSKIN,334.0,334.0,4.63,334.0,122 CDM,30001742,HC FUNGAL CULTURE,432.0,432.0,5.05,432.0,122 CDM,30001743,HC FUNGUS CULTURE BLOOD,411.0,411.0,12.28,411.0,122 CDM,30001744,HC YEAST DEFINITIVE ID,302.0,302.0,6.19,302.0,122 CDM,30001745,HC MOLD DEFINITIVE ID,276.0,276.0,6.19,276.0,122 CDM,30001746,HC MYCOPLASMA CULTURE,460.0,460.0,9.23,460.0,122 CDM,30001747,HC CHLAMYDIA CULTURE,493.0,493.0,11.76,493.0,122 CDM,30001748,HC ACID FAST CULTURE (AFB),469.0,469.0,6.48,469.0,122 CDM,30001749,HC AFB IDENTIFICATION,352.0,352.0,8.77,352.0,122 CDM,30001751,HC IMMUNO TYPINGNON IFPER ANTIS,215.0,215.0,3.0,215.0,122 CDM,30001753,HC DNA/RNA AMPLIFIED PROBE,351.0,351.0,21.05,351.0,122 CDM,30001756,HC DNA/RNA SEQUENCING,1034.0,1034.0,69.22,1034.0,122 CDM,30001760,HC MACROSCOPIC EXAM PARASITE,390.0,390.0,2.59,390.0,119 CDM,30001761,HC PINWORM EXAM,132.0,132.0,2.56,132.0,119 CDM,30001762,HC TISSUE GRINGING HOMOGENIZATION,186.0,186.0,3.53,186.0,122 CDM,30001763,HC OVA AND PARASITES EXAMINATION,307.0,307.0,5.34,307.0,122 CDM,30001764,HC ANTIMICROBIAL SUSCPT SNGL DRUG,242.0,242.0,2.85,242.0,122 CDM,30001765,HC BACTERIAL SUSCEPTIBILITY- DISK METHOD,226.0,226.0,4.49,226.0,122 CDM,30001766,HC ENZYME DETECTION,132.0,132.0,2.85,132.0,122 CDM,30001767,HC BETA LACTAMASE,315.0,315.0,5.19,315.0,122 CDM,30001768,HC MIN.INHIB CONG - MIC,315.0,315.0,5.19,315.0,122 CDM,30001773,HC FUNGAL SUSCEPTIBILITY,227.0,227.0,3.98,227.0,122 CDM,30001774,HC MACRO DILUTION AFB,390.0,390.0,3.98,390.0,122 CDM,30001775,HC GRAM STAIN,177.0,177.0,2.56,177.0,122 CDM,30001776,HC FLUORESCENT/ ACID FAST SMEAR,242.0,242.0,3.0,242.0,122 CDM,30001777,HC BLOOD PARASITES SMEAR,251.0,251.0,3.59,251.0,122 CDM,30001779,HC SMEAR COMPLEX STAIN,578.0,578.0,10.67,578.0,122 CDM,30001780,HC WET PREP - TRICH/YEAST,108.0,108.0,3.49,108.0,122 CDM,30001781,HC KOH PREP - TISSUE FUNGI,248.0,248.0,2.56,248.0,122 CDM,30001782,HC C. DIFFICILE TOXIN,460.0,460.0,11.84,460.0,122 CDM,30001784,HC VIRAL CULT (EXC HERP/CMV),1081.0,1081.0,15.64,1081.0,122 CDM,30001798,HC PNEUMOCYSTIS JIROVECII DFA,126.0,126.0,15.62,126.0,119 CDM,30001802,HC ADENOVIRUS AG EIA,315.0,315.0,7.19,315.0,119 CDM,30001803,HC ASPERGILLUS AG,132.0,132.0,7.19,132.0,122 CDM,30001804,HC C-DIFF TOXIN,126.0,126.0,7.19,126.0,119 CDM,30001806,HC CRYPTOSPORIDIUM AG,335.0,335.0,8.29,335.0,119 CDM,30001807,HC GIARDIA AG EIA,335.0,335.0,7.19,335.0,122 CDM,30001808,HC CMV PROCESSING FEE,492.0,492.0,7.19,492.0,119 CDM,30001810,HC E HISTOYTICA AG,404.0,404.0,7.19,404.0,122 CDM,30001811,HC H. PYLORI ANTIGEN,460.0,460.0,8.63,460.0,119 CDM,30001812,HC HEPATITIS B SURFACE AG,262.0,262.0,6.83,262.0,122 CDM,30001813,HC HBSAG CONFIRMATION,231.0,231.0,6.2,231.0,122 CDM,30001814,HC HEPATITIS BE AG,281.0,281.0,6.92,281.0,122 CDM,30001816,HC HISTOPLASMA CAPSUL AG,292.0,292.0,7.95,292.0,119 CDM,30001817,HC 4TH GENERATION HIV,137.0,137.0,14.45,137.0,122 CDM,30001821,HC ROTAVIRUS AG,386.0,386.0,7.19,386.0,119 CDM,30001824,HC (13)BETA-D-GLUCAN,560.0,560.0,7.19,560.0,119 CDM,30001826,HC BLASTOMYCES ANTIGEN EIA,126.0,126.0,7.19,126.0,119 CDM,30001830,HC INF AG ANTIG DETECT BY EIAEA,126.0,126.0,7.19,126.0,119 CDM,30001831,HC LEGIONELLA URINE ANTIGEN,365.0,365.0,7.19,365.0,119 CDM,30001832,HC STREP PNEUMONIAE ANTIGEN,613.0,613.0,7.19,613.0,119 CDM,30001833,HC BARTONELLA SPECIES PCR,345.0,345.0,21.05,345.0,122 CDM,30001834,HC B.BURGDORFERI,863.0,863.0,21.05,863.0,122 CDM,30001836,HC CHYLMD PNEUM DNA AMP PROBE,533.0,533.0,21.05,533.0,122 CDM,30001838,HC CHYLMD TRACH DNA AMP PROBE,863.0,863.0,21.05,863.0,122 CDM,30001839,HC C.DIFFICILE TOXIN BY AMPL PROB,98.0,98.0,12.15,118.2,122 CDM,30001840,HC CYTOMEGALOVIRUS BY PCR,848.0,848.0,21.05,848.0,122 CDM,30001841,HC CMV QUANTITATION,666.0,666.0,25.7,666.0,122 CDM,30001842,HC ENTEROVIRUSAMPLIFIED PROBE,867.0,867.0,21.05,867.0,122 CDM,30001844,HC INFLUENZA DNA AMP PROBE,760.0,760.0,31.45,760.0,122 CDM,30001846,HC IADNA-DNA/RNA PROBE TQ 6-11,1894.0,1894.0,115.34,1894.0,119 CDM,30001848,HC GARDNER VAG DNA QUANT,423.0,423.0,25.06,423.0,119 CDM,30001850,HC HEPATITIS B DNA QUANT,823.0,823.0,25.7,823.0,124 CDM,30001852,HC HEPC VIRUS QUANTIFICATION,823.0,823.0,25.7,823.0,124 CDM,30001853,HC HSV DNA AMP PROBE,830.0,830.0,21.05,830.0,121 CDM,30001854,HC HSV DNA AMP PROBE,552.0,552.0,21.05,552.0,121 CDM,30001855,HC HHV-6 DNA QUANT,973.0,973.0,25.06,973.0,121 CDM,30001856,HC HIV-1 PROBE REVERSE TRNSCRPJ,1005.0,1005.0,21.05,1005.0,121 CDM,30001857,HC HIV 1 QUANTIFICATION,823.0,823.0,51.06,823.0,124 CDM,30001858,HC HIV-1 VIRAL LOAD,1207.0,1207.0,51.06,1207.0,124 CDM,30001859,HC HIV 2 VIRAL LOAD,992.0,992.0,35.17,992.0,119 CDM,30001860,HC LEGION PNEUMO DNA AMP PROB,315.0,315.0,21.05,315.0,119 CDM,30001863,HC M.TUBERCULO DNA DIR PROBE,528.0,528.0,16.13,528.0,119 CDM,30001864,HC M.TUBERCULO DNA AMP PROBE,774.0,774.0,34.86,774.0,119 CDM,30001865,HC M.AVIUM-INTRA DNA DIR PROB,393.0,393.0,16.37,393.0,119 CDM,30001866,HC M.PNEUMON DNA AMP PROBE,501.0,501.0,21.05,501.0,119 CDM,30001868,HC N.GONORRHOEAE DNA AMP PROB,863.0,863.0,21.05,863.0,122 CDM,30001869,HC HPV HIGH-RISK,580.0,580.0,31.88,580.0,119 CDM,30001871,HC RESP VIRUS 3-5 TARGETS,1140.0,1140.0,84.73,1140.0,122 CDM,30001872,HC RESP VIRUS 6-11 TARGETS,2112.0,2112.0,130.84,2112.0,122 CDM,30001873,HC AMPLIFIED PROBEMRSA,542.0,542.0,21.05,542.0,122 CDM,30001874,HC STREP B DNA AMP PROBE,350.0,350.0,21.05,350.0,122 CDM,30001876,HC TRICHOMONAS VAGINALIS AMPLIF,331.0,331.0,21.05,331.0,122 CDM,30001878,HC 14-3-3 PROTEIN REFLEXED CSF,315.0,315.0,21.05,315.0,122 CDM,30001879,HC ADENOVIRUS DNA QUAL,891.0,891.0,21.05,891.0,122 CDM,30001882,HC BABESIA MICROTI BY PCR,1181.0,1181.0,21.05,1181.0,122 CDM,30001889,HC COXIELLA BURNETTI DNA QUAL,838.0,838.0,21.05,838.0,122 CDM,30001890,HC E.CHAFFEENSIS DNA PCR,48.0,48.0,5.95,111.29,122 CDM,30001891,HC ANAPLSMA PHGCYTOPHLM AMP PRB,670.0,670.0,15.94,670.0,122 CDM,30001894,HC HEPATITIS D VIRUS RNA QUAL,1128.0,1128.0,21.05,1128.0,122 CDM,30001895,HC HERPESVIRUS8 DNA QUAL TO QUANT,386.0,386.0,21.05,386.0,122 CDM,30001896,HC INFEC AGENT BY AMP PROBE,900.0,900.0,21.05,900.0,122 CDM,30001913,HC TOXOPLASMAPCR,614.0,614.0,21.05,614.0,122 CDM,30001917,HC TROPHERYMA WHIPPLEI BY PCR,1361.0,1361.0,21.05,1361.0,122 CDM,30001918,HC UREAPLASMA UREALYTICUM PCR,1199.0,1199.0,21.05,1199.0,122 CDM,30001920,HC VIRAL DETECTION BY PCR,900.0,900.0,21.05,900.0,122 CDM,30001922,HC ADENOVIRUS DNAQNT,1256.0,1256.0,25.7,1256.0,119 CDM,30001923,HC BK VIRUS DETECTION URINE,563.0,563.0,25.7,563.0,119 CDM,30001924,HC DETECT AGENT NOS DNA QUANT,362.0,362.0,25.7,362.0,119 CDM,30001925,HC EBV QUANTIFICATION,634.0,634.0,25.7,634.0,119 CDM,30001927,HC INF AG BY NUCLECI ACIDQUANT,206.0,206.0,25.54,206.0,119 CDM,30001928,HC SURESWABBACTERIAL VAGINOSIS,433.0,433.0,25.7,433.0,119 CDM,30001930,HC INF AGENT BY AMPLIF PROBE(S),830.0,830.0,38.8,830.0,122 CDM,30001935,HC INF AGENT NOS ASSAY W/OPTIC,130.0,130.0,9.64,130.0,119 CDM,30001936,HC HIV GENOSURE MG,1245.0,1245.0,78.21,1245.0,122 CDM,30001937,HC HIV-1 DRUG RESISTANCE,1077.0,1077.0,78.21,1077.0,122 CDM,30001938,HC HIVGENO PHENOTYPE,447.0,447.0,55.43,447.0,122 CDM,30001939,HC PHENOTYPE NS3/4A,730.0,730.0,78.21,730.0,122 CDM,30001940,HC EER HIV GENOSURE MG,1245.0,1245.0,154.38,1245.0,122 CDM,30001941,HC EER HIV-1 REVERSE,1077.0,1077.0,133.55,1077.0,122 CDM,30001942,HC HIV GENOTYPE,4529.0,4529.0,154.47,4529.0,122 CDM,30001943,HC HCV NS3/4A DRUG RESIST ASSAY,1560.0,1560.0,154.47,1560.0,119 CDM,30001944,HC HEP C GENOTYPE,2083.0,2083.0,154.47,2083.0,119 CDM,30001946,HC HIV DRUG RESIST ASSAY,2484.0,2484.0,293.2,2484.0,122 CDM,30001950,HC HIV PHENOSENSE,1771.0,1771.0,15.64,1771.0,122 CDM,30001951,HC EER HIV-1 DNA/RNA,1077.0,1077.0,77.24,1077.0,122 CDM,30001952,HC HIV-1 INT INHIB RSTNC BY SEQ,1952.0,1952.0,77.24,1952.0,122 CDM,30001953,HC CMV ANTIVIRAL RESISTANCE,2366.0,2366.0,154.47,2366.0,122 CDM,30001954,HC HEPATITIS B VIRUS GENOTYPING,2510.0,2510.0,154.47,2510.0,122 CDM,30001957,HC BRUSH CYTOLOGY T/F,472.0,472.0,6.5,472.0,124 CDM,30001958,HC CYTOSPIN T/F,530.0,530.0,2.5,530.0,122 CDM,30001959,HC CYTOPATH CONCENTRATE TECH,469.0,469.0,4.0,469.0,122 CDM,30001960,HC CYTO NON-GYN CELL ENHANCEMENT,572.0,572.0,36.89,572.0,124 CDM,30001961,HC FISHURINEEACH SPECIMEN,588.0,588.0,63.57,1284.23,124 CDM,30001963,HC GYN PROFESSIONAL COM,262.0,262.0,6.53,262.0,115 CDM,30001964,HC LIQUID BASE PAP(S) DX,572.0,572.0,12.16,572.0,124 CDM,30001967,HC MISCELLANEOUS CYTO SMEAR T/F,333.0,333.0,2.5,333.0,124 CDM,30001968,HC CYTO OTHER SOURCE PREP SCRE,412.0,412.0,8.8,412.0,124 CDM,30001969,HC PAP SMEAR,107.0,107.0,7.15,107.0,122 CDM,30001970,HC NEEDLE ASPIRATION EVAL,596.0,596.0,22.7,596.0,121 CDM,30001971,HC FINE NEEDLE ASPIRATION BX,671.0,671.0,19.76,671.0,121 CDM,30001972,HC AUTOMATED PAP SCREEN,330.0,330.0,15.97,330.0,124 CDM,30001973,HC FNAADDITIONALSAME SITE,571.0,571.0,9.86,571.0,112 CDM,30001974,HC DNA ANALYSIS BY FLOW CYTOMETRY,1361.0,1361.0,6.87,1361.0,124 CDM,30001976,HC BLOOD FETAL HGB,679.0,679.0,37.14,1189.03,124 CDM,30001977,HC F C - FIRST MARKER,679.0,679.0,37.14,1189.03,124 CDM,30001979,HC MINIMAL RESIDUAL DISEASE (MRD),543.0,543.0,37.14,1189.03,124 CDM,30001980,HC TELOMERE LENGTH,1372.0,1372.0,6.87,1372.0,124 CDM,30001981,HC IMMUNOPHEN QNTY,339.0,339.0,18.26,339.0,115 CDM,30001983,HC MIN RES READ 2,571.0,571.0,63.82,571.0,110 CDM,30001986,HC B CHROMO ANA PB-TISS CUL,399.0,399.0,49.48,399.0,124 CDM,30001988,HC TISSUE CULT NON-NEO LYMPH,1153.0,1153.0,69.89,1153.0,124 CDM,30001989,HC TISSUE CULTURE SKIN/BIOPSY,1088.0,1088.0,84.44,1088.0,124 CDM,30001991,HC TISS CULTURE NEOPLASTIC BM/B,1625.0,1625.0,86.25,1625.0,124 CDM,30001993,HC CHROMOSOME ANALYSIS 100,888.0,888.0,103.9,888.0,124 CDM,30001994,HC CHROMOSOME BRKG ANLYS-FANCONI,3194.0,3194.0,103.9,3194.0,124 CDM,30001996,HC CHROMOSOME ANALYSIS 15-20,1278.0,1278.0,75.29,1278.0,124 CDM,30001997,HC CHROMOSOME ANALYSIS 20-25,1278.0,1278.0,86.77,1278.0,124 CDM,30001998,HC CHROM ANALYSIS AMNIO 15-20,7362.0,7362.0,113.14,7362.0,124 CDM,30002001,HC B CHROMO ANA FISH-DNA PROBE,849.0,849.0,12.85,849.0,121 CDM,30002002,HC B MULT MYELO FISH -- DNA PROBE,849.0,849.0,12.85,849.0,121 CDM,30002004,HC CHROMOSOME FISH INTERPHASE,131.0,131.0,12.85,131.0,121 CDM,30002011,HC B CHROMO ANA FISH-IN SITU HYBR,974.0,974.0,30.71,974.0,121 CDM,30002012,HC CHROMO.INTERPHASE,426.0,426.0,30.71,426.0,121 CDM,30002018,HC CHROMO ANALY BONE MARROW,215.0,215.0,26.66,215.0,107 CDM,30002023,HC EER CHR.INTERP,180.0,180.0,22.32,180.0,107 CDM,30002025,HC MULTIPLE MYELOMA FISH,215.0,215.0,26.66,215.0,107 CDM,30002029,HC GROSS ANALYSIS LEVEL I,265.0,265.0,1.5,265.0,124 CDM,30002030,HC SURG PATH LEVEL II,412.0,412.0,5.0,412.0,124 CDM,30002031,HC SURG PATH LEVEL III,541.0,541.0,6.5,541.0,124 CDM,30002032,HC CYTO CELL BLOCK,1057.0,1057.0,9.0,1057.0,122 CDM,30002033,HC SURG PATH LEVEL IV,1057.0,1057.0,9.0,1057.0,122 CDM,30002034,HC SURG PATH LEVEL V T/F,1836.0,1836.0,11.5,1836.0,122 CDM,30002035,HC SURG PATH LEVEL VI,3198.0,3198.0,17.5,3198.0,124 CDM,30002036,HC DECALCIFICATION OF BONE,716.0,716.0,6.19,716.0,115 CDM,30002037,HC GROUP I STAIN,1101.0,1101.0,51.83,1101.0,124 CDM,30002038,HC GROUP II STAIN,1101.0,1101.0,41.2,1101.0,124 CDM,30002039,HC HISTOSTAIN WITH FROZEN SECT,710.0,710.0,8.59,710.0,115 CDM,30002040,HC LEUKOCYTE CYTOCHEMISTRIES,599.0,599.0,7.41,2672.59,124 CDM,30002041,HC MYELOPEROXIDASE STAIN,1103.0,1103.0,7.41,2672.59,124 CDM,30002042,HC OUTSIDE SLIDE CONSULT-CYTOLOGY,710.0,710.0,39.07,710.0,121 CDM,30002043,HC OUTSIDE CONSULT T/F,885.0,885.0,10.36,885.0,124 CDM,30002044,HC COMPREHENSIVE REVIEW CONSULTATION,1057.0,1057.0,68.11,1057.0,121 CDM,30002045,HC INTRA OP CONSULT,599.0,599.0,29.77,599.0,124 CDM,30002047,HC FROZEN/SECTION,1235.0,1235.0,7.5,1235.0,124 CDM,30002048,HC FROZEN SECTION ADDITIONAL,515.0,515.0,9.97,515.0,112 CDM,30002049,HC TOUCH PREPINITIAL,231.0,231.0,16.01,2672.59,119 CDM,30002050,HC TOUCH PREPEACH ADDITIONAL,119.0,119.0,12.52,119.0,107 CDM,30002051,HC IMMUNOPEROXIDASE STAINEA ADDL,1306.0,1306.0,34.03,1306.0,115 CDM,30002052,HC IMMUNOHISTO ANTIBODY STAIN,317.0,317.0,39.31,565.16,124 CDM,30002053,HC IMMUNOPEROXIDASE STAIN,656.0,656.0,40.14,656.0,124 CDM,30002054,HC IMMUNOHISTO ANTIBODY SLIDE,1266.0,1266.0,57.15,1266.0,124 CDM,30002055,HC IMMUNOFLUORESCENT STAIN,936.0,936.0,15.3,936.0,124 CDM,30002056,HC IMMUNOFLUORINDIRECT EA ANTIB,1306.0,1306.0,15.3,1306.0,124 CDM,30002057,HC PEMPHI CELL SURFACE,572.0,572.0,15.3,572.0,124 CDM,30002058,HC ELECTRON MICROSCOPY,3615.0,3615.0,17.5,3615.0,124 CDM,30002059,HC ROS1 IHC,313.0,313.0,38.81,565.16,124 CDM,30002060,HC TUMR IHC AB,797.0,797.0,42.12,797.0,124 CDM,30002062,HC NERVE TEASING PREPARATIONS,1459.0,1459.0,39.42,2672.59,124 CDM,30002063,HC EXAM/SELECT RETRIEVED ARCHIVAL,179.0,179.0,7.9,179.0,124 CDM,30002064,HC FISH EA ADDL SNGLE PRBE STAIN,1500.0,1500.0,52.09,1500.0,115 CDM,30002065,HC INSITU HYBRIDIZATION (FISH),1232.0,1232.0,11.54,1232.0,122 CDM,30002067,HC ISH MULTIPLEX STAIN,2457.0,2457.0,64.32,2457.0,124 CDM,30002068,HC 1P19Q,1561.0,1561.0,42.12,1561.0,124 CDM,30002069,HC HER 2/NEU SERUM,502.0,502.0,42.12,1189.03,124 CDM,30002070,HC IGH-BCL2 T(14 18) BY FISH,1356.0,1356.0,42.12,1356.0,124 CDM,30002072,HC ROS1 FISH,3536.0,3536.0,42.12,3536.0,124 CDM,30002073,HC ISH PRB MAN INITIAL SNGLE,869.0,869.0,42.12,1189.03,124 CDM,30002074,HC ISH MAN EACH ADDL STAIN,1399.0,1399.0,36.15,1399.0,115 CDM,30002076,HC M/PHMTRC ALYS ISHMULTIPLEX,595.0,595.0,73.78,674.68,124 CDM,30002077,HC ISH MULTIPLEX PRB MANUAL,3121.0,3121.0,110.29,3121.0,124 CDM,30002083,HC MANUAL MICRODISSECTION,435.0,435.0,53.94,435.32,110 CDM,30002086,HC BODY FLUID CELL COUNT,263.0,263.0,2.83,263.0,122 CDM,30002087,HC URINE EOSINOPHILS,779.0,779.0,2.83,779.0,122 CDM,30002088,HC BODY FLUID CELL COUNT WITH DIF,348.0,348.0,3.36,348.0,122 CDM,30002090,HC BODY FLUID CRYSTAL ANALYSIS,231.0,231.0,4.4,231.0,122 CDM,30002092,HC MANUAL EOS COUNT,186.0,186.0,3.47,186.0,122 CDM,30002097,HC RHOGAM ADMINISTRATION,516.0,516.0,10.0,1868.94,115 CDM,30002101,HC DIRECTED DONOR PROCESSING FEE,753.0,753.0,93.37,753.0,107 CDM,30002102,HC SPEC HANDLING CHARGE,151.0,151.0,18.72,151.0,107 CDM,30002103,HC SPECIMEN PACKAGING FEE,131.0,131.0,16.24,131.0,107 CDM,30002105,HC SPECIMEN SHIPPING FEE,151.0,151.0,18.72,151.0,107 CDM,30002134,HC CRYOPRECIPITATE EACH UNIT,495.0,495.0,49.58,495.0,121 CDM,30002135,HC LEUKOCYTE POOR RBC,1134.0,1134.0,119.12,1134.0,121 CDM,30002136,HC FRESH FROZEN PLASMA,483.0,483.0,30.0,483.0,124 CDM,30002137,HC PLATELETS EACH UNIT,1193.0,1193.0,30.0,1193.0,124 CDM,30002138,HC RED BLOOD CELLS UNIT,1443.0,1443.0,30.0,1443.0,124 CDM,30002141,HC PLATELETS LEUKOCYTES REDUCED,1551.0,1551.0,78.5,1551.0,121 CDM,30002143,HC PLATELETS LEUKOREDUCED IRRAD,1233.0,1233.0,83.84,1233.0,121 CDM,30002145,HC PLATELET PHERES LEUKOREDUCED,3372.0,3372.0,322.69,3372.0,121 CDM,30002147,HC PLATE PHERES LEUKOREDU IRRAD,2879.0,2879.0,414.29,2879.0,121 CDM,30002150,HC RBC LEUKOREDUCED IRRADIATED,1502.0,1502.0,156.44,1502.0,121 CDM,30002151,HC CRYOPRECIPITATEREDUCEDPLASMA,1519.0,1519.0,44.54,1519.0,121 CDM,30002154,HC BLOOD L/R FROZ/DEGLY/WASH,3672.0,3672.0,30.0,3672.0,124 CDM,30002156,HC PLASMA FRZ BETWEEN 8-24HOUR,1519.0,1519.0,30.0,1519.0,124 CDM,30002165,HC CYTOGENOMIC SNP MICROARRAY,10499.0,10499.0,696.0,10499.0,121 CDM,30002166,HC GENOME WIDE ARRAY,8165.0,8165.0,1012.46,8165.0,121 CDM,30002167,HC GENOMIC SNP MICROARRAY POC,5362.0,5362.0,664.89,5362.0,121 CDM,30002168,HC LTX-E2A/PBX2,444.0,444.0,55.06,444.0,121 CDM,30002174,HC FAM AMYLOID(TTR GENE)81404,390.0,390.0,48.36,871.62,121 CDM,30002181,HC CIQ LPA ASPIRIN GNTYP,406.0,406.0,50.34,406.0,112 CDM,30002187,HC URINE ALDOSTERONE,1182.0,1182.0,24.45,1182.0,122 CDM,30002188,HC N- METHYLHISTAMINE,688.0,688.0,13.79,688.0,122 CDM,30002191,HC CHEMILUMINESCENT ASSAY,537.0,537.0,8.47,537.0,119 CDM,30002195,HC TISSUE TRANSGLUTAMINASE IGA,119.0,119.0,6.55,119.0,119 CDM,30002196,HC MANNOSE BINDING LECTIN QUANT,329.0,329.0,10.36,329.0,121 CDM,30002202,HC ALLERGENFUNGI MOLDSB IGE,23.0,23.0,2.85,23.0,122 CDM,30002203,HC SMOOTH MUSCLE IGG AB TITER,196.0,196.0,7.23,196.0,122 CDM,30002205,HC PARASITOLOGY STAIN,74.0,74.0,4.01,74.0,122 CDM,30002206,HC ACANTHAMOEBAE STAIN,242.0,242.0,3.0,242.0,122 CDM,30002210,HC MISCELLANEOUS MOLECULAR,161.0,161.0,19.96,177.17,112 CDM,30002213,HC MAPS URINALYSISNONAUTO W/O SCOP,15.0,15.0,1.86,15.0,122 CDM,30002214,HC MAPS URINALYSIS AUTO W/O SCOPE,30.0,30.0,1.35,30.0,122 CDM,30002215,HC MAPS URINAL QUAL/SEMIQNTEXCPT IMM,15.0,15.0,1.3,15.0,122 CDM,30002217,HC MAPS ESTRADIOL,120.0,120.0,14.88,120.0,122 CDM,30002218,HC MAPS ASSAY OF SEMEN FRUCTOSE,127.0,127.0,10.4,127.0,122 CDM,30002219,HC MAPS GONADOTROPN FOLL STM HRM(FSH),80.0,80.0,9.92,80.0,122 CDM,30002220,HC MAPS GONADOTROPN LUTEINZNG HRM(LH),100.0,100.0,11.11,100.0,122 CDM,30002225,HC MAPS PROGESTERONE,90.0,90.0,11.16,90.0,122 CDM,30002226,HC MAPS ASSAY OF PROLACTIN,73.0,73.0,9.05,73.0,122 CDM,30002227,HC MAPS THYROID STIMULTNG HORMONE(TSH),50.0,50.0,6.2,53.28,122 CDM,30002228,HC MAPS GONADOTRPNCHORNC(HCG) QUAN,60.0,60.0,7.44,60.0,122 CDM,30002230,HC MAPS CLINICAL CHEMISTRY TEST,15.0,15.0,1.86,37.29,112 CDM,30002232,HC MAPS PROTHROMBIN TIME,15.0,15.0,1.86,15.0,124 CDM,30002239,HC MAPS TISSUE CULTR-CHROM ANL AMNT,350.0,350.0,43.4,476.68,124 CDM,30002240,HC MAPS MOLECLR CYTOGENTC DNA PROBE,100.0,100.0,12.4,100.0,121 CDM,30002242,HC MAPS IMMUNHST ANTIBD SLDEA MULT,306.0,306.0,37.94,1189.03,124 CDM,30002247,HC MAPS CULTUR-OOCYTE/EMBRYO> 4 DAY,3000.0,3000.0,47.06,3000.0,121 CDM,30002248,HC MAPS SEMEN ANALYSIS COMPLETE,269.0,269.0,7.39,269.0,121 CDM,30002249,HC MAPS THAWING-CRYOPRESERVD EMBRYO,194.0,194.0,20.84,565.16,119 CDM,30002250,HC MAPS THAWING CRYOPRESRVED SPERM,158.0,158.0,19.59,172.85,119 CDM,30002552,HC CLOBAZAM,393.0,393.0,0.02,393.0,112 CDM,30002553,HC DRUG SCREEN 9 BLD CONF QUANT,181.0,181.0,22.44,197.08,124 CDM,30002554,HC BENZODIAZEPINES S/P QUANT,216.0,216.0,0.02,216.0,115 CDM,30002555,HC BUPRENORPHINE,260.0,260.0,0.02,260.0,115 CDM,30002556,HC MARIJUANA CONF MEC BILL,355.0,355.0,0.02,355.0,115 CDM,30002557,HC COCAINE MET S/P QUANTITATIVE,216.0,216.0,0.02,216.0,115 CDM,30002560,HC PREGABALIN SERUM/PLASMA,152.0,152.0,0.02,152.0,112 CDM,30002561,HC BLOOM DOT/SLOT,1306.0,1306.0,21.49,1306.0,121 CDM,30002562,HC BRCA1 AND BRCA2,3064.0,3064.0,268.51,3064.0,124 CDM,30002563,HC HEME PANEL-CEBPA FULL SEQUENCE,1175.0,1175.0,145.14,1175.0,124 CDM,30002564,HC HEME PANEL-CALR COM VARIANTS,1175.0,1175.0,72.98,1175.0,121 CDM,30002566,HC MGMT PROMOTER METHYLATION,2933.0,2933.0,50.2,2933.0,124 CDM,30002567,HC TPMT DNA,1165.0,1165.0,10.07,1165.0,122 CDM,30002569,HC ESR1,1532.0,1532.0,177.17,1532.0,112 CDM,30002570,HC HEXOSAMINIDASE A PRCNT TOT LEU,1047.0,1047.0,10.12,1047.0,119 CDM,30002572,HC ADALIMUMAB ACT NEUTRL ANTIBODY,1335.0,1335.0,23.14,1335.0,121 CDM,30002578,HC HEMOLYSINS/AGGLUTININS,247.0,247.0,7.27,247.0,122 CDM,30002582,HC HUMAN PAPILLOMAVIRUS DNA PROBE,580.0,580.0,31.88,580.0,119 CDM,30002585,HC IF ANTIBODY STAIN EA ADDL,1306.0,1306.0,12.03,1306.0,115 CDM,30002586,HC PHEUMOCOCCAL IMMUNIZATION,237.0,237.0,10.0,263.08,124 CDM,30002591,HC THC METABOLITE S/P QUANT,216.0,216.0,0.02,216.0,115 CDM,30002595,HC RED CELL GENOTYPING COMMON PAN,873.0,873.0,101.19,873.0,121 CDM,30002599,HC OBSTETRIC PANEL W/HIV,705.0,705.0,44.92,705.0,122 CDM,30002615,HC FLOW CYTOMETRY ADD MARKER,340.0,340.0,18.26,340.0,115 CDM,30002636,HC RHOPHYLACIM OR IV100IU,36.0,36.0,4.83,36.0,112 CDM,30002637,HC ABG ANALYSIS,206.0,206.0,15.64,206.0,124 CDM,30002638,HC ABG ANALYSIS-NEONATE,206.0,206.0,15.64,206.0,124 CDM,30002639,HC LAB MISC-CLINICAL,5.0,5.0,0.62,5.0,109 CDM,30002640,HC LAB MISC-ANATOMICAL PATH,5.0,5.0,0.62,5.0,109 CDM,30002645,HC DIURETIC PANEL URINE,342.0,342.0,0.02,342.0,112 CDM,30002648,HC AMTLOID PROTEIN ID,3719.0,3719.0,14.45,3719.0,124 CDM,30002649,HC HYDROXYCHLOROQUINE,593.0,593.0,0.02,593.0,115 CDM,30002650,HC HEME PANEL-GATA2,1175.0,1175.0,145.7,1175.0,112 CDM,30002651,HC HEME PANEL-MPL,1175.0,1175.0,82.14,1175.0,121 CDM,30002652,HC HEME PANEL-IL7R,1175.0,1175.0,145.7,1175.0,112 CDM,30002653,HC HEME PANEL-ABL1,1175.0,1175.0,145.7,1175.0,124 CDM,30002659,HC SOLID TUMOR-ROS1,1532.0,1532.0,177.17,1532.0,112 CDM,30002660,HC SOLID TUMOR-NTRK1,1532.0,1532.0,113.29,1532.0,121 CDM,30002661,HC SOLID TUMOR-NTRK2,1532.0,1532.0,113.29,1532.0,121 CDM,30002662,HC SOLID TUMOR-NTRK3,1532.0,1532.0,113.29,1532.0,121 CDM,30002663,HC SOLID TUMOR-EML4/ALK,1532.0,1532.0,82.2,1532.0,121 CDM,30002664,HC SOLID TUMOR-NRG1,1532.0,1532.0,177.17,1532.0,112 CDM,30002665,HC SOLID TUMOR-TMPSS2,1532.0,1532.0,177.17,1532.0,112 CDM,30002666,HC SOLID TUMOR-ERG,1532.0,1532.0,177.17,1532.0,112 CDM,30002669,HC GENERAL HEALTH PANEL,1071.0,1071.0,37.46,1071.0,113 CDM,30002670,HC SOLID TUMOR-FOXL2,1532.0,1532.0,177.17,1532.0,112 CDM,30002671,HC SOLID TUMOR-POLD1,1532.0,1532.0,177.17,1532.0,112 CDM,30002672,HC SOLID TUMOR-POLE,1532.0,1532.0,177.17,1532.0,112 CDM,30002673,HC SOLID TUMOR-PMS2,1532.0,1532.0,189.97,2145.52,124 CDM,30002674,HC SOLID TUMOR-B2M,1532.0,1532.0,177.17,1532.0,112 CDM,30002675,HC PROLARIS,9626.0,9626.0,177.17,9626.0,112 CDM,30002676,HC GENOME DX DECIPHER,14497.0,14497.0,177.17,14497.0,112 CDM,30002677,HC CONFIRM MDX FOR PROSTATE CANCER,9291.0,9291.0,177.17,9291.0,112 CDM,30002678,HC POMPE DISEASE,2984.0,2984.0,13.3,2984.0,119 CDM,30002679,HC PROSTATE SPECIFIC KALLIKREIN 4KSCORE,2170.0,2170.0,269.08,2410.34,121 CDM,30002680,HC SACCHAROMYCES CEREVISIAE ANTIBODIES IGG,137.0,137.0,7.35,137.0,119 CDM,30002681,HC SACCHAROMYCES CEREVISIAE ANTIBODIES IGA,137.0,137.0,7.35,137.0,119 CDM,30002682,HC EVAL AMNIOTIC FLUID PROTEIN,251.0,251.0,31.12,311.16,119 CDM,30002683,HC ZIKA VIRUS BY PCR URINE,472.0,472.0,30.79,472.0,122 CDM,30002684,HC ZIKA VIRUS BY PCR BLOOD,472.0,472.0,30.79,472.0,122 CDM,30002685,HC ZIKA VIRUS IGM AB CAPTURE (MAC) ELISA,263.0,263.0,10.11,263.0,122 CDM,30026284,HC 23 DINOR 11B-PROSTAGLANDIN F2A URINE,352.0,352.0,11.0,352.0,122 CDM,30026285,HC ALCOHOLS BIOMARKERS 1OR 2,276.0,276.0,0.02,276.0,115 CDM,30026286,HC BORRELIA MIYAMOTOI DETECTION PCR,1109.0,1109.0,15.94,1109.0,122 CDM,30026287,HC CERTOLIZUMAB DRUG LEVEL,748.0,748.0,11.18,748.0,122 CDM,30026288,HC CYSTIC FIBROSIS (CFTR) 165 PATHOGENIC VARIANTS,214.0,214.0,26.54,1050.3,124 CDM,30026289,HC GALACTOSE-1-PHOSPHATE IN RED BLOOD CELLS,348.0,348.0,6.92,348.0,122 CDM,30026290,HC LIVER CYTOSOLIC AG TYPE 1 AB IGG,301.0,301.0,17.53,301.0,124 CDM,30026291,HC MITOTANE,380.0,380.0,0.02,380.0,115 CDM,30026292,HC MLH1 PROMOTOR METHYLATION,833.0,833.0,96.44,833.0,121 CDM,30026293,HC PNH HIGH SENSITIVITY RBC,682.0,682.0,16.07,682.0,124 CDM,30026294,HC THROMBOPOIETIN (TPO),437.0,437.0,10.36,437.0,121 CDM,30026295,HC TRANSFORMING GROWTH FACTOR BETA,453.0,453.0,10.36,453.0,121 CDM,30026296,HC ALPHA-1-ANTITRYPSIN GENOTYPE WITH REFLEX TO PHE,677.0,677.0,26.19,677.0,124 CDM,30026297,HC WILSON DISEASE (ATP7B) SEQUENCING,3239.0,3239.0,169.73,3239.0,121 CDM,30026298,HC ASSAY OF PARATHORMONE,320.0,320.0,24.77,320.0,124 CDM,30026299,HC DABIGATRAN,137.0,137.0,0.02,137.0,115 CDM,30026300,HC DMPK REPEAT ANALYSIS,1184.0,1184.0,82.2,1184.0,121 CDM,30026301,HC EUGLOBULIN CLOT LYSIS TIME,263.0,263.0,5.0,263.0,124 CDM,30026302,HC LYSOSOMAL ACID LIPASE ACTIVITY DBS,692.0,692.0,13.3,692.0,119 CDM,30026303,HC SOLID TUMOR - EWSR1,1532.0,1532.0,82.2,1532.0,121 CDM,30026304,HC SOLID TUMOR - FUS,1532.0,1532.0,169.73,1532.0,121 CDM,30026305,HC ZINC TRANSPORTER 8 AB,542.0,542.0,14.14,542.0,122 CDM,30026306,HC SOLID TUMOR - USP6,1532.0,1532.0,177.17,1532.0,112 CDM,30026307,HC SOLID TUMOR - THADA,1532.0,1532.0,177.17,1532.0,112 CDM,30026308,HC SOLID TUMOR - PPARG,1532.0,1532.0,82.2,1532.0,121 CDM,30026309,HC SOLID TUMOR - PDGFB,1532.0,1532.0,82.14,1532.0,121 CDM,30026310,HC 23BPG URINE,699.0,699.0,11.0,699.0,122 CDM,30026312,HC CFTR GENE COM VARIANTS 165,2985.0,2985.0,304.15,2985.0,124 CDM,30026313,HC PHOSPHATIDYLETHANOL,276.0,276.0,0.02,276.0,115 CDM,30026314,HC THIOPURINE METABOLITES BY LCMS,368.0,368.0,11.18,368.0,122 CDM,30026315,HC USTEKINUMAB DRUG AND ANTIBODY LEVELS,748.0,748.0,11.18,748.0,122 CDM,30026316,HC VEDOLIZUMAB LEVELS,1128.0,1128.0,23.14,1128.0,119 CDM,30026317,HC DRUG TESTS DEFINITIVE,1260.0,1260.0,104.36,1260.0,124 CDM,30026318,HC ANTI-C1Q AB IGG,299.0,299.0,6.92,299.0,119 CDM,30026319,HC ALLERGEN FOOD PEANUT COMPONENTS IGE,111.0,111.0,3.13,111.0,122 CDM,30026320,HC ALLERGEN FOOD SEVERE PEANUT ARA H 1,111.0,111.0,10.76,111.0,122 CDM,30026321,HC ALLERGEN FOOD SEVERE PEANUT ARA H 2,111.0,111.0,10.76,111.0,122 CDM,30026322,HC ALLERGEN FOOD SEVERE PEANUT ARA H 3,111.0,111.0,10.76,111.0,122 CDM,30026323,HC ALLERGEN FOOD SEVERE PEANUT ARA H 9,111.0,111.0,10.76,111.0,122 CDM,30026324,HC ALLERGEN FOOD SEVERE PEANUT ARA H 8,111.0,111.0,10.76,111.0,122 CDM,30026325,HC HPV GENOTYPES 16 18/45 ANAL-RECTAL,286.0,286.0,24.33,286.0,122 CDM,30026326,HC IDH1,807.0,807.0,100.07,807.0,121 CDM,30026327,HC IDH2,807.0,807.0,100.07,938.1,121 CDM,30026328,HC PLATELET ANTIBODIES INDIRECT,271.0,271.0,5.0,271.0,124 CDM,30026329,HC ZINC RBC,195.0,195.0,6.83,195.0,122 CDM,30026330,HC HEA PANEL RBC ANTIGENS - DNA,1007.0,1007.0,124.87,2283.48,121 CDM,30026331,HC ALLERGEN FOOD ALMOND IGE,57.0,57.0,3.13,57.0,122 CDM,30026332,HC ALLERGEN FOOD BARLEY IGE,57.0,57.0,3.13,57.0,122 CDM,30026333,HC ALLERGEN FOOD BLUE MUSSEL IGE,57.0,57.0,3.13,57.0,122 CDM,30026334,HC ALLERGEN FOOD BRAZIL NUT IGE,57.0,57.0,3.13,57.0,122 CDM,30026335,HC ALLERGEN FOOD CASEIN IGE,57.0,57.0,3.13,57.0,122 CDM,30026336,HC ALLERGEN FOOD CASHEW IGE,57.0,57.0,3.13,57.0,122 CDM,30026337,HC ALLERGEN FOOD CHEESE CHEDDAR IGE,57.0,57.0,3.13,57.0,122 CDM,30026338,HC ALLERGEN FOOD CLAM IGE,57.0,57.0,3.13,57.0,122 CDM,30026339,HC ALLERGEN FOOD COCONUT IGE,57.0,57.0,3.13,57.0,122 CDM,30026340,HC ALLERGEN FOOD CODFISH IGE,57.0,57.0,3.13,57.0,122 CDM,30026341,HC ALLERGEN FOOD MILK COW IGE,57.0,57.0,3.13,57.0,122 CDM,30026342,HC ALLERGEN FOOD CRAB IGE,57.0,57.0,3.13,57.0,122 CDM,30026343,HC ALLERGEN FOOD EGG WHITE IGE,57.0,57.0,3.13,57.0,122 CDM,30026344,HC ALLERGEN FOOD EGG WHOLE IGE,57.0,57.0,3.13,57.0,122 CDM,30026345,HC ALLERGEN FOOD EGG YOLK IGE,57.0,57.0,3.13,57.0,122 CDM,30026346,HC ALLERGEN FOOD GLUTEN IGE,57.0,57.0,3.13,57.0,122 CDM,30026347,HC ALLERGEN FOOD HAZELNUT IGE,57.0,57.0,3.13,57.0,122 CDM,30026348,HC ALLERGEN FOOD LOBSTER IGE,57.0,57.0,3.13,57.0,122 CDM,30026349,HC ALLERGEN FOOD OAT IGE,57.0,57.0,3.13,57.0,122 CDM,30026350,HC ALLERGEN FOOD OYSTER IGE,57.0,57.0,3.13,57.0,122 CDM,30026351,HC ALLERGEN FOOD PEANUT IGE,57.0,57.0,3.13,57.0,122 CDM,30026352,HC ALLERGEN FOOD PECAN IGE,57.0,57.0,3.13,57.0,122 CDM,30026353,HC ALLERGEN FOOD PISTACHIO IGE,57.0,57.0,3.13,57.0,122 CDM,30026354,HC ALLERGEN FOOD SALMON IGE,57.0,57.0,3.13,57.0,122 CDM,30026355,HC ALLERGEN FOOD SCALLOP IGE,57.0,57.0,3.13,57.0,122 CDM,30026356,HC ALLERGEN FOOD SESAME SEED IGE,57.0,57.0,3.13,57.0,122 CDM,30026357,HC ALLERGEN FOOD SHRIMP IGE,57.0,57.0,3.13,57.0,122 CDM,30026358,HC ALLERGEN FOOD SOYBEAN IGE,57.0,57.0,3.13,57.0,122 CDM,30026359,HC ALLERGEN FOOD TROUT IGE,57.0,57.0,3.13,57.0,122 CDM,30026360,HC ALLERGEN FOOD TUNA IGE,57.0,57.0,3.13,57.0,122 CDM,30026361,HC ALLERGEN FOOD WALNUT IGE,57.0,57.0,3.13,57.0,122 CDM,30026362,HC ALLERGEN FOOD WHEAT IGE,57.0,57.0,3.13,57.0,122 CDM,30026363,HC ALLERGEN FOOD WHEY IGE,57.0,57.0,3.13,57.0,122 CDM,30026364,HC TOXOCARA ANTIBODY BY ELISA,292.0,292.0,7.81,292.0,119 CDM,30026365,HC CLL MRD FLOW INITIAL,633.0,633.0,37.14,1189.03,124 CDM,30026366,HC CLL MRD FLOW ADD L,204.0,204.0,18.26,204.0,115 CDM,30026367,HC ALL MRD FLOW INITIAL,633.0,633.0,37.14,1189.03,124 CDM,30026368,HC ALL MRD FLOW ADD L,204.0,204.0,18.26,204.0,115 CDM,30026369,HC FAMILIAL MEDITERRANEAN FEVER SEQUENCING,2468.0,2468.0,150.18,2468.0,121 CDM,30026370,HC CASPR2 AB IGG TITER,563.0,563.0,7.23,563.0,122 CDM,30026371,HC ERBB2 (HER2/NEU),396.0,396.0,42.12,565.16,124 CDM,30026372,HC INFLIXIMAB NEUTRALIZING AB TITER,777.0,777.0,16.91,777.0,119 CDM,30026373,HC B-CELLS ABSOLUTE CD19,126.0,126.0,15.62,126.0,124 CDM,30026374,HC NAIVE B-CELL ABSOLUTE CD19 /CD27-/IGD,126.0,126.0,15.62,126.0,124 CDM,30026375,HC NON-SWITCHED ABS CD19 /CD27 IGD /IGM,126.0,126.0,15.62,126.0,124 CDM,30026376,HC TOTAL MEMORY B-CELL ABSOLUTE CD19 /CD27,126.0,126.0,15.62,126.0,124 CDM,30026377,HC MOG AB IGG SCREEN,390.0,390.0,6.85,390.0,122 CDM,30026378,HC MOG AB IGG TITER,284.0,284.0,7.23,284.0,122 CDM,30026379,HC PRADER WILLI BY METHYLATION,649.0,649.0,30.64,649.0,124 CDM,30026380,HC IMMUNOFIXATION QUAL GEL,56.0,56.0,6.94,70.85,122 CDM,30026381,HC IMMUNOGLOBULINS SERUM CRYOPRECIPITINS,98.0,98.0,5.58,98.0,122 CDM,30026382,HC CARBOHYDRATE DEFICIENT TRANSFERRIN FOR ALCOHOL,433.0,433.0,7.96,433.0,122 CDM,30026383,HC BROAD RANGE BACTERIA PCR AND SEQUENCING,887.0,887.0,38.8,887.0,122 CDM,30026384,HC MOG FACS TITER,1409.0,1409.0,7.88,1409.0,122 CDM,30026385,HC ALPHA/BETA DOUBLE-NEGATIVE T-CELLS FOR AUTOIMMU,1023.0,1023.0,16.07,1023.0,124 CDM,30026386,HC PARANEOPLASTIC PEMPHIGUS AB SCREEN,1404.0,1404.0,15.3,1404.0,124 CDM,30026387,HC PANCREATOBILIARY FISH,1201.0,1201.0,64.32,1201.0,124 CDM,30026389,HC NUDT15 GENE COMMON VARIANTS,450.0,450.0,55.8,924.05,121 CDM,30026390,HC LEFLUNOMIDE METABOLITE,194.0,194.0,21.9,194.0,121 CDM,30026391,HC MARFAN SYNDROME (FBN1) SEQ DEL/DUP SPCM,2452.0,2452.0,177.17,2452.0,112 CDM,30026392,HC MARFAN SYNDROME (FBN1) SEQ DEL/DUP INTERP,2452.0,2452.0,304.05,6343.0,121 CDM,30026393,HC MARFAN SYNDROME (FBN1) SEQ INTERP,3454.0,3454.0,428.3,6343.0,121 CDM,30026394,HC AT1R,551.0,551.0,12.49,551.0,122 CDM,30026395,HC RABIES ANTIBODY SCREEN,168.0,168.0,10.15,168.0,119 CDM,30026396,HC CADASIL FULL SEQUENCE,6099.0,6099.0,169.73,6099.0,121 CDM,30026398,HC EGFRVIII,1533.0,1533.0,177.17,1533.0,112 CDM,30026399,HC ENTEROVIRUS PCR NEONATE,344.0,344.0,21.05,344.0,122 CDM,30026400,HC EER MITO DISORDERS MTDNA SEQ/DEL,1241.0,1241.0,153.88,3935.83,121 CDM,30026401,HC MITO DISORDERS MTDNA SEQ/DEL,1241.0,1241.0,153.88,2968.52,121 CDM,30026402,HC CADASIL NOTCH 3,2886.0,2886.0,169.73,2886.0,121 CDM,30026403,HC CYTOGENOMIC MOLECULAR INVERSION PROBE ARRAY FFP,4535.0,4535.0,562.34,4535.0,121 CDM,30026404,HC FAMILIAL TRANSTHYRETIN (TTR) AMYLOIDOSIS SEQUEN,1215.0,1215.0,150.18,1215.0,121 CDM,30026405,HC MICROSATELLITE INSTABILITY (MSI) HNPCC/LYNCH SY,726.0,726.0,90.02,1105.46,124 CDM,30026406,HC SARS-COV-2 COVID-19 AMP PRB,245.0,245.0,23.36,245.0,122 CDM,30026407,HC ATAXIA COMPREHENSIVE EVALUATION,15317.0,15317.0,1127.49,15317.0,121 CDM,30026408,HC EPISODIC ATAXIA EVALUATION,4909.0,4909.0,389.68,4909.0,121 CDM,30026409,HC FSHD1 SOUTHERN BLOT TEST,3218.0,3218.0,150.18,3218.0,121 CDM,30026410,HC ADMARK TAU/TOTAL INTERP CSF,3167.0,3167.0,10.36,3167.0,121 CDM,30026411,HC M. GENITALIUM AMP PROBE,497.0,497.0,15.39,497.0,122 CDM,30026412,HC 21-HYDROXYLASE AUTOANTIBODIES SERUM,128.0,128.0,11.04,128.0,119 CDM,30026413,HC OMEGACHECK,123.0,123.0,14.45,123.0,124 CDM,30026416,HC ANTIBODY SEVERE ACUTE RESPIRATORY SYNDROME COR,245.0,245.0,11.16,245.0,122 CDM,30026417,HC ANTI-MITOCHONDRIAL ANTIBODY TITER,196.0,196.0,7.23,196.0,122 CDM,30026418,HC THSD7,938.0,938.0,7.23,938.0,122 CDM,30026419,HC MITOCHONDRIAL EVALUATION,6127.0,6127.0,82.2,6127.0,121 CDM,30026420,HC MONONUCLEAR CELL ANTIGEN,284.0,284.0,16.07,284.0,124 CDM,30026421,HC FUS (16P11) FISH,1095.0,1095.0,64.32,1095.0,124 CDM,30026422,HC EWSR1 (22Q12) FISH,951.0,951.0,64.32,951.0,124 CDM,30026423,HC MDM2 FISH,1207.0,1207.0,110.29,1207.0,124 CDM,30026424,HC DDIT3 (CHOP) (12Q13) FISH (ARUP),1046.0,1046.0,64.32,1046.0,124 CDM,30026425,HC FOXO1 (FKHR) (13Q14) FISH,927.0,927.0,64.32,927.0,124 CDM,30026426,HC ERBB2 (HER2) IHC,173.0,173.0,21.45,565.16,124 CDM,30026427,HC CYTOGENOMIC SNP MICROARRAY ONCOLOGY,3734.0,3734.0,463.02,3734.0,121 CDM,30026428,HC VOLTAGE-GATED POTASSIUM CHANNEL AB CSF,472.0,472.0,11.04,472.0,119 CDM,30026429,HC LEUKOTRIENE URINE,669.0,669.0,14.45,669.0,124 CDM,30026430,HC TAY SACHS DISEASE(HEXA) SEQUENCING 7.6KB DELE,1867.0,1867.0,169.73,1867.0,121 CDM,30026431,HC N-METHYLHISTAMINE RANDOM URINE,258.0,258.0,14.45,258.0,124 CDM,30026432,HC RUNX1 GENE ANALYSIS - GENEX PANEL,711.0,711.0,88.16,1045.04,121 CDM,30026433,HC MOL PATH LEVEL 4 - GENEX PANEL,401.0,401.0,49.72,587.36,121 CDM,30026434,HC MOL PATH LEVEL 7 - GENEX PANEL,609.0,609.0,75.52,897.15,121 CDM,30026435,HC MOL PATH LEVEL 9 - GENEX PANEL,4299.0,4299.0,533.08,6343.0,121 CDM,30026436,HC MOL PATH UNLISTED - GENEX PANEL,23.0,23.0,2.85,177.17,112 CDM,30026437,HC MELANIN,129.0,129.0,1.3,129.0,122 CDM,30026438,HC RUBELLA ANTIBODY IGG,500.0,500.0,8.63,500.0,122 CDM,30026439,HC DRUG ASSAY INFLIXIMAB,189.0,189.0,16.91,189.0,119 CDM,30026440,HC EXPLIFY RESPIRATORY RNA PATHOGEN DETECTION,1144.0,1144.0,37.29,1144.0,112 CDM,30026441,HC HEMOGLOBIN CHROMOTOGRAPHY,81.0,81.0,10.04,81.0,122 CDM,30026442,HC SARSCOV2 INF A B AMP PRB,1217.0,1217.0,23.36,1217.0,121 CDM,30026443,HC SARSCOV2 INF A B RSV AMP PRB,1824.0,1824.0,23.36,1824.0,121 CDM,30026444,HC ASHKENAZI JEWISH ASSOC DIS,1460.0,1460.0,181.04,4630.39,121 CDM,30026445,HC LIVER CYTOSOLIC (LC-1) AB,296.0,296.0,17.53,296.0,124 CDM,30026446,HC F. TULARENSIS AB AGGLUTINATION,99.0,99.0,4.19,99.0,122 CDM,30026447,HC B. BURGDERFORI AB IGG IB,731.0,731.0,9.29,731.0,124 CDM,30026448,HC HDV QUANTITATIVE PCR,549.0,549.0,25.7,549.0,119 CDM,30026449,HC HEME PANEL-MPL GENE COMMON VARIANTS,1175.0,1175.0,90.2,1175.0,121 CDM,30026450,HC SOLID TUMOR-MPL GENE COMMON VARIANTS,1532.0,1532.0,90.2,1532.0,121 CDM,30026451,HC HEME PANEL-MPL GENE SEQ ALYS EXON 10,1175.0,1175.0,101.19,1175.0,121 CDM,30026452,HC SOLID TUMOR-MPL GENE SEQ ALYS EXON 10,1532.0,1532.0,101.19,1532.0,121 CDM,30026453,HC HEME PANEL-SF3B1 GENE COMMON VARIANTS,1175.0,1175.0,105.59,1175.0,121 CDM,30026454,HC SOLID TUMOR-SF3B1 GENE COMMON VARIANTS,1532.0,1532.0,105.59,1532.0,121 CDM,30026455,HC HEME PANEL-SRSF2 GENE COMMON VARIANTS,1175.0,1175.0,95.85,1175.0,121 CDM,30026456,HC SOLID TUMOR-SRSF2 GENE COMMON VARIANTS,1532.0,1532.0,95.85,1532.0,121 CDM,30026457,HC HEME PANEL-U2AF1 GENE COMMON VARIANTS,1175.0,1175.0,105.59,1175.0,121 CDM,30026458,HC SOLID TUMOR-U2AF1 GENE COMMON VARIANTS,1532.0,1532.0,105.59,1532.0,121 CDM,30026459,HC HEME PANEL-ZRSR2 GENE COMMON VARIANTS,1175.0,1175.0,105.59,1175.0,121 CDM,30026460,HC SOLID TUMOR-ZRSR2 GENE COMMON VARIANTS,1532.0,1532.0,105.59,1532.0,121 CDM,30026461,HC SOLID TUMOR-NTRK TRANSLOCATION ANALYSIS,1532.0,1532.0,189.97,1643.73,121 CDM,30026462,HC DRUG ASSAY ACETAMINOPHEN,335.0,335.0,10.61,335.0,121 CDM,30026463,HC DRUG ASSAY SALICYLATE,335.0,335.0,11.18,335.0,119 CDM,30026465,HC ASSAY SPEC XCP UR BREATH IA,352.0,352.0,7.57,352.0,119 CDM,30026466,HC INFLIXIMAB ANTI-DRUG ANTIBODY,609.0,609.0,10.36,609.0,121 CDM,30026468,HC RYR AUTOANTIBODY TEST,1460.0,1460.0,10.22,1460.0,124 CDM,30026469,HC LRP4 AUTOANTIBODY,1946.0,1946.0,7.23,1946.0,122 CDM,30026470,HC AMYOTROPHIC LATERAL SCLEROSIS ADVANCED EVALUATI,10929.0,10929.0,1127.49,10929.0,121 CDM,30026471,HC SEPT9 DNA SEQUENCING TEST,2202.0,2202.0,177.17,2202.0,112 CDM,30026472,HC DPYD GENE COMMON VARIANTS,1809.0,1809.0,104.89,1809.0,121 CDM,30026474,HC FTD EVALUATION,5082.0,5082.0,169.73,5082.0,121 CDM,30026475,HC CSF METAGENOMICS,6554.0,6554.0,177.17,6554.0,112 CDM,30026476,HC NPM1 MUTATION DETECTION BY RT-PCR QUANTATIVE,657.0,657.0,81.47,781.84,124 CDM,30026485,HC MICA ANTIBODY,348.0,348.0,43.15,348.0,122 CDM,30026486,HC COMPARATIVE ANALYSIS USING SRT MARKERS,4354.0,4354.0,139.84,4354.0,121 CDM,30026487,HC GAUCHER DISEASE (GBA) ENZYME ACTIVITIY IN LEUKO,348.0,348.0,13.3,348.0,119 CDM,30026488,HC PROSTATE HEALTH INDEX,173.0,173.0,11.03,173.0,122 CDM,30026489,HC FREE PSA/P2PSA REFLEX,464.0,464.0,11.03,464.0,122 CDM,30026490,HC IMMUNOASSAY TUMOR ANTIGEN,464.0,464.0,12.49,464.0,122 CDM,30026492,HC CYTOKINE PANEL 13,52.0,52.0,6.45,54.77,121 CDM,30026493,HC HIV-1 DRUG RESISTANCE BY NGS-PHENOTYPE,325.0,325.0,40.3,413.41,122 CDM,30026494,HC EER HIV-1 DRUG RESISTANCE BY NGS,325.0,325.0,40.3,408.27,122 CDM,30026495,HC STAPH ENTEROTOXIN A,48.0,48.0,3.13,48.0,122 CDM,30026496,HC STAPH ENTEROTOXIN B,48.0,48.0,3.13,48.0,122 CDM,30026497,HC RECOMBX(R) CV2 AUTOANTIBODY TEST,580.0,580.0,10.36,580.0,121 CDM,30026498,HC RECOMBX(R) MATA AUTOANTIBODY TEST,719.0,719.0,10.36,719.0,121 CDM,30026499,HC RECOMBX(R) ZIC4 AUTOANTIBODY TEST,801.0,801.0,10.36,801.0,121 CDM,30026500,HC OROTIC ACID URINE,235.0,235.0,12.73,235.0,124 CDM,30026501,HC ALDOSTERONE LEFT ADRENAL VEIN,30.0,30.0,3.72,95.14,122 CDM,30026502,HC ALDOSTERONE RIGHT ADRENAL VEIN,30.0,30.0,3.72,95.14,122 CDM,30026503,HC ALDOSTERONE INFERIOR VENA CAVA,30.0,30.0,3.72,95.14,122 CDM,30026505,HC HIV-1 DRUG RESISTANCE BY NGS -GENOTYPE,325.0,325.0,40.3,816.5,122 CDM,30026507,HC EHLER_DANLOS (PLOD1),2779.0,2779.0,177.17,2779.0,112 CDM,30026508,HC JAK2 EXON 12 MUTATION ANALYSIS,464.0,464.0,57.54,587.36,124 CDM,30026509,HC BACTERIAL VAGINOSIS BY TMA,576.0,576.0,71.42,834.07,121 CDM,30026510,HC CANDIDA SPECIES (OTHER) BY TMA,193.0,193.0,21.05,193.0,122 CDM,30026511,HC MITOCHONDRIAL ANTIBODY (EG M2) EACH,826.0,826.0,14.45,826.0,119 CDM,30026513,HC 2 HYDROXYGLUTARIC ACID,233.0,233.0,12.73,233.0,124 CDM,30026514,HC HLA II TYPING 1 LOC HR,557.0,557.0,69.07,557.0,124 CDM,30026516,HC CELIAC HLA-DQ GENOTYPING,279.0,279.0,34.6,392.25,124 CDM,30026517,HC CARISOPRODOL MEPROBAMATE URINE QUANTITATIVE,152.0,152.0,0.02,152.0,115 CDM,30026530,HC DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 7/MORE,265.0,265.0,0.02,265.0,112 CDM,30026531,HC FETAL CHROMOSOMAL MICRODELETION(S) GENOMIC SEQU,1754.0,1754.0,217.5,2407.33,121 CDM,30026532,HC UNLISTED MOLECULAR PATH PROCEDURE,2205.0,2205.0,177.17,2205.0,112 CDM,30026533,HC FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS,1754.0,1754.0,217.5,2407.33,124 CDM,30026534,HC MLL MRD FLOW INITIAL,1265.0,1265.0,37.14,1265.0,124 CDM,30026535,HC MLL MRD FLOW ADD L,407.0,407.0,18.26,407.0,115 CDM,30026536,HC ASHK DISEASE PANEL - ASPA GENE,226.0,226.0,28.02,226.0,124 CDM,30026537,HC ASHK DISEASE PANEL - BCKDHB GENE,226.0,226.0,28.02,301.26,121 CDM,30026538,HC ASHK DISEASE PANEL - BLM GENE,226.0,226.0,21.49,226.0,121 CDM,30026539,HC ASHK DISEASE PANEL - FANCC GENE,226.0,226.0,20.02,226.0,121 CDM,30026540,HC ASHK DISEASE PANEL - G6PC GENE,226.0,226.0,28.02,226.0,121 CDM,30026541,HC ASHK DISEASE PANEL - GBA GENE,226.0,226.0,28.02,226.0,121 CDM,30026542,HC ASHK DISEASE PANEL - HEXA GENE,226.0,226.0,28.02,226.0,124 CDM,30026543,HC ASHK DISEASE PANEL - IKBKAB GENE,226.0,226.0,23.59,226.0,124 CDM,30026544,HC ASHK DISEASE PANEL - MCOLN1 GENE,226.0,226.0,23.59,226.0,121 CDM,30026545,HC ASHK DISEASE PANEL - SMPD1 GENE,226.0,226.0,28.02,226.0,124 CDM,30026546,HC ASHK DISEASE PANEL -MOL PATH LEVEL 1,226.0,226.0,28.02,226.0,121 CDM,30026547,HC ASHK DISEASE PANEL -MOL PATH LEVEL 2,226.0,226.0,28.02,434.5,121 CDM,30026548,HC ASHK DISEASE PANEL -MOL PATH UNLISTED,226.0,226.0,28.02,226.0,112 CDM,30026549,HC CYP2D6 LONG RANGE PCR DUPLICATION,1103.0,1103.0,136.77,2908.52,121 CDM,30026550,HC ORTHOPOXVIRUS DETECTION BY NUCLEIC ACID BY AMP,188.0,188.0,22.75,188.0,122 CDM,30026551,HB CONGENITAL MYASTHENIC SYNDRM ADV SEQ EVAL,6671.0,6671.0,169.73,6671.0,121 CDM,30026556,HC SOLID TUMOR-MAP2K1,1389.0,1389.0,169.73,1389.0,121 CDM,30026557,HC SOLID TUMOR-MAP2K2,1389.0,1389.0,169.73,1389.0,121 CDM,30026558,HC SOLID TUMOR-RAF1,1389.0,1389.0,169.73,1389.0,121 CDM,30026559,HC SOLID TUMOR-ARAF,1389.0,1389.0,172.24,1389.0,112 CDM,30026565,HC KIT GENE TARGETED SEQ ANALYS - GIST,1103.0,1103.0,136.77,1103.0,124 CDM,30026566,HC PDGFRA GENE - GIST,1103.0,1103.0,136.77,1103.0,124 CDM,30026567,HC B. BURGDORFERI AB IGM,34.0,34.0,4.22,49.13,124 CDM,30026568,HC TARGETED GENOMIC SEQ PANELSOLID ORGAN NEOPLASM5,13782.0,13782.0,338.29,13782.0,124 CDM,30026569,HC TARGETED SEQ PANELHEMATOLYMPHOID NEOPLASM 5-50,12885.0,12885.0,429.74,12885.0,121 CDM,30026570,HC TARGETED SEQ PANELSOLID OR HEMATOLYMPH NEOPLASM,16835.0,16835.0,1651.91,16835.0,124 CDM,30026572,HC SOLID TUMOR-POLE,1532.0,1532.0,177.17,1532.0,112 CDM,30026573,HC SOLID TUMOR-MSH2,1532.0,1532.0,116.74,1532.0,124 CDM,30026574,HC SOLID TUMOR-MSH6,1532.0,1532.0,189.97,2035.63,124 CDM,30026575,HC SOLID TUMOR-PMS2,1532.0,1532.0,189.97,2145.52,124 CDM,30026577,HC L-ASPARAGINASE ACTIVITY ASSAY,1147.0,1147.0,13.3,1147.0,119 CDM,30026578,HC PHOSPHOLIPASE A2 RECEPTOR ANTIBODY ELISA,614.0,614.0,10.36,614.0,121 CDM,30026580,HC UROVYSION FISH,993.0,993.0,63.57,993.0,124 CDM,30026597,HC MUSK AB IGG BY CBA IFA,473.0,473.0,7.23,473.0,122 CDM,30026598,HC MUSK SER ONLY,620.0,620.0,7.23,620.0,122 CDM,30026599,HC UREAPLASMA,984.0,984.0,21.05,984.0,122 CDM,30026600,HC EPSTEIN BARR VIRUS BY QUANT NAAT PLASMA,251.0,251.0,25.7,251.0,119 CDM,30026601,HC SEZARY MONITORING FLOW CYTOMETRY BLOOD,840.0,840.0,16.07,840.0,124 CDM,30026603,HC RISPERIDONE,100.0,100.0,0.02,100.0,115 CDM,30026605,HC CYTOGENIC STUDY EXTENSIVE,1533.0,1533.0,53.51,1533.0,121 CDM,30026606,HC CYTOGENIC STUDY BASIC,840.0,840.0,53.51,840.0,121 CDM,30026607,HC RBC ANTIGEN GENOTYPING,1008.0,1008.0,124.99,2283.48,121 CDM,30026618,HC MULTIPLEX VAGINOSIS PANEL MVP,300.0,300.0,37.2,834.07,121 CDM,30026626,HC NEURO CSF PRION PROTEIN QUAL,1365.0,1365.0,169.26,1715.75,121 CDM,30026628,HC LYSOL GL-3 PLASMA,194.0,194.0,14.45,194.0,124 CDM,30026629,HC GL-3 PLASMA,194.0,194.0,14.45,194.0,124 CDM,30026636,HC HUMAN PLATELET AG 1 GENOTYPING,202.0,202.0,25.05,387.62,124 CDM,30026637,HC HUMAN PLATELET AG 2 GENOTYPING,202.0,202.0,25.05,387.62,121 CDM,30026638,HC HUMAN PLATELET AG 3 GENOTYPING,202.0,202.0,25.05,387.62,121 CDM,30026639,HC HUMAN PLATELET AG 4 GENOTYPING,202.0,202.0,25.05,387.62,121 CDM,30026640,HC HUMAN PLATELET AG 5 GENOTYPING,202.0,202.0,25.05,387.62,121 CDM,30026641,HC HUMAN PLATELET AG 6 GENOTYPING,202.0,202.0,25.05,387.62,121 CDM,30026642,HC HUMAN PLATELET AG 15 GENOTYPING,202.0,202.0,25.05,387.62,121 CDM,30026643,HC IBUPROFEN QUANTITATIVE SERUM,166.0,166.0,0.02,166.0,115 CDM,30026646,HC DONOR WEST NILE VIRUS NAT,743.0,743.0,21.05,743.0,122 CDM,30026654,HC VERIFY NOW PRU P2Y12,918.0,918.0,14.95,918.0,124 CDM,30026655,HC ANTI-RETINOL AUTOANTIBODY,1370.0,1370.0,17.53,1370.0,124 CDM,30026656,HC BETA-AMYLOID 1-42 (ABETA 42),980.0,980.0,77.35,980.0,121 CDM,30026657,HC BETA-AMYLOID 1-40 (ABETA 40),980.0,980.0,77.35,980.0,121 CDM,30100002,HC MAPS ASSAY GLUCOSE BLOOD QUANT,20.0,20.0,1.93,20.0,122 CDM,30100004,HC DRUG TEST DEFINITIVE 1-7 CLASSES,323.0,323.0,38.76,362.91,124 CDM,30100005,HC FREE TEGRETOL,786.0,786.0,7.95,786.0,122 CDM,30100027,HC CYTOKINE PANEL TH1,1208.0,1208.0,10.36,1208.0,121 CDM,30100028,HC CYTOKINE PANEL TH2,1208.0,1208.0,10.36,1208.0,121 CDM,30100031,HC THIPURINE METHYLTRANSFERASE RBC,311.0,311.0,13.3,311.0,119 CDM,30100039,HC NEUROFILAMENT LIGHT CHAIN PLASMA,630.0,630.0,69.74,630.0,121 CDM,30100041,HC TITIN ANTIBODY,158.0,158.0,6.92,158.0,119 CDM,30100042,HC SORBITAL XYLITOL QUANTITATIVE URINE,550.0,550.0,14.45,550.0,124 CDM,30200051,HC ABPA PANEL (ALLERGIC BRONCHOPULMONARY ASPERIGIL,69.0,69.0,8.56,69.0,122 CDM,30200052,HC HEP C SCREEN HIGH RISK/OTHER,381.0,381.0,9.42,381.0,124 CDM,30200056,HC INTERSTITAL LUNG DISEASE AUTOANTIBODIES WITH RE,861.0,861.0,10.76,861.0,122 CDM,30200058,HC VDRL TITER CSF,47.0,47.0,2.64,47.0,122 CDM,30600002,HC MAPS SMEARWET MOUNT SALINE/IN,30.0,30.0,3.49,30.0,122 CDM,30600003,HC MAPS TISSUE EXAM FOR FUNGI (KOH SLIDE),41.0,41.0,2.56,41.0,122 CDM,30600007,HC RESP VIRUS 12-25 TARGETS,4414.0,4414.0,250.07,4414.0,122 CDM,30600008,HC CNS DNA AMP PROBE TYPE 12-25,2837.0,2837.0,250.07,2837.0,119 CDM,30600024,HC PARVOVIRUS B19 BY QUANTITATIVE PCR,385.0,385.0,25.7,385.0,119 CDM,30600025,HC PNEUMOCYSTIS JIROVECII BY PCR,488.0,488.0,21.05,488.0,122 CDM,30600026,HC BABESIA SPECIES BY PCR,609.0,609.0,15.94,609.0,122 CDM,30700002,HC URINALYSIS AUTO W/O SCOPE POC,145.0,145.0,1.35,145.0,122 CDM,31000002,HC MAPS LEVEL III-SURGICAL PATHOLOG,59.0,59.0,6.5,172.85,124 CDM,31000003,HC PROSTATE NEEDLE BIOPSY,1057.0,1057.0,9.0,1057.0,122 CDM,31000006,HC IHC MULTIPLEX,2088.0,2088.0,57.15,2088.0,124 CDM,31000007,HC MAPS SPECIAL STAIN INTRP/REP GR,74.0,74.0,9.18,441.35,124 CDM,31000013,HC MAPS LEVL IV-SURG PATH GROSS MIC,228.0,228.0,9.0,228.0,122 CDM,31000014,HC MAPS DECALCIFICATION PROCEDURE,27.0,27.0,3.35,42.34,115 CDM,31000015,HC MAPS SPECIAL STAIN INTRP/REP GRP,149.0,149.0,18.48,232.1,124 CDM,31000041,HC SPINAL MUSCULAR ATROPHY (SMA),646.0,646.0,63.08,646.0,124 CDM,31000042,HC CNBP REPEAT ANALYSIS,1075.0,1075.0,82.2,1075.0,121 CDM,31000043,HC ONC MERKEL CLL CARC SRM QUAN,769.0,769.0,95.36,1024.27,121 CDM,31000044,HC MAPS COMPREHENSIVE REVIEW OF DATA,176.0,176.0,21.82,565.16,121 CDM,31000045,HC PATHOLOGY CLINICAL CONSULTATION CLINICAL PROBLE,237.0,237.0,23.71,237.0,116 CDM,31000046,HC PATHOLOGY CLINICAL CONSULTATION CLINICAL PROBLE,708.0,708.0,50.72,708.0,116 CDM,31000047,HC PATHOLOGY CLINICAL CONSULTATION CLINICAL PROBLE,708.0,708.0,87.79,708.0,116 CDM,31000048,HC PATHOLOGY CLINICAL CONSULTATION-CLINCIAL PROBLE,237.0,237.0,29.39,237.0,107 CDM,31000049,HC CACNA1A GENE FULL GENE SEQ,6461.0,6461.0,389.68,6461.0,121 CDM,31000050,HC MOL PATH - LEVEL 7,1103.0,1103.0,136.77,1103.0,121 CDM,31000051,HC MOL PATH - LEVEL 8,1103.0,1103.0,136.77,2683.95,121 CDM,31000052,HC MULTIPLE ENDOCRINE NEOPLASIA TYPE 2 (MEN2) RET,1985.0,1985.0,169.73,1985.0,121 CDM,31000053,HC MATERNAL CELL CONTAM FETAL SPEC,325.0,325.0,40.3,739.18,121 CDM,31000056,HC COMPREHENSIVE NEUROPATHY ASSAY,6300.0,6300.0,455.72,6300.0,124 CDM,31000060,HC NPM1 INSERTION MUTATION DNA SCREEN,350.0,350.0,43.4,781.84,124 CDM,31000061,HC CHROMOSOME ANALYSIS AMNIOTIC FLUID,748.0,748.0,92.75,748.0,124 CDM,31000062,HC CXCL9,406.0,406.0,50.34,406.0,112 CDM,31100005,HC CHRMSM COUNT 15-20 CLL 2KARYOTYP BANDING,3900.0,3900.0,75.29,3900.0,124 CDM,31100006,HC KARYOTYPE TISSUE,1300.0,1300.0,84.44,1300.0,124 CDM,31200002,HC IGH-BCL2 FUSION T(14 18) BY FISH,1075.0,1075.0,124.39,1075.0,121 CDM,31200003,HC ALK GENE REARRANGEMENTS BY FISH LUNG,1312.0,1312.0,64.32,1312.0,124 CDM,31200004,HC ROS1 FISH,1474.0,1474.0,64.32,1474.0,124 CDM,31200005,HC 1P 19Q FISH,1342.0,1342.0,110.29,1342.0,124 CDM,3172220410J2470,PANTOPRAZOLE SODIUM 40 MG IV SOLR,17.0,17.0,1.93,17.0,111 CDM,3172220431J2470,PANTOPRAZOLE SODIUM 40 MG IV SOLR,17.0,17.0,1.93,17.0,111 CDM,3172230801J2359,OLANZAPINE 10 MG IM SOLR,128.0,128.0,0.75,128.0,112 CDM,3172299510J2710,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,94.0,94.0,0.71,94.0,111 CDM,3172299531J2710,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,94.0,94.0,0.71,94.0,111 CDM,32000001,HC BONE SURVEY COMPLETE,3398.0,3398.0,45.22,3398.0,123 CDM,32000002,HC FLURO GUID CENT VEN ACC DEV PL,617.0,617.0,46.26,617.0,108 CDM,32000005,HC OSSEOUS SURVEY LIMITED,1713.0,1713.0,30.22,1713.0,123 CDM,32000006,HC BONE(OSSEOUS)SURVEYINFANT,1155.0,1155.0,28.06,1155.0,123 CDM,32000008,HC BONE AGE LIMITED,1031.0,1031.0,9.8,1031.0,123 CDM,32000009,HC BONE DENSITY AXIAL SKELETAL,1212.0,1212.0,42.85,1212.0,123 CDM,32000010,HC FLUORO GUIDE/LOC.NEEDLE,491.0,491.0,28.19,491.0,108 CDM,32000011,HC DEXA WRIST,1212.0,1212.0,17.68,1212.0,123 CDM,32000022,HC THORACOLUMBAR SP 2 VIEW,865.0,865.0,16.5,865.0,123 CDM,32000023,HC LUMBAR SPINE (2-3 VIEWS),1136.0,1136.0,22.5,1136.0,123 CDM,32000025,HC THORACIC SPINE(MIN 4 VIEWS),1384.0,1384.0,21.5,1384.0,123 CDM,32000026,HC THORACIC SPINE 2 VIEWS,865.0,865.0,20.19,865.0,123 CDM,32000027,HC CERVI SP COMP W/OB FLX /- EXT,1497.0,1497.0,32.5,1497.0,123 CDM,32000029,HC THORACIC SPINE ( 3 VIEWS),891.0,891.0,21.5,891.0,123 CDM,32000030,HC BENDING LUMBOSACRAL XRAY,2200.0,2200.0,21.0,2200.0,123 CDM,32000031,HC LUMBOSACRAL SPINE MIN 4 VWS,1497.0,1497.0,22.5,1497.0,123 CDM,32000032,HC L/S BEND ONLY2 OR 3 VIEWS,2073.0,2073.0,21.0,2073.0,123 CDM,32000033,HC PELVIS COMPLETE,1089.0,1089.0,21.0,1089.0,123 CDM,32000034,HC SCAPULA XRAY,838.0,838.0,16.5,838.0,122 CDM,32000035,HC CLAVICLE COMPLETE,912.0,912.0,11.5,912.0,122 CDM,32000036,HC SARCRUM/COCCYX (2 VIEWS),859.0,859.0,16.5,859.0,123 CDM,32000039,HC DISKO. (LUMBAR) S/I ONLY,2881.0,2881.0,36.0,6477.54,118 CDM,32000040,HC PELVIS (1-2 VIEWS),643.0,643.0,10.0,643.0,123 CDM,32000041,HC SHOULDER COMPL MIN 2 VIEW,1089.0,1089.0,16.5,1089.0,122 CDM,32000042,HC SHOULDER ONE VIEW,649.0,649.0,14.51,649.0,122 CDM,32000043,HC SACROILIAC JTS<3 VIEWS,863.0,863.0,16.5,863.0,123 CDM,32000044,HC SI JOINTS (3 VIEWS),857.0,857.0,16.5,857.0,123 CDM,32000045,HC WRIST 3 VIEWS,842.0,842.0,11.5,842.0,122 CDM,32000046,HC FINGER MIN 2 VIEW,457.0,457.0,9.0,457.0,122 CDM,32000047,HC ANKLE 3 VIEWS,845.0,845.0,18.73,845.0,122 CDM,32000048,HC WRIST (2 VIEWS),643.0,643.0,11.5,643.0,122 CDM,32000049,HC FOREARM ( 2 VIEWS ),649.0,649.0,11.5,649.0,122 CDM,32000050,HC UPPER EXTREMITY INFANT MIN 2V,431.0,431.0,11.0,431.0,122 CDM,32000051,HC HAND 3 VIEWS,990.0,990.0,11.5,990.0,122 CDM,32000052,HC TIBIA/FIBULA (2 VIEWS),657.0,657.0,16.5,657.0,122 CDM,32000053,HC HAND 2 VIEWS,469.0,469.0,10.0,469.0,122 CDM,32000054,HC HUMERUS,649.0,649.0,11.5,649.0,122 CDM,32000055,HC ELBOW ( 2 VIEWS),649.0,649.0,11.5,649.0,122 CDM,32000056,HC ELBOW MIN 3 VIEW,859.0,859.0,11.5,859.0,122 CDM,32000057,HC KNEE(3 VIEWS),870.0,870.0,16.5,870.0,122 CDM,32000059,HC KNEE ONE OR TWO VIEWS,643.0,643.0,16.5,643.0,122 CDM,32000060,HC XRAY BOTH KNEESSTANDING AP,722.0,722.0,17.36,722.0,123 CDM,32000061,HC KNEE (4 VIEWS),387.0,387.0,22.42,387.0,122 CDM,32000062,HC HIP UNILATERAL 1 VIEW,672.0,672.0,14.92,672.0,123 CDM,32000064,HC ANKLE (2 VIEWS),643.0,643.0,11.5,643.0,122 CDM,32000065,HC LOW EXTREM INFANT MIN 2 VIEWS,275.0,275.0,16.5,288.67,122 CDM,32000069,HC RIBS BILAT W/PA CHEST MIN 4 V,1331.0,1331.0,16.5,1331.0,123 CDM,32000070,HC RIBSBILATERAL 3 VIEWS,1482.0,1482.0,16.5,1482.0,123 CDM,32000071,HC RIBS UNILAT W/PA CHEST MIN 3 V,1306.0,1306.0,16.5,1306.0,123 CDM,32000072,HC STERNUM (COMPLETE),870.0,870.0,11.5,870.0,123 CDM,32000073,HC STERNOCLAVICUL JNTS MIN 3 VIEW,842.0,842.0,11.5,842.0,123 CDM,32000074,HC RIBS UNILATERAL 2 VIEWS,1109.0,1109.0,16.5,1109.0,123 CDM,32000075,HC CHEST COMPL MIN 4 VIEW W/FLURO,1234.0,1234.0,19.43,1234.0,123 CDM,32000077,HC CERVICAL SPINE MIN 4 VIEWS,1109.0,1109.0,26.5,1109.0,123 CDM,32000078,HC CERVICAL SPINE (2-3 VIEWS),657.0,657.0,16.5,657.0,123 CDM,32000079,HC OS CALCIS (HEEL),643.0,643.0,11.5,643.0,122 CDM,32000080,HC FOOT 3 VIEWS,1085.0,1085.0,11.5,1085.0,122 CDM,32000081,HC FOOT (2 VIEWS),643.0,643.0,10.0,643.0,122 CDM,32000082,HC TOE(S) MIN 2 VIEW,457.0,457.0,9.0,457.0,122 CDM,32000083,HC ABDOMEN XRAY 1 VIEW,675.0,675.0,13.77,675.0,123 CDM,32000084,HC PYELOGRAM RETROGRADE,1410.0,1410.0,22.5,1410.0,123 CDM,32000085,HC CHOLANGIOGRAM (T-TUBE) S/1,1147.0,1147.0,77.92,11876.82,125 CDM,32000087,HC BARIUM ENEMA WITH AIR STUDY,1666.0,1666.0,39.0,1666.0,123 CDM,32000094,HC BILIARY STRICT DIL S/I,1335.0,1335.0,93.73,1335.0,108 CDM,32000097,HC CYSTOGRM INCONT/VOID S/I,826.0,826.0,27.5,826.0,118 CDM,32000099,HC URETHROGRAM (RETROGR) S/I,746.0,746.0,22.5,1076.52,118 CDM,32000100,HC ANTEGRADE UROGRAPHY RADIOLOGICAL SUPVJ INTERP,1031.0,1031.0,22.5,1157.28,118 CDM,32000102,HC CYSTOGRM/POUCHOGRAM S/I,1018.0,1018.0,21.5,1157.28,118 CDM,32000106,HC X-RAY GUIDE GU DILATION,8112.0,8112.0,77.77,8112.0,118 CDM,32000107,HC HYSTEROSALINGRM S/I,2399.0,2399.0,26.5,2399.0,117 CDM,32000110,HC ABDOMEN (COMPLETE),677.0,677.0,19.17,677.0,123 CDM,32000111,HC UPPER GI (DBL CONTRAST),1666.0,1666.0,40.0,1666.0,123 CDM,32000114,HC ESOPHAGRAM WITH VIDEO,1638.0,1638.0,28.0,1638.0,123 CDM,32000117,HC PNEUMOCOLON/CHAR STUDY,1095.0,1095.0,22.5,1095.0,123 CDM,32000120,HC ADB OBSTRUCT SERIES W/CHEST,1470.0,1470.0,24.0,1470.0,123 CDM,32000121,HC REPOSITION PD CATHETER S I,957.0,957.0,39.39,2246.58,118 CDM,32000125,HC TM JOINTS UNILATERAL,734.0,734.0,16.5,734.0,123 CDM,32000129,HC ORTHOPANTOGRAM,624.0,624.0,10.47,624.0,123 CDM,32000130,HC FACIAL BONES 3 VIEWS,1512.0,1512.0,18.11,1512.0,123 CDM,32000131,HC PARANASAL SINUSES < 3 VIEWS,649.0,649.0,16.5,649.0,123 CDM,32000132,HC FISTULA/SINUS TRACT S/I,837.0,837.0,16.5,1812.54,118 CDM,32000133,HC HEPATIC WEDGE PRESSURES,3978.0,3978.0,131.5,10473.94,118 CDM,32000134,HC HEPATIC W/O HEMODYNAMICS,4556.0,4556.0,121.5,10473.94,118 CDM,32000135,HC VENOUS SAMP EG RENINS EA SAMP,2814.0,2814.0,210.58,18458.42,115 CDM,32000137,HC FB NOSE TO RECTUM-CHILD,378.0,378.0,8.7,378.0,123 CDM,32000142,HC VENO (JUGULAR) S/I (ANGIO),2505.0,2505.0,15.0,10473.94,118 CDM,32000147,HC MECH REM PERICATH FIBRIN RAD S,2146.0,2146.0,210.87,2146.0,105 CDM,32000148,HC MECH REM INTRALUM THROMBUS RAD,1069.0,1069.0,78.52,1069.0,105 CDM,32000154,HC VENO (EXTREMITY) UNI S/I,1883.0,1883.0,22.5,5221.75,118 CDM,32000156,HC BREAST SURG.SPECIMEN,411.0,411.0,10.62,1812.54,123 CDM,32000158,HC ART.(VISCERAL SEL.)S/I,3520.0,3520.0,22.5,18458.42,118 CDM,32000159,HC UNLISTED FLUOROSCOPIC PROC,940.0,940.0,52.84,940.0,117 CDM,32000160,HC VENO (RENAL) UNI S/I,2997.0,2997.0,22.5,10473.94,118 CDM,32000161,HC VENO (EXTREMITY) BIL S/I,2370.0,2370.0,22.5,5221.75,118 CDM,32000162,HC VENO (INF.VENA CAVA) S/I,2609.0,2609.0,22.5,10473.94,118 CDM,32000163,HC VENO (SUP.VENA CAVA) S/I,2739.0,2739.0,22.5,5221.75,118 CDM,32000166,HC INJ PREV PLACED P-V SHUNT S/I,364.0,364.0,28.19,379.3,118 CDM,32000167,HC FLUORO/US/CT CATH PLC,6738.0,6738.0,10.0,6738.0,108 CDM,32000169,HC CATH/TUBE CHANGE S/I,2425.0,2425.0,10.0,2425.0,108 CDM,32000173,HC TRANSCATHETER BIOPSY S/I,1892.0,1892.0,10.0,1920.44,108 CDM,32000180,HC CONSULTATION - SECOND OPINION,170.0,170.0,7.88,399.36,107 CDM,32000185,HC GUIDANCE FOR DRAINAGE PROCEDURE,6738.0,6738.0,10.0,6738.0,108 CDM,32000186,HC CEPHALOGRAM ORTHODONTIC,656.0,656.0,10.79,656.0,123 CDM,32000195,HC DXA BONE DENSITY STUDY,3324.0,3324.0,60.76,3324.0,120 CDM,32000197,HC FLUOROSCOPE EXAMINATION,1470.0,1470.0,11.5,1470.0,123 CDM,32000205,HC INTRVASC US NONCORONARY ADDL,4364.0,4364.0,80.85,4364.0,111 CDM,32000206,HC INJECTION FOR CHOLANGIOGRAM,5515.0,5515.0,99.74,11876.82,125 CDM,32000207,HC INJ FOR CHOLANGIOGRAM NEW ACC,10134.0,10134.0,225.56,11898.0,125 CDM,32000208,HC PLMT BILIARY DRAINAGE CATH,10134.0,10134.0,319.59,29855.52,125 CDM,32000209,HC PLMT BILIARY DRAIN CATH INT-EX,10134.0,10134.0,424.13,29855.52,125 CDM,32000210,HC CONVERSION EXT BIL DRG CATH,10134.0,10134.0,243.88,29855.52,125 CDM,32000211,HC EXCHANGE BILIARY DRG CATH,10134.0,10134.0,153.83,11898.0,125 CDM,32000212,HC REMOVAL BILIARY DRG CATH,5515.0,5515.0,103.71,11195.82,125 CDM,32000213,HC PERQ PLMT BILE DUCT STENT EXST,19169.0,19169.0,343.69,52247.16,125 CDM,32000214,HC PERQ PLMT BILE DUCT STENT NEW ACS,19169.0,19169.0,464.82,52247.16,125 CDM,32000215,HC PERQ PLMT BILE DUCT STENT NEW ACS W/ DRNGE,19169.0,19169.0,554.85,52247.16,125 CDM,32000216,HC PLMT ACCESS BIL TREE SM BWL,10134.0,10134.0,295.09,29855.52,125 CDM,32000217,HC X-RAY EXAM ENTIRE SPI 1 VW,828.0,828.0,18.91,828.0,123 CDM,32000218,HC X-RAY EXAM ENTIRE SPI 2/3 VW,828.0,828.0,34.34,828.0,123 CDM,32000219,HC X-RAY EXAM ENTIRE SPI 4/5 VW,828.0,828.0,37.27,828.0,123 CDM,32000220,HC X-RAY ENTIRE SPI 6/> VW,828.0,828.0,44.98,828.0,123 CDM,32000221,HC X-RAY EXAM HIP UNI 1 VIEW,1123.0,1123.0,14.92,1123.0,123 CDM,32000222,HC X-RAY EXAM HIP UNI 2-3 VIEWS,1123.0,1123.0,22.36,1123.0,123 CDM,32000223,HC X-RAY EXAM HIP UNI 4/> VIEWS,1123.0,1123.0,27.68,1123.0,123 CDM,32000224,HC X-RAY EXAM HIPS BI 2 VIEWS,1804.0,1804.0,20.77,1804.0,123 CDM,32000225,HC X-RAY EXAM HIPS BI 3-4 VIEWS,1804.0,1804.0,25.03,1804.0,123 CDM,32000226,HC X-RAY EXAM HIPS BI 5/> VIEWS,1804.0,1804.0,30.09,1804.0,123 CDM,32000227,HC X-RAY OF FEMUR 1 VIEW,825.0,825.0,14.38,825.0,123 CDM,32000228,HC X-RAY EXAM OF FEMUR 2/>,825.0,825.0,17.05,825.0,123 CDM,32000233,HC MAPS CYSTOGRM INCONT/VOID S/I,281.0,281.0,27.5,791.48,118 CDM,32000248,HC LUMBAR SPINE SINGLE,455.0,455.0,14.46,455.0,123 CDM,32000251,HC THORACIC SPINE SINGLE,455.0,455.0,14.46,455.0,123 CDM,32000252,HC FLUORO-CHEST ONLY,857.0,857.0,11.5,857.0,123 CDM,32000253,HC C-ARM FLUOR-OR 76499,1634.0,1634.0,11.5,1634.0,123 CDM,32000255,HC FLUORO ABD 76000,1470.0,1470.0,11.5,1470.0,123 CDM,32000271,HC FRACTURE ASSESSMENT VIA DXA VF,1212.0,1212.0,37.96,1212.0,120 CDM,32000273,HC PTA DIALYSIS FISTULA,809.0,809.0,68.27,809.0,119 CDM,32000277,HC B/L ILIAC ANGIO NO CATH,9854.0,9854.0,22.5,10473.94,118 CDM,32000280,HC LT CALCANEOUS 2 VIEW MIN,643.0,643.0,11.5,643.0,122 CDM,32000281,HC MASTOIDS LESS 3 VIEWS,8240.0,8240.0,16.5,8240.0,122 CDM,32000282,HC MASTOIDS MIN 3 VIEWS,11040.0,11040.0,26.86,11040.0,122 CDM,32000283,HC OSSEOUS SURVEY- INFANT,1031.0,1031.0,28.06,1031.0,123 CDM,32000286,HC SCANOGRAM-BONE LENGTH,957.0,957.0,20.94,957.0,123 CDM,32000289,HC SURG SPECIMEN RADIOLOGY EXAM,419.0,419.0,10.62,1812.54,123 CDM,32000290,HC UNI ILIAC ANGIO NO CATH,12293.0,12293.0,22.5,12293.0,118 CDM,32000291,HC VENO CAV INF SE,2739.0,2739.0,22.5,10473.94,118 CDM,32000295,HC BALO ANGIOP CTR DIALYSIS SEG,14481.0,14481.0,102.38,29855.52,114 CDM,32000296,HC INTRO CATH DIALYSIS CIRCUIT,7390.0,7390.0,152.63,20525.67,125 CDM,32000297,HC INTRO CATH DIALYSIS CIRCUIT W/ANGIOPLASTY,7390.0,7390.0,227.4,44783.28,125 CDM,32000299,HC NJX INTERLAMINAR LMBR/SAC,2071.0,2071.0,104.09,11195.82,125 CDM,32000301,HC THRMBC/NFS DIALYSIS CIRCUIT,13151.0,13151.0,358.48,29855.52,125 CDM,32000302,HC THRMBC/NFS DIALYSIS CIRCUIT W/ANGIOPLASTY,12561.0,12561.0,449.96,44783.28,125 CDM,32000304,HC TRLUML BALO ANGIOP 1ST ART,16337.0,16337.0,373.45,35453.43,125 CDM,32000305,HC TRLUML BALO ANGIOP 1ST VEIN,7833.0,7833.0,321.14,35453.43,125 CDM,32000306,HC TRLUML BALO ANGIOP ADDL ART,5300.0,5300.0,144.67,5300.0,115 CDM,32000316,HC ESOPHAGRAM DOUBLE CONTRAST,701.0,701.0,56.01,701.0,123 CDM,32000317,HC X-RAY SM INT F-THRU STD,730.0,730.0,35.99,730.0,108 CDM,32000318,HC DX LMBR SPI PNXR W/FLUOR/CT,1790.0,1790.0,93.93,4664.92,125 CDM,32000319,HC THER SPI PNXR CSF FLUOR/CT,2315.0,2315.0,117.98,4664.92,125 CDM,32000351,HC OPTO-ACOUSTIC IMG BREAST UNI,315.0,315.0,53.23,346.8,120 CDM,32100001,HC COMM ILIAC 1ST ORD,5626.0,5626.0,759.51,14061.0,107 CDM,32100002,HC COMM FEMORAL 2ND ORD,5626.0,5626.0,759.51,14061.0,107 CDM,32100003,HC INTRO NEEDLE OR INTRACATHET,3045.0,3045.0,411.08,14061.0,107 CDM,32100004,HC INTRO CATHETER-AORTA,7933.0,7933.0,994.0,14061.0,107 CDM,32100005,HC L SUBCLAVIAN,5626.0,5626.0,759.51,14061.0,107 CDM,32100006,HC L INTERNAL MAMMARY,5626.0,5626.0,759.51,14061.0,107 CDM,32300000,HC MAPS VEIN X-RAY CHEST,1756.0,1756.0,22.5,5221.75,118 CDM,32300002,HC ART.(EACH ADD.VESSEL) S/I,6117.0,6117.0,22.5,6117.0,108 CDM,32300003,HC ART. (MAMMARY) S/I,9511.0,9511.0,22.5,10473.94,118 CDM,32300004,HC ART.(EXTREMITY) BIL S/I,9854.0,9854.0,22.5,10473.94,118 CDM,32300005,HC ART. (EXTREMITY) UNI S/I,3103.0,3103.0,22.5,10473.94,118 CDM,32300006,HC ART. (PULMONARY) UNI S/I,3118.0,3118.0,22.5,10473.94,118 CDM,32300007,HC ART. (PELVIC SEL.) S/I,3943.0,3943.0,22.5,18458.42,118 CDM,32300009,HC ART. (ADRENAL) UNI S/I,3520.0,3520.0,22.5,10473.94,118 CDM,32300010,HC ART. (PULMONARY) BIL S/I,9567.0,9567.0,22.5,10473.94,118 CDM,32300018,HC ART. (ABDP.AORTA) S/I,5994.0,5994.0,27.5,10473.94,118 CDM,32300019,HC ANGIO SPINAL SEL ECH VESS S/I,5994.0,5994.0,22.5,18458.42,118 CDM,32300023,HC THORACIC AORTOGRAM,5994.0,5994.0,27.5,18458.42,118 CDM,32300026,HC ANGIO SPIN SEL C,3812.0,3812.0,22.5,18458.42,118 CDM,32300027,HC AORTO THORACIC W SER,5994.0,5994.0,27.5,18458.42,118 CDM,32300028,HC AORTO THORACIC W/O SER,5994.0,5994.0,16.5,10473.94,118 CDM,32400001,HC RADIOLOGIC EXAMINATION CHEST 4 OR MORE VIEWS,888.0,888.0,19.43,888.0,123 CDM,32400002,HC CHEST 2 VIEWS,888.0,888.0,14.85,888.0,123 CDM,32400003,HC CHEST 3 VIEWS,477.0,477.0,18.9,477.0,123 CDM,32400005,HC CHEST 4 OR MORE VIEWS,1314.0,1314.0,19.43,1314.0,123 CDM,32400006,HC CHEST-DECUBITUS/BUCKY,1314.0,1314.0,8.11,1314.0,123 CDM,32400009,HC CHEST SINGLE VIEW,493.0,493.0,8.11,493.0,123 CDM,32500001,HC DIALYSIS - CRRT,3227.0,3227.0,435.65,3227.0,108 CDM,33000001,HC HDR RDNCL NTRSTL/ICAV BRCHTX1,16174.0,16174.0,165.31,16174.0,125 CDM,33000002,HC HDR RDNCL NTRSTL/ICAV BR 2-12,28984.0,28984.0,301.07,28984.0,125 CDM,33000003,HC HDR INTERST/INTRACAV-12> CHAN,12755.0,12755.0,441.84,12755.0,125 CDM,33100001,HC CHEMO SQ/IM NON-HOR,540.0,540.0,20.87,540.0,125 CDM,33100002,HC CHEMO HORMONAL SQ/IM,540.0,540.0,20.87,540.0,125 CDM,33100006,HC MAPS CHEMO HORMON ANTINEOPL SQ/IM,165.0,165.0,20.87,238.85,125 CDM,33100012,HC MAPS CHEMO INTRALESIONAL UP TO 7,195.0,195.0,20.87,238.85,125 CDM,33300001,HC BASIC DOSIMETRY,1586.0,1586.0,21.5,1586.0,125 CDM,33300004,HC SPECIAL TREATMENT PROCEDURES,12205.0,12205.0,21.5,12205.0,125 CDM,33300008,HC CONT PHYS SUP-WKLY,2408.0,2408.0,49.0,2408.0,125 CDM,33300009,HC SPECIAL PORT PLANS,3577.0,3577.0,31.5,3577.0,125 CDM,33300011,HC TREAT DEVICES-SIMPLE,1746.0,1746.0,32.5,1746.0,125 CDM,33300012,HC TRMENT DEVICES INT,2727.0,2727.0,16.97,2727.0,125 CDM,33300013,HC TRMENT DEVICES COMPLEX,4960.0,4960.0,55.0,4960.0,125 CDM,33300014,HC SIMULATION SIMPLE,3810.0,3810.0,36.5,3810.0,125 CDM,33300015,HC SIMULATION COMPLEX,6289.0,6289.0,72.5,6289.0,125 CDM,33300019,HC 3-D RADIOTHERAPY PLAN,34299.0,34299.0,321.46,34299.0,125 CDM,33300032,HC PROF PHYSICS CONSULT,7220.0,7220.0,64.48,7220.0,125 CDM,33300060,HC RESPIRATOR MOTION MGMT SIMUL,21817.0,21817.0,242.07,21817.0,110 CDM,33300061,"HC RADIOTHERAPY DOSE PLAN IMRT """"TC",21246.0,21246.0,571.64,21246.0,125 CDM,33300062,HC TELETHX ISODOSE PLAN SIMPLE,6887.0,6887.0,54.49,6887.0,125 CDM,33300063,HC TELETHX ISODOSE PLAN CPLX,13427.0,13427.0,72.35,13427.0,125 CDM,33300067,HC SRS MULTISOURCE,122253.0,122253.0,832.2,122253.0,124 CDM,33300069,HC IMAGE GUIDED LIN DEL(2-5 TRMT),64689.0,64689.0,1000.0,64689.0,125 CDM,33300070,HC NTSTY MODUL RAD TX DLVR SMPL,17931.0,17931.0,268.8,17931.0,116 CDM,33300071,HC NTSTY MODUL RAD TX DLVR CPLX,17931.0,17931.0,284.49,17931.0,116 CDM,33300072,HC GUIDANCE FOR RADIAJ TX DLVR,5245.0,5245.0,63.81,5245.0,115 CDM,33300074,HC RADIATION TREATMENT DELIVERY,5980.0,5980.0,21.5,5980.0,125 CDM,33300075,HC RADIATION TREATMENT DELIVERY,10901.0,10901.0,44.0,10901.0,125 CDM,33300076,HC RADIOLOGY PORT FILM(S),410.0,410.0,12.92,410.0,115 CDM,33300119,HC DESIGN MLC DEVICE FOR IMRT,12393.0,12393.0,158.05,12393.0,122 CDM,33300120,HC RAD TX DELIVERY 1 MEV INTERMED,8461.0,8461.0,32.5,8461.0,125 CDM,33300122,HC PLACE DEVICE/MARKER NON PROS,5344.0,5344.0,903.14,5344.0,122 CDM,33300132,HC IMAGE GUIDED LIN DEL(1 TRMT),64689.0,64689.0,1000.0,64689.0,125 CDM,33300250,HC STEREOTACTIC BODY RAD THERA,70272.0,70272.0,1000.0,70272.0,125 CDM,33300267,HC SPECIAL PHYSICS CONSULT -PROTON TX,7220.0,7220.0,64.48,7220.0,125 CDM,33300282,HC STEREOTACTIC BODY RAD THERA (2-5),70272.0,70272.0,1000.0,70272.0,125 CDM,33300313,HC STEREOTACTIC BODY RADIATION DELIVERY - GAMMA KN,70272.0,70272.0,1000.0,70272.0,125 CDM,3334210607J0750,EMTRICITABINETENOFOVIR DF 200300 MG PO TABS,211.0,211.0,1.34,211.0,119 CDM,33500003,HC CHEMO IV PUSHEA ADD DRUG,957.0,957.0,43.59,957.0,125 CDM,33500004,HC CVC CATH FLUSH,324.0,324.0,19.48,324.0,125 CDM,33500005,HC HEPATIC PUMP,645.0,645.0,75.92,705.56,125 CDM,33500006,HC CHEMO INFUS EACH ADD HR,592.0,592.0,20.87,592.0,125 CDM,33500007,HC CHEMO IV PUSH INITIAL,957.0,957.0,75.92,1095.69,125 CDM,33500008,HC CHEMO EA AD SEQ INFUS,656.0,656.0,43.59,656.0,125 CDM,33500011,HC CHEMO INFUSION 1ST HR,1608.0,1608.0,124.55,1608.0,125 CDM,33500012,HC CHEMO PROLONG INFUS>8H,1373.0,1373.0,124.55,1373.0,125 CDM,33500017,HC IRRIGATION IMPLANTED VAD,217.0,217.0,19.48,217.0,125 CDM,33500021,HC MAPS CHEMO IV INFUSION 1 HR,453.0,453.0,76.56,1095.69,125 CDM,34000002,HC GALLIUM-68 DOTATATE PER 0.1 MCI,289.0,289.0,39.02,289.0,108 CDM,34000008,HC BONE MARROW IMG MULTI AREAS,2050.0,2050.0,71.5,2050.0,123 CDM,34000014,HC LIVER SCAN,2527.0,2527.0,46.5,2527.0,123 CDM,34000016,HC PARATHYROID SCAN,2851.0,2851.0,62.5,2851.0,123 CDM,34000018,HC LYMPH NODE SCAN,1522.0,1522.0,130.0,1801.13,123 CDM,34000024,HC THYROID SCAN TOTAL BODY,5596.0,5596.0,56.5,5596.0,123 CDM,34000026,HC THYROID CARCINOMA METASTASES U,2125.0,2125.0,18.07,2125.0,113 CDM,34000033,HC HT MUSCLE IMAGE SPECTSING,10761.0,10761.0,190.19,10761.0,125 CDM,34000034,HC QUANT DIFF PULM PERF,1343.0,1343.0,118.7,1343.0,123 CDM,34000037,HC QUANT DIFF VENT PERF,4859.0,4859.0,189.65,4859.0,123 CDM,34000039,HC KIDNEY FLOW/FUNCTION,3334.0,3334.0,69.0,3334.0,123 CDM,34000040,HC KIDNEY IMG W/FF W PM SING,3481.0,3481.0,69.0,3481.0,123 CDM,34000042,HC CSF FLOW-SHUNT EVAL,1701.0,1701.0,110.0,1801.13,118 CDM,34000044,HC KIDNEY-VASCULAR FLOW,2594.0,2594.0,55.0,2594.0,123 CDM,34000047,HC MYO IMG SPECT INFARCT,3423.0,3423.0,177.44,3423.0,125 CDM,34000049,HC CARD.BL.POOL W/VEF WM,3423.0,3423.0,61.0,3423.0,125 CDM,34000050,HC CARD BL POOL MULT W/EF WM,4187.0,4187.0,178.4,4187.0,125 CDM,34000052,HC HT MUSCLE IMAGE SPECTMULT,10761.0,10761.0,278.34,10761.0,125 CDM,34000053,HC HT MUSC IMAGEPLANARMULT,4440.0,4440.0,206.0,4440.0,125 CDM,34000058,HC PULM VENT PERF IMAGING,1868.0,1868.0,189.65,1868.0,123 CDM,34000060,HC PULMONARY PERFUSION IMAGING,2760.0,2760.0,47.5,2760.0,123 CDM,34000061,HC PULM VENTILATION IMAGING,1893.0,1893.0,110.74,1893.0,123 CDM,34000071,HC THERAPY/THYROID CA,5025.0,5025.0,37.79,5025.0,125 CDM,34000079,HC TUMOR LOCAL SING AREA,1405.0,1405.0,55.0,1405.0,123 CDM,34000080,HC TUMOR LOCALIZATION,4948.0,4948.0,59.0,4948.0,123 CDM,34000082,HC KIDNEY IMG W/FF W/PM MULTI,3021.0,3021.0,185.64,3021.0,123 CDM,34000086,HC TUMOR SPECT,4604.0,4604.0,222.19,4604.0,123 CDM,34000087,HC BONE SCAN TOTAL BODY,4002.0,4002.0,61.5,4002.0,123 CDM,34000090,HC BONE SCAN LIMITED AREA,2050.0,2050.0,41.5,2050.0,123 CDM,34000091,HC BONE VASCULAR FLOW,2149.0,2149.0,31.5,2149.0,123 CDM,34000093,HC BONE SCAN 3 PHASE,3933.0,3933.0,119.0,3933.0,123 CDM,34000094,HC GIBLEED,2148.0,2148.0,39.0,2148.0,123 CDM,34000096,HC HEPATOBILIARY WITH GB,1727.0,1727.0,175.87,1727.0,123 CDM,34000098,HC QUANT HEPATOBILIARY WITH GB,1727.0,1727.0,175.87,1920.85,123 CDM,34000099,HC SALIVARY GLAND SCAN,1364.0,1364.0,35.0,1364.0,123 CDM,34000103,HC GASTRIC EMPTYING,3635.0,3635.0,99.0,3635.0,123 CDM,34000105,HC SALIVARY GLAND FUNCT STUDY,2984.0,2984.0,39.0,2984.0,123 CDM,34000114,HC RN MEDRO/MDP( UP TO 30 MCI),552.0,552.0,13.26,552.0,106 CDM,34000115,HC HEART MUSCLE IMAGING,7950.0,7950.0,621.65,7950.0,125 CDM,34000116,HC NM HEART MI PLANAR,2569.0,2569.0,56.0,2569.0,125 CDM,34000119,HC TC 99M DISOFENIN PER VIAL,457.0,457.0,61.7,457.0,112 CDM,34000127,HC MYOCARDIAL PERFUSION PLANAR SINGLE,4440.0,4440.0,170.46,4440.0,125 CDM,34000128,HC GASTRIC MUCOSA IMAGE,1238.0,1238.0,45.0,1326.1,123 CDM,34000131,HC GASTRIC EMPTYING IMAG STUDY,1468.0,1468.0,211.11,1716.43,123 CDM,34000132,HC GASTRIC EMPTYING W/SB/TRANMUL,1468.0,1468.0,232.95,1925.64,123 CDM,34100001,HC PARATHYROID SCAN W/SPECT CT,1803.0,1803.0,200.47,2179.73,123 CDM,34100002,HC PERITONEAL SHUNT PATENCY,3409.0,3409.0,109.83,3409.0,123 CDM,34100003,HC THY IMG VAS FL W/SING/MULT UPT,1306.0,1306.0,145.01,1326.1,123 CDM,34100004,HC THYROIDIMG W/VASCULAR FLOW,843.0,843.0,93.4,1326.1,123 CDM,34100006,HC PRETX PLANNING NON HODGKINS,5106.0,5106.0,70.0,5106.0,123 CDM,34100007,HC TUMOR LOCALIZ-WHL BODY 2-3 DAY,9057.0,9057.0,315.1,9057.0,123 CDM,34100008,HC PARATHYROID SCAN W/SPECT,1803.0,1803.0,200.47,1803.0,123 CDM,34100012,HC MAPS HT MUSCLE IMAGE SPECTMULT,1250.0,1250.0,211.25,4294.59,125 CDM,34100017,HC SOFT TISSUE SCAN TOTAL,3455.0,3455.0,70.0,3455.0,123 CDM,34100024,HC RP LOCLZJ TUM SPECT W/CT 1 AREA 1 DAY IMAGING,4872.0,4872.0,325.48,4872.0,123 CDM,34100025,HC RP LOCLZJ TUM SPECT 2 AREA 1D IMG/1 AREA IMG>2,4872.0,4872.0,329.64,4872.0,123 CDM,34100026,HC RP LOCLZJ TUM SPECT CT 2AREA 1D IMG/1 AR IMG>2,5527.0,5527.0,329.64,5527.0,123 CDM,34100027,HC RADIOPHARMACEUTICAL QUANTIFICATION MEAS 1 AREA,577.0,577.0,62.5,577.0,108 CDM,34200004,HC NM RN TH METS TH,6979.0,6979.0,37.79,6979.0,125 CDM,34200005,HC ISO HYPERTHYRIOD,5025.0,5025.0,37.79,5025.0,125 CDM,34300001,HC I-131 IODID CAP DXEA ADD MCI,138.0,138.0,6.46,138.0,111 CDM,34300003,HC RN CERETEC (PER DOSE),5058.0,5058.0,567.61,5058.0,119 CDM,34300004,HC RN I-123 PER 100 UCI,3122.0,3122.0,108.36,3122.0,112 CDM,34300006,HC MEBROFENIN UP TO 15MCI,717.0,717.0,9.65,717.0,111 CDM,34300008,HC RN GALLIUM (PER MCI),201.0,201.0,27.14,201.0,111 CDM,34300009,HC INDIUM IN-111 WBCDXPER DOSE,4943.0,4943.0,667.31,4943.0,120 CDM,34300010,HC RN MAG-PER STUDY DOSE<15MCI,886.0,886.0,119.61,886.0,111 CDM,34300011,HC PYROPHOSPHATE DX UP TO 25MCI,600.0,600.0,19.2,600.0,111 CDM,34300012,HC RN IND-III PENTETRE UP TO 6MCI,8848.0,8848.0,1194.48,8848.0,120 CDM,34300013,HC TCF-99 LABEL RBC SDX UP TO 30,534.0,534.0,72.09,534.0,111 CDM,34300014,HC TC-99M BICISATE UP TO 25 MCI,2209.0,2209.0,298.22,2333.07,119 CDM,34300015,HC IODN I-123 IOBENGUANE STDYDOSE,9494.0,9494.0,1281.69,9494.0,120 CDM,34300017,HC IODINE I-123 IOFLUPANE DX 5MCI,7872.0,7872.0,1062.72,7872.0,120 CDM,34300020,HC I-123 SOD IODID DXEA ADD MCI,1073.0,1073.0,144.86,1073.0,108 CDM,34300021,HC RN I-131 MIBG (PER 0.5 MCI),4645.0,4645.0,627.08,4645.0,117 CDM,34300022,HC RN SESTA/CARD (PER DOSE),809.0,809.0,109.22,809.0,111 CDM,34300023,HC RN THALLIUM(PER MCI),476.0,476.0,33.31,476.0,111 CDM,34300024,HC DIA RAD THALLIUM PER MCU,476.0,476.0,33.31,476.0,111 CDM,34300031,HC MAPS TC-99M TETROFOSMNDXPER STDY DOSE,1428.0,1428.0,86.98,1428.0,111 CDM,34300041,HC TC-99M/OXIDRONATE/D TO 30MCI,513.0,513.0,44.88,513.0,111 CDM,34300045,HC TC99M MEBROFENIN < 15 MCI,656.0,656.0,9.65,656.0,111 CDM,34300052,HC PIFLUFOLASTAT F-18 DIAGNOSTIC PER MCI,1865.0,1865.0,251.78,1865.0,119 CDM,34300053,HC GALLIUM ILLUCCIX 1 MCI,2283.0,2283.0,308.21,2283.0,119 CDM,34400008,HC RN I-131SOD.IODINE CAP PER MCI,138.0,138.0,18.63,138.0,119 CDM,34400009,HC INSERT UTERI TANDEM/OVOIDS,3302.0,3302.0,179.75,16594.02,125 CDM,34400010,HC THER RAD I-131 SOL PER MCI,138.0,138.0,7.64,138.0,119 CDM,34400017,HC LU-177 PSMA 1 MCI,515.0,515.0,69.53,780.12,119 CDM,35000001,HC CT GUIDANCE TISSUE ABLATION,4917.0,4917.0,407.0,4917.0,105 CDM,35000002,HC CT GUIDE NEEDLE PLACE S/I,4899.0,4899.0,102.25,4899.0,108 CDM,35000005,HC CT GUIDE FOR RADIATION FIELDS,4935.0,4935.0,67.87,4935.0,115 CDM,35000006,HC FLUORO GUIDE NEEDLE PLACE,1031.0,1031.0,35.67,1031.0,108 CDM,35000014,HC CT CERVICAL SPINE W/O CONTRAST,6219.0,6219.0,83.1,6219.0,123 CDM,35000015,HC CT CERVICAL SPINE W/CONTRAST,7081.0,7081.0,94.0,7081.0,123 CDM,35000016,HC CT PELVIS COMBINED,8849.0,8849.0,102.5,8849.0,123 CDM,35000017,HC CT PELVIS WITH CONTRAST,7081.0,7081.0,86.5,7081.0,123 CDM,35000018,HC CT THORACIC SPINE W/O CONTRAST,3520.0,3520.0,90.6,3520.0,123 CDM,35000019,HC CT THORAC SP.ENHANCED,7081.0,7081.0,87.5,7081.0,123 CDM,35000020,HC CT THORACIC SPINE W W/O CONT,8849.0,8849.0,136.0,8849.0,123 CDM,35000021,HC CT SERV SPINE COMB SAME DAY,8849.0,8849.0,136.0,8849.0,123 CDM,35000022,HC CT LUMBAR SPINE W/O CONTRAST,6219.0,6219.0,88.1,6219.0,123 CDM,35000023,HC CTA PELVIS W W/O CONTRAST,11232.0,11232.0,183.46,11232.0,123 CDM,35000024,HC CT LUMB SPINE ENHANCED,7081.0,7081.0,94.0,7081.0,123 CDM,35000025,HC CT LUMBAR SP W W/O CONTRAST,8849.0,8849.0,136.0,8849.0,123 CDM,35000027,HC CT PELVIS WITHOUT CONTRAST,6219.0,6219.0,67.5,6219.0,123 CDM,35000028,HC MYELO (ENTIRE) S/I ONLY,3363.0,3363.0,39.0,3363.0,118 CDM,35000029,HC MYELOGRAM (CERV) S/I ONLY,3059.0,3059.0,36.75,3059.0,118 CDM,35000030,HC MYELOGRAM (THOR) S/I ONLY,2986.0,2986.0,36.75,2986.0,118 CDM,35000031,HC MYELOGRAM (LUMB) S/I ONLY,3059.0,3059.0,33.0,3059.0,118 CDM,35000032,HC HIP ARTHROGRM (S/I),1556.0,1556.0,47.5,1556.0,117 CDM,35000034,HC CTA UPPER EXT W W/O CONTRAST,11232.0,11232.0,183.46,11232.0,122 CDM,35000035,HC CT UPPER EXTREMITY WITH CONT,7081.0,7081.0,82.5,7081.0,122 CDM,35000036,HC CT UPPER EXTREMITY W/O CONTRAS,6219.0,6219.0,79.04,6219.0,122 CDM,35000037,HC AC JOINTS BILATERAL,838.0,838.0,19.0,838.0,123 CDM,35000038,HC SHOULDER ARTHROGRM (S/I),1802.0,1802.0,16.5,1802.0,117 CDM,35000041,HC CT UPPER EXTREMITY W W/O CONT,8682.0,8682.0,92.5,8682.0,122 CDM,35000042,HC COMPUTED TOMOGRAPHY THORAX DIAGNOSTIC WITH CON,7081.0,7081.0,87.5,7081.0,123 CDM,35000043,HC COMPUTED TOMOGRAPHY THORAX DIAGNOSTIC WITHOUT,6219.0,6219.0,83.1,6219.0,123 CDM,35000045,HC CTA CHEST NOR COR W W/O CONTRA,11232.0,11232.0,183.46,11232.0,123 CDM,35000046,HC CT THORAX DIAGNOSTIC W/O W CONTRAST AND SECTI,8849.0,8849.0,103.5,8849.0,123 CDM,35000047,HC CT ABDOMEN COMBINED,8849.0,8849.0,111.5,8849.0,123 CDM,35000048,HC CTA ABDOMEN PELVIS W W/O CON,11232.0,11232.0,333.7,11232.0,123 CDM,35000049,HC CT ABDOMEN WITH CONTRAST,7081.0,7081.0,90.0,7081.0,123 CDM,35000050,HC CT ABDOMEN PELVIS W/O CONTRA,12439.0,12439.0,101.07,12439.0,123 CDM,35000051,HC CT ABDOMEN PELVIS WITH CONTR,14153.0,14153.0,192.73,14153.0,123 CDM,35000052,HC CT ABDOMEN PELVIS W W/O CONTRA,17695.0,17695.0,254.7,17695.0,123 CDM,35000053,HC CTA ABDOMEN W W/O CONTRAST,11232.0,11232.0,183.46,11232.0,123 CDM,35000054,HC CTA LOWER EXT W W/O CONTRAST,11232.0,11232.0,183.46,11232.0,122 CDM,35000055,HC CT LOWER EXTREMITY W/O CONTRAS,6219.0,6219.0,79.04,6219.0,122 CDM,35000056,HC CT LOW EXTREMITY W W/O CONT,8682.0,8682.0,92.5,8682.0,122 CDM,35000057,HC CT LOW EXTREMITY WITH CONT,7081.0,7081.0,82.5,7081.0,122 CDM,35000058,HC CT ABDOMEN WITHOUT CONTRAST,6219.0,6219.0,77.5,6219.0,123 CDM,35000059,HC CT COLONOGRAPHYW/O DYE,7071.0,7071.0,109.35,7071.0,120 CDM,35000060,HC MA TUBE FILMS/FLUORO,657.0,657.0,88.7,657.0,105 CDM,35000062,HC UPPER GI,965.0,965.0,39.0,965.0,123 CDM,35000063,HC ESOPHAGRAM,706.0,706.0,22.5,706.0,123 CDM,35000065,HC CT COLONOGRAPHYSCREEN,7071.0,7071.0,250.79,7071.0,110 CDM,35000066,HC BARIUM ENEMA,1410.0,1410.0,22.5,1410.0,123 CDM,35000077,HC SINUSES 3 VIEWS,1136.0,1136.0,22.5,1136.0,123 CDM,35000078,HC CT NECK WITHOUT CONTRAST,6219.0,6219.0,79.0,6219.0,123 CDM,35000079,HC CT NECK WITH AND W/O CONTRAST,8682.0,8682.0,92.5,8682.0,123 CDM,35000080,HC CT ANGIO NECK W W/O CONTRAST,11232.0,11232.0,183.46,11232.0,123 CDM,35000081,HC CT NECK ENHANCED,7081.0,7081.0,82.5,7081.0,123 CDM,35000082,HC ORBITS 4 VIEWS,1297.0,1297.0,21.0,1297.0,123 CDM,35000083,HC XRAY TM JOINTS BILATERAL,838.0,838.0,16.5,838.0,123 CDM,35000084,HC SKULL 4 VIEWS,681.0,681.0,21.0,681.0,123 CDM,35000086,HC NASAL BONES 3 VIEWS,649.0,649.0,11.5,649.0,123 CDM,35000088,HC SKULL 4 VIEWS,1497.0,1497.0,27.49,1497.0,123 CDM,35000089,HC MANDIBLE 4 VIEWS,838.0,838.0,16.5,838.0,123 CDM,35000090,HC MANDIBLE-4 VIEWS,681.0,681.0,16.5,681.0,123 CDM,35000091,HC XRAY EYE/FOREIGN BODY,255.0,255.0,14.97,288.67,122 CDM,35000092,HC CISTERNOGRAM S/I ONLY,2906.0,2906.0,48.59,2906.0,118 CDM,35000093,HC FACIAL BONES 3 VIEWS,1279.0,1279.0,22.5,1279.0,123 CDM,35000096,HC XRAY NECK/SOFT TISSUE,845.0,845.0,10.0,845.0,123 CDM,35000103,HC TRANSHEPPORTOGM W/O HEMO,3952.0,3952.0,107.5,10473.94,118 CDM,35000104,HC TRANSHEP.PORTOGM /W HEMO,3595.0,3595.0,126.5,10473.94,118 CDM,35000105,HC CTA ABD AORTA ILEOFM RUN W W/O,11232.0,11232.0,183.46,11232.0,123 CDM,35000106,HC CT ANGIO HRT W/3D IMAGE,6472.0,6472.0,156.88,6472.0,123 CDM,35000107,HC CT HRT W/3D IMAGECONGEN,3515.0,3515.0,156.88,3515.0,123 CDM,35000109,HC CT HRT W/3D IMAGE,2485.0,2485.0,156.88,2485.0,123 CDM,35000110,HC CT HRT W/O DYE W/CA TEST,990.0,990.0,27.36,1219.0,123 CDM,35000112,HC LYMPHANGIOGM (ABDOM.) UNI,6241.0,6241.0,50.0,13190.58,118 CDM,35000113,HC LYMPHANGIOGM (ABDOM.) BIL,6241.0,6241.0,56.5,13200.56,118 CDM,35000117,HC ART. PULMONARY MAIN) S/I,3161.0,3161.0,15.0,10473.94,118 CDM,35000118,HC ART. (ADRENAL) BIL S/I,5994.0,5994.0,22.5,10473.94,118 CDM,35000129,HC 3D REND W/POST PROC SEP WKST,838.0,838.0,48.97,1219.0,105 CDM,35000131,HC MAPS 3D REND W/O POST PROC SEP WKST,243.0,243.0,19.05,1219.0,105 CDM,35000132,HC LOW DOSE CT SCAN LUNG CANCER SCREENING,1496.0,1496.0,50.69,1496.0,123 CDM,35000133,HC CT LTD OR FU STDY,300.0,300.0,50.7,1219.0,120 CDM,35000134,HC CT CERV SP WITH/WITHOUT C,8967.0,8967.0,136.0,8967.0,123 CDM,35000135,HC CT GUIDANCE FOR STEREO LOCAL,4091.0,4091.0,180.6,4091.0,108 CDM,35000136,HC CT GUIDANCE TISSUE ABLAT,4986.0,4986.0,407.0,4986.0,105 CDM,35000137,HC CT GUIDANCE/THERAPY FIELD,6302.0,6302.0,67.87,6302.0,115 CDM,35000138,HC CT GUIDE NEDDLE BIOPSY,4961.0,4961.0,102.25,4961.0,108 CDM,35000139,HC CT GUIDE NEEDLE ASPIRATION,1987.0,1987.0,102.25,1987.0,108 CDM,35000140,HC CT GUIDE PERCUT ABSCESS DRAIN,2012.0,2012.0,10.0,2012.0,108 CDM,35000141,HC CT LO EXT WITH WIOUT,8802.0,8802.0,92.5,8802.0,122 CDM,35000142,HC CT LUMBAR WITH/WITHOUT,8967.0,8967.0,136.0,8967.0,123 CDM,35000143,HC CT PELVIS WITH WOUT CONTRAST,8967.0,8967.0,102.5,8967.0,123 CDM,35000144,HC CT SPINE BONE DENSITY,3156.0,3156.0,42.85,3156.0,123 CDM,35000145,HC CT THORACIC WITH/WITHOUT,8967.0,8967.0,136.0,8967.0,123 CDM,35000146,HC CT UP EXT WI WITOUT,8802.0,8802.0,92.5,8802.0,122 CDM,35000147,HC CT UP EXT WITH CONT,7173.0,7173.0,82.5,7173.0,122 CDM,35000148,HC CTANECKINCL IMAGE POST-,11384.0,11384.0,183.46,11384.0,123 CDM,35000149,HC DENTASCAN,764.0,764.0,63.95,1219.0,117 CDM,35100002,HC CT CEREBRAL PERFUSION ANALYSIS,8155.0,8155.0,407.0,8155.0,109 CDM,35100003,HC CT HEAD UNENHANC EXT,7188.0,7188.0,77.5,7188.0,123 CDM,35100004,HC CT ORBIT/EAR/FOSSA W/O W DYE,7685.0,7685.0,152.0,7685.0,123 CDM,35100005,HC CT ANGIO HEAD W W/O CONTRAST,11232.0,11232.0,183.46,11232.0,123 CDM,35100006,HC CAT CT MAXILOF OTO W/O CN,4712.0,4712.0,77.5,4712.0,123 CDM,35100007,HC CT HEAD W W/O CONTRAST,8965.0,8965.0,100.0,8965.0,123 CDM,35100008,HC CT HEAD WITH CONTRAST,7597.0,7597.0,80.0,7597.0,123 CDM,35100009,HC CT ORBIT/EAR/FOSSA W/O DYE,4728.0,4728.0,109.35,4728.0,123 CDM,35100010,HC CT ORBIT/EAR/FOSSA WITH DYE,5143.0,5143.0,129.0,5143.0,123 CDM,35100013,HC CTAHEADINCL IMAGE POST-,11384.0,11384.0,183.46,11384.0,123 CDM,35200000,HC CT COLONOGRPHY DX IMAGE POSTPROCESS W/CONTRAST,7071.0,7071.0,180.14,7071.0,120 CDM,35200010,HC CT LUMBAR SPINE W/O CONTRAST,3570.0,3570.0,88.1,3570.0,123 CDM,35200011,HC CTA ABD INCL IMAGE POST-P,11384.0,11384.0,183.46,11384.0,123 CDM,35200012,HC CTA LO EXT INCL IMAGE POS,11384.0,11384.0,183.46,11384.0,122 CDM,35200013,HC CTAABD AO BIL ILIOFEM LO,11384.0,11384.0,183.46,11384.0,123 CDM,35200014,HC CTACHESTINCL IMAGE POST,11384.0,11384.0,183.46,11384.0,123 CDM,35200015,HC CTAPELVISINCL IMAGE POS,11384.0,11384.0,183.46,11384.0,123 CDM,35200016,HC CTAUP EXT INCL IMAGE POS,11384.0,11384.0,183.46,11384.0,122 CDM,3557344425J7614,LEVALBUTEROL HCL 0.63 MG/3ML INHALATION NEBU,20.0,20.0,0.08,20.0,112 CDM,3557344525J7612,LEVALBUTEROL HCL 1.25 MG/3ML INHALATION NEBU,20.0,20.0,0.27,20.0,112 CDM,35900001,HC CT ORBIT WITH WO CONTRAST,7786.0,7786.0,152.0,7786.0,123 CDM,35900002,HC CT ORBITS WITH CONTRAST,5210.0,5210.0,129.0,5210.0,123 CDM,36000002,HC TRANSCATH PLACEEXTRACVENTSTE,29623.0,29623.0,994.0,29623.0,112 CDM,36000003,HC TRANSCATH PLACESTENT ADD. VE,24426.0,24426.0,994.0,24426.0,112 CDM,36000004,HC REPLACE TUNNELED LINE W/PORT,5905.0,5905.0,350.99,28735.94,125 CDM,36000005,HC DECLOT VASC ACCESS DEVC/CATH,1007.0,1007.0,25.06,2500.0,125 CDM,36000007,HC RENAL CATH 2NR ORDER UNI,11828.0,11828.0,313.1,24257.61,125 CDM,36000008,HC RENAL CATH 1ST ORDER BILAT,11828.0,11828.0,292.74,11828.0,125 CDM,36000009,HC GUIDE CATHET FLUID DRAINAGE,857.0,857.0,99.91,11195.82,125 CDM,36000010,HC RENAL CATH 1ST ORDER UNI,12270.0,12270.0,224.74,20525.67,125 CDM,36000011,HC RENAL CATH 2ND ORDER BILAT,11828.0,11828.0,337.77,24257.61,125 CDM,3600001225J2405,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,4.0,4.0,0.09,4.0,112 CDM,36000014,HC VASC EMBOLIZE/OCCLUDE ARTERY,20038.0,20038.0,523.44,60809.33,125 CDM,36000019,HC NON-TUNNELED CATH EXCHANGE,4564.0,4564.0,465.0,11195.82,125 CDM,36000023,HC RF ENDO ABLATION INT. VEIN,9940.0,9940.0,776.0,24257.61,125 CDM,36000024,HC REVSC TIB/PER W/STNT/ANGP SM,47551.0,47551.0,750.43,47551.0,115 CDM,36000025,HC REVSC FEM/POP W/ANGIOPLAST UNI,21647.0,21647.0,493.45,21647.0,115 CDM,36000031,HC MECHAN. THROMBECTOMY VENOUS,16593.0,16593.0,776.0,38294.15,125 CDM,36000032,HC INSERT INTRAVAS VENA CAVA FIL,18182.0,18182.0,776.0,20525.67,125 CDM,36000033,HC REVS TIB/PER W/ANGIOP UNI EACH,10283.0,10283.0,170.5,10283.0,113 CDM,36000034,HC REVSC ILIAC ART W/STNT ANG UNI,26603.0,26603.0,544.64,26603.0,115 CDM,36000035,HC RVS TIB/PER W/STN/ANGP UNI EA,22308.0,22308.0,233.42,22308.0,113 CDM,36000036,HC OPEN/PERQ PLACE STENT 1ST,19094.0,19094.0,488.78,38294.15,125 CDM,36000038,HC REVSC ILIAC A W/STNT ANGP IPSI,26387.0,26387.0,180.5,26387.0,113 CDM,36000039,HC PRIM ART M-THROMBECT ADD-ON,16593.0,16593.0,226.0,35453.43,112 CDM,36000040,HC REMOVEINTRVAS FOREIGN BODY,11874.0,11874.0,242.3,11898.0,124 CDM,36000041,HC TRANSCATH PLACE INTRA. STENT W,19860.0,19860.0,994.0,35453.43,112 CDM,36000042,HC REVS FEM/POP W/STNT/ANGP SMVSL,51002.0,51002.0,544.7,51002.0,115 CDM,36000043,HC REMOVE INTRA-VAS VENA CAVA FIL,12467.0,12467.0,1273.02,12467.0,121 CDM,36000045,HC REVSC ILIAC ART ANGIOP 1ST VSL,18024.0,18024.0,448.18,18024.0,115 CDM,36000046,HC TUNNELED PLEURAL CATH,13061.0,13061.0,776.0,20525.67,125 CDM,36000047,HC TRANSCTH PLACE INTRA STENT W/O,9657.0,9657.0,994.0,9657.0,112 CDM,36000048,HC VASC EMBOLIZE/OCCLUDE VENOUS,20038.0,20038.0,468.76,38294.15,125 CDM,36000049,HC VASC EMBOLIZE/OCCLUDE ORGAN,20038.0,20038.0,624.13,38294.15,125 CDM,36000050,HC VASC EMBOLIZE/OCCLUDE BLEED,20038.0,20038.0,728.04,38294.15,125 CDM,36000051,HC OPEN/PERQ PLACE STENT SAME,19094.0,19094.0,342.37,38294.15,125 CDM,36000052,HC SEC ART M-THROMBECT ADD-ON,16593.0,16593.0,226.0,35453.43,112 CDM,36000053,HC OPEN/PERQ PLACE STENT EA ADD,19094.0,19094.0,178.71,24257.61,114 CDM,36000056,HC OPEN/PERQ PLACE STENT EA ADD,19094.0,19094.0,124.74,24257.61,114 CDM,36000067,HC INJ EPIDURAL OF BLOOD OR CLO,1629.0,1629.0,61.44,4664.92,125 CDM,36000069,HC N BLOCK INJ OCCIPITAL,286.0,286.0,44.8,3245.0,125 CDM,36000071,HC REPOSITION PD CATHETER,365.0,365.0,49.28,4664.92,114 CDM,36000074,HC IMAGE CATH FLUID COLXN VISC,6557.0,6557.0,221.91,20525.67,125 CDM,36000076,HC IMAGE CATH FLUID TRNS/VGNL,4061.0,4061.0,236.63,24257.61,125 CDM,36000077,HC IMAGE CATH FLUID PERI/RETRO,6557.0,6557.0,222.25,24257.61,125 CDM,36000084,HC INTRO NEEDLE INT - EXTREM ART,3064.0,3064.0,413.64,14061.0,107 CDM,36000089,HC EG AVM PAVM RE PREP.,20038.0,20038.0,523.44,60809.33,125 CDM,36000090,HC (TACE/RE/UFE/BLAND),20038.0,20038.0,624.13,38294.15,125 CDM,36000091,HC TDE BAE GIB TRAUMA OB EMERGENCY,20038.0,20038.0,728.04,38294.15,125 CDM,36000093,HC INSTILL FIBRINOLYTIC IN CHEST TUBE INITIAL,2478.0,2478.0,113.65,20525.67,122 CDM,36000100,HC DEBRIDE INFECTED SKIN,366.0,366.0,29.3,1348.49,124 CDM,36000207,HC INCISION OF BURN SCAB INITI,2523.0,2523.0,62.86,8112.0,121 CDM,3600024201J3260,TOBRAMYCIN SULFATE 1.2 GM/30ML INJECTION SOLN,78.0,78.0,1.97,78.0,112 CDM,3600024401J3260,TOBRAMYCIN SULFATE 80 MG/2ML INJECTION SOLN,9.0,9.0,1.22,9.0,112 CDM,3600024425J3260,TOBRAMYCIN SULFATE 80 MG/2ML INJECTION SOLN,9.0,9.0,1.22,9.0,112 CDM,36000279,HC DX BRONCHOSCOPE/WASH,1742.0,1742.0,133.86,5904.25,124 CDM,36000281,HC BRONCHOSCOPY/LUNG BX EACH,5168.0,5168.0,225.02,24257.61,125 CDM,3600028225J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,4.0,4.0,0.39,4.0,111 CDM,3600028325J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),5.0,5.0,0.39,5.0,111 CDM,3600028425J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),7.0,7.0,0.39,7.0,111 CDM,36000287,HC ENDOVASC TAA REPR W/O SUBCL,64680.0,64680.0,994.0,64680.0,112 CDM,36000304,HC STENT PLACEMT ANTE CAROTID,28222.0,28222.0,994.0,28222.0,112 CDM,36000305,HC FEM/POPL REVAS W/ATHER,61029.0,61029.0,665.01,61029.0,115 CDM,36000306,HC FEM/POPL REVASC STNT ATHER,82498.0,82498.0,776.0,82498.0,115 CDM,3600030660J0131,ACETAMINOPHEN 10 MG/ML IV SOLN,35.0,35.0,0.05,35.0,112 CDM,3600030801J2310,NALOXONE HCL 0.4 MG/ML INJECTION SOLN,18.0,18.0,2.43,18.0,111 CDM,3600030810J2310,NALOXONE HCL 0.4 MG/ML INJECTION SOLN,18.0,18.0,2.43,18.0,111 CDM,36000317,HC REMOVAL FOREIGN BODY MOUTH SIMPLE,2813.0,2813.0,27.36,3008.64,124 CDM,3600032001J1920,LABETALOL HCL 5 MG/ML IV SOLN,16.0,16.0,0.29,16.0,112 CDM,3600032010J1920,LABETALOL HCL 5 MG/ML IV SOLN,16.0,16.0,0.29,16.0,112 CDM,3600032201J1920,LABETALOL HCL 5 MG/ML IV SOLN,8.0,8.0,0.29,8.0,112 CDM,3600032202J1920,LABETALOL HCL 5 MG/ML IV SOLN,8.0,8.0,0.29,8.0,112 CDM,36000324,HC DRAINAGE OF MOUTH LESION SUBMANDIBLAR SPACE,9203.0,9203.0,23.5,10997.97,124 CDM,3600032401J1920,LABETALOL HCL 5 MG/ML IV SOLN,18.0,18.0,0.29,18.0,112 CDM,3600032402J1920,LABETALOL HCL 5 MG/ML IV SOLN,18.0,18.0,0.29,18.0,112 CDM,3600032601J2469,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,22.0,22.0,0.34,22.0,112 CDM,3600032602J2469,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,22.0,22.0,0.34,22.0,112 CDM,36000332,HC BIOPSY OF SALIVARY GLAND,3762.0,3762.0,44.8,4664.92,125 CDM,36000355,HC CYSTOSCOPY,1697.0,1697.0,96.0,4664.92,125 CDM,36000370,HC INSERT PESSARY/OTHER DEVICE,469.0,469.0,15.15,6558.0,125 CDM,36000372,HC COLPOSCOPY,2443.0,2443.0,104.61,4664.92,125 CDM,36000387,HC PARTIAL HYSTERECTOMY,9265.0,9265.0,1034.25,9265.0,112 CDM,36000388,HC REMOVE INTRAUTERINE DEVICE,3223.0,3223.0,22.08,11195.82,125 CDM,36000392,HC AMNIOCENTESIS DIAGNOSTIC,1863.5,1863.5,50.0,11195.82,249 CDM,36000393,HC AMNIOCENTESIS THERAPY,2179.0,2179.0,129.46,11195.82,125 CDM,36000396,HC INSERT CERVICAL DILATOR,465.0,465.0,66.42,1854.0,122 CDM,36000398,HC REMOVE CERCLAGE SUTURE,8907.0,8907.0,865.81,10738.13,122 CDM,36000411,HC INJECTION TREATMENT OF NERVE,3078.0,3078.0,73.5,3245.0,124 CDM,36000423,HC LASER SURGERY OF EYE,4785.0,4785.0,226.93,29855.52,125 CDM,36000429,HC ARGON LASER REVISION OF IRIS,4785.0,4785.0,226.93,11195.82,125 CDM,36000430,HC AFTER CATARACT LASER SURGERY,4785.0,4785.0,226.93,20525.67,125 CDM,36000477,HC INTRAVASC OPT TOMO EA ADD VESS,1932.0,1932.0,226.0,14061.0,112 CDM,36000478,HC REPOSITION VAD DIFF SESSION,27695.0,27695.0,188.9,52247.16,112 CDM,36000480,HC COLPORRAPHY (REV VAG REPAIR),2826.0,2826.0,477.59,10738.13,122 CDM,36000484,HC TUBAL LIGA W/C-SEC OR ABD PROC,2166.0,2166.0,306.5,10738.13,125 CDM,36000485,HC TUBAL LIGATION POST PARTUM,2166.0,2166.0,292.41,2166.0,112 CDM,36000486,HC REMOVAL OF OVARIAN CYSTS(S),3725.0,3725.0,423.68,35453.43,125 CDM,36000797,HC SPECIAL PUMP SERVICES W W/O ECH EACH HOUR,1095.0,1095.0,147.83,8112.0,112 CDM,36000803,HC PERC VER AUGMENT THORACIC,19680.0,19680.0,776.0,24257.61,125 CDM,36000804,HC PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMB,19680.0,19680.0,776.0,24257.61,125 CDM,36000805,HC PERC VER AUGMENT ADD T,19680.0,19680.0,226.0,24257.61,112 CDM,36000819,HC PERQ DEV SOFT TISS 1ST IMAG,5190.0,5190.0,70.26,20525.67,125 CDM,36000820,HC PERQ DEV SOFT TISS ADD IMAG,5190.0,5190.0,35.41,11195.82,114 CDM,36000821,HC DILATE BILIARY DUCT/AMPULLA,5515.0,5515.0,109.31,11195.82,114 CDM,36000822,HC ENDOLUMINAL BX BILIARY TREE,5515.0,5515.0,137.31,24257.61,114 CDM,36000823,HC SCLEROTX FLUID COLLECTION,5515.0,5515.0,543.0,11195.82,122 CDM,36000824,HC URETERAL EMBOLIZATION/OCCL,5515.0,5515.0,164.38,11195.82,114 CDM,36000825,HC BALLOON DILATE URTRL STRIX,2011.0,2011.0,152.82,11195.82,114 CDM,36000845,HC TRLUML PERIP ATHRC ABD AORTA,24990.0,24990.0,994.0,24990.0,108 CDM,36001002,HC ATHER AORTIC,24990.0,24990.0,994.0,24990.0,108 CDM,36001003,HC ATHER BRACHOCEPH EACH VESSEL,24990.0,24990.0,994.0,24990.0,108 CDM,36001004,HC ATHER FEM-POP,24990.0,24990.0,994.0,24990.0,108 CDM,36001005,HC ATHER RENAL,24990.0,24990.0,994.0,24990.0,108 CDM,36001006,HC ATHER TIBIOPER,24990.0,24990.0,994.0,24990.0,108 CDM,36001008,HC PCA AORTIC,16172.0,16172.0,994.0,16172.0,108 CDM,36001009,HC PCA BRACHIOCEP EA VESSEL,16172.0,16172.0,994.0,16172.0,108 CDM,36001010,HC PCA ILIAC,16172.0,16172.0,994.0,16172.0,108 CDM,36001011,HC PCA RENAL VISCERAL,16172.0,16172.0,994.0,16172.0,108 CDM,36001012,HC TUBING PACK FOR PERFUSION,4370.0,4370.0,589.95,6558.0,108 CDM,36001018,HC REMOVAL OF FALLOPIAN TUBE,20062.0,20062.0,423.68,29855.52,115 CDM,36001028,HC ADHESIOLYSIS TUBE OVARY,5756.0,5756.0,670.67,35453.43,115 CDM,36001031,HC REMOVE IN/EX HEM GROUPS 2,4708.0,4708.0,430.08,24257.61,125 CDM,36001036,HC EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT,8235.0,8235.0,994.0,52247.16,112 CDM,36001047,HC MYOMECTOMY ABDOM METHOD,5615.0,5615.0,504.32,35453.43,115 CDM,36100012,HC SINUS TRACT INJ (THERAPEUTIC),3227.0,3227.0,35.0,5146.87,125 CDM,36100013,HC INJ SING/MULT TRIGER PNT />3,1374.0,1374.0,34.47,4664.92,125 CDM,36100014,HC INJ SINGLE TENDON/INSERTION,999.0,999.0,38.76,4664.92,125 CDM,36100015,HC INJ SING/MULT TRIGGER PNT 1/2,1085.0,1085.0,31.06,4664.92,125 CDM,36100022,HC SMALL BOWEL ENDOSC W/FB REMOV,4132.0,4132.0,229.8,20525.67,125 CDM,36100024,HC INJ OF GANGLION CYST,1089.0,1089.0,49.75,4664.92,125 CDM,36100025,HC INJ FOR TREAT BONE CYST,1077.0,1077.0,180.74,11195.82,125 CDM,36100027,HC VAP - DECLOT VASC ACCESS DEVC/CATH,1378.0,1378.0,25.06,2500.0,125 CDM,36100030,HC BONE RF ABLATION,19275.0,19275.0,776.0,58162.84,125 CDM,36100032,HC BX BREAST ADD LESION STRTCTC,1544.0,1544.0,70.38,20525.67,114 CDM,36100033,HC PERCUT.CHOLECYSTOSTOMY,5659.0,5659.0,372.33,29855.52,122 CDM,36100034,HC NON-RF LIVER ABLATION,6766.0,6766.0,543.0,8112.0,122 CDM,36100035,HC ABLATION 1 LIVER TUMOR (S),19653.0,19653.0,776.0,29855.52,125 CDM,36100036,HC BX BREAST 1ST LESION STRTCTC,4634.0,4634.0,189.82,24257.61,125 CDM,36100043,HC BILIARY ENDO W/DILATE STENT,1151.0,1151.0,194.52,35261.09,125 CDM,36100044,HC BILIARY STRICT. DILATION,1088.0,1088.0,183.87,35453.43,122 CDM,36100045,HC BILIARY ENDOSCOPY FOR BX.,15511.0,15511.0,443.25,24257.61,122 CDM,36100046,HC BILIARY ENDOSCOPY,7284.0,7284.0,443.25,21474.83,122 CDM,36100051,HC BX BREAST ADD LESION US IMAG,1544.0,1544.0,66.12,20525.67,114 CDM,36100052,HC BX BREAST 1ST LESION US IMAG,4634.0,4634.0,177.78,24257.61,125 CDM,36100053,HC BX BREAST 1ST LESION MR IMAG,4634.0,4634.0,207.49,24257.61,125 CDM,36100054,HC BX BREAST ADD LESION MR IMAG,1544.0,1544.0,71.66,20525.67,114 CDM,36100055,HC PERQ DEV BREAST IST MR GUIDE,2011.0,2011.0,61.48,20525.67,125 CDM,36100056,HC PERQ DEV BREAST 1ST US IMAG,2011.0,2011.0,61.48,20525.67,125 CDM,36100057,HC PERQ DEV BREAST ADD US IMAG,836.0,836.0,33.98,11195.82,114 CDM,36100058,HC PERQ DEV BREAST ADD STRTCTC,836.0,836.0,39.59,11195.82,114 CDM,36100059,HC PERQ DEV BREAST ADD MR GUIDE,836.0,836.0,50.82,11195.82,114 CDM,36100060,HC PERQ DEVICE BREAST EA IMAG,836.0,836.0,39.33,11195.82,114 CDM,36100061,HC PERQ DEVICE BREAST 1ST IMAG,4634.0,4634.0,61.48,20525.67,125 CDM,36100062,HC PERQ DEV BREAST 1ST STRTCTC,2011.0,2011.0,61.48,20525.67,125 CDM,36100073,HC INTRAOSSEOUS NEEDLE PLACEMENT,493.0,493.0,49.5,1481.85,124 CDM,36100075,HC MECH THROMBECTOMY ART PRI 1ST,16593.0,16593.0,776.0,60809.33,125 CDM,36100076,HC TIPS REVISION,17874.0,17874.0,776.0,20525.67,125 CDM,36100077,HC TIPS (EXCLUDING EMOLIZ),22190.0,22190.0,1591.29,60809.33,122 CDM,36100079,HC INTERST MARK THOR FOR RT PERQ,24850.0,24850.0,571.64,24850.0,125 CDM,36100082,HC ASPIRATE PLEURA W/ IMAGING,2697.0,2697.0,113.54,20525.67,125 CDM,36100083,HC REMOVE TUNN PLEURAL CATH,624.0,624.0,59.23,4664.92,125 CDM,36100084,HC ASPIRATE PLEURA W/O IMAGING,2697.0,2697.0,90.74,20525.67,125 CDM,36100090,HC ABLATION PULMONARY TUMOR(S) INCLUDING IMAGING G,16853.0,16853.0,776.0,20525.67,125 CDM,36100091,HC INSERT CATH PLEURA W/O IMAGE,3900.0,3900.0,124.54,20525.67,125 CDM,36100092,HC INSERT CATH PLEURA W/ IMAGE,2697.0,2697.0,169.73,20525.67,125 CDM,36100093,HC LUNG RF ABLATION,12837.0,12837.0,492.09,12837.0,122 CDM,36100094,HC INSERT PERPHERALLY CV W/PORT,9909.0,9909.0,368.69,25004.0,125 CDM,36100095,HC PICC W/O PUMP PORT W/O GUID >5YRS OLD,2538.0,2538.0,111.86,11195.82,125 CDM,36100096,HC INSERT TUNNELED CV W/PORT,7594.0,7594.0,776.0,28735.94,125 CDM,36100097,HC TUNNELED CATH PLACEMENT,9443.0,9443.0,339.84,20525.67,125 CDM,36100098,HC INJ RX EXTREMITY PSEUDOANEURYS,2394.0,2394.0,91.2,4664.92,125 CDM,36100099,HC RPLC TUNNELED CV W/O PORT/PUMP,4643.0,4643.0,237.94,20525.67,125 CDM,36100100,HC REPAIR CV CATH W/O SUBQ PUMP/,4342.0,4342.0,47.76,4664.92,125 CDM,36100101,HC RPLC PERIPHER CV W/PORTCATH O,9909.0,9909.0,255.13,10473.94,125 CDM,36100102,HC REPAIR OF PORT/PUMP,2249.0,2249.0,222.85,5221.75,125 CDM,36100103,HC INJ OF SCLEROSING SOLUTI MULT,588.0,588.0,62.86,11195.82,125 CDM,36100110,HC PLACE CATH INTRACRANIAL ART,13643.0,13643.0,176.91,20525.67,115 CDM,36100111,HC PLACE CATH THORACIC AORTA,12419.0,12419.0,221.98,20525.67,125 CDM,36100112,HC PLACE CATH XTRNL CAROTID/INOM,12419.0,12419.0,298.76,20525.67,125 CDM,36100113,HC PLACE CATH INT CAROTID/INOM AR,12419.0,12419.0,323.03,20525.67,125 CDM,36100114,HC PLACE CATH CAROTD ART,20316.0,20316.0,351.24,20525.67,125 CDM,36100115,HC PLACE CATH SUBCLAVIAN ART,12419.0,12419.0,321.69,20525.67,125 CDM,36100116,HC PLACE CATH VERTEBRAL ART,20316.0,20316.0,351.87,20525.67,125 CDM,36100117,HC INJ OF SCLEROSING SOLUTI SING,1096.0,1096.0,9.35,4664.92,125 CDM,36100118,HC PLACE CATH XTRNL CAROTID,6684.0,6684.0,86.86,20525.67,115 CDM,36100119,HC PICC REPLACEMENT W GUID,1821.0,1821.0,83.38,11195.82,125 CDM,36100120,HC MECH RMVL INTRALUM THROMBIS,4785.0,4785.0,55.04,5221.75,125 CDM,36100121,HC REM PERICATH FIBRIN SHEATH,6024.0,6024.0,225.72,20525.67,125 CDM,36100122,HC REMOVE TUNNELED LINE W/PORT/PU,3288.0,3288.0,235.64,11195.82,125 CDM,36100123,HC RMV TUNNELED CV W/O PORT/PUMP,3495.0,3495.0,166.85,4664.92,125 CDM,36100124,HC RPLC PERIPHERALLY CV W/PRT CPL,9909.0,9909.0,330.36,20525.67,125 CDM,36100125,HC INJ W/FLUOREVAL CV DEVIDE,899.0,899.0,96.7,4664.92,122 CDM,36100126,HC REPOSITION CV CATH UNDER FLUOR,1269.0,1269.0,74.42,5221.75,125 CDM,36100130,HC THROMBOLYTIC ART THERAPY,5133.0,5133.0,323.85,18458.42,125 CDM,36100135,HC BX LYMPH NODE BY NEEDLE,1511.0,1511.0,86.31,11195.82,125 CDM,36100136,HC INJ RADIOACT TRACE SENTIN NODE,1234.0,1234.0,95.99,4664.92,122 CDM,36100137,HC DIAGNOSTIC BONE MARROW BIOPSY(IES),1473.0,1473.0,69.82,5478.64,125 CDM,36100141,HC INTRAVAS ULTRASND INIT VES,4270.0,4270.0,101.46,4270.0,111 CDM,36100142,HC PHLEB VEINS-EXTREM TO 20,10155.0,10155.0,776.0,24257.61,125 CDM,36100143,HC PHLEB VEINS-EXTREM 20,10153.0,10153.0,776.0,24257.61,125 CDM,36100144,HC CESSJ THERAPY CATH REMOVAL,11451.0,11451.0,230.16,11451.0,122 CDM,36100145,HC THROMBOLYTIC ART/VEN THERAPY,11451.0,11451.0,393.92,29855.52,122 CDM,36100146,HC THROMBOLYTIC VENOUS THERAPY,5133.0,5133.0,365.98,29855.52,125 CDM,36100151,HC INJ PROC SACROILIAC JOINT,2928.0,2928.0,61.19,4664.92,115 CDM,36100154,HC PLC NASO/ORO-GASTRO FEED TUBE,630.0,630.0,52.84,4664.92,122 CDM,36100161,HC INJ FOR ASSESS ABSCESS/CYST,796.0,796.0,39.94,4664.92,114 CDM,36100162,HC EXCHANGE PREV ABSCESS DRAIN,3999.0,3999.0,75.26,11195.82,125 CDM,36100165,HC REMOVE PERITONEAL-VENOUS SHUNT,8156.0,8156.0,374.84,11195.82,125 CDM,36100168,HC INJ EVAL PERIT-VENOUS SHUNT,834.0,834.0,83.45,4664.92,111 CDM,36100172,HC CONVERT G TO GJ TUBE,3837.0,3837.0,161.08,6365.36,125 CDM,36100173,HC PERC JEJUNOSTOMY TUBE,3837.0,3837.0,246.07,11004.73,125 CDM,36100174,HC INTRST MRK ABD/PEL FOR RT PERQ,33515.0,33515.0,202.39,33515.0,125 CDM,36100177,HC CHANGE GASTROSTOMY TUBE,2778.0,2778.0,65.41,8966.81,125 CDM,36100178,HC REPLACEMENT J TUBE,2778.0,2778.0,90.02,6113.74,125 CDM,36100179,HC REPLACEMENT G-J TUBE,2778.0,2778.0,140.52,7336.48,125 CDM,36100180,HC CONTR INJ PERQ EVAL GI TUBE,3669.0,3669.0,46.77,3669.0,121 CDM,36100181,HC INSERT TUNNEL INTRAPERIT CATH,12673.0,12673.0,776.0,12673.0,125 CDM,36100182,HC PERCUT.PLACE.GASTROST.TUBE,3837.0,3837.0,225.97,8966.81,125 CDM,36100189,HC INTERCOST NERVE BLOCK EACH ADD LEVEL,1665.0,1665.0,55.68,4664.92,125 CDM,36100190,HC INJPLANTAR COMMON DIGITAL N,561.0,561.0,23.15,4664.92,124 CDM,36100191,HC CELIAC PLEXUS BLOCK,3591.0,3591.0,69.12,11195.82,125 CDM,36100195,HC INJ.ANES. AGENT LLIOINGUINAL,1215.0,1215.0,44.8,4664.92,125 CDM,36100196,HC SYMPATHECTOMY,3935.0,3935.0,94.08,20525.67,125 CDM,36100197,HC INJ PARAVERT F JNT L/S 2 LEV,1133.0,1133.0,41.58,11195.82,113 CDM,36100198,HC LUMBAR INJ SYMPATHECTOMY,4261.0,4261.0,226.0,11195.82,122 CDM,36100199,HC INJ FORAMEN EPIDUR L/S EA ADD,2650.0,2650.0,59.6,11195.82,114 CDM,36100200,HC INJ FORAMEN EPIDURAL C/T SINGL,3372.0,3372.0,107.77,11195.82,125 CDM,36100201,HC INJ FORAMEN EPIDUR C/T EA ADD,995.0,995.0,70.34,11195.82,115 CDM,36100202,HC INJ FORAMEN EPIDURAL L/S SINGL,3074.0,3074.0,121.65,11195.82,125 CDM,36100203,HC SYMPATH. BLOCK THORACOLUMB,3401.0,3401.0,69.12,11195.82,125 CDM,36100204,HC INJ PARAVERT F JNT L/S 3 LEV,1133.0,1133.0,42.41,11195.82,113 CDM,36100205,HC INJ PARAVERT F JNT C/T 1 LEV,3076.0,3076.0,109.52,11195.82,125 CDM,36100206,HC INJ PARAVERT F JNT C/T 2 LEV,1026.0,1026.0,48.76,11195.82,113 CDM,36100207,HC INJ PARAVERT F JNT C/T 3 LEV,3076.0,3076.0,49.6,11195.82,113 CDM,36100208,HC INJ PARAVERT F JNT L/S 1 LEV,1026.0,1026.0,92.17,11195.82,125 CDM,36100210,HC PERCUTANEOUS ASPIRATION,1886.0,1886.0,191.85,20525.67,125 CDM,36100214,HC IC STENT W BALLOON ANGIOPLASTY,27949.0,27949.0,994.0,44783.28,112 CDM,36100218,HC PUNC SHNT TUB/RSRV FOR ASP/INJ,1720.0,1720.0,83.2,11195.82,125 CDM,36100222,HC CHANGE URETER STENT PERCUT,10754.0,10754.0,776.0,11942.21,125 CDM,36100223,HC CHANGE EXT/INT URETER STENT,4722.0,4722.0,104.82,11942.21,125 CDM,36100224,HC REM URETERAL STENT W/O CYSTO,6137.0,6137.0,284.02,6934.17,125 CDM,36100225,HC REM REPL URETER STNT W/O CYSTO,10303.0,10303.0,776.0,13857.8,125 CDM,36100226,HC DOUBLE J REMOVAL,7194.0,7194.0,733.53,11195.82,125 CDM,36100227,HC FALLOPIAN TUBE RECANALIZATION,2091.0,2091.0,353.38,24257.61,122 CDM,36100228,HC REMOVE RENAL TUBE W/FLUORO,2889.0,2889.0,284.02,11195.82,125 CDM,36100233,HC ABLATION-KIDNEY,12489.0,12489.0,1899.0,35261.09,122 CDM,36100239,HC PERQ RF ABLATE RENAL TUMOR UNI,11975.0,11975.0,776.0,29855.52,125 CDM,36100240,HC URETEROSTOMY TUBE CHANGE,936.0,936.0,158.18,11195.82,122 CDM,36100241,HC PERCUTANEOUS CYSTOSTOMY,2286.0,2286.0,197.56,11195.82,125 CDM,36100247,HC TISSUE MRKR-PRELOAD NEEDLEEA,1150.0,1150.0,155.25,1150.0,98 CDM,36100251,HC INJECTION OF SINUS TRACT SINOGRAM,307.0,307.0,35.0,4664.92,114 CDM,36100343,HC PERCUTAN PORTAL VEIN CATHE,13311.0,13311.0,145.92,39185.37,125 CDM,36100386,HC REPOSITION GAST FEEDING TUBE,5556.0,5556.0,94.43,5556.0,124 CDM,36100392,DECLOT BY THROM AGEN,6024.0,6024.0,176.34,10473.94,125 CDM,36100413,HC PLACE BREAST CLIP PERCUT,7114.0,7114.0,357.08,24257.61,125 CDM,36100415,HC EXCIS BRTES/RAD MARKOPEN 1TES,16593.0,16593.0,776.0,35453.43,125 CDM,36100445,HC INJ SENTINAL NODE,287.0,287.0,48.5,4664.92,122 CDM,36100498,HC INTRO NEEDLE CAROTID,3271.0,3271.0,441.59,14061.0,107 CDM,36100643,HC IMPLANTABLE ARM PORT (DOUMENT US),9909.0,9909.0,368.69,25004.0,125 CDM,36100644,HC DILATION OF NEPHROSTOMY TRACT/PYELOSTOMY,3777.0,3777.0,158.49,11898.0,124 CDM,36100646,HC DRAIN/INJ JOINT/SMALL,368.0,368.0,47.42,4664.92,125 CDM,36100647,HC DRAIN/INJ JOINT/INTER,368.0,368.0,54.21,4664.92,125 CDM,36100648,HC DRAIN/INJ JOINT/MAJOR,930.0,930.0,63.77,4664.92,125 CDM,36100651,HC EGI ENDOSCOPY,2048.0,2048.0,219.31,6365.36,124 CDM,36100652,HC DRAINAGE SPINAL FLUID,2362.0,2362.0,47.36,4664.92,125 CDM,36100654,HC INCISION DRAINAGE OF ABSCESS,4097.0,4097.0,67.2,4664.92,125 CDM,36100666,HC UNLISTED PROC MUSCULOSKELETAL,9083.0,9083.0,193.5,29855.52,122 CDM,36100678,HC PICC W/O PUMP PORT W/O GUID <5YRS OLD,2538.0,2538.0,113.15,11195.82,125 CDM,36100679,HC ABLATION 1 OR MORE LIVER TUMORS,39214.0,39214.0,776.0,39214.0,125 CDM,36100680,HC MYELOGRAPHY VIA LUMBAR INJECTION,1746.0,1746.0,129.31,20525.67,125 CDM,36100681,HC MYELOGRAPHY VIA THORACIC,1746.0,1746.0,131.01,20525.67,125 CDM,36100682,HC MYELOGRAPHY VIA LUMBOSACRAL,1746.0,1746.0,127.17,20525.67,125 CDM,36100683,HC HC MYELOGRAPHY VIA 2 OR MORE REGIONS,1746.0,1746.0,133.24,20525.67,125 CDM,36100684,HC INSTILLATION VIA CHEST TUBE,1509.0,1509.0,230.99,20525.67,125 CDM,36100685,HC PERQ CERVICOTHORACIC INJECT,3881.0,3881.0,655.89,24257.61,125 CDM,36100686,HC PERQ LUMBOSACRAL INJECTION,3881.0,3881.0,655.89,24257.61,125 CDM,36100688,HC PLACE RT DEVICE/MARKER PROS,1527.0,1527.0,258.06,4664.92,125 CDM,36100689,HC STOMACH SURGERY PROCEDURE,1264.0,1264.0,213.62,8112.0,122 CDM,36100691,HC INS NON-TUN CV CATH<5,2620.0,2620.0,150.84,11195.82,125 CDM,36100693,HC REMOVAL DUCT GLBLDR CALCULI,5515.0,5515.0,175.95,29855.52,114 CDM,36100694,HC NJX PX NFROSGRM /URTRGRM NEW ACS,1718.0,1718.0,173.64,5138.0,125 CDM,36100695,HC NJX PX NFROSGRM /URTRGRM EXST,1718.0,1718.0,68.48,5138.0,125 CDM,36100696,HC PLMT NEPHROSTOMY CATHETER,4267.0,4267.0,229.84,24257.61,125 CDM,36100697,HC PLMT NEPHROURETERAL CATHETER,4267.0,4267.0,283.53,24257.61,125 CDM,36100698,HC CONVERT NEPHROSTOMY CATHETER,4267.0,4267.0,217.24,11195.82,125 CDM,36100699,HC EXCHANGE NEPHROSTOMY CATH,5345.0,5345.0,105.22,11195.82,125 CDM,36100700,HC ENDOLUMINAL BX URTR RNL PLVS,3103.0,3103.0,128.35,20525.67,114 CDM,36100701,HC PLMT URETERAL STENT PRQ EXIST,6970.0,6970.0,227.35,24257.61,125 CDM,36100702,HC PLMT URETERAL STENT PRQ W/O N TRACT,6970.0,6970.0,293.96,24257.61,125 CDM,36100703,HC PLMT URETERAL STENT PRQ NEW ACS W/ MCATH,6970.0,6970.0,373.22,24257.61,125 CDM,36100704,HC EVASC PRLNG ADMN RX AGNT 1ST,9112.0,9112.0,835.97,29855.52,112 CDM,36100705,HC EVASC PRLNG ADMN RX AGNT ADD,9112.0,9112.0,355.03,29855.52,112 CDM,36100708,HC PERQ ART M-THROMBECT /NFS,9112.0,9112.0,987.32,29855.52,112 CDM,36100709,HC TRANSVERSUS ABDOMINAL PLAN TAP UNI,1026.0,1026.0,100.15,4664.92,111 CDM,36100710,HC TRANSVERSUS ABDOMINAL PLAN TAP BILAT,1026.0,1026.0,125.63,4664.92,111 CDM,36100718,HC INTRVASC US NONCORONARY 1ST,4364.0,4364.0,101.46,4364.0,111 CDM,36100719,HC FNA W/O IMAGE,1092.0,1092.0,67.58,4664.92,124 CDM,36100720,HC URETERAL EMBOLIZATION/OCCL,5515.0,5515.0,543.0,11195.82,122 CDM,36100725,HC IO MAP OF SENT LYMPH NODE,1234.0,1234.0,166.59,4664.92,111 CDM,36100730,HC COLPORRHAPHY REPAIR OF VAGINA,2826.0,2826.0,168.32,11195.82,125 CDM,36100734,HC DILATION AND CURETTAGE,2826.0,2826.0,477.59,20525.67,125 CDM,36100749,HC CURETTAGE POSTPARTUM,9596.0,9596.0,204.8,20525.67,125 CDM,36100750,HC CESAREAN DELIVERY ONLY,15705.0,15705.0,1854.0,15705.0,112 CDM,36100759,HC LASER SURGERY OF EYE,4785.0,4785.0,226.93,29855.52,125 CDM,36100774,HC ABLATION CRYOSURGICAL OF FIBRO US,11201.0,11201.0,135.27,12988.21,125 CDM,36100778,HC R RENAL,5626.0,5626.0,759.51,14061.0,107 CDM,36100779,HC SUP FEMORAL 3RD ORD,8441.0,8441.0,994.0,14061.0,107 CDM,36100780,HC ATHER ILIAC,24990.0,24990.0,994.0,24990.0,107 CDM,36100781,HC PCA VENOUS,16172.0,16172.0,994.0,16172.0,107 CDM,36100782,HC TRANSCATHETER RETRIEVAL,7870.0,7870.0,994.0,7870.0,107 CDM,36100789,HC N BLOCK INJ FEM SINGLE,1026.0,1026.0,78.08,6558.0,125 CDM,36100791,HC N BLOCK INJ SUPRASCAPULAR,1026.0,1026.0,44.8,4664.92,125 CDM,36100792,HC ABLATE BONE TUMOR(S) PERQ,30981.0,30981.0,1899.0,30981.0,122 CDM,36100800,HC BX ABD/RETROPERITONEAL/PERCUT,2020.0,2020.0,103.64,24257.61,125 CDM,36100804,HC INJECTION FOR NERVE BLOCK,9646.0,9646.0,23.5,9646.0,125 CDM,36100886,HC ASPIR/INJ THYROID CYST,647.0,647.0,36.81,4664.92,125 CDM,36100887,HC BAL ANGIOPL STEN DIALY,4164.0,4164.0,492.09,24257.61,122 CDM,36100889,HC BILIARY ENDOSCOPY THRU SKIN,9707.0,9707.0,776.0,35261.09,125 CDM,36100891,HC CHANGE URETERA,1279.0,1279.0,43.0,4664.92,114 CDM,36100892,HC DILATION OF ESUP,2602.0,2602.0,142.52,11195.82,125 CDM,36100893,HC DRAIN OV ABS VAGINAL,6387.0,6387.0,776.0,24257.61,125 CDM,36100894,HC DRAIN OVARIAN ABSCESS,5122.0,5122.0,691.47,44783.28,112 CDM,36100895,HC DRAINAGE PERITONEAL AB,7006.0,7006.0,259.5,20525.67,115 CDM,36100896,HC INJECTION FOR SALIVARY X-RAY,2799.0,2799.0,44.16,11195.82,114 CDM,36100897,HC FOLLICE PUNC OCCYTE R,1088.0,1088.0,146.16,20525.67,122 CDM,36100898,HC G-J TUBE REMOVAL,2797.0,2797.0,46.03,15080.55,125 CDM,36100899,HC ILIAC REVASC ADD-ON,5207.0,5207.0,159.02,5691.0,113 CDM,36100900,HC ILIAC REVASCULARIZATIO,26261.0,26261.0,448.18,26261.0,115 CDM,36100901,HC ILIAC REVASCULARIZATN,56504.0,56504.0,544.64,56504.0,115 CDM,36100902,HC INJ CT SP POS FO,1220.0,1220.0,101.81,20525.67,114 CDM,36100906,HC INSERT ABDOM DIALYSIS,10514.0,10514.0,776.0,11876.82,125 CDM,36100910,HC MANOMETRICSTUD,1963.0,1963.0,75.5,4664.92,125 CDM,36100911,HC N BLOCK INJ HYPOGAS PL,3591.0,3591.0,134.36,11195.82,125 CDM,36100912,HC OCCLUSION OR EMBOL-CEN,1336.0,1336.0,225.78,60809.33,122 CDM,36100913,HC OCCULSION OR EMA.INTRA,22921.0,22921.0,776.0,38294.15,125 CDM,36100915,HC REMOVE TUNNEL INTRAPER,9375.0,9375.0,428.7,11195.82,125 CDM,36100916,HC S/C CAVERSON D I,656.0,656.0,81.76,6558.0,122 CDM,36100917,HC S/C RENAL STONE EXT,4407.0,4407.0,744.78,52247.16,125 CDM,36100918,HC SELECTIVE ORGAN SAMPLE,644.0,644.0,44.8,20525.67,114 CDM,36100919,HC TIB/PER REVASC STENT ATHER,76258.0,76258.0,776.0,76258.0,115 CDM,36100920,HC TIB/PER REVASC W/ATHER,60528.0,60528.0,776.0,60528.0,115 CDM,36100921,HC TIB/PER REVASC W/TLA,30800.0,30800.0,603.26,30800.0,115 CDM,36100922,HC TIBPER REVASC W/ATHER ADD-ON,8481.0,8481.0,280.17,11197.0,113 CDM,36100924,HC UGI ENDOSCOPY,2048.0,2048.0,280.72,20525.67,125 CDM,36100925,HC UNLISTED BILIARY TRACT,11998.0,11998.0,711.49,11998.0,122 CDM,36100926,HC UNLISTED UROLOGY PROCE,434.0,434.0,73.35,20525.67,122 CDM,36100927,HC VASCULAR HEMANGIOMA PR,6867.0,6867.0,492.09,24257.61,122 CDM,36100928,HC ASP BREAST EA AD (CYST,662.0,662.0,20.39,4664.92,115 CDM,36100929,HC BIOP PLEURA PE N,3835.0,3835.0,103.73,20525.67,125 CDM,36100930,HC BREAST BX NEEDLE CORE,410.0,410.0,69.29,11195.82,125 CDM,36100932,HC BRONCHO W/INJ CONTRAST,908.0,908.0,153.45,11195.82,122 CDM,36100933,HC BX SPINAL CORD PERCUT,5453.0,5453.0,405.69,20525.67,122 CDM,36100934,HC DRAIN PERIRENAL ABSCES,944.0,944.0,159.54,20525.67,125 CDM,36100935,HC DRAIN RETROP ABSCESS,8038.0,8038.0,341.12,20525.67,115 CDM,36100936,HC DRAINAGE ABDOMEN PANCR,9544.0,9544.0,994.0,9544.0,112 CDM,36100937,HC DRAINAGE SUBDIAPHRAGMA,7798.0,7798.0,359.0,8112.0,115 CDM,36100941,HC ENDOVASC PROSTH DELAYED,64680.0,64680.0,994.0,64680.0,112 CDM,36100942,HC ENDOVASC PROSTH TAA ADD-ON,64680.0,64680.0,514.47,64680.0,112 CDM,36100943,HC ENDOVASC TAA REPAIR INCL SUBCL,64680.0,64680.0,994.0,64680.0,112 CDM,36100944,HC ENDOVASC THOR AO REPAIR S I,5696.0,5696.0,768.96,5696.0,110 CDM,36100945,HC ERCP DIAGNOSTIC,6900.0,6900.0,385.25,24257.61,125 CDM,36100946,HC EXCIS BRLES/RAD MARKO,7114.0,7114.0,142.13,24257.61,114 CDM,36100947,HC EXCISION OF CYST FIBR,7114.0,7114.0,221.44,24257.61,125 CDM,36100948,HC EXT ILIAC 2ND ORD,5626.0,5626.0,759.51,6558.0,107 CDM,36100950,HC IMPLANT ACCULOCHEAD,7854.0,7854.0,185.8,20525.67,122 CDM,36100951,HC IMPLANT ACCULOCPANCRE,5214.0,5214.0,543.0,8112.0,122 CDM,36100952,HC INJ 2ND ORD OR MORE VENOUS,4475.0,4475.0,604.13,6558.0,107 CDM,36100955,HC INJ HIP ARTH W/A,1003.0,1003.0,61.44,4664.92,114 CDM,36100956,HC INJ SIN TRACT DI,307.0,307.0,35.0,4664.92,114 CDM,36100957,HC INJECT THERAPY OF VEIN,594.0,594.0,100.39,20525.67,125 CDM,36100958,HC INSERT ENDOVASC PROSTH TAA - I,64680.0,64680.0,994.0,64680.0,112 CDM,36100959,HC INSERT TUNN CVC 2 SIT,13009.0,13009.0,404.71,20525.67,125 CDM,36100960,HC INST TUNEL CV CATH W/O,13009.0,13009.0,355.51,20525.67,125 CDM,36100961,HC INTRA CATH BRACH EACH,956.0,956.0,48.24,24257.61,114 CDM,36100962,HC INTRO CATH BRACH 2ND O,1667.0,1667.0,146.56,24257.61,114 CDM,36100963,HC INTRO CATH RH OR MAIN PA,1234.0,1234.0,114.5,24257.61,114 CDM,36100964,HC INTRO NEEDLE CAROTID,369.0,369.0,49.82,20525.67,114 CDM,36100966,HC INTRO NEEDLE/INT - AOR,1981.0,1981.0,151.68,20525.67,114 CDM,36100967,HC LASER,4785.0,4785.0,645.98,6558.0,107 CDM,36100968,HC LASER LOWER G.I.,3777.0,3777.0,509.9,6558.0,107 CDM,36100969,HC LYSE CHEST FIBRIN SUBS,2478.0,2478.0,102.32,20525.67,122 CDM,36100970,HC PERC IMPLNT NEUROSTIMU,20293.0,20293.0,477.38,21140.36,125 CDM,36100971,HC PERC PLAC CV CATH,1969.0,1969.0,265.81,6558.0,107 CDM,36100972,HC PERCUTANEOUS P.O.,2192.0,2192.0,226.0,39185.37,114 CDM,36100973,HC PERQ STENT/VERT ART-EACH ADDTL,23091.0,23091.0,994.0,23091.0,112 CDM,36100974,HC PUNCT ASP CYS BR,2012.0,2012.0,36.5,11195.82,125 CDM,36100975,HC REPLAC PERC PLAC CV CATH,1736.0,1736.0,234.36,6558.0,107 CDM,36100977,HC RES MAL TUMSFT TIS BA,9378.0,9378.0,322.56,24257.61,125 CDM,36100978,HC RESECT SOFT TIS TUMOR-,7664.0,7664.0,322.56,20525.67,125 CDM,36100979,HC RF ABLATION OF PELVIS,11742.0,11742.0,193.5,11742.0,122 CDM,36100980,HC RF ABLATIONLIVER 1 OR,16853.0,16853.0,776.0,29855.52,125 CDM,36100981,HC S/C DRAIN PANCREATIC P,8982.0,8982.0,378.24,8982.0,115 CDM,36100982,HC THROMBECTOMY-GRAFT,14267.0,14267.0,732.48,24257.61,125 CDM,36100983,HC TIB/PER REVASC STNT ATHER,23530.0,23530.0,331.31,23530.0,113 CDM,36100985,HC UNL PROCCRYOABLAT-FRA,18953.0,18953.0,193.5,18953.0,122 CDM,36100986,HC UNLIST PROCSPINE CRYO,18953.0,18953.0,193.5,18953.0,122 CDM,36100987,HC UNLISTED BREAST PROCED,9999.0,9999.0,1175.0,24257.61,122 CDM,36100988,HC UNLISTED SURGFEMUR OR,2264.0,2264.0,193.5,8112.0,122 CDM,36100989,HC UNLSTD PRC ABLATION NC,18953.0,18953.0,185.8,20525.67,122 CDM,36100990,HC YAG LASER IRIDOTOMY,4785.0,4785.0,226.93,11195.82,125 CDM,36100991,HC ENDOVASC THOR AO REPAIR S I,5696.0,5696.0,757.26,5696.0,112 CDM,36100992,HC ENDOVASC THOR AO REPAIR S I,5696.0,5696.0,663.36,5696.0,112 CDM,36100993,HC INSERT TUNN CVC 2 SIT,13009.0,13009.0,432.84,29855.52,125 CDM,36101001,HC NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN,2231.0,2231.0,105.86,11195.82,125 CDM,36101002,HC NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN,2071.0,2071.0,114.18,11195.82,125 CDM,36101003,HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN,3074.0,3074.0,91.07,11195.82,125 CDM,36101004,HC NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN,3076.0,3076.0,97.23,11195.82,125 CDM,36101005,HC NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN,3076.0,3076.0,111.81,11195.82,125 CDM,36101006,HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN,2071.0,2071.0,95.16,11195.82,125 CDM,36101007,HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN,2071.0,2071.0,101.34,11195.82,125 CDM,36101020,HC INSERTION OR REPLACEMENT LEADLESS/ MICRA PROG,55094.0,55094.0,6239.0,63894.5,122 CDM,36101062,HC STELLATE GANGLION NERVE BLOCK,2408.0,2408.0,69.76,11195.82,125 CDM,36101065,HC DIALYSIS CIRCUIT EMBOLJ,3695.0,3695.0,145.66,35453.43,114 CDM,36101067,HC DX BONE MARROW BX ASPIR,5972.0,5972.0,81.05,9635.46,125 CDM,36101068,HC ABLATION THERAPY OF 1 OR MORE PULMONARY TUMOR(S,18046.0,18046.0,1899.0,35261.09,122 CDM,36101069,HC INJECTION FOAM SCLEROSANT WITH US SINGLE TRUNC,6946.0,6946.0,126.64,11898.0,125 CDM,36101070,HC Injection sclerosant inclusive all imaging guid,4937.0,4937.0,161.05,11898.0,125 CDM,36101073,HC INJECT NERVE BLOCK PUDENDAL,2408.0,2408.0,44.8,4664.92,125 CDM,36101105,HC CHEMODENERVATION OF TRUNK 6 OR MORE MUSCLES,2147.0,2147.0,137.04,24257.61,125 CDM,36101108,HC VENASEAL ABLATION 1ST VEIN,16110.0,16110.0,1899.0,35453.43,122 CDM,36101111,HC FNA BX W/CT GDN 1ST LES,2307.0,2307.0,119.08,11195.82,124 CDM,36101112,HC FNA BX W/CT GDN EA ADDL,1554.0,1554.0,67.99,11195.82,114 CDM,36101116,HC FNA BX W/US GDN 1ST LES,2330.0,2330.0,76.52,11195.82,124 CDM,36101117,HC FNA BX W/US GDN EA ADDL,1554.0,1554.0,40.71,11195.82,114 CDM,36101126,HC MAPS FINE NEEDLE ASPIRATION BIOPSY INCLUDING UL,962.0,962.0,59.78,3245.0,124 CDM,36101127,HC MAPS FINE NEEDLE ASPIRATION BIOPSY INCL ULTRASN,962.0,962.0,40.71,962.0,113 CDM,36101131,HC MAPS PUNCH BIOPSY-SKIN(INCLUDNG SIMPLE CLOSUREW,746.0,746.0,22.05,746.0,113 CDM,36101135,HC INS PICC RS I 5 YR,3290.0,3290.0,89.29,11195.82,124 CDM,36101136,HC TRANSPLJ HEMATOPOIETIC BOOST,8356.0,8356.0,116.12,11195.82,125 CDM,36101137,HC N BLOCK INJ INTERCOST SNG,2406.0,2406.0,55.68,4664.92,125 CDM,36101138,HC DESTROY CERV/THOR FACET JNT,6560.0,6560.0,234.27,11195.82,125 CDM,36101139,HC DESTROY C/TH FACET JNT ADDL,6560.0,6560.0,55.22,11195.82,115 CDM,36101140,HC DESTROY LUMB/SAC FACET JNT,6560.0,6560.0,229.56,11195.82,125 CDM,36101141,HC DESTROY L/S FACET JNT ADDL,6560.0,6560.0,48.02,11195.82,115 CDM,36101145,HC MAPS DRAIN/INJ JOINT/BURSA W/US,339.0,339.0,42.35,2341.52,124 CDM,36101147,HC FNA BX W/O IMG GDN EA ADDL,458.0,458.0,35.52,4664.92,114 CDM,36101152,HC INSJ PICC RS I <5 YR,3958.0,3958.0,96.41,11195.82,124 CDM,36101159,HC MAPS DEB SKIN BONE AT FX SITE,2500.0,2500.0,185.52,9635.46,124 CDM,36101161,HC INJ ANES/STEROID NERVES SI JOINT,2396.0,2396.0,396.35,4664.92,122 CDM,36101162,HC INJ ANES/STEROID GENICULAR NERVE W GUIDANCE,2396.0,2396.0,396.35,4664.92,122 CDM,36101165,HC MAPS MUSCLE-SKIN GRAFT LEG,2414.0,2414.0,407.97,11755.16,124 CDM,36101175,HC MAPS RPLC GTUBE NO REVJ TRC,326.0,326.0,31.1,3245.0,124 CDM,36101179,HC TOMOSYNTHESIS-GUIDED BREAST BIOPSY,4725.0,4725.0,798.52,24257.61,122 CDM,36101180,HC REVASC INTRA LITHOTRIP-STENT,34879.0,34879.0,3735.0,60809.33,122 CDM,36101192,HC MAPS ENDOSCOPIC INJECTION/IMPLANT,3965.0,3965.0,185.69,11693.0,124 CDM,36101193,HC RF ABLATION HUMERUS/ELBOW,22217.0,22217.0,193.5,22217.0,122 CDM,36101199,HC MAPS REMOVAL OF KNEECAP,7023.0,7023.0,501.0,24070.16,124 CDM,36101209,HC IRE ABLTJ 1 TUM ORGAN PERQ,30925.0,30925.0,1899.0,35261.09,122 CDM,36101213,HC ABLTJ MAL BRST TUM PERQ CRTX,11371.0,11371.0,1175.0,12988.21,122 CDM,36101225,HC LAPAROSCOPY TUBAL CAUTERY,16419.0,16419.0,405.53,29855.52,125 CDM,36101226,HC LAPAROSCOPY TUBAL BLOCK,16419.0,16419.0,776.0,29855.52,125 CDM,36101227,HC ENDO PANC NECROSECTOMY,3702.0,3702.0,543.0,8112.0,122 CDM,37000004,HC ANESTHESIA DEL RM,2104.0,2104.0,284.04,2104.0,108 CDM,37000005,HC ANES DR ADD HF HR,2104.0,2104.0,284.04,2104.0,108 CDM,37000006,HC ANES DR 1ST HF HR,3201.0,3201.0,432.14,3201.0,108 CDM,37000008,HC MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS,83.0,83.0,9.9,83.0,114 CDM,37000009,HC MOD SED SAME PHYS/QHP EA ADD 15 MIN 5/> YRS,77.0,77.0,8.33,77.0,114 CDM,38000002,HC PLATELETS PATHOGEN REDUCED,3125.0,3125.0,397.17,3125.0,121 CDM,38000003,HC PATHOGEN TEST FOR PLATELETS,204.0,204.0,16.22,204.0,121 CDM,3982201901J1120,ACETAZOLAMIDE SODIUM 500 MG INJECTION SOLR,119.0,119.0,16.07,119.0,112 CDM,3982204121J3260,TOBRAMYCIN SULFATE 1.2 G INJECTION SOLR,300.0,300.0,1.97,300.0,112 CDM,3982204126J3260,TOBRAMYCIN SULFATE 1.2 G INJECTION SOLR,282.0,282.0,1.97,282.0,112 CDM,3982206151J0770,COLISTIMETHATE SODIUM (CBA) 150 MG INJECTION SOLR,105.0,105.0,11.39,105.0,112 CDM,3982206152J0770,COLISTIMETHATE SODIUM (CBA) 150 MG INJECTION SOLR,105.0,105.0,11.39,105.0,112 CDM,3982207062J3000,STREPTOMYCIN SULFATE 1 G IM SOLR,282.0,282.0,28.26,282.0,112 CDM,3982210555J0285,AMPHOTERICIN B 50 MG IV SOLR,180.0,180.0,24.3,180.0,112 CDM,3982220001J0735,CLONIDINE HCL (ANALGESIA) 100 MCG/ML EPIDURAL SOLN,94.0,94.0,12.69,94.0,112 CDM,3982221001J9120,DACTINOMYCIN 0.5 MG IV SOLR,2766.0,2766.0,302.92,2766.0,119 CDM,3982221002J9120,DACTINOMYCIN 0.5 MG IV SOLR,2766.0,2766.0,302.92,2766.0,119 CDM,3982230301J2545,PENTAMIDINE ISETHIONATE 300 MG INHALATION SOLR,338.0,338.0,45.63,338.0,111 CDM,3982230302J2545,PENTAMIDINE ISETHIONATE 300 MG INHALATION SOLR,338.0,338.0,45.63,338.0,111 CDM,3982230501S0080,PENTAMIDINE ISETHIONATE 300 MG INJECTION SOLR,338.0,338.0,45.63,338.0,111 CDM,3982230502S0080,PENTAMIDINE ISETHIONATE 300 MG INJECTION SOLR,338.0,338.0,45.63,338.0,111 CDM,3982262501J2597,DESMOPRESSIN ACETATE 4 MCG/ML INJECTION SOLN,600.0,600.0,3.41,600.0,112 CDM,4.3528E 14,HEPATITIS B VAC RECOMB ADJ 20 MCG/0.5ML IM SOSY,532.0,532.0,10.0,590.53,248 CDM,4.92811E 14,INFLUENZA VAC HIGHDOSE QUAD 0.7 ML IM SUSY,212.5,212.5,10.0,257.53,248 CDM,4.92811E 14,INFLUENZA VAC SPLIT HIGHDOSE (FLUZONE HIGH DOSE) 0,264.0,264.0,10.0,293.05,248 CDM,4.92812E 14,RABIES IMMUNE GLOBULIN 300 UNIT/2ML INJECTION SOLN,3259.0,3259.0,10.0,3259.0,122 CDM,4.92813E 14,DIPHTHACELL PERTUSSISTETANUS 15235 LFMCG/0.5 IM SU,105.0,105.0,10.0,105.0,230 CDM,4.92814E 14,FLUZONE QUADRIVALENT 0.5 ML IM SUSY,70.0,70.0,10.0,77.7,124 CDM,4.92814E 14,INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY,74.0,74.0,10.0,82.14,248 CDM,4.92814E 14,TETANUSDIPHTHACELL PERTUSSIS 5215.5 LFMCG/0.5 IM S,171.0,171.0,10.0,171.0,460 CDM,4.92815E 14,HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR,47.0,47.0,6.35,47.0,228 CDM,4.92816E 14,MENING ACY W135 TETANUS CONJ IM SOLN,601.0,601.0,10.0,601.0,342 CDM,4.92816E 14,NIRSEVIMABALIP 50 MG/0.5ML IM SOSY,1872.0,1872.0,10.0,1872.0,228 CDM,4.92817E 14,INFLUENZA VAC RECOMB HA (PF) 0.5 ML IM SOSY,264.0,264.0,10.0,293.05,248 CDM,4.92818E 14,TYPHOID VI POLYSACCHARIDE VACC 25 MCG/0.5ML IM SOL,6948.0,6948.0,10.0,6948.0,114 CDM,4.92818E 14,TYPHOID VI POLYSACCHARIDE VACC 25 MCG/0.5ML IM SOS,503.0,503.0,10.0,503.0,114 CDM,4.92819E 14,POLIOVIRUS VACCINE INACTIVATED INJECTION INJ,1531.0,1531.0,10.0,1531.0,228 CDM,4.95911E 14,VARICELLAZOSTER IMMUNE GLOB 125 UNIT/1.2ML IM SOLN,8211.0,8211.0,10.0,8211.0,244 CDM,40100003,HC MAMMOGRAM DIAG BILATERAL,1400.0,1400.0,86.81,1400.0,123 CDM,40100014,HC DX MAMMO INCL CAD UNI,1161.0,1161.0,68.13,1161.0,123 CDM,40100015,HC SCR MAMMO BI INCL CAD,1067.0,1067.0,65.93,1067.0,123 CDM,40200001,HC US GUIDE FOR NEEDLE PLACE S I,3379.0,3379.0,43.2,3379.0,108 CDM,40200002,HC SCANOGRAM (BONE LENGTH),957.0,957.0,20.94,957.0,123 CDM,40200004,HC ULTRASOUND INTRAOPERATIVE,2298.0,2298.0,175.81,2298.0,110 CDM,40200006,HC US LOW EXT ARTERIES BILAT,4343.0,4343.0,91.2,4343.0,125 CDM,40200007,HC US LOW EXT ART. FU/LTD,2599.0,2599.0,57.74,3400.0,250 CDM,40200008,HC US UPP EXT ART. FU/LTD,1798.0,1798.0,57.74,1798.0,125 CDM,40200009,HC US UPP EXT ARTERIES (BIL),3541.0,3541.0,91.2,3541.0,125 CDM,40200010,HC US TRUNK MAJ VES/ART/VEINS,1720.0,1720.0,90.63,1720.0,125 CDM,40200011,HC US TRUNK MAJ VESS/ART/VEINS FU,1122.0,1122.0,57.74,1122.0,125 CDM,40200013,HC US ABD AORTA SCREEN AAA,433.0,433.0,50.11,495.22,123 CDM,40200017,HC MEAS PV URINE/BLADDER CAP,630.0,630.0,14.07,630.0,125 CDM,40200018,HC US OF ABD LIMITED (EMBU),1278.0,1278.0,37.5,1278.0,123 CDM,40200019,HC ULTRASOUND ABDOMINAL B SCAN,2348.0,2348.0,57.5,2348.0,123 CDM,40200020,HC ULTRASD RETROPERITONEUM COMP,2307.0,2307.0,49.0,2307.0,123 CDM,40200021,HC US RETROPERITONEAL (RENAL) LTD,1439.0,1439.0,49.0,1439.0,123 CDM,40200023,HC ULTRASOUND KIDNEY TRANSPLANT,1789.0,1789.0,57.74,1789.0,123 CDM,40200024,HC ULTRASOUND THRYOID/SOFT TISSUE,1740.0,1740.0,50.98,1740.0,123 CDM,40200025,HC ULTRASOUND CHEST,1110.0,1110.0,37.72,1110.0,123 CDM,40200026,HC ULTRASOUND BRAIN B-SCAN,1225.0,1225.0,37.72,1225.0,123 CDM,40200027,HC OPTHALMIC U/S CONTACT B SCAN,315.0,315.0,36.52,346.8,123 CDM,40200030,HC ULTRASOUND TRANSRECTAL,2172.0,2172.0,54.15,2172.0,123 CDM,40200033,HC ULTRASOUND SCROTUM AND CONTENT,1780.0,1780.0,44.0,1780.0,123 CDM,40200034,HC ULTRASOUND PELVIS,1818.0,1818.0,46.5,1818.0,123 CDM,40200035,HC US EXTREMITY NON-VASCULAR LIM,1772.0,1772.0,7.85,1772.0,122 CDM,40200036,HC US EXTREMITY NON-VASCULAR COMP,1772.0,1772.0,57.74,1772.0,122 CDM,40200037,HC ULTRASOUND PELVIS LIMITED,1335.0,1335.0,19.0,1335.0,123 CDM,40200038,HC US GUIDANCE VASCULAR ACCES,609.0,609.0,24.86,609.0,108 CDM,40200040,HC US GUIDE TISSUE ABLATION,1393.0,1393.0,188.06,1393.0,105 CDM,40200044,HC US GUIDED COMPRESS ANEUYSM,7182.0,7182.0,63.94,7182.0,123 CDM,40200045,HC ULTRASND PREG>14 WK-ADD GES,2179.0,2179.0,42.61,2179.0,116 CDM,40200046,HC US PREG >/ 14 WKS SINGL GEST,1981.0,1981.0,46.5,1981.0,125 CDM,40200047,HC ULTRASOUND SPINAL CANAL CONT,1780.0,1780.0,50.98,1780.0,123 CDM,40200048,HC US PREGNANCY 1ST TRIMESTER,1981.0,1981.0,38.39,1981.0,123 CDM,40200049,HC US PREGNANCY DETAILED ADD GEST,1346.0,1346.0,37.72,1346.0,116 CDM,40200050,HC US PREG REAL TIME DATE FAE,1981.0,1981.0,91.2,1981.0,125 CDM,40200051,HC US PREGNANCY 1ST TRIMESTER ADD,1058.0,1058.0,21.98,1058.0,114 CDM,40200052,HC ULTRASOUND PREG TRANSVAGINAL,1778.0,1778.0,37.72,1778.0,125 CDM,40200053,HC US PREG FOLLOW UP PER FETUS,752.0,752.0,37.72,752.0,125 CDM,40200055,HC ULTRASOUND TRANSVAGINAL,1778.0,1778.0,46.5,1778.0,123 CDM,40200057,HC US PREG LIMITED>1FETUSES,1467.0,1467.0,37.72,1467.0,125 CDM,40200064,HC US PREGNANCY DOPPLER COMPLETE,1186.0,1186.0,36.55,1186.0,123 CDM,40200066,HC US INFANT HIPSDYNAMMD MANIP,1312.0,1312.0,37.72,1312.0,123 CDM,40200070,HC US IMAGING FOR BIOPSY AND ABLATION PROCEDURES,1393.0,1393.0,188.06,1393.0,105 CDM,40200071,HC ULTRASOUND BREAST COMPLETE,2020.0,2020.0,53.43,2020.0,122 CDM,40200073,HC ULTRASOUND BREAST LIMITED,986.0,986.0,40.94,986.0,122 CDM,40200075,HC EXTREMITY NON VAS LIMITED,1772.0,1772.0,7.85,1772.0,122 CDM,40200083,HC FETAL BIOPHYS PROFILE W/NST,2255.0,2255.0,57.74,2255.0,123 CDM,40200086,HC ECHO EXAM OF FETAL HEART DOPPLER F/U,588.0,588.0,20.54,588.0,123 CDM,40200088,HC ECHO GUIDE FOR AMNIOCENTESIS,1557.0,1557.0,18.6,1557.0,108 CDM,40200089,HC US EXAM INFANT HIPS STATIC,1312.0,1312.0,37.72,1312.0,120 CDM,40200090,HC DUPLEX SCAN OF HEMODIALYSIS,572.0,572.0,57.74,572.0,125 CDM,40200091,HC MAPS FETAL BIOPHYSICAL PROFILE W/O,270.0,270.0,45.63,382.9,123 CDM,40200092,HC MAPS ECHO GUIDE FOR AMNIOCENTESIS,184.0,184.0,18.6,184.0,108 CDM,40200093,HC MAPS ECHO GUIDE VILLUS SAMPLING,240.0,240.0,32.4,401.69,108 CDM,40200094,HC MAPS ECHO EXAM OF FETAL HEART DOPPLER F/U,144.0,144.0,20.54,346.8,123 CDM,40200095,HC MAPS ECHO EXAM OF FETAL HEART F/U OR REPEAT STU,264.0,264.0,25.8,791.48,123 CDM,40200096,HC MAPS ECHO EXAM OF FETAL HEART W OR W/O M-MODE,352.0,352.0,19.0,1812.54,123 CDM,40200097,HC MAPS FETAL BIOPHYS PROFILE W/NST,334.0,334.0,56.45,523.67,123 CDM,40200102,HC MAPS ULTRASOUND BREAST LIMITED,180.0,180.0,30.42,389.88,122 CDM,40200103,HC MAPS ULTRASOUND BREAST COMPLETE,235.0,235.0,39.71,476.57,122 CDM,40200104,HC MAPS US PREGNANCY DOPPLER COMPLETE,252.0,252.0,36.55,346.8,123 CDM,40200105,HC MAPS US OB UTER 1ST TRI NUC MEAS,370.0,370.0,37.72,539.49,125 CDM,40200106,HC MAPS US OB UTER 1ST TRI EA ADD GES,139.0,139.0,18.77,343.64,116 CDM,40200107,HC MAPS US PREG LIMITED>1FETUSES,145.0,145.0,24.5,374.6,125 CDM,40200108,HC MAPS HYSTEROGNGRAM W/WO COLOR FLOW,289.0,289.0,48.84,791.48,115 CDM,40200109,HC MAPS ULTRASOUND TRANSVAGINAL,370.0,370.0,46.5,556.23,123 CDM,40200110,HC MAPS DOPPLER VELOCEMETRYFEATL UMB,200.0,200.0,21.53,346.8,123 CDM,40200111,HC MAPS US PREG FOLLOW UP PER FETUS,197.0,197.0,33.29,505.07,125 CDM,40200112,HC MAPS ULTRASOUND PREG TRANSVAGINAL,239.0,239.0,37.72,428.18,125 CDM,40200113,HC MAPS US PREGNANCY 1ST TRIMESTER ADD,210.0,210.0,21.98,276.43,114 CDM,40200114,HC MAPS US PREG REAL TIME DATE FAE,520.0,520.0,87.88,792.35,125 CDM,40200115,HC MAPS US PREGNANCY DETAILED ADD GEST,293.0,293.0,37.72,884.82,116 CDM,40200116,HC MAPS US PREGNANCY 1ST TRIMESTER,309.0,309.0,38.39,539.58,123 CDM,40200117,HC MAPS US PREG >/ 14 WKS SINGL GEST,326.0,326.0,46.5,622.03,125 CDM,40200118,HC MAPS ULTRASND PREG>14 WK-ADD GES,210.0,210.0,28.35,401.28,116 CDM,40200119,HC MAPS ULTRASOUND PELVIS LIMITED,394.0,394.0,19.0,394.0,123 CDM,40200120,HC MAPS ULTRASOUND PELVIS,145.0,145.0,24.5,490.88,123 CDM,40200121,HC MAPS ULTRASOUND TRANSRECTAL,359.0,359.0,54.15,641.41,123 CDM,40200124,HC MAPS US GUIDE FOR NEEDLE PLACE S I,3379.0,3379.0,43.2,3379.0,108 CDM,40200125,HC MAPS DOPP VELOC FETAL MID CEREB ART,243.0,243.0,37.72,406.48,123 CDM,40200129,HC ULTRASONIC GUIDE FOR PUBS,1998.0,1998.0,47.24,1998.0,108 CDM,40200131,HC ULTRASOUND GUIDANCE FOR VASCULAR ACCESS,609.0,609.0,24.86,609.0,108 CDM,40200134,HC US WITH AFI,896.0,896.0,37.72,896.0,125 CDM,40200137,HC MAPS ECHO GUIDE OVA ASPIRATION,122.0,122.0,16.47,366.3,105 CDM,40200138,HC MAPS US SOFT TISS HEADNCK BSCAN,191.0,191.0,32.28,520.02,123 CDM,40200139,HC DTLD FETUS MAT US1/1ST GES,1981.0,1981.0,91.2,1981.0,125 CDM,40200140,HC DTLD FETUS MAT USEA ADD GES,1346.0,1346.0,37.72,1346.0,116 CDM,40200141,HC US PREG COMPL S/P 1ST TRIMST,1186.0,1186.0,42.61,1186.0,116 CDM,40200142,HC US PREG DPPLR F/U PULSE/WAVE,588.0,588.0,20.54,588.0,123 CDM,40200143,HC US PREGNANCY DOPPLER COMPLET,1186.0,1186.0,36.55,1186.0,123 CDM,40200144,HC US SPINAL CANAL CONTENTS,1780.0,1780.0,50.98,1780.0,123 CDM,40200145,HC US WITH AFI,941.0,941.0,37.72,941.0,125 CDM,40200146,HC US PORTABLE,290.0,290.0,39.15,290.0,109 CDM,40200148,HC ULTRASOUND ABDOMINAL LIMI,1217.0,1217.0,37.5,1217.0,123 CDM,40200150,HC MAPS US LMTD JT/NONVASC XTR STRUX,171.0,171.0,7.85,346.8,122 CDM,40200154,HC MAPS US EXAM SPINAL CANAL,276.0,276.0,46.64,674.29,123 CDM,40200157,HC QUAN US TIS CHARAC W/O DX US,275.0,275.0,46.47,288.67,120 CDM,40200158,HC QUAN US TIS CHARAC W/DX US,275.0,275.0,37.13,275.0,110 CDM,40300007,HC SCREENING BREAST TOMOSYNTHESIS BILATERAL,825.0,825.0,10.99,825.0,123 CDM,40400002,HC PET WHOLE BODY,19562.0,19562.0,621.65,19562.0,125 CDM,40400003,HC PET W/CT SKULL TO MIDTHIGH,23886.0,23886.0,621.65,23886.0,125 CDM,40400004,HC PET W./CT LTD.AREA,23886.0,23886.0,621.65,23886.0,125 CDM,40400005,HC BRAIN (PET) METABOLIC EVAL,23886.0,23886.0,613.27,23886.0,125 CDM,40400008,HC PET W/CT WHOLW BODY,23886.0,23886.0,621.65,23886.0,125 CDM,40400025,HC MYOCADIAL PET W/CT,5527.0,5527.0,10.82,5527.0,125 CDM,40400030,HC MYOCRD PET PRFUJ W/METAB 2RTRACER W CT,5852.0,5852.0,988.99,7307.04,125 CDM,40400031,HC MYOCRD IMG PET RST/STRS W/CT,5527.0,5527.0,10.83,5527.0,125 CDM,40400032,HC MYOCRD PET PRFUJ MLT STD RST STRS W/ CT,8664.0,8664.0,1120.78,8664.0,125 CDM,40400034,HC AQMBF PET REST RX STRESS,2603.0,2603.0,110.05,4630.0,107 CDM,41000001,HC INHALATION TREATMENT,385.0,385.0,17.81,726.4,122 CDM,41000002,HC VENT MGMT INPAT INIT DAY,1868.0,1868.0,128.79,2049.33,122 CDM,41000003,HC VENT MGMT INPAT SUBQ DAY,1868.0,1868.0,94.13,2049.33,122 CDM,41000005,HC BEDSIDE SPIROMETRY,1134.0,1134.0,9.0,1134.0,125 CDM,41000007,HC HAND HELD NEBULZR,609.0,609.0,17.81,726.4,122 CDM,41000008,HC POS AIRWAY PRESSURE CPAP,1868.0,1868.0,59.23,1868.0,122 CDM,41000009,HC MDI/DPI,609.0,609.0,17.81,726.4,122 CDM,41000010,HC DRY POWDER INHALER,385.0,385.0,17.81,726.4,122 CDM,41000011,HC CHEST PHYS THRAPY,290.0,290.0,15.24,441.35,122 CDM,41000012,HC ACAPELLA TREATMENT-NEONATE,216.0,216.0,15.46,441.35,122 CDM,41000013,HC CHEST MANIP/LUNG FUNC INITIAL,215.0,215.0,24.62,726.4,122 CDM,41000015,HC NON-INVAS VENT SBSQ DAY TX EMR,744.0,744.0,59.23,744.0,122 CDM,41000016,HC EZPAP TREATMENT,517.0,517.0,59.23,726.4,122 CDM,41000017,HC BIPAP NON-EMERGENT,1023.0,1023.0,59.23,1023.0,122 CDM,41000019,HC CPAP NON EMER SUBSEQ DAY,782.0,782.0,59.23,782.0,122 CDM,41000025,HC CPAP NEONATE,1264.0,1264.0,59.23,1264.0,122 CDM,41000026,HC ACAPELLA TREATMENT,216.0,216.0,15.46,441.35,122 CDM,41000030,HC HIGH FREQ OSCILLAT INTITAL DAY-NEONATE,4604.0,4604.0,128.79,4604.0,122 CDM,41000031,HC HIGH FREQ OSCILLAT SUBSEQ DAY-NEONATE,4604.0,4604.0,94.13,4604.0,122 CDM,41000032,HC NON-INVASIVE VENT DAY SUBSEQ-NEONATE,744.0,744.0,94.13,2049.33,122 CDM,41000033,HC INDUCED SPUTUM,609.0,609.0,17.81,726.4,122 CDM,41000034,HC VOLUME VENT.TREAT,385.0,385.0,17.81,726.4,122 CDM,41000036,HC THERAPY VEST,215.0,215.0,24.62,726.4,122 CDM,41000037,HC PRE/POST BRONCHODILATOR SPIRO,3116.0,3116.0,11.4,3116.0,125 CDM,41000038,HC CPAP EMERGENTSUBSEQ DAY,744.0,744.0,59.23,744.0,122 CDM,41000039,HC BIPAP NON-EMERGENT SUBSEQ DAY,1023.0,1023.0,59.23,1023.0,122 CDM,41000040,HC NEGATIVE INSPIRATORY FUNCTION,331.0,331.0,2.4,426.82,120 CDM,41000041,HC OVERNIGHT OXIMETRY STUDY,1575.0,1575.0,31.67,1575.0,122 CDM,41000045,HC BIPAP EMERGENT,1023.0,1023.0,59.23,1023.0,122 CDM,41000046,HC COUGH ASSIST TREATMENT,131.0,131.0,22.14,426.82,122 CDM,41000047,HC OXYGEN PRN-NEONATE,956.0,956.0,129.06,956.0,109 CDM,41000049,HC CPAP EMERGENT,1023.0,1023.0,59.23,1023.0,122 CDM,41000050,HC NON-INV VENT SUBQ DAY NEONATE,1023.0,1023.0,59.23,1023.0,122 CDM,41000052,HC EXTENDED THERAPY,711.0,711.0,100.94,711.0,122 CDM,41000053,HC HUMIDIFIER DISP. NEONATAL CHNG,144.0,144.0,24.34,426.82,122 CDM,41000056,HC PULMONARY COND ASSESSMENT,369.0,369.0,62.36,426.82,122 CDM,41000057,HC CHEST WALL MANIPULATION TO FACILITATE LUNG FUNC,566.0,566.0,15.46,566.0,122 CDM,41000072,HC SURFACTANT RX-NEONATE,484.0,484.0,65.34,484.0,109 CDM,41000084,HC CHEST PHYSIO - AIRWAY CLRNC EV,566.0,566.0,15.46,566.0,122 CDM,41000086,HC CONT BRONCHODIL NEB RX SUBSEQ,609.0,609.0,9.8,609.0,116 CDM,41000087,HC CONT NEBULIZER 1ST HR,786.0,786.0,25.7,786.0,125 CDM,41000088,HC CONT NEBULIZER ADDTL HR,609.0,609.0,9.8,609.0,116 CDM,41000089,HC CPAP NON-EMERGENT,1868.0,1868.0,59.23,1868.0,122 CDM,41000092,HC END TIDAL CO2 - PRN-NEONATE,1376.0,1376.0,22.5,1376.0,125 CDM,41000093,HC NASAL CPAP,1201.0,1201.0,59.23,1201.0,122 CDM,41000094,HC NEGATIVE INSPIRATORY,305.0,305.0,17.81,305.0,122 CDM,41000096,HC RESP THERAPEUTIC PROCEDURE,305.0,305.0,17.81,305.0,122 CDM,41000099,HC VOLUME VENT TREAT-NEONATE,385.0,385.0,17.81,726.4,122 CDM,41000101,HC WALKING PULSE O2,132.0,132.0,3.86,132.0,115 CDM,41000102,HC BIPAP NON-EMERGENT-NEONATE,726.0,726.0,59.23,726.4,122 CDM,41000104,HC CPAP EMERGENT-NEONATE,691.0,691.0,59.23,726.4,122 CDM,41000105,HC CPAP NON-EMERGENT-NEONATE,1868.0,1868.0,59.23,1868.0,122 CDM,41000107,HC EXTENDED THERAPY-NEONATE,480.0,480.0,81.12,480.0,122 CDM,41000109,HC HAND HELD NEBULZR-NEONATE,410.0,410.0,17.81,726.4,122 CDM,41000110,HC MDI/DPI-NEONATE,609.0,609.0,17.81,726.4,122 CDM,41000111,HC NON-INV VENT 1ST DAY-NEONATE,1023.0,1023.0,59.23,1023.0,122 CDM,41000112,HC VENT MGMT INPAT INIT DAY-NEONATE,1868.0,1868.0,128.79,2049.33,122 CDM,41000113,HC VENT MGMT INPAT SUBQ DAY-NEONATE,1868.0,1868.0,94.13,2049.33,122 CDM,41000114,HC NEONATAL RESUSCITATION,750.0,750.0,93.57,750.0,122 CDM,41000116,HC END TIDAL CO2 - CON,1976.0,1976.0,22.5,1976.0,125 CDM,41000118,HC VENTILATOR TRANSPORT,3481.0,3481.0,128.79,3481.0,122 CDM,41000124,HC SURFACTANT ADMIN THRU TUBE-NEONATE,275.0,275.0,17.81,726.4,122 CDM,41000125,HC VENTILATOR TRANSPORT-NEONATE,2354.0,2354.0,128.79,2354.0,122 CDM,41000126,HC MEDICATION NEBULIZER- NEONATE,410.0,410.0,17.81,726.4,122 CDM,41000128,HC END TIDAL CO2 - PRN,2035.0,2035.0,22.5,2035.0,125 CDM,42000019,HC THERAPEUTIC EXERCISES,433.0,433.0,16.51,433.0,120 CDM,42000020,HC PT NEURO MS RE-ED (P,459.0,459.0,22.72,459.0,120 CDM,42000022,HC PT GAIT TRAINING (P,385.0,385.0,16.51,385.0,120 CDM,42000023,HC MASSAGE THERAPY 15 MINS,403.0,403.0,20.54,403.0,120 CDM,42000024,HC MANUAL THERAPY 15 MINS,411.0,411.0,18.21,411.0,120 CDM,42000025,HC GROUP THERAPEUTIC PROCEDURES,594.0,594.0,12.15,594.0,120 CDM,42000027,HC THERAPEUTIC ACTIVITIES,459.0,459.0,24.81,459.0,120 CDM,42000028,HC COGNITIVE SKILLS DEVELOPMENT,339.0,339.0,14.98,339.0,122 CDM,42000030,HC SELF CARE MNGMENT TRAINING,462.0,462.0,22.07,462.0,120 CDM,42000031,HC COMMUNITY/WORK REINTEGRATION 15MIN,425.0,425.0,21.37,425.0,119 CDM,42000032,HC WHEELCHAIR MNGMENT TRAINING 15 MINS,433.0,433.0,21.37,433.0,120 CDM,42000033,HC PHYSICAL PERFORMANCE TEST,468.0,468.0,22.98,468.0,120 CDM,42000034,HC ORTHOTIC MGMT AND TRAINING,462.0,462.0,32.29,462.0,122 CDM,42000036,HC ORTHOTIC(S)/PROSTHETIC(S) MANAGEMENT AND/OR TRA,403.0,403.0,35.5,403.0,122 CDM,42000075,HC MAPS ORTHOTIC MGMT AND TRAINING,65.0,65.0,10.98,222.0,122 CDM,42000076,HC PEDIATRIC SPEECH/LANGUAGE TX I,534.0,534.0,21.7,534.0,125 CDM,42000077,HC ADULT SPEECH/LANGUAGE THERAPY 15MIN,986.0,986.0,21.7,986.0,125 CDM,42000090,HC PT EVAL HIGH COMPLEX 45 MIN,674.0,674.0,63.61,674.0,125 CDM,42000091,HC OT EVAL HIGH COMPLEXITY 60 MIN,665.0,665.0,61.73,665.0,125 CDM,42000092,HC PT EVAL LOW COMPLEX 20 MIN,674.0,674.0,63.61,674.0,125 CDM,42000093,HC OT EVAL LOW COMPLEXITY 30 MIN,665.0,665.0,61.73,665.0,125 CDM,42000094,HC OT EVAL MOD COMPLEXITY 45 MIN,665.0,665.0,49.9,665.0,125 CDM,42000095,HC PT EVAL MODERATE COMPLEX 30 MIN,674.0,674.0,49.9,674.0,125 CDM,42000096,HC PT RE-EVAL 20 MIN,493.0,493.0,43.12,493.0,125 CDM,42000097,HC OT RE EVAL ESTABLISHED PLAN OF CARE,493.0,493.0,40.69,493.0,125 CDM,4202310701J0770,COLISTIMETHATE SODIUM (CBA) 150 MG INJECTION SOLR,101.0,101.0,11.39,101.0,112 CDM,4202311001J1380,ESTRADIOL VALERATE 10 MG/ML IM OIL,478.0,478.0,7.45,478.0,112 CDM,4202311101J1380,ESTRADIOL VALERATE 20 MG/ML IM OIL,674.0,674.0,7.45,674.0,112 CDM,4202311602J2590,OXYTOCIN 10 UNIT/ML INJECTION SOLN,51.0,51.0,0.86,51.0,111 CDM,4202311625J2590,OXYTOCIN 10 UNIT/ML INJECTION SOLN,13.0,13.0,0.86,13.0,111 CDM,4202311925J3250,TRIMETHOBENZAMIDE HCL 100 MG/ML IM SOLN,190.0,190.0,25.65,190.0,112 CDM,4202312901J2680,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLN,281.0,281.0,6.2,281.0,112 CDM,4202315901J0171,EPINEPHRINE (ANAPHYLAXIS) 1 MG/ML INJECTION SOLN,54.0,54.0,0.76,54.0,111 CDM,4202315925J0171,EPINEPHRINE (ANAPHYLAXIS) 1 MG/ML INJECTION SOLN,49.0,49.0,0.76,49.0,111 CDM,4202316410J2598,VASOPRESSIN 20 UNIT/ML IV SOLN,292.0,292.0,0.53,292.0,112 CDM,4202316425J2598,VASOPRESSIN 20 UNIT/ML IV SOLN,292.0,292.0,0.53,292.0,112 CDM,4202316801J0171,EPINEPHRINE (ANAPHYLAXIS) 30 MG/30ML INJECTION SOL,903.0,903.0,0.76,903.0,111 CDM,4202316889J0171,EPINEPHRINE 1 MG/ML INJECTION (WRAPPER),903.0,903.0,0.76,903.0,111 CDM,4202316899J0171,EPINEPHRINE (ANAPHYLAXIS) 30 MG/30ML INJECTION SOL,903.0,903.0,0.76,903.0,111 CDM,4202317204J7519,MYCOPHENOLATE MOFETIL HCL 500 MG IV SOLR,261.0,261.0,0.37,261.0,112 CDM,4202317301J1570,GANCICLOVIR SODIUM 500 MG IV SOLR,260.0,260.0,28.74,260.0,112 CDM,4202317325J1570,GANCICLOVIR SODIUM 500 MG IV SOLR,260.0,260.0,28.74,260.0,112 CDM,4202317901J0592,BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLN,50.0,50.0,4.13,50.0,112 CDM,4202317905J0592,BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLN,50.0,50.0,4.13,50.0,112 CDM,4202318201J0883,ARGATROBAN 250 MG/2.5ML IV SOLN,1836.0,1836.0,0.61,1836.0,119 CDM,4202318901J2710,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,22.0,22.0,0.71,22.0,111 CDM,4202318910J2710,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,22.0,22.0,0.71,22.0,111 CDM,4202319001J2598,VASOPRESSIN 20 UNIT/ML IV SOLN,2916.0,2916.0,0.53,2916.0,112 CDM,4202320101J0650,LEVOTHYROXINE SODIUM 100 MCG IV SOLR,381.0,381.0,5.39,381.0,112 CDM,4202320201J0650,LEVOTHYROXINE SODIUM 200 MCG IV SOLR,761.0,761.0,5.39,761.0,112 CDM,4202320501J0630,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLN,11272.0,11272.0,816.0,11272.0,111 CDM,4202320601J3285,TREPROSTINIL 20 MG/20ML INJECTION SOLN,4355.0,4355.0,54.48,4355.0,119 CDM,4202320701J3285,TREPROSTINIL 50 MG/20ML INJECTION SOLN,10887.0,10887.0,54.48,10887.0,119 CDM,4202320801J3285,TREPROSTINIL 100 MG/20ML INJECTION SOLN,21774.0,21774.0,54.48,21774.0,119 CDM,4202320901J3285,TREPROSTINIL 200 MG/20ML INJECTION SOLN,43548.0,43548.0,54.48,43548.0,119 CDM,4202321401J2371,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,80.0,80.0,0.01,80.0,108 CDM,4202321410J2371,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,80.0,80.0,0.01,80.0,108 CDM,4202321501J2371,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,155.0,155.0,0.01,155.0,108 CDM,4202321901J2598,VASOPRESSINDEXTROSE 405 UT/100ML IV SOLN,1530.0,1530.0,0.53,1530.0,112 CDM,4202321910J2598,VASOPRESSINDEXTROSE 405 UT/100ML IV SOLN,1530.0,1530.0,0.53,1530.0,112 CDM,4202322101J1335,ERTAPENEM SODIUM 1 G INJECTION SOLR,422.0,422.0,9.02,422.0,112 CDM,4202322110J1335,ERTAPENEM SODIUM 1 G INJECTION SOLR,422.0,422.0,9.02,422.0,112 CDM,4202324301J3490,EPHEDRINE SULFATE (PRESSORS) 5 MG/ML IV SOLN,105.0,105.0,14.18,105.0,111 CDM,4202331501J0171,EPINEPHRINE HCLNACL 40.9 MG/250ML IV SOLN (WRAPPE,324.0,324.0,0.76,324.0,111 CDM,4202331510J0171,EPINEPHRINE HCLNACL 40.9 MG/250ML IV SOLN (WRAPPE,324.0,324.0,0.76,324.0,111 CDM,4202362201J0583,BIVALIRUDIN TRIFLUOROACETATE 250 MG/50ML IV SOLN,258.0,258.0,0.16,258.0,112 CDM,4202362210J0583,BIVALIRUDIN TRIFLUOROACETATE 250 MG/50ML IV SOLN,258.0,258.0,0.16,258.0,112 CDM,4219261405J1165,PHENYTOIN SODIUM 50 MG/ML INJECTION SOLN,18.0,18.0,0.47,18.0,112 CDM,4219261430J1165,PHENYTOIN SODIUM 50 MG/ML INJECTION SOLN,18.0,18.0,0.47,18.0,112 CDM,4229150501J8610,METHOTREXATE SODIUM 2.5 MG PO TABS,11.0,11.0,0.15,11.0,112 CDM,4229172710J7512,PREDNISONE 5 MG PO TABS,2.0,2.0,0.01,2.0,112 CDM,4236752125J9036,BENDAMUSTINE HCL 100 MG/4ML IV SOLN,9360.0,9360.0,11.99,9360.0,119 CDM,4238595330J0750,EMTRICITABINETENOFOVIR DF 200300 MG PO TABS,211.0,211.0,1.34,211.0,119 CDM,42400001,HC ADULT CLINICAL SWALLOW EVAL,1638.0,1638.0,57.62,1638.0,122 CDM,42400002,HC PEDI CLINICAL SWALLOW EVAL,983.0,983.0,57.62,983.0,122 CDM,42400004,HC PEDI VFSS,1066.0,1066.0,42.32,1066.0,125 CDM,42400005,HC NEONATE/PEDS SPEECH SOUND LAUG COMPREHEN,1095.0,1095.0,74.0,1095.0,122 CDM,4249441501J2560,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLN,79.0,79.0,10.67,79.0,112 CDM,4249441503J2560,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLN,79.0,79.0,10.67,79.0,112 CDM,4249441525J2560,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLN,79.0,79.0,10.67,79.0,112 CDM,4249441601J2560,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLN,204.0,204.0,27.36,204.0,112 CDM,4249441603J2560,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLN,204.0,204.0,27.36,204.0,112 CDM,4249441625J2560,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLN,204.0,204.0,27.36,204.0,112 CDM,4249444201J2560,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLN,204.0,204.0,27.36,204.0,112 CDM,4249444225J2560,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLN,204.0,204.0,27.36,204.0,112 CDM,4257124469J0706,CAFFEINE CITRATE 60 MG/3ML IV SOLN,62.0,62.0,1.02,62.0,111 CDM,4257135009J7631,CROMOLYN SODIUM 20 MG/2ML INHALATION NEBU,20.0,20.0,0.21,20.0,112 CDM,4265800801J9120,DACTINOMYCIN 0.5 MG IV SOLR,1800.0,1800.0,243.0,1800.0,119 CDM,4265801001J9065,CLADRIBINE 10 MG/10ML IV SOLN,1260.0,1260.0,7.42,1260.0,119 CDM,4265802101J9150,DAUNORUBICIN HCL 20 MG/4ML IV SOLN,483.0,483.0,19.76,483.0,112 CDM,4265802102J9150,DAUNORUBICIN HCL 20 MG/4ML IV SOLN,483.0,483.0,19.76,483.0,112 CDM,4274710201J0584,BUROSUMABTWZA 10 MG/ML SC SOLN,16026.0,16026.0,469.73,16026.0,119 CDM,4274720301J0584,BUROSUMABTWZA 20 MG/ML SC SOLN,32051.0,32051.0,469.73,32051.0,119 CDM,4274730401J0584,BUROSUMABTWZA 30 MG/ML SC SOLN,48076.0,48076.0,469.73,48076.0,119 CDM,4274776101J9204,MOGAMULIZUMABKPKC 20 MG/5ML IV SOLN,16549.0,16549.0,243.32,16549.0,119 CDM,4279981501J7510,PREDNISOLONE 15 MG/5ML PO SOLN (WRAPPER),219.0,219.0,0.27,219.0,112 CDM,4279981510J7510,PREDNISOLONE 15 MG/5ML PO SOLN (WRAPPER),10.0,10.0,0.27,10.0,112 CDM,4280640001J7509,METHYLPREDNISOLONE 4 MG PO TABS,5.0,5.0,0.13,5.0,112 CDM,4280640021J7509,METHYLPREDNISOLONE 4 MG PO TBPK,5.0,5.0,0.13,5.0,112 CDM,4285886706Q0167,DRONABINOL 2.5 MG PO CAPS,8.0,8.0,1.08,8.0,112 CDM,4285886806Q0167,DRONABINOL 5 MG PO CAPS,12.0,12.0,1.35,12.0,112 CDM,4306600601J9171,DOCETAXEL 80 MG/8ML IV SOLN,591.0,591.0,0.38,591.0,112 CDM,4306601001J9171,DOCETAXEL 160 MG/16ML IV SOLN,1049.0,1049.0,0.38,1049.0,112 CDM,4306601501J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,18.0,18.0,0.05,18.0,112 CDM,4306601510J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,18.0,18.0,0.05,18.0,112 CDM,4306601610J2404,NICARDIPINE HCL IN NACL 40 MG/200ML IV SOLN (WRAPP,288.0,288.0,0.07,288.0,112 CDM,4306601901J2795,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,26.0,26.0,0.05,26.0,112 CDM,4306601910J2795,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,26.0,26.0,0.05,26.0,112 CDM,4306602301J2795,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,29.0,29.0,0.05,29.0,112 CDM,4306602310J2795,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,29.0,29.0,0.05,29.0,112 CDM,4306602410J2404,NICARDIPINE HCL IN NACL 40 MG/200ML IV SOLN (WRAPP,329.0,329.0,0.07,329.0,112 CDM,4306608910J1455,FOSCARNET SODIUM 6000 MG/250ML IV SOLN,1350.0,1350.0,6.71,1350.0,112 CDM,4306609001J0780,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,20.0,20.0,2.31,20.0,112 CDM,4306609025J0780,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,20.0,20.0,2.31,20.0,112 CDM,4306615010J0283,AMIODARONE HCL IN DEXTROSE 1504.21 MG/100ML IV SO,125.0,125.0,2.52,125.0,112 CDM,4306615401J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,216.0,216.0,0.05,216.0,112 CDM,4306615410J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,216.0,216.0,0.05,216.0,112 CDM,4306636020J0283,AMIODARONE HCL IN DEXTROSE 3604.14 MG/200ML IV SO,167.0,167.0,2.52,167.0,112 CDM,4306699324J0736,CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN,39.0,39.0,1.67,39.0,112 CDM,4306699524J0736,CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN,47.0,47.0,1.67,47.0,112 CDM,4354745410J1953,LEVETIRACETAM 500 MG/5ML IV SOLN,17.0,17.0,0.04,17.0,112 CDM,4354745441J1953,LEVETIRACETAM 500 MG/5ML IV SOLN,17.0,17.0,0.04,17.0,112 CDM,4354754301J1596,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLN,10.0,10.0,0.38,10.0,112 CDM,4354754325J1596,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLN,10.0,10.0,0.38,10.0,112 CDM,4354754401J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),20.0,20.0,0.38,20.0,112 CDM,4354754425J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),20.0,20.0,0.38,20.0,112 CDM,4354763901J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),10.0,10.0,0.38,10.0,112 CDM,4354763925J1596,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLN,10.0,10.0,0.38,10.0,112 CDM,4354764001J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),20.0,20.0,0.38,20.0,112 CDM,4354764025J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),20.0,20.0,0.38,20.0,112 CDM,4359805011J3411,THIAMINE HCL 100 MG/ML INJECTION SOLN,33.0,33.0,1.76,33.0,112 CDM,4359805025J3411,THIAMINE HCL 100 MG/ML INJECTION SOLN,33.0,33.0,1.76,33.0,112 CDM,4359805111J0630,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLN,9581.0,9581.0,816.0,9581.0,111 CDM,4359812745J2919,METHYLPREDNISOLONE SODIUM SUCC 40 MG INJECTION SOL,18.0,18.0,0.26,18.0,112 CDM,4359812811J2919,METHYLPREDNISOLONE SODIUM SUCC 500 MG INJECTION SO,80.0,80.0,0.26,80.0,112 CDM,4359812901J2919,METHYLPREDNISOLONE SODIUM SUCC 125 MG INJECTION SO,28.0,28.0,0.26,28.0,112 CDM,4359812925J2919,METHYLPREDNISOLONE SODIUM SUCC 125 MG INJECTION SO,28.0,28.0,0.26,28.0,112 CDM,4359813074J2919,METHYLPREDNISOLONE SODIUM SUCC 1000 MG INJECTION S,117.0,117.0,0.26,117.0,112 CDM,4359814111J3230,CHLORPROMAZINE HCL 50 MG/2ML INJECTION SOLN,103.0,103.0,13.91,103.0,112 CDM,4359814125J3230,CHLORPROMAZINE HCL 50 MG/2ML INJECTION SOLN,103.0,103.0,13.91,103.0,112 CDM,4359814362J9025,AZACITIDINE 100 MG INJECTION SUSR,360.0,360.0,0.21,360.0,112 CDM,4359825811J9171,DOCETAXEL 20 MG/ML IV CONC,270.0,270.0,0.38,270.0,112 CDM,4359825940J9171,DOCETAXEL 80 MG/4ML IV CONC,1080.0,1080.0,0.38,1080.0,112 CDM,4359826223J9395,FULVESTRANT 250 MG/5ML IM SOSY,360.0,360.0,5.72,360.0,112 CDM,4359826520J2704,PROPOFOL 200 MG/20ML IV EMUL,21.0,21.0,0.08,21.0,112 CDM,4359828335Q2050,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP,1620.0,1620.0,104.01,1620.0,119 CDM,4359830562J9025,AZACITIDINE 100 MG INJECTION SUSR,720.0,720.0,0.21,720.0,112 CDM,4359830920J9027,CLOFARABINE 1 MG/ML IV SOLN,3600.0,3600.0,5.33,3600.0,119 CDM,4359833011J3489,ZOLEDRONIC ACID 4 MG/5ML IV CONC,162.0,162.0,5.08,162.0,112 CDM,4359833111J3489,ZOLEDRONIC ACID 5 MG/100ML IV SOLN,846.0,846.0,5.08,846.0,112 CDM,4359834837J0894,DECITABINE 50 MG IV SOLR,3420.0,3420.0,0.65,3420.0,112 CDM,4359838662J9305,PEMETREXED DISODIUM 100 MG IV SOLR,573.0,573.0,3.59,573.0,119 CDM,4359838711J9305,PEMETREXED DISODIUM 500 MG IV SOLR,2855.0,2855.0,3.59,2855.0,119 CDM,4359839248J9245,MELPHALAN HCL 50 MG IV SOLR,1617.0,1617.0,86.94,1617.0,119 CDM,4359840511J3430,PHYTONADIONE 10 MG/ML INJECTION SOLN,154.0,154.0,2.21,154.0,112 CDM,4359840516J3430,PHYTONADIONE 10 MG/ML INJECTION SOLN,154.0,154.0,2.21,154.0,112 CDM,4359841311J0878,DAPTOMYCIN 500 MG IV SOLR,360.0,360.0,0.03,360.0,112 CDM,4359842660J9041,BORTEZOMIB 1 MG/ML IV SOLR (WRAPPER),900.0,900.0,1.59,900.0,112 CDM,4359846562J9025,AZACITIDINE 100 MG INJECTION SUSR,1440.0,1440.0,0.21,1440.0,112 CDM,4359847611J0878,DAPTOMYCIN 350 MG IV SOLR,144.0,144.0,0.03,144.0,112 CDM,4359852911J2710,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,65.0,65.0,0.71,65.0,111 CDM,4359852936J2710,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,65.0,65.0,0.71,65.0,111 CDM,4359854125Q2050,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP,4500.0,4500.0,104.01,4500.0,119 CDM,4359854821J2704,PROPOFOL 500 MG/50ML IV EMUL,51.0,51.0,0.08,51.0,112 CDM,4359854850J2704,PROPOFOL 500 MG/50ML IV EMUL,51.0,51.0,0.08,51.0,112 CDM,4359854910J2704,PROPOFOL 1000 MG/100ML IV EMUL,101.0,101.0,0.08,101.0,112 CDM,4359854952J2704,PROPOFOL 1000 MG/100ML IV EMUL,101.0,101.0,0.08,101.0,112 CDM,4359856311J2501,PARICALCITOL 2 MCG/ML IV SOLN,15.0,15.0,0.67,15.0,112 CDM,4359856411J2501,PARICALCITOL 5 MCG/ML IV SOLN,36.0,36.0,0.67,36.0,112 CDM,4359860504J7682,TOBRAMYCIN 300 MG/5ML INHALATION NEBU,387.0,387.0,12.47,387.0,112 CDM,4359860511J7682,TOBRAMYCIN 300 MG/5ML INHALATION NEBU,121.0,121.0,12.47,121.0,112 CDM,4359860556J7682,TOBRAMYCIN 300 MG/5ML INHALATION NEBU,387.0,387.0,12.47,387.0,112 CDM,4359860558J7682,TOBRAMYCIN 300 MG/5ML INHALATION NEBU,121.0,121.0,12.47,121.0,112 CDM,4359860710J1652,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN,45.0,45.0,0.67,45.0,112 CDM,4359860802J1652,FONDAPARINUX SODIUM 5 MG/0.4ML SC SOLN,127.0,127.0,0.67,127.0,112 CDM,4359860810J1652,FONDAPARINUX SODIUM 5 MG/0.4ML SC SOLN,127.0,127.0,0.67,127.0,112 CDM,4359860811J1652,FONDAPARINUX SODIUM 5 MG/0.4ML SC SOLN,127.0,127.0,0.67,127.0,112 CDM,4359860902J1652,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN,106.0,106.0,0.67,106.0,112 CDM,4359860911J1652,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN,106.0,106.0,0.67,106.0,112 CDM,4359861040J9171,DOCETAXEL 80 MG/4ML IV CONC,720.0,720.0,0.38,720.0,112 CDM,4359861111J9171,DOCETAXEL 20 MG/ML IV CONC,180.0,180.0,0.38,180.0,112 CDM,4359861611J2785,REGADENOSON 0.4 MG/5ML IV SOLN,306.0,306.0,2.68,306.0,112 CDM,4359862857J9050,CARMUSTINE 100 MG IV SOLR,2700.0,2700.0,173.64,2700.0,119 CDM,4359863510J1953,LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN,67.0,67.0,0.04,67.0,112 CDM,4359863552J1953,LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN,67.0,67.0,0.04,67.0,112 CDM,4359863610J1953,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN,108.0,108.0,0.04,108.0,112 CDM,4359863652J1953,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN,108.0,108.0,0.04,108.0,112 CDM,4359863710J1953,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN,144.0,144.0,0.04,144.0,112 CDM,4359863752J1953,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN,144.0,144.0,0.04,144.0,112 CDM,4359864611J3285,TREPROSTINIL 50 MG/20ML INJECTION SOLN,10314.0,10314.0,54.48,10314.0,119 CDM,4359864811J3285,TREPROSTINIL SODIUM 10 MG/ML INJECTION SOLN (SC IN,41256.0,41256.0,54.48,41256.0,119 CDM,4359864911J3285,TREPROSTINIL 20 MG/20ML INJECTION SOLN,4126.0,4126.0,54.48,4126.0,119 CDM,4359866611J0330,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,29.0,29.0,0.81,29.0,111 CDM,4359867811J9025,AZACITIDINE 100 MG INJECTION SUSR,1440.0,1440.0,0.21,1440.0,112 CDM,4359868235Q2050,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP,1620.0,1620.0,104.01,1620.0,119 CDM,4359868325Q2050,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP,4500.0,4500.0,104.01,4500.0,119 CDM,4359875011J2310,NALOXONE HCL 2 MG/2ML INJECTION SOSY,113.0,113.0,8.7,113.0,111 CDM,4359875058J2310,NALOXONE HCL 2 MG/2ML INJECTION SOSY,113.0,113.0,8.7,113.0,111 CDM,4359875510J1953,LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN,67.0,67.0,0.04,67.0,112 CDM,4359875552J1953,LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN,67.0,67.0,0.04,67.0,112 CDM,4359875710J1953,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN,108.0,108.0,0.04,108.0,112 CDM,4359875752J1953,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN,108.0,108.0,0.04,108.0,112 CDM,4359875910J1953,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN,144.0,144.0,0.04,144.0,112 CDM,4359875952J1953,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN,144.0,144.0,0.04,144.0,112 CDM,4359884811J3486,ZIPRASIDONE MESYLATE 20 MG IM SOLR,170.0,170.0,3.14,170.0,112 CDM,4359884858J3486,ZIPRASIDONE MESYLATE 20 MG IM SOLR,170.0,170.0,3.14,170.0,112 CDM,4359890111J1335,ERTAPENEM SODIUM 1 G INJECTION SOLR,360.0,360.0,9.02,360.0,112 CDM,4359890158J1335,ERTAPENEM SODIUM 1 G INJECTION SOLR,360.0,360.0,9.02,360.0,112 CDM,4359891406J2598,VASOPRESSIN 20 UNIT/ML IV SOLN,83.0,83.0,0.53,83.0,112 CDM,4359891411J2598,VASOPRESSIN 20 UNIT/ML IV SOLN,83.0,83.0,0.53,83.0,112 CDM,4359891425J2598,VASOPRESSIN 20 UNIT/ML IV SOLN,83.0,83.0,0.53,83.0,112 CDM,4359893109J2597,DESMOPRESSIN ACETATE PF 4 MCG/ML INJECTION SOLN,137.0,137.0,3.41,137.0,112 CDM,4359893111J2597,DESMOPRESSIN ACETATE PF 4 MCG/ML INJECTION SOLN,137.0,137.0,3.41,137.0,112 CDM,4382520001J3490,TERLIPRESSIN ACETATE 0.85 MG IV SOLR,3420.0,3420.0,461.7,3420.0,111 CDM,44000001,HC SPEECH/HEARING THERAPY,986.0,986.0,21.7,986.0,125 CDM,44000006,HC EVAL SPEECH PRODUCTION,1095.0,1095.0,74.0,1095.0,122 CDM,44000007,HC SPEECH SOUND LAUG COMPREHEN,1095.0,1095.0,74.0,1095.0,122 CDM,44000008,HC BEHAVRAL QUALIT ANALYS VOICE,1095.0,1095.0,73.94,1095.0,122 CDM,44000009,HC TREATMENT OF SWALLOWING DYSFUNCTION,1011.0,1011.0,57.11,1011.0,122 CDM,44000010,HC EVAL-USE/FIT-VOICE PROSTH DEV,710.0,710.0,48.76,710.0,122 CDM,44000016,HC EVALUATE SWALLOWING FUNCTION,1638.0,1638.0,57.62,1638.0,122 CDM,44000018,HC MOTION FLUOROSCOPY/SWALLOW,1638.0,1638.0,42.32,1638.0,125 CDM,44000020,HC ENDOSCOPY SWALLOW TST (FEES),1107.0,1107.0,62.88,1107.0,125 CDM,4408711171S0126,FOLLITROPIN ALFA 900 UNIT/1.5ML SC SOPN,10434.0,10434.0,246.34,10434.0,112 CDM,4408735351J9023,AVELUMAB 200 MG/10ML IV SOLN,6970.0,6970.0,96.95,6970.0,119 CDM,4420625105P9047,ALBUMIN HUMAN 25 IV SOLN,324.0,324.0,43.74,324.0,119 CDM,4420625110P9047,ALBUMIN HUMAN 25 IV SOLN,648.0,648.0,45.9,648.0,119 CDM,4420630001J2791,RHO D IMMUNE GLOBULIN 1500 UNIT/2ML INJECTION SOSY,595.0,595.0,4.83,595.0,112 CDM,4420630010J2791,RHO D IMMUNE GLOBULIN 1500 UNIT/2ML INJECTION SOSY,541.0,541.0,4.83,541.0,112 CDM,4420630090J2791,RHO D IMMUNE GLOBULIN 1500 UNIT/2ML INJECTION SOSY,595.0,595.0,4.83,595.0,112 CDM,4420630092J2590,OXYTOCIN INFUSION 30 UNITS/500ML LR (CNR),36.0,36.0,0.86,36.0,111 CDM,4420631025P9045,ALBUMIN HUMAN 5 IV SOLN,338.0,338.0,45.63,338.0,119 CDM,4420631050P9045,ALBUMIN HUMAN 5 IV SOLN,648.0,648.0,47.71,648.0,119 CDM,4420631091P9045,ALBUMIN HUMAN 5 IV SOLN,648.0,648.0,47.71,648.0,119 CDM,4420643605J1459,IMMUNE GLOBULIN (HUMAN) 5 GM/50ML IV SOLN,3259.0,3259.0,49.28,3259.0,119 CDM,4420643710J1459,PRIVIGEN 1 G/10 ML IV SOLN (WRAPPER),6518.0,6518.0,49.28,6518.0,119 CDM,4420643791J1459,PRIVIGEN 10 GM/100ML IV SOLN,6518.0,6518.0,49.28,6518.0,119 CDM,4420643820J1459,PRIVIGEN 1 G/10 ML IV SOLN (WRAPPER),13035.0,13035.0,49.28,13035.0,119 CDM,4420643892J1459,PRIVIGEN 1 G/10 ML IV SOLN (WRAPPER),13035.0,13035.0,49.28,13035.0,119 CDM,4420643940J1459,PRIVIGEN 1 G/10 ML IV SOLN (WRAPPER),26070.0,26070.0,49.28,26070.0,119 CDM,4420645510J1559,IMMUNE GLOBULIN (HUMAN) 10 GM/50ML SC SOLN,8187.0,8187.0,13.64,8187.0,119 CDM,4456710110J0290,AMPICILLIN SODIUM 500 MG INJECTION SOLR,11.0,11.0,0.49,11.0,112 CDM,4456710210J0290,AMPICILLIN SODIUM 1 G INJECTION SOLR,22.0,22.0,0.49,22.0,112 CDM,4456710310J0290,AMPICILLIN SODIUM 2 G INJECTION SOLR,40.0,40.0,0.49,40.0,112 CDM,4456710401J0290,AMPICILLIN SODIUM 10 G IV SOLR,274.0,274.0,0.49,274.0,112 CDM,4456712025J0690,CEFAZOLIN SODIUM 1 G INJECTION SOLR,4.0,4.0,0.54,4.0,112 CDM,4456721010J0295,AMPICILLINSULBACTAM SODIUM 1.5 (10.5) G INJECTION,29.0,29.0,1.33,29.0,112 CDM,4456721110J0295,AMPICILLINSULBACTAM SODIUM 3 (21) G INJECTION SOLR,58.0,58.0,1.33,58.0,112 CDM,4456721201J0295,AMPICILLINSULBACTAM SODIUM 15 (105) G IV SOLR,270.0,270.0,1.33,270.0,112 CDM,4456723525J0713,CEFTAZIDIME 1 G INJECTION SOLR,17.0,17.0,1.47,17.0,112 CDM,4456723610J0713,CEFTAZIDIME 2 G IV SOLR,36.0,36.0,1.47,36.0,112 CDM,4456723706J0713,CEFTAZIDIME 6 G INJECTION SOLR,87.0,87.0,1.47,87.0,112 CDM,4456724010J0692,CEFEPIME HCL 1 G INJECTION SOLR,21.0,21.0,0.87,21.0,112 CDM,4456724110J0692,CEFEPIME HCL 2 G IV SOLR,36.0,36.0,0.87,36.0,112 CDM,4456724525J0694,CEFOXITIN SODIUM 1 G IV SOLR,36.0,36.0,4.45,36.0,112 CDM,4456724585J0694,CEFOXITIN SODIUM 1 G IV SOLR,11.0,11.0,1.49,11.0,112 CDM,4456724625J0694,CEFOXITIN SODIUM 2 G IV SOLR,72.0,72.0,4.45,72.0,112 CDM,4456724685J0694,CEFOXITIN SODIUM 2 G IV SOLR,22.0,22.0,2.97,22.0,112 CDM,4456724710J0694,CEFOXITIN SODIUM 10 G IV SOLR,180.0,180.0,4.45,180.0,112 CDM,4456731110J2540,PENICILLIN G POTASSIUM 5000000 UNITS INJECTION SOL,99.0,99.0,0.75,99.0,112 CDM,4456731201J2540,PENICILLIN G POTASSIUM 20000000 UNITS INJECTION SO,414.0,414.0,0.75,414.0,112 CDM,4456740101J2185,MEROPENEM 1 G IV SOLR,108.0,108.0,0.38,108.0,112 CDM,4456740110J2185,MEROPENEM 1 G IV SOLR,108.0,108.0,0.38,108.0,112 CDM,4456741024J3475,MAGNESIUM SULFATE IN D5W 15 GM/100ML IV SOLN,12.0,12.0,0.41,12.0,112 CDM,4456742000J3475,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,25.0,25.0,0.41,25.0,112 CDM,4456742024J3475,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,25.0,25.0,0.41,25.0,112 CDM,4456742100J3475,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,14.0,14.0,0.41,14.0,112 CDM,4456742124J3475,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,14.0,14.0,0.41,14.0,112 CDM,4456742424J3475,MAGNESIUM SULFATE 4 GM/50ML IV SOLN,17.0,17.0,0.41,17.0,112 CDM,4456743524J1956,LEVOFLOXACIN IN D5W 250 MG/50ML IV SOLN,26.0,26.0,1.89,26.0,112 CDM,4456743624J1956,LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN,46.0,46.0,1.89,46.0,112 CDM,4456743724J1956,LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN,47.0,47.0,1.89,47.0,112 CDM,4456745101J1806,ESMOLOL HCLSODIUM CHLORIDE 2000 MG/100ML IV SOLN,297.0,297.0,0.27,297.0,112 CDM,4456745110J1806,ESMOLOL HCLSODIUM CHLORIDE 2000 MG/100ML IV SOLN,297.0,297.0,0.27,297.0,112 CDM,4456750101J1953,LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN,30.0,30.0,0.04,30.0,112 CDM,4456750110J1953,LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN,30.0,30.0,0.04,30.0,112 CDM,4456750201J1953,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN,40.0,40.0,0.04,40.0,112 CDM,4456750210J1953,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN,40.0,40.0,0.04,40.0,112 CDM,4456750301J1953,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN,55.0,55.0,0.04,55.0,112 CDM,4456750310J1953,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN,55.0,55.0,0.04,55.0,112 CDM,4456751101J9060,CISPLATIN 200 MG/200ML IV SOLN,396.0,396.0,1.95,396.0,112 CDM,4456753001J9060,CISPLATIN 50 MG IV SOLR (WITH VOLUME),1800.0,1800.0,1.95,1800.0,112 CDM,4456761101J2251,MIDAZOLAM HCLSODIUM CHLORIDE 1000.9 MG/100ML IV S,108.0,108.0,0.17,108.0,112 CDM,4456761110J2251,MIDAZOLAM HCLSODIUM CHLORIDE 1000.9 MG/100ML IV S,108.0,108.0,0.17,108.0,112 CDM,4456762001J0613,CALCIUM GLUCONATENACL 10.675 GM/50ML IV SOLN,72.0,72.0,0.08,72.0,112 CDM,4456762024J0613,CALCIUM GLUCONATENACL 10.675 GM/50ML IV SOLN,72.0,72.0,0.08,72.0,112 CDM,4456762101J0613,CALCIUM GLUCONATENACL 20.675 GM/100ML IV SOLN,143.0,143.0,0.08,143.0,112 CDM,4456762124J0613,CALCIUM GLUCONATENACL 20.675 GM/100ML IV SOLN,143.0,143.0,0.08,143.0,112 CDM,4456770125J0696,CEFTRIAXONE SODIUM 1 G INJECTION SOLR,11.0,11.0,0.45,11.0,112 CDM,4456770225J0696,CEFTRIAXONE SODIUM 2 G INJECTION SOLR,22.0,22.0,0.45,22.0,112 CDM,4456770301J0696,CEFTRIAXONE SODIUM 10 G IV SOLR,101.0,101.0,0.45,101.0,112 CDM,4456770501J0743,IMIPENEMCILASTATIN 500 MG IV SOLR,99.0,99.0,6.97,99.0,112 CDM,4456770510J0743,IMIPENEMCILASTATIN 500 MG IV SOLR,99.0,99.0,6.97,99.0,112 CDM,4456770625J0690,CEFAZOLIN SODIUM 500 MG INJECTION SOLR,6.0,6.0,0.81,6.0,112 CDM,4456770725J0690,CEFAZOLIN SODIUM 1 G INJECTION SOLR,6.0,6.0,0.81,6.0,112 CDM,4456770810J0690,CEFAZOLIN SODIUM 10 G INJECTION SOLR,40.0,40.0,0.81,40.0,112 CDM,4456780110J2543,PIPERACILLIN SODTAZOBACTAM SO 2.25 (20.25) G IV SO,11.0,11.0,1.09,11.0,112 CDM,4456780210J2543,PIPERACILLIN SODTAZOBACTAM SO 3.375 (30.375) G IV,19.0,19.0,1.09,19.0,112 CDM,4456780310J2543,PIPERACILLIN SODTAZOBACTAM SO 4.5 (40.5) G IV SOLR,25.0,25.0,1.09,25.0,112 CDM,4456780401J2543,PIPERACILLIN SODTAZOBACTAM SO 40.5 (364.5) G IV SO,429.0,429.0,1.09,429.0,112 CDM,4456781110J1806,ESMOLOL HCL 2500 MG/250ML IV SOLN,449.0,449.0,0.27,449.0,112 CDM,4456781210J1806,ESMOLOL HCL 2000 MG/100ML IV SOLN,467.0,467.0,0.27,467.0,112 CDM,4456782001J1335,ERTAPENEM SODIUM 1 G INJECTION SOLR,500.0,500.0,9.02,500.0,112 CDM,4456782010J1335,ERTAPENEM SODIUM 1 G INJECTION SOLR,500.0,500.0,9.02,500.0,112 CDM,45000001,HC INTRAMSCINJ.ANTIBIOTIC,307.0,307.0,12.7,307.0,125 CDM,45000002,HC HYDRAT IV INF EA ADD HRUPTO8,323.0,323.0,9.0,323.0,124 CDM,45000003,HC HYDRATIONIV INF INITUPTO 1HR,302.0,302.0,31.63,705.56,124 CDM,45000004,HC TX/PX/DX INJ INTRA-ARTERIAL,217.0,217.0,12.7,238.85,125 CDM,45000005,HC IV INF TX/PX/DX INI UP TO 1HR,960.0,960.0,39.3,960.0,125 CDM,45000006,HC IV INF TX/PX/DX INI EA ADD HR,960.0,960.0,12.29,960.0,125 CDM,45000007,HC NASOPHARYNGOSCOPY,528.0,528.0,45.09,8112.0,121 CDM,45000012,HC CARDIOVERSIONELECTIVE/EMER,3809.0,3809.0,111.36,14061.0,125 CDM,45000013,HC CARDIOPULMONARY RESUSCIT,750.0,750.0,93.57,750.0,122 CDM,45000014,HC AEROSOL/VAPINHA INITEVAL,615.0,615.0,10.92,726.4,125 CDM,45000015,HC LEVEL 1 E.R.,599.0,599.0,16.19,3873.0,125 CDM,45000018,HC LEVEL 4 E.R.,2662.0,2662.0,90.0,3873.0,125 CDM,45000019,HC LEVEL 5 E.R.,4829.0,4829.0,90.0,4829.0,125 CDM,45000020,HC LEVEL 3 E.R.,1213.0,1213.0,56.65,3873.0,125 CDM,45000021,HC THERAP/PROPHYL/DX INJ IV,1297.0,1297.0,20.87,1297.0,125 CDM,45000022,HC LEVEL 2 E.R.,1127.0,1127.0,32.98,3873.0,125 CDM,45000023,HC CRITICAL CARE EA ADDL 30 MIN,4829.0,4829.0,74.4,8072.0,114 CDM,45000024,HC CRITCAL CARE 1ST 30-74 MIN,6747.0,6747.0,151.63,8072.0,124 CDM,45000027,HC TX/PROPH/DX IV INJ EACH ADDL,1253.0,1253.0,13.01,1253.0,125 CDM,45000028,HC CONSCIOUS SED ADLT FRST 30 MIN,997.0,997.0,9.9,997.0,114 CDM,45000029,HC OTHER PRO/DX IV P/SEQ SAME SUB,426.0,426.0,57.51,426.0,112 CDM,45000037,HC VENIPUNCTURE AGE 3MDDX OF RX,582.0,582.0,10.5,8112.0,112 CDM,45000038,HC APPLICAT LONGARMSPLINT,921.0,921.0,33.5,2787.0,125 CDM,45000042,HC CL TX FX GREAT TOE/PHAL W/MANP,838.0,838.0,63.0,2787.0,125 CDM,45000045,HC CL/TXPHALXNOTGRTTOE W/MAN,787.0,787.0,63.0,2787.0,125 CDM,45000047,HC CLTXMETATARSALFX W/MAN,1269.0,1269.0,63.0,2787.0,125 CDM,45000048,HC CLTX TALUS FXW/MAN,1474.0,1474.0,63.0,5333.99,125 CDM,45000050,HC CLTXINTERPHLJTDISLW/OUTAN,777.0,777.0,48.5,2787.0,125 CDM,45000054,HC CLTX MEDMALLELUSFX W/MAN,2020.0,2020.0,90.0,5333.99,125 CDM,45000055,HC TRNSFUSBLD/BLD COMPNTS,1569.0,1569.0,27.84,1569.0,124 CDM,45000057,HC CL/TX TIBSH FXWMAN,2270.0,2270.0,90.0,5333.99,125 CDM,45000060,HC CLTX DIST FIBULARFX,1271.0,1271.0,63.0,2787.0,125 CDM,45000063,HC I D DP ABSCES/HEMATOMA LG/AN,432.0,432.0,73.01,20525.67,125 CDM,45000064,HC CL TX PATELLAR DSLC NO ANES,1458.0,1458.0,63.0,2787.0,125 CDM,45000069,HC REEM FB FOOT SUBCUT,4707.0,4707.0,30.5,4707.0,125 CDM,45000071,HC CR/DISL ANKLE,1570.0,1570.0,63.0,2787.0,125 CDM,45000072,HC CLTXTRIMALANKLEFX W/MAN,2203.0,2203.0,90.0,5333.99,125 CDM,45000073,HC TRACH TUBE CHNG BEF FISTULA,864.0,864.0,59.23,2787.0,122 CDM,45000074,HC CLTXBIMALLANKLEFX W/MAN,2075.0,2075.0,63.0,5333.99,125 CDM,45000075,HC CL/TX BIMALLEOLAR ANKLE,1399.0,1399.0,63.0,2787.0,125 CDM,45000076,HC CLTXDISTALFIBFX W/MAN,1739.0,1739.0,90.0,2787.0,125 CDM,45000077,HC CL/TXFX/ DISTAL RADIUS,1147.0,1147.0,63.0,2787.0,125 CDM,45000079,HC ENDOTR INTUBATION,2782.0,2782.0,72.0,3245.0,124 CDM,45000080,HC CHEST TUBE INSERTION,4290.0,4290.0,170.19,20525.67,125 CDM,45000081,HC I/R TEMPTR SCCARELEC/PMKR,22124.0,22124.0,211.07,29855.52,125 CDM,45000093,HC APPLICFINGERSPLNT STTIC,566.0,566.0,47.28,2787.0,122 CDM,45000095,HC APPLICSHRTARMSPLINT STTIC,716.0,716.0,26.0,2787.0,125 CDM,45000099,HC LARYNGFLEX FIBEROP DX,726.0,726.0,69.0,811.0,124 CDM,45000103,HC EPISTAXISANT COMPLEX UNILAT,1220.0,1220.0,40.5,2787.0,125 CDM,45000104,HC ENT-EPISTAXIS/ANTSPL CAUT.UNL,974.0,974.0,27.0,2787.0,125 CDM,45000106,HC LRP>2.5CM NKHDSFTEX GEN,1658.0,1658.0,24.5,2787.0,125 CDM,45000107,HC SRP <2.5CM FCERSELDNSLP,1273.0,1273.0,31.5,2787.0,125 CDM,45000108,HC LRP 7.6-12.5CM SCPAXTRKARM,1916.0,1916.0,46.5,4326.0,124 CDM,45000109,HC LRP 12.6-20CM SCPAXTRKARML,2141.0,2141.0,92.0,4326.0,124 CDM,45000112,HC LRP 2.6-7.5CM SCPAXTRKARM.L,1651.0,1651.0,33.0,2787.0,125 CDM,45000113,HC LRP 2.6-7.5CM NKHDSFTEX GEN,1799.0,1799.0,35.5,2787.0,125 CDM,45000114,HC LRP 7.6-12.5CM NKHDSFTEX GE,1923.0,1923.0,48.5,2787.0,125 CDM,45000117,HC SRP 20.1-30.CM FCERELDNSLP,3282.0,3282.0,50.09,3282.0,125 CDM,45000119,HC SRP 2.6-5.0CM FCERELDNSLP,1426.0,1426.0,47.5,2787.0,125 CDM,45000120,HC SRP 5.1-7.5CM FCERELDNSLP,1668.0,1668.0,47.5,2787.0,125 CDM,45000121,HC SRP 7.6-12.5CM FCERELDNSLP,2075.0,2075.0,50.09,2787.0,125 CDM,45000123,HC LRP<2.5CM FCERSELDSNSLPS,1695.0,1695.0,31.5,2787.0,125 CDM,45000126,HC SUTUR. IMMED-2.5 CM OR LESS,1498.0,1498.0,24.5,2787.0,125 CDM,45000129,HC CRP 2.6-7.5CM SCLP ARM LG,2839.0,2839.0,90.0,2839.0,125 CDM,45000131,HC CRP 1.1-2.5CM FHDCHKCHNHDF,1947.0,1947.0,71.0,2787.0,125 CDM,45000138,HC CLTX FXDISRADW/MANIP,2200.0,2200.0,90.0,5333.99,125 CDM,45000140,HC LAYER CLOSURE-WOUNDS 2.6-5.0CM,1834.0,1834.0,47.5,2787.0,125 CDM,45000141,HC LRP 5.1-7.5CM FCERSELDSNSL,2014.0,2014.0,47.5,2787.0,125 CDM,45000143,HC LRP 12.6-20CM FCERSELDSNSL,2992.0,2992.0,90.0,2992.0,125 CDM,45000147,HC I D SIMPLE HEMATOMA,5148.0,5148.0,30.08,20525.67,125 CDM,45000148,HC FB REMOVALINC/REM SUBC SMPLE,1306.0,1306.0,30.5,1348.49,124 CDM,45000150,HC I D COMPLICATED PILONIDAL CYST,4589.0,4589.0,90.0,4589.0,125 CDM,45000151,HC PUNCTURE ASPIRA ABSC,1123.0,1123.0,30.72,4664.92,125 CDM,45000154,HC SIMPLE PARONYXHIA,1109.0,1109.0,23.5,1109.0,124 CDM,45000156,HC I D COMPLICATED ABSCESS,4097.0,4097.0,52.5,4097.0,124 CDM,45000157,HC I D SIMPLE PILONIDAL CYST,1374.0,1374.0,36.0,2787.0,125 CDM,45000158,HC SUTUR.IMMED 2.6-7.5 CM,1323.0,1323.0,35.5,1323.0,124 CDM,45000160,HC REPAIR OF NAIL BED,1077.0,1077.0,23.0,2787.0,125 CDM,45000161,HC WEDGE EXCIS SKIN NAIL FOLD,734.0,734.0,50.0,2787.0,125 CDM,45000162,HC SUTUR. IMMED 2.5 OR LESS,1220.0,1220.0,24.5,2787.0,125 CDM,45000163,HC EVAC SUBUNG HEMATOMA,723.0,723.0,16.26,2787.0,125 CDM,45000164,HC SUTUR. IMMED 7.5-12.5 CM,1531.0,1531.0,48.5,2787.0,125 CDM,45000165,HC SRP 12.6-20CM SCPNKAXGENTR,1894.0,1894.0,50.09,2787.0,125 CDM,45000166,HC SRP 20.1-30CM SCPNKAXGENTR,2486.0,2486.0,50.09,2787.0,125 CDM,45000167,HC SRP>30CM SCPNKAXGENTRKEXT,2762.0,2762.0,50.09,2787.0,125 CDM,45000173,HC EXS NL PT/CMP FOR PERM REMOVAL,2768.0,2768.0,90.0,2787.0,124 CDM,45000175,HC INTEG-AVUL NAIL PLATE PART/ONE,507.0,507.0,25.75,811.0,124 CDM,45000177,HC CL/TX ULNAR STYLOID,1234.0,1234.0,63.0,2787.0,125 CDM,45000178,HC CL TX NRSEMAID ELBOW W/MANP,680.0,680.0,53.0,2787.0,125 CDM,45000183,HC I D FINGER ABSCESS COMP/FELON,2141.0,2141.0,26.5,2787.0,125 CDM,45000184,HC FELON,5895.0,5895.0,80.0,5895.0,125 CDM,45000185,HC CL TX EA BONE METACARPL NO MAN,920.0,920.0,63.0,2787.0,125 CDM,45000187,HC CL TX FX RADIAL HEAD/NECK,1032.0,1032.0,63.0,2787.0,125 CDM,45000189,HC CL/TX FX RADIAL SHAFT,1054.0,1054.0,63.0,2787.0,125 CDM,45000191,HC CL TX THUMB W/MANP,1547.0,1547.0,38.5,2787.0,125 CDM,45000194,HC CLTXRAD/ULNSHFTFXW/MANIP,2180.0,2180.0,90.0,5333.99,125 CDM,45000198,HC CR/DISL HIP TRAUMATIC,2084.0,2084.0,63.0,2787.0,125 CDM,45000199,HC CL TX POST HIP ARTHRO NO ANES,1749.0,1749.0,63.0,2787.0,125 CDM,45000200,HC CL TX IP JT SGL W/MANP NO ANE,1428.0,1428.0,36.5,2787.0,125 CDM,45000201,HC CL/TX FEMSHAFT W/MANIP,3566.0,3566.0,90.0,5333.99,125 CDM,45000206,HC CLOSED TX ELBOW W/MANP,1667.0,1667.0,63.0,2787.0,125 CDM,45000207,HC CL TX MCP JTSGL NO ANES,1634.0,1634.0,39.0,2787.0,125 CDM,45000210,HC CL TX PROX/MID FING/THUMBW/MAN,1634.0,1634.0,77.0,2787.0,125 CDM,45000212,HC CL TX ARTICULAR FXW/MAN,1649.0,1649.0,63.0,5333.99,125 CDM,45000214,HC CL/TXFXDISTLPHL/FNG/THB,1522.0,1522.0,63.0,2787.0,125 CDM,45000215,HC ATHRCTSIS SM JT/BURSA FG/TOE,1371.0,1371.0,23.04,4664.92,125 CDM,45000217,HC INJ TENDONSHTH TPTS GCYS,1085.0,1085.0,32.0,4664.92,125 CDM,45000219,HC ARTHROCENTESIS MEDIUM,1561.0,1561.0,27.52,4664.92,125 CDM,45000220,HC ARTHROCENTESIS LARGE,1147.0,1147.0,30.08,8015.0,125 CDM,45000222,HC BURNS INIT. RX 1 DEG,826.0,826.0,18.0,2787.0,125 CDM,45000223,HC SM DRSGDEBRDINT/SUB W/O ANES,818.0,818.0,20.0,3245.0,124 CDM,45000224,HC MD DRSGDEBRDINT/SUB W/O ANES,1359.0,1359.0,62.86,4326.0,124 CDM,45000237,HC SHOUL W/MANIP,1697.0,1697.0,63.0,2787.0,125 CDM,45000238,HC CL TX SHOULD DISLOC W/MANIP,5192.0,5192.0,90.0,5333.99,125 CDM,45000244,HC CL TX INT/SUB DISLOC TMJ,716.0,716.0,28.98,2787.0,125 CDM,45000246,HC CENTRAL LINE SUBCLAVIAN (INSER,2620.0,2620.0,144.91,11195.82,125 CDM,45000247,HC REMOV FEC IMPACT/FB ANES,5515.0,5515.0,38.5,5515.0,124 CDM,45000249,HC I D PERIANAL ABSCESS SUPERFIC,5462.0,5462.0,75.66,5462.0,125 CDM,45000251,HC I/D ISCHIORECT/PRECT ABSC,3246.0,3246.0,138.88,24257.61,125 CDM,45000253,HC INCISE THRMBSD EXT HEMORRHOID,712.0,712.0,41.0,2787.0,125 CDM,45000254,HC RPR<2.5CM FL/MTH 2/3 ANT TNG,1095.0,1095.0,31.5,2787.0,125 CDM,45000255,HC I D OF DENTOALVEOLAR ABSC,1400.0,1400.0,23.5,2787.0,125 CDM,45000256,HC I D PERITONSILLAR ABSCESS,2298.0,2298.0,62.0,2787.0,125 CDM,45000257,HC REMOVAL FB PHARYNX,1604.0,1604.0,27.36,2787.0,125 CDM,45000259,HC ANOSCOPY DIAG.,2621.0,2621.0,20.0,2621.0,124 CDM,45000261,HC REPL G TUBE W GUID,1739.0,1739.0,31.1,11195.82,125 CDM,45000265,HC DRAIN SMPL EXT EAR ABSC/HEMAT,1509.0,1509.0,43.0,2787.0,125 CDM,45000266,HC I D VAG HEMATOMA OB/POSTPART,5462.0,5462.0,90.0,9635.46,122 CDM,45000272,HC REMOVAL OF IMPACTED CERUMEN,645.0,645.0,46.28,4664.92,125 CDM,45000274,HC REMOVAL FBCORNEAL W/OSI/LMP,3272.0,3272.0,26.5,3272.0,125 CDM,45000278,HC REPAIR 1ST INGUINL HERN 5 YRS,9349.0,9349.0,406.4,35453.43,125 CDM,45000280,HC REM FB EAC NO CEN ANES,777.0,777.0,27.36,2787.0,125 CDM,45000283,HC ABD PARACENTESIS W/IMAG GUID,2325.0,2325.0,84.33,3245.0,124 CDM,45000284,HC CHANGE CYSTOTOMYTUBE SIMPLE,1128.0,1128.0,28.0,4664.92,125 CDM,45000287,HC ABD PARACENTESIS W/O IMAG GUID,2957.0,2957.0,54.53,3008.64,125 CDM,45000291,HC VAG DELIVERY,9822.0,9822.0,994.0,9822.0,112 CDM,45000292,HC DELIVERY OF PLACENTA,1131.0,1131.0,85.42,10738.13,125 CDM,45000293,HC INSRT NO-INDWELL/STRAIGHT CATH,640.0,640.0,25.45,2787.0,125 CDM,45000294,HC NERVE BLOCK PERIPH NERVE,1458.0,1458.0,21.0,4664.92,125 CDM,45000296,HC BARTHOLIN S ABSCESS,2083.0,2083.0,50.5,2787.0,125 CDM,45000298,HC LEVEL 6 E.R,6791.0,6791.0,90.0,34245.0,125 CDM,45000303,HC TREAT METACARPAL FRACT,717.0,717.0,90.0,2787.0,125 CDM,45000312,HC APPLICATION LOWER LEG SPLINT,582.0,582.0,35.0,811.0,124 CDM,45000316,HC IV PUSH SAME DRUG ADON,711.0,711.0,95.98,711.0,112 CDM,45000602,HC BLOOD TRANSFUSION SERVICE,990.0,990.0,27.84,1463.46,124 CDM,45000610,HC MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5/> YRS,313.0,313.0,42.26,2787.0,115 CDM,45000638,HC CLOSED TREAT ULNAR FRACTURE,2219.0,2219.0,63.0,5333.99,125 CDM,45000643,HC CLOSED RX MONTEGGIA FX/DISLOC ELBOW,4836.0,4836.0,90.0,5333.99,125 CDM,45000652,HC DRAINAGE OF SKENE S ABSCESS,6050.0,6050.0,38.5,6934.17,125 CDM,4556700601A9560,TECHNETIUM TC 99M PYROPHOS IV KIT,231.0,231.0,31.19,231.0,112 CDM,4556700602A9560,TECHNETIUM TC 99M PYROPHOS IV KIT,231.0,231.0,31.19,231.0,112 CDM,4596353930Q0162,ONDANSETRON HCL 8 MG PO TABS,125.0,125.0,0.01,125.0,112 CDM,4596360755J9390,VINORELBINE TARTRATE 10 MG/ML IV SOLN,65.0,65.0,1.96,65.0,112 CDM,4596360756J9390,VINORELBINE TARTRATE 50 MG/5ML IV SOLN,324.0,324.0,1.96,324.0,112 CDM,4596360955J9185,FLUDARABINE PHOSPHATE 50 MG IV SOLR,341.0,341.0,46.04,341.0,112 CDM,4596361455J9206,IRINOTECAN HCL 100 MG/5ML IV SOLN,109.0,109.0,1.4,109.0,112 CDM,4596361556J9351,TOPOTECAN HCL 4 MG IV SOLR,504.0,504.0,1.25,504.0,112 CDM,4596368602J9245,MELPHALAN HCL 50 MG IV SOLR,5916.0,5916.0,86.94,5916.0,119 CDM,4596373357J9000,DOXORUBICIN HCL 2 MG/ML IV SOLN,72.0,72.0,2.72,72.0,112 CDM,4596373360J9000,DOXORUBICIN HCL 2 MG/ML IV SOLN,504.0,504.0,2.72,504.0,112 CDM,4596373368J9000,DOXORUBICIN HCL 2 MG/ML IV SOLN,126.0,126.0,2.72,126.0,112 CDM,4596373454J9171,DOCETAXEL 20 MG/ML IV CONC,720.0,720.0,0.38,720.0,112 CDM,46000001,HC PULSE OXIMETRY MULT DETERM,1081.0,1081.0,3.86,1081.0,115 CDM,46000002,HC PULSE OXIMETRY SING DETERM,407.0,407.0,1.98,407.0,115 CDM,46000003,HC SPIROMETRY,2110.0,2110.0,9.0,2110.0,125 CDM,46000005,HC LUNG FUNCTION TEST (MBC/MVV),717.0,717.0,5.4,717.0,125 CDM,46000011,HC PULM STRESS TEST 6 MIN WALKHR OXIMETRY AND O2 T,709.0,709.0,8.66,709.0,125 CDM,46000016,HC MULTI SPIROMETRY W/AGENT,1665.0,1665.0,11.4,1665.0,125 CDM,46000017,HC VITAL CAPAC-TECH,3401.0,3401.0,2.4,3401.0,120 CDM,46000018,HC PLETHYSMOGRAPHY FOR DETERMINATION OF LUNG VOL A,2394.0,2394.0,30.44,2394.0,125 CDM,46000020,HC DIFF CAPAC-TECH,2394.0,2394.0,33.12,2394.0,116 CDM,46000025,HC MAPS SPIROMETRY,195.0,195.0,9.0,716.25,125 CDM,46000026,HC MAPS PULSE OXIMETRY SING DETERM,35.0,35.0,1.98,35.0,115 CDM,46000029,HC MAPS BRONCHOSPASAM EVALUATION,283.0,283.0,11.4,1237.84,125 CDM,46000032,HC FORCED VITAL CAPACITY,331.0,331.0,2.4,426.82,120 CDM,46000045,HCá ARTERIAL PUNCTURE-NEONATE,345.0,345.0,11.28,441.35,125 CDM,46000058,HC OXIMETRY(ONE TIME) SPOT CHECK-NEONATE,1065.0,1065.0,31.67,1065.0,122 CDM,46000060,HC MAPS EXHALED NITRIC OXIDE MEAS,67.0,67.0,11.32,123.91,122 CDM,47000003,HC EVALUATION OF SPEECH FLUENCY,1095.0,1095.0,74.0,1095.0,122 CDM,47000004,HC EVALUATE SPEECH PRODUCTION,1095.0,1095.0,74.0,1095.0,122 CDM,47000029,HC MAPS REPROGRAM COCHLEAR IMPLT 7/>,190.0,190.0,32.11,426.82,122 CDM,47000044,HC MAPS VEMP TEST I R CERVICAL,225.0,225.0,38.02,426.82,122 CDM,47100001,HC AUDITORY EVOKED POTENTIALS NEURODIAGNOSTIC WIT,1085.0,1085.0,67.51,1085.0,125 CDM,47100011,HC MAPS EVOKED AUDITORY TST COMPLETE,289.0,289.0,6.54,1237.84,125 CDM,47100018,HC MAPS TYMPANOMETRY,140.0,140.0,9.44,140.0,125 CDM,47100019,HC MAPS STENGER TEST PURE TONE,94.0,94.0,10.05,195.68,125 CDM,47100020,HC MAPS COMPREHENSIVE HEARING TEST,190.0,190.0,24.64,426.82,125 CDM,47100021,HC MAPS SPEECH AUDIOMETRY COMPLETE,96.0,96.0,15.0,195.68,125 CDM,47100022,HC MAPS SPEECH THRESHOLD AUDIOMETRY,57.0,57.0,6.5,195.68,125 CDM,47100023,HC MAPS AUDIOMETRY AIR BONE,173.0,173.0,14.0,426.82,125 CDM,47100024,HC MAPS PURE TONE AUDIOMETRY AIR,142.0,142.0,8.0,441.35,125 CDM,47100025,HC MAPS TYMPANOMETRY REFLEX THRESH,130.0,130.0,16.25,716.25,125 CDM,47100033,HC MAPS PURE TONE SCREEN,51.0,51.0,6.89,51.0,115 CDM,4733503540J3489,ZOLEDRONIC ACID 4 MG/5ML IV CONC,1350.0,1350.0,5.08,1350.0,112 CDM,4733504940Q2050,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP,3489.0,3489.0,104.01,3489.0,119 CDM,4733505040Q2050,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP,8722.0,8722.0,104.01,8722.0,119 CDM,4733517640J9263,OXALIPLATIN 50 MG IV SOLR,3488.0,3488.0,0.05,3488.0,112 CDM,4733517795J3245,TILDRAKIZUMABASMN 100 MG/ML SC SOSY,62055.0,62055.0,123.78,62055.0,119 CDM,4733517796J3245,TILDRAKIZUMABASMN 100 MG/ML SC SOSY,62055.0,62055.0,123.78,62055.0,119 CDM,4733523583J8610,METHOTREXATE SODIUM 2.5 MG PO TABS,11.0,11.0,0.15,11.0,112 CDM,4733523596J8610,METHOTREXATE SODIUM 2.5 MG PO TABS,13.0,13.0,0.15,13.0,112 CDM,4733528440J9045,CARBOPLATIN 600 MG/60ML IV SOLN,360.0,360.0,2.11,360.0,112 CDM,4733533040J1205,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR,375.0,375.0,40.38,375.0,112 CDM,4733536141J0893,DECITABINE 50 MG IV SOLR,5538.0,5538.0,0.78,5538.0,112 CDM,4733561630J8499,DULOXETINE HCL 20 MG PO CSDR,25.0,25.0,3.38,25.0,105 CDM,4733561730J8499,DULOXETINE HCL 30 MG PO CSDR,25.0,25.0,3.38,25.0,105 CDM,4733561830J8499,DULOXETINE HCL 40 MG PO CSDR,25.0,25.0,3.38,25.0,105 CDM,4733561930J8499,DULOXETINE HCL 60 MG PO CSDR,25.0,25.0,3.38,25.0,105 CDM,4733563148J7626,BUDESONIDE 0.25 MG/2ML INHALATION SUSP,11.0,11.0,1.05,11.0,112 CDM,4733563149J7626,BUDESONIDE 0.25 MG/2ML INHALATION SUSP,11.0,11.0,1.05,11.0,112 CDM,4733563249J7626,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,11.0,11.0,1.05,11.0,112 CDM,4733563348J7626,BUDESONIDE 1 MG/2ML INHALATION SUSP,36.0,36.0,1.05,36.0,112 CDM,4733563349J7626,BUDESONIDE 1 MG/2ML INHALATION SUSP,36.0,36.0,1.05,36.0,112 CDM,4733570348J7613,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,4.0,4.0,0.07,4.0,112 CDM,4733570349J7613,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,4.0,4.0,0.07,4.0,112 CDM,4733570352J7613,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,4.0,4.0,0.07,4.0,112 CDM,4733570354J7613,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,4.0,4.0,0.07,4.0,112 CDM,4733589021J8700,TEMOZOLOMIDE 5 MG PO CAPS,38.0,38.0,0.27,38.0,112 CDM,4733589072J8700,TEMOZOLOMIDE 5 MG PO CAPS,38.0,38.0,0.27,38.0,112 CDM,4733589160J8700,TEMOZOLOMIDE 20 MG PO CAPS,152.0,152.0,0.27,152.0,112 CDM,4733589172J8700,TEMOZOLOMIDE 20 MG PO CAPS,152.0,152.0,0.27,152.0,112 CDM,4733589174J8700,TEMOZOLOMIDE 20 MG PO CAPS,152.0,152.0,0.27,152.0,112 CDM,4733589180J8700,TEMOZOLOMIDE 20 MG PO CAPS,152.0,152.0,0.27,152.0,112 CDM,4733589272J8700,TEMOZOLOMIDE 100 MG PO CAPS,757.0,757.0,0.27,757.0,112 CDM,4733589274J8700,TEMOZOLOMIDE 100 MG PO CAPS,757.0,757.0,0.27,757.0,112 CDM,4733589374J8700,TEMOZOLOMIDE 250 MG PO CAPS,1893.0,1893.0,0.27,1893.0,112 CDM,4733593060J8700,TEMOZOLOMIDE 180 MG PO CAPS,1363.0,1363.0,0.27,1363.0,112 CDM,4733599201J3475,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,48.0,48.0,0.41,48.0,112 CDM,4733599202J3475,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,24.0,24.0,0.41,24.0,112 CDM,4733599301J1836,METRONIDAZOLE 500 MG/100ML IV SOLN,10.0,10.0,0.03,10.0,112 CDM,4733599303J1836,METRONIDAZOLE 500 MG/100ML IV SOLN,18.0,18.0,0.03,18.0,112 CDM,4742620101J0185,APREPITANT 130 MG/18ML IV EMUL,1573.0,1573.0,1.7,1573.0,119 CDM,4778158629J1920,LABETALOL HCL 5 MG/ML IV SOLN,42.0,42.0,0.29,42.0,112 CDM,4778191401J8540,DEXAMETHASONE 4 MG PO TABS,4.0,4.0,0.01,4.0,112 CDM,4778191413J8540,DEXAMETHASONE 4 MG PO TABS,4.0,4.0,0.01,4.0,112 CDM,48000001,HC ECHO TRANSTHX REAL TIME LIMITE,1519.0,1519.0,21.5,1519.0,125 CDM,48000002,HC PLACE SWAN-GANZ CATH,11884.0,11884.0,133.95,20525.67,125 CDM,48000003,HC DOPPLER STUDY (ADD-ON),2241.0,2241.0,41.39,2241.0,115 CDM,48000006,HC ECHOCARDIOGRAPHY TRANSESOPHAG,5725.0,5725.0,132.93,5725.0,125 CDM,48000007,HC ECHO TRANSTHX REAL TIME COMPLE,3328.0,3328.0,95.0,3328.0,125 CDM,48000009,HC TRANSTHORACIC ECHOCOMPLETE,2276.0,2276.0,95.0,2276.0,125 CDM,48000010,HC INSERT HEART PM ATRIAL,38937.0,38937.0,538.98,39185.37,125 CDM,48000011,HC INSERT HEART PM VENTRICULAR,42192.0,42192.0,590.31,42192.0,125 CDM,48000012,HC INSRT HEART PM ATRIAL VENT,42620.0,42620.0,592.73,42620.0,125 CDM,48000015,HC INSERT PULSE GEN DUAL LEADS,38763.0,38763.0,464.49,38763.0,125 CDM,48000017,HC REPOSITION PACING-DEFIB LEAD,36909.0,36909.0,776.0,36909.0,125 CDM,48000018,HC INSERT 1 ELECTRODE PM-DEFIB,37860.0,37860.0,456.55,37860.0,125 CDM,48000019,HC INSERT 2 ELECTRODE PM-DEFIB,36909.0,36909.0,776.0,36909.0,125 CDM,48000020,HC REPAIR LEAD PACE-DEFIB ONE,35862.0,35862.0,466.46,35862.0,125 CDM,48000022,HC RELOCATION POCKET PACEMAKER,37172.0,37172.0,423.94,37172.0,125 CDM,48000023,HC RELOCATE POCKET FOR DEFIB,29885.0,29885.0,506.7,29885.0,125 CDM,48000024,HC INSERT PACING LEAD CONNECT,21717.0,21717.0,776.0,34671.16,125 CDM,48000025,HC L VENTRIC PACING LEAD ADD-ON,22585.0,22585.0,661.84,29855.52,113 CDM,48000026,HC REPOSITION L VENTRIC LEAD,8647.0,8647.0,776.0,29855.52,125 CDM,48000027,HC REMOVE REPLACE PM GEN SINGL,68867.0,68867.0,776.0,68867.0,125 CDM,48000028,HC REMV REPLC PM GEN DUAL LEAD,68867.0,68867.0,776.0,68867.0,125 CDM,48000029,HC REMV REPLC PM GEN MULT LEADS,68867.0,68867.0,776.0,68867.0,125 CDM,48000030,HC INSRT PULSE GEN W/DUAL LEADS,53494.0,53494.0,776.0,73785.93,125 CDM,48000031,HC INSRT PULSE GEN W/MULT LEADS,53494.0,53494.0,776.0,104122.5,125 CDM,48000032,HC REMOVAL OF PM GENERATOR,30106.0,30106.0,298.27,30106.0,125 CDM,48000033,HC REMOVAL OF PACEMAKER SYSTEM,33711.0,33711.0,439.31,33711.0,125 CDM,48000034,HC REMOVAL PACEMAKER ELECTRODE,37172.0,37172.0,776.0,37172.0,125 CDM,48000036,HC REMOVE PULSE GENERATOR,36127.0,36127.0,776.0,36127.0,125 CDM,48000037,HC REMOVE ELCTRD TRANSVENOUSLY,27544.0,27544.0,776.0,27544.0,125 CDM,48000038,HC INSJ/RPLCMT DEFIB W/LEAD(S),37860.0,37860.0,776.0,114728.0,125 CDM,48000039,HC RMVL REPLC PULSE GEN 1 LEAD,89618.0,89618.0,776.0,89618.0,125 CDM,48000040,HC RMVL RPLCMT DFB GEN 2 LEAD,89618.0,89618.0,776.0,89618.0,125 CDM,48000041,HC RMVL RPLCMT DFB GEN MLT LD,89618.0,89618.0,776.0,104122.5,125 CDM,48000042,HC INS/REP SUBQ DEFIBRILLATOR,56853.0,56853.0,2060.0,104122.5,122 CDM,48000043,HC RMVL OF SUBQ DEFIBRILLATOR,23418.0,23418.0,1447.0,23418.0,122 CDM,48000044,HC IMPLANT PAT-ACTIVE HT RECORD,25654.0,25654.0,776.0,58691.88,124 CDM,48000045,HC REMOVE PAT-ACTIVE HT RECORD,12780.0,12780.0,365.47,14061.0,124 CDM,48000048,HC INSERT I-AORT PERCUT DEVICE,78333.0,78333.0,243.89,78333.0,115 CDM,48000050,HC INSERT VAD ARTERY ACCESS,39345.0,39345.0,410.47,52247.16,112 CDM,48000051,HC INSERT VAD ART VEIN ACCESS,71425.0,71425.0,516.2,71425.0,112 CDM,48000052,HC REMOVE VAD DIFFERENT SESSION,27695.0,27695.0,214.18,27695.0,112 CDM,48000054,HC PRQ CARDIAC ANGIOPLAST 1 ART,58708.0,58708.0,776.0,58708.0,125 CDM,48000055,HC PRQ CARDIAC ANGIO ADDL ART,16770.0,16770.0,228.17,32504.0,113 CDM,48000056,HC PRQ CARD ANGIO/ATHRECT 1 ART,76036.0,76036.0,776.0,76036.0,125 CDM,48000057,HC PRQ CARD ANGIO/ATHRECT ADDL,35025.0,35025.0,264.16,35025.0,113 CDM,48000058,HC PRQ CARD STENT W/ANGIO 1 VSL,78380.0,78380.0,776.0,78380.0,125 CDM,48000059,HC PRQ CARD STENT W/ANGIO ADDL,31544.0,31544.0,253.48,51895.0,113 CDM,48000060,HC PRQ CARD STENT/ATH/ANGIO SINGLE ARTERY,154412.0,154412.0,776.0,154412.0,125 CDM,48000061,HC PRQ CARD STENT/ATH/ANGIO ADDL ARTERY,66566.0,66566.0,276.02,66566.0,113 CDM,48000062,HC PRQ REVASC BYP GRAFT 1 VSL,77145.0,77145.0,776.0,77145.0,125 CDM,48000063,HC PRQ REVASC BYP GRAFT ADDL,35473.0,35473.0,472.25,51895.0,113 CDM,48000064,HC PRQ CARD REVASC MI 1 VSL,77145.0,77145.0,776.0,77145.0,116 CDM,48000065,HC PRQ CARD REVASC CHRONIC 1VSL,77145.0,77145.0,776.0,77145.0,125 CDM,48000066,HC PRQ CARD REVASC CHRONIC ADDL,35473.0,35473.0,529.75,51895.0,113 CDM,48000067,HC CARDIOVERSION ELECTRIC INT,2250.0,2250.0,223.76,14061.0,122 CDM,48000068,HC PRQ CORONARY MECH THROMBECT,1617.0,1617.0,167.36,32606.6,116 CDM,48000069,HC DISSOLVE CLOT HEART VESSEL,2949.0,2949.0,398.12,14061.0,115 CDM,48000070,HC INTRAVASC US HEART ADD-ON DURING DIAG EVAL,12187.0,12187.0,150.13,14061.0,115 CDM,48000071,HC INTRAVASC US HEART ADD-ON EACH ADDL VESSAL,1932.0,1932.0,226.0,14061.0,112 CDM,48000072,HC REVISION OF AORTIC VALVE,42860.0,42860.0,776.0,52247.16,125 CDM,48000073,HC REVISION OF MITRAL VALVE,46023.0,46023.0,1899.0,52247.16,122 CDM,48000075,HC CARDIOVASCULAR STRESS TEST,3328.0,3328.0,42.26,3328.0,125 CDM,48000076,HC INTERROGATE SUBQ DEFIB,570.0,570.0,22.48,14061.0,122 CDM,48000077,HC PM DEVICE PROGR EVAL SNGL,1095.0,1095.0,10.54,14061.0,125 CDM,48000078,HC PM DEVICE PROGR EVAL DUAL,108.0,108.0,12.22,14061.0,125 CDM,48000079,HC PM DEVICE PROGR EVAL MULTI,1095.0,1095.0,14.11,14061.0,125 CDM,48000080,HC PRGRMG EVAL IMPLANTABLE DFB SINGLE LEAD,1748.0,1748.0,12.64,14061.0,125 CDM,48000081,HC PRGRMG EVAL IMPLANTABLE DFB DUAL LEAD,1748.0,1748.0,14.53,14061.0,125 CDM,48000082,HC PRGRMG EVAL IMPLANTABLE DFB MULTIPLE LEAD,1748.0,1748.0,16.63,14061.0,125 CDM,48000084,HC PERI-PX PACEMAKER DEVICE EVL,1095.0,1095.0,34.99,14061.0,112 CDM,48000085,HC PERI-PX DEVICE EVAL PRGR,662.0,662.0,34.99,14061.0,112 CDM,48000093,HC TTE W/DOPPLER COMPLETE,8320.0,8320.0,98.14,8320.0,125 CDM,48000094,HC DOPPLER ECHO EXAM HEART,1150.0,1150.0,20.55,1150.0,115 CDM,48000095,HC DOPPLER COLOR FLOW ADD-ON,2569.0,2569.0,16.12,2569.0,115 CDM,48000096,HC STRESS TTE ONLY,2052.0,2052.0,46.5,2052.0,125 CDM,48000097,HC STRESS TTE COMPLETE,3017.0,3017.0,119.21,3017.0,125 CDM,48000098,HC LEFT HRT CATH W/VENTRCLGRPHY,9453.0,9453.0,776.0,32606.6,125 CDM,48000099,HC R L HRT CATH W/VENTRICLGRPHY,24974.0,24974.0,776.0,35867.26,125 CDM,48000100,HC CORONARY ARTERY ANGIO S I,27565.0,27565.0,776.0,32606.6,125 CDM,48000101,HC CORONARY ART/GRFT ANGIO S I,17957.0,17957.0,776.0,32606.6,125 CDM,48000102,HC R HRT CORONARY ARTERY ANGIO,17735.0,17735.0,776.0,32606.6,125 CDM,48000103,HC R HRT ART/GRFT ANGIO,17735.0,17735.0,776.0,32606.6,125 CDM,48000104,HC L HRT ARTERY/VENTRICLE ANGIO,28031.0,28031.0,776.0,32606.6,125 CDM,48000105,HC L HRT ART/GRFT ANGIO,28977.0,28977.0,776.0,32606.6,125 CDM,48000106,HC R L HRT ART/VENTRICLE ANGIO,43558.0,43558.0,776.0,43558.0,125 CDM,48000107,HC R L HRT ART/VENTRICLE ANGIO WHEN PERFORMED IN B,49137.0,49137.0,776.0,49137.0,125 CDM,48000108,HC L HRT CATH TRNSPTL PUNCTURE,37666.0,37666.0,226.0,37666.0,113 CDM,48000109,HC DRUG ADMIN HEMODYNMIC MEAS,5857.0,5857.0,111.56,14061.0,112 CDM,48000110,HC EXERCISE W/HEMODYNAMIC MEAS,5857.0,5857.0,148.1,14061.0,112 CDM,48000111,HC BIOPSY OF HEART LINING,16091.0,16091.0,240.0,29855.52,125 CDM,48000114,HC R L HEART CATH CONGENITAL TRANSSEPTAL SEPTUM,17957.0,17957.0,776.0,35867.26,124 CDM,48000115,HC R L HEART CATH CONGENITAL SEPTAL,24974.0,24974.0,776.0,35867.26,124 CDM,48000116,HC CARDIAC OUTPUT MEASUREMENT,369.0,369.0,49.82,2060.0,112 CDM,48000117,HC INJECT CONGENITAL CARD CATH,5857.0,5857.0,87.9,14061.0,112 CDM,48000119,HC INJECT R VENTR/ATRIAL ANGIO,5857.0,5857.0,67.69,14061.0,112 CDM,48000120,HC INJECT SUPRVLV AORTOGRAPHY,5857.0,5857.0,76.16,14061.0,112 CDM,48000122,HC FFR HEART FLOW RESERVE MEASURE/STRESS AGENT,10944.0,10944.0,226.0,14061.0,112 CDM,48000123,HC HEART FLOW RESERVE MEASURE EACH ADD VESSAL,1739.0,1739.0,226.0,14061.0,112 CDM,48000124,HC TRANSCATH CLOSURE OF ASD,66987.0,66987.0,776.0,66987.0,125 CDM,48000125,HC TRANSCATH CLOSURE OF VSD,65790.0,65790.0,1970.0,65790.0,122 CDM,48000126,HC PERQ TRANSCATH SEPTAL REDUXN,67588.0,67588.0,994.0,67588.0,112 CDM,48000132,HC ELECTROPHYS MAP 3D ADD-ON,14937.0,14937.0,330.78,46935.0,112 CDM,48000134,HC ELECTROPHYSIOLOGY EVALUATION W/O INDUCTION,39070.0,39070.0,776.0,46935.0,125 CDM,48000135,HC ELECTROPHYSIOLOGY EVALUATION MULTIPLE ELECTRODE,58964.0,58964.0,776.0,58964.0,125 CDM,48000136,HC ELECTROPHYSIOLOGY EVALUATION W LEFT ATRIAL PACI,30675.0,30675.0,1370.63,46935.0,112 CDM,48000137,HC ELECTROPHYSIOLOGY EVALUATION LEFT VENTRICULAR,30675.0,30675.0,1378.68,46935.0,112 CDM,48000138,HC STIMULATION PACING HEART,16961.0,16961.0,372.33,46935.0,112 CDM,48000139,HC EVALUATION HEART DEVICE,15670.0,15670.0,226.0,32881.0,115 CDM,48000140,HC ELECTROPHYSIOLOGY EVALUATION SINGLE OR DUAL,20479.0,20479.0,1528.72,32881.0,112 CDM,48000141,HC ELECTROPHYSIOLOGY EVALUATION SINGLE OR DUAL CHA,31681.0,31681.0,416.24,32881.0,125 CDM,48000142,HC ELECTROPHYSIOLOGY EVALUATION SUB IMPLANT DEFIB,31337.0,31337.0,57.92,32881.0,112 CDM,48000143,HC ABLATE HEART DYSRHYTHM FOCUS COMP HEART BLOCK,21003.0,21003.0,776.0,72783.0,125 CDM,48000144,HC EP ABLATE SUPRAVENT ARRHYT,91342.0,91342.0,776.0,91342.0,125 CDM,48000145,HC EP ABLATE VENTRIC TACHY,138861.0,138861.0,776.0,138861.0,125 CDM,48000146,HC ABLATE ARRHYTHMIA ADD ON,58246.0,58246.0,645.21,72783.0,112 CDM,48000147,HC TX ATRIAL FIB PULM VEIN ISOL,159676.0,159676.0,776.0,159676.0,125 CDM,48000148,HC TX L/R ATRIAL FIB ADDL,58246.0,58246.0,645.81,72783.0,112 CDM,48000149,HC TILT TABLE EVALUATION,2832.0,2832.0,178.88,32881.0,122 CDM,48000150,HC INTRACARDIAC ECG (ICE),12187.0,12187.0,226.0,52247.16,112 CDM,48000151,HC INTERROGATION VAD IN PERSON,435.0,435.0,36.14,2060.0,125 CDM,48000152,HC CARDIAC REHAB/MONITOR,565.0,565.0,41.74,565.0,122 CDM,48000154,HC NB RESUSCITATION,750.0,750.0,93.57,2192.46,122 CDM,48000156,HC PERC DRUG-EL COR STENT BRAN,31544.0,31544.0,2060.0,58523.0,112 CDM,48000157,HC PERC D-E COR STENT ATHER S,154412.0,154412.0,2060.0,154412.0,122 CDM,48000158,HC PERC D-E COR STENT ATHER BR,66566.0,66566.0,2060.0,66566.0,112 CDM,48000159,HC PERC D-E COR REVASC T CABG S,77145.0,77145.0,2060.0,77145.0,122 CDM,48000160,HC PERC D-E COR REVASC T CABG B,35473.0,35473.0,2060.0,58523.0,112 CDM,48000161,HC PERC D-E COR REVASC W AMI S,77145.0,77145.0,2060.0,77145.0,113 CDM,48000162,HC PERC D-E COR REVASC CHRO SIN,77145.0,77145.0,2060.0,77145.0,122 CDM,48000163,HC PERC D-E COR REVASC CHRO ADD,35473.0,35473.0,2060.0,58523.0,112 CDM,48000164,HC ECHO TRANSESOPHAGEAL (TEE),5866.0,5866.0,356.29,5866.0,112 CDM,48000165,HC PERQ TRANSCATH CLOSURE PDA,67588.0,67588.0,1528.72,67588.0,122 CDM,48000166,HC ELECT ANAL ANTITACH P/M SYS,5640.0,5640.0,20.67,14061.0,125 CDM,48000169,HC MAPS PM/ICD REMOTE TECH SERV,398.0,398.0,19.99,2060.0,125 CDM,48000170,HC MAPS PM PHONE R-STRIP DEVICE EVAL,42.0,42.0,7.1,2060.0,125 CDM,48000172,HC MAPS ILR DEVICE INTERROGATE,39.0,39.0,6.59,2060.0,125 CDM,48000175,HC MAPS PRGRMG DEV EVAL IMPLTBL SYS,79.0,79.0,13.35,2060.0,122 CDM,48000182,HC MYOCARDIAL STRAIN IMAGING,1220.0,1220.0,13.61,2060.0,109 CDM,48000183,HC BUNDLE HIS RECORDING,6605.0,6605.0,94.2,32881.0,125 CDM,48000184,HC CATH PLACECARDIO BRACHYTX,8512.0,8512.0,183.07,8512.0,113 CDM,48000185,HC DETERMINE OF VENOUS PRESSURE,1585.0,1585.0,3.9,2060.0,110 CDM,48000186,HC DFB INTER S/D/M/LD IN PERSON,1748.0,1748.0,12.22,2060.0,125 CDM,48000187,HC ECHOCARD CFM LTD,2569.0,2569.0,16.12,2569.0,115 CDM,48000188,HC EPSTUDY F/UP-EVALDRUG WPRIORCO,37831.0,37831.0,80.73,37831.0,122 CDM,48000189,HC ESOPH REC ATR ELECT W/PACING,3093.0,3093.0,23.24,32881.0,125 CDM,48000190,HC ESOPH REC ATR ELECTROGRAM,1903.0,1903.0,11.8,32881.0,125 CDM,48000191,HC ILR INTER IN PERSON,1095.0,1095.0,11.98,2060.0,125 CDM,48000192,HC ILR PROGRAM EVAL,1095.0,1095.0,9.7,2060.0,125 CDM,48000193,HC INDUCT ARRHYTHMIA ELECT PACING,13275.0,13275.0,174.07,32881.0,125 CDM,48000194,HC INTRA-ATRIAL PACING,7081.0,7081.0,65.23,32881.0,125 CDM,48000195,HC INTRA-ATRIAL RECORDING,5270.0,5270.0,53.83,32881.0,125 CDM,48000196,HC INTRAVENTRICULAR PACING,7425.0,7425.0,75.42,32881.0,125 CDM,48000197,HC PCM INTER S/D/M/LD IN PERSON,1095.0,1095.0,9.91,2060.0,125 CDM,48000198,HC RT VENTRICULAR RECORDING,6225.0,6225.0,81.54,32881.0,122 CDM,48000214,HC PR INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVNS EL,80016.0,80016.0,2060.0,104122.5,122 CDM,48000218,HC MAPS MYOCRD STRAIN IMG SPCKL TRCK,41.0,41.0,5.54,2060.0,109 CDM,48000220,HC PRGRMG EVAL CARDIAC MODULJ,130.0,130.0,21.33,2060.0,122 CDM,48000221,HC INTERRO EVAL CARDIAC MODULJ,130.0,130.0,21.33,2060.0,122 CDM,48000222,HC 3D ECHO AND POSTPROCESSING DURING TEE,1043.0,1043.0,19.75,2060.0,111 CDM,48000224,HC MAPS PRGRMG EVAL CARDIAC MODULJ,70.0,70.0,11.83,2060.0,122 CDM,48000225,HC MAPS INTERRO EVAL CARDIAC MODULJ,70.0,70.0,11.83,2060.0,122 CDM,48000233,HC MAPS PRGRMG DEV EVAL ICDS SS IP,45.0,45.0,7.6,2060.0,122 CDM,48000234,HC MAPS INTERROG DEV EVAL ICDS SS IP,45.0,45.0,7.6,2060.0,122 CDM,48000235,HC MAPS REM INTERROG DEV ICDS TECH,45.0,45.0,7.6,2060.0,122 CDM,48000240,HC TCAT INS 2CHMBR LDLS PM CMPL,55695.0,55695.0,2060.0,63894.5,122 CDM,48100002,HC RIGHT HEART CATH,11878.0,11878.0,776.0,29345.94,125 CDM,48100004,HC IV OCT FOR PROC INIT VESSEL,899.0,899.0,22.48,14061.0,122 CDM,48100012,HC INSERT SUBQ DEFIB ELEC,56803.0,56803.0,2060.0,56803.0,122 CDM,48100013,HC EXT HEART ASSIST DEVICE,39345.0,39345.0,994.0,39345.0,107 CDM,48100014,HC MAPS ELECTROPHYSIOLOGY EVALUATION SUB IMPLANT D,350.0,350.0,47.25,32881.0,112 CDM,48100015,HC MAPS ICM DEVICE EVAL,44.0,44.0,7.44,14061.0,125 CDM,48100016,HC MAPS INTERROG DEVICE EVAL HEART,352.0,352.0,12.22,2060.0,125 CDM,48100018,HC MAPS ILR DEVICE EVAL PROGR IMPLANTABLE LOOP,556.0,556.0,9.7,14061.0,125 CDM,48100019,HC MAPS PRGRMG EVAL IMPLANTABLE DFB MULTIPLE LEAD,556.0,556.0,16.63,14061.0,125 CDM,48100020,HC MAPS PRGRMG EVAL IMPLANTABLE DFB DUAL LEAD,556.0,556.0,14.53,14061.0,125 CDM,48100021,HC MAPS PRGRMG EVAL IMPLANTABLE DFB SINGLE LEAD,556.0,556.0,12.64,14061.0,125 CDM,48100022,HC MAPS PM DEVICE PROGR EVAL MULTI,44.0,44.0,7.44,14061.0,125 CDM,48100023,HC MAPS PM DEVICE PROGR EVAL DUAL,556.0,556.0,12.22,14061.0,125 CDM,48100024,HC MAPS PM DEVICE PROGR EVAL SNGL,44.0,44.0,7.44,14061.0,125 CDM,48100025,HC MAPS INTERROGATE SUBQ DEFIB,77.0,77.0,13.01,14061.0,122 CDM,48100026,HC IV OCT FOR PROC INIT VESSEL,12351.0,12351.0,150.13,14061.0,115 CDM,48100027,HC MAPS PM DEVICE EVAL IN PERSON,352.0,352.0,9.91,2060.0,125 CDM,48100036,HC IMPLNT ICD LEAD(S) GEN DUAL CH,43537.0,43537.0,776.0,114728.0,125 CDM,48100045,HC ALCOHOL ABLATION,37667.0,37667.0,100.94,37667.0,122 CDM,48100046,HC ILIAC ART ANGIOCARDIAC CATH,137.0,137.0,15.17,14061.0,112 CDM,48100049,HC INSERT SUBQ DEFIB ELEC,56803.0,56803.0,2060.0,56803.0,122 CDM,48100050,HC RHC W/IMPL PRESSURE SENSOR,102311.0,102311.0,2060.0,102311.0,122 CDM,48100058,HC ADDITIONAL 2ND 3RD OR MORE,4475.0,4475.0,604.13,14061.0,107 CDM,48100059,HC ANT RENAL,5626.0,5626.0,759.51,14061.0,107 CDM,48100060,HC ANT TIBIAL 3RD ORD,8441.0,8441.0,994.0,14061.0,107 CDM,48100062,HC BRACHIOCEPHALIC,5626.0,5626.0,759.51,14061.0,107 CDM,48100063,HC CARDIOVERSION-INTERNAL,2250.0,2250.0,223.76,14061.0,122 CDM,48100064,HC CELIAC TRUNK,5626.0,5626.0,759.51,14061.0,107 CDM,48100065,HC COMM HEPATIC,8441.0,8441.0,994.0,14061.0,107 CDM,48100066,HC DESC GENICUL 2ND ORD,5626.0,5626.0,759.51,14061.0,107 CDM,48100067,HC DESC GENICUL 3RD ORD,8441.0,8441.0,994.0,14061.0,107 CDM,48100068,HC ENDOVASC VISC AORTA 1 GRAFT,67914.0,67914.0,994.0,67914.0,112 CDM,48100069,HC ENDOVASC VISC AORTA 2 GRAFT,67914.0,67914.0,994.0,67914.0,112 CDM,48100070,HC ENDOVASC VISC AORTA 3 GRAFT,67914.0,67914.0,994.0,67914.0,112 CDM,48100071,HC ENDOVASC VISC AORTA 4 GRAFT,67914.0,67914.0,994.0,67914.0,112 CDM,48100072,HC ESOPH BRANCHES,8441.0,8441.0,994.0,14061.0,107 CDM,48100073,HC EXCLUS DEST EXCIS - LAA,26875.0,26875.0,888.96,29345.94,112 CDM,48100074,HC GASTRODUODENAL,8441.0,8441.0,994.0,14061.0,107 CDM,48100075,HC HEART PACING MAPPING,3675.0,3675.0,496.13,46935.0,112 CDM,48100076,HC ILEAL,5626.0,5626.0,759.51,14061.0,107 CDM,48100077,HC ILEOCOLIC,5626.0,5626.0,759.51,14061.0,107 CDM,48100078,HC INF MESENTERIC,5626.0,5626.0,759.51,14061.0,107 CDM,48100079,HC INITIAL 2ND ORD NOS,5626.0,5626.0,759.51,14061.0,107 CDM,48100080,HC INJ COR ANGIO-BYPASS GRAFTS,5857.0,5857.0,89.56,14061.0,112 CDM,48100081,HC INJ COR ANGIO-LT VENT/ATRIAL A,5857.0,5857.0,67.69,14061.0,112 CDM,48100082,HC INJ COR ANGIO-PULM ANGIO,5857.0,5857.0,69.28,14061.0,112 CDM,48100083,HC INSRT PULSE GEN W/EXIST SINGL,53494.0,53494.0,543.95,114728.0,125 CDM,48100084,HC INT ILIAC 1ST ORD,5626.0,5626.0,759.51,14061.0,107 CDM,48100085,HC INT ILIAC 2ND ORD,5626.0,5626.0,759.51,14061.0,107 CDM,48100086,HC INTERCOSTALS,5626.0,5626.0,759.51,14061.0,107 CDM,48100087,HC JEJUNAL,5626.0,5626.0,759.51,14061.0,107 CDM,48100088,HC L COMMON CAROTID,5626.0,5626.0,759.51,14061.0,107 CDM,48100089,HC L AXILLARY,5626.0,5626.0,759.51,14061.0,107 CDM,48100090,HC L COLIC,5626.0,5626.0,759.51,14061.0,107 CDM,48100091,HC L EXTERNAL CAROTID,5626.0,5626.0,759.51,14061.0,107 CDM,48100092,HC L GASTRIC,5626.0,5626.0,759.51,14061.0,107 CDM,48100093,HC L GASTROEPI,8441.0,8441.0,994.0,14061.0,107 CDM,48100094,HC L INTERNAL CAROTID,5626.0,5626.0,759.51,14061.0,107 CDM,48100095,HC L RENAL,5626.0,5626.0,759.51,14061.0,107 CDM,48100096,HC L SUPREME THORACIC,5626.0,5626.0,759.51,14061.0,107 CDM,48100097,HC L TESTICULAR,5626.0,5626.0,759.51,14061.0,107 CDM,48100098,HC L VERTEBRAL,5626.0,5626.0,759.51,14061.0,107 CDM,48100099,HC LAT CIRC 2ND ORD,5626.0,5626.0,759.51,14061.0,107 CDM,48100100,HC LAT CIRC 3RD ORD,5626.0,5626.0,759.51,14061.0,107 CDM,48100101,HC LAT DESCEND,8441.0,8441.0,994.0,14061.0,107 CDM,48100102,HC LAT INF GENI 3RD ORD,8441.0,8441.0,994.0,14061.0,107 CDM,48100103,HC LAT SUP GENI 3RD ORD,8441.0,8441.0,994.0,14061.0,107 CDM,48100104,HC LUMBAR,5626.0,5626.0,759.51,14061.0,107 CDM,48100105,HC MED SUP GENI 3RD ORD,8441.0,8441.0,994.0,14061.0,107 CDM,48100106,HC MEDIAL DESCEN 2ND ORD,5626.0,5626.0,759.51,14061.0,107 CDM,48100107,HC MEDIAL DESCEN 3RD ORD,8441.0,8441.0,994.0,14061.0,107 CDM,48100108,HC MIDDLE COLIC,5626.0,5626.0,759.51,14061.0,107 CDM,48100109,HC PANCREATIC,8441.0,8441.0,994.0,14061.0,107 CDM,48100110,HC PCA FEM-POP,16172.0,16172.0,994.0,16172.0,107 CDM,48100112,HC PERONEAL 3RD ORD,8441.0,8441.0,994.0,14061.0,107 CDM,48100113,HC PEROR SUPERFICIALS,8441.0,8441.0,994.0,14061.0,107 CDM,48100115,HC POPLITEAL 2ND ORD,5626.0,5626.0,759.51,14061.0,107 CDM,48100116,HC POST RENAL,5626.0,5626.0,759.51,14061.0,107 CDM,48100117,HC POST TIBIAL 3RD ORD,8441.0,8441.0,994.0,14061.0,107 CDM,48100118,HC PROFUNDA FEMORIS 1ST ORD,5626.0,5626.0,759.51,14061.0,107 CDM,48100119,HC PROFUNDA FEMORIS 3RD ORD,8441.0,8441.0,994.0,14061.0,107 CDM,48100120,HC PROPER HEPATIC,8441.0,8441.0,994.0,14061.0,107 CDM,48100121,HC PRQ CARD DE STENT W/ANGIO 1VSL,78380.0,78380.0,2060.0,78380.0,122 CDM,48100122,HC PULSE GENERATOR CHANGE-AAI/VVI,38763.0,38763.0,385.28,38763.0,125 CDM,48100123,HC PULSE GENERATOR CHANGE-MULTI,90570.0,90570.0,776.0,90570.0,125 CDM,48100124,HC R AXILLARY,5626.0,5626.0,759.51,14061.0,107 CDM,48100125,HC R COLIC,5626.0,5626.0,759.51,14061.0,107 CDM,48100126,HC R COMMON CAROTID,5626.0,5626.0,759.51,14061.0,107 CDM,48100127,HC R EXTERNAL CAROTID,5626.0,5626.0,759.51,14061.0,107 CDM,48100128,HC R GASTROEPI,8441.0,8441.0,994.0,14061.0,107 CDM,48100129,HC R INTERNAL CAROTID,5626.0,5626.0,759.51,14061.0,107 CDM,48100130,HC R INTERNAL MAMMARY,5626.0,5626.0,759.51,14061.0,107 CDM,48100131,HC R SUPREME THORACIC,5626.0,5626.0,759.51,14061.0,107 CDM,48100132,HC R THYROCERVICAL,5626.0,5626.0,759.51,14061.0,107 CDM,48100133,HC R VERTEBRAL,5626.0,5626.0,759.51,14061.0,107 CDM,48100134,HC RENAL SEG BRANCHES,8441.0,8441.0,994.0,14061.0,107 CDM,48100135,HC REPAIR A V ICD LEADS,27536.0,27536.0,776.0,29855.52,125 CDM,48100136,HC REPOS SUB DEFIB ELTRD,56822.0,56822.0,1447.0,56822.0,122 CDM,48100137,HC SIGMOID,5626.0,5626.0,759.51,14061.0,107 CDM,48100138,HC SPLENIC,5626.0,5626.0,759.51,14061.0,107 CDM,48100139,HC SUP FEMORAL 1ST ORD,5626.0,5626.0,759.51,14061.0,107 CDM,48100140,HC TEMP PM (DUAL LEADS),22124.0,22124.0,217.86,29855.52,125 CDM,48100141,HC TRANSEPT-RT LT ATRIAL PRESSURE,46843.0,46843.0,776.0,46843.0,125 CDM,48100142,HC UPGRADE AAI/VVI TO DDD,41965.0,41965.0,581.62,44783.28,125 CDM,48100143,HC VISC INFRAREN ABD 1 PROSTH,67914.0,67914.0,994.0,67914.0,112 CDM,48100144,HC VISC INFRAREN ABD 2 PROSTH,67914.0,67914.0,994.0,67914.0,112 CDM,48100145,HC VISC INFRAREN ABD 3 PROSTH,67914.0,67914.0,994.0,67914.0,112 CDM,48100146,HC VISC INFRAREN ABD 4 PROST,67914.0,67914.0,994.0,67914.0,112 CDM,48100147,HC INSERT/REPOSIT DUAL,43537.0,43537.0,776.0,114728.0,125 CDM,48100184,HC INTRA VENT/ATR TACHYCARDIA,12835.0,12835.0,234.0,46935.0,115 CDM,48100195,HC INSJ/RPLC CAR MODULJ PLS GN,80016.0,80016.0,2060.0,80016.0,122 CDM,48100196,HC INSJ/RPLC CAR MODULJ ATR ELT,28312.0,28312.0,2060.0,28312.0,122 CDM,48100197,HC INSJ/RPLC CAR MODULJ VNT ELT,28315.0,28315.0,2060.0,28315.0,122 CDM,48100198,HC REPOS CAR MODULJ TRANVNS ELT,1883.0,1883.0,318.23,14061.0,122 CDM,48100199,HC RELOC SKIN POCKET PLS GEN,5959.0,5959.0,994.0,14061.0,122 CDM,48100200,HC RMVL CAR MODULJ TRANVNS ELT,10321.0,10321.0,1447.0,14061.0,122 CDM,48100201,HC PR REVASC INTRAVASC LITHOTRIPSY,17216.0,17216.0,1899.0,38294.15,122 CDM,48100202,HC PR REVASC INTRA LITHOTRIP-ATHER,34953.0,34953.0,2060.0,60809.33,122 CDM,48100203,HC PR REVASC LITHOTRIP-STENT-ATHER,55790.0,55790.0,2060.0,60809.33,122 CDM,48100204,HC PR REVASC LITHOTRIP TIBI/PERONE,34879.0,34879.0,2060.0,38294.15,122 CDM,48100205,HC PR REVASC LITHOTR-STENT TIB/PER,55790.0,55790.0,2060.0,60809.33,122 CDM,48100206,HC PR REVASC LITHOTR-ATHER TIB/PER,55790.0,55790.0,2060.0,60809.33,122 CDM,48100207,HC PR REVASC LITH-STEN-ATH TIB/PER,55790.0,55790.0,2060.0,60809.33,122 CDM,48100209,HC R HRT CATH CHD W/IMG CATH TRGT ZON ABNL NT CONN,13715.0,13715.0,776.0,29345.94,124 CDM,48100218,HC IFR (INSTANTANEOUS WAVE-FREE RATIO) HEART FLOW,10944.0,10944.0,100.94,14061.0,122 CDM,48100219,HC NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY UNI,5857.0,5857.0,58.02,14061.0,112 CDM,48100220,HC NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY BI,5857.0,5857.0,96.69,14061.0,112 CDM,48100221,HC NJX DRG C-CATHJ SLCTV PULM VEN ANGIOGRAPHY,5857.0,5857.0,106.66,14061.0,112 CDM,48100222,HC NJX DRG C-CATHJ SLCTV PULM ANGRPH MAPCA CHD EA,5857.0,5857.0,142.69,14061.0,112 CDM,48100227,HC VNGRPH CHD ANOM/PERSIST SVC,5504.0,5504.0,87.27,14061.0,112 CDM,48100228,HC VNGRPH CHD AZYGS/HEMIAZYGS,5504.0,5504.0,82.23,14061.0,112 CDM,48100229,HC VENOGRAPHY CHD CORONARY SINUS,5504.0,5504.0,103.92,14061.0,112 CDM,48100230,HC VNGRPH CHD VNVN CLTRL AT/ABV,5504.0,5504.0,153.36,14061.0,112 CDM,48100231,HC VNGRPH CHD VNVN CLTRL BELOW,5504.0,5504.0,154.88,14061.0,112 CDM,48100239,HB PERQ TRLUML CORONRY LITHOTRP,1617.0,1617.0,167.53,14061.0,112 CDM,48100247,HC TCAT INS 1CHMBR LDLS PM RA,58481.0,58481.0,2060.0,63894.5,122 CDM,48100248,HC TCAT RMV 1CHMBR LDLS PM RA,9567.0,9567.0,1447.0,14061.0,122 CDM,48100249,HC TCAT RMV RPL1CHMB LDLS PM RA,58481.0,58481.0,2060.0,63894.5,122 CDM,48100250,HC PRGRMG EVL LDLS PM 1CHMBR IP,180.0,180.0,29.28,14061.0,122 CDM,48100255,HC ELECTROPHYSIOLOGIC EVAL CCM-D LEADS AT 1ST IMPL,3642.0,3642.0,615.5,14061.0,122 CDM,48100256,HC ELECTROPHYSIOLOGIC EVAL CCM-D LEADS SEPARATE,3642.0,3642.0,615.5,14061.0,122 CDM,48100257,HC INSERTION PERM CCM-D SYSTEM PULSE GENERATOR ONL,67339.0,67339.0,2060.0,73785.93,122 CDM,48100258,HC INSJ PERM CCM-D SYS 1 TRANSVNS LEAD ONLY,24828.0,24828.0,2060.0,27450.95,122 CDM,48100259,HC INSJ PERM CCM-D SYS DUAL TRANSVNS LEADS ONLY,24828.0,24828.0,2060.0,27450.95,122 CDM,48100260,HC INSJ PERM CCM-D SYS PG DUAL TRANSVNS ELTRDS/LDS,96183.0,96183.0,2060.0,104122.5,122 CDM,48100261,HC PERQ TCAT THER RX DLVR NTRAC RX BALO 1 MAJ C A,17105.0,17105.0,1899.0,38294.15,122 CDM,48100262,HC PERQ TCAT THER RX DLVR NTRAC RX BALO SEPARATE,10030.0,10030.0,226.0,14061.0,112 CDM,48100263,HC PROGRAMMING DEVICE EVAL IMPL CCM-D SYS IN PERSO,112.0,112.0,18.93,14061.0,122 CDM,48100264,HC RELOCATION SKIN POCKET IMPLANTED CCM-D PG,5488.0,5488.0,927.47,14061.0,122 CDM,48100265,HC REMOVAL PERM CCM-D SYSTEM PULSE GENERATOR ONLY,10918.0,10918.0,1447.0,14061.0,122 CDM,48100266,HC REPOSITIONING PREV IMPL CCM-D TRANSVNS ELTRD/LD,1855.0,1855.0,313.49,14061.0,122 CDM,48100267,HC RMVL PERM CCM-D SYS 1 TRANSVNS DFB LEAD ONLY,10918.0,10918.0,1447.0,14061.0,122 CDM,48100268,HC RMVL PERM CCM-D SYS 1 TRANSVNS PACING LEAD ONLY,10918.0,10918.0,1447.0,14061.0,122 CDM,48100269,HC RMVL PERM CCM-D SYS DUAL TRANSVNS LEADS ONLY,10918.0,10918.0,1447.0,14061.0,122 CDM,48100270,HC RMVL RPLCMT PERMANENT CCM-D PULSE GENERATOR ONL,67339.0,67339.0,2060.0,73785.93,122 CDM,48200000,HC MAPS CARDIOVASCULAR STRESS TEST,253.0,253.0,42.26,716.25,125 CDM,48200012,HC STRESS STUDY,3328.0,3328.0,42.26,3328.0,125 CDM,48300002,HC MAPS STRESS TTE COMPLETE,642.0,642.0,108.5,2060.0,125 CDM,48300003,HC MAPS STRESS TTE ONLY,499.0,499.0,46.5,1812.54,125 CDM,48300004,HC MAPS DOPPLER COLOR FLOW ADD-ON,270.0,270.0,16.12,270.0,115 CDM,48300005,HC MAPS TTE W/DOPPLER COMPLETE,499.0,499.0,84.33,2060.0,125 CDM,48300006,HC MAPS DOPPLER STUDY (ADD-ON),164.0,164.0,22.14,299.5,115 CDM,48300007,HC MAPS ECHO TRANSTHX REAL TIME LIMITE,540.0,540.0,21.5,791.48,125 CDM,48300010,HC TEE W/CONTRAST CONGENITAL,2334.0,2334.0,333.74,2600.41,122 CDM,48300013,HC MAPS DOPPLER ECHO EXAM HEART,257.0,257.0,20.55,257.0,115 CDM,48300014,HC TEE W OR W/O FOL W/CONTCONG,2334.0,2334.0,333.74,2600.41,122 CDM,4940108801C9399,BELIMUMAB 200 MG/ML SC SOAJ,4359.0,4359.0,588.47,4359.0,113 CDM,4940108842C9399,BELIMUMAB 200 MG/ML SC SOSY,4359.0,4359.0,588.47,4359.0,113 CDM,4940110101J0490,BELIMUMAB 120 MG IV SOLR,2241.0,2241.0,54.91,2241.0,119 CDM,4940110201J0490,BELIMUMAB 400 MG IV SOLR,7468.0,7468.0,54.91,7468.0,119 CDM,4947100105J3490,BENZYLPENICILLOYL POLYLYSINE 0.25 ML INTRADERMAL S,609.0,609.0,82.22,609.0,111 CDM,4950210201J0171,EPINEPHRINE 0.3 MG/0.3ML INJECTION SOAJ,563.0,563.0,0.76,563.0,111 CDM,4950210202J0171,EPINEPHRINE 0.3 MG/0.3ML INJECTION SOAJ,563.0,563.0,0.76,563.0,111 CDM,4950250001J0171,EPINEPHRINE 0.3 MG/0.3ML INJECTION SOAJ,1096.0,1096.0,0.76,1096.0,111 CDM,4950250002J0171,EPINEPHRINE 0.3 MG/0.3ML INJECTION SOAJ,1096.0,1096.0,0.76,1096.0,111 CDM,4950260530J7606,FORMOTEROL FUMARATE 20 MCG/2ML INHALATION NEBU,71.0,71.0,1.89,71.0,112 CDM,4970221301J3485,ZIDOVUDINE 10 MG/ML IV SOLN,106.0,106.0,1.51,106.0,119 CDM,4970221326J3485,ZIDOVUDINE 10 MG/ML IV SOLN,106.0,106.0,1.51,106.0,119 CDM,4970223803J0739,CABOTEGRAVIR ER 600 MG/3ML IM SUER,14138.0,14138.0,6.89,14138.0,119 CDM,4970224015J0741,CABOTEGRAVIR RILPIVIRINE ER 600 MG/3ML 900 MG/,23846.0,23846.0,23.17,23846.0,119 CDM,4970224613J8499,DOLUTEGRAVIRLAMIVUDINE 50300 MG PO TABS,358.0,358.0,29.55,358.0,105 CDM,4970225018J8499,FOSTEMSAVIR TROMETHAMINE ER 600 MG PO TB12,541.0,541.0,29.55,541.0,105 CDM,4970225315J0741,CABOTEGRAVIR RILPIVIRINE ER 400 MG/2ML 600 MG/,15897.0,15897.0,23.17,15897.0,119 CDM,4970226423J0739,CABOTEGRAVIR ER 600 MG/3ML IM SUER,14138.0,14138.0,6.89,14138.0,119 CDM,4988430702J8499,CLONAZEPAM 0.25 MG PO TBDP,4.0,4.0,0.54,4.0,105 CDM,4988430752J8499,CLONAZEPAM 0.25 MG PO TBDP,4.0,4.0,0.54,4.0,105 CDM,4988430802J8499,CLONAZEPAM 0.5 MG PO TBDP,4.0,4.0,0.54,4.0,105 CDM,4988430852J8499,CLONAZEPAM 0.5 MG PO TBDP,4.0,4.0,0.54,4.0,105 CDM,4988430902J8499,CLONAZEPAM 1 MG PO TBDP,5.0,5.0,0.68,5.0,105 CDM,4988430952J8499,CLONAZEPAM 1 MG PO TBDP,5.0,5.0,0.68,5.0,105 CDM,4988472401S0176,HYDROXYUREA 500 MG PO CAPS,4.0,4.0,0.41,4.0,111 CDM,5.0632E 14,RABIES VACCINE PCEC IM SUSR,1491.0,1491.0,10.0,1491.0,122 CDM,5.20001E 11,PNEUMOCOCCAL 20VAL CONJ VACC 0.5 ML IM SUSY,942.0,942.0,10.0,1045.64,124 CDM,5.2E 11,PNEUMOCOCCAL 20VAL CONJ VACC 0.5 ML IM SUSY,956.5,956.5,10.0,1077.83,248 CDM,5.45696E 14,TETANUSDIPHTHACELL PERTUSSIS 52.518.5 LFMCG/0.5 IM,64.0,64.0,8.64,64.0,115 CDM,5.81607E 14,HAEMOPHILUS B POLYSAC CONJ VAC 10 MCG INJECTION SO,457.0,457.0,10.0,457.0,114 CDM,5.81608E 14,DIPHTHACELL PERTUSSISTETANUS 255810 LFMCG/0.5 IM S,103.0,103.0,10.0,103.0,228 CDM,5.81608E 14,HEPATITIS A VACCINE 1440 EL U/ML IM SUSP,298.0,298.0,10.0,298.0,230 CDM,5.81608E 14,HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML INJECTION,102.0,102.0,10.0,113.22,248 CDM,5.81608E 14,HEPATITIS B VAC RECOMBINANT 20 MCG/ML INJECTION (W,219.5,219.5,10.0,277.51,620 CDM,5.81608E 14,TETANUSDIPHTHACELL PERTUSSIS 52.518.5 LFMCG/0.5 IM,170.0,170.0,10.0,170.0,460 CDM,5.81608E 14,ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSR,713.0,713.0,10.0,713.0,342 CDM,5.8161E 14,MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY,806.0,806.0,10.0,806.0,228 CDM,5.8161E 14,RABIES VACCINE PCEC IM SUSR,1365.0,1365.0,10.0,1365.0,122 CDM,5009030391J0171,EPINEPHRINE PF 1 MG/ML INJECTION SOLN,53.0,53.0,0.76,53.0,111 CDM,5009030392J0171,EPINEPHRINE PF 1 MG/ML INJECTION SOLN,53.0,53.0,0.76,53.0,111 CDM,5009034660J9202,GOSERELIN ACETATE 3.6 MG SC IMPL,2514.0,2514.0,339.39,2514.0,119 CDM,5024203706J3101,TENECTEPLASE 50 MG IV KIT,28180.0,28180.0,162.43,28180.0,119 CDM,5024204062J2357,OMALIZUMAB 150 MG SC SOLR,4986.0,4986.0,37.76,4986.0,119 CDM,5024204110J2997,ALTEPLASE 2 MG INJECTION SOLR,635.0,635.0,85.73,635.0,119 CDM,5024204164J2997,ALTEPLASE 2 MG INJECTION SOLR,635.0,635.0,85.73,635.0,119 CDM,5024204413J2997,ALTEPLASE 50 MG IV SOLR,15841.0,15841.0,91.48,15841.0,119 CDM,5024205121J9312,RITUXIMAB 100 MG/10ML IV SOLN,3383.0,3383.0,74.76,3383.0,119 CDM,5024205306J9312,RITUXIMAB 500 MG/50ML IV SOLN,16912.0,16912.0,74.76,16912.0,119 CDM,5024206001J9035,BEVACIZUMAB 100 MG/4ML IV SOLN,2869.0,2869.0,73.05,2869.0,119 CDM,5024206101J9035,BEVACIZUMAB 400 MG/16ML IV SOLN,12242.0,12242.0,73.05,12242.0,119 CDM,5024207001J9301,OBINUTUZUMAB 1000 MG/40ML IV SOLN,29671.0,29671.0,74.83,29671.0,119 CDM,5024207701J9356,TRASTUZUMABHYALURONIDASEOYSK 60010000 MGUNT/5ML SC,16831.0,16831.0,61.07,16831.0,119 CDM,5024208003J2778,RANIBIZUMAB 0.5 MG/0.05ML INTRAVITREAL SOSY,7020.0,7020.0,65.44,7020.0,119 CDM,5024208203J2778,RANIBIZUMAB 0.3 MG/0.05ML INTRAVITREAL SOSY,4212.0,4212.0,65.44,4212.0,119 CDM,5024208527J2997,ALTEPLASE 100 MG IV SOLR,31682.0,31682.0,91.48,31682.0,119 CDM,5024208701J9354,ADOTRASTUZUMAB EMTANSINE 160 MG IV SOLR,22641.0,22641.0,40.97,22641.0,119 CDM,5024208801J9354,ADOTRASTUZUMAB EMTANSINE 100 MG IV SOLR,14151.0,14151.0,40.97,14151.0,119 CDM,5024210039J7639,DORNASE ALFA 2.5 MG/2.5ML INHALATION SOLN,468.0,468.0,53.59,468.0,112 CDM,5024210040J7639,DORNASE ALFA 2.5 MG/2.5ML INHALATION SOLN,468.0,468.0,53.59,468.0,112 CDM,5024210301J9309,POLATUZUMAB VEDOTINPIIQ 30 MG IV SOLR,14358.0,14358.0,132.92,14358.0,119 CDM,5024210501J9309,POLATUZUMAB VEDOTINPIIQ 140 MG IV SOLR,67002.0,67002.0,132.92,67002.0,119 CDM,5024210801J9311,RITUXIMABHYALURONIDASE HUMAN 140023400 MG UT/11.7M,23676.0,23676.0,36.58,23676.0,119 CDM,5024210901J9311,RITUXIMABHYALURONIDASE HUMAN 160026800 MG UT/13.4M,27058.0,27058.0,36.58,27058.0,119 CDM,5024212047J3101,TENECTEPLASE 50 MG IV KIT,28180.0,28180.0,162.43,28180.0,119 CDM,5024212501J9286,GLOFITAMABGXBM 2.5 MG/2.5ML IV SOLN,9473.0,9473.0,1278.86,9473.0,119 CDM,5024212701J9286,GLOFITAMABGXBM 10 MG/10ML IV SOLN,37892.0,37892.0,2770.57,37892.0,119 CDM,5024213201J9355,TRASTUZUMAB 150 MG IV SOLR,5611.0,5611.0,73.48,5611.0,119 CDM,5024213501J3262,TOCILIZUMAB 80 MG/4ML IV SOLN,1913.0,1913.0,5.61,1913.0,119 CDM,5024213601J3262,TOCILIZUMAB 200 MG/10ML IV SOLN,4781.0,4781.0,5.61,4781.0,119 CDM,5024213701J3262,TOCILIZUMAB 400 MG/20ML IV SOLN,9561.0,9561.0,5.61,9561.0,119 CDM,5024213801J3262,TOCILIZUMAB 162 MG/0.9ML SC SOSY,4230.0,4230.0,5.61,4230.0,119 CDM,5024214201J9350,MOSUNETUZUMABAXGB 30 MG/30ML IV SOLN,66098.0,66098.0,641.07,66098.0,119 CDM,5024214301J3262,TOCILIZUMAB 162 MG/0.9ML SC SOAJ,4230.0,4230.0,5.61,4230.0,119 CDM,5024214501J9306,PERTUZUMAB 420 MG/14ML IV SOLN,21931.0,21931.0,16.19,21931.0,119 CDM,5024215001J2350,OCRELIZUMAB 300 MG/10ML IV SOLN,70972.0,70972.0,58.77,70972.0,119 CDM,5024215901J9350,MOSUNETUZUMABAXGB 1 MG/ML IV SOLN,2204.0,2204.0,297.54,2204.0,119 CDM,5024221401J2357,OMALIZUMAB 75 MG/0.5ML SC SOSY,2493.0,2493.0,37.76,2493.0,119 CDM,5024221501J2357,OMALIZUMAB 150 MG/ML SC SOSY,4986.0,4986.0,37.76,4986.0,119 CDM,5024224501J9316,PERTUZTRASTUZHYALURONZZXF 80402000 MGMGU/ML SC SOL,47943.0,47943.0,60.96,47943.0,119 CDM,5024226001J9316,PERTUZTRASTUZHYALURONZZXF 60602000 MGMGU/ML SC SOL,31961.0,31961.0,60.96,31961.0,119 CDM,5024255401C9399,OCRELIZUMABHYALURONIDASEOCSQ 92023000 MGUT/23ML SC,141945.0,141945.0,19162.58,141945.0,113 CDM,5024290118A4216,STERILE WATER FOR INJECTION SOLN,14.0,14.0,0.71,14.0,111 CDM,5024290124A4216,STERILE WATER FOR INJECTION SOLN,27.0,27.0,0.71,27.0,111 CDM,5024291701J9022,ATEZOLIZUMAB 1200 MG/20ML IV SOLN,39327.0,39327.0,88.22,39327.0,119 CDM,5024291801J9022,ATEZOLIZUMAB 840 MG/14ML IV SOLN,25694.0,25694.0,88.22,25694.0,119 CDM,5024292001J7170,EMICIZUMABKXWH 30 MG/ML SC SOLN,12091.0,12091.0,52.02,12091.0,121 CDM,5024292101J7170,EMICIZUMABKXWH 60 MG/0.4ML SC SOLN,24181.0,24181.0,52.02,24181.0,121 CDM,5024292201J7170,EMICIZUMABKXWH 105 MG/0.7ML SC SOLN,42317.0,42317.0,52.02,42317.0,121 CDM,5024292301J7170,EMICIZUMABKXWH 150 MG/ML SC SOLN,60453.0,60453.0,52.02,60453.0,121 CDM,5024293301C9399,ATEZOLIZUMABHYALURONIDASTQJS 187530000 MGUT/15ML S,39327.0,39327.0,5309.15,39327.0,113 CDM,5026816211Q0161,CHLORPROMAZINE HCL 10 MG PO TABS,16.0,16.0,0.33,16.0,111 CDM,5026816215Q0161,CHLORPROMAZINE HCL 10 MG PO TABS,16.0,16.0,0.33,16.0,111 CDM,5026816311Q0161,CHLORPROMAZINE HCL 25 MG PO TABS,23.0,23.0,0.33,23.0,111 CDM,5026816315Q0161,CHLORPROMAZINE HCL 25 MG PO TABS,23.0,23.0,0.33,23.0,111 CDM,5026816411J3230,CHLORPROMAZINE HCL 50 MG PO TABS,33.0,33.0,4.46,56.1,112 CDM,5026816415J3230,CHLORPROMAZINE HCL 50 MG PO TABS,33.0,33.0,4.46,56.1,112 CDM,5026816511Q0161,CHLORPROMAZINE HCL 100 MG PO TABS,53.0,53.0,0.33,53.0,111 CDM,5026816515Q0161,CHLORPROMAZINE HCL 100 MG PO TABS,53.0,53.0,0.33,53.0,111 CDM,5026816611Q0161,CHLORPROMAZINE HCL 200 MG PO TABS,63.0,63.0,0.33,63.0,111 CDM,5026816612Q0161,CHLORPROMAZINE HCL 200 MG PO TABS,63.0,63.0,0.33,63.0,111 CDM,5026862111Q0162,ONDANSETRON HCL 4 MG PO TABS,3.0,3.0,0.01,3.0,112 CDM,5026862115Q0162,ONDANSETRON HCL 4 MG PO TABS,3.0,3.0,0.01,3.0,112 CDM,5026862211Q0162,ONDANSETRON HCL 8 MG PO TABS,3.0,3.0,0.01,3.0,112 CDM,5026862215Q0162,ONDANSETRON HCL 8 MG PO TABS,3.0,3.0,0.01,3.0,112 CDM,5026868411Q0164,PROCHLORPERAZINE MALEATE 5 MG PO TABS,5.0,5.0,0.35,5.0,111 CDM,5026868415Q0164,PROCHLORPERAZINE MALEATE 5 MG PO TABS,5.0,5.0,0.35,5.0,111 CDM,5026868511Q0164,PROCHLORPERAZINE MALEATE 10 MG PO TABS,6.0,6.0,0.35,6.0,111 CDM,5026868515Q0164,PROCHLORPERAZINE MALEATE 10 MG PO TABS,6.0,6.0,0.35,6.0,111 CDM,5026871811J7520,SIROLIMUS 1 MG PO TABS,106.0,106.0,0.96,106.0,112 CDM,5026871813J7520,SIROLIMUS 1 MG PO TABS,106.0,106.0,0.96,106.0,112 CDM,5038304224J7510,PREDNISOLONE 15 MG/5ML PO SOLN (WRAPPER),348.0,348.0,0.27,348.0,112 CDM,5041932005A9581,GADOXETATE DISODIUM 0.25 MMOL/ML IV SOLN,512.0,512.0,14.7,512.0,104 CDM,5041932015A9581,GADOXETATE DISODIUM 0.25 MMOL/ML IV SOLN,913.0,913.0,14.7,913.0,104 CDM,5041932511A9585,GADOBUTROL 1 MMOL/ML IV SOLN,225.0,225.0,0.26,225.0,104 CDM,5041932528A9585,GADOBUTROL 10 MMOL/10ML IV SOSY,321.0,321.0,0.26,321.0,104 CDM,5041934405Q9967,IOPROMIDE 62 INJECTION SOLN,76.0,76.0,0.15,76.0,104 CDM,5041938501J9057,COPANLISIB HCL 60 MG IV SOLR,18913.0,18913.0,87.21,18913.0,111 CDM,5041942201J7301,LEVONORGESTREL 13.5 MG INTRAUTERINE IUD,3468.0,3468.0,468.18,3468.0,115 CDM,5041942301J7298,LEVONORGESTREL 21 MCG/DAY INTRAUTERINE IUD,4165.0,4165.0,562.28,4165.0,115 CDM,5041942401J7296,LEVONORGESTREL 19.5 MG INTRAUTERINE IUD,4165.0,4165.0,562.28,4165.0,115 CDM,5045825303J1631,HALOPERIDOL DECANOATE 50 MG/ML IM SOLN,314.0,314.0,3.94,314.0,112 CDM,5045830601J2794,RISPERIDONE MICROSPHERES ER 25 MG IM SRER,2213.0,2213.0,10.94,2213.0,119 CDM,5045830611J2794,RISPERIDONE MICROSPHERES ER 25 MG IM SRER,2213.0,2213.0,10.94,2213.0,119 CDM,5045830701J2794,RISPERIDONE MICROSPHERES ER 37.5 MG IM SRER,3319.0,3319.0,10.94,3319.0,119 CDM,5045830711J2794,RISPERIDONE MICROSPHERES ER 37.5 MG IM SRER,3319.0,3319.0,10.94,3319.0,119 CDM,5045830801J2794,RISPERIDONE MICROSPHERES ER 50 MG IM SRER,4426.0,4426.0,10.94,4426.0,119 CDM,5045830811J2794,RISPERIDONE MICROSPHERES ER 50 MG IM SRER,4426.0,4426.0,10.94,4426.0,119 CDM,5045830911J2794,RISPERIDONE MICROSPHERES ER 12.5 MG IM SRER,1107.0,1107.0,10.94,1107.0,119 CDM,5045856101J2426,PALIPERIDONE PALMITATE ER 78 MG/0.5ML IM SUSY,4175.0,4175.0,14.73,4175.0,119 CDM,5045856301J2426,PALIPERIDONE PALMITATE ER 156 MG/ML IM SUSY,8350.0,8350.0,14.73,8350.0,119 CDM,5045856401J2426,PALIPERIDONE PALMITATE ER 234 MG/1.5ML IM SUSY,12524.0,12524.0,14.73,12524.0,119 CDM,5047400263J1953,LEVETIRACETAM 500 MG/5ML IV SOLN,240.0,240.0,0.04,240.0,112 CDM,5047470061J0717,CERTOLIZUMAB PEGOL 2 X 200 MG SC KIT,18359.0,18359.0,3.87,18359.0,119 CDM,5047470062J0717,CERTOLIZUMAB PEGOL 2 X 200 MG SC KIT,20590.0,20590.0,3.87,20590.0,119 CDM,5047471079J0717,CERTOLIZUMAB PEGOL 200 MG/ML SC PSKT,20590.0,20590.0,3.87,20590.0,119 CDM,5063311011J0840,CROTALIDAE POLYVAL IMMUNE FAB IV SOLR,11513.0,11513.0,1554.26,11513.0,119 CDM,5063311012J0840,CROTALIDAE POLYVAL IMMUNE FAB IV SOLR,11513.0,11513.0,1554.26,11513.0,119 CDM,5063312011J1162,DIGOXIN IMMUNE FAB 40 MG IV SOLR,17219.0,17219.0,2324.57,17219.0,119 CDM,5063312111J1162,DIGOXIN IMMUNE FAB 40 MG IV SOLR,15920.0,15920.0,2149.2,15920.0,119 CDM,5063321011C9293,GLUCARPIDASE 1000 UNITS IV SOLR,148227.0,148227.0,336.52,148227.0,119 CDM,5074240620J9263,OXALIPLATIN 100 MG/20ML IV SOLN,1274.0,1274.0,0.05,1274.0,112 CDM,5074243108J9171,DOCETAXEL 80 MG/8ML IV SOLN,4555.0,4555.0,0.38,4555.0,112 CDM,5074244745J9045,CARBOPLATIN 450 MG/45ML IV SOLN,728.0,728.0,2.11,728.0,112 CDM,5074248401J9041,BORTEZOMIB 1 MG/ML IV SOLR (WRAPPER),1080.0,1080.0,1.59,1080.0,112 CDM,5074251902J9073,CYCLOPHOSPHAMIDE 500 MG/2.5ML IV SOLN,1319.0,1319.0,0.7,1319.0,119 CDM,5074252005J9073,CYCLOPHOSPHAMIDE 1 GM/5ML IV SOLN,1691.0,1691.0,0.7,1691.0,119 CDM,5074252110J9073,CYCLOPHOSPHAMIDE 2 GM/10ML IV SOLN,5274.0,5274.0,0.7,5274.0,119 CDM,51000002,HC OFFICE/PUTPT VISIT EST LEVL II,318.0,318.0,42.93,318.0,108 CDM,51000004,HC OFFICE/OUTPT VISIT NEW LEVL II,318.0,318.0,42.93,318.0,108 CDM,51000006,HC OFFICE OUT/PT VISIT EST LEVL 1,143.0,143.0,19.3,143.0,108 CDM,51000015,HC HOSPITAL OUTPATIENT CLINIC VISIT NEW,143.0,143.0,24.17,441.63,117 CDM,51000041,HC MAPS PSYCH DIAG EVAL W/MED SRVCS,298.0,298.0,50.36,588.79,122 CDM,51000042,HC MAPS NW PTO/P W PROB FOC HEM,140.0,140.0,18.9,140.0,108 CDM,51000045,HC MAPS TRANS CARE MGMT 7 DAY DISCH,115.0,115.0,19.43,441.63,122 CDM,51000046,HC MAPS TRANS CARE MGMT 14 DAY DISCH,115.0,115.0,19.43,441.63,122 CDM,51000048,HC MAPS GENETIC COUNSELING 30 MIN,152.0,152.0,20.52,152.0,112 CDM,51000049,HC MAPS OFFICE/OUTPATIENT VISIT EST,140.0,140.0,18.9,140.0,108 CDM,51000053,HC MAPS EPISTAXISANT COMPLEX UNILAT,142.0,142.0,24.0,441.35,125 CDM,51000054,HC MAPS INJECTION TREATMENT OF NERVE,748.0,748.0,73.5,3245.0,124 CDM,51000103,HC MAPS MED ABORTION INC ALL EX DRU,1108.0,1108.0,149.58,1108.0,116 CDM,51000111,HC REMOVE IMPACTED EAR WAX UNI,227.0,227.0,9.6,227.0,125 CDM,51000112,HC PREVENT COUNSELINDIV15 MIN,108.0,108.0,14.58,108.0,107 CDM,51000124,HC MAPS REMOVAL OF IMPACTED WAX MD,62.0,62.0,8.37,8112.0,111 CDM,51000125,HC PREVENT COUNSEL INDIV30 MIN,163.0,163.0,22.01,163.0,107 CDM,51000126,HC PREVENT COUNSEL INDIV45 MIN,227.0,227.0,30.65,227.0,107 CDM,51000127,HC PREVENT COUNSEL INDIV 60 MIN,284.0,284.0,38.34,284.0,107 CDM,51000146,HC MAPS EXPLORE/TREAT FINGER JOINT,1350.0,1350.0,157.0,5333.99,125 CDM,51000152,HC LACTATION CLASS,355.0,355.0,47.93,355.0,113 CDM,51000156,HC MAPS INITL PSYCH COLLABRTV CARE MGMT1ST 70 MINS,100.0,100.0,16.9,337.0,125 CDM,51000165,HC MAPS VISIT TO DETERMINE LDCT ELIGIBL,85.0,85.0,14.36,337.0,122 CDM,51000169,HC PSYCH MED. MGMT. ESTABLISHED CLIENT,102.86,102.86,13.89,102.86,108 CDM,51000172,HC CLOZARIL MONITOR EVAL MD (OV/OP VST EVAL M,108.64,108.64,14.67,108.64,108 CDM,51000175,HC MED MGMT. ESTABLISHED LOW TO MODERATE FACE TO,70.0,70.0,9.45,70.0,108 CDM,51000179,HC MED MGMT. EST/PT.,64.5,64.5,8.71,64.5,108 CDM,51000181,HC MAPS CHEMODENERV TRUNK MUSC 6/>,969.0,969.0,107.06,2341.52,125 CDM,51000185,HC MAPS TELEHEALTH ORIGINATING SITE FACILITY FEE,125.0,125.0,19.11,125.0,122 CDM,51000187,HC MAPS INIT/SUB PSYCH CARE M 1ST 30,105.0,105.0,17.74,337.0,125 CDM,51000197,HC MD MEDMGMT OFFICE VISIT NEW LEV II 15-29 MINS,113.8,113.8,15.36,113.8,108 CDM,51000198,HC MD MEDMGMT OFFICE VISIT NEW LEVL III 30-44 MIN,227.6,227.6,30.73,227.6,108 CDM,51000199,HC MD MEDMGMT OFFICE/OUTPT VISIT NEW LEVL IV 45-5,341.4,341.4,46.09,341.4,108 CDM,51000200,HC MD MEDMGMT OFFICE/OUTPT VISIT NEW LEVL V 60-74,455.2,455.2,61.45,455.2,108 CDM,51000201,HC MD MEDMGMT OFFICE/OUTPT VISIT EST LEVL II 10-1,113.8,113.8,15.36,113.8,108 CDM,51000202,HC MD MEDMGMT OFFICE OUTPT VISIT EST LEVL III 20-2,227.6,227.6,30.73,227.6,108 CDM,51000203,HC MD MEDMGMT OFFICE/OUTPT VISIT EST LEVL IV MINI,341.4,341.4,46.09,341.4,108 CDM,51000204,HC MD MEDMGMT OFFICE/OUTPT VISIT EST LEVL V 40-54,455.2,455.2,61.45,455.2,108 CDM,51000205,HC CRNP MEDMGMT OFFICE VISIT NEW LEV II 15-29 MIN,85.86,85.86,11.59,85.86,108 CDM,51000206,HC CRNP MEDMGMT OFFICE VISIT NEW LEVL III 30-44 M,171.72,171.72,23.18,171.72,108 CDM,51000207,HC CRNP MEDMGMT OFFICE/OUTPT VISIT NEW LEVL IV 45,257.58,257.58,34.77,257.58,108 CDM,51000208,HC CRNP MEDMGMT OFFICE/OUTPT VISIT NEW LEVL V 60-,343.44,343.44,46.36,343.44,108 CDM,51000209,HC CRNP MEDMGMT OFFICE/OUTPT VISIT EST LEVL II 10,85.86,85.86,11.59,85.86,108 CDM,51000210,HC CRNP MEDMGMT OFFICE OUTPT VISIT EST LEVL III 20,171.72,171.72,23.18,171.72,108 CDM,51000211,HC CRNP MEDMGMT OFFICE/OUTPT VISIT EST LEVL IV 30,257.58,257.58,34.77,257.58,108 CDM,51000212,HC CRNP MEDMGMT OFFICE/OUTPT VISIT EST LEVL V 40-,343.44,343.44,46.36,343.44,108 CDM,5107902801J7507,TACROLIMUS 5 MG PO CAPS,67.0,67.0,0.15,67.0,112 CDM,5107952501Q0162,ONDANSETRON HCL 8 MG PO TABS,124.0,124.0,0.01,124.0,112 CDM,5107972101J7517,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,12.0,12.0,0.15,12.0,112 CDM,5107981701J7507,TACROLIMUS 0.5 MG PO CAPS,7.0,7.0,0.15,7.0,112 CDM,5107981801J7507,TACROLIMUS 1 MG PO CAPS,14.0,14.0,0.15,14.0,112 CDM,5107981820J7507,TACROLIMUS 1 MG PO CAPS,14.0,14.0,0.15,14.0,112 CDM,5114400301J9273,TISOTUMAB VEDOTINTFTV 40 MG IV SOLR,24682.0,24682.0,181.87,24682.0,119 CDM,5114402001J9177,ENFORTUMAB VEDOTINEJFV 20 MG IV SOLR,10113.0,10113.0,36.65,10113.0,119 CDM,5114403001J9177,ENFORTUMAB VEDOTINEJFV 30 MG IV SOLR,15169.0,15169.0,36.65,15169.0,119 CDM,5114405001J9042,BRENTUXIMAB VEDOTIN 50 MG IV SOLR,42272.0,42272.0,248.93,42272.0,119 CDM,5122401301J1953,LEVETIRACETAM 500 MG/5ML IV SOLN,21.0,21.0,0.04,21.0,112 CDM,5122401325J1953,LEVETIRACETAM 500 MG/5ML IV SOLN,21.0,21.0,0.04,21.0,112 CDM,5128536801J8610,METHOTREXATE SODIUM 10 MG PO TABS,152.0,152.0,0.15,152.0,112 CDM,51300001,HC CBE MD,108.94,108.94,18.41,588.79,119 CDM,51300002,HC CBE NON-MD,151.26,151.26,25.56,588.79,119 CDM,51300003,HC CBR MD,217.88,217.88,36.82,588.79,119 CDM,51300004,HC CRC EVALUATION,1350.0,1350.0,68.57,1350.0,119 CDM,51300007,HC CBE I HOLD,180.0,180.0,24.3,180.0,106 CDM,51300010,PSYCH DIAGNOSTIC EVALUATION,350.0,350.0,51.71,588.79,119 CDM,5155202605J7510,PREDNISOLONE ANHYDROUS POWD,3922.0,3922.0,0.27,3922.0,112 CDM,5167240913Q0162,ONDANSETRON HCL 4 MG/5ML PO SOLN,720.0,720.0,0.01,720.0,112 CDM,5171510004C9089,BUPIVACAINE HCL (300 MG DOSE) 3 X 100 MG IMPLANT I,299.0,299.0,0.83,299.0,111 CDM,5171510010C9089,BUPIVACAINE HCL (300 MG DOSE) 3 X 100 MG IMPLANT I,299.0,299.0,0.83,299.0,111 CDM,5175401031J3490,CUPRIC CHLORIDE 0.4 MG/ML IV SOLN,95.0,95.0,12.83,95.0,111 CDM,5175401034J3490,CUPRIC CHLORIDE 0.4 MG/ML IV SOLN,95.0,95.0,12.83,95.0,111 CDM,5175405001J0706,CAFFEINE CITRATE 60 MG/3ML IV SOLN,44.0,44.0,1.02,44.0,111 CDM,5175405021J0706,CAFFEINE CITRATE 60 MG/3ML IV SOLN,87.0,87.0,1.02,87.0,111 CDM,5175410001J3475,MAGNESIUM SULFATE 50 INJECTION SOLN,20.0,20.0,0.41,20.0,112 CDM,5175410004J3475,MAGNESIUM SULFATE 50 INJECTION SOLN,20.0,20.0,0.41,20.0,112 CDM,5175412401J2710,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,67.0,67.0,0.71,67.0,111 CDM,5175440001J2371,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,80.0,80.0,0.01,80.0,108 CDM,5175440003J2371,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),80.0,80.0,0.01,80.0,108 CDM,5175450601J0702,BETAMETHASONE SOD PHOS ACET 6 (33) MG/ML INJECTI,144.0,144.0,6.89,144.0,112 CDM,5175460131J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),36.0,36.0,0.38,36.0,112 CDM,5175460133J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),36.0,36.0,0.38,36.0,112 CDM,5175460151J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),58.0,58.0,0.38,58.0,112 CDM,5175920210J3031,FREMANEZUMABVFRM 225 MG/1.5ML SC SOAJ,2640.0,2640.0,3.25,2640.0,111 CDM,5175920410J3031,FREMANEZUMABVFRM 225 MG/1.5ML SC SOSY,2640.0,2640.0,3.25,2640.0,111 CDM,5186245801J7515,CYCLOSPORINE MODIFIED 25 MG PO CAPS,5.0,5.0,0.53,5.0,112 CDM,5186245847J7515,CYCLOSPORINE MODIFIED 25 MG PO CAPS,5.0,5.0,0.53,5.0,112 CDM,5186246001J7502,CYCLOSPORINE MODIFIED 100 MG PO CAPS,17.0,17.0,1.81,17.0,112 CDM,5186246047J7502,CYCLOSPORINE MODIFIED 100 MG PO CAPS,17.0,17.0,1.81,17.0,112 CDM,5199114417J2210,METHYLERGONOVINE MALEATE 0.2 MG/ML INJECTION SOLN,72.0,72.0,9.72,72.0,112 CDM,5199114499J2210,METHYLERGONOVINE MALEATE 0.2 MG/ML INJECTION SOLN,72.0,72.0,9.72,72.0,112 CDM,5199137960J7527,EVEROLIMUS 0.25 MG PO TABS,31.0,31.0,1.18,31.0,112 CDM,5199138006J7527,EVEROLIMUS 0.5 MG PO TABS,61.0,61.0,1.18,61.0,112 CDM,5199138060J7527,EVEROLIMUS 0.5 MG PO TABS,61.0,61.0,1.18,61.0,112 CDM,5199138099J7527,EVEROLIMUS 0.5 MG PO TABS,61.0,61.0,1.18,61.0,112 CDM,5199138106J7527,EVEROLIMUS 0.75 MG PO TABS,91.0,91.0,1.18,91.0,112 CDM,5199138160J7527,EVEROLIMUS 0.75 MG PO TABS,91.0,91.0,1.18,91.0,112 CDM,5199173520Q0166,GRANISETRON HCL 1 MG PO TABS,178.0,178.0,3.06,178.0,111 CDM,5224401002J0270,ALPROSTADIL (VASODILATOR) 10 MCG INTRACAVER KIT,614.0,614.0,6.54,614.0,111 CDM,5224401006J0270,ALPROSTADIL (VASODILATOR) 10 MCG INTRACAVER KIT,1842.0,1842.0,6.54,1842.0,111 CDM,5224402002J0270,ALPROSTADIL (VASODILATOR) 20 MCG INTRACAVER KIT,794.0,794.0,6.54,794.0,111 CDM,5253616401Q0175,PERPHENAZINE 4 MG PO TABS,8.0,8.0,0.48,8.0,111 CDM,5253616801Q0175,PERPHENAZINE 8 MG PO TABS,9.0,9.0,0.48,9.0,111 CDM,5253617001Q0175,PERPHENAZINE 16 MG PO TABS,12.0,12.0,0.48,12.0,111 CDM,5253662501J1071,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN,70.0,70.0,0.03,70.0,112 CDM,5260945056J0895,DEFEROXAMINE MESYLATE 500 MG INJECTION SOLR,47.0,47.0,6.35,47.0,112 CDM,5374674501Q0169,PROMETHAZINE HCL 12.5 MG PO TABS,2.0,2.0,0.09,2.0,111 CDM,5409270104J3385,VELAGLUCERASE ALFA 400 UNITS IV SOLR,5260.0,5260.0,374.02,5260.0,119 CDM,5428810001J3489,ZOLEDRONIC ACID 4 MG/5ML IV CONC,135.0,135.0,5.08,135.0,112 CDM,5428810301J0171,EPINEPHRINE PF 1 MG/ML INJECTION SOLN,53.0,53.0,0.76,53.0,111 CDM,5428810310J0171,EPINEPHRINE PF 1 MG/ML INJECTION SOLN,53.0,53.0,0.76,53.0,111 CDM,5428810601J9245,MELPHALAN HCL 50 MG IV SOLR,900.0,900.0,86.94,900.0,119 CDM,5428810902J9245,MELPHALAN HCL 50 MG IV SOLR,900.0,900.0,86.94,900.0,119 CDM,5428811101J1980,HYOSCYAMINE SULFATE 0.5 MG/ML INJECTION SOLN,389.0,389.0,33.32,389.0,111 CDM,5428811105J1980,HYOSCYAMINE SULFATE 0.5 MG/ML INJECTION SOLN,389.0,389.0,33.32,389.0,111 CDM,5428811901J0171,EPINEPHRINE 1 MG/ML INJECTION (WRAPPER),49.0,49.0,0.76,49.0,111 CDM,5428811925J0171,EPINEPHRINE 1 MG/ML INJECTION (WRAPPER),49.0,49.0,0.76,49.0,111 CDM,5428812001J0171,EPINEPHRINE 1 MG/ML INJECTION (WRAPPER),324.0,324.0,0.76,324.0,111 CDM,5428813501J7507,TACROLIMUS 1 MG PO CAPS,21.0,21.0,0.15,21.0,112 CDM,5428813601J2560,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLN,75.0,75.0,10.13,75.0,112 CDM,5428813610J2560,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLN,75.0,75.0,10.13,75.0,112 CDM,5428813701J2560,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLN,198.0,198.0,26.73,198.0,112 CDM,5428813710J2560,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLN,198.0,198.0,26.73,198.0,112 CDM,5428813725J2560,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLN,130.0,130.0,17.55,130.0,112 CDM,5428814101J7519,MYCOPHENOLATE MOFETIL HCL 500 MG IV SOLR,261.0,261.0,0.37,261.0,112 CDM,5428814104J7519,MYCOPHENOLATE MOFETIL HCL 500 MG IV SOLR,261.0,261.0,0.37,261.0,112 CDM,5428814201J2440,PAPAVERINE HCL 30 MG/ML INJECTION SOLN,117.0,117.0,15.8,117.0,111 CDM,5428814210J2440,PAPAVERINE HCL 30 MG/ML INJECTION SOLN,117.0,117.0,15.8,117.0,111 CDM,5428814225J2440,PAPAVERINE HCL 30 MG/ML INJECTION SOLN,83.0,83.0,11.21,84.92,111 CDM,5428816401J9045,CARBOPLATIN 50 MG/5ML IV SOLN,47.0,47.0,2.11,47.0,112 CDM,5428816501J9045,CARBOPLATIN 150 MG/15ML IV SOLN,98.0,98.0,2.11,98.0,112 CDM,5428816701J9045,CARBOPLATIN 600 MG/60ML IV SOLN,362.0,362.0,2.11,362.0,112 CDM,5428860001J0171,EPINEPHRINE 1 MG/ML INJECTION (WRAPPER),270.0,270.0,0.76,270.0,111 CDM,5448214701J1955,LEVOCARNITINE 200 MG/ML IV SOLN,137.0,137.0,18.5,137.0,112 CDM,5487900308J8540,DEXAMETHASONE 0.5 MG/5ML PO ELIX,77.0,77.0,0.01,77.0,112 CDM,5487902101J8530,CYCLOPHOSPHAMIDE 25 MG PO CAPS,11.0,11.0,0.84,11.0,112 CDM,5487902201J8530,CYCLOPHOSPHAMIDE 50 MG PO CAPS,15.0,15.0,0.84,15.0,112 CDM,5487903710J0330,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,19.0,19.0,0.81,19.0,111 CDM,5487903725J0330,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,28.0,28.0,0.81,28.0,111 CDM,5511115330Q0162,ONDANSETRON HCL 4 MG PO TABS,75.0,75.0,0.01,75.0,112 CDM,5511115430Q0162,ONDANSETRON HCL 8 MG PO TABS,124.0,124.0,0.01,124.0,112 CDM,5511152501J7507,TACROLIMUS 0.5 MG PO CAPS,7.0,7.0,0.15,7.0,112 CDM,5511152601J7507,TACROLIMUS 1 MG PO CAPS,14.0,14.0,0.15,14.0,112 CDM,5511152701J7507,TACROLIMUS 5 MG PO CAPS,67.0,67.0,0.15,67.0,112 CDM,5511155610J0894,DECITABINE 50 MG IV SOLR,2160.0,2160.0,0.65,2160.0,112 CDM,5511165207J0583,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,810.0,810.0,0.16,810.0,112 CDM,5511165237J0583,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,810.0,810.0,0.16,810.0,112 CDM,5511165301J7520,SIROLIMUS 1 MG PO TABS,52.0,52.0,0.96,52.0,112 CDM,5511165401J7520,SIROLIMUS 2 MG PO TABS,95.0,95.0,0.96,95.0,112 CDM,5511167802J1652,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN,164.0,164.0,0.67,164.0,112 CDM,5511167810J1652,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN,164.0,164.0,0.67,164.0,112 CDM,5511167811J1652,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN,164.0,164.0,0.67,164.0,112 CDM,5511167902J1652,FONDAPARINUX SODIUM 5 MG/0.4ML SC SOLN,408.0,408.0,0.67,408.0,112 CDM,5511167910J1652,FONDAPARINUX SODIUM 5 MG/0.4ML SC SOLN,386.0,386.0,0.67,386.0,112 CDM,5511168002J1652,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN,408.0,408.0,0.67,408.0,112 CDM,5511168010J1652,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN,386.0,386.0,0.67,386.0,112 CDM,5511168011J1652,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN,386.0,386.0,0.67,386.0,112 CDM,5511168102J1652,FONDAPARINUX SODIUM 10 MG/0.8ML SC SOLN,408.0,408.0,0.67,408.0,112 CDM,5511168507J3489,ZOLEDRONIC ACID 4 MG/5ML IV CONC,270.0,270.0,5.08,270.0,112 CDM,5511168852J3489,ZOLEDRONIC ACID 5 MG/100ML IV SOLN,1080.0,1080.0,5.08,1080.0,112 CDM,5511169407J2469,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,180.0,180.0,0.34,180.0,112 CDM,5513513201J9317,SACITUZUMAB GOVITECANHZIY 180 MG IV SOLR,8871.0,8871.0,35.44,8871.0,119 CDM,5515011210J0290,AMPICILLIN SODIUM 500 MG INJECTION SOLR,13.0,13.0,0.49,13.0,112 CDM,5515011310J0290,AMPICILLIN SODIUM 1 G INJECTION SOLR,25.0,25.0,0.49,25.0,112 CDM,5515011420J0290,AMPICILLIN SODIUM 2 G INJECTION SOLR,48.0,48.0,0.49,48.0,112 CDM,5515011599J0290,AMPICILLIN SODIUM 10 G IV SOLR,234.0,234.0,0.49,234.0,112 CDM,5515011620J0295,AMPICILLINSULBACTAM SODIUM 1.5 (10.5) G INJECTION,24.0,24.0,1.33,24.0,112 CDM,5515011720J0295,AMPICILLINSULBACTAM SODIUM 3 (21) G INJECTION SOLR,44.0,44.0,1.33,44.0,112 CDM,5515011899J0295,AMPICILLINSULBACTAM SODIUM 15 (105) G IV SOLR,214.0,214.0,1.33,214.0,112 CDM,5515011930J2543,PIPERACILLIN SODTAZOBACTAM SO 2.25 (20.25) G IV SO,44.0,44.0,1.09,44.0,112 CDM,5515012030J2543,PIPERACILLIN SODTAZOBACTAM SO 3.375 (30.375) G IV,20.0,20.0,1.09,20.0,112 CDM,5515012150J2543,PIPERACILLIN SODTAZOBACTAM SO 4.5 (40.5) G IV SOLR,83.0,83.0,1.09,83.0,112 CDM,5515012502J2405,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,8.0,8.0,0.09,8.0,112 CDM,5515012620J2405,ONDANSETRON HCL 40 MG/20ML INJECTION SOLN,75.0,75.0,0.09,75.0,112 CDM,5515012715J2700,OXACILLIN SODIUM 1 G INJECTION SOLR,44.0,44.0,0.57,44.0,112 CDM,5515012824J2700,OXACILLIN SODIUM 2 G INJECTION SOLR,85.0,85.0,0.57,85.0,112 CDM,5515015410J0133,ACYCLOVIR SODIUM 50 MG/ML IV SOLN,48.0,48.0,0.03,48.0,112 CDM,5515015520J0133,ACYCLOVIR SODIUM 50 MG/ML IV SOLN,90.0,90.0,0.03,90.0,112 CDM,5515015872J2003,LIDOCAINE HCL (PF) 1 INJECTION SOLN,6.0,6.0,0.01,6.0,111 CDM,5515015974J2003,LIDOCAINE HCL (PF) 1 INJECTION SOLN,9.0,9.0,0.01,9.0,111 CDM,5515015974J3490,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),9.0,9.0,1.22,9.0,111 CDM,5515016102J2003,LIDOCAINE HCL (PF) 1 INJECTION SOLN,10.0,10.0,0.01,10.0,111 CDM,5515016102J3490,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),10.0,10.0,1.35,10.0,111 CDM,5515016205J2003,LIDOCAINE HCL (PF) 1 INJECTION SOLN,13.0,13.0,0.01,13.0,111 CDM,5515016205J3490,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),13.0,13.0,1.76,13.0,111 CDM,5515016330J2003,LIDOCAINE HCL (PF) 1 INJECTION SOLN,14.0,14.0,0.01,14.0,111 CDM,5515016330J3490,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),14.0,14.0,1.89,14.0,111 CDM,5515016402J2003,LIDOCAINE HCL (PF) 2 INJECTION SOLN (WRAPPER),14.0,14.0,0.01,14.0,111 CDM,5515016505J2003,LIDOCAINE HCL (PF) 2 INJECTION SOLN (WRAPPER),11.0,11.0,0.01,11.0,111 CDM,5515016710J0665,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,10.0,10.0,0.01,10.0,112 CDM,5515016830J0665,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,10.0,10.0,0.01,10.0,112 CDM,5515016910J0665,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,11.0,11.0,0.01,11.0,112 CDM,5515017030J0665,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,11.0,11.0,0.01,11.0,112 CDM,5515017110J0665,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,11.0,11.0,0.01,11.0,112 CDM,5515017230J0665,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,19.0,19.0,0.01,19.0,112 CDM,5515017301J3030,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOLN,40.0,40.0,5.4,83.78,111 CDM,5515017305J3030,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOLN,40.0,40.0,5.4,83.78,111 CDM,5515017410J0456,AZITHROMYCIN 500 MG IV SOLR,33.0,33.0,2.04,33.0,112 CDM,5515017705J1953,LEVETIRACETAM 500 MG/5ML IV SOLN,45.0,45.0,0.04,45.0,112 CDM,5515018301J2404,NICARDIPINE HCL 2.5 MG/ML IV SOLN,77.0,77.0,0.07,77.0,112 CDM,5515018302J2404,NICARDIPINE HCL 2.5 MG/ML IV SOLN,69.0,69.0,0.07,69.0,112 CDM,5515018310J2404,NICARDIPINE HCL 2.5 MG/ML IV SOLN,77.0,77.0,0.07,77.0,112 CDM,5515018311J2404,NICARDIPINE HCL 2.5 MG/ML IV SOLN,69.0,69.0,0.07,69.0,112 CDM,5515018605J2469,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,72.0,72.0,0.34,72.0,112 CDM,5515018703J0706,CAFFEINE CITRATE 60 MG/3ML IV SOLN,120.0,120.0,1.02,120.0,111 CDM,5515019201J0153,ADENOSINE (DIAGNOSTIC) 3 MG/ML IV SOLN,432.0,432.0,0.32,432.0,112 CDM,5515019410J1805,ESMOLOL HCL 100 MG/10ML IV SOLN,27.0,27.0,0.21,27.0,112 CDM,5515019520J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,49.0,49.0,0.05,49.0,112 CDM,5515019699J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,216.0,216.0,0.05,216.0,112 CDM,5515019720J2795,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,76.0,76.0,0.05,76.0,112 CDM,5515019830J2795,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,114.0,114.0,0.05,114.0,112 CDM,5515020010J2795,ROPIVACAINE HCL 10 MG/ML INJECTION SOLN,60.0,60.0,0.05,60.0,112 CDM,5515020200J2470,PANTOPRAZOLE SODIUM 40 MG IV SOLR,26.0,26.0,1.93,26.0,111 CDM,5515020210J2470,PANTOPRAZOLE SODIUM 40 MG IV SOLR,26.0,26.0,1.93,26.0,111 CDM,5515020720J2185,MEROPENEM 500 MG IV SOLR,22.0,22.0,0.38,22.0,112 CDM,5515020830J2185,MEROPENEM 1 G IV SOLR,40.0,40.0,0.38,40.0,112 CDM,5515021010J0583,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,360.0,360.0,0.16,360.0,112 CDM,5515023000J1652,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN,108.0,108.0,0.67,108.0,112 CDM,5515023010J1652,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN,108.0,108.0,0.67,108.0,112 CDM,5515023100J1652,FONDAPARINUX SODIUM 5 MG/0.4ML SC SOLN,262.0,262.0,0.67,262.0,112 CDM,5515023110J1652,FONDAPARINUX SODIUM 5 MG/0.4ML SC SOLN,262.0,262.0,0.67,262.0,112 CDM,5515023200J1652,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN,261.0,261.0,0.67,261.0,112 CDM,5515023210J1652,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN,261.0,261.0,0.67,261.0,112 CDM,5515023300J1652,FONDAPARINUX SODIUM 10 MG/0.8ML SC SOLN,262.0,262.0,0.67,262.0,112 CDM,5515023310J1652,FONDAPARINUX SODIUM 10 MG/0.8ML SC SOLN,262.0,262.0,0.67,262.0,112 CDM,5515023701J1100,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION S,5.0,5.0,0.11,5.0,112 CDM,5515023805J1100,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML INJECTION,6.0,6.0,0.11,6.0,112 CDM,5515023930J1100,DEXAMETHASONE SODIUM PHOSPHATE 120 MG/30ML INJECTI,56.0,56.0,0.11,56.0,112 CDM,5515024005Q9968,ISOSULFAN BLUE 1 SC SOLN,3675.0,3675.0,1.67,3675.0,119 CDM,5515024101J0898,ARGATROBAN 50 MG/50ML IV SOLN (WRAPPER),878.0,878.0,1.01,878.0,112 CDM,5515024110J0898,ARGATROBAN 50 MG/50ML IV SOLN (WRAPPER),878.0,878.0,1.01,878.0,112 CDM,5515024251J2020,LINEZOLID 600 MG/300ML IV SOLN,331.0,331.0,2.74,331.0,112 CDM,5515024346J1956,LEVOFLOXACIN IN D5W 250 MG/50ML IV SOLN,28.0,28.0,1.89,28.0,112 CDM,5515024447J1956,LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN,38.0,38.0,1.89,38.0,112 CDM,5515024647J1953,LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN,100.0,100.0,0.04,100.0,112 CDM,5515024747J1953,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN,162.0,162.0,0.04,162.0,112 CDM,5515024847J1953,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN,216.0,216.0,0.04,216.0,112 CDM,5515024950J0665,BUPIVACAINE HCL 0.25 INJECTION SOLN,15.0,15.0,0.01,15.0,112 CDM,5515025050J0665,BUPIVACAINE HCL 0.5 INJECTION SOLN,13.0,13.0,0.01,13.0,112 CDM,5515025110J2003,LIDOCAINE HCL 1 INJECTION SOLN,10.0,10.0,0.01,10.0,111 CDM,5515025220J2003,LIDOCAINE HCL 1 INJECTION SOLN,14.0,14.0,0.01,14.0,111 CDM,5515025350J2003,LIDOCAINE HCL 1 INJECTION SOLN,23.0,23.0,0.01,23.0,111 CDM,5515025410J3490,LIDOCAINE HCL 2 INJECTION SOLN,14.0,14.0,1.89,14.0,111 CDM,5515025520J3490,LIDOCAINE HCL 2 INJECTION SOLN,16.0,16.0,2.16,16.0,111 CDM,5515025650J3490,LIDOCAINE HCL 2 INJECTION SOLN,29.0,29.0,3.92,29.0,111 CDM,5515025930J0132,ACETYLCYSTEINE 200 MG/ML IV SOLN,1051.0,1051.0,0.37,1051.0,112 CDM,5515026605J3489,ZOLEDRONIC ACID 4 MG/5ML IV CONC,198.0,198.0,5.08,198.0,112 CDM,5515026705J2680,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLN,540.0,540.0,6.2,540.0,112 CDM,5515027099J9071,CYCLOPHOSPHAMIDE 500 MG/2.5ML IV SOLN,540.0,540.0,0.61,540.0,119 CDM,5515027199J9071,CYCLOPHOSPHAMIDE 1 GM/5ML IV SOLN,900.0,900.0,0.61,900.0,119 CDM,5515027201J9071,CYCLOPHOSPHAMIDE 2 GM/10ML IV SOLN,1800.0,1800.0,0.61,1800.0,119 CDM,5515027301J3411,THIAMINE HCL 100 MG/ML INJECTION SOLN,24.0,24.0,1.76,24.0,112 CDM,5515027325J3411,THIAMINE HCL 100 MG/ML INJECTION SOLN,24.0,24.0,1.76,24.0,112 CDM,5515028209J1335,ERTAPENEM SODIUM 1 G INJECTION SOLR,144.0,144.0,9.02,144.0,112 CDM,5515028220J1335,ERTAPENEM SODIUM 1 G INJECTION SOLR,216.0,216.0,9.02,216.0,112 CDM,5515028801J2260,MILRINONE LACTATE IN DEXTROSE 405 MG/200ML IV SOL,110.0,110.0,1.31,110.0,112 CDM,5515028810J2260,MILRINONE LACTATE IN DEXTROSE 405 MG/200ML IV SOL,110.0,110.0,1.31,110.0,112 CDM,5515029901J1453,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR,234.0,234.0,0.11,234.0,112 CDM,5515030001J2371,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,12.0,12.0,0.01,12.0,108 CDM,5515030025J2371,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),12.0,12.0,0.01,12.0,108 CDM,5515030401J1100,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML INJECTION,16.0,16.0,0.11,16.0,112 CDM,5515030425J1100,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML INJECTION,16.0,16.0,0.11,16.0,112 CDM,5515030501J1100,DEXAMETHASONE SODIUM PHOSPHATE 100 MG/10ML INJECTI,35.0,35.0,0.11,35.0,112 CDM,5515030510J1100,DEXAMETHASONE SODIUM PHOSPHATE 100 MG/10ML INJECTI,35.0,35.0,0.11,35.0,112 CDM,5515030610J2675,PROGESTERONE 50 MG/ML IM OIL,72.0,72.0,0.63,72.0,112 CDM,5515030701J0131,ACETAMINOPHEN 10 MG/ML IV SOLN,72.0,72.0,0.05,72.0,112 CDM,5515030724J0131,ACETAMINOPHEN 10 MG/ML IV SOLN,72.0,72.0,0.05,72.0,112 CDM,5515030801J2359,OLANZAPINE 10 MG IM SOLR,128.0,128.0,0.75,128.0,112 CDM,5515031801J3230,CHLORPROMAZINE HCL 25 MG/ML INJECTION SOLN,105.0,105.0,14.18,105.0,112 CDM,5515031825J3230,CHLORPROMAZINE HCL 25 MG/ML INJECTION SOLN,105.0,105.0,14.18,105.0,112 CDM,5515031901J3230,CHLORPROMAZINE HCL 50 MG/2ML INJECTION SOLN,120.0,120.0,16.2,120.0,112 CDM,5515031925J3230,CHLORPROMAZINE HCL 50 MG/2ML INJECTION SOLN,120.0,120.0,16.2,120.0,112 CDM,5515032201J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),10.0,10.0,0.39,10.0,111 CDM,5515032225J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,10.0,10.0,0.39,10.0,111 CDM,5515032301J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,13.0,13.0,0.39,13.0,111 CDM,5515032325J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,13.0,13.0,0.39,13.0,111 CDM,5515032401J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),15.0,15.0,0.39,15.0,111 CDM,5515032425J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,15.0,15.0,0.39,15.0,111 CDM,5515032701J2310,NALOXONE HCL 0.4 MG/ML INJECTION SOLN,45.0,45.0,6.08,45.0,111 CDM,5515032710J2310,NALOXONE HCL 0.4 MG/ML INJECTION SOLN,45.0,45.0,6.08,45.0,111 CDM,5515032901J1050,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP,132.0,132.0,0.35,132.0,111 CDM,5515032925J1050,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP,132.0,132.0,0.35,132.0,111 CDM,5515033501J9045,CARBOPLATIN 450 MG/45ML IV SOLN,154.0,154.0,2.11,154.0,112 CDM,5515033701J9041,BORTEZOMIB 1 MG/ML IV SOLR (WRAPPER),270.0,270.0,1.59,270.0,112 CDM,5515034401J0878,DAPTOMYCIN 500 MG IV SOLR,216.0,216.0,0.03,216.0,112 CDM,5515034501J2310,NALOXONE HCL 2 MG/2ML INJECTION SOSY,114.0,114.0,8.7,114.0,111 CDM,5515034510J2310,NALOXONE HCL 2 MG/2ML INJECTION SOSY,114.0,114.0,8.7,114.0,111 CDM,5515035201J9206,IRINOTECAN HCL 40 MG/2ML IV SOLN,53.0,53.0,1.4,53.0,112 CDM,5515035301J9206,IRINOTECAN HCL 100 MG/5ML IV SOLN,103.0,103.0,1.4,103.0,112 CDM,5515035401J9206,IRINOTECAN HCL 300 MG/15ML IV SOLN,360.0,360.0,1.4,360.0,112 CDM,5515036001J0780,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,33.0,33.0,2.31,33.0,112 CDM,5515036025J0780,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,33.0,33.0,2.31,33.0,112 CDM,5515036401J3420,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,13.0,13.0,0.64,13.0,112 CDM,5515036425J3420,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,13.0,13.0,0.64,13.0,112 CDM,5515036501J0289,AMPHOTERICIN B LIPOSOME 50 MG IV SUSR,918.0,918.0,20.72,918.0,119 CDM,5515036601J9017,ARSENIC TRIOXIDE 12 MG/6ML IV SOLN,1892.0,1892.0,4.68,1892.0,112 CDM,5515036610J9017,ARSENIC TRIOXIDE 12 MG/6ML IV SOLN,1892.0,1892.0,4.68,1892.0,112 CDM,5515037000J2598,VASOPRESSIN 20 UNIT/ML IV SOLN,270.0,270.0,0.53,270.0,112 CDM,5515037001J2598,VASOPRESSIN 20 UNIT/ML IV SOLN,270.0,270.0,0.53,270.0,112 CDM,5515037024J2598,VASOPRESSIN 20 UNIT/ML IV SOLN,270.0,270.0,0.53,270.0,112 CDM,5515037025J2598,VASOPRESSIN 20 UNIT/ML IV SOLN,270.0,270.0,0.53,270.0,112 CDM,5515037601J0894,DECITABINE 50 MG IV SOLR,1350.0,1350.0,0.65,1350.0,112 CDM,5515037801J9171,DOCETAXEL 20 MG/2ML IV SOLN,247.0,247.0,0.38,247.0,112 CDM,5515038101J9305,PEMETREXED DISODIUM 100 MG IV SOLR,540.0,540.0,3.59,540.0,119 CDM,5515038201J9305,PEMETREXED DISODIUM 500 MG IV SOLR,1800.0,1800.0,3.59,1800.0,119 CDM,5515038601J9045,CARBOPLATIN 600 MG/60ML IV SOLN,181.0,181.0,2.11,181.0,112 CDM,5515039301J9025,AZACITIDINE 100 MG INJECTION SUSR,360.0,360.0,0.21,360.0,112 CDM,5515040001J0360,HYDRALAZINE HCL 20 MG/ML INJECTION SOLN,39.0,39.0,4.08,39.0,112 CDM,5515040025J0360,HYDRALAZINE HCL 20 MG/ML INJECTION SOLN,39.0,39.0,4.08,39.0,112 CDM,5515040101J1580,GENTAMICIN SULFATE 10 MG/ML INJECTION SOLN,13.0,13.0,1.76,13.0,112 CDM,5515040125J1580,GENTAMICIN SULFATE 10 MG/ML INJECTION SOLN,13.0,13.0,1.76,13.0,112 CDM,5515040201J1580,GENTAMICIN SULFATE 40 MG/ML INJECTION SOLN,10.0,10.0,1.35,10.0,112 CDM,5515040225J1580,GENTAMICIN SULFATE 40 MG/ML INJECTION SOLN,10.0,10.0,1.35,10.0,112 CDM,5515042010J1805,ESMOLOL HCLSODIUM CHLORIDE 2500 MG/250ML IV SOLN,525.0,525.0,0.21,525.0,112 CDM,5515042101J1805,ESMOLOL HCLSODIUM CHLORIDE 2000 MG/100ML IV SOLN,575.0,575.0,0.21,575.0,112 CDM,5515042110J1805,ESMOLOL HCLSODIUM CHLORIDE 2000 MG/100ML IV SOLN,575.0,575.0,0.21,575.0,112 CDM,5515042901J3246,TIROFIBAN HCL IN NACL 50.9 MG/100ML IV SOLN,315.0,315.0,3.43,315.0,112 CDM,5515043001J3246,TIROFIBAN HCL IN NACL 12.50.9 MG/250ML IV SOLN,852.0,852.0,3.43,852.0,112 CDM,5515043201J1190,DEXRAZOXANE HCL 250 MG IV SOLR,988.0,988.0,32.09,988.0,119 CDM,5515043401J1190,DEXRAZOXANE HCL 250 MG IV SOLR,988.0,988.0,32.09,988.0,119 CDM,5515043501J1190,DEXRAZOXANE HCL 500 MG IV SOLR,1975.0,1975.0,32.09,1975.0,119 CDM,5515043701J1190,DEXRAZOXANE HCL 500 MG IV SOLR,1975.0,1975.0,32.09,1975.0,119 CDM,5515044301J2785,REGADENOSON 0.4 MG/5ML IV SOLN,540.0,540.0,2.68,540.0,112 CDM,5515045001J9280,MITOMYCIN 5 MG IV SOLR,540.0,540.0,25.94,540.0,119 CDM,5515047001J3260,TOBRAMYCIN SULFATE 1.2 G INJECTION SOLR,260.0,260.0,1.97,260.0,112 CDM,5515047006J3260,TOBRAMYCIN SULFATE 1.2 G INJECTION SOLR,260.0,260.0,1.97,260.0,112 CDM,5515493635J1200,DIPHENHYDRAMINE HCL 50 MG/ML INJECTION SOLN,10.0,10.0,0.71,10.0,112 CDM,5529270254J1640,HEMIN 350 MG IV SOLR,38501.0,38501.0,33.12,38501.0,119 CDM,5529270255J1640,HEMIN 350 MG IV SOLR,38501.0,38501.0,33.12,38501.0,119 CDM,5539011010J3490,DOXYCYCLINE HYCLATE 100 MG IV SOLR,44.0,44.0,5.94,44.0,111 CDM,5551300201J0881,DARBEPOETIN ALFA 25 MCG/ML INJECTION SOLN,697.0,697.0,2.94,697.0,119 CDM,5551300204J0881,DARBEPOETIN ALFA 25 MCG/ML INJECTION SOLN,697.0,697.0,2.94,697.0,119 CDM,5551300301J0881,DARBEPOETIN ALFA 40 MCG/ML INJECTION SOLN,1115.0,1115.0,2.94,1115.0,119 CDM,5551300304J0881,DARBEPOETIN ALFA 40 MCG/ML INJECTION SOLN,1115.0,1115.0,2.94,1115.0,119 CDM,5551300401J0881,DARBEPOETIN ALFA 60 MCG/ML INJECTION SOLN,1672.0,1672.0,2.94,1672.0,119 CDM,5551300404J0881,DARBEPOETIN ALFA 60 MCG/ML INJECTION SOLN,1672.0,1672.0,2.94,1672.0,119 CDM,5551300501J0881,DARBEPOETIN ALFA 100 MCG/ML INJECTION SOLN,2787.0,2787.0,2.94,2787.0,119 CDM,5551300504J0881,DARBEPOETIN ALFA 100 MCG/ML INJECTION SOLN,2787.0,2787.0,2.94,2787.0,119 CDM,5551300601J0881,DARBEPOETIN ALFA 200 MCG/ML INJECTION SOLN,5573.0,5573.0,2.94,5573.0,119 CDM,5551302101J0881,DARBEPOETIN ALFA 40 MCG/0.4ML INJECTION SOSY,1115.0,1115.0,2.94,1115.0,119 CDM,5551302104J0881,DARBEPOETIN ALFA 40 MCG/0.4ML INJECTION SOSY,1115.0,1115.0,2.94,1115.0,119 CDM,5551302301J0881,DARBEPOETIN ALFA 60 MCG/0.3ML INJECTION SOSY,1672.0,1672.0,2.94,1672.0,119 CDM,5551302304J0881,DARBEPOETIN ALFA 60 MCG/0.3ML INJECTION SOSY,1672.0,1672.0,2.94,1672.0,119 CDM,5551302501J0881,DARBEPOETIN ALFA 100 MCG/0.5ML INJECTION SOSY,2787.0,2787.0,2.94,2787.0,119 CDM,5551302504J0881,DARBEPOETIN ALFA 100 MCG/0.5ML INJECTION SOSY,2787.0,2787.0,2.94,2787.0,119 CDM,5551302701J0881,DARBEPOETIN ALFA 150 MCG/0.3ML INJECTION SOSY,4180.0,4180.0,2.94,4180.0,119 CDM,5551302704J0881,DARBEPOETIN ALFA 150 MCG/0.3ML INJECTION SOSY,4180.0,4180.0,2.94,4180.0,119 CDM,5551302801J0881,DARBEPOETIN ALFA 200 MCG/0.4ML INJECTION SOSY,5573.0,5573.0,2.94,5573.0,119 CDM,5551303201J0881,DARBEPOETIN ALFA 500 MCG/ML INJECTION SOSY,13932.0,13932.0,2.94,13932.0,119 CDM,5551305701J0881,DARBEPOETIN ALFA 25 MCG/0.42ML INJECTION SOSY,697.0,697.0,2.94,697.0,119 CDM,5551305704J0881,DARBEPOETIN ALFA 25 MCG/0.42ML INJECTION SOSY,697.0,697.0,2.94,697.0,119 CDM,5551305901J9026,TARLATAMABDLLE 1 MG IV SOLR,5400.0,5400.0,729.0,5400.0,119 CDM,5551307701J9026,TARLATAMABDLLE 10 MG IV SOLR,54000.0,54000.0,1494.0,54000.0,119 CDM,5551307801J9325,TALIMOGENE LAHERPAREPVEC 1000000 UNIT/ML INTRALESI,240.0,240.0,32.4,240.0,119 CDM,5551307901J9325,TALIMOGENE LAHERPAREPVEC 100000000 UNIT/ML INTRALE,23952.0,23952.0,70.37,23952.0,119 CDM,5551311101J0881,DARBEPOETIN ALFA 300 MCG/0.6ML INJECTION SOSY,8360.0,8360.0,2.94,8360.0,119 CDM,5551311201J2356,TEZEPELUMABEKKO 210 MG/1.91ML SC SOSY,14980.0,14980.0,17.82,14980.0,119 CDM,5551312601J0885,EPOETIN ALFA 2000 UNIT/ML INJECTION SOLN,120.0,120.0,6.46,120.0,119 CDM,5551312610J0885,EPOETIN ALFA 2000 UNIT/ML INJECTION SOLN,120.0,120.0,6.46,120.0,119 CDM,5551313201Q5117,TRASTUZUMABANNS 420 MG IV SOLR,13710.0,13710.0,34.69,13710.0,119 CDM,5551314101Q5117,TRASTUZUMABANNS 150 MG IV SOLR,4897.0,4897.0,34.69,4897.0,119 CDM,5551314401J0885,EPOETIN ALFA 10000 UNIT/ML INJECTION SOLN,597.0,597.0,6.46,597.0,119 CDM,5551314410J0885,EPOETIN ALFA 10000 UNIT/ML INJECTION SOLN,597.0,597.0,6.46,597.0,119 CDM,5551314801J0885,EPOETIN ALFA 4000 UNIT/ML INJECTION SOLN,239.0,239.0,6.46,239.0,119 CDM,5551314810J0885,EPOETIN ALFA 4000 UNIT/ML INJECTION SOLN,239.0,239.0,6.46,239.0,119 CDM,5551316001J9039,BLINATUMOMAB 35 MCG IV SOLR,18523.0,18523.0,152.51,18523.0,119 CDM,5551316401Q5117,TRASTUZUMABANNS 420 MG IV SOLR,13710.0,13710.0,34.69,13710.0,119 CDM,5551319001J2506,PEGFILGRASTIM 6 MG/0.6ML SC SOSY,23105.0,23105.0,19.98,23105.0,121 CDM,5551319201J2506,PEGFILGRASTIM 6 MG/0.6ML SC PSKT,23105.0,23105.0,19.98,23105.0,121 CDM,5551320601Q5107,BEVACIZUMABAWWB 100 MG/4ML IV SOLN,2512.0,2512.0,23.84,2512.0,119 CDM,5551320701Q5107,BEVACIZUMABAWWB 400 MG/16ML IV SOLN,10718.0,10718.0,23.84,10718.0,119 CDM,5551320901J1442,FILGRASTIM 480 MCG/0.8ML INJECTION SOSY,1914.0,1914.0,0.98,1914.0,119 CDM,5551320910J1442,FILGRASTIM 480 MCG/0.8ML INJECTION SOSY,1914.0,1914.0,0.98,1914.0,119 CDM,5551320991J1442,FILGRASTIM 480 MCG/0.8ML INJECTION SOSY,1914.0,1914.0,0.98,1914.0,119 CDM,5551322101J2802,ROMIPLOSTIM SUBCUTANEOUS INJECTION,9439.0,9439.0,10.54,9439.0,119 CDM,5551322201J2802,ROMIPLOSTIM 500 MCG SC SOLR,18878.0,18878.0,10.54,18878.0,119 CDM,5551322301J2802,ROMIPLOSTIM 125 MCG SC SOLR,4720.0,4720.0,10.54,4720.0,119 CDM,5551322401Q5123,RITUXIMABARRX 100 MG/10ML IV SOLN,2581.0,2581.0,20.9,2581.0,119 CDM,5551326701J0885,EPOETIN ALFA 3000 UNIT/ML INJECTION SOLN,180.0,180.0,6.46,180.0,119 CDM,5551326710J0885,EPOETIN ALFA 3000 UNIT/ML INJECTION SOLN,180.0,180.0,6.46,180.0,119 CDM,5551332601Q5123,RITUXIMABARRX 500 MG/50ML IV SOLN,12903.0,12903.0,20.9,12903.0,119 CDM,5551347801J0885,EPOETIN ALFA 20000 UNIT/ML INJECTION SOLN,1194.0,1194.0,6.46,1194.0,119 CDM,5551347810J0885,EPOETIN ALFA 20000 UNIT/ML INJECTION SOLN,1194.0,1194.0,6.46,1194.0,119 CDM,5551353001J1442,FILGRASTIM 300 MCG/ML INJECTION SOLN,1134.0,1134.0,0.98,1134.0,119 CDM,5551353010J1442,FILGRASTIM 300 MCG/ML INJECTION SOLN,1134.0,1134.0,0.98,1134.0,119 CDM,5551354601J1442,FILGRASTIM 480 MCG/1.6ML INJECTION SOLN,1805.0,1805.0,0.98,1805.0,119 CDM,5551354610J1442,FILGRASTIM 480 MCG/1.6ML INJECTION SOLN,1805.0,1805.0,0.98,1805.0,119 CDM,5551367001Q5121,INFLIXIMABAXXQ 100 MG IV SOLR,1800.0,1800.0,19.83,1800.0,119 CDM,5551371001J0897,DENOSUMAB 60 MG/ML SC SOSY,6431.0,6431.0,27.66,6431.0,119 CDM,5551371021J0897,DENOSUMAB 60 MG/ML SC SOSY,6431.0,6431.0,27.66,6431.0,119 CDM,5551373001J0897,DENOSUMAB 120 MG/1.7ML SC SOLN,11828.0,11828.0,27.66,11828.0,119 CDM,5551388001J3111,ROMOSOZUMABAQQG 105 MG/1.17ML SC SOSY,4507.0,4507.0,11.49,4507.0,119 CDM,5551388002J3111,ROMOSOZUMABAQQG 105 MG/1.17ML SC SOSY,4507.0,4507.0,11.49,4507.0,119 CDM,5551392401J1442,FILGRASTIM 300 MCG/0.5ML INJECTION SOSY,1202.0,1202.0,0.98,1202.0,119 CDM,5551392410J1442,FILGRASTIM 300 MCG/0.5ML INJECTION SOSY,1202.0,1202.0,0.98,1202.0,119 CDM,5551392491J1442,FILGRASTIM 300 MCG/0.5ML INJECTION SOSY,1202.0,1202.0,0.98,1202.0,119 CDM,5551395401J9303,PANITUMUMAB 100 MG/5ML IV SOLN,6212.0,6212.0,165.71,6212.0,119 CDM,5551395601J9303,PANITUMUMAB 400 MG/20ML IV SOLN,24846.0,24846.0,165.71,24846.0,119 CDM,5551399801J3111,ROMOSOZUMABAQQG 105 MG/1.17ML SC SOSY,4507.0,4507.0,11.49,4507.0,119 CDM,5551399802J3111,ROMOSOZUMABAQQG 105 MG/1.17ML SC SOSY,4507.0,4507.0,11.49,4507.0,119 CDM,5556622000J2597,DESMOPRESSIN ACETATE PF 4 MCG/ML INJECTION SOLN,293.0,293.0,3.41,293.0,112 CDM,5556623000J2597,DESMOPRESSIN ACETATE 4 MCG/ML INJECTION SOLN,2958.0,2958.0,3.41,2958.0,112 CDM,5556641001J7323,SODIUM HYALURONATE (VISCOSUP) 20 MG/2ML INTRAARTIC,1299.0,1299.0,105.46,1299.0,119 CDM,5556683031J9155,DEGARELIX ACETATE 80 MG SC SOLR,1759.0,1759.0,4.28,1759.0,119 CDM,5556684031J9155,DEGARELIX ACETATE(240 MG DOSE) 120 MG/VIAL SC SOLR,2744.0,2744.0,4.28,2744.0,119 CDM,5723707530Q0162,ONDANSETRON HCL 4 MG PO TABS,75.0,75.0,0.01,75.0,112 CDM,5723707630Q0162,ONDANSETRON HCL 8 MG PO TABS,118.0,118.0,0.01,118.0,112 CDM,5723707710Q0162,ONDANSETRON 4 MG PO TBDP,67.0,67.0,0.01,67.0,112 CDM,5723707730Q0162,ONDANSETRON 4 MG PO TBDP,67.0,67.0,0.01,67.0,112 CDM,5723707810Q0162,ONDANSETRON 8 MG PO TBDP,112.0,112.0,0.01,112.0,112 CDM,5723707830Q0162,ONDANSETRON 8 MG PO TBDP,112.0,112.0,0.01,112.0,112 CDM,5723715035J1450,FLUCONAZOLE 40 MG/ML PO SUSR,392.0,392.0,2.39,392.0,112 CDM,5766468331J2020,LINEZOLID 600 MG/300ML IV SOLN,234.0,234.0,2.74,234.0,112 CDM,5766468357J2020,LINEZOLID 600 MG/300ML IV SOLN,234.0,234.0,2.74,234.0,112 CDM,5766478486J8499,CLONAZEPAM 0.25 MG PO TBDP,4.0,4.0,0.54,4.0,105 CDM,5766478586J8499,CLONAZEPAM 0.5 MG PO TBDP,4.0,4.0,0.54,4.0,105 CDM,5766478686J8499,CLONAZEPAM 1 MG PO TBDP,5.0,5.0,0.68,5.0,105 CDM,5766510141J0287,AMPHOTERICIN B LIPID 5 MG/ML IV SUSP,378.0,378.0,10.3,378.0,112 CDM,5789403001J1745,INFLIXIMAB 100 MG IV SOLR,4205.0,4205.0,30.53,4205.0,119 CDM,5789405427J3358,USTEKINUMAB 130 MG/26ML IV SOLN,7289.0,7289.0,12.49,7289.0,119 CDM,5789406002J3357,USTEKINUMAB 45 MG/0.5ML SC SOLN,50118.0,50118.0,97.04,50118.0,111 CDM,5789406003J3357,USTEKINUMAB 45 MG/0.5ML SC SOSY,50118.0,50118.0,97.04,50118.0,111 CDM,5789406103J3357,USTEKINUMAB 90 MG/ML SC SOSY,100235.0,100235.0,97.04,100235.0,111 CDM,5789407001C9399,GOLIMUMAB 50 MG/0.5ML SC SOSY,21968.0,21968.0,2965.68,21968.0,113 CDM,5789407002C9399,GOLIMUMAB 50 MG/0.5ML SC SOAJ,21968.0,21968.0,2965.68,21968.0,113 CDM,5789416001J1745,INFLIXIMAB 100 MG IV SOLR,1710.0,1710.0,30.53,1710.0,119 CDM,5789435001J1602,GOLIMUMAB 50 MG/4ML IV SOLN,7198.0,7198.0,10.54,7198.0,119 CDM,5789444901J9380,TECLISTAMABCQYV 30 MG/3ML SC SOLN,6858.0,6858.0,32.55,6858.0,119 CDM,5789445001J9380,TECLISTAMABCQYV 153 MG/1.7ML SC SOLN,34976.0,34976.0,32.55,34976.0,119 CDM,5789446901J3055,TALQUETAMABTGVS 3 MG/1.5ML SC SOLN,2901.0,2901.0,69.97,2901.0,119 CDM,5789447001J3055,TALQUETAMABTGVS 40 MG/ML SC SOLN,38676.0,38676.0,69.97,38676.0,119 CDM,5789450100J9061,AMIVANTAMABVMJW 350 MG/7ML IV SOLN,13127.0,13127.0,21.56,13127.0,119 CDM,5789450101J9061,AMIVANTAMABVMJW 350 MG/7ML IV SOLN,13127.0,13127.0,21.56,13127.0,119 CDM,5789450301J9144,DARATUMUMABHYALURONIDASEFIHJ 180030000 MGUT/15ML S,34896.0,34896.0,51.39,34896.0,119 CDM,5789464001J1628,GUSELKUMAB 100 MG/ML SC SOSY,49943.0,49943.0,72.94,49943.0,119 CDM,5789464011J1628,GUSELKUMAB 100 MG/ML SC SOAJ,49943.0,49943.0,72.94,49943.0,119 CDM,5789465001J1628,GUSELKUMAB 200 MG/20ML IV SOLN,49943.0,49943.0,72.94,49943.0,119 CDM,5797010001J0875,DALBAVANCIN HCL 500 MG IV SOLR,6405.0,6405.0,15.55,6405.0,119 CDM,5839401201J7185,ANTIHEM FACT (BDDRFVIIIMOR) 250 UNITS IV KIT,1694.0,1694.0,1.5,1694.0,113 CDM,5839401301J7185,ANTIHEM FACT (BDDRFVIIIMOR) 500 UNITS IV KIT,3237.0,3237.0,1.5,3237.0,116 CDM,5839401302J7185,ANTIHEM FACT (BDDRFVIIIMOR) 500 UNITS IV KIT,2850.0,2850.0,1.5,2850.0,114 CDM,5839402203J7185,ANTIHEM FACT (BDDRFVIIIMOR) 250 UNITS IV KIT,1425.0,1425.0,1.5,1425.0,113 CDM,5839402303J7185,ANTIHEM FACT (BDDRFVIIIMOR) 500 UNITS IV KIT,2658.0,2658.0,1.5,2658.0,114 CDM,5839402403J7185,ANTIHEM FACT (BDDRFVIIIMOR) 1000 UNITS IV KIT,5421.0,5421.0,1.5,5421.0,116 CDM,5839402503J7185,ANTIHEM FACT (BDDRFVIIIMOR) 2000 UNITS IV KIT,12558.0,12558.0,1.5,12558.0,117 CDM,5839463303J7195,COAGULATION FACTOR IX (RECOMB) 250 UNITS IV KIT,1598.0,1598.0,1.83,1598.0,113 CDM,5839463403J7195,COAGULATION FACTOR IX (RECOMB) 500 UNITS IV KIT,3269.0,3269.0,1.83,3269.0,116 CDM,5839463503J7195,COAGULATION FACTOR IX (RECOMB) 1000 UNITS IV KIT,6243.0,6243.0,1.83,6243.0,116 CDM,5839463603J7195,COAGULATION FACTOR IX (RECOMB) 2000 UNITS IV KIT,13278.0,13278.0,1.83,13278.0,117 CDM,5839463703J7195,COAGULATION FACTOR IX (RECOMB) 3000 UNITS IV KIT,18054.0,18054.0,1.83,18054.0,117 CDM,5840601001J1438,ETANERCEPT 25 MG/0.5ML SC SOSY,3331.0,3331.0,449.69,3331.0,111 CDM,5840601004J1438,ETANERCEPT 25 MG/0.5ML SC SOSY,3331.0,3331.0,449.69,3331.0,111 CDM,5840605501J1438,ETANERCEPT 25 MG/0.5ML SC SOLN,3331.0,3331.0,449.69,3331.0,111 CDM,5840605504J1438,ETANERCEPT 25 MG/0.5ML SC SOLN,3331.0,3331.0,449.69,3331.0,111 CDM,5846800301J3240,THYROTROPIN ALFA 0.9 MG IM SOLR,7119.0,7119.0,961.07,7119.0,119 CDM,5846800302J3240,THYROTROPIN ALFA 0.9 MG IM SOLR,7119.0,7119.0,961.07,7119.0,119 CDM,5846800401J0180,AGALSIDASE BETA 35 MG IV SOLR,26838.0,26838.0,223.52,26838.0,119 CDM,5846800411J0180,AGALSIDASE BETA 5 MG IV SOLR,3834.0,3834.0,223.52,3834.0,119 CDM,5846800801J7511,ANTITHYMOCYTE GLOB (RABBIT) 25 MG IV SOLR,3839.0,3839.0,518.26,3839.0,119 CDM,5846800901J7325,HYLAN GF 20 16 MG/2ML INTRAARTIC SOSY,1644.0,1644.0,7.56,1644.0,120 CDM,5846800903J7325,HYLAN GF 20 48 MG/6ML INTRAARTIC SOSY,4931.0,4931.0,7.56,4931.0,119 CDM,5846801601J0221,ALGLUCOSIDASE ALFA 50 MG IV SOLR,2262.0,2262.0,201.64,2262.0,119 CDM,5846802001J0202,ALEMTUZUMAB 12 MG/1.2ML IV SOLN,104970.0,104970.0,2413.36,104970.0,119 CDM,5846802251C9047,CAPLACIZUMABYHDP 11 MG INJECTION KIT,29672.0,29672.0,746.28,29672.0,119 CDM,5846804261J0219,AVALGLUCOSIDASE ALFANGPT 100 MG IV SOLR,6677.0,6677.0,77.86,6677.0,119 CDM,5846846631J1786,IMIGLUCERASE 400 UNITS IV SOLR,6182.0,6182.0,43.23,6182.0,119 CDM,5891408052J0500,DICYCLOMINE HCL 10 MG/ML IM SOLN,303.0,303.0,11.33,303.0,112 CDM,5913723101J8499,AMINOLEVULINIC ACID HCL 1.5 G PO SOLR,11506.0,11506.0,29.55,11506.0,105 CDM,5913753001C9399,METHOTREXATE (PF) 20 MG/0.4ML SC SOAJ,490.0,490.0,66.15,490.0,113 CDM,5914801971J0401,ARIPIPRAZOLE ER 400 MG IM PRSY (WRAPPER),10152.0,10152.0,7.07,10152.0,119 CDM,5914804580J0401,ARIPIPRAZOLE ER 300 MG IM PRSY,7614.0,7614.0,7.07,7614.0,119 CDM,5914807090J0594,BUSULFAN 6 MG/ML IV SOLN,1800.0,1800.0,0.89,1800.0,119 CDM,5914807091J0594,BUSULFAN 6 MG/ML IV SOLN,1800.0,1800.0,0.89,1800.0,119 CDM,5914807280J0401,ARIPIPRAZOLE ER 400 MG IM PRSY (WRAPPER),10152.0,10152.0,7.07,10152.0,119 CDM,5931061031J2786,RESLIZUMAB 100 MG/10ML IV SOLN,3856.0,3856.0,10.32,3856.0,119 CDM,5933877501Q0138,FERUMOXYTOL 510 MG/17ML IV SOLN,4298.0,4298.0,0.31,4298.0,119 CDM,5936551281J7300,PARAGARD INTRAUTERINE COPPER INTRAUTERINE IUD,3906.0,3906.0,527.31,3906.0,115 CDM,5957210201J9025,AZACITIDINE 100 MG INJECTION SUSR,2107.0,2107.0,0.21,2107.0,112 CDM,5957271101J0896,LUSPATERCEPTAAMT 25 MG SC SOLR,14233.0,14233.0,41.28,14233.0,119 CDM,5957277501J0896,LUSPATERCEPTAAMT 75 MG SC SOLR,42697.0,42697.0,41.28,42697.0,119 CDM,5957296210J9319,ROMIDEPSIN 10 MG IV SOLR,11516.0,11516.0,30.39,11516.0,119 CDM,5957298401J9319,ROMIDEPSIN 10 MG IV SOLR,11516.0,11516.0,30.39,11516.0,119 CDM,5963026601J0699,CEFIDEROCOL SULFATE TOSYLATE 1 G IV SOLR,791.0,791.0,2.28,791.0,119 CDM,5963026610J0699,CEFIDEROCOL SULFATE TOSYLATE 1 G IV SOLR,791.0,791.0,2.28,791.0,119 CDM,5965148401J7512,PREDNISONE 1 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,5965148501J7512,PREDNISONE 2.5 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,5965148901J7512,PREDNISONE 50 MG PO TABS,2.0,2.0,0.01,2.0,112 CDM,5967630200J0885,EPOETIN ALFA 2000 UNIT/ML INJECTION SOLN,193.0,193.0,6.46,193.0,119 CDM,5967630201J0885,EPOETIN ALFA 2000 UNIT/ML INJECTION SOLN,193.0,193.0,6.46,193.0,119 CDM,5967630300J0885,EPOETIN ALFA 3000 UNIT/ML INJECTION SOLN,289.0,289.0,6.46,289.0,119 CDM,5967630301J0885,EPOETIN ALFA 3000 UNIT/ML INJECTION SOLN,289.0,289.0,6.46,289.0,119 CDM,5967630400J0885,EPOETIN ALFA 4000 UNIT/ML INJECTION SOLN,385.0,385.0,6.46,385.0,119 CDM,5967630401J0885,EPOETIN ALFA 4000 UNIT/ML INJECTION SOLN,385.0,385.0,6.46,385.0,119 CDM,5967631000J0885,EPOETIN ALFA 10000 UNIT/ML INJECTION SOLN,963.0,963.0,6.46,963.0,119 CDM,5967631001J0885,EPOETIN ALFA 10000 UNIT/ML INJECTION SOLN,963.0,963.0,6.46,963.0,119 CDM,5967631002J0885,EPOETIN ALFA 10000 UNIT/ML INJECTION SOLN,963.0,963.0,6.46,963.0,119 CDM,5967631200J0885,EPOETIN ALFA 10000 UNIT/ML INJECTION SOLN,1925.0,1925.0,6.46,1925.0,119 CDM,5967632000J0885,EPOETIN ALFA 20000 UNIT/ML INJECTION SOLN,1925.0,1925.0,6.46,1925.0,119 CDM,5967632004J0885,EPOETIN ALFA 20000 UNIT/ML INJECTION SOLN,1925.0,1925.0,6.46,1925.0,119 CDM,5967634000J0885,EPOETIN ALFA 40000 UNIT/ML INJECTION SOLN,3849.0,3849.0,6.46,3849.0,119 CDM,5967634001J0885,EPOETIN ALFA 40000 UNIT/ML INJECTION SOLN,3849.0,3849.0,6.46,3849.0,119 CDM,5967661001J9352,TRABECTEDIN 1 MG IV SOLR,12413.0,12413.0,362.75,12413.0,119 CDM,5967680030J3490,DARUNCOBICEMTRICITTENOFAF 80015020010 MG PO TABS,567.0,567.0,76.55,567.0,111 CDM,5974600103J7509,METHYLPREDNISOLONE 4 MG PO TBPK,5.0,5.0,0.13,5.0,112 CDM,5974600106J7509,METHYLPREDNISOLONE 4 MG PO TABS,5.0,5.0,0.13,5.0,112 CDM,5974600314J7509,METHYLPREDNISOLONE 16 MG PO TABS,10.0,10.0,0.13,10.0,112 CDM,5974601504J7509,METHYLPREDNISOLONE 32 MG PO TABS,14.0,14.0,0.13,14.0,112 CDM,5974611306Q0164,PROCHLORPERAZINE MALEATE 5 MG PO TABS,2.0,2.0,0.27,2.0,111 CDM,5974611506Q0164,PROCHLORPERAZINE MALEATE 10 MG PO TABS,3.0,3.0,0.35,3.0,111 CDM,5974617106J7512,PREDNISONE 1 MG PO TABS,2.0,2.0,0.01,2.0,112 CDM,5974617110J7512,PREDNISONE 1 MG PO TABS,2.0,2.0,0.01,2.0,112 CDM,5974617206J7512,PREDNISONE 5 MG PO TABS,3.0,3.0,0.01,3.0,112 CDM,5974617210J7512,PREDNISONE 5 MG PO TABS,2.0,2.0,0.01,2.0,112 CDM,5974617306J7512,PREDNISONE 10 MG PO TABS,3.0,3.0,0.01,3.0,112 CDM,5974617310J7512,PREDNISONE 10 MG PO TABS,3.0,3.0,0.01,3.0,112 CDM,5974617506J7512,PREDNISONE 20 MG PO TABS,5.0,5.0,0.01,5.0,112 CDM,5974617509J7512,PREDNISONE 20 MG PO TABS,5.0,5.0,0.01,5.0,112 CDM,5976200501J7509,METHYLPREDNISOLONE 16 MG PO TABS,11.0,11.0,0.13,11.0,112 CDM,5976200511J7509,METHYLPREDNISOLONE 32 MG PO TABS,16.0,16.0,0.13,16.0,112 CDM,5976210011J7520,SIROLIMUS 0.5 MG PO TABS,26.0,26.0,0.96,26.0,112 CDM,5976210021J7520,SIROLIMUS 1 MG PO TABS,51.0,51.0,0.96,51.0,112 CDM,5976212054J7520,SIROLIMUS 1 MG/ML PO SOLN,5685.0,5685.0,0.96,5685.0,112 CDM,5976244403J7509,METHYLPREDNISOLONE 4 MG PO TABS,5.0,5.0,0.13,5.0,112 CDM,5976250301J1450,FLUCONAZOLE 40 MG/ML PO SUSR,377.0,377.0,2.39,377.0,112 CDM,5992360402J9185,FLUDARABINE PHOSPHATE 50 MG IV SOLR (WRAPPER),9850.0,9850.0,71.65,9850.0,112 CDM,6.38515E 14,RABIES VACCINE PCEC IM SUSR,1179.0,1179.0,10.0,1179.0,122 CDM,6.40472E 11,ROTAVIRUS VAC LIVE PENTAVALENT PO SOLN,346.0,346.0,10.0,346.0,114 CDM,6.40474E 11,ROTAVIRUS VAC LIVE PENTAVALENT PO SOLN,346.0,346.0,10.0,346.0,114 CDM,6.4093E 11,HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML INJECTION,98.0,98.0,10.0,108.78,124 CDM,6.4096E 11,HEPATITIS A VACCINE 50 UNIT/ML IM SUSP,284.0,284.0,10.0,284.0,115 CDM,6.4119E 11,HPV 9VALENT RECOMB VACCINE IM SUSP,1035.0,1035.0,10.0,1035.0,114 CDM,6.4121E 11,HPV 9VALENT RECOMB VACCINE IM SUSY,1035.0,1035.0,10.0,1035.0,228 CDM,6.4681E 11,MEASLES MUMPS RUBELLA VAC INJECTION SOLR,332.0,332.0,10.0,332.0,228 CDM,6.4827E 11,VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML INJECT,628.0,628.0,10.0,628.0,228 CDM,6.4837E 11,PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML INJECTION,422.0,422.0,10.0,468.43,246 CDM,6.4841E 11,HEPATITIS A VACCINE 50 UNIT/ML IM SUSP,284.0,284.0,10.0,284.0,115 CDM,6.4897E 11,HAEMOPHILUS B POLYSAC CONJ VAC 7.5 MCG/0.5 ML IM S,107.0,107.0,10.0,107.0,228 CDM,6.4981E 11,HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML INJECTION,98.0,98.0,10.0,108.78,248 CDM,6.98004E 14,HEPATITIS B IMMUNE GLOBULIN 312 UNIT/ML IM SOLN WR,1616.0,1616.0,10.0,2631.0,488 CDM,6021910761J7500,AZATHIOPRINE 50 MG PO TABS,21.0,21.0,0.06,21.0,112 CDM,6021917081J7512,PREDNISONE 20 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,6021920431J8540,DEXAMETHASONE 4 MG PO TABS,4.0,4.0,0.01,4.0,112 CDM,6021920561J8540,DEXAMETHASONE 2 MG PO TABS,2.0,2.0,0.01,2.0,112 CDM,6043221208J7510,PREDNISOLONE 15 MG/5ML PO SOLN (WRAPPER),221.0,221.0,0.27,221.0,112 CDM,6043246608J8540,DEXAMETHASONE 0.5 MG/5ML PO ELIX,189.0,189.0,0.01,189.0,112 CDM,6050529657J7518,MYCOPHENOLATE SODIUM 180 MG PO TBEC,14.0,14.0,0.32,14.0,112 CDM,6050529667J7518,MYCOPHENOLATE SODIUM 360 MG PO TBEC,28.0,28.0,0.32,28.0,112 CDM,6050546303J7515,CYCLOSPORINE MODIFIED 25 MG PO CAPS,5.0,5.0,0.53,5.0,112 CDM,6050546323J7502,CYCLOSPORINE MODIFIED 100 MG PO CAPS,17.0,17.0,1.81,17.0,112 CDM,6050560504J9041,BORTEZOMIB 1 MG/ML IV SOLR (WRAPPER),5483.0,5483.0,1.59,5483.0,112 CDM,6050560680J9305,PEMETREXED DISODIUM 750 MG IV SOLR,19264.0,19264.0,3.59,19264.0,119 CDM,6050561160J2785,REGADENOSON 0.4 MG/5ML IV SOLN,901.0,901.0,2.68,901.0,112 CDM,6050561280J9206,IRINOTECAN HCL 40 MG/2ML IV SOLN,53.0,53.0,1.4,53.0,112 CDM,6050561281J9206,IRINOTECAN HCL 100 MG/5ML IV SOLN,109.0,109.0,1.4,109.0,112 CDM,6050561300J2405,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,3.0,3.0,0.09,3.0,112 CDM,6050561305J2405,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,3.0,3.0,0.09,3.0,112 CDM,6050561326J9263,OXALIPLATIN 50 MG/10ML IV SOLN,180.0,180.0,0.05,180.0,112 CDM,6050561327J9263,OXALIPLATIN 100 MG/20ML IV SOLN,360.0,360.0,0.05,360.0,112 CDM,6050561420J0690,CEFAZOLIN SODIUM 1 G INJECTION SOLR,8.0,8.0,0.81,8.0,112 CDM,6050561425J0690,CEFAZOLIN SODIUM 1 G INJECTION SOLR,8.0,8.0,0.81,8.0,112 CDM,6050561430J0690,CEFAZOLIN SODIUM 10 G INJECTION SOLR,79.0,79.0,0.81,79.0,112 CDM,6050561440J0692,CEFEPIME HCL 1 G INJECTION SOLR,62.0,62.0,0.87,62.0,112 CDM,6050561444J0692,CEFEPIME HCL 1 G INJECTION SOLR,62.0,62.0,0.87,62.0,112 CDM,6050561450J0692,CEFEPIME HCL 2 G IV SOLR,122.0,122.0,0.87,122.0,112 CDM,6050561454J0692,CEFEPIME HCL 2 G IV SOLR,122.0,122.0,0.87,122.0,112 CDM,6050561460J0692,CEFEPIME HCL 1 G INJECTION SOLR,62.0,62.0,0.87,62.0,112 CDM,6050561464J0692,CEFEPIME HCL 1 G INJECTION SOLR,62.0,62.0,0.87,62.0,112 CDM,6050561470J0692,CEFEPIME HCL 2 G IV SOLR,122.0,122.0,0.87,122.0,112 CDM,6050561474J0692,CEFEPIME HCL 2 G IV SOLR,122.0,122.0,0.87,122.0,112 CDM,6050561480J0696,CEFTRIAXONE SODIUM 1 G INJECTION SOLR,138.0,138.0,0.45,138.0,112 CDM,6050561484J0696,CEFTRIAXONE SODIUM 1 G INJECTION SOLR,138.0,138.0,0.45,138.0,112 CDM,6050561490J0696,CEFTRIAXONE SODIUM 2 G INJECTION SOLR,274.0,274.0,0.45,274.0,112 CDM,6050561505J0696,CEFTRIAXONE SODIUM 10 G IV SOLR,1344.0,1344.0,0.45,1344.0,112 CDM,6050561511J0696,CEFTRIAXONE SODIUM 250 MG INJECTION SOLR,45.0,45.0,0.45,45.0,112 CDM,6050561514J0696,CEFTRIAXONE SODIUM 250 MG INJECTION SOLR,48.0,48.0,0.45,48.0,112 CDM,6050561521J0696,CEFTRIAXONE SODIUM 500 MG INJECTION SOLR,81.0,81.0,0.45,81.0,112 CDM,6050561524J0696,CEFTRIAXONE SODIUM 500 MG INJECTION SOLR,84.0,84.0,0.45,84.0,112 CDM,6050561560J2543,PIPERACILLIN SODTAZOBACTAM SO 2.25 (20.25) G IV SO,35.0,35.0,1.09,35.0,112 CDM,6050561564J2543,PIPERACILLIN SODTAZOBACTAM SO 2.25 (20.25) G IV SO,35.0,35.0,1.09,35.0,112 CDM,6050561590J2543,PIPERACILLIN SODTAZOBACTAM SO 4.5 (40.5) G IV SOLR,66.0,66.0,1.09,66.0,112 CDM,6050561594J2543,PIPERACILLIN SODTAZOBACTAM SO 4.5 (40.5) G IV SOLR,66.0,66.0,1.09,66.0,112 CDM,6050561660J9027,CLOFARABINE 1 MG/ML IV SOLN,6840.0,6840.0,5.33,6840.0,119 CDM,6050561790J1596,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLN,30.0,30.0,0.38,30.0,112 CDM,6050561795J1596,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLN,30.0,30.0,0.38,30.0,112 CDM,6050561931J2469,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,504.0,504.0,0.34,504.0,112 CDM,6050561960J1335,ERTAPENEM SODIUM 1 G INJECTION SOLR,422.0,422.0,9.02,422.0,112 CDM,6050561964J1335,ERTAPENEM SODIUM 1 G INJECTION SOLR,422.0,422.0,9.02,422.0,112 CDM,6050561972J7520,SIROLIMUS 1 MG/ML PO SOLN,5685.0,5685.0,0.96,5685.0,112 CDM,6050562280J9058,BENDAMUSTINE HCL 100 MG/4ML IV SOLN,11555.0,11555.0,15.22,11555.0,111 CDM,6050562294J0878,DAPTOMYCIN 500 MG IV SOLR,1604.0,1604.0,0.03,1604.0,112 CDM,6050562304J9264,PACLITAXEL PROTEINBOUND PART 100 MG IV SUSR,5404.0,5404.0,8.18,5404.0,119 CDM,6050562310J0690,CEFAZOLIN SODIUM 2 G INJECTION SOLR,22.0,22.0,0.81,22.0,112 CDM,6050562315J0690,CEFAZOLIN SODIUM 2 G INJECTION SOLR,22.0,22.0,0.81,22.0,112 CDM,6050562360J0895,DEFEROXAMINE MESYLATE 500 MG INJECTION SOLR,47.0,47.0,6.35,47.0,112 CDM,6050562366J0895,DEFEROXAMINE MESYLATE 500 MG INJECTION SOLR,47.0,47.0,6.35,47.0,112 CDM,6050562370J0895,DEFEROXAMINE MESYLATE 2 G INJECTION SOLR,149.0,149.0,8.47,149.0,112 CDM,6050562376J0895,DEFEROXAMINE MESYLATE 2 G INJECTION SOLR,149.0,149.0,8.47,149.0,112 CDM,6050562380J0895,DEFEROXAMINE MESYLATE 500 MG INJECTION SOLR,47.0,47.0,6.35,47.0,112 CDM,6050562511J8540,DEXAMETHASONE 1 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,6050562721J9206,IRINOTECAN HCL 100 MG/5ML IV SOLN,109.0,109.0,1.4,109.0,112 CDM,6050562770J9060,CISPLATIN 50 MG/50ML IV SOLN,108.0,108.0,1.95,108.0,112 CDM,6068712201J7512,PREDNISONE 5 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,6068712211J7512,PREDNISONE 5 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,6068713401J7512,PREDNISONE 10 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,6068713411J7512,PREDNISONE 10 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,6068714501J7512,PREDNISONE 20 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,6068714511J7512,PREDNISONE 20 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,6068725240Q0162,ONDANSETRON HCL 4 MG/5ML PO SOLN,50.0,50.0,0.01,50.0,112 CDM,6068737511Q0167,DRONABINOL 2.5 MG PO CAPS,26.0,26.0,1.35,26.0,112 CDM,6068737521Q0167,DRONABINOL 2.5 MG PO CAPS,26.0,26.0,1.35,26.0,112 CDM,6068739479J7644,IPRATROPIUM BROMIDE 0.02 INHALATION SOLN,2.0,2.0,0.27,2.0,112 CDM,6068739483J7644,IPRATROPIUM BROMIDE 0.02 INHALATION SOLN,2.0,2.0,0.27,2.0,112 CDM,6068739579J7613,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,2.0,2.0,0.07,2.0,112 CDM,6068739583J7613,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,2.0,2.0,0.07,2.0,112 CDM,6068740579J7620,IPRATROPIUMALBUTEROL 0.52.5 (3) MG/3ML INHALATION,3.0,3.0,0.19,3.0,112 CDM,6068740583J7620,IPRATROPIUMALBUTEROL 0.52.5 (3) MG/3ML INHALATION,3.0,3.0,0.19,3.0,112 CDM,6068741911Q0161,CHLORPROMAZINE HCL 10 MG PO TABS,16.0,16.0,0.33,16.0,111 CDM,6068743001Q0161,CHLORPROMAZINE HCL 25 MG PO TABS,22.0,22.0,0.33,22.0,111 CDM,6068743801J7517,MYCOPHENOLATE MOFETIL 500 MG PO TABS,5.0,5.0,0.15,5.0,112 CDM,6068743811J7517,MYCOPHENOLATE MOFETIL 500 MG PO TABS,5.0,5.0,0.15,5.0,112 CDM,6068746301Q0161,CHLORPROMAZINE HCL 200 MG PO TABS,19.0,19.0,0.33,19.0,111 CDM,6068746311Q0161,CHLORPROMAZINE HCL 200 MG PO TABS,19.0,19.0,0.33,19.0,111 CDM,6068749401J7517,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,3.0,3.0,0.15,3.0,112 CDM,6068749411J7517,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,3.0,3.0,0.15,3.0,112 CDM,6068752479J7626,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,34.0,34.0,1.05,34.0,112 CDM,6068752483J7626,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,34.0,34.0,1.05,34.0,112 CDM,6068766001Q0169,PROMETHAZINE HCL 12.5 MG PO TABS,2.0,2.0,0.09,2.0,111 CDM,6068766011Q0169,PROMETHAZINE HCL 12.5 MG PO TABS,2.0,2.0,0.09,2.0,111 CDM,6068771801J8540,DEXAMETHASONE 4 MG PO TABS,4.0,4.0,0.01,4.0,112 CDM,6068771811J8540,DEXAMETHASONE 4 MG PO TABS,4.0,4.0,0.01,4.0,112 CDM,6068772901J8540,DEXAMETHASONE 6 MG PO TABS,6.0,6.0,0.01,6.0,112 CDM,6068772911J8540,DEXAMETHASONE 6 MG PO TABS,6.0,6.0,0.01,6.0,112 CDM,6068773179J7682,TOBRAMYCIN 300 MG/5ML INHALATION NEBU,65.0,65.0,8.78,65.0,112 CDM,6068773183J7682,TOBRAMYCIN 300 MG/5ML INHALATION NEBU,65.0,65.0,8.78,65.0,112 CDM,6079360002J0558,PENICILLIN G BENZATHINE PROC 1200000 UNIT/2ML IM,876.0,876.0,17.37,876.0,119 CDM,6079370001J0561,PENICILLIN G BENZATHINE 600000 UNIT/ML IM SUSY,634.0,634.0,26.82,634.0,119 CDM,6079370010J0561,PENICILLIN G BENZATHINE 600000 UNIT/ML IM SUSY,634.0,634.0,26.82,634.0,119 CDM,6079370102J0561,PENICILLIN G BENZATHINE 1200000 UNIT/2ML IM SUSY,1098.0,1098.0,26.82,1098.0,119 CDM,6079370110J0561,PENICILLIN G BENZATHINE 1200000 UNIT/2ML IM SUSY,1098.0,1098.0,26.82,1098.0,119 CDM,6079370204J0561,PENICILLIN G BENZATHINE 2400000 UNIT/4ML IM SUSY,2250.0,2250.0,26.82,2250.0,119 CDM,6079370210J0561,PENICILLIN G BENZATHINE 2400000 UNIT/4ML IM SUSY,2250.0,2250.0,26.82,2250.0,119 CDM,6080980101J2507,PEGLOTICASE 8 MG/ML IV SOLN,66900.0,66900.0,3550.05,66900.0,119 CDM,6092322702C9399,CASIMERSEN 100 MG/2ML IV SOLN,5760.0,5760.0,777.6,5760.0,113 CDM,6092328410J1428,ETEPLIRSEN 500 MG/10ML IV SOLN,28800.0,28800.0,125.52,28800.0,119 CDM,6092336302J1428,ETEPLIRSEN 100 MG/2ML IV SOLN,5760.0,5760.0,125.52,5760.0,119 CDM,6097714101J2730,PRALIDOXIME CHLORIDE 1 G IV SOLR,1873.0,1873.0,86.35,1873.0,111 CDM,6097714127J2730,PRALIDOXIME CHLORIDE 1 G IV SOLR,1873.0,1873.0,86.35,1873.0,111 CDM,61000002,HC MRI BR BILAT W/O W CONTR CAD,9181.0,9181.0,219.46,9181.0,115 CDM,61000008,HC MRI PELVIS WITH W/O CONTRAST,15482.0,15482.0,320.15,15482.0,125 CDM,61000009,HC MRI PELVIS WITHOUT CONTRAST,9181.0,9181.0,202.88,9181.0,125 CDM,61000010,HC MRA PELVIS W/ W/O CONTR,10515.0,10515.0,264.81,10515.0,115 CDM,61000011,HC MRI UP EXT NON JOINT W/O CONTR,9181.0,9181.0,202.88,9181.0,124 CDM,61000012,HC MRI UP EXT NONJOINT W/CONTRAST,10891.0,10891.0,261.28,10891.0,124 CDM,61000013,HC MRI UP EXT NONJOINT W W/O CONT,15482.0,15482.0,269.0,15482.0,124 CDM,61000014,HC MRI UP EXTRM JOINT W W/O CONTR,15482.0,15482.0,320.15,15482.0,124 CDM,61000015,HC MRI UPPER EXTRM JOINT W/O CONT,9181.0,9181.0,202.88,9181.0,124 CDM,61000016,HC MRI UPPER JOINT W/CONTRAST,10891.0,10891.0,261.28,10891.0,124 CDM,61000017,HC MRI CHEST W/CONTRAST,10891.0,10891.0,261.28,10891.0,125 CDM,61000018,HC RADONC MRI CHEST W W/O CONTRAST,15482.0,15482.0,320.15,15482.0,125 CDM,61000019,HC RADONC MRI CHEST WITHOUT CONTRAST,9181.0,9181.0,202.88,9181.0,125 CDM,61000020,HC MRI ABDOMEN WITHOUT CONTRAST,9181.0,9181.0,202.88,9181.0,125 CDM,61000021,HC MRI ABDOMEN W/INJ,10891.0,10891.0,261.28,10891.0,125 CDM,61000022,HC MRI LOWER EXTRM JOINT W/O CONT,9181.0,9181.0,202.88,9181.0,124 CDM,61000023,HC MRI ABDOMEN W W/O CONTRAST,15482.0,15482.0,320.15,15482.0,125 CDM,61000024,HC MRI LOWER JOINT W/CONTRAST,10891.0,10891.0,261.28,10891.0,124 CDM,61000025,HC MRI LOW EXTRM JOINT W W/O CONT,15482.0,15482.0,320.15,15482.0,124 CDM,61000026,HC MRI LOW EXT NONJNT W W/O CONTR,15482.0,15482.0,269.0,15482.0,124 CDM,61000027,HC MRI RADONC LOW EXT NON JOINT W/O CONT,9181.0,9181.0,202.88,9181.0,124 CDM,61000028,HC MR CARDIAC MORPH FUNCT W/O CON,9181.0,9181.0,202.88,9181.0,125 CDM,61000029,HC MRI LOW EXT NON JOINT W/CONTR,10891.0,10891.0,261.28,10891.0,124 CDM,61000032,HC MRI ORBITS/FACE/NECK W/O CONTR,9181.0,9181.0,202.88,9181.0,125 CDM,61000033,HC RADONC MRI ORBIT/FACE/NECK W W/O CONT,10972.0,10972.0,320.15,10972.0,125 CDM,61000034,HC MR CARDIAC MORPH FUNCT W/INJ,15690.0,15690.0,320.15,15690.0,125 CDM,61000035,HC CARD MRI VEL FLW MAP ADD-ON,1667.0,1667.0,39.26,1864.0,112 CDM,61000039,HC 3D REQUIRING SEPARATE WORKSTAT,838.0,838.0,48.97,1219.0,105 CDM,61000041,HC FULL BODY MRI,11315.0,11315.0,91.02,11315.0,119 CDM,61000045,HC 3D REND W/O POST PROC SEP WKST,293.0,293.0,19.05,1219.0,105 CDM,61000053,HC MRI W/O CONT BREAST BI,2085.0,2085.0,133.07,2085.0,125 CDM,61000065,HC 2D TTE W OR W/O FOL W/CONFU,5280.0,5280.0,127.38,5280.0,122 CDM,61000066,HC 2D TEE W OR W/O FOL W/CONIN,2737.0,2737.0,333.74,2737.0,122 CDM,61000068,HC TTE W OR WO FOL WCONDOPPLER,11761.0,11761.0,284.61,11761.0,122 CDM,61000069,HC TTE W OR W/O CONTR CONT ECG,3160.0,3160.0,248.66,3160.0,122 CDM,61000077,HC MR SAFETY DETERMINATION PHYSICIAN/OTHER QHP,264.0,264.0,33.82,1441.0,120 CDM,61000078,HC MR SAFETY IMPLANT POS /IMMOBLJ SUPVJ PHYS/QHP,178.0,178.0,22.81,1441.0,120 CDM,61000079,HC MR SAFETY IMPLANT /FB ASSMT CLIN STAF 1ST 15 MI,74.0,74.0,9.41,1441.0,120 CDM,61000080,HC MR SAFETY IMPLANT /FB ASSMT CLIN STAFF EA ADD 3,74.0,74.0,9.99,1441.0,105 CDM,61000081,HC MR SAFETY IMPLT ELECTRONICS PREPJ SUPVJ PHYS/QH,275.0,275.0,35.26,1441.0,120 CDM,61000082,HC MR SAFETY MED PHYSICS XM CUSTOMIZATION PLNG MN,725.0,725.0,92.85,1441.0,120 CDM,61000687,HC VERTEBROPLASTY ADDL INJECT,3881.0,3881.0,226.0,24257.61,112 CDM,61000689,HC CARD MRI VELOC FLOW MAPPING,1667.0,1667.0,39.26,1864.0,112 CDM,61000690,HC CARDIAC MRI MORPH W W/O CONT,15690.0,15690.0,320.15,15690.0,125 CDM,61000691,HC MRA PELVIS W CONTRAST,9306.0,9306.0,264.81,9306.0,115 CDM,61000693,HC MRI CHEST W/CONT,11040.0,11040.0,261.28,11040.0,125 CDM,61000706,HC Magnetic resonance elastography,1632.0,1632.0,147.77,1632.0,120 CDM,61100001,HC MRI BRAIN W/O CONTRAST,9181.0,9181.0,202.88,9181.0,125 CDM,61100002,HC MRI BRAIN WITH W/O CONTRAST,15482.0,15482.0,269.0,15482.0,125 CDM,61100003,HC MRI BRAIN WITH CONTRAST,10891.0,10891.0,261.28,10891.0,125 CDM,6116810101J3490,DEOXYCHOLIC ACID 20 MG/2ML SC SOLN,792.0,792.0,106.92,792.0,111 CDM,6116810104J3490,DEOXYCHOLIC ACID 20 MG/2ML SC SOLN,792.0,792.0,106.92,792.0,111 CDM,61200001,HC MRI LUMBAR SPINE W/CONTRAST,10891.0,10891.0,261.28,10891.0,125 CDM,61200002,HC MRI LUMBAR SPINE W/O CONTRAST,9181.0,9181.0,187.2,9181.0,125 CDM,61200003,HC MRI PELVIS WITH CONTRAST,10891.0,10891.0,203.4,10891.0,125 CDM,61200004,HC MRI CERVICAL SP W W/O CONTRAST,15482.0,15482.0,269.0,15482.0,125 CDM,61200005,HC MRI THORACIC SPINE W/O CONTRAS,9181.0,9181.0,187.2,9181.0,125 CDM,61200006,HC MRI THORICIC SPINE W/CONTRAST,10891.0,10891.0,261.28,10891.0,125 CDM,61200007,HC MRI CERVICAL SPINE W/CONTRAST,7828.0,7828.0,261.28,7828.0,125 CDM,61200008,HC MRI THORACIC SP W W/O CONTRA,15482.0,15482.0,269.0,15482.0,125 CDM,61200009,HC MRI CERVICAL SPINE W/O CONTRAS,9181.0,9181.0,202.88,9181.0,125 CDM,61200010,HC MRI LUMBAR SP W W/O CONTRAST,15482.0,15482.0,269.0,15482.0,125 CDM,61200018,HC MRI THROACIC SPINE W/CONT,11040.0,11040.0,261.28,11040.0,125 CDM,6126941020J9181,ETOPOSIDE PHOSPHATE 100 MG IV SOLR,614.0,614.0,0.98,614.0,112 CDM,6131431801Q5101,FILGRASTIMSNDZ 300 MCG/0.5ML INJECTION SOSY,988.0,988.0,0.35,988.0,119 CDM,6131431805Q5101,FILGRASTIMSNDZ 300 MCG/0.5ML INJECTION SOSY,988.0,988.0,0.35,988.0,119 CDM,6131431810Q5101,FILGRASTIMSNDZ 300 MCG/0.5ML INJECTION SOSY,988.0,988.0,0.35,988.0,119 CDM,6131432601Q5101,FILGRASTIMSNDZ 480 MCG/0.8ML INJECTION SOSY,1581.0,1581.0,0.35,1581.0,119 CDM,6131432605Q5101,FILGRASTIMSNDZ 480 MCG/0.8ML INJECTION SOSY,1581.0,1581.0,0.35,1581.0,119 CDM,6131432610Q5101,FILGRASTIMSNDZ 480 MCG/0.8ML INJECTION SOSY,1581.0,1581.0,0.35,1581.0,119 CDM,6131486601Q5120,PEGFILGRASTIMBMEZ 6 MG/0.6ML SC SOSY,14132.0,14132.0,24.71,14132.0,119 CDM,61332604458Q0243,CASIRIVIMAB IMDEVIMAB 1332 1332 MG/11.1ML INJE,1.0,1.0,0.02,1.0,111 CDM,61400001,HC MRI TEMPOROMANDIBULAR JOINT,9181.0,9181.0,202.88,9181.0,125 CDM,61400002,HC MRI NECK/ORBIT/FACE W/CONTRAST,10891.0,10891.0,261.28,10891.0,125 CDM,61400003,HC MRI JNT OF KWR EXREM W/O DYE,9181.0,9181.0,202.88,9181.0,124 CDM,61400011,HC MRI UNI BR W/O W CONTR CAD,7343.0,7343.0,220.54,7343.0,115 CDM,61500002,HC MRA HEAD WITHOUT CONTRAST,8126.0,8126.0,202.88,8126.0,125 CDM,61500003,HC MRA NECK WITHOUT CONTRAST,8126.0,8126.0,202.88,8126.0,125 CDM,61600001,HC MRA LOWER EXT W/O CONTR,8126.0,8126.0,262.77,8126.0,114 CDM,6170326205J9045,CARBOPLATIN 450 MG/45ML IV SOLN,170.0,170.0,2.11,170.0,112 CDM,6170330346J9100,CYTARABINE (PF) 20 MG/ML INJECTION SOLN,102.0,102.0,0.79,102.0,112 CDM,6170330436J9100,CYTARABINE 20 MG/ML INJECTION SOLN,58.0,58.0,0.79,58.0,112 CDM,6170330538J9100,CYTARABINE (PF) 20 MG/ML INJECTION SOLN,23.0,23.0,0.79,23.0,112 CDM,6170330558J9100,CYTARABINE (PF) 20 MG/ML INJECTION SOLN,23.0,23.0,0.79,23.0,112 CDM,6170330906J9370,VINCRISTINE SULFATE 1 MG/ML IV SOLN,64.0,64.0,7.86,64.0,112 CDM,6170330916J9370,VINCRISTINE SULFATE 1 MG/ML IV SOLN,56.0,56.0,7.56,56.0,112 CDM,6170330925J9370,VINCRISTINE SULFATE 1 MG/ML IV SOLN,62.0,62.0,7.86,62.0,112 CDM,6170330926J9370,VINCRISTINE SULFATE 1 MG/ML IV SOLN,56.0,56.0,7.56,56.0,112 CDM,6170331922J9100,CYTARABINE (PF) 100 MG/ML INJECTION SOLN,74.0,74.0,0.79,74.0,112 CDM,6170332322J9040,BLEOMYCIN SULFATE 30 UNITS INJECTION SOLR,338.0,338.0,20.9,338.0,112 CDM,6170332418J2430,PAMIDRONATE DISODIUM 30 MG/10ML IV SOLN,51.0,51.0,6.89,51.0,112 CDM,6170332518J2430,PAMIDRONATE DISODIUM 6 MG/ML IV SOLN,149.0,149.0,11.16,149.0,112 CDM,6170332618J2430,PAMIDRONATE DISODIUM 90 MG/10ML IV SOLN,132.0,132.0,11.16,132.0,112 CDM,6170333218J9040,BLEOMYCIN SULFATE 15 UNITS INJECTION SOLR,182.0,182.0,20.9,182.0,112 CDM,6170333918J9045,CARBOPLATIN 50 MG/5ML IV SOLN,49.0,49.0,2.11,49.0,112 CDM,6170333922J9045,CARBOPLATIN 150 MG/15ML IV SOLN,84.0,84.0,2.11,84.0,112 CDM,6170333950J9045,CARBOPLATIN 450 MG/45ML IV SOLN,170.0,170.0,2.11,170.0,112 CDM,6170333956J9045,CARBOPLATIN 600 MG/60ML IV SOLN,213.0,213.0,2.11,213.0,112 CDM,6170334222J9267,PACLITAXEL 100 MG/16.7ML IV CONC,102.0,102.0,0.1,102.0,112 CDM,6170334250J9267,PACLITAXEL 300 MG/50ML IV CONC,257.0,257.0,0.1,257.0,112 CDM,6170334318J9293,MITOXANTRONE HCL 20 MG/10ML IV CONC,622.0,622.0,29.6,622.0,119 CDM,6170334365J9293,MITOXANTRONE HCL 25 MG/12.5ML IV CONC,777.0,777.0,29.6,777.0,119 CDM,6170334366J9293,MITOXANTRONE HCL 30 MG/15ML IV CONC,932.0,932.0,29.6,932.0,119 CDM,6170334909J9206,IRINOTECAN HCL 100 MG/5ML IV SOLN,80.0,80.0,1.4,80.0,112 CDM,6170334916J9206,IRINOTECAN HCL 40 MG/2ML IV SOLN,52.0,52.0,1.4,52.0,112 CDM,6170335009J9260,METHOTREXATE SODIUM 50 MG/2ML INJECTION SOLN,27.0,27.0,2.26,27.0,112 CDM,6170335010J9260,METHOTREXATE SODIUM 50 MG/2ML INJECTION SOLN,27.0,27.0,2.26,27.0,112 CDM,6170335037J9260,METHOTREXATE SODIUM 50 MG/2ML INJECTION SOLN,27.0,27.0,2.26,27.0,112 CDM,6170335038J9260,METHOTREXATE SODIUM 50 MG/2ML INJECTION SOLN,27.0,27.0,2.26,27.0,112 CDM,6170336318J9263,OXALIPLATIN 50 MG/10ML IV SOLN,173.0,173.0,0.05,173.0,112 CDM,6170336322J9263,OXALIPLATIN 100 MG/20ML IV SOLN,346.0,346.0,0.05,346.0,112 CDM,6170340841J9260,METHOTREXATE SODIUM (PF) 1 GM/40ML INJECTION SOLN,133.0,133.0,2.26,133.0,112 CDM,6175500501J0178,AFLIBERCEPT 2 MG/0.05ML INTRAVITREAL SOSY,6660.0,6660.0,763.9,6660.0,119 CDM,6175500502J0178,AFLIBERCEPT 2 MG/0.05ML INTRAVITREAL SOLN,6660.0,6660.0,763.9,6660.0,119 CDM,6175500801J9119,CEMIPLIMABRWLC 350 MG/7ML IV SOLN,37073.0,37073.0,28.21,37073.0,119 CDM,6175501001J1305,EVINACUMABDGNB 1200 MG/8ML IV SOLN,151857.0,151857.0,186.31,151857.0,119 CDM,6175501301J1305,EVINACUMABDGNB 345 MG/2.3ML IV SOLN,43659.0,43659.0,186.31,43659.0,119 CDM,6175505001J0177,AFLIBERCEPT 8 MG/0.07ML INTRAVITREAL SOLN,9450.0,9450.0,306.98,9450.0,119 CDM,61800001,HC MRA SPINAL CANAL W W/O CONTRST,8126.0,8126.0,377.3,8126.0,115 CDM,61800002,HC MRA CHEST W/O CONTRAST,8126.0,8126.0,259.37,8126.0,115 CDM,61800003,HC MRA ABDOMEN WITH W/O CONTRST,8126.0,8126.0,263.45,8126.0,115 CDM,61800004,HC MRA HEAD WITH CONTRAST,10891.0,10891.0,261.28,10891.0,125 CDM,61800005,HC MRA NECK WITH CONTRAST,10891.0,10891.0,261.28,10891.0,125 CDM,61800007,HC MRA CHEST W/ W/O CONTR,11040.0,11040.0,259.37,11040.0,115 CDM,61800008,HC MRA CHEST W/ CONTR,8240.0,8240.0,259.37,8240.0,115 CDM,6195300040J1572,FLEBOGAMMA DIF 20 GM/400ML IV SOLN,7624.0,7624.0,52.73,7624.0,112 CDM,6195300043J1572,IMMUNE GLOBULIN (HUMAN) 5 GM/100ML IV SOLN,1906.0,1906.0,52.73,1906.0,112 CDM,6195300044J1572,IMMUNE GLOBULIN (HUMAN) 10 GM/200ML IV SOLN,3812.0,3812.0,52.73,3812.0,112 CDM,6195300045J1572,IMMUNE GLOBULIN (HUMAN) 20 GM/400ML IV SOLN,7624.0,7624.0,52.73,7624.0,112 CDM,6195300048J1572,FLEBOGAMMA DIF 5 GM/100ML IV SOLN,1906.0,1906.0,52.73,1906.0,112 CDM,6195300049J1572,FLEBOGAMMA DIF 10 GM/200ML IV SOLN,3812.0,3812.0,52.73,3812.0,112 CDM,6195807011J0750,EMTRICITABINETENOFOVIR DF 200300 MG PO TABS,222.0,222.0,1.34,222.0,119 CDM,6195829011J0248,REMDESIVIR 100 MG IV SOLR,1872.0,1872.0,6.35,1872.0,119 CDM,6195829012J0248,REMDESIVIR 100 MG IV SOLR,2159.0,2159.0,6.35,2159.0,119 CDM,6195830021J1961,LENACAPAVIR SODIUM 463.5 MG/1.5ML SC SOLN,70200.0,70200.0,21.98,70200.0,119 CDM,6199002131J2371,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),155.0,155.0,0.01,155.0,108 CDM,6199004110J1110,DIHYDROERGOTAMINE MESYLATE 1 MG/ML INJECTION SOLN,539.0,539.0,41.04,539.0,112 CDM,6206412201J1746,IBALIZUMABUIYK 200 MG/1.33ML IV SOLN,7423.0,7423.0,77.13,7423.0,119 CDM,6213535105Q0162,ONDANSETRON HCL 8 MG PO TABS,124.0,124.0,0.01,124.0,112 CDM,6217538137J7507,TACROLIMUS 1 MG PO CAPS,14.0,14.0,0.15,14.0,112 CDM,6222560000J1097,PHENYLEPHRINEKETOROLAC 10.3 INTRAOCULAR SOLN,1700.0,1700.0,98.07,1700.0,112 CDM,6222560004J1097,PHENYLEPHRINEKETOROLAC 10.3 INTRAOCULAR SOLN,1700.0,1700.0,98.07,1700.0,112 CDM,6233236506J8499,CLONAZEPAM 0.25 MG PO TBDP,4.0,4.0,0.54,4.0,105 CDM,6233236606J8499,CLONAZEPAM 0.5 MG PO TBDP,4.0,4.0,0.54,4.0,105 CDM,6233236706J8499,CLONAZEPAM 1 MG PO TBDP,5.0,5.0,0.68,5.0,105 CDM,6233259901J1885,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,7.0,7.0,0.33,7.0,112 CDM,6233259925J1885,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,7.0,7.0,0.33,7.0,112 CDM,6233260001J1885,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,7.0,7.0,0.33,7.0,112 CDM,6233260025J1885,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,7.0,7.0,0.33,7.0,112 CDM,6233261831J8530,CYCLOPHOSPHAMIDE 25 MG PO CAPS,27.0,27.0,0.84,27.0,112 CDM,6233261931J8530,CYCLOPHOSPHAMIDE 50 MG PO CAPS,50.0,50.0,0.84,50.0,112 CDM,6233267808J9171,DOCETAXEL 80 MG/8ML IV SOLN,4555.0,4555.0,0.38,4555.0,112 CDM,6233267816J9171,DOCETAXEL 160 MG/16ML IV SOLN,9717.0,9717.0,0.38,9717.0,112 CDM,6233273631Q0161,CHLORPROMAZINE HCL 25 MG PO TABS,23.0,23.0,0.33,23.0,111 CDM,6233273731J3230,CHLORPROMAZINE HCL 50 MG PO TABS,32.0,32.0,4.32,56.1,112 CDM,6233273831Q0161,CHLORPROMAZINE HCL 100 MG PO TABS,45.0,45.0,0.33,45.0,111 CDM,6233275150J9190,FLUOROURACIL 2.5 GM/50ML IV SOLN,104.0,104.0,1.72,104.0,112 CDM,6275606040J1325,EPOPROSTENOL SODIUM (FLOLAN) 1.5 MG IV SOLR,169.0,169.0,15.65,169.0,112 CDM,6275612940J2470,PANTOPRAZOLE SODIUM 40 MG IV SOLR,255.0,255.0,1.93,255.0,111 CDM,6275612944J2470,PANTOPRAZOLE SODIUM 40 MG IV SOLR,26.0,26.0,1.93,26.0,111 CDM,6275623301J0289,AMPHOTERICIN B LIPOSOME 50 MG IV SUSR,918.0,918.0,20.72,918.0,119 CDM,6275624064Q0162,ONDANSETRON 4 MG PO TBDP,67.0,67.0,0.01,67.0,112 CDM,6275630101J2561,PHENOBARBITAL SODIUM 100 MG IV SOLR,481.0,481.0,1.06,481.0,119 CDM,6275635664Q0162,ONDANSETRON 8 MG PO TBDP,110.0,110.0,0.01,110.0,112 CDM,6275651240J0456,AZITHROMYCIN 500 MG IV SOLR,22.0,22.0,2.04,22.0,112 CDM,6275652926J2597,DESMOPRESSIN ACETATE 4 MCG/ML INJECTION SOLN,695.0,695.0,3.41,695.0,112 CDM,6275652940J2597,DESMOPRESSIN ACETATE 4 MCG/ML INJECTION SOLN,2140.0,2140.0,3.41,2140.0,112 CDM,6285621201J0174,LECANEMABIRMB 200 MG/2ML IV SOLN,918.0,918.0,1.33,918.0,119 CDM,6285621501J0174,LECANEMABIRMB 500 MG/5ML IV SOLN,2294.0,2294.0,1.33,2294.0,119 CDM,6285638901J9179,ERIBULIN MESYLATE 1 MG/2ML IV SOLN,5076.0,5076.0,72.61,5076.0,119 CDM,6293522305J9217,LEUPROLIDE ACETATE (3 MONTH) 22.5 MG SC KIT,4879.0,4879.0,155.42,4879.0,119 CDM,6293522710J9217,LEUPROLIDE ACETATE (3 MONTH) 22.5 MG SC KIT,4879.0,4879.0,155.42,4879.0,119 CDM,6293530330J9217,LEUPROLIDE ACETATE (4 MONTH) 30 MG SC KIT,6505.0,6505.0,155.42,6505.0,119 CDM,6293545345J9217,LEUPROLIDE ACETATE (6 MONTH) 45 MG SC KIT,9757.0,9757.0,155.42,9757.0,119 CDM,6293575375J9217,LEUPROLIDE ACETATE 7.5 MG SC KIT,1627.0,1627.0,155.42,1627.0,119 CDM,6293575680J9217,LEUPROLIDE ACETATE 7.5 MG SC KIT,1627.0,1627.0,155.42,1627.0,119 CDM,6302004901J9041,BORTEZOMIB 1 MG/ML IV SOLR (WRAPPER),5771.0,5771.0,1.59,5771.0,112 CDM,6303710005J3010,FENTANYL CITRATENACL 10.9 MG/100ML IV SOLN,126.0,126.0,0.85,126.0,112 CDM,6303717325J2371,PHENYLEPHRINE 100 MCG/ML BOLUS INJECTION 10ML (WRA,17.0,17.0,0.01,17.0,108 CDM,6303719025J3010,FENTANYL CITRATE 100 MCG/2ML INJECTION SOSY,36.0,36.0,0.85,36.0,112 CDM,6330411401Q0161,CHLORPROMAZINE HCL 100 MG PO TABS,45.0,45.0,0.33,45.0,111 CDM,6330411410Q0161,CHLORPROMAZINE HCL 100 MG PO TABS,45.0,45.0,0.33,45.0,111 CDM,6330418501Q0161,CHLORPROMAZINE HCL 10 MG PO TABS,13.0,13.0,0.33,13.0,111 CDM,6330445830Q0162,ONDANSETRON HCL 4 MG PO TABS,75.0,75.0,0.01,75.0,112 CDM,6332301001J1580,GENTAMICIN SULFATE 40 MG/ML INJECTION SOLN,17.0,17.0,2.17,17.0,112 CDM,6332301002J1580,GENTAMICIN SULFATE 40 MG/ML INJECTION SOLN,17.0,17.0,2.17,17.0,112 CDM,6332301003J1580,GENTAMICIN SULFATE 40 MG/ML INJECTION SOLN,120.0,120.0,2.17,120.0,112 CDM,6332301020J1580,GENTAMICIN SULFATE 40 MG/ML INJECTION SOLN,120.0,120.0,2.17,120.0,112 CDM,6332301094J1580,GENTAMICIN SULFATE 40 MG/ML INJECTION SOLN,4.0,4.0,0.54,4.91,112 CDM,6332301096J1580,GENTAMICIN SULFATE 40 MG/ML INJECTION SOLN,66.0,66.0,2.17,66.0,112 CDM,6332301115J0720,CHLORAMPHENICOL SOD SUCCINATE 1 G IV SOLR,176.0,176.0,23.76,176.0,119 CDM,6332301201J2590,OXYTOCIN 10 UNIT/ML INJECTION SOLN,6.0,6.0,0.81,6.0,111 CDM,6332301202J2590,OXYTOCIN 10 UNIT/ML INJECTION SOLN,195.0,195.0,0.86,195.0,111 CDM,6332301203J2590,OXYTOCIN 10 UNIT/ML INJECTION SOLN,13.0,13.0,0.86,13.0,111 CDM,6332301206J2590,OXYTOCIN 10 UNIT/ML INJECTION SOLN,37.0,37.0,0.86,37.0,111 CDM,6332301207J2590,OXYTOCIN 10 UNIT/ML INJECTION SOLN,6.0,6.0,0.81,6.0,111 CDM,6332301210J2590,OXYTOCIN 10 UNIT/ML INJECTION SOLN,37.0,37.0,0.86,37.0,111 CDM,6332301211J2590,OXYTOCIN 10 UNIT/ML INJECTION SOLN,13.0,13.0,0.86,13.0,111 CDM,6332301217J2590,OXYTOCIN 10 UNIT/ML INJECTION SOLN,6.0,6.0,0.81,6.0,111 CDM,6332301230J2590,OXYTOCIN 10 UNIT/ML INJECTION SOLN,195.0,195.0,0.86,195.0,111 CDM,6332301301J3411,THIAMINE HCL 100 MG/ML INJECTION SOLN,36.0,36.0,1.76,36.0,112 CDM,6332301302J3411,THIAMINE HCL 100 MG/ML INJECTION SOLN,25.0,25.0,1.76,25.0,112 CDM,6332301309J3411,THIAMINE HCL 100 MG/ML INJECTION SOLN,25.0,25.0,1.76,25.0,112 CDM,6332301321J3411,THIAMINE HCL 100 MG/ML INJECTION SOLN,25.0,25.0,1.76,25.0,112 CDM,6332301326J3411,THIAMINE HCL 100 MG/ML INJECTION SOLN,25.0,25.0,1.76,25.0,112 CDM,6332302401J2150,MANNITOL 25 IV SOLN,22.0,22.0,2.24,22.0,111 CDM,6332302425J2150,MANNITOL 25 IV SOLN,22.0,22.0,2.24,22.0,111 CDM,6332304400J3420,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,25.0,25.0,0.64,25.0,112 CDM,6332304401J3420,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,25.0,25.0,0.64,25.0,112 CDM,6332304710J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,63.0,63.0,0.18,63.0,112 CDM,6332306401J3475,MAGNESIUM SULFATE 50 INJECTION SOLN,9.0,9.0,0.41,9.0,112 CDM,6332306403J3475,MAGNESIUM SULFATE 50 INJECTION SOLN,9.0,9.0,0.41,9.0,112 CDM,6332306404J3475,MAGNESIUM SULFATE 50 INJECTION SOLN,9.0,9.0,0.41,9.0,112 CDM,6332306411J3475,MAGNESIUM SULFATE 50 INJECTION SOLN,9.0,9.0,0.41,9.0,112 CDM,6332306421J3475,MAGNESIUM SULFATE 50 INJECTION SOLN,5.0,5.0,0.41,5.0,112 CDM,6332306423J3475,MAGNESIUM SULFATE 50 INJECTION SOLN,5.0,5.0,0.41,5.0,112 CDM,6332309301J3490,SODIUM CHLORIDE (CONCENTRATED) 4 MEQ/ML IV SOLN (I,25.0,25.0,3.38,25.0,111 CDM,6332309330J3490,SODIUM CHLORIDE (CONCENTRATED) 4 MEQ/ML IV SOLN (I,25.0,25.0,3.38,25.0,111 CDM,6332310161J9000,DOXORUBICIN HCL 2 MG/ML IV SOLN,480.0,480.0,2.72,480.0,112 CDM,6332310351J9060,CISPLATIN 50 MG/50ML IV SOLN,75.0,75.0,1.95,75.0,112 CDM,6332310364J9060,CISPLATIN 200 MG/200ML IV SOLN,297.0,297.0,1.95,297.0,112 CDM,6332310365J9060,CISPLATIN 100 MG/100ML IV SOLN,149.0,149.0,1.95,149.0,112 CDM,6332310401J9181,ETOPOSIDE 100 MG/5ML IV SOLN,45.0,45.0,0.98,45.0,112 CDM,6332310425J9181,ETOPOSIDE 500 MG/25ML IV SOLN,224.0,224.0,0.98,224.0,112 CDM,6332310450J9181,ETOPOSIDE 1 GM/50ML IV SOLN,448.0,448.0,0.98,448.0,112 CDM,6332310600J3475,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,29.0,29.0,0.41,29.0,112 CDM,6332310601J3475,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,29.0,29.0,0.41,29.0,112 CDM,6332310602J3475,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,47.0,47.0,0.41,47.0,112 CDM,6332310605J3475,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,47.0,47.0,0.41,47.0,112 CDM,6332310615J3475,MAGNESIUM SULFATE 20 GM/500ML IV SOLN,23.0,23.0,0.41,23.0,112 CDM,6332310626J3475,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,36.0,36.0,0.41,36.0,112 CDM,6332310800J3475,MAGNESIUM SULFATE IN D5W 15 GM/100ML IV SOLN,30.0,30.0,0.41,30.0,112 CDM,6332310801J3475,MAGNESIUM SULFATE IN D5W 15 GM/100ML IV SOLN,30.0,30.0,0.41,30.0,112 CDM,6332311301S0080,PENTAMIDINE ISETHIONATE 300 MG INJECTION SOLR,601.0,601.0,81.14,601.0,111 CDM,6332311310S0080,PENTAMIDINE ISETHIONATE 300 MG INJECTION SOLR,601.0,601.0,81.14,601.0,111 CDM,6332311700J9190,FLUOROURACIL 500 MG/10ML IV SOLN,13.0,13.0,1.72,13.0,112 CDM,6332311701J9190,FLUOROURACIL 1 GM/20ML IV SOLN,25.0,25.0,1.72,25.0,112 CDM,6332311710J9190,FLUOROURACIL 500 MG/10ML IV SOLN,13.0,13.0,1.72,13.0,112 CDM,6332311720J9190,FLUOROURACIL 1 GM/20ML IV SOLN,25.0,25.0,1.72,25.0,112 CDM,6332311728J9190,FLUOROURACIL 1 GM/20ML IV SOLN,22.0,22.0,1.72,22.0,112 CDM,6332311731J9190,FLUOROURACIL 500 MG/10ML IV SOLN,10.0,10.0,1.35,10.0,112 CDM,6332311751J9190,FLUOROURACIL 2.5 GM/50ML IV SOLN,53.0,53.0,1.72,53.0,112 CDM,6332311761J9190,FLUOROURACIL 5 GM/100ML IV SOLN,106.0,106.0,1.72,106.0,112 CDM,6332311801J1644,HEPARIN SODIUM (PORCINE) PF 5000 UNIT/0.5ML INJECT,12.0,12.0,0.18,12.0,112 CDM,6332311805J1644,HEPARIN SODIUM (PORCINE) PF 5000 UNIT/0.5ML INJECT,12.0,12.0,0.18,12.0,112 CDM,6332312020J9100,CYTARABINE (PF) 100 MG/ML INJECTION SOLN,76.0,76.0,0.79,76.0,112 CDM,6332312250J9260,METHOTREXATE SODIUM 1 G INJECTION SOLR,229.0,229.0,2.26,229.0,112 CDM,6332312310J9260,METHOTREXATE SODIUM 250 MG/10ML INJECTION SOLN,121.0,121.0,2.26,121.0,112 CDM,6332312553J9201,GEMCITABINE HCL 1 G IV SOLR,177.0,177.0,2.87,177.0,112 CDM,6332312710J9130,DACARBAZINE 100 MG IV SOLR,45.0,45.0,3.82,45.0,112 CDM,6332312800J9130,DACARBAZINE 200 MG IV SOLR,44.0,44.0,3.82,44.0,112 CDM,6332312820J9130,DACARBAZINE 200 MG IV SOLR,44.0,44.0,3.82,44.0,112 CDM,6332313002J3490,DOXYCYCLINE HYCLATE 100 MG IV SOLR,76.0,76.0,10.26,76.0,111 CDM,6332313003J3490,DOXYCYCLINE HYCLATE 100 MG IV SOLR,76.0,76.0,10.26,76.0,111 CDM,6332313011J3490,DOXYCYCLINE HYCLATE 100 MG IV SOLR,76.0,76.0,10.26,76.0,111 CDM,6332313013J3490,DOXYCYCLINE HYCLATE 100 MG IV SOLR,76.0,76.0,10.26,76.0,111 CDM,6332313017J3490,DOXYCYCLINE HYCLATE 100 MG IV SOLR,76.0,76.0,10.26,76.0,111 CDM,6332313210J9293,MITOXANTRONE HCL 20 MG/10ML IV CONC,1468.0,1468.0,29.6,1468.0,119 CDM,6332313610J9040,BLEOMYCIN SULFATE 15 UNITS INJECTION SOLR,125.0,125.0,16.88,125.0,112 CDM,6332313720J9040,BLEOMYCIN SULFATE 30 UNITS INJECTION SOLR,275.0,275.0,20.9,275.0,112 CDM,6332314010J9065,CLADRIBINE 10 MG/10ML IV SOLN,1566.0,1566.0,7.42,1566.0,119 CDM,6332314210J9208,IFOSFAMIDE 1 G IV SOLR,209.0,209.0,23.5,209.0,112 CDM,6332314212J9208,IFOSFAMIDE 1 G IV SOLR,127.0,127.0,17.14,127.0,112 CDM,6332316100J1885,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,14.0,14.0,0.33,14.0,112 CDM,6332316101J1885,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,14.0,14.0,0.33,14.0,112 CDM,6332316112J1885,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,3.0,3.0,0.33,3.0,112 CDM,6332316116J1885,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,14.0,14.0,0.33,14.0,112 CDM,6332316121J1885,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,3.0,3.0,0.33,3.0,112 CDM,6332316200J1885,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,21.0,21.0,0.33,21.0,112 CDM,6332316201J1885,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,21.0,21.0,0.33,21.0,112 CDM,6332316202J1885,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN,30.0,30.0,0.33,30.0,112 CDM,6332316203J1885,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN,30.0,30.0,0.33,30.0,112 CDM,6332316212J1885,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,3.0,3.0,0.33,3.0,112 CDM,6332316214J1885,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN,4.0,4.0,0.33,4.0,112 CDM,6332316216J1885,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,18.0,18.0,0.33,18.0,112 CDM,6332316223J1885,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,3.0,3.0,0.33,3.0,112 CDM,6332316225J1885,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN,4.0,4.0,0.33,4.0,112 CDM,6332316226J1885,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN,4.0,4.0,0.33,4.0,112 CDM,6332316243J1885,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,3.0,3.0,0.33,3.0,112 CDM,6332316245J1885,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN,4.0,4.0,0.33,4.0,112 CDM,6332316501J1100,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION S,11.0,11.0,0.11,11.0,112 CDM,6332316502J1100,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION S,11.0,11.0,0.11,11.0,112 CDM,6332316503J1100,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML INJECTION,25.0,25.0,0.11,25.0,112 CDM,6332316505J1100,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML INJECTION,25.0,25.0,0.11,25.0,112 CDM,6332316516J1100,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION S,8.0,8.0,0.11,8.0,112 CDM,6332316526J1100,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML INJECTION,21.0,21.0,0.11,21.0,112 CDM,6332316530J1100,DEXAMETHASONE SODIUM PHOSPHATE 120 MG/30ML INJECTI,147.0,147.0,0.11,147.0,112 CDM,6332317260J9045,CARBOPLATIN 600 MG/60ML IV SOLN,389.0,389.0,2.11,389.0,112 CDM,6332317301J1580,GENTAMICIN SULFATE 10 MG/ML INJECTION SOLN (FOR IM,23.0,23.0,2.17,23.0,112 CDM,6332317302J1580,GENTAMICIN SULFATE 10 MG/ML INJECTION SOLN,23.0,23.0,2.17,23.0,112 CDM,6332317394J1580,GENTAMICIN SULFATE 10 MG/ML INJECTION SOLN,8.0,8.0,1.08,8.0,112 CDM,6332317395J1580,GENTAMICIN SULFATE 10 MG/ML INJECTION SOLN,7.0,7.0,0.95,7.0,112 CDM,6332318000J3415,PYRIDOXINE HCL 100 MG/ML INJECTION SOLN,79.0,79.0,7.7,79.0,112 CDM,6332318001J3415,PYRIDOXINE HCL 100 MG/ML INJECTION SOLN,79.0,79.0,7.7,79.0,112 CDM,6332318504A4216,STERILE WATER FOR INJECTION SOLN,11.0,11.0,0.71,11.0,111 CDM,6332318505A4216,STERILE WATER FOR INJECTION SOLN,11.0,11.0,0.71,11.0,111 CDM,6332318507A4216,STERILE WATER FOR INJECTION SOLN,16.0,16.0,0.71,16.0,111 CDM,6332318508A4216,STERILE WATER FOR INJECTION SOLN,21.0,21.0,0.71,21.0,111 CDM,6332318509A4216,STERILE WATER FOR INJECTION SOLN,27.0,27.0,0.71,27.0,111 CDM,6332318510A4216,STERILE WATER FOR INJECTION SOLN,16.0,16.0,0.71,16.0,111 CDM,6332318520A4216,STERILE WATER FOR INJECTION SOLN,21.0,21.0,0.71,21.0,111 CDM,6332319202J9185,FLUDARABINE PHOSPHATE 50 MG/2ML IV SOLN,979.0,979.0,71.65,979.0,112 CDM,6332319352J9206,IRINOTECAN HCL 40 MG/2ML IV SOLN,58.0,58.0,1.4,58.0,112 CDM,6332319355J9206,IRINOTECAN HCL 100 MG/5ML IV SOLN,123.0,123.0,1.4,123.0,112 CDM,6332320102J2003,LIDOCAINE HCL 1 INJECTION SOLN,10.0,10.0,0.01,10.0,111 CDM,6332320103J2003,LIDOCAINE HCL 1 INJECTION SOLN,9.0,9.0,0.01,9.0,111 CDM,6332320110J2003,LIDOCAINE HCL 1 INJECTION SOLN,9.0,9.0,0.01,9.0,111 CDM,6332320201J3490,LIDOCAINE HCL 2 INJECTION SOLN,10.0,10.0,1.35,10.0,111 CDM,6332320202J3490,LIDOCAINE HCL 2 INJECTION SOLN,10.0,10.0,1.35,10.0,111 CDM,6332320301J3370,VANCOMYCIN HCL 750 MG IV SOLR,1.0,1.0,0.14,1.0,111 CDM,6332320320J3370,VANCOMYCIN HCL 750 MG IV SOLR,34.0,34.0,1.86,34.0,111 CDM,6332320801J3490,LIDOCAINE HCL (CARDIAC) PF 100 MG/5ML IV SOLN,13.0,13.0,1.76,13.0,111 CDM,6332320805J3490,LIDOCAINE HCL (CARDIAC) PF 100 MG/5ML IV SOLN,13.0,13.0,1.76,13.0,111 CDM,6332322901J2720,PROTAMINE SULFATE 10 MG/ML IV SOLN,56.0,56.0,1.14,56.0,112 CDM,6332322905J2720,PROTAMINE SULFATE 10 MG/ML IV SOLN,56.0,56.0,1.14,56.0,112 CDM,6332322915J2720,PROTAMINE SULFATE 10 MG/ML IV SOLN,41.0,41.0,1.14,41.0,112 CDM,6332322921J2720,PROTAMINE SULFATE 10 MG/ML IV SOLN,41.0,41.0,1.14,41.0,112 CDM,6332322930J2720,PROTAMINE SULFATE 10 MG/ML IV SOLN,191.0,191.0,1.14,191.0,112 CDM,6332322935J2720,PROTAMINE SULFATE 10 MG/ML IV SOLN,119.0,119.0,1.14,119.0,112 CDM,6332322941J2720,PROTAMINE SULFATE 10 MG/ML IV SOLN,33.0,33.0,1.14,33.0,112 CDM,6332322994J2720,PROTAMINE SULFATE 10 MG/ML IV SOLN,33.0,33.0,1.14,33.0,112 CDM,6332323610J0690,CEFAZOLIN SODIUM 500 MG INJECTION SOLR,10.0,10.0,0.81,10.0,112 CDM,6332323710J0690,CEFAZOLIN SODIUM 1 G INJECTION SOLR,7.0,7.0,0.81,7.0,112 CDM,6332323861J0690,CEFAZOLIN SODIUM 10 G INJECTION SOLR,46.0,46.0,0.81,46.0,112 CDM,6332325503J2919,METHYLPREDNISOLONE SODIUM SUCC 40 MG INJECTION SOL,22.0,22.0,0.26,22.0,112 CDM,6332325803J2919,METHYLPREDNISOLONE SODIUM SUCC 125 MG INJECTION SO,42.0,42.0,0.26,42.0,112 CDM,6332326001J0670,MEPIVACAINE HCL (PF) 1 INJECTION SOLN,36.0,36.0,3.55,36.0,112 CDM,6332326037J0670,MEPIVACAINE HCL (PF) 1 INJECTION SOLN,36.0,36.0,3.55,36.0,112 CDM,6332326110J2675,PROGESTERONE 50 MG/ML IM OIL,108.0,108.0,0.63,108.0,112 CDM,6332326201J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,16.0,16.0,0.18,16.0,112 CDM,6332326203J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,15.0,15.0,0.18,15.0,112 CDM,6332326206J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,15.0,15.0,0.18,15.0,112 CDM,6332326209J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,4.0,4.0,0.18,4.0,112 CDM,6332326211J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,4.0,4.0,0.18,4.0,112 CDM,6332326226J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,4.0,4.0,0.18,4.0,112 CDM,6332326530J2919,METHYLPREDNISOLONE SODIUM SUCC 1000 MG INJECTION S,124.0,124.0,0.26,124.0,112 CDM,6332326910J2704,PROPOFOL 100 MG/10ML IV EMUL,11.0,11.0,0.08,11.0,112 CDM,6332326922J2704,PROPOFOL 200 MG/20ML IV EMUL,22.0,22.0,0.08,22.0,112 CDM,6332326925J2704,PROPOFOL 200 MG/20ML IV EMUL,9.0,9.0,0.08,9.0,112 CDM,6332326929J2704,PROPOFOL 200 MG/20ML IV EMUL,22.0,22.0,0.08,22.0,112 CDM,6332326937J2704,PROPOFOL 200 MG/20ML IV EMUL,9.0,9.0,0.08,9.0,112 CDM,6332326950J2704,PROPOFOL 500 MG/50ML IV EMUL,54.0,54.0,0.08,54.0,112 CDM,6332326957J2704,PROPOFOL 500 MG/50ML IV EMUL,22.0,22.0,0.08,22.0,112 CDM,6332326959J2704,PROPOFOL 500 MG/50ML IV EMUL,57.0,57.0,0.08,57.0,112 CDM,6332326965J2704,PROPOFOL 1000 MG/100ML IV EMUL,108.0,108.0,0.08,108.0,112 CDM,6332326967J2704,PROPOFOL 1000 MG/100ML IV EMUL,44.0,44.0,0.08,44.0,112 CDM,6332326969J2704,PROPOFOL 1000 MG/100ML IV EMUL,113.0,113.0,0.08,113.0,112 CDM,6332327205J2680,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLN,558.0,558.0,6.2,558.0,112 CDM,6332327301J3030,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOLN,184.0,184.0,24.84,184.0,111 CDM,6332327601J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,50.0,50.0,0.18,50.0,112 CDM,6332327602J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,50.0,50.0,0.18,50.0,112 CDM,6332327810J9360,VINBLASTINE SULFATE 1 MG/ML IV SOLN,194.0,194.0,4.83,194.0,112 CDM,6332328001J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),8.0,8.0,0.39,8.0,111 CDM,6332328002J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,8.0,8.0,0.39,8.0,111 CDM,6332328003J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,11.0,11.0,0.39,11.0,111 CDM,6332328004J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),11.0,11.0,0.39,11.0,111 CDM,6332328005J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,12.0,12.0,0.39,12.0,111 CDM,6332328010J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),12.0,12.0,0.39,12.0,111 CDM,6332328016J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,17.0,17.0,0.39,17.0,111 CDM,6332328026J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,4.0,4.0,0.39,4.0,111 CDM,6332328110J2679,FLUPHENAZINE HCL 2.5 MG/ML INJECTION SOLN,692.0,692.0,7.39,692.0,112 CDM,6332328420J3370,VANCOMYCIN HCL 1 G IV SOLR,57.0,57.0,1.86,57.0,111 CDM,6332328426J3370,VANCOMYCIN HCL 1 G IV SOLR,93.0,93.0,1.86,93.0,111 CDM,6332328501J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,18.0,18.0,0.05,18.0,112 CDM,6332328502J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,140.0,140.0,0.05,140.0,112 CDM,6332328503J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,20.0,20.0,0.05,20.0,112 CDM,6332328504J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,279.0,279.0,0.05,279.0,112 CDM,6332328506J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,35.0,35.0,0.05,35.0,112 CDM,6332328507J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,40.0,40.0,0.05,40.0,112 CDM,6332328510J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,18.0,18.0,0.05,18.0,112 CDM,6332328513J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,20.0,20.0,0.05,20.0,112 CDM,6332328520J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,35.0,35.0,0.05,35.0,112 CDM,6332328523J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,40.0,40.0,0.05,40.0,112 CDM,6332328551J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,147.0,147.0,0.05,147.0,112 CDM,6332328555J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,112.0,112.0,0.05,112.0,112 CDM,6332328561J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,140.0,140.0,0.05,140.0,112 CDM,6332328563J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,279.0,279.0,0.05,279.0,112 CDM,6332328564J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,293.0,293.0,0.05,293.0,112 CDM,6332328565J2795,ROPIVACAINE 0.2 100ML,147.0,147.0,0.05,147.0,112 CDM,6332328567J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,112.0,112.0,0.05,112.0,112 CDM,6332328568J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,139.0,139.0,0.05,139.0,112 CDM,6332328605J2795,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,60.0,60.0,0.05,60.0,112 CDM,6332328611J2795,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,82.0,82.0,0.05,82.0,112 CDM,6332328623J2795,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,60.0,60.0,0.05,60.0,112 CDM,6332328631J2795,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,79.0,79.0,0.05,79.0,112 CDM,6332328635J2795,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,82.0,82.0,0.05,82.0,112 CDM,6332328638J2795,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,76.0,76.0,0.05,76.0,112 CDM,6332328693J2795,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,19.0,19.0,0.05,19.0,112 CDM,6332328695J2795,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,19.0,19.0,0.05,19.0,112 CDM,6332328820J2795,ROPIVACAINE HCL 10 MG/ML INJECTION SOLN,82.0,82.0,0.05,82.0,112 CDM,6332328821J2795,ROPIVACAINE HCL 10 MG/ML INJECTION SOLN,82.0,82.0,0.05,82.0,112 CDM,6332329301J0670,MEPIVACAINE HCL (PF) 1.5 INJECTION SOLN,48.0,48.0,3.55,48.0,112 CDM,6332329337J0670,MEPIVACAINE HCL (PF) 1.5 INJECTION SOLN,48.0,48.0,3.55,48.0,112 CDM,6332329401J0670,MEPIVACAINE HCL (PF) 2 INJECTION SOLN,39.0,39.0,3.55,39.0,112 CDM,6332329427J0670,MEPIVACAINE HCL (PF) 2 INJECTION SOLN,39.0,39.0,3.55,39.0,112 CDM,6332329561J3370,VANCOMYCIN HCL 5 G IV SOLR,285.0,285.0,1.86,285.0,111 CDM,6332329566J3370,VANCOMYCIN HCL 5 G IV SOLR,255.0,255.0,1.86,255.0,111 CDM,6332329657J0670,MEPIVACAINE HCL 2 INJECTION SOLN,51.0,51.0,3.55,51.0,112 CDM,6332330301J3260,TOBRAMYCIN SULFATE 1.2 G INJECTION SOLR,301.0,301.0,1.97,301.0,112 CDM,6332330321J3260,TOBRAMYCIN SULFATE 1.2 G INJECTION SOLR,280.0,280.0,1.97,280.0,112 CDM,6332330351J3260,TOBRAMYCIN SULFATE 1.2 G INJECTION SOLR,301.0,301.0,1.97,301.0,112 CDM,6332330355J3260,TOBRAMYCIN SULFATE 1.2 G INJECTION SOLR,280.0,280.0,1.97,280.0,112 CDM,6332330474J2543,PIPERACILLIN SODTAZOBACTAM SO 40.5 (364.5) G IV SO,529.0,529.0,1.09,529.0,112 CDM,6332330601J3260,TOBRAMYCIN SULFATE 80 MG/2ML INJECTION SOLN,13.0,13.0,1.76,13.0,112 CDM,6332330602J3260,TOBRAMYCIN SULFATE 80 MG/2ML INJECTION SOLN,13.0,13.0,1.76,13.0,112 CDM,6332330630J3260,TOBRAMYCIN SULFATE 1.2 GM/30ML INJECTION SOLN,80.0,80.0,1.97,80.0,112 CDM,6332330751J3260,TOBRAMYCIN SULFATE 2 GM/50ML INJECTION SOLN,189.0,189.0,1.97,189.0,112 CDM,6332330863J1450,FLUCONAZOLE (DIFLUCAN) IVPB 600 MG/300 ML NSS,252.0,252.0,2.39,252.0,112 CDM,6332331461J3370,VANCOMYCIN HCL 10 G IV SOLR,780.0,780.0,1.86,780.0,111 CDM,6332331466J3370,VANCOMYCIN HCL 10 G IV SOLR,149.0,149.0,1.86,149.0,111 CDM,6332331468J3370,VANCOMYCIN HCL 10 G IV SOLR,765.0,765.0,1.86,765.0,111 CDM,6332331501J1570,GANCICLOVIR SODIUM 500 MG IV SOLR,351.0,351.0,28.74,351.0,112 CDM,6332331510J1570,GANCICLOVIR SODIUM 500 MG IV SOLR,351.0,351.0,28.74,351.0,112 CDM,6332331594J1570,GANCICLOVIR SODIUM 500 MG IV SOLR,351.0,351.0,28.74,351.0,112 CDM,6332331801J1626,GRANISETRON HCL 1 MG/ML IV SOLN,72.0,72.0,0.15,72.0,112 CDM,6332332201J0743,IMIPENEMCILASTATIN 500 MG IV SOLR,108.0,108.0,6.97,108.0,112 CDM,6332332221J0743,IMIPENEMCILASTATIN 500 MG IV SOLR,45.0,45.0,6.08,45.0,112 CDM,6332332225J0743,IMIPENEMCILASTATIN 500 MG IV SOLR,108.0,108.0,6.97,108.0,112 CDM,6332332293J0743,IMIPENEMCILASTATIN 500 MG IV SOLR,45.0,45.0,6.08,45.0,112 CDM,6332332503J0133,ACYCLOVIR SODIUM 50 MG/ML IV SOLN,68.0,68.0,0.03,68.0,112 CDM,6332332509J0133,ACYCLOVIR SODIUM 50 MG/ML IV SOLN,126.0,126.0,0.03,126.0,112 CDM,6332332510J0133,ACYCLOVIR SODIUM 50 MG/ML IV SOLN,68.0,68.0,0.03,68.0,112 CDM,6332332514J0133,ACYCLOVIR SODIUM 50 MG/ML IV SOLN,116.0,116.0,0.03,116.0,112 CDM,6332332520J0133,ACYCLOVIR SODIUM 50 MG/ML IV SOLN,126.0,126.0,0.03,126.0,112 CDM,6332332620J0692,CEFEPIME HCL 1 G INJECTION SOLR,23.0,23.0,0.87,23.0,112 CDM,6332332621J0692,CEFEPIME HCL 1 G INJECTION SOLR,23.0,23.0,0.87,23.0,112 CDM,6332334020J0692,CEFEPIME HCL 2 G IV SOLR,40.0,40.0,0.87,40.0,112 CDM,6332334021J0692,CEFEPIME HCL 2 G IV SOLR,40.0,40.0,0.87,40.0,112 CDM,6332334125J0694,CEFOXITIN SODIUM 1 G IV SOLR,23.0,23.0,3.11,23.0,112 CDM,6332334225J0694,CEFOXITIN SODIUM 2 G IV SOLR,46.0,46.0,4.45,46.0,112 CDM,6332334229J0694,CEFOXITIN SODIUM 2 G IV SOLR,24.0,24.0,3.24,24.0,112 CDM,6332334610J0696,CEFTRIAXONE SODIUM 1 G INJECTION SOLR,15.0,15.0,0.45,15.0,112 CDM,6332334901J0743,IMIPENEMCILASTATIN 250 MG IV SOLR,54.0,54.0,6.97,54.0,112 CDM,6332334925J0743,IMIPENEMCILASTATIN 250 MG IV SOLR,54.0,54.0,6.97,54.0,112 CDM,6332334993J0743,IMIPENEMCILASTATIN 250 MG IV SOLR,24.0,24.0,3.24,24.0,112 CDM,6332335560J1956,LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN,47.0,47.0,1.89,47.0,112 CDM,6332335565J1956,LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN,45.0,45.0,1.89,45.0,112 CDM,6332335601J0637,CASPOFUNGIN ACETATE 50 MG IV SOLR,1214.0,1214.0,2.27,1214.0,112 CDM,6332335610J0637,CASPOFUNGIN ACETATE 50 MG IV SOLR,1214.0,1214.0,2.27,1214.0,112 CDM,6332335801J0637,CASPOFUNGIN ACETATE 70 MG IV SOLR,1260.0,1260.0,2.27,1260.0,112 CDM,6332335810J0637,CASPOFUNGIN ACETATE 70 MG IV SOLR,1260.0,1260.0,2.27,1260.0,112 CDM,6332336001J0612,CALCIUM GLUCONATE 10 IV SOLN,37.0,37.0,0.03,37.0,112 CDM,6332336003J0612,CALCIUM GLUCONATE 10 IV SOLN,98.0,98.0,0.03,98.0,112 CDM,6332336019J0612,CALCIUM GLUCONATE 10 IV SOLN,37.0,37.0,0.03,37.0,112 CDM,6332336059J0612,CALCIUM GLUCONATE 10 IV SOLN,98.0,98.0,0.03,98.0,112 CDM,6332336061J0612,CALCIUM GLUCONATE 10 IV SOLN,195.0,195.0,0.03,195.0,112 CDM,6332337110J0878,DAPTOMYCIN 500 MG IV SOLR,1604.0,1604.0,0.03,1604.0,112 CDM,6332337302J2405,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,9.0,9.0,0.09,9.0,112 CDM,6332337600J2354,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLN,36.0,36.0,0.61,36.0,112 CDM,6332337601J2354,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLN,36.0,36.0,0.61,36.0,112 CDM,6332337604J2354,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLN,13.0,13.0,0.61,13.0,112 CDM,6332337700J2354,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLN,179.0,179.0,0.61,179.0,112 CDM,6332337701J2354,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLN,179.0,179.0,0.61,179.0,112 CDM,6332337805J2354,OCTREOTIDE ACETATE 200 MCG/ML INJECTION SOLN,358.0,358.0,0.61,358.0,112 CDM,6332339306J0770,COLISTIMETHATE SODIUM (CBA) 150 MG INJECTION SOLR,101.0,101.0,11.39,101.0,112 CDM,6332339801J0456,AZITHROMYCIN 500 MG IV SOLR,27.0,27.0,2.04,27.0,112 CDM,6332339810J0456,AZITHROMYCIN 500 MG IV SOLR,27.0,27.0,2.04,27.0,112 CDM,6332339812J0456,AZITHROMYCIN 500 MG IV SOLR,11.0,11.0,1.49,11.0,112 CDM,6332340001J1953,LEVETIRACETAM 500 MG/5ML IV SOLN,29.0,29.0,0.04,29.0,112 CDM,6332340005J1953,LEVETIRACETAM 500 MG/5ML IV SOLN,29.0,29.0,0.04,29.0,112 CDM,6332340041J1953,LEVETIRACETAM 500 MG/5ML IV SOLN,7.0,7.0,0.04,7.0,112 CDM,6332340044J1953,LEVETIRACETAM 500 MG/5ML IV SOLN,7.0,7.0,0.04,7.0,112 CDM,6332340101J0457,AZTREONAM 1 G INJECTION SOLR,130.0,130.0,2.07,130.0,112 CDM,6332340120J0457,AZTREONAM 1 G INJECTION SOLR,130.0,130.0,2.07,130.0,112 CDM,6332340121J0457,AZTREONAM 1 G INJECTION SOLR,99.0,99.0,2.07,99.0,112 CDM,6332340124J0457,AZTREONAM 1 G INJECTION SOLR,99.0,99.0,2.07,99.0,112 CDM,6332340126J0457,AZTREONAM 1 G INJECTION SOLR,99.0,99.0,2.07,99.0,112 CDM,6332340201J0457,AZTREONAM 2 G INJECTION SOLR,264.0,264.0,2.07,264.0,112 CDM,6332340203J0457,AZTREONAM 2 G INJECTION SOLR,197.0,197.0,2.07,197.0,112 CDM,6332340220J0457,AZTREONAM 2 G INJECTION SOLR,264.0,264.0,2.07,264.0,112 CDM,6332340224J0457,AZTREONAM 2 G INJECTION SOLR,242.0,242.0,2.07,242.0,112 CDM,6332340230J0457,AZTREONAM 2 G INJECTION SOLR,197.0,197.0,2.07,197.0,112 CDM,6332340241J0457,AZTREONAM 2 G INJECTION SOLR,197.0,197.0,2.07,197.0,112 CDM,6332340301Q2009,FOSPHENYTOIN SODIUM 100 MG PE/2ML INJECTION SOLN,18.0,18.0,1.01,18.0,119 CDM,6332340302Q2009,FOSPHENYTOIN SODIUM 100 MG PE/2ML INJECTION SOLN,18.0,18.0,1.01,18.0,119 CDM,6332340304Q2009,FOSPHENYTOIN SODIUM 500 MG PE/10ML INJECTION SOLN,81.0,81.0,1.01,81.0,119 CDM,6332340310Q2009,FOSPHENYTOIN SODIUM 500 MG PE/10ML INJECTION SOLN,81.0,81.0,1.01,81.0,119 CDM,6332340703J0706,CAFFEINE CITRATE 60 MG/3ML IV SOLN,113.0,113.0,1.02,113.0,111 CDM,6332340704J0706,CAFFEINE CITRATE 60 MG/3ML IV SOLN,30.0,30.0,1.02,30.0,111 CDM,6332341112J2250,MIDAZOLAM HCL 2 MG/2ML INJECTION SOLN,5.0,5.0,0.13,5.0,112 CDM,6332341115J2250,MIDAZOLAM HCL 2 MG/2ML INJECTION SOLN,5.0,5.0,0.13,5.0,112 CDM,6332341118J2250,MIDAZOLAM HCL 5 MG/5ML INJECTION SOLN,12.0,12.0,0.13,12.0,112 CDM,6332341125J2250,MIDAZOLAM HCL 5 MG/5ML INJECTION SOLN,12.0,12.0,0.13,12.0,112 CDM,6332341202J2250,MIDAZOLAM HCL 10 MG/2ML INJECTION SOLN,24.0,24.0,0.13,24.0,112 CDM,6332341501J2710,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,101.0,101.0,0.71,101.0,111 CDM,6332341510J2710,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,101.0,101.0,0.71,101.0,111 CDM,6332343441J0134,ACETAMINOPHEN 10 MG/ML IV SOLN,35.0,35.0,0.04,35.0,112 CDM,6332345100J2272,MORPHINE SULFATE (PF) 10 MG/ML IV SOLN (WRAPPER),11.0,11.0,1.49,19.43,112 CDM,6332345101J2272,MORPHINE SULFATE (PF) 10 MG/ML IV SOLN (WRAPPER),11.0,11.0,1.49,19.43,112 CDM,6332345200J2272,MORPHINE SULFATE (PF) 2 MG/ML INJECTION SOLN,11.0,11.0,1.49,19.43,112 CDM,6332345201J2272,MORPHINE SULFATE (PF) 2 MG/ML INJECTION SOLN,11.0,11.0,1.49,19.43,112 CDM,6332345400J2272,MORPHINE SULFATE (PF) 4 MG/ML INJECTION SOLN,11.0,11.0,1.49,19.43,112 CDM,6332345401J2272,MORPHINE SULFATE (PF) 4 MG/ML INJECTION SOLN,11.0,11.0,1.49,19.43,112 CDM,6332346401J0665,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,24.0,24.0,0.01,24.0,112 CDM,6332346402J0665,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,28.0,28.0,0.01,28.0,112 CDM,6332346417J0665,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,24.0,24.0,0.01,24.0,112 CDM,6332346431J0665,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,25.0,25.0,0.01,25.0,112 CDM,6332346437J0665,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,28.0,28.0,0.01,28.0,112 CDM,6332346501J0665,BUPIVACAINE HCL 0.25 INJECTION SOLN,42.0,42.0,0.01,42.0,112 CDM,6332346557J0665,BUPIVACAINE HCL 0.25 INJECTION SOLN,42.0,42.0,0.01,42.0,112 CDM,6332346601J0665,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,27.0,27.0,0.01,27.0,112 CDM,6332346603J0665,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,19.0,19.0,0.01,19.0,112 CDM,6332346617J0665,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,19.0,19.0,0.01,19.0,112 CDM,6332346637J0665,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,27.0,27.0,0.01,27.0,112 CDM,6332346701J0665,BUPIVACAINE HCL 0.5 INJECTION SOLN,47.0,47.0,0.01,47.0,112 CDM,6332346757J0665,BUPIVACAINE HCL 0.5 INJECTION SOLN,47.0,47.0,0.01,47.0,112 CDM,6332346901J1631,HALOPERIDOL DECANOATE 50 MG/ML IM SOLN,102.0,102.0,3.94,102.0,112 CDM,6332347101J1631,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN,186.0,186.0,3.94,186.0,112 CDM,6332347201J0665,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,28.0,28.0,0.01,28.0,112 CDM,6332347203J0665,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,20.0,20.0,0.01,20.0,112 CDM,6332347217J0665,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,20.0,20.0,0.01,20.0,112 CDM,6332347237J0665,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,28.0,28.0,0.01,28.0,112 CDM,6332347400J1630,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLN,22.0,22.0,0.73,22.0,112 CDM,6332347401J1630,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLN,22.0,22.0,0.73,22.0,112 CDM,6332347410J1630,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLN,207.0,207.0,0.73,207.0,112 CDM,6332347501J2401,CHLOROPROCAINE HCL 1 INJECTION SOLN,65.0,65.0,0.03,65.0,112 CDM,6332347537J2401,CHLOROPROCAINE HCL 1 INJECTION SOLN,65.0,65.0,0.03,65.0,112 CDM,6332347701J2401,CHLOROPROCAINE HCL (PF) 2 INJECTION SOLN,77.0,77.0,0.03,77.0,112 CDM,6332347727J2401,CHLOROPROCAINE HCL (PF) 2 INJECTION SOLN,77.0,77.0,0.03,77.0,112 CDM,6332347801J2401,CHLOROPROCAINE HCL (PF) 3 INJECTION SOLN,81.0,81.0,0.03,81.0,112 CDM,6332347827J2401,CHLOROPROCAINE HCL (PF) 3 INJECTION SOLN,81.0,81.0,0.03,81.0,112 CDM,6332348101J2004,LIDOCAINEEPINEPHRINE 0.5 1 200000 INJECTION SOLN,26.0,26.0,0.01,26.0,111 CDM,6332348157J2004,LIDOCAINEEPINEPHRINE 0.5 1 200000 INJECTION SOLN,26.0,26.0,0.01,26.0,111 CDM,6332348201J2004,LIDOCAINEEPINEPHRINE 1 1 100000 INJECTION SOLN,13.0,13.0,0.01,13.0,111 CDM,6332348203J2004,LIDOCAINEEPINEPHRINE 1 1 100000 INJECTION SOLN,18.0,18.0,0.01,18.0,111 CDM,6332348205J2004,LIDOCAINEEPINEPHRINE 1 1 100000 INJECTION SOLN,42.0,42.0,0.01,42.0,111 CDM,6332348217J2004,LIDOCAINEEPINEPHRINE 1 1 100000 INJECTION SOLN,13.0,13.0,0.01,13.0,111 CDM,6332348226J2004,LIDOCAINEEPINEPHRINE 1 1 100000 INJECTION SOLN,14.0,14.0,0.01,14.0,111 CDM,6332348227J2004,LIDOCAINEEPINEPHRINE 1 1 100000 INJECTION SOLN,18.0,18.0,0.01,18.0,111 CDM,6332348257J2004,LIDOCAINEEPINEPHRINE 1 1 100000 INJECTION SOLN,42.0,42.0,0.01,42.0,111 CDM,6332348301J2004,LIDOCAINEEPINEPHRINE 2 1 100000 INJECTION SOLN,34.0,34.0,0.01,34.0,111 CDM,6332348303J2004,LIDOCAINEEPINEPHRINE 2 1 100000 INJECTION SOLN,18.0,18.0,0.01,18.0,111 CDM,6332348327J2004,LIDOCAINEEPINEPHRINE 2 1 100000 INJECTION SOLN,18.0,18.0,0.01,18.0,111 CDM,6332348357J2004,LIDOCAINEEPINEPHRINE 2 1 100000 INJECTION SOLN,34.0,34.0,0.01,34.0,111 CDM,6332348457J2003,LIDOCAINE HCL 0.5 INJECTION SOLN,20.0,20.0,0.01,20.0,111 CDM,6332348501J2003,LIDOCAINE HCL 1 INJECTION SOLN,13.0,13.0,0.01,13.0,111 CDM,6332348503J2003,LIDOCAINE HCL 1 INJECTION SOLN,21.0,21.0,0.01,21.0,111 CDM,6332348526J2003,LIDOCAINE HCL 1 INJECTION SOLN,6.0,6.0,0.01,6.0,111 CDM,6332348527J2003,LIDOCAINE HCL 1 INJECTION SOLN,13.0,13.0,0.01,13.0,111 CDM,6332348557J2003,LIDOCAINE HCL 1 INJECTION SOLN,21.0,21.0,0.01,21.0,111 CDM,6332348601J3490,LIDOCAINE HCL 2 INJECTION SOLN,13.0,13.0,1.76,13.0,111 CDM,6332348602J3490,LIDOCAINE HCL 2 INJECTION SOLN,14.0,14.0,1.89,14.0,111 CDM,6332348605J3490,LIDOCAINE HCL 2 INJECTION SOLN,26.0,26.0,3.51,26.0,111 CDM,6332348617J3490,LIDOCAINE HCL 2 INJECTION SOLN,13.0,13.0,1.76,13.0,111 CDM,6332348626J3490,LIDOCAINE HCL 2 INJECTION SOLN,7.0,7.0,0.95,7.0,111 CDM,6332348627J3490,LIDOCAINE HCL 2 INJECTION SOLN,14.0,14.0,1.89,14.0,111 CDM,6332348657J3490,LIDOCAINE HCL 2 INJECTION SOLN,26.0,26.0,3.51,26.0,111 CDM,6332348707J2004,LIDOCAINEEPINEPHRINE (PF) 1 1 200000 INJECTION SO,49.0,49.0,0.01,49.0,111 CDM,6332348717J2004,LIDOCAINEEPINEPHRINE (PF) 1 1 200000 INJECTION SO,35.0,35.0,0.01,35.0,111 CDM,6332348737J2004,LIDOCAINEEPINEPHRINE (PF) 1 1 200000 INJECTION SO,49.0,49.0,0.01,49.0,111 CDM,6332348807J2004,LIDOCAINEEPINEPHRINE (PF) 1.5 1 200000 INJECTION,65.0,65.0,0.01,65.0,111 CDM,6332348831J2004,LIDOCAINEEPINEPHRINE (PF) 1.5 1 200000 INJECTION,42.0,42.0,0.01,42.0,111 CDM,6332348837J2004,LIDOCAINEEPINEPHRINE (PF) 1.5 1 200000 INJECTION,65.0,65.0,0.01,65.0,111 CDM,6332348889J2004,LIDOCAINEEPINEPHRINE (PF) 1.5 1 200000 INJECTION,9.0,9.0,0.01,9.0,111 CDM,6332348901J2004,LIDOCAINEEPINEPHRINE (PF) 2 1 200000 INJECTION SO,37.0,37.0,0.01,37.0,111 CDM,6332348902J2004,LIDOCAINEEPINEPHRINE (PF) 2 1 200000 INJECTION SO,75.0,75.0,0.01,75.0,111 CDM,6332348917J2004,LIDOCAINEEPINEPHRINE (PF) 2 1 200000 INJECTION SO,37.0,37.0,0.01,37.0,111 CDM,6332348927J2004,LIDOCAINEEPINEPHRINE (PF) 2 1 200000 INJECTION SO,75.0,75.0,0.01,75.0,111 CDM,6332349157J3490,LIDOCAINE HCL (PF) 0.5 INJECTION SOLN,53.0,53.0,7.16,53.0,111 CDM,6332349203J2003,LIDOCAINE HCL (PF) 1 INJECTION SOLN,35.0,35.0,0.01,35.0,111 CDM,6332349204J2003,LIDOCAINE HCL (PF) 1 INJECTION SOLN,9.0,9.0,0.01,9.0,111 CDM,6332349204J3490,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),9.0,9.0,1.22,9.0,111 CDM,6332349207J2003,LIDOCAINE HCL (PF) 1 INJECTION SOLN,43.0,43.0,0.01,43.0,111 CDM,6332349208J2003,LIDOCAINE HCL (PF) 1 INJECTION SOLN,22.0,22.0,0.01,22.0,111 CDM,6332349209J2003,LIDOCAINE HCL (PF) 1 INJECTION SOLN,15.0,15.0,0.01,15.0,111 CDM,6332349226J2003,LIDOCAINE HCL (PF) 1 INJECTION SOLN,10.0,10.0,0.01,10.0,111 CDM,6332349226J3490,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),10.0,10.0,1.35,10.0,111 CDM,6332349227J2003,LIDOCAINE HCL (PF) 1 INJECTION SOLN,9.0,9.0,0.01,9.0,111 CDM,6332349227J3490,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),9.0,9.0,1.22,9.0,111 CDM,6332349237J2003,LIDOCAINE HCL (PF) 1 INJECTION SOLN,43.0,43.0,0.01,43.0,111 CDM,6332349237J3490,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),43.0,43.0,5.81,43.0,111 CDM,6332349241J2003,LIDOCAINE HCL (PF) 1 INJECTION SOLN,4.0,4.0,0.01,4.0,111 CDM,6332349257J2003,LIDOCAINE HCL (PF) 1 INJECTION SOLN,15.0,15.0,0.01,15.0,111 CDM,6332349257J3490,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),15.0,15.0,2.03,15.0,111 CDM,6332349297J2003,LIDOCAINE HCL (PF) 1 INJECTION SOLN,22.0,22.0,0.01,22.0,111 CDM,6332349301J2003,LIDOCAINE HCL (PF) 1.5 INJECTION SOLN,50.0,50.0,0.01,50.0,111 CDM,6332349391J2003,LIDOCAINE HCL (PF) 1.5 INJECTION SOLN,50.0,50.0,0.01,50.0,111 CDM,6332349397J2003,LIDOCAINE HCL (PF) 1.5 INJECTION SOLN,28.0,28.0,0.01,28.0,111 CDM,6332349504J2003,LIDOCAINE HCL (PF) 2 INJECTION SOLN,13.0,13.0,0.01,13.0,111 CDM,6332349507J2003,LIDOCAINE HCL (PF) 2 INJECTION SOLN (WRAPPER),13.0,13.0,0.01,13.0,111 CDM,6332349509J2003,LIDOCAINE HCL (PF) 2 INJECTION SOLN,11.0,11.0,0.01,11.0,111 CDM,6332349526J2003,LIDOCAINE HCL (PF) 2 INJECTION SOLN (WRAPPER),6.0,6.0,0.01,6.0,111 CDM,6332349527J2003,LIDOCAINE HCL (PF) 2 INJECTION SOLN,11.0,11.0,0.01,11.0,111 CDM,6332349603J2003,LIDOCAINE HCL (PF) 2 INJECTION SOLN (WRAPPER),25.0,25.0,0.01,25.0,111 CDM,6332349697J2003,LIDOCAINE HCL (PF) 2 INJECTION SOLN (WRAPPER),25.0,25.0,0.01,25.0,111 CDM,6332350601J1100,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML INJECTION,27.0,27.0,0.11,27.0,112 CDM,6332350616J1100,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML INJECTION,19.0,19.0,0.11,19.0,112 CDM,6332350641J1100,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML INJECTION,7.0,7.0,0.11,7.0,112 CDM,6332350701J2185,MEROPENEM 500 MG IV SOLR,11.0,11.0,0.38,11.0,112 CDM,6332350719J2185,MEROPENEM 500 MG IV SOLR,11.0,11.0,0.38,11.0,112 CDM,6332350720J2185,MEROPENEM 500 MG IV SOLR,11.0,11.0,0.38,11.0,112 CDM,6332350721J2185,MEROPENEM 500 MG IV SOLR,11.0,11.0,0.38,11.0,112 CDM,6332350725J2185,MEROPENEM 500 MG IV SOLR,53.0,53.0,0.38,53.0,112 CDM,6332350801J2185,MEROPENEM 1 G IV SOLR,22.0,22.0,0.38,22.0,112 CDM,6332350821J2185,MEROPENEM 1 G IV SOLR,22.0,22.0,0.38,22.0,112 CDM,6332350830J2185,MEROPENEM 1 G IV SOLR,22.0,22.0,0.38,22.0,112 CDM,6332350831J2185,MEROPENEM 1 G IV SOLR,22.0,22.0,0.38,22.0,112 CDM,6332351610J1100,DEXAMETHASONE SODIUM PHOSPHATE 100 MG/10ML INJECTI,56.0,56.0,0.11,56.0,112 CDM,6332351701J1644,HEPARIN (PORCINE) IN NACL 1000.45 UNIT/ML INJECTI,36.0,36.0,0.18,36.0,112 CDM,6332351774J1644,HEPARIN (PORCINE) IN NACL 1000.45 UNIT/ML INJECTI,36.0,36.0,0.18,36.0,112 CDM,6332351877J1644,HEPARIN (PORCINE) IN NACL 250000.45 UT/500ML IV S,26.0,26.0,0.18,26.0,112 CDM,6332351901J1644,HEPARIN (PORCINE) IN NACL 20000.9 UNIT/L IV SOLN,30.0,30.0,0.18,30.0,112 CDM,6332351902J1644,HEPARIN (PORCINE) IN NACL 10000.9 UT/500ML IV SOL,18.0,18.0,0.18,18.0,112 CDM,6332351910J1644,HEPARIN (PORCINE) IN NACL 20000.9 UNIT/L IV SOLN,30.0,30.0,0.18,30.0,112 CDM,6332352301J1644,HEPARIN SOD (PORCINE) IN D5W 100 UNIT/ML IV SOLN,36.0,36.0,0.18,36.0,112 CDM,6332352374J1644,HEPARIN SOD (PORCINE) IN D5W 100 UNIT/ML IV SOLN,36.0,36.0,0.18,36.0,112 CDM,6332352603J0883,ARGATROBAN 250 MG/2.5ML IV SOLN,1163.0,1163.0,0.61,1163.0,119 CDM,6332353101J1650,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,58.0,58.0,0.53,58.0,112 CDM,6332353108J1650,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,29.0,29.0,0.53,29.0,112 CDM,6332353190J1650,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,58.0,58.0,0.53,58.0,112 CDM,6332353198J1650,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,29.0,29.0,0.53,29.0,112 CDM,6332353301J1650,ENOXAPARIN SODIUM 30 MG/0.3ML INJECTION SOSY,22.0,22.0,0.53,22.0,112 CDM,6332353313J1650,ENOXAPARIN SODIUM 30 MG/0.3ML INJECTION SOSY,11.0,11.0,0.53,11.0,112 CDM,6332353383J1650,ENOXAPARIN SODIUM 30 MG/0.3ML INJECTION SOSY,22.0,22.0,0.53,22.0,112 CDM,6332353393J1650,ENOXAPARIN SODIUM 30 MG/0.3ML INJECTION SOSY,11.0,11.0,0.53,11.0,112 CDM,6332353501J1650,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,29.0,29.0,0.53,29.0,112 CDM,6332353508J1650,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,15.0,15.0,0.53,15.0,112 CDM,6332353598J1650,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,15.0,15.0,0.53,15.0,112 CDM,6332353701J1650,ENOXAPARIN SODIUM 150 MG/ML INJECTION SOSY,108.0,108.0,0.53,108.0,112 CDM,6332353784J1650,ENOXAPARIN SODIUM 150 MG/ML INJECTION SOSY,108.0,108.0,0.53,108.0,112 CDM,6332354001J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,15.0,15.0,0.18,15.0,112 CDM,6332354005J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,27.0,27.0,0.18,27.0,112 CDM,6332354007J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,8.0,8.0,0.18,8.0,112 CDM,6332354011J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,28.0,28.0,0.18,28.0,112 CDM,6332354015J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,27.0,27.0,0.18,27.0,112 CDM,6332354031J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,26.0,26.0,0.18,26.0,112 CDM,6332354033J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,26.0,26.0,0.18,26.0,112 CDM,6332354036J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,26.0,26.0,0.18,26.0,112 CDM,6332354201J1644,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,28.0,28.0,0.18,28.0,112 CDM,6332354204J1644,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,93.0,93.0,0.18,93.0,112 CDM,6332354209J1644,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,28.0,28.0,0.18,28.0,112 CDM,6332354213J1644,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,28.0,28.0,0.18,28.0,112 CDM,6332354214J1644,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,93.0,93.0,0.18,93.0,112 CDM,6332354302J1644,HEPARIN SODIUM (PORCINE) PF 5000 UNIT/0.5ML INJECT,21.0,21.0,0.18,21.0,112 CDM,6332354303J1644,HEPARIN SODIUM (PORCINE) PF 5000 UNIT/0.5ML INJECT,21.0,21.0,0.18,21.0,112 CDM,6332354501J1642,HEPARIN SOD (PORK) LOCK FLUSH 100 UNIT/ML IV SOLN,6.0,6.0,0.02,6.0,112 CDM,6332355921J1650,ENOXAPARIN SODIUM 30 MG/0.3ML INJECTION SOSY,10.0,10.0,0.53,10.0,112 CDM,6332355963J1650,ENOXAPARIN SODIUM 30 MG/0.3ML INJECTION SOSY,10.0,10.0,0.53,10.0,112 CDM,6332355965J1650,ENOXAPARIN SODIUM 30 MG/0.3ML INJECTION SOSY,10.0,10.0,0.53,10.0,112 CDM,6332355993J1650,ENOXAPARIN SODIUM 30 MG/0.3ML INJECTION SOSY,10.0,10.0,0.53,10.0,112 CDM,6332356210J0583,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,522.0,522.0,0.16,522.0,112 CDM,6332356241J0583,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,216.0,216.0,0.16,216.0,112 CDM,6332356421J1650,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,14.0,14.0,0.53,14.0,112 CDM,6332356463J1650,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,14.0,14.0,0.53,14.0,112 CDM,6332356465J1650,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,14.0,14.0,0.53,14.0,112 CDM,6332356497J1650,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,14.0,14.0,0.53,14.0,112 CDM,6332356621J1650,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,20.0,20.0,0.53,20.0,112 CDM,6332356663J1650,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,20.0,20.0,0.53,20.0,112 CDM,6332356665J1650,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,20.0,20.0,0.53,20.0,112 CDM,6332356698J1650,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,20.0,20.0,0.53,20.0,112 CDM,6332357270J9027,CLOFARABINE 1 MG/ML IV SOLN,10566.0,10566.0,5.33,10566.0,119 CDM,6332357803J1598,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),29.0,29.0,0.55,29.0,112 CDM,6332357804J1598,GLYCOPYRROLATE 0.4 MG/2ML INJECTION SOLN,41.0,41.0,0.55,41.0,112 CDM,6332357805J1598,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),108.0,108.0,0.55,108.0,112 CDM,6332357807J1598,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),108.0,108.0,0.55,108.0,112 CDM,6332357901J2805,SINCALIDE 5 MCG INJECTION SOLR,447.0,447.0,60.35,447.0,112 CDM,6332357905J2805,SINCALIDE 5 MCG INJECTION SOLR,447.0,447.0,60.35,447.0,112 CDM,6332358003J0461,ATROPINE SULFATE 8 MG/20ML INJECTION SOLN,252.0,252.0,0.07,252.0,112 CDM,6332358020J0461,ATROPINE SULFATE 8 MG/20ML INJECTION SOLN,252.0,252.0,0.07,252.0,112 CDM,6332358282J1611,GLUCAGON HCL (RDNA) 1 MG INJECTION SOLR (WRAPPER),1008.0,1008.0,111.91,1008.0,119 CDM,6332358421J1650,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,27.0,27.0,0.53,27.0,112 CDM,6332358463J1650,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,27.0,27.0,0.53,27.0,112 CDM,6332358465J1650,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,27.0,27.0,0.53,27.0,112 CDM,6332358499J1650,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,27.0,27.0,0.53,27.0,112 CDM,6332358621J1650,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,34.0,34.0,0.53,34.0,112 CDM,6332358663J1650,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,34.0,34.0,0.53,34.0,112 CDM,6332358665J1650,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,34.0,34.0,0.53,34.0,112 CDM,6332358696J1650,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,34.0,34.0,0.53,34.0,112 CDM,6332358921J1650,ENOXAPARIN SODIUM 150 MG/ML INJECTION SOSY,51.0,51.0,0.53,51.0,112 CDM,6332358994J1650,ENOXAPARIN SODIUM 150 MG/ML INJECTION SOSY,51.0,51.0,0.53,51.0,112 CDM,6332359303J1611,GLUCAGON HCL (DIAGNOSTIC) 1 MG INJECTION SOLR,910.0,910.0,111.91,910.0,119 CDM,6332359403J1611,GLUCAGON HCL (RDNA) 1 MG INJECTION SOLR (WRAPPER),584.0,584.0,78.84,584.0,119 CDM,6332359603J1611,GLUCAGON HCL (DIAGNOSTIC) 1 MG INJECTION SOLR,910.0,910.0,111.91,910.0,119 CDM,6332359606J1611,GLUCAGON HCL (RDNA) 1 MG INJECTION SOLR (WRAPPER),584.0,584.0,78.84,584.0,119 CDM,6332359608J1611,GLUCAGON HCL (RDNA) 1 MG INJECTION SOLR (WRAPPER),584.0,584.0,78.84,584.0,119 CDM,6332359613J1611,GLUCAGON HCL (RDNA) 1 MG INJECTION SOLR (WRAPPER),798.0,798.0,107.73,798.0,119 CDM,6332359616J1611,GLUCAGON HCL (RDNA) 1 MG INJECTION SOLR (WRAPPER),584.0,584.0,78.84,584.0,119 CDM,6332359710J0895,DEFEROXAMINE MESYLATE 500 MG INJECTION SOLR,47.0,47.0,6.35,47.0,112 CDM,6332359930J0895,DEFEROXAMINE MESYLATE 2 G INJECTION SOLR,149.0,149.0,8.47,149.0,112 CDM,6332360400J1800,PROPRANOLOL HCL 1 MG/ML IV SOLN,42.0,42.0,5.67,42.0,111 CDM,6332360401J1800,PROPRANOLOL HCL 1 MG/ML IV SOLN,42.0,42.0,5.67,42.0,111 CDM,6332360501J1650,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,72.0,72.0,0.53,72.0,112 CDM,6332360584J1650,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,72.0,72.0,0.53,72.0,112 CDM,6332360701J1650,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,43.0,43.0,0.53,43.0,112 CDM,6332360788J1650,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,43.0,43.0,0.53,43.0,112 CDM,6332360901J1650,ENOXAPARIN SODIUM 120 MG/0.8ML INJECTION SOSY,86.0,86.0,0.53,86.0,112 CDM,6332361400J0360,HYDRALAZINE HCL 20 MG/ML INJECTION SOLN,52.0,52.0,4.08,52.0,112 CDM,6332361401J0360,HYDRALAZINE HCL 20 MG/ML INJECTION SOLN,52.0,52.0,4.08,52.0,112 CDM,6332361416J0360,HYDRALAZINE HCL 20 MG/ML INJECTION SOLN,44.0,44.0,4.08,44.0,112 CDM,6332361421J0360,HYDRALAZINE HCL 20 MG/ML INJECTION SOLN,13.0,13.0,1.76,13.0,112 CDM,6332361455J0360,HYDRALAZINE HCL 20 MG/ML INJECTION SOLN,13.0,13.0,1.76,13.0,112 CDM,6332361601J0282,AMIODARONE HCL 150 MG/3ML IV SOLN,8.0,8.0,0.39,8.0,112 CDM,6332361602J0282,AMIODARONE HCL 450 MG/9ML IV SOLN,20.0,20.0,0.39,20.0,112 CDM,6332361603J0282,AMIODARONE IV VIAL (CNR WRAPPER),8.0,8.0,0.39,8.0,112 CDM,6332361609J0282,AMIODARONE HCL 450 MG/9ML IV SOLN,20.0,20.0,0.39,20.0,112 CDM,6332361720J2260,MILRINONE LACTATE 20 MG/20ML IV SOLN,62.0,62.0,1.31,62.0,112 CDM,6332362403J7070,DEXTROSE 5 IV SOLN,15.0,15.0,2.03,15.0,112 CDM,6332362410J7070,DEXTROSE 5 IV SOLN,15.0,15.0,2.03,15.0,112 CDM,6332363110J0640,LEUCOVORIN CALCIUM 100 MG/10ML INJECTION SOLN,87.0,87.0,3.84,87.0,112 CDM,6332363150J0640,LEUCOVORIN CALCIUM 500 MG/50ML INJECTION SOLN,426.0,426.0,3.84,426.0,112 CDM,6332363703J9017,ARSENIC TRIOXIDE 10 MG/10ML IV SOLN,2139.0,2139.0,4.68,2139.0,112 CDM,6332363710J9017,ARSENIC TRIOXIDE 10 MG/10ML IV SOLN,2139.0,2139.0,4.68,2139.0,112 CDM,6332364201J3475,MAGNESIUM SULFATE 50 INJECTION SOLN,33.0,33.0,0.41,33.0,112 CDM,6332364220J3475,MAGNESIUM SULFATE 50 INJECTION SOLN,33.0,33.0,0.41,33.0,112 CDM,6332364710J0650,LEVOTHYROXINE SODIUM 200 MCG IV SOLR,761.0,761.0,5.39,761.0,112 CDM,6332364810J0650,LEVOTHYROXINE SODIUM 500 MCG IV SOLR,1901.0,1901.0,5.39,1901.0,112 CDM,6332364907J0650,LEVOTHYROXINE SODIUM 100 MCG IV SOLR,381.0,381.0,5.39,381.0,112 CDM,6332364916J0650,LEVOTHYROXINE SODIUM 100 MCG IV SOLR,381.0,381.0,5.39,381.0,112 CDM,6332365100J0153,ADENOSINE 6 MG/2ML IV SOLN,40.0,40.0,0.32,40.0,112 CDM,6332365102J0153,ADENOSINE 6 MG/2ML IV SOLN,40.0,40.0,0.32,40.0,112 CDM,6332365120J0153,ADENOSINE 3 MG/ML IV SOLN (CATH LAB INFUSION),464.0,464.0,0.32,464.0,112 CDM,6332365121J0153,ADENOSINE 6 MG/2ML IV SOLN,58.0,58.0,0.32,58.0,112 CDM,6332365130J0153,ADENOSINE (DIAGNOSTIC) 3 MG/ML IV SOLN,699.0,699.0,0.32,699.0,112 CDM,6332365189J0153,ADENOSINE 6 MG/2ML IV SOLN,58.0,58.0,0.32,58.0,112 CDM,6332365210J1805,ESMOLOL HCL 100 MG/10ML IV SOLN,57.0,57.0,0.21,57.0,112 CDM,6332365521J1650,ENOXAPARIN SODIUM 120 MG/0.8ML INJECTION SOSY,40.0,40.0,0.53,40.0,112 CDM,6332365599J1650,ENOXAPARIN SODIUM 120 MG/0.8ML INJECTION SOSY,40.0,40.0,0.53,40.0,112 CDM,6332365820J1205,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR,1072.0,1072.0,40.38,1072.0,112 CDM,6332365827J1205,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR,176.0,176.0,23.76,176.0,112 CDM,6332365894J1205,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR,141.0,141.0,19.04,141.0,112 CDM,6332366400J1200,DIPHENHYDRAMINE HCL 50 MG/ML INJECTION SOLN,11.0,11.0,0.71,11.0,112 CDM,6332366401J1200,DIPHENHYDRAMINE HCL 50 MG/ML INJECTION SOLN,11.0,11.0,0.71,11.0,112 CDM,6332366416J1200,DIPHENHYDRAMINE HCL 50 MG/ML INJECTION SOLN,10.0,10.0,0.71,10.0,112 CDM,6332366501J3105,TERBUTALINE SULFATE 1 MG/ML INJECTION SOLN,71.0,71.0,2.14,71.0,112 CDM,6332367305J2469,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,144.0,144.0,0.34,144.0,112 CDM,6332367321J2469,PALONOSETRON HCL 0.25 MG/5ML IV SOSY,180.0,180.0,0.34,180.0,112 CDM,6332367389J2469,PALONOSETRON HCL 0.25 MG/5ML IV SOSY,180.0,180.0,0.34,180.0,112 CDM,6332368801J3480,POTASSIUM CHLORIDE IN NACL 400.9 MEQ/L IV SOLN,21.0,21.0,0.1,21.0,112 CDM,6332368810J3480,POTASSIUM CHLORIDE IN NACL 400.9 MEQ/L IV SOLN,21.0,21.0,0.1,21.0,112 CDM,6332369030J7608,ACETYLCYSTEINE 20 INHALATION SOLN,94.0,94.0,8.15,94.0,112 CDM,6332369210J7608,ACETYLCYSTEINE 20 INHALATION SOLN,55.0,55.0,7.43,55.0,112 CDM,6332369404J7608,ACETYLCYSTEINE 20 INHALATION SOLN,58.0,58.0,7.83,58.0,112 CDM,6332369441J7608,ACETYLCYSTEINE 20 INHALATION SOLN,22.0,22.0,2.97,22.0,112 CDM,6332369444J7608,ACETYLCYSTEINE 20 INHALATION SOLN,22.0,22.0,2.97,22.0,112 CDM,6332369504J7608,ACETYLCYSTEINE 10 INHALATION SOLN,46.0,46.0,6.21,46.0,112 CDM,6332371050J0640,LEUCOVORIN CALCIUM 200 MG INJECTION SOLR,84.0,84.0,3.84,84.0,112 CDM,6332371059J0640,LEUCOVORIN CALCIUM 200 MG INJECTION SOLR,76.0,76.0,3.84,76.0,112 CDM,6332371100J0640,LEUCOVORIN CALCIUM 500 MG INJECTION SOLR,311.0,311.0,3.84,311.0,112 CDM,6332371303J2020,LINEZOLID 600 MG/300ML IV SOLN,144.0,144.0,2.74,144.0,112 CDM,6332371313J2020,LINEZOLID 600 MG/300ML IV SOLN,144.0,144.0,2.74,144.0,112 CDM,6332371501J9394,FULVESTRANT 250 MG/5ML IM SOSY,1800.0,1800.0,3.32,1800.0,119 CDM,6332371505J9394,FULVESTRANT 250 MG/5ML IM SOSY,1800.0,1800.0,3.32,1800.0,119 CDM,6332373310J9209,MESNA 100 MG/ML IV SOLN,239.0,239.0,1.33,239.0,112 CDM,6332373311J9209,MESNA 100 MG/ML IV SOLN,239.0,239.0,1.33,239.0,112 CDM,6332373806S0028,FAMOTIDINE 200 MG/20ML IV SOLN,33.0,33.0,0.9,33.0,111 CDM,6332373809S0028,FAMOTIDINE 40 MG/4ML IV SOLN,7.0,7.0,0.9,7.0,111 CDM,6332373820S0028,FAMOTIDINE 200 MG/20ML IV SOLN,33.0,33.0,0.9,33.0,111 CDM,6332373911S0028,FAMOTIDINE (PF) 20 MG/2ML IV SOLN,4.0,4.0,0.54,4.0,111 CDM,6332373912S0028,FAMOTIDINE (PF) 20 MG/2ML IV SOLN,4.0,4.0,0.54,4.0,111 CDM,6332373916S0028,FAMOTIDINE (PF) 20 MG/2ML IV SOLN,4.0,4.0,0.54,4.0,111 CDM,6332375020J9263,OXALIPLATIN 100 MG/20ML IV SOLN,648.0,648.0,0.05,648.0,112 CDM,6332375100J2371,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,12.0,12.0,0.01,12.0,108 CDM,6332375101J2371,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,12.0,12.0,0.01,12.0,108 CDM,6332375103J2371,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,10.0,10.0,0.01,10.0,108 CDM,6332375105J2371,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,80.0,80.0,0.01,80.0,108 CDM,6332375110J2371,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,156.0,156.0,0.01,156.0,108 CDM,6332375113J2371,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,10.0,10.0,0.01,10.0,108 CDM,6332376020J9245,MELPHALAN HCL 50 MG IV SOLR,720.0,720.0,86.94,720.0,119 CDM,6332376210J9351,TOPOTECAN HCL 4 MG IV SOLR,846.0,846.0,1.25,846.0,112 CDM,6332376316J9267,PACLITAXEL 100 MG/16.7ML IV CONC,156.0,156.0,0.1,156.0,112 CDM,6332376350J9267,PACLITAXEL 300 MG/50ML IV CONC,466.0,466.0,0.1,466.0,112 CDM,6332377139J9025,AZACITIDINE 100 MG INJECTION SUSR,432.0,432.0,0.21,432.0,112 CDM,6332380601J3010,FENTANYL CITRATE (PF) 50 MCG/ML INJECTION SOLN (WR,8.0,8.0,0.85,8.0,112 CDM,6332380602J3010,FENTANYL CITRATE (PF) 100 MCG/2ML INJECTION SOLN,9.0,9.0,0.85,9.0,112 CDM,6332380611J3010,FENTANYL CITRATE (PF) 50 MCG/ML INJECTION SOLN (WR,8.0,8.0,0.85,8.0,112 CDM,6332380612J3010,FENTANYL CITRATE (PF) 100 MCG/2ML INJECTION SOLN,9.0,9.0,0.85,9.0,112 CDM,6332380613J3010,FENTANYL CITRATE (PF) 250 MCG/5ML INJECTION SOLN,11.0,11.0,0.85,11.0,112 CDM,6332380614J3010,FENTANYL CITRATE (PF) 1000 MCG/20ML INJECTION SOLN,31.0,31.0,0.85,31.0,112 CDM,6332380620J3010,FENTANYL CITRATE (PF) 1000 MCG/20ML INJECTION SOLN,31.0,31.0,0.85,31.0,112 CDM,6332380650J3010,FENTANYL CITRATE (PF) 2500 MCG/50ML INJECTION SOLN,90.0,90.0,0.85,90.0,112 CDM,6332380801J3010,FENTANYL CITRATE (PF) 50 MCG/ML INJECTION SOLN (WR,8.0,8.0,0.85,8.0,112 CDM,6332380811J3010,FENTANYL CITRATE (PF) 50 MCG/ML INJECTION SOLN (WR,8.0,8.0,0.85,8.0,112 CDM,6332381301J2700,OXACILLIN SODIUM 1 G INJECTION SOLR,43.0,43.0,0.57,43.0,112 CDM,6332381320J2700,OXACILLIN SODIUM 1 G INJECTION SOLR,43.0,43.0,0.57,43.0,112 CDM,6332381502J0278,AMIKACIN SULFATE 500 MG/2ML INJECTION SOLN,42.0,42.0,0.54,42.0,112 CDM,6332381504J0278,AMIKACIN SULFATE 1 GM/4ML INJECTION SOLN,84.0,84.0,0.54,84.0,112 CDM,6332381521J0278,AMIKACIN SULFATE 500 MG/2ML INJECTION SOLN,42.0,42.0,0.54,42.0,112 CDM,6332382110J9048,BORTEZOMIB 1 MG/ML IV SOLR (WRAPPER),1080.0,1080.0,3.4,1080.0,119 CDM,6332384221J0500,DICYCLOMINE HCL 10 MG/ML IM SOLN,141.0,141.0,11.33,141.0,112 CDM,6332385103J1171,HYDROMORPHONE HCL PF 10 MG/ML INJECTION SOLN,17.0,17.0,0.09,17.0,112 CDM,6332385107J1171,HYDROMORPHONE HCL PF 10 MG/ML INJECTION SOLN,61.0,61.0,0.09,61.0,112 CDM,6332385110J1171,HYDROMORPHONE HCL PF 10 MG/ML INJECTION SOLN,17.0,17.0,0.09,17.0,112 CDM,6332385150J1171,HYDROMORPHONE HCL PF 10 MG/ML INJECTION SOLN,613.0,613.0,0.09,613.0,112 CDM,6332385203J1171,HYDROMORPHONE HCL PF 1 MG/ML INJECTION SOLN,16.0,16.0,0.09,16.0,112 CDM,6332385225J1171,HYDROMORPHONE HCL PF 1 MG/ML INJECTION SOLN,16.0,16.0,0.09,16.0,112 CDM,6332385303J1171,HYDROMORPHONE HCL PF 2 MG/ML INJECTION SOLN,16.0,16.0,0.09,16.0,112 CDM,6332385325J1171,HYDROMORPHONE HCL PF 2 MG/ML INJECTION SOLN,16.0,16.0,0.09,16.0,112 CDM,6332385403J1171,HYDROMORPHONE HCL PF 4 MG/ML INJECTION SOLN,17.0,17.0,0.09,17.0,112 CDM,6332385410J1171,HYDROMORPHONE HCL PF 4 MG/ML INJECTION SOLN,17.0,17.0,0.09,17.0,112 CDM,6332387550J1455,FOSCARNET SODIUM 6000 MG/250ML IV SOLN,1773.0,1773.0,6.71,1773.0,112 CDM,6332387715J2545,PENTAMIDINE ISETHIONATE 300 MG INHALATION SOLR,601.0,601.0,69.73,601.0,111 CDM,6332388305J9000,DOXORUBICIN HCL 2 MG/ML IV SOLN,33.0,33.0,2.72,33.0,112 CDM,6332388330J9000,DOXORUBICIN HCL 2 MG/ML IV SOLN,120.0,120.0,2.72,120.0,112 CDM,6332388510J0651,LEVOTHYROXINE SODIUM 100 MCG/5ML IV SOLN,320.0,320.0,3.82,320.0,119 CDM,6332391501J1644,HEPARIN SODIUM (PORCINE) 20000 UNIT/ML INJECTION S,63.0,63.0,0.18,63.0,112 CDM,6332391503J1644,HEPARIN SODIUM (PORCINE) 20000 UNIT/ML INJECTION S,61.0,61.0,0.18,61.0,112 CDM,6332391513J1644,HEPARIN SODIUM (PORCINE) 20000 UNIT/ML INJECTION S,61.0,61.0,0.18,61.0,112 CDM,6332393000J2598,VASOPRESSIN 20 UNIT/ML IV SOLN,83.0,83.0,0.53,83.0,112 CDM,6332393001J2598,VASOPRESSIN 20 UNIT/ML IV SOLN,83.0,83.0,0.53,83.0,112 CDM,6332394310J0330,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,29.0,29.0,0.81,29.0,111 CDM,6332394321J0330,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,29.0,29.0,0.81,29.0,111 CDM,6332396198J3489,ZOLEDRONIC ACID 4 MG/5ML IV CONC,882.0,882.0,5.08,882.0,112 CDM,6332396321J0132,ACETYLCYSTEINE 200 MG/ML IV SOLN,396.0,396.0,0.37,396.0,112 CDM,6332396330J0132,ACETYLCYSTEINE 200 MG/ML IV SOLN,396.0,396.0,0.37,396.0,112 CDM,6332396501J3480,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,11.0,11.0,0.1,11.0,112 CDM,6332396502J3480,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,9.0,9.0,0.1,9.0,112 CDM,6332396503J3480,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,8.0,8.0,0.1,8.0,112 CDM,6332396510J3480,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,8.0,8.0,0.1,8.0,112 CDM,6332396520J3480,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,9.0,9.0,0.1,9.0,112 CDM,6332396600J3489,ZOLEDRONIC ACID 5 MG/100ML IV SOLN,1080.0,1080.0,5.08,1080.0,112 CDM,6332396701J3480,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,13.0,13.0,0.1,13.0,112 CDM,6332396730J3480,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,13.0,13.0,0.1,13.0,112 CDM,6332397002J0515,BENZTROPINE MESYLATE 1 MG/ML INJECTION SOLN,198.0,198.0,13.81,198.0,112 CDM,6332397210J1453,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR,774.0,774.0,0.11,774.0,112 CDM,6345910310Q5115,RITUXIMABABBS 100 MG/10ML IV SOLN,3044.0,3044.0,30.14,3044.0,119 CDM,6345910450Q5115,RITUXIMABABBS 500 MG/50ML IV SOLN,15220.0,15220.0,30.14,15220.0,119 CDM,6345930343Q5113,TRASTUZUMABPKRB 150 MG IV SOLR,5049.0,5049.0,55.43,5049.0,119 CDM,6345930547Q5113,TRASTUZUMABPKRB 420 MG IV SOLR,14138.0,14138.0,55.43,14138.0,119 CDM,6345930741Q5113,TRASTUZUMABPKRB 420 MG IV SOLR,14138.0,14138.0,55.43,14138.0,119 CDM,6345934804J9034,BENDAMUSTINE HCL 100 MG/4ML IV SOLN,8906.0,8906.0,12.83,8906.0,119 CDM,6345934804J9036,BELRAPZO 100 MG/4ML IV SOLN,8906.0,8906.0,11.99,8906.0,119 CDM,6345939008J9033,BENDAMUSTINE HCL 25 MG IV SOLR,2675.0,2675.0,1.8,2675.0,119 CDM,6345939120J9033,BENDAMUSTINE HCL 100 MG IV SOLR,10699.0,10699.0,1.8,10699.0,119 CDM,6345960001J9017,ARSENIC TRIOXIDE 10 MG/10ML IV SOLN,2444.0,2444.0,4.68,2444.0,112 CDM,6345960106J9017,ARSENIC TRIOXIDE 12 MG/6ML IV SOLN,4200.0,4200.0,4.68,4200.0,112 CDM,6345960111J9017,ARSENIC TRIOXIDE 12 MG/6ML IV SOLN,4200.0,4200.0,4.68,4200.0,112 CDM,6345991011J1447,TBOFILGRASTIM 300 MCG/0.5ML SC SOSY,900.0,900.0,0.25,900.0,119 CDM,6345991015J1447,TBOFILGRASTIM 300 MCG/0.5ML SC SOSY,900.0,900.0,0.25,900.0,119 CDM,6345991017J1447,TBOFILGRASTIM 300 MCG/0.5ML SC SOSY,1079.0,1079.0,0.25,1079.0,119 CDM,6345991211J1447,TBOFILGRASTIM 480 MCG/0.8ML SC SOSY,1440.0,1440.0,0.25,1440.0,119 CDM,6345991212J1447,TBOFILGRASTIM 480 MCG/0.8ML SC SOSY,1440.0,1440.0,0.25,1440.0,119 CDM,6345991853J1447,TBOFILGRASTIM 300 MCG/ML SC SOLN,900.0,900.0,0.25,900.0,119 CDM,6345991859J1447,TBOFILGRASTIM 300 MCG/ML SC SOLN,900.0,900.0,0.25,900.0,119 CDM,6345992053J1447,TBOFILGRASTIM 480 MCG/1.6ML SC SOLN,1440.0,1440.0,0.25,1440.0,119 CDM,63600003,HC RN IND111DTPA 0.5MCI,12176.0,12176.0,715.29,12176.0,119 CDM,63600006,HC TC-99 PERTECHNETATE PER MCI,103.0,103.0,1.52,103.0,111 CDM,63600007,HC RN FLUROEOXYGLUCOSE F-18 FDG,1250.0,1250.0,168.75,1250.0,103 CDM,63600008,HC RN XENON (PER 10 MCI),287.0,287.0,38.75,287.0,111 CDM,63600010,HC TC-99 SULF COLLDX UP TO 20MCI,826.0,826.0,111.51,1089.53,111 CDM,63600011,HC INJ DOBUTAMINE HCL 250MG,144.0,144.0,7.39,144.0,112 CDM,63600012,HC RN TC99M ALBUMIN(UP TO 10MCI),552.0,552.0,29.96,552.0,111 CDM,63600021,HC MAPS RH IG MINIDOSE IM,95.0,95.0,10.0,240.67,122 CDM,63600032,HC MAPS ABOBOTULINUMTOXINA,22.0,22.0,2.97,26.47,119 CDM,63600038,HC MAPS ESTRADIOL VALERATE 10 MG INJ,30.0,30.0,4.05,30.0,112 CDM,63600041,HC MAPS INJ TESTOSTERO ENANTHATE 1MG,15.0,15.0,0.05,15.0,112 CDM,63600043,HC MAPS TESTOSTERONE PELLETS,190.0,190.0,25.65,190.0,111 CDM,63600047,HC MAPS INCOBOTULINUMTOXIN A,10.0,10.0,1.35,15.81,119 CDM,63600048,HC MAPS LEUPROLIDE ACETATE /3.75 MG,3101.0,3101.0,418.64,5306.42,119 CDM,63600049,HC MAPS DOCETAXEL INJECTION,9.0,9.0,0.38,9.0,112 CDM,63600460,HC MAPS ALBUTEROL NON-COMP,1.15,1.15,0.07,1.15,104 CDM,63600467,HC THYROGEN 0.9MG 1 VIAL,12153.0,12153.0,1640.66,12153.0,115 CDM,63600470,HC MAPS KYLEENA,2723.0,2723.0,367.61,2723.0,108 CDM,63600493,HC MAPS KYLEENA 19.5MG,2723.0,2723.0,367.61,2723.0,108 CDM,63600496,HC KYMRIAH UP TO 600M CAR POST CELLS,2500000.0,2500000.0,337500.0,2500000.0,117 CDM,63600498,HC MAPS SKYLA 13.5MG,2267.0,2267.0,306.05,2267.0,107 CDM,63600499,HC MAPS INJ BENRALIZUMAB 1MG,501.0,501.0,67.64,501.0,111 CDM,63600502,HC MAPS BCG LIVE INTRAVESICAL 1MG,8.5,8.5,1.15,9.86,111 CDM,63600507,HC MAPS GRAFIX STRAVIX PRIME PL SQCM,345.0,345.0,58.3,412.8,112 CDM,63600517,HC MAPS INJ NALMUPHINE HYDROCHLORIDE,29.0,29.0,3.43,29.0,104 CDM,63600519,HC MAPS LILETTA 52MG,2303.0,2303.0,310.91,2303.0,107 CDM,63600520,HC MAPS MIRENA 52MG,2723.0,2723.0,367.61,2723.0,108 CDM,63600521,HC MAPS PNEUMOCOCCAL VACC 23 VAL IM,393.0,393.0,10.0,436.24,124 CDM,63600529,HC MAPS INJ DUROLANE 1MG,59.0,59.0,6.52,59.0,111 CDM,63600548,HC MAPS MONOVISC INJ PER DOSE,2890.0,2890.0,390.15,2890.0,112 CDM,63600570,HB MAPS INJ BUPIVIACAINENOS0.5MG,0.06,0.06,0.01,0.06,104 CDM,63600580,HC MAPS INJ METHYLPRED ACETATE 1MG,0.3,0.3,0.04,0.3,104 CDM,6362920981J1230,METHADONE HCL 10 MG/ML PO CONC,136.0,136.0,17.7,136.0,112 CDM,6373917013J2003,LIDOCAINE HCL (PF) 1 INJECTION SOLN,9.0,9.0,0.01,9.0,111 CDM,6373917024J2003,LIDOCAINE HCL (PF) 1 INJECTION SOLN,9.0,9.0,0.01,9.0,111 CDM,6373951910J7512,PREDNISONE 10 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,6373958810J7512,PREDNISONE 20 MG PO TABS,2.0,2.0,0.01,2.0,112 CDM,6373990114J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,46.0,46.0,0.18,46.0,112 CDM,6373993114J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,14.0,14.0,0.18,14.0,112 CDM,6373993128J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,14.0,14.0,0.18,14.0,112 CDM,6373995311J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,13.0,13.0,0.18,13.0,112 CDM,6373995325J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,13.0,13.0,0.18,13.0,112 CDM,6373996411J1644,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,20.0,20.0,0.18,20.0,112 CDM,6373996425J1644,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,20.0,20.0,0.18,20.0,112 CDM,6383338602J7168,PROTHROMBIN COMPLEX CONC HUMAN 500 UNITS IV KIT,6165.0,6165.0,2.09,6165.0,119 CDM,6383338702J7168,PROTHROMBIN COMPLEX CONC HUMAN 1000 UNITS IV KIT,10977.0,10977.0,2.09,10977.0,119 CDM,6383339601J7168,PROTHROMBIN COMPLEX CONC HUMAN 500 UNITS IV KIT,6165.0,6165.0,2.09,6165.0,119 CDM,6383339701J7168,PROTHROMBIN COMPLEX CONC HUMAN 1000 UNITS IV KIT,10977.0,10977.0,2.09,10977.0,119 CDM,6383361502J7187,ANTIHEMOPHILIC FACTORVWF 250600 UNITS IV SOLR (HUM,2130.0,2130.0,1.45,2130.0,113 CDM,6383361602J7187,ANTIHEMOPHILIC FACTORVWF 5001200 UNITS IV SOLR (HU,4259.0,4259.0,1.45,4259.0,116 CDM,6383361702J7187,ANTIHEMOPHILIC FACTORVWF 10002400 UNITS IV SOLR (H,8007.0,8007.0,1.45,8007.0,117 CDM,6383362501J7187,ANTIHEMOPHILIC FACTORVWF 250600 UNITS IV SOLR (HUM,1268064.0,1268064.0,1.45,1268064.0,117 CDM,6383362701J7187,ANTIHEMOPHILIC FACTORVWF 10002400 UNITS IV SOLR (H,19104192.0,19104192.0,1.45,19104192.0,117 CDM,6383376120A4216,STERILE WATER FOR INJECTION SOLN,5.0,5.0,0.68,5.0,111 CDM,6383376140A4216,STERILE WATER FOR INJECTION SOLN,9.0,9.0,0.71,9.0,111 CDM,63833765530A4216,STERILE WATER FOR INJECTION SOLN,2.0,2.0,0.27,2.0,111 CDM,63833765547A4216,STERILE WATER FOR INJECTION SOLN,3.0,3.0,0.41,3.0,111 CDM,63833765554A4216,STERILE WATER FOR INJECTION SOLN,4.0,4.0,0.54,4.0,111 CDM,6383382502J0597,C1 ESTERASE INHIBITOR (HUMAN) 500 UNITS IV KIT,14646.0,14646.0,72.46,14646.0,119 CDM,6383389151J7178,FIBRINOGEN CONCENTRATE (HUMAN) IV SOLR,4650.0,4650.0,1.48,4650.0,121 CDM,6383389190J7178,RIASTAP IV SOLR,4920.0,4920.0,1.48,4920.0,121 CDM,6419342502J7198,ANTIINHIBITOR COAGULANT CMPLX 2500 UNITS IV SOLR,21113.0,21113.0,2.36,21113.0,117 CDM,6419342602J7198,ANTIINHIBITOR COAGULANT CMPLX 500 UNITS IV SOLR,4809.0,4809.0,2.36,4809.0,116 CDM,6420877531J7175,COAGULATION FACTOR X (HUMAN) 500 UNITS IV SOLR,13875.0,13875.0,9.53,13875.0,117 CDM,6425311123A4216,NORMAL SALINE FLUSH 0.9 IV SOLN,9.0,9.0,0.71,9.0,111 CDM,6425311130A4216,SODIUM CHLORIDE FLUSH 0.9 IV SOLN,11.0,11.0,0.71,11.0,111 CDM,6425322235J1642,HEPARIN SOD (PORK) LOCK FLUSH 10 UNIT/ML IV SOLN (,11.0,11.0,0.02,11.0,112 CDM,6425333330J1642,HEPARIN SOD (PORK) LOCK FLUSH 100 UNIT/ML IV SOLN,12.0,12.0,0.02,12.0,112 CDM,6425333333J1642,HEPARIN SOD (PORK) LOCK FLUSH 100 UNIT/ML IV SOLN,11.0,11.0,0.02,11.0,112 CDM,6425333335J1642,HEPARIN SOD (PORK) LOCK FLUSH 100 UNIT/ML IV SOLN,12.0,12.0,0.02,12.0,112 CDM,6425340030J0461,ATROPINE SULFATE 1 MG/10ML INJECTION SOSY,36.0,36.0,0.07,36.0,112 CDM,6425340091J0461,ATROPINE SULFATE 1 MG/10ML INJECTION SOSY,36.0,36.0,0.07,36.0,112 CDM,6425344422J1642,HEPARIN NA (PORK) LOCK FLSH PF 1 UNIT/ML IV SOLN,10.0,10.0,0.02,10.0,112 CDM,6428110000J7674,METHACHOLINE CHLORIDE 100 MG INHALATION SOLR,299.0,299.0,1.61,299.0,112 CDM,6428110006J7674,METHACHOLINE CHLORIDE 100 MG INHALATION SOLR,299.0,299.0,1.61,299.0,112 CDM,6428111005J7674,METHACHOLINE CHLORIDE INHALATION KIT,486.0,486.0,1.61,486.0,112 CDM,6428111006J7674,METHACHOLINE CHLORIDE INHALATION KIT,486.0,486.0,1.61,486.0,112 CDM,6428111200J7674,METHACHOLINE CHLORIDE INHALATION SOLN KIT 0.0625 M,486.0,486.0,1.61,486.0,112 CDM,6438072106J7507,TACROLIMUS 1 MG PO CAPS,14.0,14.0,0.15,14.0,112 CDM,6438072206J7507,TACROLIMUS 5 MG PO CAPS,67.0,67.0,0.15,67.0,112 CDM,6438072506J7517,MYCOPHENOLATE MOFETIL 500 MG PO TABS,24.0,24.0,0.15,24.0,112 CDM,6438072507J7517,MYCOPHENOLATE MOFETIL 500 MG PO TABS,24.0,24.0,0.15,24.0,112 CDM,6438072606J7517,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,12.0,12.0,0.15,12.0,112 CDM,6438072607J7517,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,12.0,12.0,0.15,12.0,112 CDM,6438078206J7512,PREDNISONE 1 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,6438078507J7512,PREDNISONE 20 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,6438094906J7512,PREDNISONE 50 MG PO TABS,2.0,2.0,0.01,2.0,112 CDM,6440600801J2323,NATALIZUMAB 300 MG/15ML IV CONC,29554.0,29554.0,23.88,29554.0,119 CDM,6440601901Q5124,RANIBIZUMABNUNA 0.5 MG/0.05ML INTRAVITREAL SOLN,4191.0,4191.0,60.22,4191.0,119 CDM,6440601907Q5124,RANIBIZUMABNUNA 0.5 MG/0.05ML INTRAVITREAL SOLN,4191.0,4191.0,60.22,4191.0,119 CDM,6440605801J2326,NUSINERSEN 12 MG/5ML INTRATHECAL SOLN,450000.0,450000.0,1178.92,450000.0,119 CDM,6440610901J1304,TOFERSEN 100 MG/15ML INTRATHECAL SOLN,52765.0,52765.0,155.34,52765.0,119 CDM,6467901201J2543,PIPERACILLIN SODTAZOBACTAM SO 4.5 (40.5) G IV SOLR,83.0,83.0,1.09,83.0,112 CDM,6467901202J2543,PIPERACILLIN SODTAZOBACTAM SO 4.5 (40.5) G IV SOLR,83.0,83.0,1.09,83.0,112 CDM,6467905601J2543,PIPERACILLIN SODTAZOBACTAM SO 3.375 (30.375) G IV,66.0,66.0,1.09,66.0,112 CDM,6467963102J2404,NICARDIPINE HCL 2.5 MG/ML IV SOLN,71.0,71.0,0.07,71.0,112 CDM,6467969801J2700,OXACILLIN SODIUM 1 G INJECTION SOLR,44.0,44.0,0.57,44.0,112 CDM,6467969802J2700,OXACILLIN SODIUM 1 G INJECTION SOLR,44.0,44.0,0.57,44.0,112 CDM,6467969901J2700,OXACILLIN SODIUM 2 G INJECTION SOLR,87.0,87.0,0.57,87.0,112 CDM,6467972801J3030,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOLN,255.0,255.0,25.5,255.0,111 CDM,6467972808J3030,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOLN,255.0,255.0,25.5,255.0,111 CDM,6467975911J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,11.0,11.0,0.39,11.0,111 CDM,6467998301J0696,CEFTRIAXONE SODIUM 1 G INJECTION SOLR,134.0,134.0,0.45,134.0,112 CDM,6476430020J3380,VEDOLIZUMAB 300 MG IV SOLR,31200.0,31200.0,21.37,31200.0,119 CDM,6487500101S0190,MIFEPRISTONE 200 MG PO TABS,129.0,129.0,17.42,129.0,111 CDM,6498029101Q0175,PERPHENAZINE 4 MG PO TABS,8.0,8.0,0.48,8.0,111 CDM,6498029201Q0175,PERPHENAZINE 8 MG PO TABS,9.0,9.0,0.48,9.0,111 CDM,6498029301Q0175,PERPHENAZINE 16 MG PO TABS,12.0,12.0,0.48,12.0,111 CDM,6498050924J8540,DEXAMETHASONE 0.5 MG/5ML PO ELIX,189.0,189.0,0.01,189.0,112 CDM,6516252110Q0169,PROMETHAZINE HCL 25 MG PO TABS,2.0,2.0,0.09,2.0,111 CDM,6516269179Q0162,ONDANSETRON HCL 4 MG/5ML PO SOLN,720.0,720.0,0.01,720.0,112 CDM,6516274510Q0169,PROMETHAZINE HCL 12.5 MG PO TABS,2.0,2.0,0.09,2.0,111 CDM,6516280114J8700,TEMOZOLOMIDE 5 MG PO CAPS,44.0,44.0,0.27,44.0,112 CDM,6516280151J8700,TEMOZOLOMIDE 5 MG PO CAPS,43.0,43.0,0.27,43.0,112 CDM,6516280214J8700,TEMOZOLOMIDE 20 MG PO CAPS,173.0,173.0,0.27,173.0,112 CDM,6516280251J8700,TEMOZOLOMIDE 20 MG PO CAPS,173.0,173.0,0.27,173.0,112 CDM,6516280314J8700,TEMOZOLOMIDE 100 MG PO CAPS,864.0,864.0,0.27,864.0,112 CDM,6516280351J8700,TEMOZOLOMIDE 100 MG PO CAPS,864.0,864.0,0.27,864.0,112 CDM,6516280651J8700,TEMOZOLOMIDE 250 MG PO CAPS,2159.0,2159.0,0.27,2159.0,112 CDM,6516291446J7682,TOBRAMYCIN 300 MG/5ML INHALATION NEBU,425.0,425.0,12.47,425.0,112 CDM,6521901000J3480,POTASSIUM CHLORIDE 40 MEQ/100ML IV SOLN,14.0,14.0,0.1,14.0,112 CDM,6521901001J3480,POTASSIUM CHLORIDE 40 MEQ/100ML IV SOLN,14.0,14.0,0.1,14.0,112 CDM,6521901601J0290,AMPICILLIN SODIUM 500 MG INJECTION SOLR,9.0,9.0,0.49,9.0,112 CDM,6521901610J0290,AMPICILLIN SODIUM 500 MG INJECTION SOLR,9.0,9.0,0.49,9.0,112 CDM,6521902003J0290,AMPICILLIN SODIUM 2 G INJECTION SOLR,29.0,29.0,0.49,29.0,112 CDM,6521902023J0290,AMPICILLIN SODIUM 2 G INJECTION SOLR,29.0,29.0,0.49,29.0,112 CDM,6521908201A9575,GADOTERATE MEGLUMINE 5 MMOL/10ML IV SOLN,84.0,84.0,0.1,84.0,104 CDM,6521908210A9575,GADOTERATE MEGLUMINE 5 MMOL/10ML IV SOLN,84.0,84.0,0.1,84.0,104 CDM,6521908401A9575,GADOTERATE MEGLUMINE 7.5 MMOL/15ML IV SOLN,106.0,106.0,0.1,106.0,104 CDM,6521908415A9575,GADOTERATE MEGLUMINE 7.5 MMOL/15ML IV SOLN,106.0,106.0,0.1,106.0,104 CDM,6521908601A9575,GADOTERATE MEGLUMINE 10 MMOL/20ML IV SOLN,142.0,142.0,0.1,142.0,104 CDM,6521908620A9575,GADOTERATE MEGLUMINE 10 MMOL/20ML IV SOLN,142.0,142.0,0.1,142.0,104 CDM,6521916201J0612,CALCIUM GLUCONATENACL 10.675 GM/50ML IV SOLN,72.0,72.0,0.03,72.0,112 CDM,6521916210J0612,CALCIUM GLUCONATENACL 10.675 GM/50ML IV SOLN,72.0,72.0,0.03,72.0,112 CDM,6521916401J0612,CALCIUM GLUCONATENACL 20.675 GM/100ML IV SOLN,143.0,143.0,0.03,143.0,112 CDM,6521916450J0612,CALCIUM GLUCONATENACL 20.675 GM/100ML IV SOLN,143.0,143.0,0.03,143.0,112 CDM,6521918701A4216,STERILE WATER FOR INJECTION SOLN,32.0,32.0,0.71,32.0,111 CDM,6521920005J9330,TEMSIROLIMUS 25 MG/ML IV SOLN,4248.0,4248.0,20.32,4248.0,119 CDM,6521925600J2543,PIPERACILLIN SODTAZOBACTAM SO 40.5 (364.5) G IV SO,529.0,529.0,1.09,529.0,112 CDM,6521925905J2543,PIPERACILLIN SODTAZOBACTAM SO 4.5 (40.5) G IV SOLR,39.0,39.0,1.09,39.0,112 CDM,6521937110Q5127,PEGFILGRASTIMFPGK 6 MG/0.6ML SC SOSY,15481.0,15481.0,147.24,15481.0,119 CDM,6521938302Q9967,IODIXANOL 320 MG/ML IV SOLN,164.0,164.0,0.15,164.0,104 CDM,6521938304Q9967,IODIXANOL 320 MG/ML IV SOLN,327.0,327.0,0.15,327.0,104 CDM,6521938305Q9967,IODIXANOL 320 MG/ML IV SOLN,164.0,164.0,0.15,164.0,104 CDM,6521942950J0883,ARGATROBAN 50 MG/50ML IV SOLN (WRAPPER),434.0,434.0,0.61,434.0,119 CDM,6521943301J2470,PANTOPRAZOLE SODIUM 40 MG IV SOLR,18.0,18.0,1.93,18.0,111 CDM,6521943315J2470,PANTOPRAZOLE SODIUM 40 MG IV SOLR,18.0,18.0,1.93,18.0,111 CDM,6521947205J7040,SODIUM CHLORIDE 0.9 IV SOLN,15.0,15.0,1.25,15.0,112 CDM,6521956420J9280,MITOMYCIN 5 MG IV SOLR,876.0,876.0,25.94,876.0,119 CDM,6521957001J1939,BUMETANIDE 0.25 MG/ML INJECTION SOLN,13.0,13.0,0.36,13.0,112 CDM,6521957004J1939,BUMETANIDE 0.25 MG/ML INJECTION SOLN,13.0,13.0,0.36,13.0,112 CDM,6521957201J1939,BUMETANIDE 0.25 MG/ML INJECTION SOLN,16.0,16.0,0.36,16.0,112 CDM,6521957210J1939,BUMETANIDE 0.25 MG/ML INJECTION SOLN,16.0,16.0,0.36,16.0,112 CDM,6521980001J2704,PROPOFOL 200 MG/20ML IV EMUL,22.0,22.0,0.08,22.0,112 CDM,6521980010J2704,PROPOFOL 200 MG/20ML IV EMUL,22.0,22.0,0.08,22.0,112 CDM,6525013304J0666,BUPIVACAINE LIPOSOME 1.3 INJECTION SUSP,820.0,820.0,1.44,820.0,112 CDM,6525013309J0666,BUPIVACAINE LIPOSOME 1.3 INJECTION SUSP,820.0,820.0,1.44,820.0,112 CDM,6525013310J0666,BUPIVACAINE LIPOSOME 1.3 INJECTION SUSP,820.0,820.0,1.44,820.0,112 CDM,6525026604J0666,BUPIVACAINE LIPOSOME 1.3 INJECTION SUSP,1355.0,1355.0,1.44,1355.0,112 CDM,6525026609J0666,BUPIVACAINE LIPOSOME 1.3 INJECTION SUSP,1355.0,1355.0,1.44,1355.0,112 CDM,6525026620J0666,BUPIVACAINE LIPOSOME 1.3 INJECTION SUSP,1355.0,1355.0,1.44,1355.0,112 CDM,6528216051J2003,LIDOCAINE HCL (PF) 1 INJECTION SOLN,13.0,13.0,0.01,13.0,111 CDM,6528216051J3490,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),13.0,13.0,1.76,13.0,111 CDM,6559740601J9358,FAMTRASTUZUMAB DERUXTECNXKI 100 MG IV SOLR,10111.0,10111.0,28.81,10111.0,119 CDM,6559750404C9399,QUIZARTINIB DIHYDROCHLORIDE 17.7 MG PO TABS,1966.0,1966.0,265.41,1966.0,113 CDM,6559751104C9399,QUIZARTINIB DIHYDROCHLORIDE 26.5 MG PO TABS,1966.0,1966.0,265.41,1966.0,113 CDM,6564923141J7500,AZATHIOPRINE 75 MG PO TABS,75.0,75.0,0.06,75.0,112 CDM,6575730001J2315,NALTREXONE 380 MG IM SUSR,5908.0,5908.0,4.12,5908.0,119 CDM,6575740203J1944,ARIPIPRAZOLE LAUROXIL ER 662 MG/2.4ML IM PRSY,8348.0,8348.0,3.23,8348.0,119 CDM,6575740303J1944,ARIPIPRAZOLE LAUROXIL ER 882 MG/3.2ML IM PRSY,11122.0,11122.0,3.23,11122.0,119 CDM,6575740403J1944,ARIPIPRAZOLE LAUROXIL ER 1064 MG/3.9ML IM PRSY,13417.0,13417.0,3.23,13417.0,119 CDM,6575750003J1943,ARIPIPRAZOLE LAUROXIL ER 675 MG/2.4ML IM PRSY,8512.0,8512.0,3.13,8512.0,119 CDM,6586218730Q0162,ONDANSETRON HCL 4 MG PO TABS,73.0,73.0,0.01,73.0,112 CDM,6586218830Q0162,ONDANSETRON HCL 8 MG PO TABS,121.0,121.0,0.01,121.0,112 CDM,6586235430J0750,EMTRICITABINETENOFOVIR DF 200300 MG PO TABS,211.0,211.0,1.34,211.0,119 CDM,6586239010Q0162,ONDANSETRON 4 MG PO TBDP,67.0,67.0,0.01,67.0,112 CDM,6586239110Q0162,ONDANSETRON 8 MG PO TBDP,112.0,112.0,0.01,112.0,112 CDM,6586294524J7612,LEVALBUTEROL HCL 1.25 MG/3ML INHALATION NEBU,21.0,21.0,0.27,21.0,112 CDM,6621530300Q4074,ILOPROST 20 MCG/ML INHALATION SOLN,424.0,424.0,57.24,424.0,112 CDM,6621530330Q4074,ILOPROST 20 MCG/ML INHALATION SOLN,424.0,424.0,57.24,424.0,112 CDM,6621540201J1325,EPOPROSTENOL SODIUM (FLOLAN) 1.5 MG IV SOLR,188.0,188.0,15.65,188.0,112 CDM,6621540301J1325,EPOPROSTENOL SODIUM (VELETRI) 0.5 MG IV SOLR,94.0,94.0,12.69,94.0,112 CDM,6622020730J0132,ACETYLCYSTEINE 200 MG/ML IV SOLN,823.0,823.0,0.37,823.0,112 CDM,6628811001J0690,CEFAZOLIN SODIUM 100 G INJECTION SOLR,540.0,540.0,0.81,540.0,112 CDM,6628813001J0690,CEFAZOLIN SODIUM 300 G INJECTION SOLR,1425.0,1425.0,0.81,1425.0,112 CDM,6628861001J0696,CEFTRIAXONE SODIUM 100 G INJECTION SOLR,855.0,855.0,0.45,855.0,112 CDM,6628871001J3370,VANCOMYCIN HCL 100 G IV SOLR,1800.0,1800.0,1.86,1800.0,111 CDM,6628881001J0692,CEFEPIME HCL 100 G IV SOLR,36.0,36.0,0.87,36.0,112 CDM,6630210101J3285,TREPROSTINIL 20 MG/20ML INJECTION SOLN,4584.0,4584.0,54.48,4584.0,119 CDM,6630210201J3285,TREPROSTINIL 50 MG/20ML INJECTION SOLN,11460.0,11460.0,54.48,11460.0,119 CDM,6630210501J3285,TREPROSTINIL 100 MG/20ML INJECTION SOLN,22920.0,22920.0,54.48,22920.0,119 CDM,6630211001J3285,TREPROSTINIL 200 MG/20ML INJECTION SOLN,45840.0,45840.0,54.48,45840.0,119 CDM,6630220601J7686,TREPROSTINIL 0.6 MG/ML INHALATION SOLN,1915.0,1915.0,258.53,1915.0,112 CDM,6630220603J7686,TREPROSTINIL 0.6 MG/ML INHALATION SOLN,2688.0,2688.0,362.88,2688.0,112 CDM,6662107901J0841,CROTALIDAE IMMUNE FAB (EQUINE) IV SOLR,4752.0,4752.0,641.52,14816.85,119 CDM,6662107902J0841,CROTALIDAE IMMUNE FAB (EQUINE) IV SOLR,4752.0,4752.0,641.52,14816.85,119 CDM,6665811303J2425,PALIFERMIN 5.16 MG IV SOLR,11929.0,11929.0,33.99,11929.0,119 CDM,6668930708J7517,MYCOPHENOLATE MOFETIL 200 MG/ML PO SUSR,4349.0,4349.0,0.15,4349.0,112 CDM,6668934702J7520,SIROLIMUS 1 MG/ML PO SOLN,6300.0,6300.0,0.96,6300.0,112 CDM,6668969430J1230,METHADONE HCL 10 MG/ML PO CONC,300.0,300.0,17.7,300.0,112 CDM,6673394823J9055,CETUXIMAB 100 MG/50ML IV SOLN,2895.0,2895.0,77.1,2895.0,119 CDM,6673395823J9055,CETUXIMAB 200 MG/100ML IV SOLN,5790.0,5790.0,77.1,5790.0,119 CDM,6675805001J9171,DOCETAXEL 20 MG/2ML IV SOLN,1139.0,1139.0,0.38,1139.0,112 CDM,6675805002J9171,DOCETAXEL 80 MG/8ML IV SOLN,4555.0,4555.0,0.38,4555.0,112 CDM,6675805003J9171,DOCETAXEL 160 MG/16ML IV SOLN,9717.0,9717.0,0.38,9717.0,112 CDM,6679415101J0476,BACLOFEN 50 MCG/ML INTRATHECAL SOSY,317.0,317.0,40.73,317.0,112 CDM,6679415501J0475,BACLOFEN 10000 MCG/20ML INTRATHECAL SOSY,914.0,914.0,123.39,914.0,119 CDM,6679415601J0475,BACLOFEN 20000 MCG/20ML INTRATHECAL SOSY,1828.0,1828.0,173.84,1828.0,119 CDM,6679415701J0475,BACLOFEN 40000 MCG/20ML INTRATHECAL SOSY,3660.0,3660.0,173.84,3660.0,119 CDM,6679420202J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),9.0,9.0,0.38,9.0,112 CDM,6679420242J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),9.0,9.0,0.38,9.0,112 CDM,6679420502J1596,GLYCOPYRROLATE 4 MG/20ML INJECTION SOLN,87.0,87.0,0.38,87.0,112 CDM,6679421943J2020,LINEZOLID 600 MG/300ML IV SOLN,69.0,69.0,2.74,69.0,112 CDM,6679421963J2020,LINEZOLID 600 MG/300ML IV SOLN,69.0,69.0,2.74,69.0,112 CDM,6679423643J2020,LINEZOLID 600 MG/300ML IV SOLN,44.0,44.0,2.74,44.0,112 CDM,6679423663J2020,LINEZOLID 600 MG/300ML IV SOLN,44.0,44.0,2.74,44.0,112 CDM,6679423702J3490,DOXYCYCLINE HYCLATE 100 MG IV SOLR,91.0,91.0,12.29,91.0,111 CDM,6679423741J3490,DOXYCYCLINE HYCLATE 100 MG IV SOLR,91.0,91.0,12.29,91.0,111 CDM,6697542551J2004,LIDOCAINEEPINEPHRINE 2 1 100000 INJECTION SOLN,3.0,3.0,0.01,3.0,111 CDM,6699337025J1050,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP,294.0,294.0,0.35,294.0,111 CDM,6699337083J1050,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP,294.0,294.0,0.35,294.0,111 CDM,6699337179J1050,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSY,346.0,346.0,0.35,346.0,111 CDM,6699345730J8499,DAPAGLIFLOZIN PROPANEDIOL 10 MG PO TABS,67.0,67.0,9.04,67.0,105 CDM,6699373051J8540,DEXAMETHASONE 4 MG PO TABS,4.0,4.0,0.01,4.0,112 CDM,6699373080J8540,DEXAMETHASONE 4 MG PO TABS,4.0,4.0,0.01,4.0,112 CDM,6706600501J2850,SECRETIN ACETATE (HUMAN) 16 MCG IV SOLR,2268.0,2268.0,30.33,2268.0,119 CDM,6706600601J2850,SECRETIN ACETATE 16 MCG IV SOLR,30.0,30.0,4.05,121.66,119 CDM,6738613051J3032,EPTINEZUMABJJMR 100 MG/ML IV SOLN,6581.0,6581.0,19.32,6581.0,119 CDM,67457064000J0780,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,67.0,67.0,2.31,67.0,112 CDM,6745712410J1200,DIPHENHYDRAMINE HCL 50 MG/ML INJECTION SOLN,44.0,44.0,0.71,44.0,112 CDM,6745715300J0282,AMIODARONE HCL 150 MG/3ML IV SOLN,14.0,14.0,0.39,14.0,112 CDM,6745715303J0282,AMIODARONE HCL 150 MG/3ML IV SOLN,14.0,14.0,0.39,14.0,112 CDM,6745715309J0282,AMIODARONE HCL 450 MG/9ML IV SOLN,28.0,28.0,0.39,28.0,112 CDM,6745715318J0282,AMIODARONE HCL 900 MG/18ML IV SOLN,54.0,54.0,0.39,54.0,112 CDM,6745715399J0282,AMIODARONE HCL 450 MG/9ML IV SOLN,28.0,28.0,0.39,28.0,112 CDM,6745717750J1212,DIMETHYL SULFOXIDE 50 INTRAVESICAL SOLN,2502.0,2502.0,337.77,2502.0,119 CDM,6745718200J1805,ESMOLOL HCL 100 MG/10ML IV SOLN,27.0,27.0,0.21,27.0,112 CDM,6745718210J1805,ESMOLOL HCL 100 MG/10ML IV SOLN,27.0,27.0,0.21,27.0,112 CDM,6745719501J9245,MELPHALAN HCL 50 MG IV SOLR,9023.0,9023.0,86.94,9023.0,119 CDM,6745719600J3411,THIAMINE HCL 100 MG/ML INJECTION SOLN,33.0,33.0,1.76,33.0,112 CDM,6745719602J3411,THIAMINE HCL 100 MG/ML INJECTION SOLN,33.0,33.0,1.76,33.0,112 CDM,6745721005J0740,CIDOFOVIR 75 MG/ML IV SOLN,3560.0,3560.0,301.1,3560.0,119 CDM,6745721102J1451,FOMEPIZOLE 1.5 GM/1.5ML IV SOLN,3697.0,3697.0,6.03,3697.0,119 CDM,6745721202J0883,ARGATROBAN 250 MG/2.5ML IV SOLN,1836.0,1836.0,0.61,1836.0,119 CDM,6745721720J1230,METHADONE HCL 10 MG/ML INJECTION SOLN,1539.0,1539.0,17.7,1539.0,112 CDM,6745721810J0735,CLONIDINE HCL (ANALGESIA) 100 MCG/ML EPIDURAL SOLN,159.0,159.0,16.74,159.0,112 CDM,6745722000Q9968,ISOSULFAN BLUE 1 SC SOLN,4372.0,4372.0,1.67,4372.0,119 CDM,6745722005Q9968,ISOSULFAN BLUE 1 SC SOLN,4372.0,4372.0,1.67,4372.0,119 CDM,6745723900J2354,OCTREOTIDE ACETATE 50 MCG/ML SC SOSY,15.0,15.0,0.61,15.0,112 CDM,6745723901J2354,OCTREOTIDE ACETATE 50 MCG/ML SC SOSY,15.0,15.0,0.61,15.0,112 CDM,6745724500J2354,OCTREOTIDE ACETATE 100 MCG/ML SC SOSY,29.0,29.0,0.61,29.0,112 CDM,6745724501J2354,OCTREOTIDE ACETATE 100 MCG/ML SC SOSY,29.0,29.0,0.61,29.0,112 CDM,6745724600J2354,OCTREOTIDE ACETATE 500 MCG/ML SC SOSY,143.0,143.0,0.61,143.0,112 CDM,6745724601J2354,OCTREOTIDE ACETATE 500 MCG/ML SC SOSY,143.0,143.0,0.61,143.0,112 CDM,6745725500J1953,LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN,51.0,51.0,0.04,51.0,112 CDM,6745725510J1953,LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN,51.0,51.0,0.04,51.0,112 CDM,6745725600J0583,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,3412.0,3412.0,0.16,3412.0,112 CDM,6745725610J0583,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,3412.0,3412.0,0.16,3412.0,112 CDM,6745725900Q9968,ISOSULFAN BLUE 1 SC SOLN,2446.0,2446.0,1.67,2446.0,119 CDM,6745726500J1953,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN,78.0,78.0,0.04,78.0,112 CDM,6745726510J1953,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN,78.0,78.0,0.04,78.0,112 CDM,6745726600J1953,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN,103.0,103.0,0.04,103.0,112 CDM,6745726610J1953,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN,103.0,103.0,0.04,103.0,112 CDM,6745729200J2310,NALOXONE HCL 0.4 MG/ML INJECTION SOLN,72.0,72.0,8.7,72.0,111 CDM,6745729202J2310,NALOXONE HCL 0.4 MG/ML INJECTION SOLN,72.0,72.0,8.7,72.0,111 CDM,6745731625J0894,DECITABINE 50 MG IV SOLR,3420.0,3420.0,0.65,3420.0,112 CDM,6745731725J2469,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,1078.0,1078.0,0.34,1078.0,112 CDM,6745732325J2280,MOXIFLOXACIN HCL IN NACL 400 MG/250ML IV SOLN,173.0,173.0,8.65,173.0,112 CDM,6745733900J3370,VANCOMYCIN HCL 500 MG IV SOLR,29.0,29.0,1.86,29.0,111 CDM,6745733950J3370,VANCOMYCIN HCL 500 MG IV SOLR,29.0,29.0,1.86,29.0,111 CDM,6745734000J3370,VANCOMYCIN HCL 1 G IV SOLR,57.0,57.0,1.86,57.0,111 CDM,6745734001J3370,VANCOMYCIN HCL 1 G IV SOLR,57.0,57.0,1.86,57.0,111 CDM,6745734105J3370,VANCOMYCIN HCL 5 G IV SOLR,315.0,315.0,1.86,315.0,111 CDM,6745734210J3370,VANCOMYCIN HCL 10 G IV SOLR,780.0,780.0,1.86,780.0,111 CDM,6745735959J2680,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLN,558.0,558.0,6.2,558.0,112 CDM,6745736610J1742,IBUTILIDE FUMARATE 1 MG/10ML IV SOLN,1119.0,1119.0,151.06,1119.0,119 CDM,6745737412J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,11.0,11.0,0.18,11.0,112 CDM,6745737499J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,11.0,11.0,0.18,11.0,112 CDM,6745738310J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,35.0,35.0,0.18,35.0,112 CDM,6745738431J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,29.0,29.0,0.18,29.0,112 CDM,6745738499J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,29.0,29.0,0.18,29.0,112 CDM,6745738510J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,15.0,15.0,0.18,15.0,112 CDM,6745738599J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,15.0,15.0,0.18,15.0,112 CDM,6745738600J7519,MYCOPHENOLATE MOFETIL HCL 500 MG IV SOLR,261.0,261.0,0.37,261.0,112 CDM,6745738681J7519,MYCOPHENOLATE MOFETIL HCL 500 MG IV SOLR,261.0,261.0,0.37,261.0,112 CDM,6745739054J3489,ZOLEDRONIC ACID 4 MG/5ML IV CONC,159.0,159.0,5.08,159.0,112 CDM,6745740900J1631,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN,159.0,159.0,3.94,159.0,112 CDM,6745741000J1631,HALOPERIDOL DECANOATE 50 MG/ML IM SOLN,80.0,80.0,3.94,80.0,112 CDM,6745741013J1631,HALOPERIDOL DECANOATE 50 MG/ML IM SOLN,80.0,80.0,3.94,80.0,112 CDM,6745741800J1100,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML INJECTION,8.0,8.0,0.11,8.0,112 CDM,6745741805J1100,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML INJECTION,8.0,8.0,0.11,8.0,112 CDM,6745741900J1100,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION S,3.0,3.0,0.11,3.0,112 CDM,6745741901J1100,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION S,3.0,3.0,0.11,3.0,112 CDM,6745742000J1100,DEXAMETHASONE SODIUM PHOSPHATE 100 MG/10ML INJECTI,15.0,15.0,0.11,15.0,112 CDM,6745742010J1100,DEXAMETHASONE SODIUM PHOSPHATE 100 MG/10ML INJECTI,15.0,15.0,0.11,15.0,112 CDM,6745742100J1100,DEXAMETHASONE SODIUM PHOSPHATE 120 MG/30ML INJECTI,38.0,38.0,0.11,38.0,112 CDM,6745742200J1100,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML INJECTION,8.0,8.0,0.11,8.0,112 CDM,6745742254J1100,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML INJECTION,8.0,8.0,0.11,8.0,112 CDM,6745742300J1100,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION S,3.0,3.0,0.11,3.0,112 CDM,6745742312J1100,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION S,3.0,3.0,0.11,3.0,112 CDM,6745742600J1630,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLN,5.0,5.0,0.68,5.0,112 CDM,6745742612J1630,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLN,5.0,5.0,0.68,5.0,112 CDM,6745742800J3260,TOBRAMYCIN SULFATE 1.2 GM/30ML INJECTION SOLN,79.0,79.0,1.97,79.0,112 CDM,6745742830J3260,TOBRAMYCIN SULFATE 1.2 GM/30ML INJECTION SOLN,79.0,79.0,1.97,79.0,112 CDM,6745743010J2430,PAMIDRONATE DISODIUM 30 MG/10ML IV SOLN,98.0,98.0,11.16,98.0,112 CDM,6745743300S0028,FAMOTIDINE (PF) 20 MG/2ML IV SOLN,4.0,4.0,0.54,4.0,111 CDM,6745743322S0028,FAMOTIDINE (PF) 20 MG/2ML IV SOLN,4.0,4.0,0.54,4.0,111 CDM,6745743650J9000,DOXORUBICIN HCL 50 MG IV SOLR,878.0,878.0,2.72,878.0,112 CDM,6745743700J3490,DOXYCYCLINE HYCLATE 100 MG IV SOLR,55.0,55.0,7.43,55.0,111 CDM,6745743710J3490,DOXYCYCLINE HYCLATE 100 MG IV SOLR,55.0,55.0,7.43,55.0,111 CDM,6745744000J2405,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,3.0,3.0,0.09,3.0,112 CDM,6745744220J9263,OXALIPLATIN 100 MG/20ML IV SOLN,720.0,720.0,0.05,720.0,112 CDM,6745744610J2430,PAMIDRONATE DISODIUM 90 MG/10ML IV SOLN,337.0,337.0,11.16,337.0,112 CDM,6745744800S0028,FAMOTIDINE 40 MG/4ML IV SOLN,7.0,7.0,0.9,7.0,111 CDM,6745744843S0028,FAMOTIDINE 40 MG/4ML IV SOLN,7.0,7.0,0.9,7.0,111 CDM,6745745700S0028,FAMOTIDINE 200 MG/20ML IV SOLN,33.0,33.0,0.9,33.0,111 CDM,6745745720S0028,FAMOTIDINE 200 MG/20ML IV SOLN,33.0,33.0,0.9,33.0,111 CDM,6745746910J9263,OXALIPLATIN 50 MG/10ML IV SOLN,360.0,360.0,0.05,360.0,112 CDM,6745747300J3260,TOBRAMYCIN SULFATE 80 MG/2ML INJECTION SOLN,8.0,8.0,1.08,8.0,112 CDM,6745747322J3260,TOBRAMYCIN SULFATE 80 MG/2ML INJECTION SOLN,8.0,8.0,1.08,8.0,112 CDM,6745748300J1100,DEXAMETHASONE SODIUM PHOSPHATE 100 MG/10ML INJECTI,15.0,15.0,0.11,15.0,112 CDM,6745748310J1100,DEXAMETHASONE SODIUM PHOSPHATE 100 MG/10ML INJECTI,15.0,15.0,0.11,15.0,112 CDM,6745752433J1740,IBANDRONATE SODIUM 3 MG/3ML IV SOLN,1516.0,1516.0,13.14,1516.0,112 CDM,6745752810J0640,LEUCOVORIN CALCIUM 100 MG INJECTION SOLR,72.0,72.0,3.84,72.0,112 CDM,6745752920J0640,LEUCOVORIN CALCIUM 200 MG INJECTION SOLR,144.0,144.0,3.84,144.0,112 CDM,6745753035J0640,LEUCOVORIN CALCIUM 350 MG INJECTION SOLR,94.0,94.0,3.84,94.0,112 CDM,6745753102J9171,DOCETAXEL 20 MG/2ML IV SOLN,248.0,248.0,0.38,248.0,112 CDM,6745753208J9171,DOCETAXEL 80 MG/8ML IV SOLN,990.0,990.0,0.38,990.0,112 CDM,6745753316J9171,DOCETAXEL 160 MG/16ML IV SOLN,2112.0,2112.0,0.38,2112.0,112 CDM,6745755300J3475,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,48.0,48.0,0.41,48.0,112 CDM,6745755400J3475,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,24.0,24.0,0.41,24.0,112 CDM,6745756700J3475,MAGNESIUM SULFATE IN D5W 15 GM/100ML IV SOLN,24.0,24.0,0.41,24.0,112 CDM,6745758200J1652,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN,164.0,164.0,0.67,164.0,112 CDM,6745758210J1652,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN,164.0,164.0,0.67,164.0,112 CDM,6745758300J1652,FONDAPARINUX SODIUM 5 MG/0.4ML SC SOLN,386.0,386.0,0.67,386.0,112 CDM,6745758304J1652,FONDAPARINUX SODIUM 5 MG/0.4ML SC SOLN,386.0,386.0,0.67,386.0,112 CDM,6745758400J1652,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN,386.0,386.0,0.67,386.0,112 CDM,6745758406J1652,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN,386.0,386.0,0.67,386.0,112 CDM,6745758500J1652,FONDAPARINUX SODIUM 10 MG/0.8ML SC SOLN,386.0,386.0,0.67,386.0,112 CDM,6745758508J1652,FONDAPARINUX SODIUM 10 MG/0.8ML SC SOLN,386.0,386.0,0.67,386.0,112 CDM,6745759210J1652,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN,201.0,201.0,0.67,201.0,112 CDM,6745759500J1652,FONDAPARINUX SODIUM 10 MG/0.8ML SC SOLN,472.0,472.0,0.67,472.0,112 CDM,6745759900J2310,NALOXONE HCL 0.4 MG/ML INJECTION SOLN,72.0,72.0,8.7,72.0,111 CDM,6745760202J1644,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,17.0,17.0,0.18,17.0,112 CDM,6745760305J1644,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,32.0,32.0,0.18,32.0,112 CDM,6745760399J1644,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,32.0,32.0,0.18,32.0,112 CDM,6745761610J9201,GEMCITABINE HCL 200 MG/5.26ML IV SOLN,29.0,29.0,2.87,29.0,112 CDM,6745761730J9201,GEMCITABINE HCL 1 GM/26.3ML IV SOLN,127.0,127.0,2.87,127.0,112 CDM,6745761810J9201,GEMCITABINE HCL 2 GM/52.6ML IV SOLN,289.0,289.0,2.87,289.0,112 CDM,6745761910J3489,ZOLEDRONIC ACID 5 MG/100ML IV SOLN,846.0,846.0,5.08,846.0,112 CDM,6745762102J3301,TRIAMCINOLONE ACETONIDE 40 MG/ML INJECTION SUSP,33.0,33.0,0.74,33.0,112 CDM,6745762205J3301,TRIAMCINOLONE ACETONIDE 40 MG/ML INJECTION SUSP,163.0,163.0,0.74,163.0,112 CDM,6745762299J3301,TRIAMCINOLONE ACETONIDE 40 MG/ML INJECTION SUSP,163.0,163.0,0.74,163.0,112 CDM,6745764002J0780,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,67.0,67.0,2.31,67.0,112 CDM,6745765725J1805,ESMOLOL HCLSODIUM CHLORIDE 2500 MG/250ML IV SOLN,1577.0,1577.0,0.21,1577.0,112 CDM,6745765810J1805,ESMOLOL HCLSODIUM CHLORIDE 2000 MG/100ML IV SOLN,1631.0,1631.0,0.21,1631.0,112 CDM,6745767502J0630,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLN,11276.0,11276.0,816.0,11276.0,111 CDM,6745770500J3371,VANCOMYCIN HCL 750 MG IV SOLR,36.0,36.0,4.86,36.0,111 CDM,6745770575J3371,VANCOMYCIN HCL 750 MG IV SOLR,36.0,36.0,4.86,36.0,111 CDM,6745778108J9171,DOCETAXEL 160 MG/8ML IV CONC,8764.0,8764.0,0.38,8764.0,112 CDM,6745779000J1953,LEVETIRACETAM 500 MG/5ML IV SOLN,38.0,38.0,0.04,38.0,112 CDM,6745779005J1953,LEVETIRACETAM 500 MG/5ML IV SOLN,38.0,38.0,0.04,38.0,112 CDM,6745779410J3489,ZOLEDRONIC ACID 5 MG/100ML IV SOLN,396.0,396.0,5.08,396.0,112 CDM,6745779920J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,264.0,264.0,0.05,264.0,112 CDM,6745779999J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,264.0,264.0,0.05,264.0,112 CDM,6745781350J0878,DAPTOMYCIN 500 MG IV SOLR,1604.0,1604.0,0.03,1604.0,112 CDM,6745782399J3371,VANCOMYCIN HCL 1.25 G IV SOLR,73.0,73.0,6.43,73.0,111 CDM,6745782499J3371,VANCOMYCIN HCL 1.5 G IV SOLR,87.0,87.0,6.43,87.0,111 CDM,6745783306Q5108,PEGFILGRASTIMJMDB 6 MG/0.6ML SC SOSY,7515.0,7515.0,98.87,7515.0,119 CDM,6745784550Q5114,TRASTUZUMABDKST 420 MG IV SOLR,13311.0,13311.0,37.71,13311.0,119 CDM,6745784744Q5114,TRASTUZUMABDKST 420 MG IV SOLR,13311.0,13311.0,37.71,13311.0,119 CDM,6745785350J1120,ACETAZOLAMIDE SODIUM 500 MG INJECTION SOLR,144.0,144.0,17.23,144.0,112 CDM,6745785500J0153,ADENOSINE 6 MG/2ML IV SOLN,23.0,23.0,0.32,23.0,112 CDM,6745785502J0153,ADENOSINE 6 MG/2ML IV SOLN,23.0,23.0,0.32,23.0,112 CDM,6745785620J0153,ADENOSINE 3 MG/ML IV SOLN (CATH LAB INFUSION),468.0,468.0,0.32,468.0,112 CDM,6745785730J0153,ADENOSINE 3 MG/ML IV SOLN (CATH LAB INFUSION),706.0,706.0,0.32,706.0,112 CDM,6745786404J1626,GRANISETRON HCL 4 MG/4ML IV SOLN,90.0,90.0,0.15,90.0,112 CDM,6745788700J1050,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP,124.0,124.0,0.35,124.0,111 CDM,6745788701J1050,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP,124.0,124.0,0.35,124.0,111 CDM,6745788799J1050,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP,124.0,124.0,0.35,124.0,111 CDM,6745788910J1453,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR,1083.0,1083.0,0.11,1083.0,112 CDM,6745789300J0594,BUSULFAN 6 MG/ML IV SOLN,7453.0,7453.0,0.89,7453.0,119 CDM,6745789308J0594,BUSULFAN 6 MG/ML IV SOLN,7453.0,7453.0,0.89,7453.0,119 CDM,6745794010J0131,ACETAMINOPHEN 10 MG/ML IV SOLN,135.0,135.0,0.05,135.0,112 CDM,6745794115J0878,DAPTOMYCIN 500 MG IV SOLR,120.0,120.0,0.03,120.0,112 CDM,6745799115Q5114,TRASTUZUMABDKST 150 MG IV SOLR,4769.0,4769.0,37.71,4769.0,119 CDM,6745799405J2785,REGADENOSON 0.4 MG/5ML IV SOLN,108.0,108.0,2.68,108.0,112 CDM,6768420000A9575,GADOTERATE MEGLUMINE 2.5 MMOL/5ML IV SOLN,108.0,108.0,0.1,108.0,104 CDM,6768420001A9575,GADOTERATE MEGLUMINE 5 MMOL/10ML IV SOLN,182.0,182.0,0.1,182.0,104 CDM,6768420002A9575,GADOTERATE MEGLUMINE 7.5 MMOL/15ML IV SOLN,272.0,272.0,0.1,272.0,104 CDM,6768420003A9575,GADOTERATE MEGLUMINE 10 MMOL/20ML IV SOLN,363.0,363.0,0.1,363.0,104 CDM,6768420007A9575,GADOTERATE MEGLUMINE 10 MMOL/20ML IV SOSY,392.0,392.0,0.1,392.0,104 CDM,6768420010A9575,GADOTERATE MEGLUMINE 2.5 MMOL/5ML IV SOLN,96.0,96.0,0.1,96.0,104 CDM,6768420011A9575,GADOTERATE MEGLUMINE 5 MMOL/10ML IV SOLN,119.0,119.0,0.1,119.0,104 CDM,6768420013A9575,GADOTERATE MEGLUMINE 10 MMOL/20ML IV SOLN,202.0,202.0,0.1,202.0,104 CDM,6768420014A9575,GADOTERATE MEGLUMINE 50 MMOL/100ML IV SOLN,930.0,930.0,0.1,930.0,104 CDM,6785002100J0290,AMPICILLIN SODIUM 1 G INJECTION SOLR,24.0,24.0,0.49,24.0,112 CDM,6785002110J0290,AMPICILLIN SODIUM 1 G INJECTION SOLR,24.0,24.0,0.49,24.0,112 CDM,6785002200J0290,AMPICILLIN SODIUM 2 G INJECTION SOLR,48.0,48.0,0.49,48.0,112 CDM,6785002210J0290,AMPICILLIN SODIUM 2 G INJECTION SOLR,48.0,48.0,0.49,48.0,112 CDM,6785002400J0290,AMPICILLIN SODIUM 500 MG INJECTION SOLR,13.0,13.0,0.49,13.0,112 CDM,6785002410J0290,AMPICILLIN SODIUM 500 MG INJECTION SOLR,13.0,13.0,0.49,13.0,112 CDM,6785015000J2470,PANTOPRAZOLE SODIUM 40 MG IV SOLR,15.0,15.0,1.93,15.0,111 CDM,6785015010J2470,PANTOPRAZOLE SODIUM 40 MG IV SOLR,15.0,15.0,1.93,15.0,111 CDM,6785015025J2470,PANTOPRAZOLE SODIUM 40 MG IV SOLR,15.0,15.0,1.93,15.0,111 CDM,6787147906J1430,ETHANOLAMINE OLEATE 5 IV SOLN,1658.0,1658.0,214.11,1730.0,238 CDM,6787722501J7517,MYCOPHENOLATE MOFETIL 500 MG PO TABS,24.0,24.0,0.15,24.0,112 CDM,6787722505J7517,MYCOPHENOLATE MOFETIL 500 MG PO TABS,24.0,24.0,0.15,24.0,112 CDM,6787723022J7517,MYCOPHENOLATE MOFETIL 200 MG/ML PO SUSR,4349.0,4349.0,0.15,4349.0,112 CDM,6787726601J7517,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,12.0,12.0,0.15,12.0,112 CDM,6787726605J7517,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,12.0,12.0,0.15,12.0,112 CDM,6787742612J7518,MYCOPHENOLATE SODIUM 180 MG PO TBEC,14.0,14.0,0.32,14.0,112 CDM,6787742712J7518,MYCOPHENOLATE SODIUM 360 MG PO TBEC,28.0,28.0,0.32,28.0,112 CDM,6787749301J7500,AZATHIOPRINE 50 MG PO TABS,7.0,7.0,0.06,7.0,112 CDM,6787753714J8700,TEMOZOLOMIDE 5 MG PO CAPS,43.0,43.0,0.27,43.0,112 CDM,6787753814J8700,TEMOZOLOMIDE 20 MG PO CAPS,171.0,171.0,0.27,171.0,112 CDM,6787753907J8700,TEMOZOLOMIDE 100 MG PO CAPS,847.0,847.0,0.27,847.0,112 CDM,6787753914J8700,TEMOZOLOMIDE 100 MG PO CAPS,836.0,836.0,0.27,836.0,112 CDM,6787754207J8700,TEMOZOLOMIDE 250 MG PO CAPS,2157.0,2157.0,0.27,2157.0,112 CDM,6787771831J7527,EVEROLIMUS 0.25 MG PO TABS,31.0,31.0,1.18,31.0,112 CDM,6787771833J7527,EVEROLIMUS 0.25 MG PO TABS,31.0,31.0,1.18,31.0,112 CDM,6787772031J7527,EVEROLIMUS 0.75 MG PO TABS,91.0,91.0,1.18,91.0,112 CDM,6787772033J7527,EVEROLIMUS 0.75 MG PO TABS,91.0,91.0,1.18,91.0,112 CDM,6787774701J7520,SIROLIMUS 1 MG PO TABS,51.0,51.0,0.96,51.0,112 CDM,6787775360Q0167,DRONABINOL 2.5 MG PO CAPS,20.0,20.0,1.35,20.0,112 CDM,6787775460Q0167,DRONABINOL 5 MG PO CAPS,41.0,41.0,1.35,41.0,112 CDM,6791903001J0695,CEFTOLOZANETAZOBACTAM 1.5 (10.5) G IV SOLR,572.0,572.0,8.15,572.0,119 CDM,6791904002J3090,TEDIZOLID PHOSPHATE 200 MG IV SOLR,1259.0,1259.0,1.81,1259.0,119 CDM,6791904099J3090,TEDIZOLID PHOSPHATE 200 MG IV SOLR,1259.0,1259.0,1.81,1259.0,119 CDM,6791904105J8499,TEDIZOLID PHOSPHATE 200 MG PO TABS,1580.0,1580.0,29.55,1580.0,105 CDM,6791904199J8499,TEDIZOLID PHOSPHATE 200 MG PO TABS,1580.0,1580.0,29.55,1580.0,105 CDM,6797900101J9357,VALRUBICIN 40 MG/ML INTRAVESICAL SOLN,8224.0,8224.0,1110.24,8224.0,119 CDM,6800100501J7509,METHYLPREDNISOLONE 4 MG PO TBPK,5.0,5.0,0.13,5.0,112 CDM,6800116100Q0169,PROMETHAZINE HCL 12.5 MG PO TABS,2.0,2.0,0.09,2.0,111 CDM,6800116200Q0169,PROMETHAZINE HCL 25 MG PO TABS,2.0,2.0,0.09,2.0,111 CDM,6800124604Q0162,ONDANSETRON 4 MG PO TBDP,70.0,70.0,0.01,70.0,112 CDM,6800124616Q0162,ONDANSETRON 4 MG PO TBDP,70.0,70.0,0.01,70.0,112 CDM,6800124617Q0162,ONDANSETRON 4 MG PO TBDP,70.0,70.0,0.01,70.0,112 CDM,6800124716Q0162,ONDANSETRON 8 MG PO TBDP,116.0,116.0,0.01,116.0,112 CDM,6800124717Q0162,ONDANSETRON 8 MG PO TBDP,116.0,116.0,0.01,116.0,112 CDM,6800126522J9181,ETOPOSIDE 100 MG/5ML IV SOLN,35.0,35.0,0.98,35.0,112 CDM,6800126523J9181,ETOPOSIDE 500 MG/25ML IV SOLN,171.0,171.0,0.98,171.0,112 CDM,6800126525J9181,ETOPOSIDE 100 MG/5ML IV SOLN,35.0,35.0,0.98,35.0,112 CDM,6800126526J9181,ETOPOSIDE 500 MG/25ML IV SOLN,171.0,171.0,0.98,171.0,112 CDM,6800126527J9181,ETOPOSIDE 1 GM/50ML IV SOLN,342.0,342.0,0.98,342.0,112 CDM,6800131356J9025,AZACITIDINE 100 MG INJECTION SUSR,1853.0,1853.0,0.21,1853.0,112 CDM,6800148485J9395,FULVESTRANT 250 MG/5ML IM SOSY,3142.0,3142.0,5.72,3142.0,112 CDM,6800153436J9041,BORTEZOMIB 1 MG/ML IV SOLR (WRAPPER),810.0,810.0,1.59,810.0,112 CDM,6800153941J9305,PEMETREXED DISODIUM 500 MG IV SOLR,2880.0,2880.0,3.59,2880.0,119 CDM,6800154036J9041,BORTEZOMIB 1 MG/ML IV SOLR (WRAPPER),1080.0,1080.0,1.59,1080.0,112 CDM,6808414901J7509,METHYLPREDNISOLONE 4 MG PO TABS,7.0,7.0,0.13,7.0,112 CDM,6808414911J7509,METHYLPREDNISOLONE 4 MG PO TABS,7.0,7.0,0.13,7.0,112 CDM,6808415511Q0169,PROMETHAZINE HCL 25 MG PO TABS,2.0,2.0,0.09,2.0,111 CDM,6808422001Q0162,ONDANSETRON HCL 4 MG PO TABS,3.0,3.0,0.01,3.0,112 CDM,6808422011Q0162,ONDANSETRON HCL 4 MG PO TABS,3.0,3.0,0.01,3.0,112 CDM,6808422101Q0162,ONDANSETRON HCL 8 MG PO TABS,4.0,4.0,0.01,4.0,112 CDM,6808422111Q0162,ONDANSETRON HCL 8 MG PO TABS,4.0,4.0,0.01,4.0,112 CDM,6808422901J7500,AZATHIOPRINE 50 MG PO TABS,3.0,3.0,0.06,3.0,112 CDM,6808422911J7500,AZATHIOPRINE 50 MG PO TABS,3.0,3.0,0.06,3.0,112 CDM,6808428401S0176,HYDROXYUREA 500 MG PO CAPS,4.0,4.0,0.41,4.0,111 CDM,6808428411S0176,HYDROXYUREA 500 MG PO CAPS,4.0,4.0,0.41,4.0,111 CDM,6808444901J7507,TACROLIMUS 0.5 MG PO CAPS,7.0,7.0,0.15,7.0,112 CDM,6808444911J7507,TACROLIMUS 0.5 MG PO CAPS,7.0,7.0,0.15,7.0,112 CDM,6808445001J7507,TACROLIMUS 1 MG PO CAPS,14.0,14.0,0.15,14.0,112 CDM,6808445011J7507,TACROLIMUS 1 MG PO CAPS,14.0,14.0,0.15,14.0,112 CDM,6808445101J7507,TACROLIMUS 5 MG PO CAPS,67.0,67.0,0.15,67.0,112 CDM,6808445111J7507,TACROLIMUS 5 MG PO CAPS,67.0,67.0,0.15,67.0,112 CDM,6808460201Q0175,PERPHENAZINE 4 MG PO TABS,7.0,7.0,0.48,7.0,111 CDM,6808460211Q0175,PERPHENAZINE 4 MG PO TABS,7.0,7.0,0.48,7.0,111 CDM,6808460701Q0175,PERPHENAZINE 8 MG PO TABS,8.0,8.0,0.48,8.0,111 CDM,6808460711Q0175,PERPHENAZINE 8 MG PO TABS,8.0,8.0,0.48,8.0,111 CDM,6808490711J7518,MYCOPHENOLATE SODIUM 180 MG PO TBEC,15.0,15.0,0.32,15.0,112 CDM,6808490721J7518,MYCOPHENOLATE SODIUM 180 MG PO TBEC,15.0,15.0,0.32,15.0,112 CDM,6808491525J7520,SIROLIMUS 1 MG PO TABS,52.0,52.0,0.96,52.0,112 CDM,6808491595J7520,SIROLIMUS 1 MG PO TABS,52.0,52.0,0.96,52.0,112 CDM,6808491825J7518,MYCOPHENOLATE SODIUM 360 MG PO TBEC,30.0,30.0,0.32,30.0,112 CDM,6808491895J7518,MYCOPHENOLATE SODIUM 360 MG PO TBEC,30.0,30.0,0.32,30.0,112 CDM,6809410120J2760,PHENTOLAMINE MESYLATE 5 MG INJECTION SOLR,1505.0,1505.0,203.18,1505.0,119 CDM,6809476359Q0162,ONDANSETRON HCL 4 MG/5ML PO SOLN,46.0,46.0,0.01,46.0,112 CDM,6813510001J1322,ELOSULFASE ALFA 5 MG/5ML IV SOLN,5116.0,5116.0,293.92,5116.0,119 CDM,6818096204J7682,TOBRAMYCIN 300 MG/5ML INHALATION NEBU,425.0,425.0,12.47,425.0,112 CDM,6818096256J7682,TOBRAMYCIN 300 MG/5ML INHALATION NEBU,425.0,425.0,12.47,425.0,112 CDM,6818098405J7626,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,34.0,34.0,1.05,34.0,112 CDM,6818098430J7626,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,34.0,34.0,1.05,34.0,112 CDM,6838200301J7500,AZATHIOPRINE 50 MG PO TABS,7.0,7.0,0.06,7.0,112 CDM,6838204001Q0169,PROMETHAZINE HCL 12.5 MG PO TABS,2.0,2.0,0.09,2.0,111 CDM,6838204101Q0169,PROMETHAZINE HCL 25 MG PO TABS,2.0,2.0,0.09,2.0,111 CDM,6838252001J7520,SIROLIMUS 0.5 MG PO TABS,26.0,26.0,0.96,26.0,112 CDM,6838277501J8610,METHOTREXATE SODIUM 2.5 MG PO TABS,11.0,11.0,0.15,11.0,112 CDM,6838286002J0515,BENZTROPINE MESYLATE 1 MG/ML INJECTION SOLN,177.0,177.0,13.81,177.0,112 CDM,6838286010J0515,BENZTROPINE MESYLATE 1 MG/ML INJECTION SOLN,177.0,177.0,13.81,177.0,112 CDM,6838291001J3490,DOXYCYCLINE HYCLATE 100 MG IV SOLR,91.0,91.0,12.29,91.0,111 CDM,6838291010J3490,DOXYCYCLINE HYCLATE 100 MG IV SOLR,91.0,91.0,12.29,91.0,111 CDM,6838291601J7509,METHYLPREDNISOLONE 4 MG PO TABS,5.0,5.0,0.13,5.0,112 CDM,6838291818J7509,METHYLPREDNISOLONE 16 MG PO TABS,11.0,11.0,0.13,11.0,112 CDM,6838299710J9017,ARSENIC TRIOXIDE 10 MG/10ML IV SOLN,1365.0,1365.0,4.68,1365.0,112 CDM,6846210530Q0162,ONDANSETRON HCL 4 MG PO TABS,74.0,74.0,0.01,74.0,112 CDM,6846210630Q0162,ONDANSETRON HCL 8 MG PO TABS,108.0,108.0,0.01,108.0,112 CDM,6846215713Q0162,ONDANSETRON 4 MG PO TBDP,70.0,70.0,0.01,70.0,112 CDM,6846215740Q0162,ONDANSETRON 4 MG PO TBDP,70.0,70.0,0.01,70.0,112 CDM,6846215813Q0162,ONDANSETRON 8 MG PO TBDP,116.0,116.0,0.01,116.0,112 CDM,6846246940J1939,BUMETANIDE 0.25 MG/ML INJECTION SOLN,9.0,9.0,0.36,9.0,112 CDM,6846246954J1939,BUMETANIDE 0.25 MG/ML INJECTION SOLN,9.0,9.0,0.36,9.0,112 CDM,6846247040J1939,BUMETANIDE 0.25 MG/ML INJECTION SOLN,9.0,9.0,0.36,9.0,112 CDM,6846247054J1939,BUMETANIDE 0.25 MG/ML INJECTION SOLN,9.0,9.0,0.36,9.0,112 CDM,6846258340J8501,APREPITANT 40 MG PO CAPS,330.0,330.0,2.72,330.0,112 CDM,6846258385J8501,APREPITANT 40 MG PO CAPS,330.0,330.0,2.72,330.0,112 CDM,6846258440J8501,APREPITANT 80 MG PO CAPS,612.0,612.0,2.72,612.0,112 CDM,6846258458J8501,APREPITANT 80 MG PO CAPS,717.0,717.0,2.72,717.0,112 CDM,6846258476J8501,APREPITANT 80 MG PO CAPS,717.0,717.0,2.72,717.0,112 CDM,6846258540J8501,APREPITANT 125 MG PO CAPS,956.0,956.0,2.72,956.0,112 CDM,6846258576J8501,APREPITANT 125 MG PO CAPS,956.0,956.0,2.72,956.0,112 CDM,6846262102Q2009,FOSPHENYTOIN SODIUM 100 MG PE/2ML INJECTION SOLN,54.0,54.0,1.01,54.0,119 CDM,6846262154Q2009,FOSPHENYTOIN SODIUM 100 MG PE/2ML INJECTION SOLN,54.0,54.0,1.01,54.0,119 CDM,6846262210Q2009,FOSPHENYTOIN SODIUM 500 MG PE/10ML INJECTION SOLN,171.0,171.0,1.01,171.0,119 CDM,6846262264Q2009,FOSPHENYTOIN SODIUM 500 MG PE/10ML INJECTION SOLN,171.0,171.0,1.01,171.0,119 CDM,6846268201J7520,SIROLIMUS 0.5 MG PO TABS,26.0,26.0,0.96,26.0,112 CDM,6846268301J7520,SIROLIMUS 1 MG PO TABS,51.0,51.0,0.96,51.0,112 CDM,6846275501J1885,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,6.0,6.0,0.33,6.0,112 CDM,6846275525J1885,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,6.0,6.0,0.33,6.0,112 CDM,6846275601J1885,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,6.0,6.0,0.33,6.0,112 CDM,6846275625J1885,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,6.0,6.0,0.33,6.0,112 CDM,6846286401Q0161,CHLORPROMAZINE HCL 100 MG PO TABS,45.0,45.0,0.33,45.0,111 CDM,6846289701J2354,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLN,132.0,132.0,0.61,132.0,112 CDM,6846289710J2354,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLN,132.0,132.0,0.61,132.0,112 CDM,6851632041J7194,FACTOR IX COMPLEX 500 UNITS IV SOLR,3044.0,3044.0,1.66,3044.0,116 CDM,6851632052J7194,FACTOR IX COMPLEX 1000 UNITS IV SOLR,4710.0,4710.0,1.66,4710.0,116 CDM,6851636052J7193,COAGULATION FACTOR IX 1000 UNITS IV SOLR,5010.0,5010.0,1.34,5010.0,116 CDM,6851646051J7186,ANTIHEMOPHILIC FACTORVWF 250 UNITS IV SOLR (ALPHAN,1140.0,1140.0,1.2,1140.0,113 CDM,6851646061J7186,ANTIHEMOPHILIC FACTORVWF 500 UNITS IV SOLR (ALPHAN,2280.0,2280.0,1.2,2280.0,113 CDM,6851646072J7186,ANTIHEMOPHILIC FACTORVWF 1000 UNITS IV SOLR (ALPHA,4560.0,4560.0,1.2,4560.0,116 CDM,6851646082J7186,ANTIHEMOPHILIC FACTORVWF 1500 UNITS IV SOLR (ALPHA,6840.0,6840.0,1.2,6840.0,117 CDM,6851646102J7186,ANTIHEMOPHILIC FACTORVWF 2000 UNITS IV SOLR (ALPHA,10674.0,10674.0,1.2,10674.0,117 CDM,6851652141P9045,ALBUMIN HUMAN 5 IV SOLN,175.0,175.0,23.63,175.0,119 CDM,6851652142P9045,ALBUMIN HUMAN 5 IV SOLN,335.0,335.0,45.23,335.0,119 CDM,6851652143P9045,ALBUMIN HUMAN 5 IV SOLN,175.0,175.0,23.63,175.0,119 CDM,6851652144P9045,ALBUMIN HUMAN 5 IV SOLN,335.0,335.0,45.23,335.0,119 CDM,6851652147P9045,ALBUMIN HUMAN 5 IV SOLN,175.0,175.0,23.63,175.0,119 CDM,6851652148P9045,ALBUMIN HUMAN 5 IV SOLN,335.0,335.0,45.23,335.0,119 CDM,6851652160P9047,ALBUMIN HUMAN 25 IV SOLN,336.0,336.0,45.36,336.0,119 CDM,6851652161P9047,ALBUMIN HUMAN 25 IV SOLN,168.0,168.0,22.68,168.0,119 CDM,6851652162P9047,ALBUMIN HUMAN 25 IV SOLN,336.0,336.0,45.36,336.0,119 CDM,6851652163P9047,ALBUMIN HUMAN 25 IV SOLN,168.0,168.0,22.68,168.0,119 CDM,6851652164P9047,ALBUMIN HUMAN 25 IV SOLN,336.0,336.0,45.36,336.0,119 CDM,6851652167P9047,ALBUMIN HUMAN 25 IV SOLN,168.0,168.0,22.68,168.0,119 CDM,6851652168P9047,ALBUMIN HUMAN 25 IV SOLN,336.0,336.0,45.36,336.0,119 CDM,6851652169P9047,ALBUMIN HUMAN 25 IV SOLN,168.0,168.0,22.68,168.0,119 CDM,6851652180P9045,ALBUMIN HUMAN 5 IV SOLN,175.0,175.0,23.63,175.0,119 CDM,6851652184P9045,ALBUMIN HUMAN 5 IV SOLN,175.0,175.0,23.63,175.0,119 CDM,6851652190P9045,ALBUMIN HUMAN 5 IV SOLN,335.0,335.0,45.23,335.0,119 CDM,6851652192P9045,ALBUMIN HUMAN 5 IV SOLN,335.0,335.0,45.23,335.0,119 CDM,6854711110J3490,SULBACTAM SODDURLOBACTAM SOD 11 G IV SOLR,570.0,570.0,76.95,570.0,111 CDM,6872771201J9223,LURBINECTEDIN 4 MG IV SOLR,28908.0,28908.0,204.9,28908.0,119 CDM,6872774501J9153,DAUNORUBICINCYTARABINE LIPO 44100 MG IV SUSR,37638.0,37638.0,248.41,37638.0,119 CDM,6872774502J9153,DAUNORUBICINCYTARABINE LIPO 44100 MG IV SUSR,37638.0,37638.0,248.41,37638.0,119 CDM,6872780001C9399,DEFIBROTIDE SODIUM 200 MG/2.5ML IV SOLN,4097.0,4097.0,553.1,4097.0,113 CDM,6872790001J9021,ASPARAGINASE ERWINIA CHRYRYWN 10 MG/0.5ML IM SOLN,18468.0,18468.0,54.14,18468.0,119 CDM,6881713450J9264,PACLITAXEL PROTEINBOUND PART 100 MG IV SUSR,5689.0,5689.0,8.18,5689.0,119 CDM,6898214301J7209,ANTIHEM FACTOR RECOMB (RFVIII) 1000 UNITS IV KIT,6600.0,6600.0,1.13,6600.0,116 CDM,6898218201J7183,ANTIHEMOPHILIC FACTORVWF 500500 UNITS IV KIT,2894.0,2894.0,1.27,2894.0,114 CDM,6898234701J7177,FIBRINOGEN CONCENTRATE (HUMAN) IV SOLR,3960.0,3960.0,1.11,3960.0,119 CDM,6898234801J7177,FIBRINOGEN CONCENTRATE (HUMAN) IV SOLR,3960.0,3960.0,1.11,3960.0,119 CDM,6898262302P9045,ALBUMIN HUMAN 5 IV SOLN,261.0,261.0,35.23,261.0,119 CDM,6898262303P9045,ALBUMIN HUMAN 5 IV SOLN,500.0,500.0,47.71,500.0,119 CDM,6898264301P9047,ALBUMIN HUMAN 25 IV SOLN,207.0,207.0,27.95,207.0,119 CDM,6898284001J1568,OCTAGAM 1 G/20 ML IV SOLN (WRAPPER),700.0,700.0,47.38,700.0,119 CDM,6898284002J1568,OCTAGAM 1 G/20 ML IV SOLN (WRAPPER),1749.0,1749.0,47.38,1749.0,119 CDM,6898284003J1568,OCTAGAM 1 G/20 ML IV SOLN (WRAPPER),3497.0,3497.0,47.38,3497.0,119 CDM,6898284004J1568,OCTAGAM 1 G/20 ML IV SOLN (WRAPPER),6993.0,6993.0,47.38,6993.0,119 CDM,6898285001J1568,OCTAGAM 1 G/10 ML IV SOLN (WRAPPER),1399.0,1399.0,47.38,1399.0,119 CDM,6898285002J1568,OCTAGAM 1 G/10 ML IV SOLN (WRAPPER),3497.0,3497.0,47.38,3497.0,119 CDM,6898285003J1568,OCTAGAM 1 G/10 ML IV SOLN (WRAPPER),6993.0,6993.0,47.38,6993.0,119 CDM,6898285004J1568,OCTAGAM 1 G/10 ML IV SOLN (WRAPPER),13986.0,13986.0,47.38,13986.0,119 CDM,6899230101J7503,TACROLIMUS ER 1 MG PO TB24,25.0,25.0,1.8,25.0,112 CDM,6899230103J7503,TACROLIMUS ER 1 MG PO TB24,25.0,25.0,1.8,25.0,112 CDM,6899230401J7503,TACROLIMUS ER 4 MG PO TB24,99.0,99.0,1.8,99.0,112 CDM,6899230403J7503,TACROLIMUS ER 4 MG PO TB24,99.0,99.0,1.8,99.0,112 CDM,6899230751J7503,TACROLIMUS ER 0.75 MG PO TB24,19.0,19.0,1.8,19.0,112 CDM,6899230753J7503,TACROLIMUS ER 0.75 MG PO TB24,19.0,19.0,1.8,19.0,112 CDM,6909731832J7626,BUDESONIDE 0.25 MG/2ML INHALATION SUSP,29.0,29.0,1.05,29.0,112 CDM,6909731853J7626,BUDESONIDE 0.25 MG/2ML INHALATION SUSP,29.0,29.0,1.05,29.0,112 CDM,6909731886J7626,BUDESONIDE 0.25 MG/2ML INHALATION SUSP,29.0,29.0,1.05,29.0,112 CDM,6909731887J7626,BUDESONIDE 0.25 MG/2ML INHALATION SUSP,29.0,29.0,1.05,29.0,112 CDM,6909731932J7626,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,34.0,34.0,1.05,34.0,112 CDM,6909731953J7626,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,34.0,34.0,1.05,34.0,112 CDM,6909731986J7626,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,34.0,34.0,1.05,34.0,112 CDM,6909731987J7626,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,34.0,34.0,1.05,34.0,112 CDM,6909732132J7626,BUDESONIDE 1 MG/2ML INHALATION SUSP,36.0,36.0,1.05,36.0,112 CDM,6909732153J7626,BUDESONIDE 1 MG/2ML INHALATION SUSP,36.0,36.0,1.05,36.0,112 CDM,6909732186J7626,BUDESONIDE 1 MG/2ML INHALATION SUSP,70.0,70.0,1.05,70.0,112 CDM,6909732187J7626,BUDESONIDE 1 MG/2ML INHALATION SUSP,70.0,70.0,1.05,70.0,112 CDM,6909751707J8530,CYCLOPHOSPHAMIDE 50 MG PO CAPS,54.0,54.0,0.84,54.0,112 CDM,6909770831J3430,PHYTONADIONE 10 MG/ML INJECTION SOLN,154.0,154.0,2.21,154.0,112 CDM,6909770896J3430,PHYTONADIONE 10 MG/ML INJECTION SOLN,154.0,154.0,2.21,154.0,112 CDM,6909770930J3430,PHYTONADIONE 1 MG/0.5ML INJECTION SOLN,22.0,22.0,2.21,22.0,112 CDM,6909770996J3430,PHYTONADIONE 1 MG/0.5ML INJECTION SOLN,22.0,22.0,2.21,22.0,112 CDM,6909787067J1932,LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN,32014.0,32014.0,24.45,32014.0,119 CDM,6909790667J1932,LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN,24097.0,24097.0,24.45,24097.0,119 CDM,6923810541Q0161,CHLORPROMAZINE HCL 10 MG PO TABS,13.0,13.0,0.33,13.0,111 CDM,6923810561Q0161,CHLORPROMAZINE HCL 25 MG PO TABS,23.0,23.0,0.33,23.0,111 CDM,6923810581J3230,CHLORPROMAZINE HCL 50 MG PO TABS,32.0,32.0,4.32,56.1,112 CDM,6923810601Q0161,CHLORPROMAZINE HCL 100 MG PO TABS,45.0,45.0,0.33,45.0,111 CDM,6923810621Q0161,CHLORPROMAZINE HCL 200 MG PO TABS,69.0,69.0,0.33,69.0,111 CDM,6923815943J7520,SIROLIMUS 1 MG/ML PO SOLN,5685.0,5685.0,0.96,5685.0,112 CDM,6923815946J7520,SIROLIMUS 1 MG/ML PO SOLN,5685.0,5685.0,0.96,5685.0,112 CDM,6923815952J7517,MYCOPHENOLATE MOFETIL 200 MG/ML PO SUSR,4349.0,4349.0,0.15,4349.0,112 CDM,6923821221J7510,PREDNISOLONE 15 MG/5ML PO SOLN (WRAPPER),10.0,10.0,0.27,10.0,112 CDM,6923821229J7510,PREDNISOLONE 15 MG/5ML PO SOLN (WRAPPER),219.0,219.0,0.27,219.0,112 CDM,6931516401S0176,HYDROXYUREA 500 MG PO CAPS,3.0,3.0,0.41,3.0,111 CDM,6933913602J3360,DIAZEPAM 5 MG/ML INJECTION SOLN,89.0,89.0,6.17,89.0,112 CDM,6933913603J3360,DIAZEPAM 5 MG/ML INJECTION SOLN,89.0,89.0,6.17,89.0,112 CDM,6933913634J3360,DIAZEPAM 5 MG/ML INJECTION SOLN,89.0,89.0,6.17,89.0,112 CDM,6933913701J3360,DIAZEPAM 5 MG/ML INJECTION SOLN,144.0,144.0,6.17,144.0,112 CDM,6933913705J3360,DIAZEPAM 5 MG/ML INJECTION SOLN,144.0,144.0,6.17,144.0,112 CDM,6936719050J3489,ZOLEDRONIC ACID 4 MG/5ML IV CONC,2515.0,2515.0,5.08,2515.0,112 CDM,6937433005J7611,ALBUTEROL SULFATE (5 MG/ML) 0.5 INHALATION NEBU,36.0,36.0,0.16,36.0,112 CDM,6937453703J7674,METHACHOLINE CHLORIDE INHALATION SOLN KIT 0.0625 M,486.0,486.0,1.61,486.0,112 CDM,6937454206J7674,METHACHOLINE CHLORIDE INHALATION KIT,486.0,486.0,1.61,486.0,112 CDM,6937454410J0171,EPINEPHRINE 0.1 MG/10ML IV SOSY,17.0,17.0,0.76,17.0,111 CDM,6937490205J2710,NEOSTIGMINE METHYLSULFATE 5 MG/5ML IV SOSY,74.0,74.0,0.71,74.0,111 CDM,6937491910J0330,SUCCINYLCHOLINE CHLORIDE 200 MG/10ML IV SOSY,72.0,72.0,0.81,72.0,111 CDM,6937492005J0330,SUCCINYLCHOLINE CHLORIDE 100 MG/5ML IV SOSY (WRAPP,51.0,51.0,0.81,51.0,111 CDM,6937492203J2710,NEOSTIGMINE METHYLSULFATE 2 MG/2ML IV SOSY,67.0,67.0,0.71,67.0,111 CDM,6937494634J1920,LABETALOL HCL 5 MG/ML IV SOLN,20.0,20.0,0.29,20.0,112 CDM,6937495510J2371,PHENYLEPHRINE HCL (PRESSORS) 0.4 MG/10ML IV SOSY,16.0,16.0,0.01,16.0,108 CDM,6937497950J2270,MORPHINE SULFATE 1 MG/ML IV SOLN (WRAPPER),35.0,35.0,2.78,35.0,112 CDM,6944800105J9280,MITOMYCIN 5 MG IV SOLR,1272.0,1272.0,25.94,1272.0,119 CDM,6968011210J3420,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,17.0,17.0,0.64,17.0,112 CDM,6968011225J3420,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,12.0,12.0,0.64,12.0,112 CDM,6972411210C9482,SOTALOL HCL 150 MG/10ML IV SOLN,11866.0,11866.0,18.82,11866.0,119 CDM,6978400306J1450,FLUCONAZOLE IN SODIUM CHLORIDE 4000.9 MG/200ML IV,26.0,26.0,2.39,26.0,112 CDM,6978420530J7631,CROMOLYN SODIUM 20 MG/2ML INHALATION NEBU,66.0,66.0,0.21,66.0,112 CDM,6978420560J7631,CROMOLYN SODIUM 20 MG/2ML INHALATION NEBU,66.0,66.0,0.21,66.0,112 CDM,6978426124J1450,FLUCONAZOLE IN SODIUM CHLORIDE 1000.9 MG/50ML IV,18.0,18.0,2.39,18.0,112 CDM,6991889901J2597,DESMOPRESSIN ACETATE PF 4 MCG/ML INJECTION SOLN,212.0,212.0,3.41,212.0,112 CDM,6991889902J2597,DESMOPRESSIN ACETATE PF 4 MCG/ML INJECTION SOLN,115.0,115.0,3.41,115.0,112 CDM,6991889910J2597,DESMOPRESSIN ACETATE PF 4 MCG/ML INJECTION SOLN,212.0,212.0,3.41,212.0,112 CDM,6991889911J2597,DESMOPRESSIN ACETATE PF 4 MCG/ML INJECTION SOLN,115.0,115.0,3.41,115.0,112 CDM,6991890110J2597,DESMOPRESSIN ACETATE 4 MCG/ML INJECTION SOLN,2143.0,2143.0,3.41,2143.0,112 CDM,6991890111J2597,DESMOPRESSIN ACETATE 4 MCG/ML INJECTION SOLN,1158.0,1158.0,3.41,1158.0,112 CDM,7.61252E 14,RABIES IMMUNE GLOBULIN 1500 UNIT/10ML INJECTION SO,12252.0,12252.0,237.1,12252.0,119 CDM,7.61252E 14,RABIES IMMUNE GLOBULIN 300 UNIT/2ML INJECTION SOLN,2685.0,2685.0,237.1,2685.0,119 CDM,70000012,HC MAPS APPLY SHORT LEG CAST BELOW KNEE TO TOES,250.0,250.0,42.25,1528.72,124 CDM,70000015,HC MAPS APPLICSHRTARMSPLINT STTIC,483.0,483.0,26.0,483.0,124 CDM,70000016,HC MAPS APPLICAT LONGARMSPLINT,193.0,193.0,32.62,1528.72,124 CDM,70000017,HC MAPS APPLIC CAST LONG ARM,287.0,287.0,42.5,1528.72,124 CDM,7000441159J2251,MIDAZOLAM HCLSODIUM CHLORIDE 1000.9 MG/100ML IV S,134.0,134.0,0.17,134.0,112 CDM,7000460740J0171,EPINEPHRINENACL 80.9 MG/250ML IV SOLN,324.0,324.0,0.76,324.0,111 CDM,7000464006J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),63.0,63.0,0.38,63.0,112 CDM,7000491009J0330,SUCCINYLCHOLINE CHLORIDE 100 MG/5ML IV SOSY (WRAPP,49.0,49.0,0.81,49.0,111 CDM,7002019101J9207,IXABEPILONE 15 MG IV SOLR,7111.0,7111.0,136.43,7111.0,119 CDM,7002019111J9207,IXABEPILONE 45 MG IV SOLR,21331.0,21331.0,136.43,21331.0,119 CDM,7002019112J9207,IXABEPILONE 45 MG IV SOLR,21331.0,21331.0,136.43,21331.0,119 CDM,7006900501J3420,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,14.0,14.0,0.64,14.0,112 CDM,7006900510J3420,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,14.0,14.0,0.64,14.0,112 CDM,7006901101J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),11.0,11.0,0.38,11.0,112 CDM,7006902101J1100,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML INJECTION,19.0,19.0,0.11,19.0,112 CDM,7006902125J1100,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML INJECTION,19.0,19.0,0.11,19.0,112 CDM,7006902501J1100,DEXAMETHASONE SODIUM PHOSPHATE 100 MG/10ML INJECTI,43.0,43.0,0.11,43.0,112 CDM,7006903001J1631,HALOPERIDOL DECANOATE 50 MG/ML IM SOLN,94.0,94.0,3.94,94.0,112 CDM,7006903003J1631,HALOPERIDOL DECANOATE 50 MG/ML IM SOLN,94.0,94.0,3.94,94.0,112 CDM,7006906101J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,18.0,18.0,0.05,18.0,112 CDM,7006906110J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,19.0,19.0,0.05,19.0,112 CDM,7006906125J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,18.0,18.0,0.05,18.0,112 CDM,7006906201J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,33.0,33.0,0.05,33.0,112 CDM,7006906210J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,33.0,33.0,0.05,33.0,112 CDM,7006906301J2795,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,53.0,53.0,0.05,53.0,112 CDM,7006906325J2795,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,53.0,53.0,0.05,53.0,112 CDM,7006906401J2795,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,32.0,32.0,0.05,32.0,112 CDM,7006906410J2795,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,32.0,32.0,0.05,32.0,112 CDM,7006906425J2795,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,32.0,32.0,0.05,32.0,112 CDM,7006907101J2310,NALOXONE HCL 0.4 MG/ML INJECTION SOLN,38.0,38.0,5.13,38.0,111 CDM,7006907110J2310,NALOXONE HCL 0.4 MG/ML INJECTION SOLN,38.0,38.0,5.13,38.0,111 CDM,7006930110J0330,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,32.0,32.0,0.81,32.0,111 CDM,7006930125J0330,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,23.0,23.0,0.81,23.0,111 CDM,7006938101J1631,HALOPERIDOL DECANOATE 50 MG/ML IM SOLN,81.0,81.0,3.94,81.0,112 CDM,7006967101J2300,NALBUPHINE HCL 10 MG/ML INJECTION SOLN,24.0,24.0,3.24,24.0,112 CDM,7006967110J2300,NALBUPHINE HCL 10 MG/ML INJECTION SOLN,24.0,24.0,3.24,24.0,112 CDM,7006967201J2300,NALBUPHINE HCL 20 MG/ML INJECTION SOLN,41.0,41.0,3.43,41.0,112 CDM,7006967210J2300,NALBUPHINE HCL 20 MG/ML INJECTION SOLN,41.0,41.0,3.43,41.0,112 CDM,7006978801J0132,ACETYLCYSTEINE 200 MG/ML IV SOLN,200.0,200.0,0.37,200.0,112 CDM,7006978804J0132,ACETYLCYSTEINE 200 MG/ML IV SOLN,200.0,200.0,0.37,200.0,112 CDM,7006980101J2371,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),9.0,9.0,0.01,9.0,108 CDM,7006980125J2371,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),9.0,9.0,0.01,9.0,108 CDM,7006980201J2371,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,60.0,60.0,0.01,60.0,108 CDM,7006980210J2371,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,60.0,60.0,0.01,60.0,108 CDM,7006980301J2371,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,94.0,94.0,0.01,94.0,108 CDM,7006980601J2710,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,29.0,29.0,0.71,29.0,111 CDM,7006980610J2710,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,29.0,29.0,0.71,29.0,111 CDM,7006980801J2260,MILRINONE LACTATE 20 MG/20ML IV SOLN,23.0,23.0,1.31,23.0,112 CDM,7006980810J2260,MILRINONE LACTATE 20 MG/20ML IV SOLN,23.0,23.0,1.31,23.0,112 CDM,70092103036J2251,MIDAZOLAM HCLSODIUM CHLORIDE 1000.9 MG/100ML IV S,116.0,116.0,0.17,116.0,112 CDM,70092123847J0690,CEFAZOLIN SODIUM 2 GM/20ML IV SOSY,49.0,49.0,0.81,49.0,112 CDM,70092152049J2270,MORPHINE SULFATE 1 MG/ML IV SOLN (WRAPPER),61.0,61.0,2.78,61.0,112 CDM,7009502401J2470,PANTOPRAZOLE SODIUM 40 MG IV SOLR,26.0,26.0,1.93,26.0,111 CDM,7009502501J0456,AZITHROMYCIN 500 MG IV SOLR,22.0,22.0,2.04,22.0,112 CDM,7009502502J0456,AZITHROMYCIN 500 MG IV SOLR,22.0,22.0,2.04,22.0,112 CDM,7011410101Q5111,PEGFILGRASTIMCBQV 6 MG/0.6ML SC SOSY,15030.0,15030.0,130.91,15030.0,119 CDM,7011413001Q5111,PEGFILGRASTIMCBQV (INF DEV) 6 MG/0.6ML SC SOSY,15030.0,15030.0,130.91,15030.0,119 CDM,7011434001J3263,TORIPALIMABTPZI 240 MG/6ML IV SOLN,32652.0,32652.0,39.32,32652.0,119 CDM,7011444001Q5128,RANIBIZUMABEQRN 0.3 MG/0.05ML INTRAVITREAL SOLN,2938.0,2938.0,83.34,2938.0,119 CDM,7011444101Q5128,RANIBIZUMABEQRN 0.5 MG/0.05ML INTRAVITREAL SOLN,4896.0,4896.0,83.34,4896.0,119 CDM,7012110491J3301,TRIAMCINOLONE ACETONIDE 40 MG/ML INJECTION SUSP,31.0,31.0,0.74,31.0,112 CDM,7012110492J3301,TRIAMCINOLONE ACETONIDE 40 MG/ML INJECTION SUSP,31.0,31.0,0.74,31.0,112 CDM,7012111681J3301,TRIAMCINOLONE ACETONIDE 40 MG/ML INJECTION SUSP,157.0,157.0,0.74,157.0,112 CDM,7012112361J9027,CLOFARABINE 1 MG/ML IV SOLN,6840.0,6840.0,5.33,6840.0,119 CDM,7012112381J9075,CYCLOPHOSPHAMIDE 500 MG INJECTION SOLR,1187.0,1187.0,0.58,1187.0,119 CDM,7012112391J9075,CYCLOPHOSPHAMIDE 1 G INJECTION SOLR,2374.0,2374.0,0.58,2374.0,119 CDM,7012112401J9075,CYCLOPHOSPHAMIDE 2 G INJECTION SOLR,4747.0,4747.0,0.58,4747.0,119 CDM,7012113941J1596,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLN,26.0,26.0,0.38,26.0,112 CDM,7012113971J1596,GLYCOPYRROLATE 4 MG/20ML INJECTION SOLN,447.0,447.0,0.38,447.0,112 CDM,7012114531J2185,MEROPENEM 1 G IV SOLR,40.0,40.0,0.38,40.0,112 CDM,7012114537J2185,MEROPENEM 1 G IV SOLR,40.0,40.0,0.38,40.0,112 CDM,7012114541J2185,MEROPENEM 500 MG IV SOLR,22.0,22.0,0.38,22.0,112 CDM,7012114547J2185,MEROPENEM 500 MG IV SOLR,22.0,22.0,0.38,22.0,112 CDM,7012114632J9395,FULVESTRANT 250 MG/5ML IM SOSY,1350.0,1350.0,5.72,1350.0,112 CDM,7012114791J2710,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,94.0,94.0,0.71,94.0,111 CDM,7012114822J9050,CARMUSTINE 100 MG IV SOLR,2700.0,2700.0,173.64,2700.0,119 CDM,7012115687Q5125,FILGRASTIMAYOW 300 MCG/0.5ML SC SOSY,573.0,573.0,0.34,573.0,119 CDM,7012115701Q5125,FILGRASTIMAYOW 480 MCG/0.8ML SC SOSY,916.0,916.0,0.34,916.0,119 CDM,7012115707Q5125,FILGRASTIMAYOW 480 MCG/0.8ML SC SOSY,916.0,916.0,0.34,916.0,119 CDM,7012115731J1010,METHYLPREDNISOLONE ACETATE 40 MG/ML INJECTION SUSP,35.0,35.0,0.12,35.0,112 CDM,7012115735J1010,METHYLPREDNISOLONE ACETATE 40 MG/ML INJECTION SUSP,35.0,35.0,0.12,35.0,112 CDM,7012115741J1010,METHYLPREDNISOLONE ACETATE 80 MG/ML INJECTION SUSP,59.0,59.0,0.12,59.0,112 CDM,7012115745J1010,METHYLPREDNISOLONE ACETATE 80 MG/ML INJECTION SUSP,59.0,59.0,0.12,59.0,112 CDM,7012115771J2371,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,13.0,13.0,0.01,13.0,108 CDM,7012115775J2371,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),13.0,13.0,0.01,13.0,108 CDM,7012115781J2371,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,73.0,73.0,0.01,73.0,108 CDM,7012115787J2371,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,73.0,73.0,0.01,73.0,108 CDM,7012115791J2371,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,143.0,143.0,0.01,143.0,108 CDM,7012115811J0330,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,70.0,70.0,0.81,70.0,111 CDM,7012116271Q5130,PEGFILGRASTIMPBBK 6 MG/0.6ML SC SOSY,9000.0,9000.0,127.23,9000.0,119 CDM,7012116421J2598,VASOPRESSIN 20 UNIT/ML IV SOLN,379.0,379.0,0.53,379.0,112 CDM,7012116425J2598,VASOPRESSIN 20 UNIT/ML IV SOLN,379.0,379.0,0.53,379.0,112 CDM,7012116427J2598,VASOPRESSIN 20 UNIT/ML IV SOLN,379.0,379.0,0.53,379.0,112 CDM,7012116511J3301,TRIAMCINOLONE ACETONIDE 40 MG/ML INJECTION SUSP,31.0,31.0,0.74,31.0,112 CDM,7012116521J3301,TRIAMCINOLONE ACETONIDE 40 MG/ML INJECTION SUSP,157.0,157.0,0.74,157.0,112 CDM,7012116581J9017,ARSENIC TRIOXIDE 12 MG/6ML IV SOLN,792.0,792.0,4.68,792.0,112 CDM,7012116586J9017,ARSENIC TRIOXIDE 12 MG/6ML IV SOLN,792.0,792.0,4.68,792.0,112 CDM,7012117062J0461,ATROPINE SULFATE 1 MG/10ML INJECTION SOSY,37.0,37.0,0.07,37.0,112 CDM,7012117063J0461,ATROPINE SULFATE 1 MG/10ML INJECTION SOSY,37.0,37.0,0.07,37.0,112 CDM,7012117064J0461,ATROPINE SULFATE 1 MG/10ML INJECTION SOSY,37.0,37.0,0.07,37.0,112 CDM,7012117171J1805,ESMOLOL HCLSODIUM CHLORIDE 2000 MG/100ML IV SOLN,432.0,432.0,0.21,432.0,112 CDM,7012117177J1805,ESMOLOL HCLSODIUM CHLORIDE 2000 MG/100ML IV SOLN,432.0,432.0,0.21,432.0,112 CDM,7012117191J3475,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,45.0,45.0,0.41,45.0,112 CDM,7012117199J3475,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,45.0,45.0,0.41,45.0,112 CDM,7012117209J3475,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,23.0,23.0,0.41,23.0,112 CDM,7012117431J9261,NELARABINE 5 MG/ML IV SOLN,2380.0,2380.0,63.38,2380.0,119 CDM,7012117434J9261,NELARABINE 5 MG/ML IV SOLN,2380.0,2380.0,63.38,2380.0,119 CDM,7012117541Q5126,BEVACIZUMABMALY 100 MG/4ML IV SOLN,2587.0,2587.0,33.01,2587.0,119 CDM,7012117547Q5126,BEVACIZUMABMALY 100 MG/4ML IV SOLN,2587.0,2587.0,33.01,2587.0,119 CDM,7012117551Q5126,BEVACIZUMABMALY 400 MG/16ML IV SOLN,11038.0,11038.0,33.01,11038.0,119 CDM,7012117557Q5126,BEVACIZUMABMALY 400 MG/16ML IV SOLN,10348.0,10348.0,33.01,10348.0,119 CDM,7037703911J7518,MYCOPHENOLATE SODIUM 180 MG PO TBEC,14.0,14.0,0.32,14.0,112 CDM,7043601982J0456,AZITHROMYCIN 500 MG IV SOLR,52.0,52.0,2.04,52.0,112 CDM,7043602082J3370,VANCOMYCIN HCL 500 MG IV SOLR,15.0,15.0,1.86,15.0,111 CDM,7043602182J3370,VANCOMYCIN HCL 1 G IV SOLR,18.0,18.0,1.86,18.0,111 CDM,7043602282J3370,VANCOMYCIN HCL 5 G IV SOLR,315.0,315.0,1.86,315.0,111 CDM,7043602382J3370,VANCOMYCIN HCL 10 G IV SOLR,780.0,780.0,1.86,780.0,111 CDM,7043602980J3465,VORICONAZOLE 200 MG IV SOLR,458.0,458.0,0.75,458.0,112 CDM,7043608955J1570,GANCICLOVIR SODIUM 500 MG IV SOLR,305.0,305.0,28.74,305.0,112 CDM,7043612634Q9967,IOPAMIDOL 61 INJECTION SOLN,248.0,248.0,0.15,248.0,104 CDM,7043612682Q9967,IOPAMIDOL 61 INJECTION SOLN,248.0,248.0,0.15,248.0,104 CDM,7043614780J0500,DICYCLOMINE HCL 10 MG/ML IM SOLN,141.0,141.0,11.33,141.0,112 CDM,7043614781J0500,DICYCLOMINE HCL 10 MG/ML IM SOLN,141.0,141.0,11.33,141.0,112 CDM,7043620380J1250,DOBUTAMINE HCL 250 MG/20ML IV SOLN,24.0,24.0,3.24,24.0,112 CDM,7043620382J1250,DOBUTAMINE HCL 250 MG/20ML IV SOLN,24.0,24.0,3.24,24.0,112 CDM,7051021711J1301,EDARAVONE 30 MG/100ML IV SOLN,2291.0,2291.0,17.47,2291.0,119 CDM,7051021712J1301,EDARAVONE 30 MG/100ML IV SOLN,2291.0,2291.0,17.47,2291.0,119 CDM,7051284301J1885,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,6.0,6.0,0.33,6.0,112 CDM,7051284325J1885,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,6.0,6.0,0.33,6.0,112 CDM,7051526110J1160,DIGOXIN 0.25 MG/ML INJECTION SOLN,516.0,516.0,4.0,516.0,112 CDM,7051526210J1160,DIGOXIN 0.1 MG/ML INJECTION SOLN,496.0,496.0,4.0,496.0,112 CDM,7051526310J1160,DIGOXIN 0.1 MG/ML INJECTION SOLN,516.0,516.0,4.0,516.0,112 CDM,7059402301J0770,COLISTIMETHATE SODIUM (CBA) 150 MG INJECTION SOLR,101.0,101.0,11.39,101.0,112 CDM,7059403401J0878,DAPTOMYCIN 500 MG IV SOLR,216.0,216.0,0.03,216.0,112 CDM,7059404502J3370,VANCOMYCIN HCL 500 MG IV SOLR,26.0,26.0,1.86,26.0,111 CDM,7059404801J3370,VANCOMYCIN HCL 10 G IV SOLR,78.0,78.0,1.86,78.0,111 CDM,7059405301J0872,DAPTOMYCIN 350 MG IV SOLR,144.0,144.0,0.04,144.0,112 CDM,7059405601J3372,VANCOMYCIN HCL 750 MG/150ML IV SOLN,44.0,44.0,5.94,44.0,111 CDM,7059406501J2371,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),99.0,99.0,0.01,99.0,108 CDM,7059407801J2543,PIPERACILLIN SODTAZOBACTAM SO 2.25 (20.25) G IV SO,26.0,26.0,1.09,26.0,112 CDM,7059407802J2543,PIPERACILLIN SODTAZOBACTAM SO 2.25 (20.25) G IV SO,26.0,26.0,1.09,26.0,112 CDM,7059408501J0290,AMPICILLIN SODIUM 500 MG INJECTION SOLR,9.0,9.0,0.49,9.0,112 CDM,7059408502J0290,AMPICILLIN SODIUM 500 MG INJECTION SOLR,9.0,9.0,0.49,9.0,112 CDM,7059408601J0290,AMPICILLIN SODIUM 1 G INJECTION SOLR,13.0,13.0,0.49,13.0,112 CDM,7059408602J0290,AMPICILLIN SODIUM 1 G INJECTION SOLR,13.0,13.0,0.49,13.0,112 CDM,7059408701J0290,AMPICILLIN SODIUM 2 G INJECTION SOLR,26.0,26.0,0.49,26.0,112 CDM,7059408702J0290,AMPICILLIN SODIUM 2 G INJECTION SOLR,26.0,26.0,0.49,26.0,112 CDM,7059408901J0692,CEFEPIME HCL 1 G INJECTION SOLR,21.0,21.0,0.87,21.0,112 CDM,7059408902J0692,CEFEPIME HCL 1 G INJECTION SOLR,21.0,21.0,0.87,21.0,112 CDM,7059411101J0132,ACETYLCYSTEINE 200 MG/ML IV SOLN,216.0,216.0,0.37,216.0,112 CDM,7059411102J0132,ACETYLCYSTEINE 200 MG/ML IV SOLN,216.0,216.0,0.37,216.0,112 CDM,7059411401J0665,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,24.0,24.0,0.01,24.0,112 CDM,7059411402J0665,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,24.0,24.0,0.01,24.0,112 CDM,7059411801J0665,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,27.0,27.0,0.01,27.0,112 CDM,7062110101J7345,AMINOLEVULINIC ACID HCL 10 EX GEL,1307.0,1307.0,1.72,1307.0,119 CDM,7065500206J1450,FLUCONAZOLE IN SODIUM CHLORIDE 2000.9 MG/100ML IV,22.0,22.0,2.39,22.0,112 CDM,7065500210J1450,FLUCONAZOLE IN SODIUM CHLORIDE 2000.9 MG/100ML IV,17.0,17.0,2.29,17.0,112 CDM,7065508806J1450,FLUCONAZOLE IN SODIUM CHLORIDE 4000.9 MG/200ML IV,26.0,26.0,2.39,26.0,112 CDM,7065508810J1450,FLUCONAZOLE IN SODIUM CHLORIDE 4000.9 MG/200ML IV,75.0,75.0,2.39,75.0,112 CDM,7070016722J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),135.0,135.0,0.38,135.0,112 CDM,7070016725J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),135.0,135.0,0.38,135.0,112 CDM,7070017222J2710,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,68.0,68.0,0.71,68.0,111 CDM,7070017223J2710,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,68.0,68.0,0.71,68.0,111 CDM,7070017322J3260,TOBRAMYCIN SULFATE 1.2 G INJECTION SOLR,657.0,657.0,1.97,657.0,112 CDM,7070018622J9190,FLUOROURACIL 500 MG/10ML IV SOLN,48.0,48.0,1.72,48.0,112 CDM,7070018623J9190,FLUOROURACIL 500 MG/10ML IV SOLN,48.0,48.0,1.72,48.0,112 CDM,7070018722J9190,FLUOROURACIL 1 GM/20ML IV SOLN,87.0,87.0,1.72,87.0,112 CDM,7070018723J9190,FLUOROURACIL 1 GM/20ML IV SOLN,87.0,87.0,1.72,87.0,112 CDM,7070018822J9190,FLUOROURACIL 2.5 GM/50ML IV SOLN,104.0,104.0,1.72,104.0,112 CDM,7070028622J2675,PROGESTERONE 50 MG/ML IM OIL,151.0,151.0,0.63,151.0,112 CDM,7070090222J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),135.0,135.0,0.38,135.0,112 CDM,7070090225J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),135.0,135.0,0.38,135.0,112 CDM,7071013771J0330,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,72.0,72.0,0.81,72.0,111 CDM,7071013772J0330,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,72.0,72.0,0.81,72.0,111 CDM,7071014111J9041,BORTEZOMIB 1 MG/ML IV SOLR (WRAPPER),462.0,462.0,1.59,462.0,112 CDM,7071014611J1631,HALOPERIDOL DECANOATE 50 MG/ML IM SOLN,81.0,81.0,3.94,81.0,112 CDM,7071014616J1631,HALOPERIDOL DECANOATE 50 MG/ML IM SOLN,80.0,80.0,3.94,80.0,112 CDM,7071014619J1631,HALOPERIDOL DECANOATE 50 MG/ML IM SOLN,81.0,81.0,3.94,81.0,112 CDM,7071014631J1631,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN,159.0,159.0,3.94,159.0,112 CDM,7071014635J1631,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN,159.0,159.0,3.94,159.0,112 CDM,7071014781J1451,FOMEPIZOLE 1.5 GM/1.5ML IV SOLN,5400.0,5400.0,6.03,5400.0,119 CDM,7071015152J1652,FONDAPARINUX SODIUM 5 MG/0.4ML SC SOLN,408.0,408.0,0.67,408.0,112 CDM,7071015156J1652,FONDAPARINUX SODIUM 5 MG/0.4ML SC SOLN,408.0,408.0,0.67,408.0,112 CDM,7071015159J1652,FONDAPARINUX SODIUM 5 MG/0.4ML SC SOLN,408.0,408.0,0.67,408.0,112 CDM,7071015162J1652,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN,408.0,408.0,0.67,408.0,112 CDM,7071015166J1652,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN,386.0,386.0,0.67,386.0,112 CDM,7071015169J1652,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN,408.0,408.0,0.67,408.0,112 CDM,7071015259J9050,CARMUSTINE 100 MG IV SOLR,2700.0,2700.0,173.64,2700.0,119 CDM,7071015301Q2050,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP,2442.0,2442.0,104.01,2442.0,119 CDM,7071015311Q2050,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP,6105.0,6105.0,104.01,6105.0,119 CDM,7071016101J9017,ARSENIC TRIOXIDE 12 MG/6ML IV SOLN,1940.0,1940.0,4.68,1940.0,112 CDM,7071016106J9017,ARSENIC TRIOXIDE 12 MG/6ML IV SOLN,1940.0,1940.0,4.68,1940.0,112 CDM,7071016541J9305,PEMETREXED DISODIUM 100 MG IV SOLR,714.0,714.0,3.59,714.0,119 CDM,7071016631J3420,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,10.0,10.0,0.64,10.0,112 CDM,7071016637J3420,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,10.0,10.0,0.64,10.0,112 CDM,7071016671Q0164,PROCHLORPERAZINE MALEATE 5 MG PO TABS,2.0,2.0,0.27,2.0,111 CDM,7071017261J9261,NELARABINE 5 MG/ML IV SOLN,2380.0,2380.0,63.38,2380.0,119 CDM,7071017268J9261,NELARABINE 5 MG/ML IV SOLN,2380.0,2380.0,63.38,2380.0,119 CDM,7071017586J1650,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,34.0,34.0,0.53,34.0,112 CDM,7071017606J1650,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,68.0,68.0,0.53,68.0,112 CDM,7071018491J3230,CHLORPROMAZINE HCL 25 MG/ML INJECTION SOLN,90.0,90.0,12.15,90.0,112 CDM,7071018497J3230,CHLORPROMAZINE HCL 25 MG/ML INJECTION SOLN,90.0,90.0,12.15,90.0,112 CDM,7072095036J9202,GOSERELIN ACETATE 3.6 MG SC IMPL,3575.0,3575.0,482.63,3575.0,119 CDM,7072095130J9202,GOSERELIN ACETATE 10.8 MG SC IMPL,10022.0,10022.0,703.06,10022.0,119 CDM,7075660444J7682,TOBRAMYCIN 300 MG/5ML INHALATION NEBU,387.0,387.0,12.47,387.0,112 CDM,7075660456J7682,TOBRAMYCIN 300 MG/5ML INHALATION NEBU,387.0,387.0,12.47,387.0,112 CDM,7075662210J2371,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),80.0,80.0,0.01,80.0,108 CDM,7075664025J2003,LIDOCAINE HCL (PF) 1 INJECTION SOLN,9.0,9.0,0.01,9.0,111 CDM,7075664325J2003,LIDOCAINE HCL (PF) 2 INJECTION SOLN (WRAPPER),8.0,8.0,0.01,8.0,111 CDM,7075664385J2003,LIDOCAINE HCL (PF) 2 INJECTION SOLN (WRAPPER),8.0,8.0,0.01,8.0,111 CDM,7075664525J2003,LIDOCAINE HCL 1 INJECTION SOLN,14.0,14.0,0.01,14.0,111 CDM,7075664586J2003,LIDOCAINE HCL 1 INJECTION SOLN,14.0,14.0,0.01,14.0,111 CDM,7084212001J2186,MEROPENEMVABORBACTAM 2 (11) G IV SOLR,778.0,778.0,2.11,778.0,119 CDM,7084212006J2186,MEROPENEMVABORBACTAM 2 (11) G IV SOLR,778.0,778.0,2.11,778.0,119 CDM,7084214001J2407,ORITAVANCIN DIPHOSPHATE 400 MG IV SOLR,4179.0,4179.0,28.47,4179.0,119 CDM,7084214003J2407,ORITAVANCIN DIPHOSPHATE 400 MG IV SOLR,4179.0,4179.0,28.47,4179.0,119 CDM,7084216001J2265,MINOCYCLINE HCL 100 MG IV SOLR,904.0,904.0,2.5,904.0,119 CDM,7084216010J2265,MINOCYCLINE HCL 100 MG IV SOLR,904.0,904.0,2.5,904.0,119 CDM,7086010041J0456,AZITHROMYCIN 500 MG IV SOLR,18.0,18.0,2.04,18.0,112 CDM,7086010541J3370,VANCOMYCIN HCL 1 G IV SOLR,27.0,27.0,1.86,27.0,111 CDM,7086012541J0456,AZITHROMYCIN 500 MG IV SOLR,11.0,11.0,1.49,11.0,112 CDM,7086012566J0456,AZITHROMYCIN 500 MG IV SOLR,11.0,11.0,1.49,11.0,112 CDM,7086012751J2540,PENICILLIN G POTASSIUM 20000000 UNITS INJECTION SO,198.0,198.0,0.75,198.0,112 CDM,7086021141J9395,FULVESTRANT 250 MG/5ML IM SOSY,360.0,360.0,5.72,360.0,112 CDM,7086021174J9395,FULVESTRANT 250 MG/5ML IM SOSY,360.0,360.0,5.72,360.0,112 CDM,7086070103J1885,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,7.0,7.0,0.33,7.0,112 CDM,7086078101J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),3.0,3.0,0.38,3.0,112 CDM,7086078105J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),29.0,29.0,0.38,29.0,112 CDM,7086078141J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),3.0,3.0,0.38,3.0,112 CDM,7086078143J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),29.0,29.0,0.38,29.0,112 CDM,7095405910J7512,PREDNISONE 10 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,7095440110J8540,DEXAMETHASONE 1.5 MG PO TABS,2.0,2.0,0.01,2.0,112 CDM,7095468810Q0164,PROCHLORPERAZINE MALEATE 5 MG PO TABS,2.0,2.0,0.27,2.0,111 CDM,7095468910Q0164,PROCHLORPERAZINE MALEATE 10 MG PO TABS,3.0,3.0,0.35,3.0,111 CDM,71000001,HC RAD RECOV RM 1ST 1/2 HR,392.0,392.0,52.92,392.0,108 CDM,71000002,HC RAD RECOV RM EA ADD 1/2 HR,760.0,760.0,102.6,760.0,108 CDM,71000007,HC RECOVERY RM 1ST HALF HR,302.0,302.0,40.77,302.0,108 CDM,71000013,HC EXTENDED STAY HOURLY PAH,305.0,305.0,41.18,305.0,108 CDM,71000018,HC RECOVERY RM ADDL HALF HR,596.0,596.0,80.46,596.0,108 CDM,71000019,HC RECOVERY ROOM 1ST HOUR,305.0,305.0,41.18,305.0,108 CDM,71000020,HC RECOVERY ROOM (PER 1/2 HR),305.0,305.0,41.18,305.0,108 CDM,71000023,HC CPAP - NEONATE,305.0,305.0,51.54,726.4,122 CDM,71000025,HC TUBAL LIGATION AFTER C/SECTION,2166.0,2166.0,141.62,2166.0,112 CDM,71000029,HC PHASE 2 RECOVERY EACH ADD TL 1/2 HOUR,302.0,302.0,40.77,302.0,108 CDM,7122512001J9056,BENDAMUSTINE HCL 100 MG/4ML IV SOLN,11786.0,11786.0,28.06,11786.0,119 CDM,7126620011J0330,SUCCINYLCHOLINE CHLORIDE 100 MG/5ML IV SOSY (WRAPP,56.0,56.0,0.81,56.0,111 CDM,7126620012J0330,SUCCINYLCHOLINE CHLORIDE 200 MG/10ML IV SOSY,66.0,66.0,0.81,66.0,111 CDM,7126620019J0330,SUCCINYLCHOLINE CHLORIDE 100 MG/5ML IV SOSY (WRAPP,56.0,56.0,0.81,56.0,111 CDM,7126620032J2710,NEOSTIGMINE METHYLSULFATE 5 MG/5ML IV SOSY,50.0,50.0,0.71,50.0,111 CDM,7126620041J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),36.0,36.0,0.38,36.0,112 CDM,7126620041J3490,GLYCOPYRROLATE 0.6 MG/3ML IV SOSY,36.0,36.0,4.86,36.0,112 CDM,7126650001J2590,OXYTOCIN INFUSION 30 UNITS/500ML NSS (WRAPPER)(CNR,75.0,75.0,0.86,75.0,111 CDM,7126650301J2251,MIDAZOLAM HCLSODIUM CHLORIDE 1000.9 MG/100ML IV S,84.0,84.0,0.17,84.0,112 CDM,7126650552J1171,HYDROMORPHONE HCL 1 MG/ML IV SOLN,70.0,70.0,0.09,70.0,112 CDM,7126650601J3010,FENTANYL INFUSION 1600MCG/100ML NSS WRAPPER (CNR),66.0,66.0,0.85,66.0,112 CDM,7126651001J2590,OXYTOCINSODIUM CHLORIDE 300.9 UT/500ML IV SOLN,75.0,75.0,0.86,75.0,111 CDM,7126651031J2590,OXYTOCIN INFUSION 30 UNITS/500ML NSS (WRAPPER)(CNR,75.0,75.0,0.86,75.0,111 CDM,7126690101J2371,PHENYLEPHRINE 100 MCG/ML BOLUS INJECTION 10ML (WRA,52.0,52.0,0.01,52.0,108 CDM,7126690109J2371,PHENYLEPHRINE 100 MCG/ML BOLUS INJECTION 10ML (WRA,47.0,47.0,0.01,47.0,108 CDM,7126690111J2371,PHENYLEPHRINE 100 MCG/ML BOLUS INJECTION 10ML (WRA,15.0,15.0,0.01,15.0,108 CDM,7126690119J2371,PHENYLEPHRINE 100 MCG/ML BOLUS INJECTION 10ML (WRA,15.0,15.0,0.01,15.0,108 CDM,7126690153J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),45.0,45.0,0.38,45.0,112 CDM,7126690205J2710,NEOSTIGMINE METHYLSULFATE 5 MG/5ML IV SOSY,108.0,108.0,0.71,108.0,111 CDM,7126690221J2371,PHENYLEPHRINE 100 MCG/ML INFUSION (50ML)(WRAPPER),9.0,9.0,0.01,9.0,108 CDM,7126690311J2371,PHENYLEPHRINE HCL (PRESSORS) 0.4 MG/10ML IV SOSY,37.0,37.0,0.01,37.0,108 CDM,7126690321J2371,PHENYLEPHRINE HCL (PRESSORS) 0.4 MG/10ML IV SOSY,24.0,24.0,0.01,24.0,108 CDM,7126690901J2003,LIDOCAINE HCL (CARDIAC) 100 MG/5ML IV SOSY (WRAPPE,21.0,21.0,0.01,21.0,111 CDM,7126691151J1171,HYDROMORPHONE HCLNACL 1 MG/1ML IV SOSY (WRAPPER),49.0,49.0,0.09,49.0,112 CDM,7126691801J3010,FENTANYL CITRATE 10 MCG/ML IV SOSY (WRAPPER),26.0,26.0,0.85,26.0,112 CDM,7126696845J0330,SUCCINYLCHOLINE CHLORIDE 100 MG/5ML IV SOSY (WRAPP,100.0,100.0,0.81,100.0,111 CDM,7128560431J2590,OXYTOCIN INFUSION 20 UNITS/1000ML NSS (ADS),30.0,30.0,0.86,30.0,111 CDM,7128560441J2590,OXYTOCINSODIUM CHLORIDE 300.9 UT/500ML IV SOLN,33.0,33.0,0.86,33.0,111 CDM,7128580931J0171,EPINEPHRINE HCLNACL 40.9 MG/250ML IV SOLN,124.0,124.0,0.76,124.0,111 CDM,7128620012J3010,FENTANYL IV SYRINGE 300MCG/30ML (NEO) (CAPS),57.0,57.0,0.85,57.0,112 CDM,7128620121J1171,HYDROMORPHONE HCLNACL 1 MG/1ML IV SOSY (WRAPPER),47.0,47.0,0.09,47.0,112 CDM,7128620403J2270,MORPHINE SULFATE 1 MG/ML IV SOLN (WRAPPER),23.0,23.0,2.78,23.0,112 CDM,7128620711J3010,FENTANYL CITRATENACL 100.9 MCG/ML IV SOSY,2.0,2.0,0.27,2.44,112 CDM,7128620717J3010,FENTANYL CITRATENACL 100.9 MCG/ML IV SOSY,13.0,13.0,0.85,13.0,112 CDM,7128640353J2251,MIDAZOLAM HCLSODIUM CHLORIDE 1000.9 MG/100ML IV S,73.0,73.0,0.17,73.0,112 CDM,7128660001J0461,ATROPINE SULFATE 0.4 MG/ML INJECTION SOLN (WRAPPER,48.0,48.0,0.07,48.0,112 CDM,7128660003J0461,ATROPINE SULFATE 0.4 MG/ML INJECTION SOLN (WRAPPER,24.0,24.0,0.07,24.0,112 CDM,7128660091J2371,PHENYLEPHRINE 100 MCG/ML BOLUS INJECTION 10ML (WRA,2.0,2.0,0.01,2.0,108 CDM,7128660111J0330,SUCCINYLCHOLINE CHLORIDE 100 MG/5ML IV SOSY (WRAPP,63.0,63.0,0.81,63.0,111 CDM,7128801615J0878,DAPTOMYCIN 500 MG IV SOLR,108.0,108.0,0.03,108.0,112 CDM,7128801695J0878,DAPTOMYCIN 500 MG IV SOLR,67.0,67.0,0.03,67.0,112 CDM,7128801715J0878,DAPTOMYCIN 350 MG IV SOLR,90.0,90.0,0.03,90.0,112 CDM,7128803120J0295,AMPICILLINSULBACTAM SODIUM 1.5 (10.5) G INJECTION,19.0,19.0,1.33,19.0,112 CDM,7128803121J0295,AMPICILLINSULBACTAM SODIUM 1.5 (10.5) G INJECTION,19.0,19.0,1.33,19.0,112 CDM,7128803220J0295,AMPICILLINSULBACTAM SODIUM 3 (21) G INJECTION SOLR,30.0,30.0,1.33,30.0,112 CDM,7128803221J0295,AMPICILLINSULBACTAM SODIUM 3 (21) G INJECTION SOLR,30.0,30.0,1.33,30.0,112 CDM,7128803375J0295,AMPICILLINSULBACTAM SODIUM 15 (105) G IV SOLR,200.0,200.0,1.33,200.0,112 CDM,7128810110J9263,OXALIPLATIN 50 MG/10ML IV SOLN,54.0,54.0,0.05,54.0,112 CDM,7128810120J9263,OXALIPLATIN 100 MG/20ML IV SOLN,72.0,72.0,0.05,72.0,112 CDM,7128810610J9040,BLEOMYCIN SULFATE 15 UNITS INJECTION SOLR,111.0,111.0,14.99,111.0,112 CDM,7128810720J9040,BLEOMYCIN SULFATE 30 UNITS INJECTION SOLR,241.0,241.0,20.9,241.0,112 CDM,7128810920J9100,CYTARABINE (PF) 100 MG/ML INJECTION SOLN,67.0,67.0,0.79,67.0,112 CDM,7128811530J9025,AZACITIDINE 100 MG INJECTION SUSR,162.0,162.0,0.21,162.0,112 CDM,7128811611J0594,BUSULFAN 6 MG/ML IV SOLN,414.0,414.0,0.89,414.0,119 CDM,7128811728J9201,GEMCITABINE HCL 1 GM/26.3ML IV SOLN,70.0,70.0,2.87,70.0,112 CDM,7128811810J9041,BORTEZOMIB 1 MG/ML IV SOLR (WRAPPER),152.0,152.0,1.59,152.0,112 CDM,7128811920J0894,DECITABINE 50 MG IV SOLR,360.0,360.0,0.65,360.0,112 CDM,7128812690J9050,CARMUSTINE 100 MG IV SOLR,2520.0,2520.0,173.64,2520.0,119 CDM,7128812902J9120,DACTINOMYCIN 0.5 MG IV SOLR,1800.0,1800.0,243.0,1800.0,119 CDM,7128813015J9245,MELPHALAN HCL 50 MG IV SOLR,720.0,720.0,86.94,720.0,119 CDM,7128813290J9245,MELPHALAN HCL 50 MG IV SOLR,720.0,720.0,86.94,720.0,119 CDM,7128813720J9280,MITOMYCIN 5 MG IV SOLR,540.0,540.0,25.94,540.0,119 CDM,7128813850J9280,MITOMYCIN 20 MG IV SOLR,1620.0,1620.0,25.94,1620.0,119 CDM,7128814416J9171,DOCETAXEL 160 MG/16ML IV SOLN,1229.0,1229.0,0.38,1229.0,112 CDM,7128815395J9025,AZACITIDINE 100 MG INJECTION SUSR,141.0,141.0,0.21,141.0,112 CDM,7128815605J9340,THIOTEPA 15 MG INJECTION SOLR,720.0,720.0,97.2,720.0,111 CDM,7128815710J9340,THIOTEPA 100 MG INJECTION SOLR,8460.0,8460.0,221.75,8460.0,111 CDM,7128816010J0640,LEUCOVORIN CALCIUM 50 MG INJECTION SOLR,36.0,36.0,3.84,36.0,112 CDM,7128816120J0640,LEUCOVORIN CALCIUM 100 MG INJECTION SOLR,58.0,58.0,3.84,58.0,112 CDM,7128816230J0640,LEUCOVORIN CALCIUM 200 MG INJECTION SOLR,87.0,87.0,3.84,87.0,112 CDM,7128816330J0640,LEUCOVORIN CALCIUM 350 MG INJECTION SOLR,94.0,94.0,3.84,94.0,112 CDM,7128816450J0640,LEUCOVORIN CALCIUM 500 MG INJECTION SOLR,311.0,311.0,3.84,311.0,112 CDM,7128816610J9305,PEMETREXED DISODIUM 100 MG IV SOLR,44.0,44.0,3.59,44.0,119 CDM,7128816691J9305,PEMETREXED DISODIUM 100 MG IV SOLR,44.0,44.0,3.59,44.0,119 CDM,7128816750J9305,PEMETREXED DISODIUM 500 MG IV SOLR,190.0,190.0,3.59,190.0,119 CDM,7128816795J9305,PEMETREXED DISODIUM 500 MG IV SOLR,190.0,190.0,3.59,190.0,119 CDM,7128820185J2785,REGADENOSON 0.4 MG/5ML IV SOLN,72.0,72.0,2.68,72.0,112 CDM,7128820302J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),4.0,4.0,0.39,4.0,111 CDM,7128820303J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,4.0,4.0,0.39,4.0,111 CDM,7128820304J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,5.0,5.0,0.39,5.0,111 CDM,7128820305J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,5.0,5.0,0.39,5.0,111 CDM,7128820310J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,8.0,8.0,0.39,8.0,111 CDM,7128820311J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,8.0,8.0,0.39,8.0,111 CDM,7128830301J3420,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,7.0,7.0,0.64,7.0,112 CDM,7128830302J3420,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,7.0,7.0,0.64,7.0,112 CDM,7128840201J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,7.0,7.0,0.18,7.0,112 CDM,7128840202J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,7.0,7.0,0.18,7.0,112 CDM,7128840210J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,15.0,15.0,0.18,15.0,112 CDM,7128840211J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,15.0,15.0,0.18,15.0,112 CDM,7128840230J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,26.0,26.0,0.18,26.0,112 CDM,7128840231J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,26.0,26.0,0.18,26.0,112 CDM,7128840301J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,7.0,7.0,0.18,7.0,112 CDM,7128840302J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,7.0,7.0,0.18,7.0,112 CDM,7128840310J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,43.0,43.0,0.18,43.0,112 CDM,7128840311J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,43.0,43.0,0.18,43.0,112 CDM,7128840401J1644,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,12.0,12.0,0.18,12.0,112 CDM,7128840402J1644,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,12.0,12.0,0.18,12.0,112 CDM,7128840404J1644,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,32.0,32.0,0.18,32.0,112 CDM,7128840405J1644,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,32.0,32.0,0.18,32.0,112 CDM,7128840905J2469,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,33.0,33.0,0.34,33.0,112 CDM,7128841401J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),9.0,9.0,0.38,9.0,112 CDM,7128841402J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),18.0,18.0,0.38,18.0,112 CDM,7128841403J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),9.0,9.0,0.38,9.0,112 CDM,7128841404J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),18.0,18.0,0.38,18.0,112 CDM,7128841520J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),121.0,121.0,0.38,121.0,112 CDM,7128841521J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),121.0,121.0,0.38,121.0,112 CDM,7128842603J1650,ENOXAPARIN SODIUM 300 MG/3ML INJECTION SOLN,116.0,116.0,0.53,116.0,112 CDM,7128842710J0583,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,252.0,252.0,0.16,252.0,112 CDM,7128842711J0583,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,252.0,252.0,0.16,252.0,112 CDM,7128843688J1650,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,34.0,34.0,0.53,34.0,112 CDM,7128843689J1650,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,34.0,34.0,0.53,34.0,112 CDM,7128843691J1650,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,26.0,26.0,0.53,26.0,112 CDM,7128843692J1650,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,26.0,26.0,0.53,26.0,112 CDM,7128850201J1631,HALOPERIDOL DECANOATE 50 MG/ML IM SOLN,72.0,72.0,3.94,72.0,112 CDM,7128850202J1631,HALOPERIDOL DECANOATE 50 MG/ML IM SOLN,72.0,72.0,3.94,72.0,112 CDM,7128855586J9395,FULVESTRANT 250 MG/5ML IM SOSY,333.0,333.0,5.72,333.0,112 CDM,7128860010J2470,PANTOPRAZOLE SODIUM 40 MG IV SOLR,11.0,11.0,1.49,11.0,111 CDM,7128860011J2470,PANTOPRAZOLE SODIUM 40 MG IV SOLR,11.0,11.0,1.49,11.0,111 CDM,7128871910J0330,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,18.0,18.0,0.81,18.0,111 CDM,7128871911J0330,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,18.0,18.0,0.81,18.0,111 CDM,7128872232J0665,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,11.0,11.0,0.01,11.0,112 CDM,7128872532J0665,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,11.0,11.0,0.01,11.0,112 CDM,7128872711J0665,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,15.0,15.0,0.01,15.0,112 CDM,7128872832J0665,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,18.0,18.0,0.01,18.0,112 CDM,7128880320J7519,MYCOPHENOLATE MOFETIL HCL 500 MG IV SOLR,261.0,261.0,0.37,261.0,112 CDM,7128880321J7519,MYCOPHENOLATE MOFETIL HCL 500 MG IV SOLR,261.0,261.0,0.37,261.0,112 CDM,7128880701J2371,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),8.0,8.0,0.01,8.0,108 CDM,7128880702J2371,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),8.0,8.0,0.01,8.0,108 CDM,7133610001J0222,PATISIRAN SODIUM 10 MG/5ML IV SOLN,35226.0,35226.0,98.83,35226.0,119 CDM,7133610011J0223,GIVOSIRAN SODIUM 189 MG/ML SC SOLN,153418.0,153418.0,115.47,153418.0,119 CDM,7133610031J0225,VUTRISIRAN SODIUM 25 MG/0.5ML SC SOSY,417150.0,417150.0,4917.75,417150.0,119 CDM,7135102125J2003,LIDOCAINE HCL (PF) 1 INJECTION SOLN,9.0,9.0,0.01,9.0,111 CDM,7135102202J0665,BUPIVACAINE IN DEXTROSE 0.758.25 INTRATHECAL SOL,19.0,19.0,0.01,19.0,112 CDM,7135102210J0665,BUPIVACAINE IN DEXTROSE 0.758.25 INTRATHECAL SOL,19.0,19.0,0.01,19.0,112 CDM,7135102305J2003,LIDOCAINE HCL (PF) 2 INJECTION SOLN (WRAPPER),10.0,10.0,0.01,10.0,111 CDM,7135102310J2003,LIDOCAINE HCL (PF) 2 INJECTION SOLN (WRAPPER),10.0,10.0,0.01,10.0,111 CDM,7135102325J2003,LIDOCAINE HCL (PF) 2 INJECTION SOLN (WRAPPER),10.0,10.0,0.01,10.0,111 CDM,7139001100J3490,REMIMAZOLAM BESYLATE 20 MG IV SOLR,149.0,149.0,20.12,149.0,111 CDM,7139001111J3490,REMIMAZOLAM BESYLATE 20 MG IV SOLR,149.0,149.0,20.12,149.0,111 CDM,7139406501J3398,VORETIGENE NEPARVOVECRZYL 5000000000000 VG/ML INTR,467500.0,467500.0,3026.8,467500.0,114 CDM,7139441501J3398,VORETIGENE NEPARVOVECRZYL 5000000000000 VG/ML INTR,467500.0,467500.0,3026.8,467500.0,114 CDM,7146923101J8499,AMINOLEVULINIC ACID HCL 1.5 G PO SOLR,10041.0,10041.0,29.55,10041.0,105 CDM,7150601959J3370,VANCOMYCIN HCL IN NACL 20.9 GM/500ML IV SOLN,123.0,123.0,1.86,123.0,111 CDM,7150602303J1598,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),46.0,46.0,0.55,46.0,112 CDM,7150602859J2590,OXYTOCIN INFUSION 30 UNITS/500ML NSS (WRAPPER)(CNR,75.0,75.0,0.86,75.0,111 CDM,7150604105J2003,LIDOCAINE HCL (CARDIAC) 100 MG/5ML IV SOSY (WRAPPE,72.0,72.0,0.01,72.0,111 CDM,7150604645J1920,LABETALOL HCL 5 MG/ML IV SOLN,16.0,16.0,0.29,16.0,112 CDM,7150606058J0171,EPINEPHRINENACL 80.9 MG/250ML IV SOLN,300.0,300.0,0.76,300.0,111 CDM,7177305005J0122,ERAVACYCLINE DIHYDROCHLORIDE 50 MG IV SOLR,222.0,222.0,1.21,222.0,119 CDM,7177305012J0122,ERAVACYCLINE DIHYDROCHLORIDE 50 MG IV SOLR,222.0,222.0,1.21,222.0,119 CDM,7177310005J0122,ERAVACYCLINE DIHYDROCHLORIDE 100 MG IV SOLR,396.0,396.0,1.21,396.0,119 CDM,7177310012J0122,ERAVACYCLINE DIHYDROCHLORIDE 100 MG IV SOLR,396.0,396.0,1.21,396.0,119 CDM,7183758431J2820,SARGRAMOSTIM 250 MCG INJECTION SOLR,1111.0,1111.0,56.09,1111.0,119 CDM,7183758435J2820,SARGRAMOSTIM 250 MCG INJECTION SOLR,1111.0,1111.0,56.09,1111.0,119 CDM,7183910401J1453,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR,1083.0,1083.0,0.11,1083.0,112 CDM,7183910801J0878,DAPTOMYCIN 350 MG IV SOLR,998.0,998.0,0.03,998.0,112 CDM,7183911110J1650,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,51.0,51.0,0.53,51.0,112 CDM,7183911210J1650,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,68.0,68.0,0.53,68.0,112 CDM,7183911310J1650,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,84.0,84.0,0.53,84.0,112 CDM,7183911701J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,41.0,41.0,0.18,41.0,112 CDM,7183911725J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,41.0,41.0,0.18,41.0,112 CDM,7183911801J1644,HEPARIN SODIUM (PORCINE) PF 5000 UNIT/0.5ML INJECT,18.0,18.0,0.18,18.0,112 CDM,7183911825J1644,HEPARIN SODIUM (PORCINE) PF 5000 UNIT/0.5ML INJECT,18.0,18.0,0.18,18.0,112 CDM,7183912201J2470,PANTOPRAZOLE SODIUM 40 MG IV SOLR,638.0,638.0,1.93,638.0,111 CDM,7183912210J2470,PANTOPRAZOLE SODIUM 40 MG IV SOLR,638.0,638.0,1.93,638.0,111 CDM,7183912501J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),134.0,134.0,0.38,134.0,112 CDM,7190420001J1203,CIPAGLUCOSIDASE ALFAATGA 105 MG IV SOLR,6560.0,6560.0,89.38,6560.0,119 CDM,7190430001C9399,MIGLUSTAT (GAA DEFICIENCY) 65 MG PO CAPS,119.0,119.0,16.07,119.0,113 CDM,7193001730Q0162,ONDANSETRON HCL 4 MG PO TABS,2.0,2.0,0.01,2.0,112 CDM,7193001830Q0162,ONDANSETRON HCL 8 MG PO TABS,2.0,2.0,0.01,2.0,112 CDM,7193001852Q0162,ONDANSETRON HCL 8 MG PO TABS,2.0,2.0,0.01,2.0,112 CDM,72000000,HC FETAL CONTRACT STRESS TEST,1101.0,1101.0,25.9,1899.55,125 CDM,72000004,HC REVISION OF CERVIX,8907.0,8907.0,142.67,10738.13,125 CDM,72000006,HC ANTEPARTUM MANIPULATION,1393.0,1393.0,235.42,10738.13,122 CDM,72000008,HC AMNIOINFUSION,62.0,62.0,10.48,1854.0,122 CDM,72000009,HC TRANSFUSION SERVICE FETAL,5940.0,5940.0,143.8,5940.0,125 CDM,72000010,HC NON STRESS TEST,638.0,638.0,4.72,1861.05,125 CDM,72000011,HC FETAL MONITOR,634.0,634.0,76.98,1854.0,108 CDM,72000013,HC AMNIO DYE TEST,62.0,62.0,10.48,1854.0,122 CDM,72000014,HC DEL C/SECTION,15705.0,15705.0,1854.0,15705.0,112 CDM,72000015,HC HYSTERECTOMY AFTER C/SECTION,23141.0,23141.0,605.78,23141.0,112 CDM,72000020,HC DEL FORCEPS WITH ANESTHESIA,15705.0,15705.0,865.81,15705.0,122 CDM,72000021,HC DEL VACUUM WITHOUT ANESTHESIA,15705.0,15705.0,865.81,15705.0,122 CDM,72000022,HC DEL FORCEPS WITHOUT ANESTHESIA,15705.0,15705.0,865.81,15705.0,122 CDM,72000023,HC VAGINAL DELIVERY SERVICES,15705.0,15705.0,1854.0,15705.0,112 CDM,72000024,HC DEL VAGINAL WITHOUT ANESTHESIA,15705.0,15705.0,865.81,15705.0,122 CDM,72000025,HC DEL VAGINAL,11718.0,11718.0,1581.93,11718.0,112 CDM,72000026,HC DEL RM-1ST HF-HR,4028.0,4028.0,543.78,4028.0,109 CDM,72000027,HC DEL RM-ADD HF-HRS,2107.0,2107.0,284.44,2107.0,109 CDM,72000028,HC DELIVERY ROOM,11078.0,11078.0,1495.53,11078.0,109 CDM,72000030,HC D E,2826.0,2826.0,381.51,2826.0,109 CDM,72000043,HC FETAL MONITOR CONTINUOUS,666.0,666.0,4.72,1861.05,125 CDM,72000044,HC DEL RM- C-SECTION,7496.0,7496.0,1011.96,7496.0,109 CDM,72000045,HC EXTERNAL VERSION,1235.0,1235.0,208.71,10738.13,122 CDM,72000046,HC DEL VACUUM WITH ANESTHESIA,15705.0,15705.0,865.81,15705.0,122 CDM,72000048,HC EPISIOTOMY/VAG RPR OTH/THN ATTENDING,3533.0,3533.0,597.08,10738.13,122 CDM,72000053,HC OTHER FETAL MONITORING,634.0,634.0,107.15,1854.0,122 CDM,7200031006J8499,TEDIZOLID PHOSPHATE 200 MG PO TABS,1519.0,1519.0,29.55,1519.0,105 CDM,7200031030J8499,TEDIZOLID PHOSPHATE 200 MG PO TABS,1519.0,1519.0,29.55,1519.0,105 CDM,7200032010J3090,TEDIZOLID PHOSPHATE 200 MG IV SOLR,1210.0,1210.0,1.81,1210.0,119 CDM,7207803300J0153,ADENOSINE 6 MG/2ML IV SOLN,22.0,22.0,0.32,22.0,112 CDM,7207803302J0153,ADENOSINE 6 MG/2ML IV SOLN,22.0,22.0,0.32,22.0,112 CDM,7207803802J0630,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLN,11276.0,11276.0,816.0,11276.0,111 CDM,7207804609J0282,AMIODARONE HCL 450 MG/9ML IV SOLN,28.0,28.0,0.39,28.0,112 CDM,7218704011J9269,TAGRAXOFUSPERZS 1000 MCG/ML IV SOLN,115738.0,115738.0,338.89,115738.0,119 CDM,7219660091J2371,PHENYLEPHRINE 100 MCG/ML BOLUS INJECTION 10ML (WRA,2.0,2.0,0.01,2.0,108 CDM,7219660112J0330,SUCCINYLCHOLINE CHLORIDE 200 MG/10ML IV SOSY,125.0,125.0,0.81,125.0,111 CDM,7219660431J2590,OXYTOCIN INFUSION 20 UNITS/1000ML NSS (ADS),30.0,30.0,0.86,30.0,111 CDM,7219660441J2590,OXYTOCIN INFUSION 30 UNITS/500ML NSS (WRAPPER)(CNR,35.0,35.0,0.86,35.0,111 CDM,7219680931J0171,EPINEPHRINE HCLNACL 40.9 MG/250ML IV SOLN,124.0,124.0,0.76,124.0,111 CDM,7220503101J0894,DECITABINE 50 MG IV SOLR,5853.0,5853.0,0.65,5853.0,112 CDM,7220503601J0894,DECITABINE 50 MG IV SOLR,5853.0,5853.0,0.65,5853.0,112 CDM,7220505401J1453,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR,964.0,964.0,0.11,964.0,112 CDM,7220506301J9267,PACLITAXEL 300 MG/50ML IV CONC,360.0,360.0,0.1,360.0,112 CDM,7220509978J7520,SIROLIMUS 1 MG/ML PO SOLN,5685.0,5685.0,0.96,5685.0,112 CDM,7220510101J1939,BUMETANIDE 0.25 MG/ML INJECTION SOLN,10.0,10.0,0.36,10.0,112 CDM,7220510107J1939,BUMETANIDE 0.25 MG/ML INJECTION SOLN,10.0,10.0,0.36,10.0,112 CDM,7220510201J1939,BUMETANIDE 0.25 MG/ML INJECTION SOLN,11.0,11.0,0.36,11.0,112 CDM,7220510207J1939,BUMETANIDE 0.25 MG/ML INJECTION SOLN,11.0,11.0,0.36,11.0,112 CDM,7220510691Q0161,CHLORPROMAZINE HCL 100 MG PO TABS,67.0,67.0,0.33,67.0,111 CDM,7220510791Q0161,CHLORPROMAZINE HCL 200 MG PO TABS,81.0,81.0,0.33,81.0,111 CDM,7220519701J9050,CARMUSTINE 100 MG IV SOLR,1620.0,1620.0,173.64,1620.0,119 CDM,7220519801J9050,CARMUSTINE 100 MG IV SOLR,1620.0,1620.0,173.64,1620.0,119 CDM,7226610101J1190,DEXRAZOXANE HCL 500 MG IV SOLR,1651.0,1651.0,32.09,1651.0,119 CDM,7226610201J1920,LABETALOL HCL 5 MG/ML IV SOLN,29.0,29.0,0.29,29.0,112 CDM,7226610301J1920,LABETALOL HCL 5 MG/ML IV SOLN,22.0,22.0,0.29,22.0,112 CDM,7226610341J1920,LABETALOL HCL 5 MG/ML IV SOLN,22.0,22.0,0.29,22.0,112 CDM,7226610601J0637,CASPOFUNGIN ACETATE 50 MG IV SOLR,257.0,257.0,2.27,257.0,112 CDM,7226610701J0637,CASPOFUNGIN ACETATE 70 MG IV SOLR,357.0,357.0,2.27,357.0,112 CDM,7226610801J9027,CLOFARABINE 1 MG/ML IV SOLN,2880.0,2880.0,5.33,2880.0,119 CDM,7226611801J1885,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,7.0,7.0,0.33,7.0,112 CDM,7226611825J1885,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,7.0,7.0,0.33,7.0,112 CDM,7226612701J0500,DICYCLOMINE HCL 10 MG/ML IM SOLN,89.0,89.0,11.33,89.0,112 CDM,7226612705J0500,DICYCLOMINE HCL 10 MG/ML IM SOLN,89.0,89.0,11.33,89.0,112 CDM,7226612801J9245,MELPHALAN HCL 50 MG IV SOLR,902.0,902.0,86.94,902.0,119 CDM,7226613101J3465,VORICONAZOLE 200 MG IV SOLR,216.0,216.0,0.75,216.0,112 CDM,7226615910J1335,ERTAPENEM SODIUM 1 G INJECTION SOLR,288.0,288.0,9.02,288.0,112 CDM,7226616001J3486,ZIPRASIDONE MESYLATE 20 MG IM SOLR,119.0,119.0,3.14,119.0,112 CDM,7226616010J3486,ZIPRASIDONE MESYLATE 20 MG IM SOLR,119.0,119.0,3.14,119.0,112 CDM,7226616041J3486,ZIPRASIDONE MESYLATE 20 MG IM SOLR,72.0,72.0,3.14,72.0,112 CDM,7226616042J3486,ZIPRASIDONE MESYLATE 20 MG IM SOLR,72.0,72.0,3.14,72.0,112 CDM,7226616101J9263,OXALIPLATIN 50 MG/10ML IV SOLN,45.0,45.0,0.05,45.0,112 CDM,7226616301J3260,TOBRAMYCIN SULFATE 1.2 G INJECTION SOLR,1664.0,1664.0,1.97,1664.0,112 CDM,7226616306J3260,TOBRAMYCIN SULFATE 1.2 G INJECTION SOLR,1664.0,1664.0,1.97,1664.0,112 CDM,7226620401J0780,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,17.0,17.0,2.29,17.0,112 CDM,7226620410J0780,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,17.0,17.0,2.29,17.0,112 CDM,7226623401J1885,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,4.0,4.0,0.33,4.0,112 CDM,7226623425J1885,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,4.0,4.0,0.33,4.0,112 CDM,7226623501J1190,DEXRAZOXANE HCL 250 MG IV SOLR,830.0,830.0,32.09,830.0,119 CDM,7226623701J3490,DOXYCYCLINE HYCLATE 100 MG IV SOLR,53.0,53.0,7.16,53.0,111 CDM,7226623705J3490,DOXYCYCLINE HYCLATE 100 MG IV SOLR,53.0,53.0,7.16,53.0,111 CDM,7226624801J2805,SINCALIDE 5 MCG INJECTION SOLR,492.0,492.0,66.42,492.0,112 CDM,7226624805J2805,SINCALIDE 5 MCG INJECTION SOLR,492.0,492.0,66.42,492.0,112 CDM,7226625101J0636,CALCITRIOL 1 MCG/ML IV SOLN,36.0,36.0,0.99,36.0,111 CDM,7226625110J0636,CALCITRIOL 1 MCG/ML IV SOLN,36.0,36.0,0.99,36.0,111 CDM,7226625201J9060,CISPLATIN 50 MG/50ML IV SOLN,90.0,90.0,1.95,90.0,112 CDM,7226625301J9060,CISPLATIN 100 MG/100ML IV SOLN,144.0,144.0,1.95,144.0,112 CDM,7248510101J1200,DIPHENHYDRAMINE HCL 50 MG/ML INJECTION SOLN,6.0,6.0,0.71,6.0,112 CDM,7248510105J1200,DIPHENHYDRAMINE HCL 50 MG/ML INJECTION SOLN,11.0,11.0,0.71,11.0,112 CDM,7248510125J1200,DIPHENHYDRAMINE HCL 50 MG/ML INJECTION SOLN,6.0,6.0,0.71,6.0,112 CDM,7248510401J0706,CAFFEINE CITRATE 60 MG/3ML IV SOLN,36.0,36.0,1.02,36.0,111 CDM,7248510610J1953,LEVETIRACETAM 500 MG/5ML IV SOLN,9.0,9.0,0.04,9.0,112 CDM,7248510625J1953,LEVETIRACETAM 500 MG/5ML IV SOLN,9.0,9.0,0.04,9.0,112 CDM,7248511601J2404,NICARDIPINE HCL 2.5 MG/ML IV SOLN,84.0,84.0,0.07,84.0,112 CDM,7248511610J2404,NICARDIPINE HCL 2.5 MG/ML IV SOLN,84.0,84.0,0.07,84.0,112 CDM,7248520101J9025,AZACITIDINE 100 MG INJECTION SUSR,1853.0,1853.0,0.21,1853.0,112 CDM,7248520512J8521,CAPECITABINE 500 MG PO TABS,118.0,118.0,15.93,118.0,111 CDM,7248521205J9206,IRINOTECAN HCL 100 MG/5ML IV SOLN,65.0,65.0,1.4,65.0,112 CDM,7248522102J9201,GEMCITABINE HCL 200 MG/5.26ML IV SOLN,19.0,19.0,2.57,19.0,112 CDM,7248540301J2543,PIPERACILLIN SODTAZOBACTAM SO 3.375 (30.375) G IV,52.0,52.0,1.09,52.0,112 CDM,7248540310J2543,PIPERACILLIN SODTAZOBACTAM SO 3.375 (30.375) G IV,52.0,52.0,1.09,52.0,112 CDM,7248540401J2543,PIPERACILLIN SODTAZOBACTAM SO 4.5 (40.5) G IV SOLR,66.0,66.0,1.09,66.0,112 CDM,7248540410J2543,PIPERACILLIN SODTAZOBACTAM SO 4.5 (40.5) G IV SOLR,66.0,66.0,1.09,66.0,112 CDM,7248541201J2185,MEROPENEM 1 G IV SOLR,21.0,21.0,0.38,21.0,112 CDM,7248541210J2185,MEROPENEM 1 G IV SOLR,21.0,21.0,0.38,21.0,112 CDM,7248541601J0295,AMPICILLINSULBACTAM SODIUM 1.5 (10.5) G INJECTION,12.0,12.0,1.33,12.0,112 CDM,7248541610J0295,AMPICILLINSULBACTAM SODIUM 1.5 (10.5) G INJECTION,12.0,12.0,1.33,12.0,112 CDM,7248541701J0295,AMPICILLINSULBACTAM SODIUM 3 (21) G INJECTION SOLR,20.0,20.0,1.33,20.0,112 CDM,7248541710J0295,AMPICILLINSULBACTAM SODIUM 3 (21) G INJECTION SOLR,20.0,20.0,1.33,20.0,112 CDM,7248542201J0290,AMPICILLIN SODIUM 2 G INJECTION SOLR,26.0,26.0,0.49,26.0,112 CDM,7248542210J0290,AMPICILLIN SODIUM 2 G INJECTION SOLR,26.0,26.0,0.49,26.0,112 CDM,7248550501J2371,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),36.0,36.0,0.01,36.0,108 CDM,7248550510J2371,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),36.0,36.0,0.01,36.0,108 CDM,7249310303J9281,MITOMYCIN 80 (2 X 40) MG UL SOLR,88128.0,88128.0,311.36,88128.0,119 CDM,7251602401J2440,PAPAVERINE HCL 30 MG/ML INJECTION SOLN,135.0,135.0,18.23,135.0,111 CDM,7257206101J0696,CEFTRIAXONE SODIUM 1 G INJECTION SOLR,6.0,6.0,0.45,6.0,112 CDM,7257206125J0696,CEFTRIAXONE SODIUM 1 G INJECTION SOLR,6.0,6.0,0.45,6.0,112 CDM,7257206201J0696,CEFTRIAXONE SODIUM 2 G INJECTION SOLR,10.0,10.0,0.45,10.0,112 CDM,7257206225J0696,CEFTRIAXONE SODIUM 2 G INJECTION SOLR,10.0,10.0,0.45,10.0,112 CDM,7257210201J0878,DAPTOMYCIN 500 MG IV SOLR,92.0,92.0,0.03,92.0,112 CDM,7257212001J1100,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION S,4.0,4.0,0.11,4.0,112 CDM,7257212025J1100,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION S,4.0,4.0,0.11,4.0,112 CDM,7257212201J1100,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION,5.0,5.0,0.11,5.0,112 CDM,7257212225J1100,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION,5.0,5.0,0.11,5.0,112 CDM,7257214001J3360,DIAZEPAM 5 MG/ML INJECTION SOLN,68.0,68.0,6.17,68.0,112 CDM,7257222501J1596,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLN,11.0,11.0,0.38,11.0,112 CDM,7257222525J1596,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLN,11.0,11.0,0.38,11.0,112 CDM,7257225501J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,7.0,7.0,0.18,7.0,112 CDM,7257225525J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,7.0,7.0,0.18,7.0,112 CDM,7257226501J0360,HYDRALAZINE HCL 20 MG/ML INJECTION SOLN,14.0,14.0,1.89,14.0,112 CDM,7257226525J0360,HYDRALAZINE HCL 20 MG/ML INJECTION SOLN,14.0,14.0,1.89,14.0,112 CDM,7257235001J1920,LABETALOL HCL 5 MG/ML IV SOLN,11.0,11.0,0.29,11.0,112 CDM,7257237001J2003,LIDOCAINE HCL (PF) 1 INJECTION SOLN,5.0,5.0,0.01,5.0,111 CDM,7257237025J2003,LIDOCAINE HCL (PF) 1 INJECTION SOLN,5.0,5.0,0.01,5.0,111 CDM,7257237201J2003,LIDOCAINE HCL (PF) 2 INJECTION SOLN (WRAPPER),31.0,31.0,0.01,31.0,111 CDM,7257237225J2003,LIDOCAINE HCL (PF) 2 INJECTION SOLN (WRAPPER),5.0,5.0,0.01,5.0,111 CDM,7257241501J2185,MEROPENEM 500 MG IV SOLR,14.0,14.0,0.38,14.0,112 CDM,7257241510J2185,MEROPENEM 500 MG IV SOLR,14.0,14.0,0.38,14.0,112 CDM,7257241601J2185,MEROPENEM 1 G IV SOLR,26.0,26.0,0.38,26.0,112 CDM,7257241610J2185,MEROPENEM 1 G IV SOLR,26.0,26.0,0.38,26.0,112 CDM,7257243001J2250,MIDAZOLAM HCL 2 MG/2ML INJECTION SOLN,3.0,3.0,0.13,3.0,112 CDM,7257243025J2250,MIDAZOLAM HCL 2 MG/2ML INJECTION SOLN,3.0,3.0,0.13,3.0,112 CDM,7257244001J2270,MORPHINE SULFATE 4 MG/ML IV SOLN,8.0,8.0,1.08,8.0,112 CDM,7257244025J2270,MORPHINE SULFATE 4 MG/ML IV SOLN,8.0,8.0,1.08,8.0,112 CDM,7257247001J2404,NICARDIPINE HCL 2.5 MG/ML IV SOLN,69.0,69.0,0.07,69.0,112 CDM,7257252001J2405,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,3.0,3.0,0.09,3.0,112 CDM,7257252025J2405,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,3.0,3.0,0.09,3.0,112 CDM,7257255001J2470,PANTOPRAZOLE SODIUM 40 MG IV SOLR,11.0,11.0,1.49,11.0,111 CDM,7257255010J2470,PANTOPRAZOLE SODIUM 40 MG IV SOLR,11.0,11.0,1.49,11.0,111 CDM,7257257401J2543,PIPERACILLIN SODTAZOBACTAM SO 4.5 (40.5) G IV SOLR,21.0,21.0,1.09,21.0,112 CDM,7257257410J2543,PIPERACILLIN SODTAZOBACTAM SO 4.5 (40.5) G IV SOLR,21.0,21.0,1.09,21.0,112 CDM,7257258001J0780,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,22.0,22.0,2.31,22.0,112 CDM,7257258025J0780,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,22.0,22.0,2.31,22.0,112 CDM,7257275001J0330,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,47.0,47.0,0.81,47.0,111 CDM,7257275010J0330,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,47.0,47.0,0.81,47.0,111 CDM,7257280101J3370,VANCOMYCIN HCL 1 G IV SOLR,13.0,13.0,1.76,13.0,111 CDM,7257280102J3370,VANCOMYCIN HCL 1 G IV SOLR,13.0,13.0,1.76,13.0,111 CDM,7257816601J8540,DEXAMETHASONE 1 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,7260310101J9263,OXALIPLATIN 100 MG/20ML IV SOLN,821.0,821.0,0.05,821.0,112 CDM,7260310301Q2050,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP,3489.0,3489.0,104.01,3489.0,119 CDM,7260312801J2470,PANTOPRAZOLE SODIUM 40 MG IV SOLR,22.0,22.0,1.93,22.0,111 CDM,7260312810J2470,PANTOPRAZOLE SODIUM 40 MG IV SOLR,22.0,22.0,1.93,22.0,111 CDM,7260313301J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),10.0,10.0,0.39,10.0,111 CDM,7260313325J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,10.0,10.0,0.39,10.0,111 CDM,7260313901J3411,THIAMINE HCL 100 MG/ML INJECTION SOLN,34.0,34.0,1.76,34.0,112 CDM,7260313925J3411,THIAMINE HCL 100 MG/ML INJECTION SOLN,34.0,34.0,1.76,34.0,112 CDM,7260314101J3030,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOAJ,338.0,338.0,25.5,338.0,111 CDM,7260314102J3030,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOAJ,338.0,338.0,25.5,338.0,111 CDM,7260314601J1920,LABETALOL HCL 5 MG/ML IV SOLN,23.0,23.0,0.29,23.0,112 CDM,7260316001J3260,TOBRAMYCIN SULFATE 1.2 G INJECTION SOLR,284.0,284.0,1.97,284.0,112 CDM,7260316006J3260,TOBRAMYCIN SULFATE 1.2 G INJECTION SOLR,284.0,284.0,1.97,284.0,112 CDM,7260316101J1885,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,10.0,10.0,0.33,10.0,112 CDM,7260316125J1885,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,10.0,10.0,0.33,10.0,112 CDM,7260316901Q0164,PROCHLORPERAZINE MALEATE 10 MG PO TABS,3.0,3.0,0.35,3.0,111 CDM,7260317501J1650,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,29.0,29.0,0.53,29.0,112 CDM,7260317510J1650,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,29.0,29.0,0.53,29.0,112 CDM,7260317901J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,18.0,18.0,0.18,18.0,112 CDM,7260317925J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,18.0,18.0,0.18,18.0,112 CDM,7260318101J3490,OLANZAPINE 10 MG IM SOLR,127.0,127.0,17.14,127.0,111 CDM,7260318501J1650,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,43.0,43.0,0.53,43.0,112 CDM,7260318510J1650,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,43.0,43.0,0.53,43.0,112 CDM,7260318701J8540,DEXAMETHASONE 1.5 MG PO TABS,2.0,2.0,0.01,2.0,112 CDM,7260318901J8540,DEXAMETHASONE 4 MG PO TABS,4.0,4.0,0.01,4.0,112 CDM,7260319501J1650,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,58.0,58.0,0.53,58.0,112 CDM,7260319510J1650,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,58.0,58.0,0.53,58.0,112 CDM,7260319801J3489,ZOLEDRONIC ACID 4 MG/5ML IV CONC,309.0,309.0,5.08,309.0,112 CDM,7260320001Q2050,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP,8722.0,8722.0,104.01,8722.0,119 CDM,7260321201J8540,DEXAMETHASONE 0.5 MG PO TABS,1.0,1.0,0.01,1.0,112 CDM,7260321601J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,42.0,42.0,0.05,42.0,112 CDM,7260321625J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,42.0,42.0,0.05,42.0,112 CDM,7260321701J2795,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,72.0,72.0,0.05,72.0,112 CDM,7260321725J2795,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,72.0,72.0,0.05,72.0,112 CDM,7260325101J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,10.0,10.0,0.39,10.0,111 CDM,7260325125J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,10.0,10.0,0.39,10.0,111 CDM,7260326701J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,26.0,26.0,0.18,26.0,112 CDM,7260326725J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,26.0,26.0,0.18,26.0,112 CDM,7260330101J9263,OXALIPLATIN 50 MG/10ML IV SOLN,446.0,446.0,0.05,446.0,112 CDM,7260347401J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,16.0,16.0,0.39,16.0,111 CDM,7260347425J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,16.0,16.0,0.39,16.0,111 CDM,7260350501J2003,LIDOCAINE HCL (PF) 2 INJECTION SOLN (WRAPPER),11.0,11.0,0.01,11.0,111 CDM,7260350510J2003,LIDOCAINE HCL (PF) 2 INJECTION SOLN (WRAPPER),11.0,11.0,0.01,11.0,111 CDM,7260350525J2003,LIDOCAINE HCL (PF) 2 INJECTION SOLN (WRAPPER),7.0,7.0,0.01,7.0,111 CDM,7260357801J0290,AMPICILLIN SODIUM 10 G INJECTION (WRAPPER),3016.0,3016.0,0.49,3016.0,112 CDM,7260601101Q5129,BEVACIZUMABADCD 100 MG/4ML IV SOLN,2439.0,2439.0,38.16,2439.0,119 CDM,7260601201Q5129,BEVACIZUMABADCD 400 MG/16ML IV SOLN,10405.0,10405.0,38.16,10405.0,119 CDM,7261171601J1190,DEXRAZOXANE HCL 500 MG IV SOLR,1437.0,1437.0,32.09,1437.0,119 CDM,7261171672J1190,DEXRAZOXANE HCL 500 MG IV SOLR,522.0,522.0,32.09,522.0,119 CDM,7261171901J1885,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,4.0,4.0,0.33,4.0,112 CDM,7261173401J1920,LABETALOL HCL 5 MG/ML IV SOLN,42.0,42.0,0.29,42.0,112 CDM,7261176101J3370,VANCOMYCIN HCL 500 MG IV SOLR,11.0,11.0,1.49,11.0,111 CDM,7261176110J3370,VANCOMYCIN HCL 500 MG IV SOLR,11.0,11.0,1.49,11.0,111 CDM,7261178502J9330,TEMSIROLIMUS 25 MG/ML IV SOLN,11610.0,11610.0,20.32,11610.0,119 CDM,7269451501J9118,CALASPARGASE PEGOLMKNL 3750 UNIT/5ML IV SOLN,104531.0,104531.0,76.53,104531.0,119 CDM,7269495401J9266,PEGASPARGASE 750 UNIT/ML IM SOLN,96535.0,96535.0,13032.23,96535.0,119 CDM,7281915205J9280,MITOMYCIN 5 MG IV SOLR,876.0,876.0,25.94,876.0,119 CDM,7281915302J9280,MITOMYCIN 20 MG IV SOLR,2276.0,2276.0,25.94,2276.0,119 CDM,7285435120J3490,DEXTROMETHORPHAN HBR 15 MG PO TABS,3.0,3.0,0.41,3.0,111 CDM,7288819201J7517,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,12.0,12.0,0.15,12.0,112 CDM,7288820012J7518,MYCOPHENOLATE SODIUM 360 MG PO TBEC,28.0,28.0,0.32,28.0,112 CDM,7289300201J9032,BELINOSTAT 500 MG IV SOLR,8647.0,8647.0,50.28,8647.0,119 CDM,7289300301J9307,PRALATREXATE 20 MG/ML IV SOLN,26412.0,26412.0,373.77,26412.0,119 CDM,7289300501J9307,PRALATREXATE 40 MG/2ML IV SOLN,52823.0,52823.0,373.77,52823.0,119 CDM,7290385301J9063,MIRVETUXIMAB SORAVTANSINEGYNX 100 MG/20ML IV SOLN,23354.0,23354.0,68.11,23354.0,119 CDM,73000001,HC EKG TRAC REPT,1271.0,1271.0,7.35,1271.0,125 CDM,73000002,HC ELECTROCARDIOGRAM TRACING MOD 76,1271.0,1271.0,171.59,1271.0,109 CDM,73000003,HC ECG MONIT/REPRT UP TO 48 HRS CONN/RECORD/DISCON,1222.0,1222.0,18.25,1222.0,125 CDM,73000004,HC ECG MONIT/REPRT UP TO 48 HRS SCANNING W REPORT,1805.0,1805.0,39.2,1805.0,125 CDM,73000005,HC MAPS EKG TRACING,317.0,317.0,7.35,317.0,125 CDM,73000020,HC MAPS EXTRACRANIAL UNI/LTD STUDY,398.0,398.0,67.26,729.57,125 CDM,73000022,HC REMOTE 30 DAY ECG TECH SUPP,2200.0,2200.0,162.87,5225.73,122 CDM,7307010011J1815,INSULIN ASPART VIAL FOR SUBQ INFUSION PUMP 100 UNI,261.0,261.0,0.22,261.0,111 CDM,7307020011J1815,INSULIN ASPART PROT ASPART (7030) 100 UNIT/ML SC,261.0,261.0,0.22,261.0,111 CDM,7309042001J2860,SILTUXIMAB 100 MG IV SOLR,5406.0,5406.0,155.97,5406.0,119 CDM,7309042101J2860,SILTUXIMAB 400 MG IV SOLR,21621.0,21621.0,155.97,21621.0,119 CDM,73100000,HC MAPS ECG MONIT/REPRT UP TO 48 HRS SCANNING W R,200.0,200.0,33.8,222.25,125 CDM,73100001,HC MAPS ECG MONIT/REPRT UP TO 48 HRS CONN/RECORD/D,200.0,200.0,18.25,441.35,125 CDM,7315015006J2329,UBLITUXIMABXIIY 150 MG/6ML IV SOLN,37701.0,37701.0,69.03,37701.0,119 CDM,7329300011J2003,LIDOCAINE HCL (PF) 1 INJECTION SOLN,9.0,9.0,0.01,9.0,111 CDM,7329300011J3490,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),9.0,9.0,1.22,9.0,111 CDM,7329300012J2003,LIDOCAINE HCL (PF) 1 INJECTION SOLN,9.0,9.0,0.01,9.0,111 CDM,7329300012J3490,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),9.0,9.0,1.22,9.0,111 CDM,7329300021J0665,BUPIVACAINE IN DEXTROSE 0.758.25 INTRATHECAL SOL,19.0,19.0,0.01,19.0,112 CDM,7347530415J9332,EFGARTIGIMOD ALFAFCAB 400 MG/20ML IV SOLN,22286.0,22286.0,32.22,22286.0,119 CDM,7353520801J9349,TAFASITAMABCXIX 200 MG IV SOLR,4854.0,4854.0,13.97,4854.0,119 CDM,7359493101J1437,FERRIC DERISOMALTOSE(ONE DOSE) 1000 MG/10ML IV SOL,11689.0,11689.0,18.95,11689.0,119 CDM,7370213110J0690,CEFAZOLIN SODIUM 1 GM/10ML IV SOSY,20.0,20.0,0.81,20.0,112 CDM,7370213210J0690,CEFAZOLIN SODIUM 2 GM/20ML IV SOSY,23.0,23.0,0.81,23.0,112 CDM,74000000,HC SLP STDY UNATTENDED,428.0,428.0,72.33,716.25,125 CDM,74000001,HC MULTIPLE SLEEP LATENCY TEST,5159.0,5159.0,201.32,5159.0,125 CDM,74000002,HC SLEEP STUDY UNATT RESP EFFT,920.0,920.0,56.86,920.0,121 CDM,74000003,HC SLEEP STUDY ATTENDED,876.0,876.0,148.04,2431.0,125 CDM,74000004,HC POLYSOM ANY AGE 1-3> PARAM,7097.0,7097.0,273.78,7097.0,125 CDM,74000005,HC POLYSOM 6/> YRS 4/> PARAM,7644.0,7644.0,270.32,7644.0,125 CDM,74000006,HC POLYSOM 6/>YRS CPAP 4/> PARM,8715.0,8715.0,476.34,8715.0,125 CDM,74000007,HC EEG OVER 1 HOUR,2698.0,2698.0,44.45,2698.0,125 CDM,74000008,HC EEG AWAKE AND DROWSY,1952.0,1952.0,13.5,1952.0,125 CDM,74000009,HC EEG AWAKE AND ASLEEP,2099.0,2099.0,13.5,2099.0,125 CDM,74000013,HC NEUROMUSCULAR JUNCTION TEST,2172.0,2172.0,12.23,2172.0,125 CDM,74000014,HC SOMATOSENSORY TESTING,2957.0,2957.0,110.97,2957.0,125 CDM,74000020,HC HOME SLEEP TEST/TYPE 3 PORTA,920.0,920.0,62.17,920.0,122 CDM,74000022,HC EEG EXTENDED 41-60 MINUTES,2135.0,2135.0,38.93,2135.0,125 CDM,74000028,HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND,7281.0,7281.0,270.32,7281.0,125 CDM,74000029,HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTN,8301.0,8301.0,476.34,8301.0,125 CDM,74000030,HC EEG-ROUTINE,2099.0,2099.0,13.5,2099.0,125 CDM,74000031,HC ELECTRONIC ANALYSIS OF IMPLANTED NEUROSTIMULATO,1752.0,1752.0,23.45,1752.0,125 CDM,74000032,HC ELECTRONIC ANALYSIS OF IMPLANTED NEUROSTIMULATO,1221.0,1221.0,35.7,1221.0,110 CDM,74000037,HC MAPS EEG EXTENDED 41-60 MINUTES,243.0,243.0,38.93,716.25,125 CDM,74000038,HC MAPS EEG AWAKE AND DROWSY,210.0,210.0,13.5,716.25,125 CDM,74000039,HC EEG SETUP FOR EAP,1952.0,1952.0,160.49,1952.0,125 CDM,74000040,HC EEG W/O VID 2-12 HR UNMNTR,8878.0,8878.0,80.0,8878.0,125 CDM,74000041,HC EEG W/O VID 2-12HR CONT MNTR,8878.0,8878.0,160.49,8878.0,125 CDM,74000042,HC EEG W/O VID EA 12-26HR CONT,8878.0,8878.0,307.93,8878.0,125 CDM,74000043,HC EEG W/O VID EA 12-26HR INTMT,8878.0,8878.0,307.93,8878.0,125 CDM,74000044,HC EEG WO VID 2-12HR INTMT MNTR,8878.0,8878.0,160.49,8878.0,125 CDM,74000045,HC EEG WO VID EA 12-26HR UNMNTR,8878.0,8878.0,120.0,8878.0,125 CDM,74000046,HC VEEG 2-12 HR CONT MNTR,8878.0,8878.0,307.93,8878.0,125 CDM,74000047,HC VEEG 2-12 HR INTMT MNTR,8878.0,8878.0,160.49,8878.0,125 CDM,74000048,HC VEEG 2-12 HR UNMONITORED,8878.0,8878.0,100.0,8878.0,125 CDM,74000049,HC VEEG EA 12-26 HR UNMNTR,4589.0,4589.0,160.0,4589.0,125 CDM,74000050,HC VEEG EA 12-26HR CONT MNTR,4589.0,4589.0,576.37,4589.0,125 CDM,74000051,HC VEEG EA 12-26HR INTMT MNTR,4589.0,4589.0,307.93,4589.0,125 CDM,74000052,HC MAPS EEG EXTND MNTR 61-119 MIN,769.0,769.0,44.45,769.0,125 CDM,7452702201J9353,MARGETUXIMABCMKB 250 MG/10ML IV SOLN,8504.0,8504.0,49.4,8504.0,119 CDM,7452702202J9353,MARGETUXIMABCMKB 250 MG/10ML IV SOLN,8504.0,8504.0,49.4,8504.0,119 CDM,7452702203J9353,MARGETUXIMABCMKB 250 MG/10ML IV SOLN,8504.0,8504.0,49.4,8504.0,119 CDM,7467659020J3315,TRIPTORELIN PAMOATE 3.75 MG IM SUSR,3104.0,3104.0,419.04,3104.0,119 CDM,7467659021J3315,TRIPTORELIN PAMOATE 3.75 MG IM SUSR,3104.0,3104.0,419.04,3104.0,119 CDM,7467659040J3315,TRIPTORELIN PAMOATE 11.25 MG IM SUSR,9310.0,9310.0,463.19,9310.0,119 CDM,7467659041J3315,TRIPTORELIN PAMOATE 11.25 MG IM SUSR,9310.0,9310.0,463.19,9310.0,119 CDM,7467659060J3315,TRIPTORELIN PAMOATE 22.5 MG IM SUSR,18620.0,18620.0,463.19,18620.0,119 CDM,7467659061J3315,TRIPTORELIN PAMOATE 22.5 MG IM SUSR,18620.0,18620.0,463.19,18620.0,119 CDM,75000001,HC GASTRIC INTUBATION,744.0,744.0,16.51,3245.0,124 CDM,75000003,HC MAPS DIAGNOSTIC SIGMOIDOSCOPY,612.0,612.0,53.15,3245.0,124 CDM,75000076,HC MAPS CHANGE GASTROSTOMY TUBE,214.0,214.0,28.89,8112.0,111 CDM,7583417101J0612,CALCIUM GLUCONATE 10 IV SOLN,37.0,37.0,0.03,37.0,112 CDM,7583417119J0612,CALCIUM GLUCONATE 10 IV SOLN,37.0,37.0,0.03,37.0,112 CDM,7590718935J9073,CYCLOPHOSPHAMIDE 2 GM/10ML IV SOLN,5274.0,5274.0,0.7,5274.0,119 CDM,7590719007J9073,CYCLOPHOSPHAMIDE 1 GM/5ML IV SOLN,2637.0,2637.0,0.7,2637.0,119 CDM,7590719102J9073,CYCLOPHOSPHAMIDE 500 MG/2.5ML IV SOLN,1319.0,1319.0,0.7,1319.0,119 CDM,7598705006J8499,GLYCEROL PHENYLBUTYRATE 1.1 GM/ML PO LIQD,20492.0,20492.0,29.55,20492.0,105 CDM,7598708010J2507,PEGLOTICASE 8 MG/ML IV SOLN,66900.0,66900.0,3550.05,66900.0,119 CDM,7598711110J9216,INTERFERON GAMMA1B 100 MCG/0.5ML SC SOLN,19542.0,19542.0,2638.17,19542.0,111 CDM,7598711111J9216,INTERFERON GAMMA1B 100 MCG/0.5ML SC SOLN,19542.0,19542.0,2638.17,19542.0,111 CDM,7598713015J3241,TEPROTUMUMABTRBW 500 MG IV SOLR,58976.0,58976.0,347.1,58976.0,119 CDM,76000002,HC RMVL DEVITAL TIS ADDL 20CM/<,666.0,666.0,11.56,666.0,112 CDM,76000004,HC UNSCHED DIALYSIS ESRD PT HOS,2958.0,2958.0,261.72,2958.0,122 CDM,76000005,HC HOSPITAL OBSERVATION PER HR,304.0,304.0,41.04,3786.0,112 CDM,76000006,HC LABOR AND DELIVERY PETU PAH,1216.0,1216.0,164.16,3786.0,112 CDM,7601400333J2710,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,67.0,67.0,0.71,67.0,111 CDM,7601400432J2371,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,80.0,80.0,0.01,80.0,108 CDM,7601400433J2371,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,156.0,156.0,0.01,156.0,108 CDM,7604500100J2250,MIDAZOLAM HCL (PF) 2 MG/2ML INJECTION SOLN,12.0,12.0,0.13,12.0,112 CDM,7604500120J2250,MIDAZOLAM HCL (PF) 2 MG/2ML INJECTION SOLN,12.0,12.0,0.13,12.0,112 CDM,7604500401J2272,MORPHINE SULFATE 2 MG/ML INJECTION SOLN,11.0,11.0,1.49,19.43,112 CDM,7604500410J2272,MORPHINE SULFATE 2 MG/ML INJECTION SOLN,11.0,11.0,1.49,19.43,112 CDM,7604500411J2272,MORPHINE SULFATE 2 MG/ML INJECTION SOLN,11.0,11.0,1.49,19.43,112 CDM,7604500501J2272,MORPHINE SULFATE 4 MG/ML INJECTION SOLN,11.0,11.0,1.49,19.43,112 CDM,7604500510J2272,MORPHINE SULFATE 4 MG/ML INJECTION SOLN,11.0,11.0,1.49,19.43,112 CDM,7604500511J2272,MORPHINE SULFATE 4 MG/ML INJECTION SOLN,11.0,11.0,1.49,19.43,112 CDM,7604500901J1171,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,15.0,15.0,0.09,15.0,112 CDM,7604500905J1171,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,13.0,13.0,0.09,13.0,112 CDM,7604500906J1171,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,15.0,15.0,0.09,15.0,112 CDM,7604500911J1171,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,15.0,15.0,0.09,15.0,112 CDM,7604500996J1171,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,15.0,15.0,0.09,15.0,112 CDM,7604501001J1171,HYDROMORPHONE HCL 2 MG/ML INJECTION SOLN,15.0,15.0,0.09,15.0,112 CDM,7604501011J1171,HYDROMORPHONE HCL 2 MG/ML INJECTION SOLN,15.0,15.0,0.09,15.0,112 CDM,7604502300J1598,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),55.0,55.0,0.55,55.0,112 CDM,7604502330J1598,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),55.0,55.0,0.55,55.0,112 CDM,7604510120J2765,METOCLOPRAMIDE HCL 5 MG/ML INJECTION SOLN,10.0,10.0,1.0,10.0,112 CDM,7604510210J1200,DIPHENHYDRAMINE HCL 50 MG/ML INJECTION SOLN,10.0,10.0,0.71,10.0,112 CDM,7604510800J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,11.0,11.0,0.18,11.0,112 CDM,7604510810J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,11.0,11.0,0.18,11.0,112 CDM,7604512101J1171,HYDROMORPHONE HCL 0.2 MG/ML INJECTION SOLN,11.0,11.0,0.09,11.0,112 CDM,7604512111J1171,HYDROMORPHONE HCL 0.2 MG/ML INJECTION SOLN,11.0,11.0,0.09,11.0,112 CDM,7604520400J3360,DIAZEPAM 5 MG/ML INJECTION SOLN,89.0,89.0,6.17,89.0,112 CDM,7604520420J3360,DIAZEPAM 5 MG/ML INJECTION SOLN,89.0,89.0,6.17,89.0,112 CDM,7604521300J2765,METOCLOPRAMIDE HCL 5 MG/ML INJECTION SOLN,12.0,12.0,1.0,12.0,112 CDM,7604521320J2765,METOCLOPRAMIDE HCL 5 MG/ML INJECTION SOLN,12.0,12.0,1.0,12.0,112 CDM,7604522303J1598,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),56.0,56.0,0.55,56.0,112 CDM,7604522330J1598,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),56.0,56.0,0.55,56.0,112 CDM,7604573701J1630,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLN,15.0,15.0,0.73,15.0,112 CDM,7607510101J9047,CARFILZOMIB 60 MG IV SOLR,11791.0,11791.0,51.97,11791.0,119 CDM,7607510201J9047,CARFILZOMIB 30 MG IV SOLR,5896.0,5896.0,51.97,5896.0,119 CDM,7607510301J9047,CARFILZOMIB 10 MG IV SOLR,1966.0,1966.0,51.97,1966.0,119 CDM,76100011,HC UNLSTD SKINMUCOUS MEMBRE SUB,179.0,179.0,30.25,8112.0,122 CDM,76100018,HC TREAT DISLOCATION/FRACTURE,4745.0,4745.0,157.0,5333.99,124 CDM,76100046,HC TREAT TOE DISLOCATION W/OUT ANESH,674.0,674.0,54.5,818.25,124 CDM,76100047,HC APPLICATION LONG LEG SPLINT,493.0,493.0,37.0,811.0,124 CDM,76100048,HC APPLICATION LOWER LEG SPLINT,582.0,582.0,35.0,2787.0,125 CDM,76100055,HC DX LARYNGOSCOPY EXCPT NEW BORN,5480.0,5480.0,118.0,5904.25,124 CDM,76100060,HC THROMBOLYTIC TX STROKE INFSN,920.0,920.0,96.7,6558.0,122 CDM,76100063,HC REPAIR LIP VERMILION ONLY,1693.0,1693.0,248.93,5138.0,124 CDM,76100067,HC DRAINAGE OF MOUTH LESION SMPLE,2338.0,2338.0,26.5,2349.0,124 CDM,76100098,HC IRRIG OF CORPORA CAVENOSA PRIAPSM,900.0,900.0,81.76,2787.0,125 CDM,76100102,HC DRAINAGE OF SCROTUM ABSCESS,4888.0,4888.0,44.8,11195.82,125 CDM,76100105,HC NRV BLOCK INJ TRIGEMINAL,1036.0,1036.0,16.64,4664.92,125 CDM,76100166,HC MAPS RF ENDO ABLATION INT. VEIN,3919.0,3919.0,662.31,11898.0,121 CDM,76100167,HC MAPS CYSTOMETROGRAM W/VP UP,485.0,485.0,81.96,2313.07,124 CDM,76100168,HC MAPS INJ EPIDURAL OF BLOOD OR CLO,747.0,747.0,48.0,3245.0,124 CDM,76100169,HC MAPS N BLOCK INJ OCCIPITAL,453.0,453.0,35.0,3245.0,124 CDM,76100170,HC MAPS VOIDING INTRA-ABD PRESSURE,255.0,255.0,34.43,255.0,114 CDM,76100171,HC MAPS FNA W/O IMAGE,315.0,315.0,53.23,1348.49,124 CDM,76100173,HC MAPS DEB MUSC/FASCIA 20 SQ CM/<,334.0,334.0,33.0,4326.0,124 CDM,76100177,HC MAPS INTRANASAL BIOPSY,725.0,725.0,38.5,5146.87,124 CDM,76100178,HC MAPS CYSTOSCOPY CHEMODENERVATION,1385.0,1385.0,130.74,8112.0,124 CDM,76100179,HC MAPS ABSCESS DRAIN./PERINEAL,250.0,250.0,42.25,4326.0,124 CDM,76100180,HC MAPS LUMBAR PUNCTURE DIAG,452.0,452.0,42.0,3245.0,124 CDM,76100181,HC MAPS OSF CYSTOGRAM INCON/VOID,463.0,463.0,32.0,463.0,113 CDM,76100182,HC MAPS URETHRAL CATHETERIZATION,387.0,387.0,27.36,811.0,124 CDM,76100183,HC MAPS BX NECK/THORAX,1395.0,1395.0,34.5,5478.64,124 CDM,76100184,HC MAPS MAMMOGRPH CYST ASPRTION,555.0,555.0,36.5,3245.0,124 CDM,76100190,HC MAPS EXCISION SKIN TAGS UP TO 15,112.0,112.0,18.93,811.0,124 CDM,76100192,HC MAPS CANALITH REPOSITIONING PROC,71.0,71.0,12.0,222.0,122 CDM,76100194,HC MAPS NERVE BLOCK PERIPH NERVE,411.0,411.0,21.0,3245.0,124 CDM,76100195,HC MAPS INSRT NO-INDWELL/STRAIGHT CATH,155.0,155.0,25.45,811.0,124 CDM,76100196,HC MAPS INSRT COMPL INDWELL CATH (FX),134.0,134.0,22.65,3245.0,124 CDM,76100197,HC MAPS REM FB EAC NO CEN ANES,323.0,323.0,27.36,811.0,124 CDM,76100200,HC MAPS REMOVAL OF IMPACTED CERUMEN,80.0,80.0,13.52,811.0,121 CDM,76100203,HC MAPS ANOSCOPY DIAG.,156.0,156.0,20.0,811.0,124 CDM,76100204,HC MAPS PROCTOSIGMOID RIGID DXTIC,612.0,612.0,24.37,3245.0,124 CDM,76100209,HC MAPS CAUTERIZATION OF WOUND,156.0,156.0,25.82,811.0,124 CDM,76100210,HC MAPS ARTHROCENTESIS LARGE,262.0,262.0,23.5,3245.0,124 CDM,76100211,HC MAPS ARTHROCENTESIS MEDIUM,291.0,291.0,21.5,3245.0,124 CDM,76100212,HC MAPS INJ TENDONSHTH TPTS GCYS,280.0,280.0,32.0,3245.0,124 CDM,76100213,HC MAPS ATHRCTSIS SM JT/BURSA FG/TOE,290.0,290.0,18.0,3245.0,124 CDM,76100219,HC MAPS CLTX RAD ULNAR SHAFT FX,185.0,185.0,31.26,818.25,124 CDM,76100220,HC MAPS CL TX FX RADIAL HEAD/NECK,275.0,275.0,46.47,818.25,124 CDM,76100221,HC MAPS CL TX EA BONE METACARPL NO MAN,275.0,275.0,46.47,818.25,124 CDM,76100225,HC MAPS INTEG-AVUL NAIL PLATE PART/ONE,170.0,170.0,25.75,811.0,124 CDM,76100229,HC MAPS EX BN LES MRG TNKARMLG.6-1CM,471.0,471.0,46.5,3245.0,124 CDM,76100230,HC MAPS EX BN LES MRG TNKARM LG<.5CM,471.0,471.0,37.5,3245.0,124 CDM,76100237,HC MAPS SIMPLE PARONYXHIA,198.0,198.0,23.5,811.0,124 CDM,76100238,HC MAPS DEBRIDEMT SKIN SUBCUT TIS,334.0,334.0,33.0,4326.0,124 CDM,76100239,HC MAPS PUNCTURE ASPIRA ABSC,183.0,183.0,24.0,1348.49,124 CDM,76100242,HC MAPS CRP 2.6-7.5CM TRNK,1033.0,1033.0,93.0,5138.0,124 CDM,76100243,HC MAPS REP CMPLXTRNK1.1CM-2.5CM,528.0,528.0,60.0,4326.0,124 CDM,76100245,HC MAPS LAYER CLOSURE-WOUNDS 2.6-5.0CM,244.0,244.0,41.24,1348.49,124 CDM,76100247,HC MAPS CRP 2.6-7.5CM EYLDNSEARLPS,482.0,482.0,81.46,5138.0,124 CDM,76100248,HC MAPS CRP 1.1-2.5CM EYLDNSEARLPS,552.0,552.0,93.29,5138.0,124 CDM,76100249,HC MAPS REP COMPLX TRNK EAADD5CM,238.0,238.0,32.13,238.0,114 CDM,76100250,HC MAPS CRP 2.6-7.5CM FHDCHKCHNHDF,482.0,482.0,81.46,5138.0,124 CDM,76100255,HC MAPS REP COMPLX FOREHEADMOU EA5CM,262.0,262.0,35.37,262.0,114 CDM,76100256,HC MAPS SUTUR. IMMED-2.5 CM OR LESS,275.0,275.0,24.5,1348.49,124 CDM,76100257,HC MAPS LRP<2.5CM FCERSELDSNSLPS,244.0,244.0,31.5,1348.49,124 CDM,76100260,HC MAPS LRP 2.6-7.5CM NKHDSFTEX GEN,286.0,286.0,35.5,1348.49,124 CDM,76100261,HC MAPS LRP 2.6-7.5CM SCPAXTRKARM.L,584.0,584.0,33.0,1348.49,124 CDM,76100264,HC MAPS LRP 7.6-12.5CM SCPAXTRKARM,280.0,280.0,46.5,4326.0,124 CDM,76100266,HC MAPS LRP>2.5CM NKHDSFTEX GEN,282.0,282.0,24.5,1348.49,124 CDM,76100267,HC MAPS ENT-EPISTAXIS/ANTSPL CAUT.UNL,141.0,141.0,23.83,811.0,124 CDM,76100269,HC MAPS LARYNGFLEX FIBEROP DX,3686.0,3686.0,69.0,3686.0,124 CDM,76100270,HC MAPS APPLICFINGERSPLNT STTIC,94.0,94.0,15.89,811.0,121 CDM,76100273,HC MAPS CL/TXFX/ DISTAL RADIUS,275.0,275.0,46.47,818.25,124 CDM,76100274,HC MAPS TRACH TUBE CHNG BEF FISTULA,143.0,143.0,24.17,3245.0,121 CDM,76100275,HC MAPS CAP BLD STICK (FNGHEELEAR),10.0,10.0,1.35,8112.0,106 CDM,76100281,HC MAPS CL TX METARSAL ECH NO MANP,275.0,275.0,46.47,818.25,124 CDM,76100282,HC MAPS APPLIC CAST SHORT ARM,328.0,328.0,45.5,927.79,124 CDM,76100283,HC MAPS APPLIC CAST GAUNTLET,279.0,279.0,27.5,811.0,124 CDM,76100285,HC MAPS MEAS PV URINE/BLADDER CAP,127.0,127.0,14.07,811.0,124 CDM,76100286,HC MAPS INCISION DRAINAGE OF ABSCESS,198.0,198.0,33.46,3245.0,124 CDM,76100289,HC MAPS UROFLOWMETRY,134.0,134.0,22.65,811.0,124 CDM,76100290,HC MAPS EMG URETHRAL SPHINCTER,343.0,343.0,46.52,811.0,121 CDM,76100297,HC MAPS INJ.ANES. AGENT LLIOINGUINAL,401.0,401.0,35.0,3245.0,124 CDM,76100303,HC MAPS BX BREAST 1ST LESION US IMAG,1191.0,1191.0,138.89,5478.64,124 CDM,76100304,HC MAPS BX BREAST ADD LESION US IMAG,900.0,900.0,66.12,900.0,113 CDM,76100307,HC MAPS INJ OF GANGLION CYST,269.0,269.0,38.87,3245.0,124 CDM,76100309,HC MAPS INJ SING/MULT TRIGGER PNT 1/2,233.0,233.0,31.06,3245.0,124 CDM,76100310,HC MAPS INJ SINGLE TENDON/INSERTION,312.0,312.0,38.76,3245.0,124 CDM,76100311,HC MAPS INJ SING/MULT TRIGER PNT />3,272.0,272.0,34.47,3245.0,124 CDM,76100312,HC MAPS THER INJCARPAL TUNNEL,331.0,331.0,49.78,3245.0,124 CDM,76100314,HC MAPS INSERT INTRAUTERINE DEVICE,211.0,211.0,17.25,811.0,114 CDM,76100322,HC MAPS CREATE EARDRUM OPENING,446.0,446.0,75.37,3245.0,124 CDM,76100323,HC MAPS INCISION OF EARDRUM TUBE INFLATION,435.0,435.0,73.51,3245.0,124 CDM,76100324,HC MAPS CLEAN OUT MASTOID CAVITY WITH ANES,857.0,857.0,92.5,8112.0,124 CDM,76100325,HC MAPS CLEAN OUT MASTOID CAVITY ROUTINE CLEANING,344.0,344.0,36.84,811.0,123 CDM,76100328,HC MAPS BIOPSY OF EXTERNAL EAR,448.0,448.0,41.69,3245.0,124 CDM,76100369,HC MAPS BIOPSY EYELID LID MARGIN,402.0,402.0,37.0,3245.0,124 CDM,76100398,HC MAPS CHEMODENERV ECCRINE GLANDS,269.0,269.0,45.46,3245.0,121 CDM,76100399,HC MAPS CHEMODENERV 1 EXTREM 5/> EA,243.0,243.0,32.8,243.0,113 CDM,76100400,HC MAPS CHEMODENERV 1 EXTREM 5/> MUS,464.0,464.0,78.42,2341.52,124 CDM,76100401,HC MAPS CHEMODENERV 1 EXTREM 1-4 EA,203.0,203.0,27.41,203.0,113 CDM,76100402,HC MAPS CHEMODENERV 1 EXTREMITY 1-4,484.0,484.0,81.8,2341.52,124 CDM,76100403,HC MAPS CHEMODENER MUSCLE LARYNX EMG,422.0,422.0,71.32,2341.52,124 CDM,76100404,HC MAPS CHEMODENERV MUSC NECK DYSTON,267.0,267.0,45.12,1018.21,124 CDM,76100405,HC MAPS DESTROY NERVE FACE MUSCLE,360.0,360.0,60.84,3245.0,124 CDM,76100406,HC MAPS CHEMODENERV SALIV GLANDS,245.0,245.0,41.4,1018.21,124 CDM,76100407,HC MAPS NEUROELTRD STIM POST TIBIAL,319.0,319.0,53.91,3245.0,121 CDM,76100408,HC MAPS N BLOCK INJ PARACERVICAL,464.0,464.0,32.0,3245.0,124 CDM,76100409,HC MAPS N BLOCK INJ TRIGEMINAL,401.0,401.0,13.0,3245.0,124 CDM,76100410,HC MAPS ANALYZE SP INF PUMP W/REPROG,287.0,287.0,33.02,4326.0,124 CDM,76100411,HC MAPS ANALYZE SPINE INFUS PUMP,280.0,280.0,47.32,4326.0,121 CDM,76100413,HC MAPS INSERT CERVICAL DILATOR,250.0,250.0,42.25,1854.0,122 CDM,76100415,HC MAPS AMNIOCENTESIS THERAPEUTIC,250.0,250.0,42.25,8112.0,124 CDM,76100416,HC MAPS AMNIOCENTESIS DIAGNOSTIC,604.0,604.0,50.0,8112.0,124 CDM,76100417,HC MAPS SPERM WASHING,144.0,144.0,21.28,3245.0,121 CDM,76100418,HC MAPS ARTIFICIAL INSEMINATION,272.0,272.0,45.97,3245.0,121 CDM,76100419,HC MAPS REMOVE INTRAUTERINE DEVICE,334.0,334.0,17.25,3245.0,124 CDM,76100420,HC MAPS BIOPSY OF UTERUS LINING,282.0,282.0,47.66,811.0,124 CDM,76100423,HC MAPS ENDOCERVICAL CURETTAGE,535.0,535.0,22.0,3245.0,124 CDM,76100424,HC MAPS BIOPSY OF CERVIX,620.0,620.0,66.12,3245.0,124 CDM,76100425,HC MAPS CONZ OF CERVIX W/SCOPE LEEP,1891.0,1891.0,173.53,10738.13,124 CDM,76100426,HC MAPS BX OF CERVIX W/SCOPE LEEP,1845.0,1845.0,149.8,10738.13,124 CDM,76100427,HC MAPS ENDOCERV CURETTAGE W/SCOPE,281.0,281.0,47.49,3245.0,124 CDM,76100428,HC MAPS BIOPSY OF CERVIX W/SCOPE,250.0,250.0,42.25,3245.0,124 CDM,76100429,HC MAPS BX/CURETT OF CERVIX W/SCOPE,282.0,282.0,47.66,3245.0,124 CDM,76100430,HC MAPS EXAM OF CERVIX W/SCOPE,167.0,167.0,28.22,3245.0,124 CDM,76100431,HC MAPS EXAM/BIOPSY OF VAG W/SCOPE,562.0,562.0,94.98,3245.0,124 CDM,76100432,HC MAPS EXAM OF VAGINA W/SCOPE,250.0,250.0,42.25,3245.0,124 CDM,76100434,HC MAPS INSERT PESSARY/OTHER DEVICE,147.0,147.0,15.15,811.0,124 CDM,76100435,HC MAPS BIOPSY OF VAGINA EXTENSIVE REQUIRE SUTURE,1845.0,1845.0,70.0,10738.13,124 CDM,76100436,HC MAPS BIOPSY OF VAGINA MUCOSA SIMPLE,632.0,632.0,59.99,3245.0,124 CDM,76100437,HC MAPS EXAM/BIOPSY OF VULVA W/SCOPE,281.0,281.0,47.49,3245.0,124 CDM,76100438,HC MAPS EXAM OF VULVA W/SCOPE,144.0,144.0,24.34,811.0,124 CDM,76100439,HC MAPS BIOPSY OF VULVA/PERINEUM SEP PROC ADD LESI,234.0,234.0,27.4,234.0,114 CDM,76100440,HC MAPS BIOPSY OF VULVA/PERINEUM 1 LESION,562.0,562.0,55.51,3245.0,124 CDM,76100442,HC MAPS DESTROY VULVA LESIONS SIM,1423.0,1423.0,63.5,8112.0,124 CDM,76100446,HC MAPS CYSTOSCOPY AND TREATMENT,1524.0,1524.0,107.5,6934.17,124 CDM,76100447,HC MAPS CYSTOSCOPY,621.0,621.0,75.0,3245.0,122 CDM,76100449,HC MAPS CYSTOMETROGRAM W/VP,485.0,485.0,81.96,2313.07,124 CDM,76100451,HC MAPS SIMPLE CYSTOMETROGRAM,281.0,281.0,42.5,3245.0,124 CDM,76100452,HC MAPS TREATMENT OF BLADDER LESION,373.0,373.0,63.04,3245.0,124 CDM,76100453,HC MAPS IRRIGATION OF BLADDER,243.0,243.0,28.7,828.78,124 CDM,76100456,HC MAPS CRYOSURGERY ANAL LESION(S),160.0,160.0,27.04,811.0,124 CDM,76100457,HC MAPS LIGATION OF HEMORRHOID(S),546.0,546.0,46.0,3245.0,124 CDM,76100462,HC MAPS ESOPHAGOSCOPY FLEXIBLE BRUSH,797.0,797.0,93.47,3245.0,124 CDM,76100463,HC MAPS BIOPSY OF THROAT,725.0,725.0,54.5,8112.0,124 CDM,76100470,HC MAPS BIOPSY OF TONGUE ANTERIOR TWO THIRDS,817.0,817.0,62.0,3245.0,124 CDM,76100477,HC MAPS BIOPSY OF MOUTH LESION,446.0,446.0,36.5,1789.04,124 CDM,76100483,HC MAPS BIOPSY OF LIP,446.0,446.0,36.5,811.0,124 CDM,76100485,HC MAPS DX BRONCHOSCOPE/WASH,1114.0,1114.0,133.86,5904.25,124 CDM,76100486,HC MAPS VISUALIZATION OF WINDPIPE,817.0,817.0,114.79,3245.0,124 CDM,76100487,HC MAPS DIAGNOSTIC LARYNGOSCOPY,418.0,418.0,70.64,3245.0,124 CDM,76100491,HC MAPS NASAL/SINUS ENDOSCOPY SURG W CONTROL OF NA,1628.0,1628.0,172.64,11467.0,124 CDM,76100492,HC MAPS NASAL/SINUS ENDOSCOPY SURG W BIOPSY,4648.0,4648.0,160.46,11467.0,124 CDM,76100494,HC MAPS NASAL ENDOSCOPY DX,1614.0,1614.0,58.86,11467.0,124 CDM,76100496,HC MAPS REMOVAL OF INTRANASAL LESION,2042.0,2042.0,86.5,10997.97,124 CDM,76100500,HC MAPS CLOSED TX NOSE FX W/ STABLJ,1391.0,1391.0,120.76,10997.97,124 CDM,76100522,HC MAPS PLACE PO BREAST CATH FOR RAD,7821.0,7821.0,1321.75,27112.61,121 CDM,76100524,HC MAPS MOHS SURG ADDL BLOCK,195.0,195.0,26.33,195.0,114 CDM,76100525,HC MAPS MOHS ADDL STAGE T/A/L,517.0,517.0,69.8,517.0,114 CDM,76100526,HC MAPS MOHS 1 STAGE T/A/L,1231.0,1231.0,208.04,3245.0,124 CDM,76100527,HC MAPS MOHS ADDL STAGE,517.0,517.0,69.8,517.0,114 CDM,76100528,HC MAPS MOHS 1 STAGE H/N/HF/G,1231.0,1231.0,208.04,3245.0,124 CDM,76100531,HC MAPS DESTRUCTION OF SKIN LESIONS 1.1 TO 2.0 CM,531.0,531.0,89.74,811.0,124 CDM,76100532,HC MAPS DESTRUCTION OF SKIN LESIONS 0.60 TO 1.0 CM,178.0,178.0,30.08,811.0,124 CDM,76100533,HC MAPS DESTRUCTION OF SKIN LESIONS 0.5 CM OR LES,177.0,177.0,29.91,811.0,124 CDM,76100536,HC MAPS DESTRUCTION OF SKIN LESIONS 1.1 TO 2.0 CM,176.0,176.0,29.74,811.0,124 CDM,76100537,HC MAPS DESTRUCTION OF SKIN LESIONS 0.6 TO 1.0 CM,178.0,178.0,30.08,811.0,124 CDM,76100541,HC MAPS DESTRUCTION OF SKIN LESIONS 1.1 TO 2.0CM,183.0,183.0,30.93,811.0,124 CDM,76100545,HC MAPS DESTRUCT B9 LESION 1-14,373.0,373.0,49.0,811.0,124 CDM,76100550,HC MAPS DESTRUCT PREMALG LES 2-14,60.0,60.0,4.25,60.0,114 CDM,76100551,HC MAPS DESTRUCT PREMALG LESION,258.0,258.0,20.0,811.0,124 CDM,76100558,HC MAPS FOREHEAD FLAP W/VASC PEDICLE,2475.0,2475.0,418.27,11755.16,121 CDM,76100562,HC MAPS SKIN FULL GRAFT EEN LIPS,1579.0,1579.0,266.85,6844.29,124 CDM,76100563,HC MAPS SKIN FULL GRAFT ADD-ON EACH ADD 20 SQ CM,766.0,766.0,100.62,766.0,114 CDM,76100564,HC MAPS SKIN FULL GRFT FACE/GENIT/HF,1579.0,1579.0,266.85,6844.29,124 CDM,76100569,HC MAPS TIS TRNFR ADDL 30 SQ CM/<,1977.0,1977.0,266.9,1977.0,111 CDM,76100570,HC MAPS TIS TRNFR ANY 30.1-60 SQ CM,2790.0,2790.0,471.51,11898.0,121 CDM,76100571,HC MAPS TIS TRNFR E/N/E/L10.1-30SQCM,1540.0,1540.0,260.26,6844.29,124 CDM,76100572,HC MAPS TIS TRNFR E/N/E/L 10 SQ CM/<,1579.0,1579.0,244.0,6844.29,124 CDM,76100573,HC MAPS TIS TRNFR F/C/C/M/N/A/G/H/F DEFECT 10 .1,1736.0,1736.0,277.5,6844.29,124 CDM,76100574,HC MAPS TIS TRNFR F/C/C/M/N/A/G/H/F DEFECT 10 SQ,1579.0,1579.0,177.5,6844.29,124 CDM,76100578,HC MAPS REMOVE/INSERT DRUG IMPLANT,294.0,294.0,27.36,1481.85,124 CDM,76100579,HC MAPS INSERT DRUG IMPLANT DEVICE,169.0,169.0,27.36,811.0,124 CDM,76100587,HC MAPS INJECT SKIN LESIONS >7,176.0,176.0,29.74,811.0,121 CDM,76100588,HC MAPS INJECT SKIN LESIONS 4 CM,1466.0,1466.0,246.0,5478.64,124 CDM,76100603,HC MAPS EXC TR-EXT MAL MARG 3.1-4 CM,1018.0,1018.0,125.5,4326.0,124 CDM,76100604,HC MAPS EXC TR-EXT MAL MARG 2.1-3 CM,990.0,990.0,85.5,3245.0,124 CDM,76100605,HC MAPS EXC TR-EXT MAL MARG 1.1-2 CM,464.0,464.0,78.42,3245.0,124 CDM,76100611,HC MAPS EXC FACE-MM B9 MARG 0.6-1 CM,459.0,459.0,65.5,3245.0,124 CDM,76100613,HC MAPS EXC H-F-NK-SP B9 MARG >4 CM,1946.0,1946.0,121.0,9635.46,124 CDM,76100616,HC MAPS EXC H-F-NK-SP B9 MARG 1.1-2,899.0,899.0,37.5,5478.64,124 CDM,76100617,HC MAPS EXC TR-EXT B9 MARG >4.0 CM,1466.0,1466.0,117.5,5478.64,124 CDM,76100618,HC MAPS EXC TR-EXT B9 MARG 3.1-4 CM,1466.0,1466.0,80.5,5478.64,124 CDM,76100619,HC MAPS EXC TR-EXT B9 MARG 2.1-3CM/<,899.0,899.0,65.0,3245.0,124 CDM,76100620,HC MAPS EXC TR-EXT B9 MARG 1.1-2 CM,545.0,545.0,54.0,3245.0,124 CDM,76100622,HC MAPS SHAVE SKIN LESION 0.6-1.0 CM,160.0,160.0,27.04,811.0,124 CDM,76100630,HC MAPS SHAVE SKIN LESION 0.6-1.0 CM,171.0,171.0,28.9,811.0,124 CDM,76100632,HC MAPS ACNE SURGERY,150.0,150.0,20.0,811.0,124 CDM,76100636,HC MAPS BX DONE W/COLPOSCOPY ADD-ON,92.0,92.0,12.42,92.0,110 CDM,76100637,HC MAPS INCISION AND DRAINAGE OF PI,174.0,174.0,29.41,2349.0,124 CDM,76100639,HC MAPS COMPLEX DRAINAGE WOUND,1756.0,1756.0,154.29,9635.46,124 CDM,76100641,HC MAPS DEBRIDE SKIN/TISS/MUSC/BO 20 SQ CM/<,899.0,899.0,33.0,5478.64,124 CDM,76100653,HC MAPS REMOV NONBIODG DRUG DEL IMP,245.0,245.0,27.36,1481.85,124 CDM,76100660,HC MAPS LATE CLOSURE OF WOUND SECONDRY,1510.0,1510.0,244.0,11755.16,124 CDM,76100661,HC MAPS SKIN TISS REARRNGMNT DEF 10 SQ CM/<,1540.0,1540.0,150.0,6844.29,124 CDM,76100665,HC MAPS SKIN SUB GRAFT T/A/L ADD-ON,59.0,59.0,7.97,59.0,111 CDM,76100674,HC MAPS ABRASION TREATMENT OF SKIN,877.0,877.0,148.21,3245.0,121 CDM,76100687,HC MAPS INCISION OF BREAST LESION,1756.0,1756.0,73.0,5478.64,124 CDM,76100688,HC MAPS BIOPSY OF BREAST NEEDLE,541.0,541.0,61.25,5478.64,124 CDM,76100689,HC MAPS BIOPSY OF BREAST OPEN,649.0,649.0,109.68,12988.21,124 CDM,76100690,HC MAPS EXCISN-CYSTFIBROADENMAOTH,2322.0,2322.0,173.0,12988.21,124 CDM,76100691,HC MAPS REMOVAL OF INTACT MAMMARY I,3300.0,3300.0,557.7,12988.21,121 CDM,76100721,HC MAPS EXC NECK LES SC 3 CM/>,1473.0,1473.0,248.94,11898.0,121 CDM,76100722,HC MAPS EXC NECK LES SC < 3 CM,1395.0,1395.0,37.5,5478.64,124 CDM,76100723,HC MAPS REMOVE LESION NECK/CHEST D,1946.0,1946.0,120.0,9635.46,124 CDM,76100724,HC MAPS EXC TUMR SOFT TISSUE BACK/F< 3 CM,1430.0,1430.0,126.0,5478.64,124 CDM,76100725,HC MAPS EXC BACK LES SC 3 CM/>,1544.0,1544.0,260.94,11898.0,121 CDM,76100726,HC MAPS REMOVE SHOULDER LESION <3 CM,1430.0,1430.0,54.0,5478.64,124 CDM,76100727,HC MAPS CL TX HUMRL SHAFT FRAC W/O,237.0,237.0,40.05,3245.0,124 CDM,76100728,HC MAPS EXC FOREARM LES SC 3 CM/>,1400.0,1400.0,236.6,11898.0,121 CDM,76100729,HC MAPS EXCISION TUMOR FOREARM <3 CM,1395.0,1395.0,117.5,5478.64,124 CDM,76100738,HC MAPS REMOVAL HIP/PELVIS LESION,1395.0,1395.0,54.0,9635.46,124 CDM,76100752,HC MAPS SEPTOPLASTY OR SUBMUCOUS RESEC,2077.0,2077.0,351.01,10997.97,124 CDM,76100753,HC MAPS RELEASE OF NASAL ADHESIONS,601.0,601.0,35.0,4326.0,124 CDM,76100766,HC MAPS LARYNGOSCOPY WITH BIOPSY,1358.0,1358.0,111.62,5904.25,124 CDM,76100770,HC MAPS CLOSURE OF WINDPIPE LESION,2077.0,2077.0,351.01,10997.97,121 CDM,76100771,HC MAPS INJ THERAPY OF VEIN SCLEROSING,425.0,425.0,62.86,1348.49,124 CDM,76100809,HC MAPS BIOPSY OF SALIVARY GLAND,542.0,542.0,35.0,3245.0,124 CDM,76100820,HC MAPS SIGMOIDOSCOPY AND BIOPSY,529.0,529.0,63.67,3245.0,124 CDM,76100821,HC MAPS DIAGNOSTIC COLONOSCOPY,418.0,418.0,70.64,4326.0,124 CDM,76100822,HC MAPS INCISION OF ANAL ABSCESS,472.0,472.0,75.66,3245.0,124 CDM,76100824,HC MAPS REMOVAL OF ANAL TAB,1559.0,1559.0,80.0,3969.48,124 CDM,76100825,HC MAPS REMOVAL OF HEMORRHOID CLOT,1559.0,1559.0,40.0,3969.48,124 CDM,76100826,HC MAPS CHANGE CYSTOTOMYTUBE COMPL,472.0,472.0,28.0,3245.0,124 CDM,76100827,HC MAPS DILAT URETH STRIC-SUPS/INST,118.0,118.0,19.94,811.0,124 CDM,76100828,HC MAPS DILATE FEMALE URETHRA SUBS,118.0,118.0,19.94,811.0,124 CDM,76100832,HC MAPS DESTRUCTION VAGINA LESION(S,1845.0,1845.0,70.0,10738.13,124 CDM,76100833,HC MAPS CONIZATION OF CERVIXW/OR W,1845.0,1845.0,211.5,10738.13,124 CDM,76100835,HC MAPS ARTIFICIAL INSEMINATION,243.0,243.0,41.07,3245.0,121 CDM,76100836,HC MAPS CATHETER FOR HYSTEROGRAPHY,765.0,765.0,52.0,765.0,113 CDM,76100837,HC MAPS HYSTEROSCOPY DX SEP PROC,535.0,535.0,90.41,10738.13,124 CDM,76100851,HC MAPS CHEMODENERV MUSC MIGRAINE,415.0,415.0,70.13,1018.21,124 CDM,76100852,HC MAPS CHEMODENRVTN-TRNK MSC 1-5 M,416.0,416.0,70.3,2341.52,124 CDM,76100859,HC MAPS EXCISION SOFT TISSUE LESION,1395.0,1395.0,86.5,9635.46,124 CDM,76100863,HC MAPS RECTAL SENSATNTONE/COMPL TST,1138.0,1138.0,46.52,1138.0,116 CDM,76100864,HC MAPS ANORECTAL MANOMETRY,536.0,536.0,41.0,536.0,116 CDM,76100865,HC MAPS MUSCLE TEST NONPARASPINAL,230.0,230.0,17.26,8112.0,124 CDM,76100866,HC MAPS INTERV HLTH/BEHAVFAM W/PT,58.0,58.0,7.83,8112.0,112 CDM,76100870,HC MAPS NEG PRESS WOUND TX 50 SQ C,152.0,152.0,25.69,8112.0,122 CDM,76100877,HC MAPS EXC BACK TUM DEEP < 5 CM,2219.0,2219.0,375.01,9635.46,121 CDM,76100878,HC MAPS REMOVE ARM/ELBOW LESION <3 CM,1395.0,1395.0,54.0,5478.64,124 CDM,76100899,HC TREAT HUMERUS FRACTURE,1264.0,1264.0,63.0,3245.0,124 CDM,76100900,HC TREAT KNEE DISLOCATION,1264.0,1264.0,63.0,3245.0,124 CDM,76100913,HC MAPS ABORTION (MPR),7695.0,7695.0,146.16,7695.0,121 CDM,76100924,HC MAPS N BLOCK SPENOPALATINE GANGL,749.0,749.0,54.5,3245.0,124 CDM,76100940,HC MAPS NJX AA /STRD VAGUS NRV,603.0,603.0,35.0,3245.0,124 CDM,76100943,HC MAPS NJX AA /STRD GNCLR NRV BRNCH,755.0,755.0,127.59,3245.0,121 CDM,76100947,HC MAPS TREATMENT OF THIGH FRACTURE,942.0,942.0,63.0,3245.0,124 CDM,76100951,HC MAPS DRAIN OUTER EAR CANAL LESION,525.0,525.0,35.0,2349.0,124 CDM,76100952,HC MAPS SKN SUB GRFT T/A/L CHILD ADD,305.0,305.0,41.18,305.0,111 CDM,76100954,HC DRAINAGE OF HYDROCELETUNICA,2102.0,2102.0,35.0,2349.0,124 CDM,76100957,HC MAPS RECONSTRUCT LIP WITH FLAP,2129.0,2129.0,359.8,10997.97,121 CDM,76100958,HC MAPS PLACE CATHETER IN VEIN,3958.0,3958.0,114.5,3958.0,113 CDM,76100959,HC MAPS ENDOVENOUS MCHNCHEM 1ST VEIN,3958.0,3958.0,668.9,10473.94,121 CDM,76100960,HC MAPS REMOVAL TUNNELED CV CATH W/O PORT/ PUMP,765.0,765.0,129.28,3245.0,124 CDM,76100961,HC MAPS ARTERY-VEIN NONAUTOGRAFT,5955.0,5955.0,624.8,18458.42,124 CDM,76100962,HC MAPS OPEN THROMBECT AV FISTULA,5955.0,5955.0,341.14,18458.42,124 CDM,76100963,HC MAPS REM ENDOVAS VENA CAVA FILTER,3400.0,3400.0,574.6,10473.94,121 CDM,76100964,HC MAPS REPAIR F/E/E/N/L/M 5.1-7.5 CM,139.0,139.0,23.49,811.0,124 CDM,76100979,HC MAPS INJECTION TREATMENT OF PUDENDAL NERVE,955.0,955.0,73.5,4326.0,124 CDM,76101755,HC MAPS ANALYZE NEUROSTIM SIMPLE,450.0,450.0,67.19,450.0,122 CDM,76101756,HC MAPS 9VHPV VACCINE 3 DOSE IM,823.0,823.0,10.0,823.0,106 CDM,76101758,HC MAPS N BLOCK INJ PUDENDAL,180.0,180.0,30.42,3245.0,124 CDM,76101763,HC MAPS INJECTION THERAPY OF VEIN,365.0,365.0,9.35,1348.49,124 CDM,76101765,HC MAPS DRAIN/INJ JOINT/BURSA W/US,249.0,249.0,42.08,1018.21,124 CDM,7612579025P9045,ALBUMIN HUMAN 5 IV SOLN,180.0,180.0,24.3,180.0,119 CDM,7612579026P9045,ALBUMIN HUMAN 5 IV SOLN,180.0,180.0,24.3,180.0,119 CDM,7612815575J9600,PORFIMER SODIUM 75 MG IV SOLR,83963.0,83963.0,11335.01,83963.0,119 CDM,76200008,HC OBSERVATION ADJUSTMENT,204.0,204.0,27.54,3786.0,112 CDM,76200009,HC DOWNGRADE OBSERVATION UNIT CHARGE,304.0,304.0,41.04,3786.0,112 CDM,7620410001J7644,IPRATROPIUM BROMIDE 0.02 INHALATION SOLN,6.0,6.0,0.37,6.0,112 CDM,7620410025J7644,IPRATROPIUM BROMIDE 0.02 INHALATION SOLN,6.0,6.0,0.37,6.0,112 CDM,7620410030J7644,IPRATROPIUM BROMIDE 0.02 INHALATION SOLN,6.0,6.0,0.37,6.0,112 CDM,7620410060J7644,IPRATROPIUM BROMIDE 0.02 INHALATION SOLN,6.0,6.0,0.37,6.0,112 CDM,7620420001J7613,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,5.0,5.0,0.07,5.0,112 CDM,7620420025J7613,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,4.0,4.0,0.07,4.0,112 CDM,7620420030J7613,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,4.0,4.0,0.07,4.0,112 CDM,7620420060J7613,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,4.0,4.0,0.07,4.0,112 CDM,7620460001J7620,IPRATROPIUMALBUTEROL 0.52.5 (3) MG/3ML INHALATION,7.0,7.0,0.19,7.0,112 CDM,7620460005J7620,IPRATROPIUMALBUTEROL 0.52.5 (3) MG/3ML INHALATION,7.0,7.0,0.19,7.0,112 CDM,7620460012J7620,IPRATROPIUMALBUTEROL 0.52.5 (3) MG/3ML INHALATION,7.0,7.0,0.19,7.0,112 CDM,7620460030J7620,IPRATROPIUMALBUTEROL 0.52.5 (3) MG/3ML INHALATION,7.0,7.0,0.19,7.0,112 CDM,7620460060J7620,IPRATROPIUMALBUTEROL 0.52.5 (3) MG/3ML INHALATION,7.0,7.0,0.19,7.0,112 CDM,7620470001J7612,LEVALBUTEROL HCL 0.31 MG/3ML INHALATION NEBU,7.0,7.0,0.27,7.0,112 CDM,7620470011J7612,LEVALBUTEROL HCL 0.31 MG/3ML INHALATION NEBU,7.0,7.0,0.27,7.0,112 CDM,7620480001J7614,LEVALBUTEROL HCL 0.63 MG/3ML INHALATION NEBU,7.0,7.0,0.08,7.0,112 CDM,7620480011J7614,LEVALBUTEROL HCL 0.63 MG/3ML INHALATION NEBU,7.0,7.0,0.08,7.0,112 CDM,7620490001J7612,LEVALBUTEROL HCL 1.25 MG/3ML INHALATION NEBU,7.0,7.0,0.27,7.0,112 CDM,7620490011J7612,LEVALBUTEROL HCL 1.25 MG/3ML INHALATION NEBU,7.0,7.0,0.27,7.0,112 CDM,7620490015J7612,LEVALBUTEROL HCL 1.25 MG/3ML INHALATION NEBU,7.0,7.0,0.27,7.0,112 CDM,7620490025J7612,LEVALBUTEROL HCL 1.25 MG/3ML INHALATION NEBU,7.0,7.0,0.27,7.0,112 CDM,7628264038J7626,BUDESONIDE 0.25 MG/2ML INHALATION SUSP,8.0,8.0,1.05,8.0,112 CDM,7628264137J7626,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,8.0,8.0,1.05,8.0,112 CDM,7629700112J7030,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),14.0,14.0,1.89,14.0,112 CDM,7629700112J7050,SODIUM CHLORIDE 0.9 IV SOLN,14.0,14.0,0.63,14.0,112 CDM,7629700121J7030,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),16.0,16.0,1.99,16.0,112 CDM,7629700121J7050,SODIUM CHLORIDE 0.9 IV SOLN,16.0,16.0,0.63,16.0,112 CDM,7629700131J7030,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),18.0,18.0,1.99,18.0,112 CDM,7629700131J7050,SODIUM CHLORIDE 0.9 IV SOLN,18.0,18.0,0.63,18.0,112 CDM,7629700132J7050,SODIUM CHLORIDE 0.9 IV SOLN,18.0,18.0,0.63,18.0,112 CDM,7631002401J1455,FOSCARNET SODIUM 6000 MG/250ML IV SOLN,1773.0,1773.0,6.71,1773.0,112 CDM,7631002415J1455,FOSCARNET SODIUM 6000 MG/250ML IV SOLN,1800.0,1800.0,6.71,1800.0,112 CDM,7631002425J1455,FOSCARNET SODIUM 6000 MG/250ML IV SOLN,1800.0,1800.0,6.71,1800.0,112 CDM,7632912401J3430,PHYTONADIONE 1 MG/0.5ML INJECTION SOLN,90.0,90.0,2.21,90.0,112 CDM,7632914691J2310,NALOXONE HCL 2 MG/2ML INJECTION SOSY,119.0,119.0,8.7,119.0,111 CDM,7632919121J2270,MORPHINE SULFATE 1 MG/ML IV SOLN (WRAPPER),51.0,51.0,2.78,51.0,112 CDM,7632933161J0171,EPINEPHRINE HCL 0.1 MG/ML INJECTION (WRAPPER),36.0,36.0,0.76,36.0,111 CDM,7632933181J0171,EPINEPHRINE HCL 0.1 MG/ML INJECTION (WRAPPER),45.0,45.0,0.76,45.0,111 CDM,7632933210J2785,REGADENOSON 0.4 MG/5ML IV SOLN,108.0,108.0,2.68,108.0,112 CDM,7632933401J0461,ATROPINE SULFATE 1 MG/10ML INJECTION SOSY,42.0,42.0,0.07,42.0,112 CDM,7632933691J2310,NALOXONE HCL 2 MG/2ML INJECTION SOSY,119.0,119.0,8.7,119.0,111 CDM,7632933901J2003,LIDOCAINE HCL (CARDIAC) 100 MG/5ML IV SOSY (WRAPPE,30.0,30.0,0.01,30.0,111 CDM,7632933995J2690,PROCAINAMIDE HCL 100 MG/ML INJECTION SOLN,306.0,306.0,41.31,1036.48,119 CDM,7632982610J2060,LORAZEPAM 2 MG/ML INJECTION SOLN,36.0,36.0,1.32,36.0,112 CDM,7632982611J2060,LORAZEPAM 2 MG/ML INJECTION SOLN,36.0,36.0,1.32,36.0,112 CDM,7632990600J0171,EPINEPHRINE (ANAPHYLAXIS) 30 MG/30ML INJECTION SOL,810.0,810.0,0.76,810.0,111 CDM,77000003,HC MAPS CA SCREEN PELVIC/BREAST EXAM,56.0,56.0,9.46,337.0,119 CDM,77100001,HC VACCINE INITIAL,310.0,310.0,20.87,310.0,114 CDM,77100004,HC VACCINE EA ADDTL,48.0,48.0,6.48,48.0,105 CDM,77100011,HC MAPS VACCINE INITIAL,60.0,60.0,10.14,238.85,114 CDM,77100012,HC MAPS IMMUNIZATION ADMIN EACH ADD,20.0,20.0,2.7,20.0,105 CDM,77100013,HC MAPS ADMINISTER FLU VACCINE,108.0,108.0,10.0,155.34,117 CDM,77100016,HC ADMIN PNEUMOCOCCAL VAC,459.0,459.0,10.0,459.0,117 CDM,77100037,HC TIXAGEV AND CILGAV INJ,416.0,416.0,56.16,416.0,109 CDM,7820611801J0702,BETAMETHASONE SOD PHOS ACET 6 (33) MG/ML INJECTI,150.0,150.0,6.89,150.0,112 CDM,7820614501J7307,ETONOGESTREL 68 MG SC IMPL,4373.0,4373.0,590.36,4373.0,115 CDM,7820614801Q5112,TRASTUZUMABDTTB 420 MG IV SOLR,13353.0,13353.0,18.02,13353.0,119 CDM,7820614899Q5112,TRASTUZUMABDTTB 420 MG IV SOLR,13353.0,13353.0,18.02,13353.0,119 CDM,7820616201Q5104,INFLIXIMABABDA 100 MG IV SOLR,2713.0,2713.0,25.05,2713.0,119 CDM,7967261301J7030,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),85.0,85.0,1.99,85.0,112 CDM,7967261301J7050,SODIUM CHLORIDE 0.9 IV SOLN,85.0,85.0,0.63,85.0,112 CDM,7995211001J9359,LONCASTUXIMAB TESIRINELPYL 10 MG IV SOLR,97284.0,97284.0,212.12,97284.0,119 CDM,8.07771E 14,COVID19 MRNA VACC (MODERNA) 50 MCG/0.5ML IM SUSY,489.0,489.0,40.0,567.22,372 CDM,80100003,HC O/P HEMODIALYSIS 2 1,3261.0,3261.0,171.53,3261.0,122 CDM,80100004,HC HEMODIALYSIS 1 1,1868.0,1868.0,171.53,2276.63,121 CDM,80100005,HC ACUTE HEMODIALYSIS (IP) 2 1,3261.0,3261.0,171.53,3261.0,121 CDM,80100009,HC 801 NO CPT - CVVHD,3636.0,3636.0,490.86,3636.0,108 CDM,80100012,HC CVVHD,3636.0,3636.0,490.86,3636.0,108 CDM,80100013,HC ACUTE HEMODIALYSIS (IP) 1 1,1393.0,1393.0,171.53,2276.63,121 CDM,8020334701J1302,SUTIMLIMABJOME 1100 MG/22ML IV SOLN,6904.0,6904.0,18.11,6904.0,119 CDM,8080315350J9331,SIROLIMUS PROTEINBOUND PART 100 MG IV SUSR,27486.0,27486.0,84.53,27486.0,119 CDM,8083023621J0612,CALCIUM GLUCONATENACL 10.675 GM/50ML IV SOLN,72.0,72.0,0.03,72.0,112 CDM,8083023622J0612,CALCIUM GLUCONATENACL 10.675 GM/50ML IV SOLN,72.0,72.0,0.03,72.0,112 CDM,8083023631J0612,CALCIUM GLUCONATENACL 20.675 GM/100ML IV SOLN,143.0,143.0,0.03,143.0,112 CDM,8083023632J0612,CALCIUM GLUCONATENACL 20.675 GM/100ML IV SOLN,143.0,143.0,0.03,143.0,112 CDM,8083023639J0612,CALCIUM GLUCONATENACL 20.675 GM/100ML IV SOLN,143.0,143.0,0.03,143.0,112 CDM,8083024651J1836,METRONIDAZOLE IV SYRINGE 5MG/ML NSS (NEO/PED) (WRA,11.0,11.0,0.03,11.0,112 CDM,8083024659J1836,METRONIDAZOLE IV SYRINGE 5MG/ML NSS (NEO/PED) (WRA,11.0,11.0,0.03,11.0,112 CDM,8105213810A9603,PAFOLACIANINE SODIUM 3.2 MG/1.6ML IV SOLN,15300.0,15300.0,132.29,15300.0,111 CDM,8128421300J2371,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),65.0,65.0,0.01,65.0,108 CDM,8128421301J2371,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),65.0,65.0,0.01,65.0,108 CDM,8128441105J1110,DIHYDROERGOTAMINE MESYLATE 1 MG/ML INJECTION SOLN,281.0,281.0,37.94,281.0,112 CDM,8128441110J1110,DIHYDROERGOTAMINE MESYLATE 1 MG/ML INJECTION SOLN,249.0,249.0,33.62,249.0,112 CDM,8129881101J9075,CYCLOPHOSPHAMIDE 500 MG INJECTION SOLR,425.0,425.0,0.58,425.0,119 CDM,8129881121J9075,CYCLOPHOSPHAMIDE 1 G INJECTION SOLR,911.0,911.0,0.58,911.0,119 CDM,8164392701J9200,FLOXURIDINE 0.5 G INJECTION SOLR,13565.0,13565.0,1831.28,13565.0,119 CDM,8192711101J9261,NELARABINE 5 MG/ML IV SOLN,2376.0,2376.0,63.38,2376.0,119 CDM,8192711106J9261,NELARABINE 5 MG/ML IV SOLN,2376.0,2376.0,63.38,2376.0,119 CDM,8195211101J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,10.0,10.0,0.18,10.0,112 CDM,8195211106J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,10.0,10.0,0.18,10.0,112 CDM,8195211204J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,13.0,13.0,0.18,13.0,112 CDM,8195212414J1650,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,31.0,31.0,0.53,31.0,112 CDM,8195212424J1650,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,31.0,31.0,0.53,31.0,112 CDM,8196003103Q0224,PEMIVIBART 500 MG/4ML IV SOLN,2310.0,2310.0,390.39,7962.9,121 CDM,82100001,HC O/P HEMODIALYSIS 1 1,1868.0,1868.0,171.53,2276.63,122 CDM,8270500201J9321,EPCORITAMABBYSP 4 MG/0.8ML SC SOLN,4753.0,4753.0,5.31,4753.0,119 CDM,8270501001J9321,EPCORITAMABBYSP 48 MG/0.8ML SC SOLN,57026.0,57026.0,5.31,57026.0,119 CDM,8273707301J2277,MOTIXAFORTIDE ACETATE 62 MG SC SOLR,21240.0,21240.0,25.22,21240.0,119 CDM,8290306423J1642,HEPARIN SOD (PORK) LOCK FLUSH 100 UNIT/ML IV SOLN,3.0,3.0,0.02,3.0,112 CDM,8290306424J1642,HEPARIN SOD (PORK) LOCK FLUSH 100 UNIT/ML IV SOLN,3.0,3.0,0.02,3.0,112 CDM,8290306513J1642,HEPARIN SOD (PORK) LOCK FLUSH 100 UNIT/ML IV SOLN,3.0,3.0,0.02,3.0,112 CDM,8290306514J1642,HEPARIN SOD (PORK) LOCK FLUSH 100 UNIT/ML IV SOLN,1.0,1.0,0.02,1.0,112 CDM,8290306544A4216,NORMAL SALINE FLUSH 0.9 IV SOLN,2.0,2.0,0.27,2.0,111 CDM,8290306545A4216,SODIUM CHLORIDE FLUSH 0.9 IV SOLN,2.0,2.0,0.27,2.0,111 CDM,8290306546A4216,SODIUM CHLORIDE FLUSH 0.9 IV SOLN,2.0,2.0,0.27,2.0,111 CDM,8290306553A4216,SODIUM CHLORIDE FLUSH 0.9 IV SOLN,5.0,5.0,0.68,5.0,111 CDM,8295911101C9399,IMETELSTAT SODIUM 188 MG IV SOLR,35583.0,35583.0,4803.7,35583.0,113 CDM,8295911201C9399,IMETELSTAT SODIUM 47 MG IV SOLR,8896.0,8896.0,1200.96,8896.0,113 CDM,8309001101J0878,DAPTOMYCIN 500 MG IV SOLR,108.0,108.0,0.03,108.0,112 CDM,8325700311Q5114,TRASTUZUMABDKST 420 MG IV SOLR,9451.0,9451.0,37.71,9451.0,119 CDM,8325700412Q5114,TRASTUZUMABDKST 420 MG IV SOLR,9451.0,9451.0,37.71,9451.0,119 CDM,8325700541Q5108,PEGFILGRASTIMJMDB 6 MG/0.6ML SC SOSY,7515.0,7515.0,98.87,7515.0,119 CDM,8363420261J9245,MELPHALAN HCL 50 MG IV SOLR,918.0,918.0,86.94,918.0,119 CDM,8363440010J0583,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,324.0,324.0,0.16,324.0,112 CDM,8363440041J0583,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,324.0,324.0,0.16,324.0,112 CDM,8363450041J3475,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,19.0,19.0,0.41,19.0,112 CDM,8363450081J3475,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,19.0,19.0,0.41,19.0,112 CDM,8363477610J1453,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR,144.0,144.0,0.11,144.0,112 CDM,8363477802J0780,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,22.0,22.0,2.31,22.0,112 CDM,8363477841J0780,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,22.0,22.0,2.31,22.0,112 CDM,8363477902J2765,METOCLOPRAMIDE HCL 5 MG/ML INJECTION SOLN,6.0,6.0,0.81,6.0,112 CDM,8363477941J2765,METOCLOPRAMIDE HCL 5 MG/ML INJECTION SOLN,6.0,6.0,0.81,6.0,112 CDM,8881570300A4216,SODIUM CHLORIDE FLUSH 0.9 IV SOLN,3.0,3.0,0.41,3.0,111 CDM,89100001,HC CAR T PROTOCOL,1.0,1.0,0.14,1704352.77,120 CDM,89100003,HC BREYANZI CAR T,2500000.0,2500000.0,337500.0,2500000.0,117 CDM,89100004,HC ABECMA CAR T,2500000.0,2500000.0,337500.0,2500000.0,117 CDM,89100005,HC CARVYKTI,2500000.0,2500000.0,337500.0,2500000.0,117 CDM,8912272420J7321,SODIUM HYALURONATE (VISCOSUP) 20 MG/2ML INTRAARTIC,684.0,684.0,72.96,684.0,112 CDM,90000003,HC PSYCH ASSESSMENT,190.58,190.58,4.0,999.0,125 CDM,90000004,HC CASE MANAGEMENT,94.16,94.16,14.78,999.0,112 CDM,90000011,HC SOCIAL REHAB-OTHER BILLABLE,24.66,24.66,4.17,999.0,112 CDM,90000022,HC MAPS PSYCH DIAGNOSTIC EVALUATION,344.0,344.0,51.71,999.0,122 CDM,90000024,HC SUPPORTED LIVING,55.66,55.66,9.41,999.0,111 CDM,90000025,HC COMPREHENSIVE MEDICATION SVCS,76.5,76.5,12.93,999.0,112 CDM,90000027,HC PSYCHIATRIC DIAGNOSTIC EVALUATION NO MEDICAL S,299.25,299.25,50.57,999.0,122 CDM,91400000,HC MAPS INTERVENE HLTH/BEHAVE INDIV,58.0,58.0,7.83,58.0,110 CDM,91400001,HC PSYCH INDIV THERAPY W/MD (30 MINS),228.24,228.24,38.57,588.79,119 CDM,91400015,HC INDIVIDUAL THERAPY NON MD,103.56,103.56,17.5,588.79,119 CDM,91400016,HC SPECIALIZED INDIVIDUALTHERAPY (INACTIVE),106.0,106.0,17.91,588.79,119 CDM,91400018,HC INDIVIDUAL THERAPY NON MD-MODERATE,129.94,129.94,21.96,588.79,119 CDM,91400019,HC INDIVIDUAL THERAPY NON MD,190.6,190.6,32.21,588.79,119 CDM,91400021,HC INDIVIDUAL THERAPY- TFCBT,140.36,140.36,23.72,588.79,119 CDM,91400022,HC IND THERAPY MODERATE MD (45 MINS),342.08,342.08,57.81,588.79,119 CDM,91400023,HC IND THERAPY COMPLEX MD ( 60 MINS),456.54,456.54,77.16,588.79,119 CDM,91400025,HC CBE-PHD. ADULTS,139.16,139.16,23.52,588.79,119 CDM,91400033,HC ICM ACCESS,81.0,81.0,10.94,81.0,110 CDM,91400034,HC BCM (BLENDED CASE MANAGEMENT),68.0,68.0,9.18,68.0,110 CDM,91400035,HC RC PAR (PREVENTION RECOVERY SERVICES),68.0,68.0,9.18,68.0,110 CDM,91400036,HC SPECIALIZED CASE MANAGEMENT-RC,30.0,30.0,4.05,30.0,110 CDM,91400037,HC BEHAVIORAL HEALTH COUNSELING AND THERAPY,94.16,94.16,12.71,94.16,113 CDM,91400040,HC BCM (BLENDED CASE MANAGEMENT)- CHILD,52.66,52.66,7.11,52.66,110 CDM,91400041,HC PSYCHIATRIC EVAL,711.48,711.48,120.24,711.48,119 CDM,91400048,THERAPY NON MD CLINICAL PSYCHOLOGIST,46.25,46.25,7.82,588.79,119 CDM,91400049,THERAPY NON MD LICENSED MASTER,36.25,36.25,6.13,588.79,119 CDM,91400050,THERAPY NON MD POSTDOC,30.0,30.0,5.07,588.79,119 CDM,91400051,THERAPY NON MD GRAD STUDENT,12.5,12.5,2.11,588.79,119 CDM,91400052,HC INDIVIDUAL THERAPY - EXPOSED BASED CBT,58.0,58.0,9.8,588.79,119 CDM,91400053,HC FAMILY THERAPY - EXPOSED BASED CBT,29.0,29.0,4.9,588.79,119 CDM,91400054,HC FAMILY COLLATERAL THERAPY - EXPOSED BASED CBT,29.0,29.0,4.9,588.79,119 CDM,91500013,HC GROUP THERAPY,15.76,15.76,2.66,337.0,119 CDM,91500014,HC GROUP THERAPY-TDP,15.76,15.76,2.66,337.0,119 CDM,91500021,HC SPECIALIZED GROUP THERAPY,299.25,299.25,50.57,337.0,119 CDM,91500022,HC CRNP EVALUATION,711.48,711.48,120.24,711.48,119 CDM,91500023,HC MEDICATION MANAGEMENT - CRNP,84.7,84.7,11.43,84.7,110 CDM,91500024,HC CRNP EVALUATION - AUDIO ONLY TELEHEALTH,711.48,711.48,120.24,711.48,119 CDM,91500025,HC MEDICATION MANAGEMENT - CRNP - AUDIO ONLY TELEH,84.7,84.7,11.43,84.7,110 CDM,91600006,HC PSYCH FAM/COUPLES MD W/PT,108.64,108.64,18.36,588.79,119 CDM,91600008,HC PSYCH FAM/COUPLE NON-MD W/PT,43.5,43.5,7.35,588.79,119 CDM,91600009,HC PSYCH COLLATERAL FAM MD W/O PT,118.8,118.8,20.08,588.79,119 CDM,91600010,HC PSYCH COLLATERAL FAM NON MD W/O PT,55.26,55.26,9.34,588.79,119 CDM,91600017,HC FAMILY THERAPY-TFCBT,70.18,70.18,11.86,588.79,119 CDM,91600018,HC O/P PSYCH FAMILY COLLATERAL W/O PT --TFCBT,70.18,70.18,11.86,588.79,119 CDM,91600033,COLLATERAL FAM NON MD CLINICAL PSYCHOLOGIST,46.25,46.25,7.82,588.79,119 CDM,91600034,COLLATERAL FAM NON MD LICENSED MASTER,36.25,36.25,6.13,588.79,119 CDM,91600035,COLLATERAL FAM NON MD POSTDOC,30.0,30.0,5.07,588.79,119 CDM,91600036,COLLATERAL FAM NON MD GRAD STUDENT,12.5,12.5,2.11,588.79,119 CDM,91700000,HC MAPS BIOFEEDBACK PERI/URO/RECTAL,118.0,118.0,19.94,999.0,122 CDM,91800002,HC MAPS ASSESS HLTH/BEHAVE SUBSEQ,58.0,58.0,7.83,999.0,113 CDM,91800003,HC MAPS ASSESS HLTH/BEHAVE INIT,58.0,58.0,7.83,999.0,113 CDM,91800008,HC MAPS PSYCH/NEUROPSYCH TEST ADMIN SCORING 2 OR,222.0,222.0,19.96,999.0,125 CDM,91800009,HC MAPS NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP EA AD,113.0,113.0,15.26,999.0,111 CDM,91800010,HC MAPS PAYCL/NRPSYCL TST PHYS/QHP 2 TST EA ADDL,113.0,113.0,15.26,999.0,111 CDM,91800011,HC MAPS DEVELOPMENTAL TST ADMIN PHYS/QHP 1ST HOUR,275.0,275.0,46.47,999.0,125 CDM,91800012,HC MAPS DEVELOPMENTAL TST ADMIN PHYS/QHP EA ADDL 3,275.0,275.0,37.13,999.0,111 CDM,91800013,HC MAPS NEUROBEHAVIORAL STATUS XM PHYS/QHP EA ADDL,275.0,275.0,37.13,999.0,108 CDM,91800014,HC MAPS NRPSYC TST EVAL PHYS/QHP 1ST,350.0,350.0,59.15,1237.84,125 CDM,91800017,HC MAPS NUBHVL XM PHYS/QHP 1ST HR,335.0,335.0,56.61,999.0,122 CDM,91800018,HC PSYCL TST EVAL PHYS/QHP 1ST,302.5,302.5,51.12,999.0,125 CDM,91800019,HC PSYCL TST EVAL PHYS/QHP EA,302.5,302.5,40.84,999.0,111 CDM,91900001,HC HOURLY 1 1 OBSERVATION ON INPATIENT PSYCH,70.0,70.0,9.45,70.0,107 CDM,92000001,HC VOLUME PULSE RECOGNITION BILAT,473.0,473.0,63.94,743.56,125 CDM,92000002,HC US EXTRACRAN ARTERIES UNI/LIMT,3239.0,3239.0,91.2,3239.0,125 CDM,92000003,HC VESSEL MAP FOR HEMO COMP BILATERAL,725.0,725.0,122.52,791.48,125 CDM,92000005,HC TRANSCRANIAL LIMITED,2835.0,2835.0,37.72,2835.0,125 CDM,92000022,HC CAROTID DUPLEX SCAN UNILAT,3239.0,3239.0,91.2,3239.0,125 CDM,92000023,HC TCD EMBOLI DETECT W/O INJ,3957.0,3957.0,57.74,3957.0,125 CDM,92000024,HC LWR XTR VASC STDY BILAT,3959.0,3959.0,63.94,3959.0,125 CDM,92000025,HC ARTERIAL DUPLEX UNILAT LEG,2532.0,2532.0,57.74,2532.0,125 CDM,92000027,HC ARTERIAL DUPLEX UNILAT ARM,2532.0,2532.0,57.74,2532.0,125 CDM,92000029,HC VENOUS DUPLEX SCAN UNILAT,2797.0,2797.0,57.74,2797.0,125 CDM,92000030,HC DOPPLER FLOW TESTING,572.0,572.0,57.74,572.0,125 CDM,92000045,HC GLUCOSE MONITORING CONT,424.0,424.0,71.66,441.63,125 CDM,92000046,HC MUSCLE TEST THOR PARASPINAL,784.0,784.0,7.79,784.0,125 CDM,92000047,HC MUSCLE TEST NONPARASPINAL,1425.0,1425.0,17.26,1425.0,125 CDM,92000048,HC MUSCLE TEST ONE FIBER,3944.0,3944.0,21.0,3944.0,125 CDM,92000049,HC MUSC TST DONE W/NERV TST LIM,491.0,491.0,27.89,491.0,116 CDM,92000050,HC MUSC TEST DONE W/N TEST COMP,1124.0,1124.0,29.39,1124.0,116 CDM,92000051,HC MUSC TST DONE W/N TST NONEXT,681.0,681.0,26.48,681.0,116 CDM,92000054,HC MAPS ANALYZE NEUROSTIM COMPLEX,156.0,156.0,26.36,315.37,125 CDM,92000066,HC MAPS VISUAL FIELD EXAMINATION(S) EXTENDED,120.0,120.0,20.28,441.35,120 CDM,92000071,HC MAPS FETAL NON-STRESS TEST,1165.0,1165.0,4.72,1861.05,125 CDM,92000077,HC MAPS CHORION BIOPSY,549.0,549.0,59.0,3055.3,125 CDM,92000086,HC MAPS VISUAL EVOKD POTENTL(VEP) T,193.0,193.0,32.62,716.25,125 CDM,92000095,HC ANALYZE NEUROSTIM,1686.0,1686.0,67.19,1686.0,122 CDM,92000096,HC VISUAL EVOKED RESPONSE,2123.0,2123.0,56.82,2123.0,125 CDM,92000100,HC MAPS ELEC ALYS IMPLT SMPL CN NPGT PRGRMG,189.0,189.0,23.45,189.0,125 CDM,92000101,HC MAPS ELEC ALYS IMPLT CPLX CN NPGT PRGRMG,188.0,188.0,31.77,315.37,125 CDM,92000102,HC MAPS ELEC ALYS IMPLT BRN NPGT PRGRMG 1ST 15 MIN,189.0,189.0,23.45,315.37,125 CDM,92000103,HC MAPS ELEC ALYS IMPLT BRN NPGT PRGRMG EA ADDL 15,85.0,85.0,11.48,85.0,110 CDM,92000117,HC MAPS INTER DEVC REMOTE 30D,166.0,166.0,22.41,166.0,116 CDM,92100001,HC ULTRASOUND EXTREMITY VEINS,4151.0,4151.0,91.2,4151.0,125 CDM,92100002,HC US EXTREM VEINS UNILAT/LTD,2897.0,2897.0,57.74,2897.0,125 CDM,92100003,HC ULTRASOUND CAROTID,4151.0,4151.0,91.2,4151.0,125 CDM,92100004,HC US TRUNK (ORG/ART/VEINS),5023.0,5023.0,91.2,5023.0,125 CDM,92100005,HC US TRUNK ORG/ART/VEINS FU,3605.0,3605.0,78.6,3605.0,125 CDM,92100006,HC ULTRASOUND PENILE VESSELS,908.0,908.0,91.2,908.0,125 CDM,92100007,HC CHD RISK IMT STUDY,139.0,139.0,22.69,139.0,122 CDM,92100008,HC ARTERIAL PVR/DOPPLER LIM,1926.0,1926.0,37.11,1926.0,125 CDM,92100011,HC TRANSCRANIAL DOPPLER COMPLETE,4045.0,4045.0,91.2,4045.0,125 CDM,92100013,HC MAPS US TRUNK (ORG/ART/VEINS),634.0,634.0,91.2,1545.38,125 CDM,92100014,HC MAPS ULTRASOUND CAROTID,434.0,434.0,73.35,1113.19,125 CDM,92100015,HC MAPS US EXTREM VEINS UNILAT/LTD,446.0,446.0,57.74,694.3,125 CDM,92100016,HC MAPS ULTRASOUND EXTREMITY VEINS,573.0,573.0,91.2,1094.64,125 CDM,92100017,HC MAPS VENOUS DUPLEX SCAN UNILAT,446.0,446.0,57.74,694.3,125 CDM,92100018,HC MAPS ARTERIAL DUPLEX UNILAT LEG,561.0,561.0,57.74,754.25,125 CDM,92100019,HC MAPS LWR XTR VASC STDY BILAT,522.0,522.0,63.94,918.36,125 CDM,92100020,HC MAPS VOLUME PULSE RECOGNITION BILAT,273.0,273.0,46.14,743.56,125 CDM,92100021,HC MAPS US TRUNK MAJ VES/ART/VEINS,203.0,203.0,34.31,1053.76,125 CDM,92100022,HC MAPS US UPP EXT ARTERIES (BIL),611.0,611.0,91.2,1143.0,125 CDM,92100024,HC MAPS US LOW EXT ARTERIES BILAT,834.0,834.0,91.2,1410.87,125 CDM,92100049,HC MAPS UPR/L XTREMITY ART 2 LEVELS,123.0,123.0,20.79,474.64,125 CDM,92100050,HC MAPS UPPER EXTREMITY STUDY,385.0,385.0,57.74,723.12,125 CDM,92100051,HC MAPS DUPLEX SCAN ABNMPELVCSCROTAL,346.0,346.0,58.47,836.3,125 CDM,92100052,HC NEONATAL HEAD DOPPLER,2835.0,2835.0,37.72,2835.0,125 CDM,92100053,HC TRANSCRAN DOPPLER INTRACRANI,4045.0,4045.0,91.2,4045.0,125 CDM,92100054,HC TRANSCRAN DOPPLER LI,2835.0,2835.0,37.72,2835.0,125 CDM,92100061,HC MAPS DUPLX SCAN-AORTAINFER VENA CAVA UNILAT/LIM,336.0,336.0,56.78,682.3,125 CDM,92100064,HC DUP-SCAN HEMO COMPL UNI STD,315.0,315.0,53.23,350.41,125 CDM,92200001,HC EMG 1 EXTREMITY T/F,963.0,963.0,17.5,963.0,125 CDM,92200003,HC EMG CRANIAL BIL T/F,658.0,658.0,25.46,716.25,125 CDM,92200004,HC 3-4 NERVE CONDUCTION STUDIES,2309.0,2309.0,26.84,2309.0,125 CDM,92200005,HC 5-6 NERVE CONDUCTION STUDIES,3345.0,3345.0,26.84,3345.0,125 CDM,92200006,HC 7-8 NERVE CONDUCTION STUDIES,4373.0,4373.0,26.84,4373.0,125 CDM,92200007,HC 9-10 NERVE CONDUCTION STUDIES,5406.0,5406.0,49.69,5406.0,125 CDM,92200008,HC 11-13 NERVE CONDUCTION STUDIES,6434.0,6434.0,49.69,6434.0,125 CDM,92200009,HC 13 OR > NERVE CONDUCTION STUDI,6949.0,6949.0,49.69,6949.0,125 CDM,92200011,HC MAPS 9-10 NERVE CONDUCTION STUDIES,342.0,342.0,49.69,1237.84,125 CDM,92200012,HC MAPS 7-8 NERVE CONDUCTION STUDIES,323.0,323.0,26.84,1237.84,125 CDM,92200015,HC MAPS MUSC TEST DONE W/N TEST COMP,161.0,161.0,21.74,161.0,116 CDM,92200016,HC MAPS MUSC TST DONE W/NERV TST LIM,138.0,138.0,18.63,138.0,116 CDM,92200017,HC MAPS MUSCLE TEST ONE FIBER,170.0,170.0,21.0,716.25,125 CDM,92200019,HC MAPS NEUROMUSCULAR JUNCTION TEST,176.0,176.0,12.23,426.82,125 CDM,92200020,HC MAPS ANAL/URINARY MUSCLE STUDY,231.0,231.0,39.04,828.78,122 CDM,92200023,HC MAPS GUIDE NERV DESTR NEEDLE EMG,119.0,119.0,16.07,119.0,112 CDM,92200024,HC MAPS NVR CNDJ TST 1-2 STUDIES,193.0,193.0,26.84,716.25,125 CDM,92200025,HC MAPS NRV CNDJ TST 3-4 STUDIES,193.0,193.0,26.84,716.25,125 CDM,92200026,HC MAPS NRV CNDJ TST 5-6 STUDIES,334.0,334.0,26.84,716.25,125 CDM,92200027,HC MAPS NRV CNDJ TEST 11-12 STUDIES,339.0,339.0,49.69,1237.84,125 CDM,92200028,HC MAPS NERVE CONDCTN STUDS 13 OR MORE,321.0,321.0,49.69,1237.84,125 CDM,92200073,HC EMG 3 EXTREMITY W/OR WO PARASP,6505.0,6505.0,25.0,6505.0,125 CDM,92200074,HC EMG 3 EXTREMITY W/OR WO PARASP,2403.0,2403.0,22.5,2403.0,125 CDM,92300003,HC MAPS SCREEN PAP SMEAR TO LAB,65.0,65.0,5.49,95.94,122 CDM,92400011,HC MAPS RAPID DESENSITIZATION,264.0,264.0,8.5,1481.85,125 CDM,92900010,HC MAPS APHASIA ASSESMENT 1ST HR,168.0,168.0,28.39,317.44,125 CDM,94000001,HC THERAPEUTIC PHLEBOTOMY,423.0,423.0,1.14,441.35,125 CDM,94000002,HC CHEMO VIA SPINAL TAP,2299.0,2299.0,76.66,8112.0,124 CDM,94000003,HC CHEMO VIA OMMAYA,1621.0,1621.0,37.43,1621.0,125 CDM,94000004,HC SQ/IM INJ NON CHEMO,248.0,248.0,12.7,248.0,125 CDM,94000005,HC CHEMO VIA OMMAYA,1621.0,1621.0,37.43,1621.0,125 CDM,94000026,HC MED NUTRITION INDIV SUBSEQ,248.0,248.0,17.22,248.0,122 CDM,94000027,HC SELF-MGMT EDUC TRAIN 1 PT,132.0,132.0,17.82,132.0,107 CDM,94000028,HC DIAB MANAGE TRN PER INDIV,468.0,468.0,21.41,468.0,125 CDM,94000029,HC DIAB MANAGE TRN IND/GROUP,223.0,223.0,12.07,223.0,125 CDM,94000037,HC CHEMO INTRALESIONAL UP TO 7,540.0,540.0,20.87,540.0,125 CDM,94000038,HC CHEMO INTRALESIONAL OVER 7,540.0,540.0,38.12,705.56,125 CDM,94000039,HC APHERESIS WBC THERAPEUTIC,185.0,185.0,31.26,1095.69,125 CDM,94000045,PHOTOPHERESIS,516.0,516.0,10.0,516.0,115 CDM,94000046,HC PSYCH CLOZAPINE SUPP SVC,118.8,118.8,16.04,118.8,112 CDM,94000047,HC MED ADMIN EVAL NON MD,47.02,47.02,6.35,47.02,112 CDM,94000048,HC MED ADM-RISPERADOL CONSTA INJ,47.02,47.02,6.35,47.02,112 CDM,94000049,HC MED ADM-SUSTENA,47.02,47.02,6.35,47.02,112 CDM,94000050,HC MED ADM -HALDOL INJECTION,47.02,47.02,6.35,47.02,112 CDM,94000051,HC MED ADM- PROLIXIN INJECTTION,47.02,47.02,6.35,47.02,112 CDM,94000054,HC APHERESIS WBC THERAPEUTIC,4918.0,4918.0,50.0,5166.28,125 CDM,94000055,HC APHERESIS RBC THERAPEUTIC,4918.0,4918.0,50.0,5166.28,125 CDM,94000061,HC HARVEST DLI,4106.0,4106.0,73.66,4106.0,115 CDM,94000062,HC HARVEST ALLOGENEIC STEM CELL,4106.0,4106.0,73.66,4106.0,115 CDM,94000063,HC HARVEST AUTOLOGOUS STEM CELLS,8735.0,8735.0,74.01,8735.0,125 CDM,94000064,HC STEM CELL PROCESSING CRYOPRESERVATION,3653.0,3653.0,143.8,3653.0,122 CDM,94000071,HC TRANSPLANTATION ALLOGENEIC HPC,4141.0,4141.0,222.77,208654.32,119 CDM,94000072,HC TRANSPLANTATION AUTOLOGOUS HPC,4141.0,4141.0,699.83,5166.28,122 CDM,94000073,HC TRANSPLANT ALLOGENEIC LYMPHOCYTES,3765.0,3765.0,89.66,11195.82,125 CDM,94000074,HC RECEIPT PREP CAR-T CLL ADMN,13403.0,13403.0,45.86,13403.0,107 CDM,94000075,HC CAR-T CLL ADMN AUTOLOGOUS,212715.0,212715.0,132.07,212715.0,125 CDM,94000076,HC BLD DRV T LYMPHCYT PREP TRNS,13403.0,13403.0,45.49,13403.0,107 CDM,94000077,HC BLD DRV T LYMPHCYT CAR-T CLL,127630.0,127630.0,73.22,127630.0,110 CDM,94000078,HC MED ADMIN,64.5,64.5,8.71,64.5,112 CDM,94200003,HC MAPS BEHAV CHNG SMOKING 3-10 MIN,33.0,33.0,5.58,124.29,117 CDM,94200013,HC CNS ASSMT IP INIT 1ST 15 MIN,248.0,248.0,19.96,248.0,122 CDM,94200023,HC PATIENT/FAMILY EDU EACH 30 MINS,132.0,132.0,17.82,132.0,107 CDM,94200024,HC PATIENT/FAMILY EDU EACH 30 MIN-NEONATE,132.0,132.0,17.82,132.0,107 CDM,94200025,MNT INITIAL EACH 15 MIN,248.0,248.0,19.96,248.0,122 CDM,94200026,MNT REASSESMENT EACH 15 MIN,248.0,248.0,17.22,248.0,122 CDM,94200027,MNT GROUP (2 PPL) EACH 30 MIN,248.0,248.0,9.18,248.0,122 CDM,94200028,MNT SUBSQ-INDIVIDUAL EACH 15 MIN,233.0,233.0,20.87,233.0,122 CDM,94300005,HC OUTPATIENT CARDIAC REHAB W/O CONT ECG MONITOR,565.0,565.0,41.74,565.0,122 CDM,94800004,HC PHYS/QHP SVCS OP PULM REHAB W/CONT OXIMTRY MNTR,199.0,199.0,33.63,199.0,122 CDM,96900002,HC FIRST MEDICARE DIABETES PREVENTION PROGRAM (MDP,74.0,74.0,9.99,74.0,109 CDM,96900003,HC FOUR TOTAL MEDICARE DIABETES PREVENTION PROGRAM,143.0,143.0,19.3,143.0,109 CDM,96900004,HC NINE TOTAL MEDICARE DIABETES PREVENTION PROGRAM,255.0,255.0,34.43,255.0,109 CDM,96900005,HC TWO MEDICARE DIABETES PREVENTION PROGRAM (MDPP),45.0,45.0,6.08,45.0,109 CDM,96900006,HC TWO MEDICARE DIABETES PREVENTION PROGRAM IN MO,45.0,45.0,6.08,45.0,109 CDM,96900007,HC TWO MEDICARE DIABETES PREVENTION PROGRAM IN MO,171.0,171.0,23.09,171.0,109 CDM,96900008,HC TWO MEDICARE DIABETES PREVENTION PROGRAM CORE,171.0,171.0,23.09,171.0,109 CDM,96900009,HC BENEFICIARY ACHIEVED 5 WEIGHT LOSS FROM BASELI,453.0,453.0,61.16,453.0,109 CDM,96900010,HC BENEFICIARY ACHIEVED 9 WEIGHT LOSS FROM BASELI,74.0,74.0,9.99,74.0,109 CDM,96900011,HC (MDPP) ONGOING MAINTENANCE SESSIONS WERE ATTEN,143.0,143.0,19.3,143.0,109 CDM,96900012,HC (MDPP) MAINTENANCE SESSIONS WERE ATTENDED IN MO,143.0,143.0,19.3,143.0,109 CDM,96900013,HC FOUR TOTAL MEDICARE DIABETES PREVENTION PROGRAM,143.0,143.0,19.3,143.0,109 CDM,96900014,HC (MDPP) MAINTENANCE SESSIONS WERE ATTENDED IN MO,143.0,143.0,19.3,143.0,109 CDM,96900015,HC BRIDGE PAYMENT FIRST (MDPP) CORE SESSION BY TH,74.0,74.0,9.99,74.0,109 CDM,96900016,HC MDPP SESSION REPORTED AS A LINE-ITEM ON A CLAIM,74.0,74.0,9.99,74.0,109 CDM,96900017,HC AMBULATORY CONTINUOUS GLUCOSE MONITORING VIA A,195.0,195.0,32.95,195.68,125 CDM,97200009,HC CERVICAL SPINE SINGLE,455.0,455.0,14.46,455.0,123 CDM,97200010,HC ABDOMEN(AP OBLIQUE CONE),1106.0,1106.0,16.48,1106.0,123 CDM,97200015,HC BX BONE SUPERFIC PERCUTAN,3588.0,3588.0,80.64,11195.82,125 CDM,97200016,HC BX MUSCLE PERCUTANEOUS,1823.0,1823.0,72.18,20525.67,125 CDM,97200020,HC START IV FOR FLUIDS/MEDS,5.0,5.0,0.68,9.29,109 CDM,97200022,HC DRAINAGE OF HEART SAC,4751.0,4751.0,193.93,24257.61,125 CDM,97200023,HC CORE NEEDLE BX LUNG/MEDIASTINUM PERQ W/IMG,1563.0,1563.0,155.42,11195.82,124 CDM,97200026,HC INJ MAMMARY GALACTOGRAM SING,410.0,410.0,55.35,4664.92,114 CDM,97200027,HC BX LIVER PERCUT SEPARATE PROC,2241.0,2241.0,114.75,24257.61,125 CDM,97200028,HC BX LIVER PERC W/OTHER MAJ PROC,8329.0,8329.0,92.38,8329.0,114 CDM,97200029,HC MAMM CYST ASPIR ADD AREA,662.0,662.0,20.39,662.0,114 CDM,97200030,HC MAMMOGRPH CYST ASPRTION,2012.0,2012.0,36.5,3245.0,124 CDM,97200035,HC WRIST ARTHROGRM INJ.,870.0,870.0,35.0,870.0,115 CDM,97200036,HC ELBOW ARTHROGRM INJ.,787.0,787.0,35.0,787.0,115 CDM,97200037,HC SHOULDER ARTHROGRM INJ.,878.0,878.0,42.24,4664.92,114 CDM,97200039,HC INTRO LONG GI TUBE,2578.0,2578.0,19.67,6558.0,125 CDM,97200040,HC ANKLE ARTHROGRM INJ.,802.0,802.0,25.0,4664.92,114 CDM,97200041,HC INJ CONTRAST KNEE ARTH/CT/MRI,1106.0,1106.0,33.25,1106.0,115 CDM,97200044,HC HIP ARTHROGRM INJ.,1003.0,1003.0,48.0,4664.92,114 CDM,97200046,HC BX BONE DEEP PERCUTANEOUS,2495.0,2495.0,125.44,24257.61,125 CDM,97200048,HC BX NECK/THORAX,868.0,868.0,44.16,11195.82,125 CDM,97200056,HC SEL VASC CATH THORAC/BRACHIO 3,2881.0,2881.0,226.0,29855.52,115 CDM,97200058,HC EXTREMITY VENOGRAM (UNI),365.0,365.0,43.65,4664.92,114 CDM,97200059,HC SEL VASC CATH THORAC/BRACHIO 2,5626.0,5626.0,146.56,24257.61,114 CDM,97200060,HC ABG DRAWN,511.0,511.0,11.28,511.0,125 CDM,97200061,HC SEL VASC CATH VENOUS SYSTEM 1,1234.0,1234.0,146.56,20525.67,114 CDM,97200062,HC SEL VASC CATH THORAC/BRACHIO 1,2182.0,2182.0,220.16,20525.67,114 CDM,97200064,HC BX PANCREAS PERCUTANEOUS,3586.0,3586.0,296.12,24257.61,125 CDM,97200066,HC CATH AORTA FEM/BRACH PUN,2182.0,2182.0,142.08,20525.67,114 CDM,97200067,HC CATHETERIZATION EXTREM ARTERY,1295.0,1295.0,122.46,20525.67,114 CDM,97200068,HC SEL VASC CATH VENOUS 2/3/ORDER,1468.0,1468.0,114.5,24257.61,114 CDM,97200069,HC SEL VAS CATH RT HEART/MAIN PUL,1234.0,1234.0,114.5,24257.61,114 CDM,97200070,HC SEL VASC CATH RT/LT PULMONARY,1351.0,1351.0,114.5,24257.61,114 CDM,97200072,HC CATH. (SUPERIOR VENA CAVA),1609.0,1609.0,146.56,20525.67,114 CDM,97200073,HC SEL VAS CATH SEG/SUBSEG PUL AR,1468.0,1468.0,114.5,24257.61,114 CDM,97200074,HC SEL VAS CATH AB/PEL/LE AD 2/3,783.0,783.0,48.58,24257.61,114 CDM,97200076,HC SEL VASC CATH ABD/PEL L EXT 3,2445.0,2445.0,226.0,29855.52,114 CDM,97200077,HC INSERTION CATHETER ARTERY,540.0,540.0,60.9,4664.92,114 CDM,97200078,HC CATHETERIZATION PORTAL VEIN,2192.0,2192.0,226.0,39185.37,114 CDM,97200079,HC SEL VASC CATH ABD/PEL/L EXT 2,2258.0,2258.0,226.0,24257.61,114 CDM,97200080,HC SEL VASC CATH ABD/PEL/L EXT 1,1804.0,1804.0,172.16,20525.67,114 CDM,97200084,HC BX PROSTATE,217.0,217.0,29.3,24257.61,115 CDM,97200087,HC INJ. FOR URETHROGRAM,431.0,431.0,34.5,6558.0,114 CDM,97200088,HC CT MAXILLOFACIAL W/CONTRAST,5575.0,5575.0,80.0,5575.0,123 CDM,97200089,HC URETHRAL CATHETERIZATION,788.0,788.0,27.36,4664.92,125 CDM,97200090,HC CT MAXILLOFACIAL COMBINED,6426.0,6426.0,100.0,6426.0,123 CDM,97200092,HC CYSTOGRAM INCON/VOID,410.0,410.0,32.0,6558.0,114 CDM,97200093,HC INJ. CORPORA CAVERNOS.,220.0,220.0,29.7,4664.92,111 CDM,97200096,HC PERC. RENAL CYST ASPIR.,2697.0,2697.0,117.18,24257.61,125 CDM,97200097,HC BX RENAL PERCUTANEOUS,6938.0,6938.0,175.5,24257.61,125 CDM,97200099,HC BX THYROID PERCUTANEOUS,1384.0,1384.0,83.84,11195.82,125 CDM,97200101,HC INJ FOR CISTERNOGRAM,1752.0,1752.0,135.04,11195.82,125 CDM,97200102,HC LUMBAR PUNCTURE DIAG,1967.0,1967.0,53.76,4664.92,125 CDM,97200103,HC INJ FOR MYELO/AXIAL CT,1746.0,1746.0,101.81,20525.67,114 CDM,97200104,HC INJ. LUMB. DISK. EACH AREA,939.0,939.0,126.77,20525.67,114 CDM,97200105,HC INJ. CERV. DISK. EACH AREA,1373.0,1373.0,102.4,2500.0,114 CDM,97200107,HC BX ABD/RETROPERITONEAL/PERCUT,2020.0,2020.0,103.64,24257.61,125 CDM,97200109,HC ABSCESS DRAIN./PERINEAL,2124.0,2124.0,90.0,2787.0,125 CDM,97200112,HC INJ. FOR HYSTEROSALPINGRM,375.0,375.0,50.63,4664.92,114 CDM,97200114,HC MR ANGIO HEAD W/O W INJ COMB,15482.0,15482.0,320.15,15482.0,125 CDM,97200116,HC INJ. FOR PYELOGRAM,1739.0,1739.0,44.75,4664.92,114 CDM,97200117,HC MR ANGIO NECK W/O W INJ COMB,15482.0,15482.0,320.15,15482.0,125 CDM,97200118,HC FLUOROSCOPY,1470.0,1470.0,11.5,1470.0,123 CDM,99000003,HC SPECIAL EDUCATION/DAY,1136.0,1136.0,153.36,1136.0,106 CDM,99000004,HC SPECIAL EDUCATION/HALF DAY,566.0,566.0,76.41,566.0,106 CDM,99900004,HC PORTABLE CHARGE FOR GSPP,48.0,48.0,6.48,48.0,106 CDM,99999000901J2270,MORPHINE SULFATE 1 MG/ML IV SOLN (WRAPPER),35.0,35.0,2.78,35.0,112 CDM,99999001001J7685,TOBRAMYCIN 40 MG/ML INHALATION NEBU UPHS COMPOUNDE,637.0,637.0,51.08,637.0,111 CDM,99999001201J2060,LORAZEPAM INFUSION 100MG/50ML (CNR),123.0,123.0,1.32,123.0,112 CDM,99999001501J1171,HYDROMORPHONE HCLNACL 1 MG/1ML IV SOSY (WRAPPER),49.0,49.0,0.09,49.0,112 CDM,9999999986J2590,OXYTOCIN INFUSION 40 UNITS/1000ML NSS (HUP),33.0,33.0,0.86,33.0,111 CDM,9999999987J2590,OXYTOCIN INFUSION 20 UNITS/1000ML NSS (ADS),29.0,29.0,0.86,29.0,111 CDM,99999999901J1450,FLUCONAZOLE (DIFLUCAN) IVPB 2 MG/ML NSS (REPACKAGE,7.0,7.0,0.95,7.0,112 CDM,99999999902J1450,FLUCONAZOLE (DIFLUCAN) IVPB 2 MG/ML NSS (REPACKAGE,53.0,53.0,2.39,53.0,112 CDM,HC8255,HC PR BRNSCHSC TNDSC EBUS DX/TX INTERVENTION PERPH,5247.0,5247.0,54.95,5247.0,115 CDM,HC8256,HC RPLC GTUBE REVJ GSTRST TRC,2205.0,2205.0,145.98,11195.82,122 CDM,HC8277,HC BRONCH EBUS SAMPLNG 3/> NODE,10493.0,10493.0,268.33,20525.67,125 CDM,HC8278,HC SMALL BOWEL ENDOSCOPY BR/WA,2708.0,2708.0,457.65,7301.0,125 CDM,HC8280,HC ERCP W/OPTICAL ENDOMICROSCPY,5224.0,5224.0,226.0,5224.0,112 CDM,HC8281,HC COLON STOMA W/TRANS DILATION,5559.0,5559.0,776.0,20525.67,125 CDM,HC8282,HC BRONCH EBUS SAMPLNG 1/2 NODE,10493.0,10493.0,243.08,20525.67,125 CDM,HC8283,HC REPAIR BOWEL-SKIN FISTULA,9686.0,9686.0,573.44,44783.28,115 CDM,HC8284,HC SURG DX EXAM ANORECTAL,8909.0,8909.0,776.0,11195.82,125 CDM,HC8285,HC COLONOSCOPY W/STENT PLCMT,6014.0,6014.0,776.0,20525.67,125 CDM,HC8287,HC COLONOSCOPY W/ABLATION STOMA,5863.0,5863.0,776.0,20525.67,125 CDM,HC8288,HC CHEMODENERVATION ANAL MUSC,7132.0,7132.0,776.0,20525.67,125 CDM,HC8289,HC SIGMOIDOSCOPY W/PLCMT STENT,8019.0,8019.0,776.0,20138.26,125 CDM,HC8290,HC COLONOSCOPY W/INJECTION,5864.0,5864.0,776.0,20525.67,125 CDM,HC8291,HC COLONOSCOPY W/BAND LIGATION,5864.0,5864.0,776.0,20525.67,125 CDM,HC8294,HC COLONOSCOPY W/ABLATION,5857.0,5857.0,776.0,20525.67,125 CDM,HC8295,HC SIGMOIDOSCOPY W/RESECTION,5543.0,5543.0,776.0,20525.67,125 CDM,HC8296,HC ESOPHAGEAL CAPSULE ENDOSCOPY,6816.0,6816.0,530.78,8112.0,122 CDM,HC8297,HC COLONOSCOPY W/RESECTION,5493.0,5493.0,776.0,20525.67,125 CDM,HC8298,HC BRONCH W/BALLOON OCCLUSION,10364.0,10364.0,439.17,23410.87,125 CDM,HC8299,HC ESOPHAGOSCP RIG TRNSO REM FB,17227.0,17227.0,168.72,17227.0,125 CDM,HC8304,HC ESOPHAGOSCOP MUCOSAL RESECT,6270.0,6270.0,776.0,20525.67,125 CDM,HC8309,HC EGD ENDO MUCOSAL RESECTION,6262.0,6262.0,776.0,20525.67,125 CDM,HC8310,HC REPAIR STOMACH OPENING,12043.0,12043.0,573.44,53227.0,125 CDM,HC8311,HC LIGATION OF HEMORRHOID(S),3351.0,3351.0,58.88,4664.92,125 CDM,HC8312,HC ENTEROSCOPY2 PORTN TRANSTNT,12318.0,12318.0,253.49,20525.67,125 CDM,HC8326,HC ESOPHAGOSCOP STENT PLACEMENT,9420.0,9420.0,776.0,20525.67,125 CDM,HC8328,HC EGD ENDOSCOPIC STENT PLACE,9710.0,9710.0,776.0,20525.67,125 CDM,HC8329,HC EGD LESION ABLATION,5957.0,5957.0,776.0,20525.67,125 CDM,HC8330,HC ERCP DUCT STENT PLACEMENT,9313.0,9313.0,776.0,24257.61,125 CDM,HC8331,HC ERCP STENT EXCHANGE W/DILATE,9687.0,9687.0,776.0,24257.61,125 CDM,HC8332,HC ERCP REMOVE FORGN BODY DUCT,9687.0,9687.0,776.0,24257.61,125 CDM,HC8333,HC ERCP EA DUCT/AMPULLA DILATE,6341.0,6341.0,776.0,24257.61,125 CDM,HC8334,HC ERCP LESION ABLATE W/DILATE,8077.0,8077.0,776.0,24257.61,125 CDM,HC8335,HC EGD BALLOON DIL ESOPH30 MM/>,5882.0,5882.0,776.0,20525.67,125 CDM,HC8336,HC ESOPHAGOSC DILATE BALLOON 30,5882.0,5882.0,776.0,20525.67,125 CDM,HC8337,HC OR BEDSIDE PROCEDURE,1184.0,1184.0,159.84,6558.0,108 CDM,HC8338,HC DILATION OF ANAL SPHINCTER,8442.0,8442.0,56.32,11195.82,125 CDM,HC8340,HC ILEOSTOMY/JEJUNOSTOMY,9608.0,9608.0,573.44,44783.28,115 CDM,HC8341,HC BRONC W/COMPTR-ASST IMG-GD NV,9144.0,9144.0,109.61,24257.61,111 CDM,HC8347,HC THORACENTESIS WO IMAGE GUIDE,9259.0,9259.0,90.74,20525.67,125 CDM,HC8348,HC DX GASTR INTUB W/ASP SPECS,1440.0,1440.0,39.2,11195.82,125 CDM,HC8350,HC REMOVE BY LIGAT INT HEM GRP,1440.0,1440.0,58.88,9207.37,125 CDM,HC8351,HC ENDOSCOPY BOWEL POUCH/BIOP,2788.0,2788.0,110.26,11195.82,125 CDM,HC8354,HC PROCTOSIGMOIDOSCOPY REMOVAL,7280.0,7280.0,100.2,11195.82,125 CDM,HC8355,HC PROCTOSIGMOIDOSCOPY W/BX,6121.0,6121.0,67.84,11195.82,125 CDM,HC8357,HC BIOPSY OF RECTUM ANL APPRCH,3810.0,3810.0,192.64,11195.82,125 CDM,HC8358,HC S. BOWEL ENDOSCPY>2ND C.BLEED,6938.0,6938.0,458.51,20525.67,125 CDM,HC8360,HC BRONCH RECLEAR AIRWY TREE SBSQ,4620.0,4620.0,75.7,20525.67,115 CDM,HC8361,HC BRONCH CLEAR AIRWAYS TREE 1ST,3443.0,3443.0,189.18,11195.82,125 CDM,HC8363,HC CHANGE OF WINDPIPE AIRWAY,3795.0,3795.0,163.41,20525.67,125 CDM,HC8364,HC 95907 1-2 NERVE CONDUCTION STUDIES,1279.0,1279.0,26.84,1279.0,125 CDM,HC8365,HC 95908 3-4 NERVE CONDUCTION STUDIES,2309.0,2309.0,26.84,2309.0,125 CDM,HC8366,HC 95909 5-6 NERVE CONDUCTION STUDIES,3345.0,3345.0,26.84,3345.0,125 CDM,HC8367,HC 95910 7-8 NERVE CONDUCTION STUDIES,4373.0,4373.0,26.84,4373.0,125 CDM,HC8368,HC 95911 9-10 NERVE CONDUCTION STUDIES,5406.0,5406.0,49.69,5406.0,125 CDM,HC8369,HC 95912 11-13 NERVE CONDUCTION STUDIES,6434.0,6434.0,49.69,6434.0,125 CDM,HC8370,HC 95913 13 OR > NERVE CONDUCTION STUDIES,6949.0,6949.0,49.69,6949.0,125 CDM,HC8375,HC BRONCHTHERMOPLASTY 2 LOBES,1403.0,1403.0,237.11,24257.61,122 CDM,HC8376,HC BRONCHTHERMOPLASTY 1 LOBE,6386.0,6386.0,1079.23,24257.61,122 CDM,HC8406,HC PERFUSION ADDL HALF HR,508.0,508.0,68.58,6558.0,108 CDM,HC8408,HC PERFUSION STANDBY ADDL HALF HR,508.0,508.0,68.58,6558.0,108 CDM,HC8409,HC AUTOTRANSFUSION ADDL HALF HR,508.0,508.0,68.58,6558.0,108 CDM,HC8410,HC PLATELET GEL MONITOR ADDL HALF HR,508.0,508.0,68.58,6558.0,108 CDM,HC8411,HC PERFUSION 1ST HALF HR,1005.0,1005.0,135.68,6558.0,108 CDM,HC8413,HC PERFUSION STANDBY 1ST HALF HR,1005.0,1005.0,135.68,6558.0,108 CDM,HC8414,HC AUTOTRANSFUSION 1ST HALF HR,1005.0,1005.0,135.68,6558.0,108 CDM,HC8415,HC PLATELET GEL MONITOR 1ST HALF HR,1005.0,1005.0,135.68,6558.0,108 CDM,HC8418,HC ESOPH ENDOSCOPY W/US FN BX,7744.0,7744.0,294.03,20525.67,125 CDM,HC8419,HC SMALL BOWEL ENDOSCOPY/BIOPSY,6117.0,6117.0,279.13,20525.67,125 CDM,HC8443,HC PREOP CHARGE (INC. PAT),381.0,381.0,51.44,381.0,108 CDM,HC8445,HC EXTENDED STAY PER HALF HR,302.0,302.0,40.77,302.0,108 CDM,HC8446,HC SEDATION BY ANESTHESIA CHARGE,942.0,942.0,127.17,942.0,108 CDM,HC8447,HC RECOVERY RM ADDL HALF HR,302.0,302.0,40.77,302.0,108 CDM,HC8450,HC RECOVERY RM 1ST HALF HR,772.0,772.0,104.22,772.0,108 CDM,HC8452,HC LOCAL ANESTHESIA BY NURSE CHARGE,507.0,507.0,68.45,507.0,108 CDM,HC8454,HC ANES MATLS ADDL HALF HR,3201.0,3201.0,432.14,3201.0,108 CDM,HC8455,HC ANES MATLS 1ST HALF HR,3201.0,3201.0,432.14,3201.0,108 CDM,HC8457,HC OR PROVIDER PER HALF HOUR,675.0,675.0,91.13,6558.0,108 CDM,HC8458,HC OR ADDL HALF HR,3764.0,3764.0,508.14,6558.0,108 CDM,HC8459,HC OR 1ST HALF HR,5562.0,5562.0,750.87,6558.0,108 CDM,HC8461,HC LITHOTRIPSY BY OUTSIDE VENDOR,4492.0,4492.0,319.36,40758.25,125 CDM,HC8483,HC LESION REMOVE COLONOSCOPY,5917.0,5917.0,303.96,20525.67,125 CDM,HC8484,HC COLONOSCOPY BIOPSY,4550.0,4550.0,288.54,20525.67,125 CDM,HC8485,HC COLONOSC FLEXPR SP FLX RE FB,4148.0,4148.0,303.42,20525.67,125 CDM,HC8486,HC COLONOSCOPYDIAGNOSTIC,4342.0,4342.0,108.22,20525.67,125 CDM,HC8487,HC SIGMOIDOSFLEX W DE VOLVU,3453.0,3453.0,157.4,11195.82,125 CDM,HC8488,HC SIGMOID POLYPECTOMY,7497.0,7497.0,121.14,11195.82,125 CDM,HC8489,HC COLONOSC STOMA REMOV LES,4488.0,4488.0,247.44,20525.67,125 CDM,HC8490,HC DX ENDOSCOPY OF BOWEL POUCH,4202.0,4202.0,93.72,11195.82,125 CDM,HC8491,HC DX SMALL BOWEL ENDOSCOPY,4760.0,4760.0,338.96,20525.67,125 CDM,HC8492,HC SMALL INTEST ENDOSCOPY HEMORR,5614.0,5614.0,207.5,20525.67,125 CDM,HC8493,HC S. BOWEL ENDOSCOPY T.REMVL,5210.0,5210.0,170.51,20525.67,125 CDM,HC8494,HC SMALL BOWEL ENDOSCOPY SNARE,5844.0,5844.0,244.36,20525.67,125 CDM,HC8495,HC SMALL INTEST ENDOSCOPY DIAG,4665.0,4665.0,173.39,20525.67,125 CDM,HC8500,HC OPERATIVE UPPER GI ENDOSCOPY,5603.0,5603.0,297.6,20525.67,125 CDM,HC8501,HC EGD W REM LES BY HOT BX BIPOLAR,3514.0,3514.0,211.1,20525.67,125 CDM,HC8502,HC EGDW BLN DIL ESOPH < 30,3629.0,3629.0,192.96,20525.67,125 CDM,HC8503,HC EGD W BAND LIG ES/GAS VAR,4604.0,4604.0,314.59,24257.61,125 CDM,HC8504,HC UPPER GI ENDOSCOPY INJECT,5240.0,5240.0,776.0,20525.67,125 CDM,HC8505,HC UPPER GI ENDOSCOPY BIOPSY,4273.0,4273.0,190.18,20525.67,125 CDM,HC8506,HC ESOPH SCOPE W/SUBMUCOUS INJ,6316.0,6316.0,146.09,11195.82,125 CDM,HC8623,HC 95867 NEEDLE EMG-CRANIAL NERVES-UNILAT,2367.0,2367.0,15.0,2367.0,125 CDM,HC8627,HC 95860 NEEDLE EMG-1 EXTREMITY,1425.0,1425.0,17.5,1425.0,125 CDM,HC8808,HC WIRELESS CAPSULE ENDOSCOPY,2591.0,2591.0,433.82,8112.0,125 CDM,HC8814,HC GASTRO.REFLUX TEST W/ N/C/E,2662.0,2662.0,131.38,8112.0,125 CDM,HC8819,HC ELECTROCONVULSIVE THERAPY,2298.0,2298.0,45.0,2848.61,122 CDM,HC9369,HC DESTRCTN NEUROLYTIC W/WO RAD,3935.0,3935.0,94.08,20525.67,125 CDM,HC9483,HC REPLACE G/C TUBE PERC,2546.0,2546.0,65.41,8966.81,125 CDM,HC9542,HC ANOSCOPY CONTROL BLEEDING,6014.0,6014.0,82.19,11195.82,125 CDM,HC9546,HC ANOSCOPY W/BX SINGLE/MULTIPLE,6806.0,6806.0,25.6,11195.82,125 CDM,HC9550,HC COLONOSCOPY W/ENDOSCOPIC FNB,2939.0,2939.0,355.1,20525.67,125 CDM,HC9551,HC COLONOSCOPY W/ENDOSCOPE US,3954.0,3954.0,280.69,20525.67,125 CDM,HC9553,HC COLON W DILATION,3911.0,3911.0,297.25,20525.67,125 CDM,HC9554,HC LESION REMOVAL COLONOSCOPY SNARE,6402.0,6402.0,343.14,20525.67,125 CDM,HC9556,HC COLONOSCOPY FOR HEMORRHAGE,4426.0,4426.0,325.12,20525.67,125 CDM,HC9557,HC COLONOSCOPY SUBMUCOUS INJ,5738.0,5738.0,272.91,20525.67,125 CDM,HC9559,HC SGMDSCPYFLX W/ENDO FNA/B,6383.0,6383.0,199.76,11195.82,125 CDM,HC9560,HC SIGMOID W/EUS,4952.0,4952.0,134.47,11195.82,125 CDM,HC9561,HC SIGMOIDOSFLX W/BALLON DILIAT,3664.0,3664.0,127.26,11195.82,125 CDM,HC9563,HC SIGMOID W REM OF TUMOR(S),3992.0,3992.0,156.1,11195.82,125 CDM,HC9564,HC SIGMOIDOSFLX W/SUBMUCOSAL INJ,3072.0,3072.0,100.67,11195.82,125 CDM,HC9565,HC SIGMOID W CONTL OF BLEEDING,4027.0,4027.0,143.36,11195.82,125 CDM,HC9567,HC SIGMOID W BIOPSY,3422.0,3422.0,81.5,11195.82,125 CDM,HC9568,HC SIGMOIDOSCOPY,3110.0,3110.0,68.03,11195.82,125 CDM,HC9571,HC TRANS DRAINAGE OF PELVIC ABSCESS,7835.0,7835.0,192.64,11195.82,125 CDM,HC9576,HC COLON W/REML OF TUMOR(S)SNARE,4313.0,4313.0,287.05,20525.67,125 CDM,HC9578,HC COLON CONTROL BLEED-APC,3733.0,3733.0,281.54,20525.67,125 CDM,HC9579,HC COLON W/ REMOVE FB,2575.0,2575.0,248.03,20525.67,125 CDM,HC9580,HC COLON STOMA - W BIOPSY,4365.0,4365.0,206.39,20525.67,125 CDM,HC9581,HC COLONOSCOPY VIA STOMA,4023.0,4023.0,186.28,11195.82,125 CDM,HC9582,HC S.BOWEL ILEOSCOPY W/BX,4444.0,4444.0,89.29,20525.67,125 CDM,HC9583,HC DX.S.BOWEL ILEOSCOPY,3867.0,3867.0,74.98,20525.67,125 CDM,HC9585,HC ENTEROSCOPY>2ND PORTN C.TUBE,6491.0,6491.0,228.48,20525.67,125 CDM,HC9586,HC S.BOWEL ENDOSCOPYW/PLMT J.TUBE,6014.0,6014.0,265.6,20525.67,125 CDM,HC9587,HC SMALL BOWEL ENDOSCOPY ABLTN,5863.0,5863.0,207.5,20525.67,125 CDM,HC9588,HC SML INT ENDOENTER REM FB,4132.0,4132.0,229.8,20525.67,125 CDM,HC9589,HC SM BOWEL ENTEROSCOPY (NO ILEUM,4665.0,4665.0,191.12,20525.67,125 CDM,HC9595,HC ESOPHAGUS DILATION OVR GW,3910.0,3910.0,75.52,11195.82,125 CDM,HC9600,HC ERCP WITH LITHOTRIPSY,5863.0,5863.0,599.04,24257.61,125 CDM,HC9601,HC ERCP WITH STONE REMOVAL,5079.0,5079.0,571.38,24257.61,125 CDM,HC9602,HC ERCP WITH SPHINCTEROTOMY,5995.0,5995.0,144.0,24257.61,125 CDM,HC9603,HC ERCP WITH BXSINGLE OR MULTI,5153.0,5153.0,405.25,24257.61,125 CDM,HC9604,HC ERCP DIAGNOSTIC,7571.0,7571.0,385.25,24257.61,125 CDM,HC9605,HC ENDOSCOPIC ULTRASOUND EXAM,5669.0,5669.0,268.86,20525.67,125 CDM,HC9608,HC EGD) REMOVE TUMOR(S) BY SNARE,3588.0,3588.0,242.37,20525.67,125 CDM,HC9609,HC EGD INSERTION OF GUIDE WIRE,3836.0,3836.0,208.83,20525.67,125 CDM,HC9610,HC EGD REMOVAL OF FB,4198.0,4198.0,222.76,20525.67,125 CDM,HC9611,HC EGD-PLACEMENT OF PERQ GI TUBE,4762.0,4762.0,280.72,20525.67,125 CDM,HC9612,HC UPPR GI SCOPE DILATE STRICTR,5184.0,5184.0,209.69,20525.67,125 CDM,HC9613,HC EGD TRANS-EUS/FNA/BIO,6289.0,6289.0,322.83,20525.67,125 CDM,HC9614,HC UPPR GI ENDOSCPY W/ TRANS TUBE,7282.0,7282.0,172.85,20525.67,125 CDM,HC9616,HC EGD TRANS EUS/FNA/BIO ESOPHGS,5972.0,5972.0,270.05,24257.61,125 CDM,HC9617,HC ENDOSCOPIC US EXAM ESOPH,5806.0,5806.0,217.51,20525.67,125 CDM,HC9618,HC UPPR GI SCOPE W/SUBMUC INJ,5197.0,5197.0,193.98,11195.82,125 CDM,HC9619,HC UPPR GI ENDOSCOPY DIAGNOSIS,4027.0,4027.0,160.28,11195.82,125 CDM,HC9620,HC ESOPH ENDOSCOPY W/US EXAM,10158.0,10158.0,210.34,20525.67,125 CDM,HC9623,HC ESOPHAGOSCOPY W/BALLOON DIL,5435.0,5435.0,157.41,11195.82,125 CDM,HC9624,HC DIL ESOPH BAL DIRET,4641.0,4641.0,142.52,11195.82,125 CDM,HC9626,HC ESOPHAGUS ENDOSCOPY/LIGATION,5762.0,5762.0,248.5,24257.61,125 CDM,HC9627,HC ESOPHAGOSCOPY,3324.0,3324.0,119.64,11195.82,125 CDM,HC9836,HC CHEMICAL PLEURODESIS,12443.0,12443.0,230.99,20525.67,125 CDM,HC9838,HC REMOVE LUNG CATHETER,5462.0,5462.0,59.23,5462.0,125 CDM,HC9848,HC BRONCH DEST OF TUMOR,10493.0,10493.0,286.72,20525.67,125 CDM,HC9850,HC BRONCH TRACH/BRNCH STNT RESN,19709.0,19709.0,266.29,23410.87,125 CDM,HC9853,HC BRONCHOSCOPY W/FB REMOVAL,5525.0,5525.0,225.47,20525.67,125 CDM,HC9855,HC BRONCH TRAN LUNG BXE ADD LOBE,2721.0,2721.0,50.49,20525.67,116 CDM,HC9856,HC BRONCH W/PLACMNT TRACH STNT,10493.0,10493.0,213.75,23410.87,125 CDM,HC9857,HC BRONCH W/ TRH/BRC DIL RED FRAC,10493.0,10493.0,244.83,20525.67,125 CDM,HC9858,HC BRONCH TRANSBRONCH NEEDLE ASP,10493.0,10493.0,239.86,24257.61,125 CDM,HC9859,HC BRONCH TRANBRONCHIAL LUNG BX,10493.0,10493.0,225.02,24257.61,125 CDM,HC9860,HC BRONCH W/ BIOPSY,4076.0,4076.0,202.0,20525.67,125 CDM,HC9861,HC BRONCH ALVEOLAR LAVAGE,4076.0,4076.0,172.99,11195.82,125 CDM,HC9862,HC BRONCH W/ BRUSHING,4218.0,4218.0,172.99,11195.82,125 CDM,HC9863,HC BRONCHOSCOPY,5243.0,5243.0,171.34,5904.25,125 CDM,HC9865,HC INSERT EMERGENCY AIRWAY,1574.0,1574.0,92.16,4664.92,125 CDM,HC9933,HC REMOVE FOREIGN BODY SUB/SIMPLE,3316.0,3316.0,39.04,11195.82,125 CDM,HC9951,HC ENDOSCOPY BIOPSY,3839.0,3839.0,129.89,20525.67,125 CDM,HC9952,HC ENDOSCOPY SCLEROSIS,2179.0,2179.0,246.98,24257.61,125 CDM,HC9953,HC ESOPHAGOSCOPY W FB REMOVAL,8206.0,8206.0,175.48,11195.82,125 CDM,HC9955,HC EMG ANL/URETH SPHNCTR-NO NEEDL,836.0,836.0,46.52,6558.0,122 CPT,0001U,HC HEA PANEL RBC ANTIGENS - DNA,1007.0,1007.0,124.87,2283.48,121 CPT,0001U,HC RBC ANTIGEN GENOTYPING,1008.0,1008.0,124.99,2283.48,121 CPT,0035U,HC NEURO CSF PRION PROTEIN QUAL,1365.0,1365.0,169.26,1715.75,121 CPT,0042T,HC CT CEREBRAL PERFUSION ANALYSIS,8155.0,8155.0,407.0,8155.0,109 CPT,0058U,HC ONC MERKEL CLL CARC SRM QUAN,769.0,769.0,95.36,1024.27,121 CPT,0075T,HC TRANSCATH PLACEEXTRACVENTSTE,29623.0,29623.0,994.0,29623.0,112 CPT,0076T,HC PERQ STENT/VERT ART-EACH ADDTL,23091.0,23091.0,994.0,23091.0,112 CPT,0076T,HC TRANSCATH PLACESTENT ADD. VE,24426.0,24426.0,994.0,24426.0,112 CPT,0397T,HC ERCP W/OPTICAL ENDOMICROSCPY,5224.0,5224.0,226.0,5224.0,112 CPT,0408T,HC PR INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVNS EL,80016.0,80016.0,2060.0,104122.5,122 CPT,0409T,HC INSJ/RPLC CAR MODULJ PLS GN,80016.0,80016.0,2060.0,80016.0,122 CPT,0410T,HC INSJ/RPLC CAR MODULJ ATR ELT,28312.0,28312.0,2060.0,28312.0,122 CPT,0411T,HC INSJ/RPLC CAR MODULJ VNT ELT,28315.0,28315.0,2060.0,28315.0,122 CPT,0413T,HC RMVL CAR MODULJ TRANVNS ELT,10321.0,10321.0,1447.0,14061.0,122 CPT,0415T,HC REPOS CAR MODULJ TRANVNS ELT,1883.0,1883.0,318.23,14061.0,122 CPT,0416T,HC RELOC SKIN POCKET PLS GEN,5959.0,5959.0,994.0,14061.0,122 CPT,0417T,HC MAPS PRGRMG EVAL CARDIAC MODULJ,70.0,70.0,11.83,2060.0,122 CPT,0417T,HC PRGRMG EVAL CARDIAC MODULJ,130.0,130.0,21.33,2060.0,122 CPT,0418T,HC INTERRO EVAL CARDIAC MODULJ,130.0,130.0,21.33,2060.0,122 CPT,0418T,HC MAPS INTERRO EVAL CARDIAC MODULJ,70.0,70.0,11.83,2060.0,122 CPT,0575T,HC MAPS PRGRMG DEV EVAL ICDS SS IP,45.0,45.0,7.6,2060.0,122 CPT,0576T,HC MAPS INTERROG DEV EVAL ICDS SS IP,45.0,45.0,7.6,2060.0,122 CPT,0579T,HC MAPS REM INTERROG DEV ICDS TECH,45.0,45.0,7.6,2060.0,122 CPT,0581T,HC ABLTJ MAL BRST TUM PERQ CRTX,11371.0,11371.0,1175.0,12988.21,122 CPT,0600T,HC IRE ABLTJ 1 TUM ORGAN PERQ,30925.0,30925.0,1899.0,35261.09,122 CPT,0689T,HC QUAN US TIS CHARAC W/O DX US,275.0,275.0,46.47,288.67,120 CPT,0690T,HC QUAN US TIS CHARAC W/DX US,275.0,275.0,37.13,275.0,110 CPT,0795T,HC TCAT INS 2CHMBR LDLS PM CMPL,55695.0,55695.0,2060.0,63894.5,122 CPT,0823T,HC TCAT INS 1CHMBR LDLS PM RA,58481.0,58481.0,2060.0,63894.5,122 CPT,0824T,HC TCAT RMV 1CHMBR LDLS PM RA,9567.0,9567.0,1447.0,14061.0,122 CPT,0825T,HC TCAT RMV RPL1CHMB LDLS PM RA,58481.0,58481.0,2060.0,63894.5,122 CPT,0826T,HC PRGRMG EVL LDLS PM 1CHMBR IP,180.0,180.0,29.28,14061.0,122 CPT,0857T,HC OPTO-ACOUSTIC IMG BREAST UNI,315.0,315.0,53.23,346.8,120 CPT,0913T,HC PERQ TCAT THER RX DLVR NTRAC RX BALO 1 MAJ C A,17105.0,17105.0,1899.0,38294.15,122 CPT,0914T,HC PERQ TCAT THER RX DLVR NTRAC RX BALO SEPARATE,10030.0,10030.0,226.0,14061.0,112 CPT,0915T,HC INSJ PERM CCM-D SYS PG DUAL TRANSVNS ELTRDS/LDS,96183.0,96183.0,2060.0,104122.5,122 CPT,0916T,HC INSERTION PERM CCM-D SYSTEM PULSE GENERATOR ONL,67339.0,67339.0,2060.0,73785.93,122 CPT,0917T,HC INSJ PERM CCM-D SYS 1 TRANSVNS LEAD ONLY,24828.0,24828.0,2060.0,27450.95,122 CPT,0918T,HC INSJ PERM CCM-D SYS DUAL TRANSVNS LEADS ONLY,24828.0,24828.0,2060.0,27450.95,122 CPT,0919T,HC REMOVAL PERM CCM-D SYSTEM PULSE GENERATOR ONLY,10918.0,10918.0,1447.0,14061.0,122 CPT,0920T,HC RMVL PERM CCM-D SYS 1 TRANSVNS PACING LEAD ONLY,10918.0,10918.0,1447.0,14061.0,122 CPT,0921T,HC RMVL PERM CCM-D SYS 1 TRANSVNS DFB LEAD ONLY,10918.0,10918.0,1447.0,14061.0,122 CPT,0922T,HC RMVL PERM CCM-D SYS DUAL TRANSVNS LEADS ONLY,10918.0,10918.0,1447.0,14061.0,122 CPT,0923T,HC RMVL RPLCMT PERMANENT CCM-D PULSE GENERATOR ONL,67339.0,67339.0,2060.0,73785.93,122 CPT,0924T,HC REPOSITIONING PREV IMPL CCM-D TRANSVNS ELTRD/LD,1855.0,1855.0,313.49,14061.0,122 CPT,0925T,HC RELOCATION SKIN POCKET IMPLANTED CCM-D PG,5488.0,5488.0,927.47,14061.0,122 CPT,0926T,HC PROGRAMMING DEVICE EVAL IMPL CCM-D SYS IN PERSO,112.0,112.0,18.93,14061.0,122 CPT,0930T,HC ELECTROPHYSIOLOGIC EVAL CCM-D LEADS AT 1ST IMPL,3642.0,3642.0,615.5,14061.0,122 CPT,0931T,HC ELECTROPHYSIOLOGIC EVAL CCM-D LEADS SEPARATE,3642.0,3642.0,615.5,14061.0,122 CPT,10004,HC FNA BX W/O IMG GDN EA ADDL,458.0,458.0,35.52,4664.92,114 CPT,10005,HC FNA BX W/US GDN 1ST LES,2330.0,2330.0,76.52,11195.82,124 CPT,10005,HC MAPS FINE NEEDLE ASPIRATION BIOPSY INCLUDING UL,962.0,962.0,59.78,3245.0,124 CPT,10006,HC FNA BX W/US GDN EA ADDL,1554.0,1554.0,40.71,11195.82,114 CPT,10006,HC MAPS FINE NEEDLE ASPIRATION BIOPSY INCL ULTRASN,962.0,962.0,40.71,962.0,113 CPT,10009,HC FNA BX W/CT GDN 1ST LES,2307.0,2307.0,119.08,11195.82,124 CPT,10010,HC FNA BX W/CT GDN EA ADDL,1554.0,1554.0,67.99,11195.82,114 CPT,10021,HC FNA W/O IMAGE,1092.0,1092.0,67.58,4664.92,124 CPT,10021,HC MAPS FNA W/O IMAGE,315.0,315.0,53.23,1348.49,124 CPT,10030,HC GUIDE CATHET FLUID DRAINAGE,857.0,857.0,99.91,11195.82,125 CPT,10035,HC PERQ DEV SOFT TISS 1ST IMAG,5190.0,5190.0,70.26,20525.67,125 CPT,10036,HC PERQ DEV SOFT TISS ADD IMAG,5190.0,5190.0,35.41,11195.82,114 CPT,10040,HC MAPS ACNE SURGERY,150.0,150.0,20.0,811.0,124 CPT,10060,HC MAPS SIMPLE PARONYXHIA,198.0,198.0,23.5,811.0,124 CPT,10060,HC SIMPLE PARONYXHIA,1109.0,1109.0,23.5,1109.0,124 CPT,10061,HC I D COMPLICATED ABSCESS,4097.0,4097.0,52.5,4097.0,124 CPT,10061,HC INCISION DRAINAGE OF ABSCESS,4097.0,4097.0,67.2,4664.92,125 CPT,10061,HC MAPS INCISION DRAINAGE OF ABSCESS,198.0,198.0,33.46,3245.0,124 CPT,10080,HC I D SIMPLE PILONIDAL CYST,1374.0,1374.0,36.0,2787.0,125 CPT,10080,HC MAPS INCISION AND DRAINAGE OF PI,174.0,174.0,29.41,2349.0,124 CPT,10081,HC I D COMPLICATED PILONIDAL CYST,4589.0,4589.0,90.0,4589.0,125 CPT,10120,HC FB REMOVALINC/REM SUBC SMPLE,1306.0,1306.0,30.5,1348.49,124 CPT,10120,HC REMOVE FOREIGN BODY SUB/SIMPLE,3316.0,3316.0,39.04,11195.82,125 CPT,10140,HC I D SIMPLE HEMATOMA,5148.0,5148.0,30.08,20525.67,125 CPT,10160,HC MAPS PUNCTURE ASPIRA ABSC,183.0,183.0,24.0,1348.49,124 CPT,10160,HC PUNCTURE ASPIRA ABSC,1123.0,1123.0,30.72,4664.92,125 CPT,10180,HC MAPS COMPLEX DRAINAGE WOUND,1756.0,1756.0,154.29,9635.46,124 CPT,11000,HC DEBRIDE INFECTED SKIN,366.0,366.0,29.3,1348.49,124 CPT,11012,HC MAPS DEB SKIN BONE AT FX SITE,2500.0,2500.0,185.52,9635.46,124 CPT,11042,HC MAPS DEBRIDEMT SKIN SUBCUT TIS,334.0,334.0,33.0,4326.0,124 CPT,11043,HC MAPS DEB MUSC/FASCIA 20 SQ CM/<,334.0,334.0,33.0,4326.0,124 CPT,11044,HC MAPS DEBRIDE SKIN/TISS/MUSC/BO 20 SQ CM/<,899.0,899.0,33.0,5478.64,124 CPT,11105,HC MAPS PUNCH BIOPSY-SKIN(INCLUDNG SIMPLE CLOSUREW,746.0,746.0,22.05,746.0,113 CPT,11200,HC MAPS EXCISION SKIN TAGS UP TO 15,112.0,112.0,18.93,811.0,124 CPT,11301,HC MAPS SHAVE SKIN LESION 0.6-1.0 CM,171.0,171.0,28.9,811.0,124 CPT,11311,HC MAPS SHAVE SKIN LESION 0.6-1.0 CM,160.0,160.0,27.04,811.0,124 CPT,11400,HC MAPS EX BN LES MRG TNKARM LG<.5CM,471.0,471.0,37.5,3245.0,124 CPT,11401,HC MAPS EX BN LES MRG TNKARMLG.6-1CM,471.0,471.0,46.5,3245.0,124 CPT,11402,HC MAPS EXC TR-EXT B9 MARG 1.1-2 CM,545.0,545.0,54.0,3245.0,124 CPT,11403,HC MAPS EXC TR-EXT B9 MARG 2.1-3CM/<,899.0,899.0,65.0,3245.0,124 CPT,11404,HC MAPS EXC TR-EXT B9 MARG 3.1-4 CM,1466.0,1466.0,80.5,5478.64,124 CPT,11406,HC MAPS EXC TR-EXT B9 MARG >4.0 CM,1466.0,1466.0,117.5,5478.64,124 CPT,11422,HC MAPS EXC H-F-NK-SP B9 MARG 1.1-2,899.0,899.0,37.5,5478.64,124 CPT,11426,HC MAPS EXC H-F-NK-SP B9 MARG >4 CM,1946.0,1946.0,121.0,9635.46,124 CPT,11441,HC MAPS EXC FACE-MM B9 MARG 0.6-1 CM,459.0,459.0,65.5,3245.0,124 CPT,11602,HC MAPS EXC TR-EXT MAL MARG 1.1-2 CM,464.0,464.0,78.42,3245.0,124 CPT,11603,HC MAPS EXC TR-EXT MAL MARG 2.1-3 CM,990.0,990.0,85.5,3245.0,124 CPT,11604,HC MAPS EXC TR-EXT MAL MARG 3.1-4 CM,1018.0,1018.0,125.5,4326.0,124 CPT,11606,HC MAPS EXC TR-EXT MAL MARG >4 CM,1466.0,1466.0,246.0,5478.64,124 CPT,11620,HC MAPS EXC H-F-NK-SP MAL MARG 0.5/<,250.0,250.0,42.25,5478.64,124 CPT,11621,HC MAPS EXC S/N/H/F/G MAL MRG 0.6-1,899.0,899.0,66.5,3245.0,124 CPT,11622,HC MAPS EXC S/N/H/F/G MAL MRG 1.1-2,899.0,899.0,112.0,3245.0,124 CPT,11623,HC MAPS EXC S/N/H/F/G MAL MRG 2.1-3,1019.0,1019.0,113.5,5478.64,124 CPT,11624,HC MAPS EXC S/N/H/F/G MAL MRG 3.1-4,1466.0,1466.0,189.0,5478.64,124 CPT,11642,HC MAPS EXC F/E/E/N/L MAL MRG 1.1-2,877.0,877.0,135.0,3245.0,124 CPT,11730,HC INTEG-AVUL NAIL PLATE PART/ONE,507.0,507.0,25.75,811.0,124 CPT,11730,HC MAPS INTEG-AVUL NAIL PLATE PART/ONE,170.0,170.0,25.75,811.0,124 CPT,11740,HC EVAC SUBUNG HEMATOMA,723.0,723.0,16.26,2787.0,125 CPT,11750,HC EXS NL PT/CMP FOR PERM REMOVAL,2768.0,2768.0,90.0,2787.0,124 CPT,11760,HC REPAIR OF NAIL BED,1077.0,1077.0,23.0,2787.0,125 CPT,11765,HC WEDGE EXCIS SKIN NAIL FOLD,734.0,734.0,50.0,2787.0,125 CPT,11900,HC MAPS INJECT SKIN LESIONS 7,176.0,176.0,29.74,811.0,121 CPT,11981,HC MAPS INSERT DRUG IMPLANT DEVICE,169.0,169.0,27.36,811.0,124 CPT,11982,HC MAPS REMOV NONBIODG DRUG DEL IMP,245.0,245.0,27.36,1481.85,124 CPT,11983,HC MAPS REMOVE/INSERT DRUG IMPLANT,294.0,294.0,27.36,1481.85,124 CPT,12001,HC SUTUR. IMMED 2.5 OR LESS,1220.0,1220.0,24.5,2787.0,125 CPT,12002,HC SUTUR.IMMED 2.6-7.5 CM,1323.0,1323.0,35.5,1323.0,124 CPT,12004,HC SUTUR. IMMED 7.5-12.5 CM,1531.0,1531.0,48.5,2787.0,125 CPT,12005,HC SRP 12.6-20CM SCPNKAXGENTR,1894.0,1894.0,50.09,2787.0,125 CPT,12006,HC SRP 20.1-30CM SCPNKAXGENTR,2486.0,2486.0,50.09,2787.0,125 CPT,12007,HC SRP>30CM SCPNKAXGENTRKEXT,2762.0,2762.0,50.09,2787.0,125 CPT,12011,HC SRP <2.5CM FCERSELDNSLP,1273.0,1273.0,31.5,2787.0,125 CPT,12013,HC SRP 2.6-5.0CM FCERELDNSLP,1426.0,1426.0,47.5,2787.0,125 CPT,12014,HC MAPS REPAIR F/E/E/N/L/M 5.1-7.5 CM,139.0,139.0,23.49,811.0,124 CPT,12014,HC SRP 5.1-7.5CM FCERELDNSLP,1668.0,1668.0,47.5,2787.0,125 CPT,12015,HC SRP 7.6-12.5CM FCERELDNSLP,2075.0,2075.0,50.09,2787.0,125 CPT,12017,HC SRP 20.1-30.CM FCERELDNSLP,3282.0,3282.0,50.09,3282.0,125 CPT,12031,HC MAPS SUTUR. IMMED-2.5 CM OR LESS,275.0,275.0,24.5,1348.49,124 CPT,12031,HC SUTUR. IMMED-2.5 CM OR LESS,1498.0,1498.0,24.5,2787.0,125 CPT,12032,HC LRP 2.6-7.5CM SCPAXTRKARM.L,1651.0,1651.0,33.0,2787.0,125 CPT,12032,HC MAPS LRP 2.6-7.5CM SCPAXTRKARM.L,584.0,584.0,33.0,1348.49,124 CPT,12034,HC LRP 7.6-12.5CM SCPAXTRKARM,1916.0,1916.0,46.5,4326.0,124 CPT,12034,HC MAPS LRP 7.6-12.5CM SCPAXTRKARM,280.0,280.0,46.5,4326.0,124 CPT,12035,HC LRP 12.6-20CM SCPAXTRKARML,2141.0,2141.0,92.0,4326.0,124 CPT,12041,HC LRP>2.5CM NKHDSFTEX GEN,1658.0,1658.0,24.5,2787.0,125 CPT,12041,HC MAPS LRP>2.5CM NKHDSFTEX GEN,282.0,282.0,24.5,1348.49,124 CPT,12042,HC LRP 2.6-7.5CM NKHDSFTEX GEN,1799.0,1799.0,35.5,2787.0,125 CPT,12042,HC MAPS LRP 2.6-7.5CM NKHDSFTEX GEN,286.0,286.0,35.5,1348.49,124 CPT,12044,HC LRP 7.6-12.5CM NKHDSFTEX GE,1923.0,1923.0,48.5,2787.0,125 CPT,12051,HC LRP<2.5CM FCERSELDSNSLPS,1695.0,1695.0,31.5,2787.0,125 CPT,12051,HC MAPS LRP<2.5CM FCERSELDSNSLPS,244.0,244.0,31.5,1348.49,124 CPT,12052,HC LAYER CLOSURE-WOUNDS 2.6-5.0CM,1834.0,1834.0,47.5,2787.0,125 CPT,12052,HC MAPS LAYER CLOSURE-WOUNDS 2.6-5.0CM,244.0,244.0,41.24,1348.49,124 CPT,12053,HC LRP 5.1-7.5CM FCERSELDSNSL,2014.0,2014.0,47.5,2787.0,125 CPT,12055,HC LRP 12.6-20CM FCERSELDSNSL,2992.0,2992.0,90.0,2992.0,125 CPT,13100,HC MAPS REP CMPLXTRNK1.1CM-2.5CM,528.0,528.0,60.0,4326.0,124 CPT,13101,HC MAPS CRP 2.6-7.5CM TRNK,1033.0,1033.0,93.0,5138.0,124 CPT,13102,HC MAPS REP COMPLX TRNK EAADD5CM,238.0,238.0,32.13,238.0,114 CPT,13121,HC CRP 2.6-7.5CM SCLP ARM LG,2839.0,2839.0,90.0,2839.0,125 CPT,13131,HC CRP 1.1-2.5CM FHDCHKCHNHDF,1947.0,1947.0,71.0,2787.0,125 CPT,13132,HC MAPS CRP 2.6-7.5CM FHDCHKCHNHDF,482.0,482.0,81.46,5138.0,124 CPT,13133,HC MAPS REP COMPLX FOREHEADMOU EA5CM,262.0,262.0,35.37,262.0,114 CPT,13151,HC MAPS CRP 1.1-2.5CM EYLDNSEARLPS,552.0,552.0,93.29,5138.0,124 CPT,13152,HC MAPS CRP 2.6-7.5CM EYLDNSEARLPS,482.0,482.0,81.46,5138.0,124 CPT,13160,HC MAPS LATE CLOSURE OF WOUND SECONDRY,1510.0,1510.0,244.0,11755.16,124 CPT,14020,HC MAPS SKIN TISS REARRNGMNT DEF 10 SQ CM/<,1540.0,1540.0,150.0,6844.29,124 CPT,14040,HC MAPS TIS TRNFR F/C/C/M/N/A/G/H/F DEFECT 10 SQ,1579.0,1579.0,177.5,6844.29,124 CPT,14041,HC MAPS TIS TRNFR F/C/C/M/N/A/G/H/F DEFECT 10 .1,1736.0,1736.0,277.5,6844.29,124 CPT,14060,HC MAPS TIS TRNFR E/N/E/L 10 SQ CM/<,1579.0,1579.0,244.0,6844.29,124 CPT,14061,HC MAPS TIS TRNFR E/N/E/L10.1-30SQCM,1540.0,1540.0,260.26,6844.29,124 CPT,14301,HC MAPS TIS TRNFR ANY 30.1-60 SQ CM,2790.0,2790.0,471.51,11898.0,121 CPT,14302,HC MAPS TIS TRNFR ADDL 30 SQ CM/<,1977.0,1977.0,266.9,1977.0,111 CPT,15240,HC MAPS SKIN FULL GRFT FACE/GENIT/HF,1579.0,1579.0,266.85,6844.29,124 CPT,15241,HC MAPS SKIN FULL GRAFT ADD-ON EACH ADD 20 SQ CM,766.0,766.0,100.62,766.0,114 CPT,15260,HC MAPS SKIN FULL GRAFT EEN LIPS,1579.0,1579.0,266.85,6844.29,124 CPT,15272,HC MAPS SKIN SUB GRAFT T/A/L ADD-ON,59.0,59.0,7.97,59.0,111 CPT,15274,HC MAPS SKN SUB GRFT T/A/L CHILD ADD,305.0,305.0,41.18,305.0,111 CPT,15731,HC MAPS FOREHEAD FLAP W/VASC PEDICLE,2475.0,2475.0,418.27,11755.16,121 CPT,15738,HC MAPS MUSCLE-SKIN GRAFT LEG,2414.0,2414.0,407.97,11755.16,124 CPT,15781,HC MAPS ABRASION TREATMENT OF SKIN,877.0,877.0,148.21,3245.0,121 CPT,16000,HC BURNS INIT. RX 1 DEG,826.0,826.0,18.0,2787.0,125 CPT,16020,HC SM DRSGDEBRDINT/SUB W/O ANES,818.0,818.0,20.0,3245.0,124 CPT,16025,HC MD DRSGDEBRDINT/SUB W/O ANES,1359.0,1359.0,62.86,4326.0,124 CPT,16035,HC INCISION OF BURN SCAB INITI,2523.0,2523.0,62.86,8112.0,121 CPT,17000,HC MAPS DESTRUCT PREMALG LESION,258.0,258.0,20.0,811.0,124 CPT,17003,HC MAPS DESTRUCT PREMALG LES 2-14,60.0,60.0,4.25,60.0,114 CPT,17110,HC MAPS DESTRUCT B9 LESION 1-14,373.0,373.0,49.0,811.0,124 CPT,17250,HC MAPS CAUTERIZATION OF WOUND,156.0,156.0,25.82,811.0,124 CPT,17262,HC MAPS DESTRUCTION OF SKIN LESIONS 1.1 TO 2.0CM,183.0,183.0,30.93,811.0,124 CPT,17271,HC MAPS DESTRUCTION OF SKIN LESIONS 0.6 TO 1.0 CM,178.0,178.0,30.08,811.0,124 CPT,17272,HC MAPS DESTRUCTION OF SKIN LESIONS 1.1 TO 2.0 CM,176.0,176.0,29.74,811.0,124 CPT,17280,HC MAPS DESTRUCTION OF SKIN LESIONS 0.5 CM OR LES,177.0,177.0,29.91,811.0,124 CPT,17281,HC MAPS DESTRUCTION OF SKIN LESIONS 0.60 TO 1.0 CM,178.0,178.0,30.08,811.0,124 CPT,17282,HC MAPS DESTRUCTION OF SKIN LESIONS 1.1 TO 2.0 CM,531.0,531.0,89.74,811.0,124 CPT,17311,HC MAPS MOHS 1 STAGE H/N/HF/G,1231.0,1231.0,208.04,3245.0,124 CPT,17312,HC MAPS MOHS ADDL STAGE,517.0,517.0,69.8,517.0,114 CPT,17313,HC MAPS MOHS 1 STAGE T/A/L,1231.0,1231.0,208.04,3245.0,124 CPT,17314,HC MAPS MOHS ADDL STAGE T/A/L,517.0,517.0,69.8,517.0,114 CPT,17315,HC MAPS MOHS SURG ADDL BLOCK,195.0,195.0,26.33,195.0,114 CPT,17999,HC UNLSTD SKINMUCOUS MEMBRE SUB,179.0,179.0,30.25,8112.0,122 CPT,19000,HC MAMMOGRPH CYST ASPRTION,2012.0,2012.0,36.5,3245.0,124 CPT,19000,HC MAPS MAMMOGRPH CYST ASPRTION,555.0,555.0,36.5,3245.0,124 CPT,19000,HC PUNCT ASP CYS BR,2012.0,2012.0,36.5,11195.82,125 CPT,19001,HC ASP BREAST EA AD (CYST,662.0,662.0,20.39,4664.92,115 CPT,19001,HC MAMM CYST ASPIR ADD AREA,662.0,662.0,20.39,662.0,114 CPT,19020,HC MAPS INCISION OF BREAST LESION,1756.0,1756.0,73.0,5478.64,124 CPT,19030,HC INJ MAMMARY GALACTOGRAM SING,410.0,410.0,55.35,4664.92,114 CPT,19081,HC BX BREAST 1ST LESION STRTCTC,4634.0,4634.0,189.82,24257.61,125 CPT,19082,HC BX BREAST ADD LESION STRTCTC,1544.0,1544.0,70.38,20525.67,114 CPT,19083,HC BX BREAST 1ST LESION US IMAG,4634.0,4634.0,177.78,24257.61,125 CPT,19083,HC MAPS BX BREAST 1ST LESION US IMAG,1191.0,1191.0,138.89,5478.64,124 CPT,19084,HC BX BREAST ADD LESION US IMAG,1544.0,1544.0,66.12,20525.67,114 CPT,19084,HC MAPS BX BREAST ADD LESION US IMAG,900.0,900.0,66.12,900.0,113 CPT,19085,HC BX BREAST 1ST LESION MR IMAG,4634.0,4634.0,207.49,24257.61,125 CPT,19086,HC BX BREAST ADD LESION MR IMAG,1544.0,1544.0,71.66,20525.67,114 CPT,19100,HC BREAST BX NEEDLE CORE,410.0,410.0,69.29,11195.82,125 CPT,19100,HC MAPS BIOPSY OF BREAST NEEDLE,541.0,541.0,61.25,5478.64,124 CPT,19101,HC MAPS BIOPSY OF BREAST OPEN,649.0,649.0,109.68,12988.21,124 CPT,19105,HC ABLATION CRYOSURGICAL OF FIBRO US,11201.0,11201.0,135.27,12988.21,125 CPT,19120,HC EXCISION OF CYST FIBR,7114.0,7114.0,221.44,24257.61,125 CPT,19120,HC MAPS EXCISN-CYSTFIBROADENMAOTH,2322.0,2322.0,173.0,12988.21,124 CPT,19125,HC PLACE BREAST CLIP PERCUT,7114.0,7114.0,357.08,24257.61,125 CPT,19126,HC EXCIS BRLES/RAD MARKO,7114.0,7114.0,142.13,24257.61,114 CPT,19281,HC PERQ DEVICE BREAST 1ST IMAG,4634.0,4634.0,61.48,20525.67,125 CPT,19282,HC PERQ DEVICE BREAST EA IMAG,836.0,836.0,39.33,11195.82,114 CPT,19283,HC PERQ DEV BREAST 1ST STRTCTC,2011.0,2011.0,61.48,20525.67,125 CPT,19284,HC PERQ DEV BREAST ADD STRTCTC,836.0,836.0,39.59,11195.82,114 CPT,19285,HC PERQ DEV BREAST 1ST US IMAG,2011.0,2011.0,61.48,20525.67,125 CPT,19286,HC PERQ DEV BREAST ADD US IMAG,836.0,836.0,33.98,11195.82,114 CPT,19287,HC PERQ DEV BREAST IST MR GUIDE,2011.0,2011.0,61.48,20525.67,125 CPT,19288,HC PERQ DEV BREAST ADD MR GUIDE,836.0,836.0,50.82,11195.82,114 CPT,19296,HC MAPS PLACE PO BREAST CATH FOR RAD,7821.0,7821.0,1321.75,27112.61,121 CPT,19328,HC MAPS REMOVAL OF INTACT MAMMARY I,3300.0,3300.0,557.7,12988.21,121 CPT,19499,HC TOMOSYNTHESIS-GUIDED BREAST BIOPSY,4725.0,4725.0,798.52,24257.61,122 CPT,19499,HC UNLISTED BREAST PROCED,9999.0,9999.0,1175.0,24257.61,122 CPT,20206,HC BX MUSCLE PERCUTANEOUS,1823.0,1823.0,72.18,20525.67,125 CPT,20220,HC BX BONE SUPERFIC PERCUTAN,3588.0,3588.0,80.64,11195.82,125 CPT,20225,HC BX BONE DEEP PERCUTANEOUS,2495.0,2495.0,125.44,24257.61,125 CPT,20500,HC SINUS TRACT INJ (THERAPEUTIC),3227.0,3227.0,35.0,5146.87,125 CPT,20501,HC INJ SIN TRACT DI,307.0,307.0,35.0,4664.92,114 CPT,20501,HC INJECTION OF SINUS TRACT SINOGRAM,307.0,307.0,35.0,4664.92,114 CPT,20526,HC MAPS THER INJCARPAL TUNNEL,331.0,331.0,49.78,3245.0,124 CPT,20550,HC INJ TENDONSHTH TPTS GCYS,1085.0,1085.0,32.0,4664.92,125 CPT,20550,HC MAPS INJ TENDONSHTH TPTS GCYS,280.0,280.0,32.0,3245.0,124 CPT,20551,HC INJ SINGLE TENDON/INSERTION,999.0,999.0,38.76,4664.92,125 CPT,20551,HC MAPS INJ SINGLE TENDON/INSERTION,312.0,312.0,38.76,3245.0,124 CPT,20552,HC INJ SING/MULT TRIGGER PNT 1/2,1085.0,1085.0,31.06,4664.92,125 CPT,20552,HC MAPS INJ SING/MULT TRIGGER PNT 1/2,233.0,233.0,31.06,3245.0,124 CPT,20553,HC INJ SING/MULT TRIGER PNT />3,1374.0,1374.0,34.47,4664.92,125 CPT,20553,HC MAPS INJ SING/MULT TRIGER PNT />3,272.0,272.0,34.47,3245.0,124 CPT,20600,HC ATHRCTSIS SM JT/BURSA FG/TOE,1371.0,1371.0,23.04,4664.92,125 CPT,20600,HC MAPS ATHRCTSIS SM JT/BURSA FG/TOE,290.0,290.0,18.0,3245.0,124 CPT,20604,HC DRAIN/INJ JOINT/SMALL,368.0,368.0,47.42,4664.92,125 CPT,20605,HC ARTHROCENTESIS MEDIUM,1561.0,1561.0,27.52,4664.92,125 CPT,20605,HC MAPS ARTHROCENTESIS MEDIUM,291.0,291.0,21.5,3245.0,124 CPT,20606,HC DRAIN/INJ JOINT/INTER,368.0,368.0,54.21,4664.92,125 CPT,20606,HC MAPS DRAIN/INJ JOINT/BURSA W/US,339.0,339.0,42.35,2341.52,124 CPT,20610,HC ARTHROCENTESIS LARGE,1147.0,1147.0,30.08,8015.0,125 CPT,20610,HC MAPS ARTHROCENTESIS LARGE,262.0,262.0,23.5,3245.0,124 CPT,20611,HC DRAIN/INJ JOINT/MAJOR,930.0,930.0,63.77,4664.92,125 CPT,20611,HC MAPS DRAIN/INJ JOINT/BURSA W/US,249.0,249.0,42.08,1018.21,124 CPT,20612,HC INJ OF GANGLION CYST,1089.0,1089.0,49.75,4664.92,125 CPT,20612,HC MAPS INJ OF GANGLION CYST,269.0,269.0,38.87,3245.0,124 CPT,20615,HC INJ FOR TREAT BONE CYST,1077.0,1077.0,180.74,11195.82,125 CPT,20982,HC BONE RF ABLATION,19275.0,19275.0,776.0,58162.84,125 CPT,20983,HC ABLATE BONE TUMOR(S) PERQ,30981.0,30981.0,1899.0,30981.0,122 CPT,20999,HC UNLISTED PROC MUSCULOSKELETAL,9083.0,9083.0,193.5,29855.52,122 CPT,21320,HC MAPS CLOSED TX NOSE FX W/ STABLJ,1391.0,1391.0,120.76,10997.97,124 CPT,21480,HC CL TX INT/SUB DISLOC TMJ,716.0,716.0,28.98,2787.0,125 CPT,21499,HC IMPLANT ACCULOCHEAD,7854.0,7854.0,185.8,20525.67,122 CPT,21550,HC BX NECK/THORAX,868.0,868.0,44.16,11195.82,125 CPT,21550,HC MAPS BX NECK/THORAX,1395.0,1395.0,34.5,5478.64,124 CPT,21552,HC MAPS EXC NECK LES SC 3 CM/>,1473.0,1473.0,248.94,11898.0,121 CPT,21555,HC MAPS EXC NECK LES SC < 3 CM,1395.0,1395.0,37.5,5478.64,124 CPT,21556,HC MAPS REMOVE LESION NECK/CHEST D,1946.0,1946.0,120.0,9635.46,124 CPT,21899,HC UNLSTD PRC ABLATION NC,18953.0,18953.0,185.8,20525.67,122 CPT,21930,HC MAPS EXC TUMR SOFT TISSUE BACK/F< 3 CM,1430.0,1430.0,126.0,5478.64,124 CPT,21931,HC MAPS EXC BACK LES SC 3 CM/>,1544.0,1544.0,260.94,11898.0,121 CPT,21932,HC MAPS EXC BACK TUM DEEP < 5 CM,2219.0,2219.0,375.01,9635.46,121 CPT,21935,HC RES MAL TUMSFT TIS BA,9378.0,9378.0,322.56,24257.61,125 CPT,22510,HC PERQ CERVICOTHORACIC INJECT,3881.0,3881.0,655.89,24257.61,125 CPT,22511,HC PERQ LUMBOSACRAL INJECTION,3881.0,3881.0,655.89,24257.61,125 CPT,22512,HC VERTEBROPLASTY ADDL INJECT,3881.0,3881.0,226.0,24257.61,112 CPT,22513,HC PERC VER AUGMENT THORACIC,19680.0,19680.0,776.0,24257.61,125 CPT,22514,HC PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMB,19680.0,19680.0,776.0,24257.61,125 CPT,22515,HC PERC VER AUGMENT ADD T,19680.0,19680.0,226.0,24257.61,112 CPT,22899,HC UNLIST PROCSPINE CRYO,18953.0,18953.0,193.5,18953.0,122 CPT,23075,HC MAPS REMOVE SHOULDER LESION <3 CM,1430.0,1430.0,54.0,5478.64,124 CPT,23350,HC SHOULDER ARTHROGRM INJ.,878.0,878.0,42.24,4664.92,114 CPT,23650,HC SHOUL W/MANIP,1697.0,1697.0,63.0,2787.0,125 CPT,23655,HC CL TX SHOULD DISLOC W/MANIP,5192.0,5192.0,90.0,5333.99,125 CPT,23665,HC TREAT DISLOCATION/FRACTURE,4745.0,4745.0,157.0,5333.99,124 CPT,24075,HC MAPS REMOVE ARM/ELBOW LESION <3 CM,1395.0,1395.0,54.0,5478.64,124 CPT,24220,HC ELBOW ARTHROGRM INJ.,787.0,787.0,35.0,787.0,115 CPT,24500,HC MAPS CL TX HUMRL SHAFT FRAC W/O,237.0,237.0,40.05,3245.0,124 CPT,24500,HC TREAT HUMERUS FRACTURE,1264.0,1264.0,63.0,3245.0,124 CPT,24600,HC CLOSED TX ELBOW W/MANP,1667.0,1667.0,63.0,2787.0,125 CPT,24620,HC CLOSED RX MONTEGGIA FX/DISLOC ELBOW,4836.0,4836.0,90.0,5333.99,125 CPT,24640,HC CL TX NRSEMAID ELBOW W/MANP,680.0,680.0,53.0,2787.0,125 CPT,24650,HC CL TX FX RADIAL HEAD/NECK,1032.0,1032.0,63.0,2787.0,125 CPT,24650,HC MAPS CL TX FX RADIAL HEAD/NECK,275.0,275.0,46.47,818.25,124 CPT,24675,HC CLOSED TREAT ULNAR FRACTURE,2219.0,2219.0,63.0,5333.99,125 CPT,24999,HC RF ABLATION HUMERUS/ELBOW,22217.0,22217.0,193.5,22217.0,122 CPT,25071,HC MAPS EXC FOREARM LES SC 3 CM/>,1400.0,1400.0,236.6,11898.0,121 CPT,25075,HC MAPS EXCISION TUMOR FOREARM <3 CM,1395.0,1395.0,117.5,5478.64,124 CPT,25246,HC WRIST ARTHROGRM INJ.,870.0,870.0,35.0,870.0,115 CPT,25500,HC CL/TX FX RADIAL SHAFT,1054.0,1054.0,63.0,2787.0,125 CPT,25560,HC MAPS CLTX RAD ULNAR SHAFT FX,185.0,185.0,31.26,818.25,124 CPT,25565,HC CLTXRAD/ULNSHFTFXW/MANIP,2180.0,2180.0,90.0,5333.99,125 CPT,25600,HC CL/TXFX/ DISTAL RADIUS,1147.0,1147.0,63.0,2787.0,125 CPT,25600,HC MAPS CL/TXFX/ DISTAL RADIUS,275.0,275.0,46.47,818.25,124 CPT,25605,HC CLTX FXDISRADW/MANIP,2200.0,2200.0,90.0,5333.99,125 CPT,25650,HC CL/TX ULNAR STYLOID,1234.0,1234.0,63.0,2787.0,125 CPT,25999,HC UNL PROCCRYOABLAT-FRA,18953.0,18953.0,193.5,18953.0,122 CPT,26010,HC I D FINGER ABSCESS COMP/FELON,2141.0,2141.0,26.5,2787.0,125 CPT,26011,HC FELON,5895.0,5895.0,80.0,5895.0,125 CPT,26080,HC MAPS EXPLORE/TREAT FINGER JOINT,1350.0,1350.0,157.0,5333.99,125 CPT,26600,HC CL TX EA BONE METACARPL NO MAN,920.0,920.0,63.0,2787.0,125 CPT,26600,HC MAPS CL TX EA BONE METACARPL NO MAN,275.0,275.0,46.47,818.25,124 CPT,26605,HC TREAT METACARPAL FRACT,717.0,717.0,90.0,2787.0,125 CPT,26641,HC CL TX THUMB W/MANP,1547.0,1547.0,38.5,2787.0,125 CPT,26700,HC CL TX MCP JTSGL NO ANES,1634.0,1634.0,39.0,2787.0,125 CPT,26725,HC CL TX PROX/MID FING/THUMBW/MAN,1634.0,1634.0,77.0,2787.0,125 CPT,26742,HC CL TX ARTICULAR FXW/MAN,1649.0,1649.0,63.0,5333.99,125 CPT,26755,HC CL/TXFXDISTLPHL/FNG/THB,1522.0,1522.0,63.0,2787.0,125 CPT,26770,HC CL TX IP JT SGL W/MANP NO ANE,1428.0,1428.0,36.5,2787.0,125 CPT,27047,HC MAPS REMOVAL HIP/PELVIS LESION,1395.0,1395.0,54.0,9635.46,124 CPT,27093,HC HIP ARTHROGRM INJ.,1003.0,1003.0,48.0,4664.92,114 CPT,27095,HC INJ HIP ARTH W/A,1003.0,1003.0,61.44,4664.92,114 CPT,27096,HC INJ PROC SACROILIAC JOINT,2928.0,2928.0,61.19,4664.92,115 CPT,27250,HC CR/DISL HIP TRAUMATIC,2084.0,2084.0,63.0,2787.0,125 CPT,27265,HC CL TX POST HIP ARTHRO NO ANES,1749.0,1749.0,63.0,2787.0,125 CPT,27299,HC RF ABLATION OF PELVIS,11742.0,11742.0,193.5,11742.0,122 CPT,27329,HC RESECT SOFT TIS TUMOR-,7664.0,7664.0,322.56,20525.67,125 CPT,27350,HC MAPS REMOVAL OF KNEECAP,7023.0,7023.0,501.0,24070.16,124 CPT,27369,HC INJ CONTRAST KNEE ARTH/CT/MRI,1106.0,1106.0,33.25,1106.0,115 CPT,27502,HC CL/TX FEMSHAFT W/MANIP,3566.0,3566.0,90.0,5333.99,125 CPT,27508,HC MAPS TREATMENT OF THIGH FRACTURE,942.0,942.0,63.0,3245.0,124 CPT,27550,HC TREAT KNEE DISLOCATION,1264.0,1264.0,63.0,3245.0,124 CPT,27560,HC CL TX PATELLAR DSLC NO ANES,1458.0,1458.0,63.0,2787.0,125 CPT,27599,HC UNLISTED SURGFEMUR OR,2264.0,2264.0,193.5,8112.0,122 CPT,27603,HC I D DP ABSCES/HEMATOMA LG/AN,432.0,432.0,73.01,20525.67,125 CPT,27648,HC ANKLE ARTHROGRM INJ.,802.0,802.0,25.0,4664.92,114 CPT,27752,HC CL/TX TIBSH FXWMAN,2270.0,2270.0,90.0,5333.99,125 CPT,27762,HC CLTX MEDMALLELUSFX W/MAN,2020.0,2020.0,90.0,5333.99,125 CPT,27786,HC CLTX DIST FIBULARFX,1271.0,1271.0,63.0,2787.0,125 CPT,27788,HC CLTXDISTALFIBFX W/MAN,1739.0,1739.0,90.0,2787.0,125 CPT,27808,HC CL/TX BIMALLEOLAR ANKLE,1399.0,1399.0,63.0,2787.0,125 CPT,27810,HC CLTXBIMALLANKLEFX W/MAN,2075.0,2075.0,63.0,5333.99,125 CPT,27818,HC CLTXTRIMALANKLEFX W/MAN,2203.0,2203.0,90.0,5333.99,125 CPT,27840,HC CR/DISL ANKLE,1570.0,1570.0,63.0,2787.0,125 CPT,28190,HC REEM FB FOOT SUBCUT,4707.0,4707.0,30.5,4707.0,125 CPT,28435,HC CLTX TALUS FXW/MAN,1474.0,1474.0,63.0,5333.99,125 CPT,28470,HC MAPS CL TX METARSAL ECH NO MANP,275.0,275.0,46.47,818.25,124 CPT,28475,HC CLTXMETATARSALFX W/MAN,1269.0,1269.0,63.0,2787.0,125 CPT,28495,HC CL TX FX GREAT TOE/PHAL W/MANP,838.0,838.0,63.0,2787.0,125 CPT,28515,HC CL/TXPHALXNOTGRTTOE W/MAN,787.0,787.0,63.0,2787.0,125 CPT,28630,HC TREAT TOE DISLOCATION W/OUT ANESH,674.0,674.0,54.5,818.25,124 CPT,28660,HC CLTXINTERPHLJTDISLW/OUTAN,777.0,777.0,48.5,2787.0,125 CPT,29065,HC MAPS APPLIC CAST LONG ARM,287.0,287.0,42.5,1528.72,124 CPT,29075,HC MAPS APPLIC CAST SHORT ARM,328.0,328.0,45.5,927.79,124 CPT,29085,HC MAPS APPLIC CAST GAUNTLET,279.0,279.0,27.5,811.0,124 CPT,29105,HC APPLICAT LONGARMSPLINT,921.0,921.0,33.5,2787.0,125 CPT,29105,HC MAPS APPLICAT LONGARMSPLINT,193.0,193.0,32.62,1528.72,124 CPT,29125,HC APPLICSHRTARMSPLINT STTIC,716.0,716.0,26.0,2787.0,125 CPT,29125,HC MAPS APPLICSHRTARMSPLINT STTIC,483.0,483.0,26.0,483.0,124 CPT,29130,HC APPLICFINGERSPLNT STTIC,566.0,566.0,47.28,2787.0,122 CPT,29130,HC MAPS APPLICFINGERSPLNT STTIC,94.0,94.0,15.89,811.0,121 CPT,29405,HC MAPS APPLY SHORT LEG CAST BELOW KNEE TO TOES,250.0,250.0,42.25,1528.72,124 CPT,29505,HC APPLICATION LONG LEG SPLINT,493.0,493.0,37.0,811.0,124 CPT,29515,HC APPLICATION LOWER LEG SPLINT,582.0,582.0,35.0,2787.0,249 CPT,30100,HC MAPS INTRANASAL BIOPSY,725.0,725.0,38.5,5146.87,124 CPT,30117,HC MAPS REMOVAL OF INTRANASAL LESION,2042.0,2042.0,86.5,10997.97,124 CPT,30520,HC MAPS SEPTOPLASTY OR SUBMUCOUS RESEC,2077.0,2077.0,351.01,10997.97,124 CPT,30560,HC MAPS RELEASE OF NASAL ADHESIONS,601.0,601.0,35.0,4326.0,124 CPT,30901,HC ENT-EPISTAXIS/ANTSPL CAUT.UNL,974.0,974.0,27.0,2787.0,125 CPT,30901,HC MAPS ENT-EPISTAXIS/ANTSPL CAUT.UNL,141.0,141.0,23.83,811.0,124 CPT,30903,HC EPISTAXISANT COMPLEX UNILAT,1220.0,1220.0,40.5,2787.0,125 CPT,30903,HC MAPS EPISTAXISANT COMPLEX UNILAT,142.0,142.0,24.0,441.35,125 CPT,31231,HC MAPS NASAL ENDOSCOPY DX,1614.0,1614.0,58.86,11467.0,124 CPT,31237,HC MAPS NASAL/SINUS ENDOSCOPY SURG W BIOPSY,4648.0,4648.0,160.46,11467.0,124 CPT,31238,HC MAPS NASAL/SINUS ENDOSCOPY SURG W CONTROL OF NA,1628.0,1628.0,172.64,11467.0,124 CPT,31500,HC ENDOTR INTUBATION,2782.0,2782.0,72.0,3245.0,124 CPT,31500,HC INSERT EMERGENCY AIRWAY,1574.0,1574.0,92.16,4664.92,125 CPT,31502,HC MAPS TRACH TUBE CHNG BEF FISTULA,143.0,143.0,24.17,3245.0,121 CPT,31502,HC TRACH TUBE CHNG BEF FISTULA,864.0,864.0,59.23,2787.0,122 CPT,31525,HC DX LARYNGOSCOPY EXCPT NEW BORN,5480.0,5480.0,118.0,5904.25,124 CPT,31575,HC LARYNGFLEX FIBEROP DX,726.0,726.0,69.0,811.0,124 CPT,31575,HC MAPS LARYNGFLEX FIBEROP DX,3686.0,3686.0,69.0,3686.0,124 CPT,31576,HC MAPS LARYNGOSCOPY WITH BIOPSY,1358.0,1358.0,111.62,5904.25,124 CPT,31579,HC MAPS DIAGNOSTIC LARYNGOSCOPY,418.0,418.0,70.64,3245.0,124 CPT,31615,HC MAPS VISUALIZATION OF WINDPIPE,817.0,817.0,114.79,3245.0,124 CPT,31622,HC BRONCHOSCOPY,5243.0,5243.0,171.34,5904.25,125 CPT,31622,HC DX BRONCHOSCOPE/WASH,1742.0,1742.0,133.86,5904.25,124 CPT,31622,HC MAPS DX BRONCHOSCOPE/WASH,1114.0,1114.0,133.86,5904.25,124 CPT,31623,HC BRONCH W/ BRUSHING,4218.0,4218.0,172.99,11195.82,125 CPT,31624,HC BRONCH ALVEOLAR LAVAGE,4076.0,4076.0,172.99,11195.82,125 CPT,31625,HC BRONCH W/ BIOPSY,4076.0,4076.0,202.0,20525.67,125 CPT,31627,HC BRONC W/COMPTR-ASST IMG-GD NV,9144.0,9144.0,109.61,24257.61,111 CPT,31628,HC BRONCH TRANBRONCHIAL LUNG BX,10493.0,10493.0,225.02,24257.61,125 CPT,31628,HC BRONCHOSCOPY/LUNG BX EACH,5168.0,5168.0,225.02,24257.61,125 CPT,31629,HC BRONCH TRANSBRONCH NEEDLE ASP,10493.0,10493.0,239.86,24257.61,125 CPT,31630,HC BRONCH W/ TRH/BRC DIL RED FRAC,10493.0,10493.0,244.83,20525.67,125 CPT,31631,HC BRONCH W/PLACMNT TRACH STNT,10493.0,10493.0,213.75,23410.87,125 CPT,31632,HC BRONCH TRAN LUNG BXE ADD LOBE,2721.0,2721.0,50.49,20525.67,116 CPT,31634,HC BRONCH W/BALLOON OCCLUSION,10364.0,10364.0,439.17,23410.87,125 CPT,31635,HC BRONCHOSCOPY W/FB REMOVAL,5525.0,5525.0,225.47,20525.67,125 CPT,31638,HC BRONCH TRACH/BRNCH STNT RESN,19709.0,19709.0,266.29,23410.87,125 CPT,31641,HC BRONCH DEST OF TUMOR,10493.0,10493.0,286.72,20525.67,125 CPT,31643,HC CHANGE OF WINDPIPE AIRWAY,3795.0,3795.0,163.41,20525.67,125 CPT,31645,HC BRONCH CLEAR AIRWAYS TREE 1ST,3443.0,3443.0,189.18,11195.82,125 CPT,31652,HC BRONCH EBUS SAMPLNG 1/2 NODE,10493.0,10493.0,243.08,20525.67,125 CPT,31653,HC BRONCH EBUS SAMPLNG 3/> NODE,10493.0,10493.0,268.33,20525.67,125 CPT,31654,HC PR BRNSCHSC TNDSC EBUS DX/TX INTERVENTION PERPH,5247.0,5247.0,54.95,5247.0,115 CPT,31660,HC BRONCHTHERMOPLASTY 1 LOBE,6386.0,6386.0,1079.23,24257.61,122 CPT,31661,HC BRONCHTHERMOPLASTY 2 LOBES,1403.0,1403.0,237.11,24257.61,122 CPT,31820,HC MAPS CLOSURE OF WINDPIPE LESION,2077.0,2077.0,351.01,10997.97,121 CPT,31899,HC BRONCHO W/INJ CONTRAST,908.0,908.0,153.45,11195.82,122 CPT,32400,HC BIOP PLEURA PE N,3835.0,3835.0,103.73,20525.67,125 CPT,32408,HC CORE NEEDLE BX LUNG/MEDIASTINUM PERQ W/IMG,1563.0,1563.0,155.42,11195.82,124 CPT,32550,HC TUNNELED PLEURAL CATH,13061.0,13061.0,776.0,20525.67,125 CPT,32551,HC CHEST TUBE INSERTION,4290.0,4290.0,170.19,20525.67,125 CPT,32552,HC REMOVE LUNG CATHETER,5462.0,5462.0,59.23,5462.0,125 CPT,32552,HC REMOVE TUNN PLEURAL CATH,624.0,624.0,59.23,4664.92,125 CPT,32553,HC INTERST MARK THOR FOR RT PERQ,24850.0,24850.0,571.64,24850.0,125 CPT,32554,HC ASPIRATE PLEURA W/O IMAGING,2697.0,2697.0,90.74,20525.67,125 CPT,32554,HC THORACENTESIS WO IMAGE GUIDE,9259.0,9259.0,90.74,20525.67,125 CPT,32555,HC ASPIRATE PLEURA W/ IMAGING,2697.0,2697.0,113.54,20525.67,125 CPT,32556,HC INSERT CATH PLEURA W/O IMAGE,3900.0,3900.0,124.54,20525.67,125 CPT,32557,HC INSERT CATH PLEURA W/ IMAGE,2697.0,2697.0,169.73,20525.67,125 CPT,32560,HC CHEMICAL PLEURODESIS,12443.0,12443.0,230.99,20525.67,125 CPT,32560,HC INSTILLATION VIA CHEST TUBE,1509.0,1509.0,230.99,20525.67,125 CPT,32561,HC INSTILL FIBRINOLYTIC IN CHEST TUBE INITIAL,2478.0,2478.0,113.65,20525.67,122 CPT,32562,HC LYSE CHEST FIBRIN SUBS,2478.0,2478.0,102.32,20525.67,122 CPT,32994,HC ABLATION THERAPY OF 1 OR MORE PULMONARY TUMOR(S,18046.0,18046.0,1899.0,35261.09,122 CPT,32998,HC ABLATION PULMONARY TUMOR(S) INCLUDING IMAGING G,16853.0,16853.0,776.0,20525.67,125 CPT,32999,HC LUNG RF ABLATION,12837.0,12837.0,492.09,12837.0,122 CPT,33016,HC DRAINAGE OF HEART SAC,4751.0,4751.0,193.93,24257.61,125 CPT,33206,HC INSERT HEART PM ATRIAL,38937.0,38937.0,538.98,39185.37,125 CPT,33207,HC INSERT HEART PM VENTRICULAR,42192.0,42192.0,590.31,42192.0,125 CPT,33208,HC INSRT HEART PM ATRIAL VENT,42620.0,42620.0,592.73,42620.0,125 CPT,33210,HC I/R TEMPTR SCCARELEC/PMKR,22124.0,22124.0,211.07,29855.52,125 CPT,33211,HC TEMP PM (DUAL LEADS),22124.0,22124.0,217.86,29855.52,125 CPT,33212,HC PULSE GENERATOR CHANGE-AAI/VVI,38763.0,38763.0,385.28,38763.0,125 CPT,33213,HC INSERT PULSE GEN DUAL LEADS,38763.0,38763.0,464.49,38763.0,125 CPT,33214,HC UPGRADE AAI/VVI TO DDD,41965.0,41965.0,581.62,44783.28,125 CPT,33215,HC REPOSITION PACING-DEFIB LEAD,36909.0,36909.0,776.0,36909.0,125 CPT,33216,HC INSERT 1 ELECTRODE PM-DEFIB,37860.0,37860.0,456.55,37860.0,125 CPT,33217,HC INSERT 2 ELECTRODE PM-DEFIB,36909.0,36909.0,776.0,36909.0,125 CPT,33218,HC REPAIR LEAD PACE-DEFIB ONE,35862.0,35862.0,466.46,35862.0,125 CPT,33220,HC REPAIR A V ICD LEADS,27536.0,27536.0,776.0,29855.52,125 CPT,33221,HC PULSE GENERATOR CHANGE-MULTI,90570.0,90570.0,776.0,90570.0,125 CPT,33222,HC RELOCATION POCKET PACEMAKER,37172.0,37172.0,423.94,37172.0,125 CPT,33223,HC RELOCATE POCKET FOR DEFIB,29885.0,29885.0,506.7,29885.0,125 CPT,33224,HC INSERT PACING LEAD CONNECT,21717.0,21717.0,776.0,34671.16,125 CPT,33225,HC L VENTRIC PACING LEAD ADD-ON,22585.0,22585.0,661.84,29855.52,113 CPT,33226,HC REPOSITION L VENTRIC LEAD,8647.0,8647.0,776.0,29855.52,125 CPT,33227,HC REMOVE REPLACE PM GEN SINGL,68867.0,68867.0,776.0,68867.0,125 CPT,33228,HC REMV REPLC PM GEN DUAL LEAD,68867.0,68867.0,776.0,68867.0,125 CPT,33229,HC REMV REPLC PM GEN MULT LEADS,68867.0,68867.0,776.0,68867.0,125 CPT,33230,HC INSRT PULSE GEN W/DUAL LEADS,53494.0,53494.0,776.0,73785.93,125 CPT,33231,HC INSRT PULSE GEN W/MULT LEADS,53494.0,53494.0,776.0,104122.5,125 CPT,33233,HC REMOVAL OF PM GENERATOR,30106.0,30106.0,298.27,30106.0,125 CPT,33234,HC REMOVAL OF PACEMAKER SYSTEM,33711.0,33711.0,439.31,33711.0,125 CPT,33235,HC REMOVAL PACEMAKER ELECTRODE,37172.0,37172.0,776.0,37172.0,125 CPT,33240,HC INSRT PULSE GEN W/EXIST SINGL,53494.0,53494.0,543.95,114728.0,125 CPT,33241,HC REMOVE PULSE GENERATOR,36127.0,36127.0,776.0,36127.0,125 CPT,33244,HC REMOVE ELCTRD TRANSVENOUSLY,27544.0,27544.0,776.0,27544.0,125 CPT,33249,HC IMPLNT ICD LEAD(S) GEN DUAL CH,43537.0,43537.0,776.0,114728.0,125 CPT,33249,HC INSERT/REPOSIT DUAL,43537.0,43537.0,776.0,114728.0,125 CPT,33249,HC INSJ/RPLCMT DEFIB W/LEAD(S),37860.0,37860.0,776.0,114728.0,125 CPT,33262,HC RMVL REPLC PULSE GEN 1 LEAD,89618.0,89618.0,776.0,89618.0,125 CPT,33263,HC RMVL RPLCMT DFB GEN 2 LEAD,89618.0,89618.0,776.0,89618.0,125 CPT,33264,HC RMVL RPLCMT DFB GEN MLT LD,89618.0,89618.0,776.0,104122.5,125 CPT,33270,HC INS/REP SUBQ DEFIBRILLATOR,56853.0,56853.0,2060.0,104122.5,122 CPT,33271,HC INSERT SUBQ DEFIB ELEC,56803.0,56803.0,2060.0,56803.0,244 CPT,33272,HC RMVL OF SUBQ DEFIBRILLATOR,23418.0,23418.0,1447.0,23418.0,122 CPT,33273,HC REPOS SUB DEFIB ELTRD,56822.0,56822.0,1447.0,56822.0,122 CPT,33274,HC INSERTION OR REPLACEMENT LEADLESS/ MICRA PROG,55094.0,55094.0,6239.0,63894.5,122 CPT,33285,HC IMPLANT PAT-ACTIVE HT RECORD,25654.0,25654.0,776.0,58691.88,124 CPT,33286,HC REMOVE PAT-ACTIVE HT RECORD,12780.0,12780.0,365.47,14061.0,124 CPT,33289,HC RHC W/IMPL PRESSURE SENSOR,102311.0,102311.0,2060.0,102311.0,122 CPT,33340,HC EXCLUS DEST EXCIS - LAA,26875.0,26875.0,888.96,29345.94,112 CPT,33880,HC ENDOVASC TAA REPAIR INCL SUBCL,64680.0,64680.0,994.0,64680.0,112 CPT,33881,HC ENDOVASC TAA REPR W/O SUBCL,64680.0,64680.0,994.0,64680.0,112 CPT,33883,HC INSERT ENDOVASC PROSTH TAA - I,64680.0,64680.0,994.0,64680.0,112 CPT,33884,HC ENDOVASC PROSTH TAA ADD-ON,64680.0,64680.0,514.47,64680.0,112 CPT,33886,HC ENDOVASC PROSTH DELAYED,64680.0,64680.0,994.0,64680.0,112 CPT,33967,HC INSERT I-AORT PERCUT DEVICE,78333.0,78333.0,243.89,78333.0,115 CPT,33990,HC INSERT VAD ARTERY ACCESS,39345.0,39345.0,410.47,52247.16,112 CPT,33991,HC INSERT VAD ART VEIN ACCESS,71425.0,71425.0,516.2,71425.0,112 CPT,33992,HC REMOVE VAD DIFFERENT SESSION,27695.0,27695.0,214.18,27695.0,112 CPT,33993,HC REPOSITION VAD DIFF SESSION,27695.0,27695.0,188.9,52247.16,112 CPT,34705,HC EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT,8235.0,8235.0,994.0,52247.16,112 CPT,34841,HC ENDOVASC VISC AORTA 1 GRAFT,67914.0,67914.0,994.0,67914.0,112 CPT,34842,HC ENDOVASC VISC AORTA 2 GRAFT,67914.0,67914.0,994.0,67914.0,112 CPT,34844,HC ENDOVASC VISC AORTA 4 GRAFT,67914.0,67914.0,994.0,67914.0,112 CPT,34845,HC ENDOVASC VISC AORTA 3 GRAFT,67914.0,67914.0,994.0,67914.0,112 CPT,34845,HC VISC INFRAREN ABD 1 PROSTH,67914.0,67914.0,994.0,67914.0,112 CPT,34846,HC VISC INFRAREN ABD 2 PROSTH,67914.0,67914.0,994.0,67914.0,112 CPT,34847,HC VISC INFRAREN ABD 3 PROSTH,67914.0,67914.0,994.0,67914.0,112 CPT,34848,HC VISC INFRAREN ABD 4 PROST,67914.0,67914.0,994.0,67914.0,112 CPT,35875,HC THROMBECTOMY-GRAFT,14267.0,14267.0,732.48,24257.61,125 CPT,36000,HC START IV FOR FLUIDS/MEDS,111.0,111.0,0.68,217.0,218 CPT,36002,HC INJ RX EXTREMITY PSEUDOANEURYS,2394.0,2394.0,91.2,4664.92,125 CPT,36005,HC EXTREMITY VENOGRAM (UNI),365.0,365.0,43.65,4664.92,114 CPT,36010,HC CATH. (SUPERIOR VENA CAVA),1609.0,1609.0,146.56,20525.67,114 CPT,36011,HC SEL VASC CATH VENOUS SYSTEM 1,1234.0,1234.0,146.56,20525.67,114 CPT,36012,HC MAPS PLACE CATHETER IN VEIN,3958.0,3958.0,114.5,3958.0,113 CPT,36012,HC SEL VASC CATH VENOUS 2/3/ORDER,1468.0,1468.0,114.5,24257.61,114 CPT,36013,HC INTRO CATH RH OR MAIN PA,1234.0,1234.0,114.5,24257.61,114 CPT,36013,HC SEL VAS CATH RT HEART/MAIN PUL,1234.0,1234.0,114.5,24257.61,114 CPT,36014,HC SEL VASC CATH RT/LT PULMONARY,1351.0,1351.0,114.5,24257.61,114 CPT,36015,HC SEL VAS CATH SEG/SUBSEG PUL AR,1468.0,1468.0,114.5,24257.61,114 CPT,36100,HC INTRO NEEDLE CAROTID,369.0,369.0,49.82,20525.67,114 CPT,36140,HC CATHETERIZATION EXTREM ARTERY,1295.0,1295.0,122.46,20525.67,114 CPT,36160,HC INTRO NEEDLE/INT - AOR,1981.0,1981.0,151.68,20525.67,114 CPT,36200,HC CATH AORTA FEM/BRACH PUN,2182.0,2182.0,142.08,20525.67,114 CPT,36215,HC SEL VASC CATH THORAC/BRACHIO 1,2182.0,2182.0,220.16,20525.67,114 CPT,36216,HC INTRO CATH BRACH 2ND O,1667.0,1667.0,146.56,24257.61,114 CPT,36216,HC SEL VASC CATH THORAC/BRACHIO 2,5626.0,5626.0,146.56,24257.61,114 CPT,36217,HC SEL VASC CATH THORAC/BRACHIO 3,2881.0,2881.0,226.0,29855.52,115 CPT,36218,HC INTRA CATH BRACH EACH,956.0,956.0,48.24,24257.61,114 CPT,36221,HC PLACE CATH THORACIC AORTA,12419.0,12419.0,221.98,20525.67,125 CPT,36222,HC PLACE CATH XTRNL CAROTID/INOM,12419.0,12419.0,298.76,20525.67,125 CPT,36223,HC PLACE CATH INT CAROTID/INOM AR,12419.0,12419.0,323.03,20525.67,125 CPT,36224,HC PLACE CATH CAROTD ART,20316.0,20316.0,351.24,20525.67,125 CPT,36225,HC PLACE CATH SUBCLAVIAN ART,12419.0,12419.0,321.69,20525.67,125 CPT,36226,HC PLACE CATH VERTEBRAL ART,20316.0,20316.0,351.87,20525.67,125 CPT,36227,HC PLACE CATH XTRNL CAROTID,6684.0,6684.0,86.86,20525.67,115 CPT,36228,HC PLACE CATH INTRACRANIAL ART,13643.0,13643.0,176.91,20525.67,115 CPT,36245,HC SEL VASC CATH ABD/PEL/L EXT 1,1804.0,1804.0,172.16,20525.67,114 CPT,36246,HC SEL VASC CATH ABD/PEL/L EXT 2,2258.0,2258.0,226.0,24257.61,114 CPT,36247,HC SEL VASC CATH ABD/PEL L EXT 3,2445.0,2445.0,226.0,29855.52,114 CPT,36248,HC SEL VAS CATH AB/PEL/LE AD 2/3,783.0,783.0,48.58,24257.61,114 CPT,36251,HC RENAL CATH 1ST ORDER UNI,12270.0,12270.0,224.74,20525.67,125 CPT,36252,HC RENAL CATH 1ST ORDER BILAT,11828.0,11828.0,292.74,11828.0,125 CPT,36253,HC RENAL CATH 2NR ORDER UNI,11828.0,11828.0,313.1,24257.61,125 CPT,36254,HC RENAL CATH 2ND ORDER BILAT,11828.0,11828.0,337.77,24257.61,125 CPT,36410,HC VENIPUNCTURE AGE 3MDDX OF RX,582.0,582.0,10.5,8112.0,112 CPT,36415,HC COLLECT VENOUS BLOOD BY VENIPU,35.0,35.0,1.14,42.0,236 CPT,36415,HC MAPS COLLECT VENOUS BLOOD BY VENIPU,35.0,35.0,1.14,35.0,118 CPT,36415,HC ROUTINE VENIPUNCTURE,38.0,38.0,1.14,38.0,118 CPT,36416,HC MAPS CAP BLD STICK (FNGHEELEAR),10.0,10.0,1.35,8112.0,106 CPT,36430,HC BLOOD TRANSFUSION SERVICE,990.0,990.0,27.84,1463.46,124 CPT,36430,HC TRNSFUSBLD/BLD COMPNTS,1569.0,1569.0,27.84,1569.0,124 CPT,36460,HC TRANSFUSION SERVICE FETAL,5940.0,5940.0,143.8,5940.0,125 CPT,36465,HC INJECTION FOAM SCLEROSANT WITH US SINGLE TRUNC,6946.0,6946.0,126.64,11898.0,125 CPT,36466,HC Injection sclerosant inclusive all imaging guid,4937.0,4937.0,161.05,11898.0,125 CPT,36470,HC INJ OF SCLEROSING SOLUTI SING,1096.0,1096.0,9.35,4664.92,125 CPT,36470,HC MAPS INJECTION THERAPY OF VEIN,365.0,365.0,9.35,1348.49,124 CPT,36471,HC INJ OF SCLEROSING SOLUTI MULT,588.0,588.0,62.86,11195.82,125 CPT,36471,HC MAPS INJ THERAPY OF VEIN SCLEROSING,425.0,425.0,62.86,1348.49,124 CPT,36473,HC MAPS ENDOVENOUS MCHNCHEM 1ST VEIN,3958.0,3958.0,668.9,10473.94,121 CPT,36475,HC MAPS RF ENDO ABLATION INT. VEIN,3919.0,3919.0,662.31,11898.0,121 CPT,36475,HC RF ENDO ABLATION INT. VEIN,9940.0,9940.0,776.0,24257.61,125 CPT,36481,HC CATHETERIZATION PORTAL VEIN,2192.0,2192.0,226.0,39185.37,114 CPT,36481,HC PERCUTANEOUS P.O.,2192.0,2192.0,226.0,39185.37,114 CPT,36482,HC VENASEAL ABLATION 1ST VEIN,16110.0,16110.0,1899.0,35453.43,122 CPT,36500,HC SELECTIVE ORGAN SAMPLE,644.0,644.0,44.8,20525.67,114 CPT,36511,HC APHERESIS WBC THERAPEUTIC,4918.0,4918.0,50.0,5166.28,125 CPT,36512,HC APHERESIS RBC THERAPEUTIC,4918.0,4918.0,50.0,5166.28,125 CPT,36555,HC INS NON-TUN CV CATH<5,2620.0,2620.0,150.84,11195.82,125 CPT,36556,HC CENTRAL LINE SUBCLAVIAN (INSER,2620.0,2620.0,144.91,11195.82,125 CPT,36557,HC INST TUNEL CV CATH W/O,13009.0,13009.0,355.51,20525.67,125 CPT,36558,HC TUNNELED CATH PLACEMENT,9443.0,9443.0,339.84,20525.67,125 CPT,36561,HC INSERT TUNNELED CV W/PORT,7594.0,7594.0,776.0,28735.94,125 CPT,36565,HC INSERT TUNN CVC 2 SIT,13009.0,13009.0,404.71,20525.67,125 CPT,36566,HC INSERT TUNN CVC 2 SIT,13009.0,13009.0,432.84,29855.52,125 CPT,36568,HC PICC W/O PUMP PORT W/O GUID <5YRS OLD,2538.0,2538.0,113.15,11195.82,125 CPT,36569,HC PICC W/O PUMP PORT W/O GUID >5YRS OLD,2538.0,2538.0,111.86,11195.82,125 CPT,36570,HC INJECT THERAPY OF VEIN,594.0,594.0,100.39,20525.67,125 CPT,36571,HC IMPLANTABLE ARM PORT (DOUMENT US),9909.0,9909.0,368.69,25004.0,125 CPT,36571,HC INSERT PERPHERALLY CV W/PORT,9909.0,9909.0,368.69,25004.0,125 CPT,36572,HC INSJ PICC RS I <5 YR,3958.0,3958.0,96.41,11195.82,124 CPT,36573,HC INS PICC RS I 5 YR,3290.0,3290.0,89.29,11195.82,124 CPT,36575,HC REPAIR CV CATH W/O SUBQ PUMP/,4342.0,4342.0,47.76,4664.92,125 CPT,36576,HC REPAIR OF PORT/PUMP,2249.0,2249.0,222.85,5221.75,125 CPT,36578,HC RPLC PERIPHER CV W/PORTCATH O,9909.0,9909.0,255.13,10473.94,125 CPT,36580,HC NON-TUNNELED CATH EXCHANGE,4564.0,4564.0,465.0,11195.82,125 CPT,36581,HC RPLC TUNNELED CV W/O PORT/PUMP,4643.0,4643.0,237.94,20525.67,125 CPT,36582,HC REPLACE TUNNELED LINE W/PORT,5905.0,5905.0,350.99,28735.94,125 CPT,36584,HC PICC REPLACEMENT W GUID,1821.0,1821.0,83.38,11195.82,125 CPT,36585,HC RPLC PERIPHERALLY CV W/PRT CPL,9909.0,9909.0,330.36,20525.67,125 CPT,36589,HC MAPS REMOVAL TUNNELED CV CATH W/O PORT/ PUMP,765.0,765.0,129.28,3245.0,124 CPT,36589,HC RMV TUNNELED CV W/O PORT/PUMP,3495.0,3495.0,166.85,4664.92,125 CPT,36590,HC REMOVE TUNNELED LINE W/PORT/PU,3288.0,3288.0,235.64,11195.82,125 CPT,36591,HC COLLECT BLOOD PORT,258.0,258.0,1.14,441.35,121 CPT,36592,HC COLLECT BLOOD PICC/CVC,758.0,758.0,1.14,758.0,121 CPT,36593,HC DECLOT VASC ACCESS DEVC/CATH,1007.0,1007.0,25.06,2500.0,125 CPT,36593,HC VAP - DECLOT VASC ACCESS DEVC/CATH,1378.0,1378.0,25.06,2500.0,125 CPT,36595,DECLOT BY THROM AGEN,6024.0,6024.0,176.34,10473.94,125 CPT,36595,HC REM PERICATH FIBRIN SHEATH,6024.0,6024.0,225.72,20525.67,125 CPT,36596,HC MECH RMVL INTRALUM THROMBIS,4785.0,4785.0,55.04,5221.75,125 CPT,36597,HC REPOSITION CV CATH UNDER FLUOR,1269.0,1269.0,74.42,5221.75,125 CPT,36598,HC INJ W/FLUOREVAL CV DEVIDE,899.0,899.0,96.7,4664.92,122 CPT,36600,HC ABG DRAWN,511.0,511.0,11.28,511.0,125 CPT,36600,HCá ARTERIAL PUNCTURE-NEONATE,345.0,345.0,11.28,441.35,125 CPT,36620,HC INSERTION CATHETER ARTERY,540.0,540.0,60.9,4664.92,114 CPT,36680,HC INTRAOSSEOUS NEEDLE PLACEMENT,493.0,493.0,49.5,1481.85,124 CPT,36830,HC MAPS ARTERY-VEIN NONAUTOGRAFT,5955.0,5955.0,624.8,18458.42,124 CPT,36831,HC MAPS OPEN THROMBECT AV FISTULA,5955.0,5955.0,341.14,18458.42,124 CPT,36901,HC INTRO CATH DIALYSIS CIRCUIT,7390.0,7390.0,152.63,20525.67,125 CPT,36902,HC INTRO CATH DIALYSIS CIRCUIT W/ANGIOPLASTY,7390.0,7390.0,227.4,44783.28,125 CPT,36904,HC THRMBC/NFS DIALYSIS CIRCUIT,13151.0,13151.0,358.48,29855.52,125 CPT,36905,HC THRMBC/NFS DIALYSIS CIRCUIT W/ANGIOPLASTY,12561.0,12561.0,449.96,44783.28,125 CPT,36907,HC BALO ANGIOP CTR DIALYSIS SEG,14481.0,14481.0,102.38,29855.52,114 CPT,36909,HC DIALYSIS CIRCUIT EMBOLJ,3695.0,3695.0,145.66,35453.43,114 CPT,37182,HC TIPS (EXCLUDING EMOLIZ),22190.0,22190.0,1591.29,60809.33,122 CPT,37183,HC TIPS REVISION,17874.0,17874.0,776.0,20525.67,125 CPT,37184,HC MECH THROMBECTOMY ART PRI 1ST,16593.0,16593.0,776.0,60809.33,125 CPT,37185,HC PRIM ART M-THROMBECT ADD-ON,16593.0,16593.0,226.0,35453.43,112 CPT,37186,HC SEC ART M-THROMBECT ADD-ON,16593.0,16593.0,226.0,35453.43,112 CPT,37187,HC MECHAN. THROMBECTOMY VENOUS,16593.0,16593.0,776.0,38294.15,125 CPT,37188,HC EXCIS BRTES/RAD MARKOPEN 1TES,16593.0,16593.0,776.0,35453.43,125 CPT,37191,HC INSERT INTRAVAS VENA CAVA FIL,18182.0,18182.0,776.0,20525.67,125 CPT,37193,HC MAPS REM ENDOVAS VENA CAVA FILTER,3400.0,3400.0,574.6,10473.94,121 CPT,37193,HC REMOVE INTRA-VAS VENA CAVA FIL,12467.0,12467.0,1273.02,12467.0,121 CPT,37195,HC THROMBOLYTIC TX STROKE INFSN,920.0,920.0,96.7,6558.0,122 CPT,37197,HC REMOVEINTRVAS FOREIGN BODY,11874.0,11874.0,242.3,11898.0,124 CPT,37200,HC PERCUTAN PORTAL VEIN CATHE,13311.0,13311.0,145.92,39185.37,125 CPT,37211,HC THROMBOLYTIC ART THERAPY,5133.0,5133.0,323.85,18458.42,125 CPT,37212,HC THROMBOLYTIC VENOUS THERAPY,5133.0,5133.0,365.98,29855.52,125 CPT,37213,HC THROMBOLYTIC ART/VEN THERAPY,11451.0,11451.0,393.92,29855.52,122 CPT,37214,HC CESSJ THERAPY CATH REMOVAL,11451.0,11451.0,230.16,11451.0,122 CPT,37215,HC TRANSCATH PLACE INTRA. STENT W,19860.0,19860.0,994.0,35453.43,112 CPT,37216,HC TRANSCATH STENT CCA W/,10108.0,10108.0,1364.58,10108.0,113 CPT,37216,HC TRANSCTH PLACE INTRA STENT W/O,9657.0,9657.0,994.0,9657.0,112 CPT,37218,HC STENT PLACEMT ANTE CAROTID,28222.0,28222.0,994.0,28222.0,112 CPT,37220,HC ILIAC REVASCULARIZATIO,26261.0,26261.0,448.18,26261.0,115 CPT,37220,HC REVSC ILIAC ART ANGIOP 1ST VSL,18024.0,18024.0,448.18,18024.0,115 CPT,37221,HC ILIAC REVASCULARIZATN,56504.0,56504.0,544.64,56504.0,115 CPT,37221,HC REVSC ILIAC ART W/STNT ANG UNI,26603.0,26603.0,544.64,26603.0,115 CPT,37222,HC ILIAC REVASC ADD-ON,5207.0,5207.0,159.02,5691.0,113 CPT,37223,HC REVSC ILIAC A W/STNT ANGP IPSI,26387.0,26387.0,180.5,26387.0,113 CPT,37224,HC REVSC FEM/POP W/ANGIOPLAST UNI,21647.0,21647.0,493.45,21647.0,115 CPT,37225,HC FEM/POPL REVAS W/ATHER,61029.0,61029.0,665.01,61029.0,115 CPT,37226,HC REVS FEM/POP W/STNT/ANGP SMVSL,51002.0,51002.0,544.7,51002.0,115 CPT,37227,HC FEM/POPL REVASC STNT ATHER,82498.0,82498.0,776.0,82498.0,115 CPT,37228,HC TIB/PER REVASC W/TLA,30800.0,30800.0,603.26,30800.0,115 CPT,37229,HC TIB/PER REVASC W/ATHER,60528.0,60528.0,776.0,60528.0,115 CPT,37230,HC REVSC TIB/PER W/STNT/ANGP SM,47551.0,47551.0,750.43,47551.0,115 CPT,37231,HC TIB/PER REVASC STENT ATHER,76258.0,76258.0,776.0,76258.0,115 CPT,37232,HC REVS TIB/PER W/ANGIOP UNI EACH,10283.0,10283.0,170.5,10283.0,113 CPT,37233,HC TIBPER REVASC W/ATHER ADD-ON,8481.0,8481.0,280.17,11197.0,113 CPT,37234,HC RVS TIB/PER W/STN/ANGP UNI EA,22308.0,22308.0,233.42,22308.0,113 CPT,37235,HC TIB/PER REVASC STNT ATHER,23530.0,23530.0,331.31,23530.0,113 CPT,37236,HC OPEN/PERQ PLACE STENT 1ST,19094.0,19094.0,488.78,38294.15,125 CPT,37237,HC OPEN/PERQ PLACE STENT EA ADD,19094.0,19094.0,178.71,24257.61,114 CPT,37238,HC OPEN/PERQ PLACE STENT SAME,19094.0,19094.0,342.37,38294.15,125 CPT,37239,HC OPEN/PERQ PLACE STENT EA ADD,19094.0,19094.0,124.74,24257.61,114 CPT,37241,HC VASC EMBOLIZE/OCCLUDE VENOUS,20038.0,20038.0,468.76,38294.15,125 CPT,37242,HC EG AVM PAVM RE PREP.,20038.0,20038.0,523.44,60809.33,125 CPT,37242,HC VASC EMBOLIZE/OCCLUDE ARTERY,20038.0,20038.0,523.44,60809.33,125 CPT,37243,HC (TACE/RE/UFE/BLAND),20038.0,20038.0,624.13,38294.15,125 CPT,37243,HC VASC EMBOLIZE/OCCLUDE ORGAN,20038.0,20038.0,624.13,38294.15,125 CPT,37244,HC TDE BAE GIB TRAUMA OB EMERGENCY,20038.0,20038.0,728.04,38294.15,125 CPT,37244,HC VASC EMBOLIZE/OCCLUDE BLEED,20038.0,20038.0,728.04,38294.15,125 CPT,37246,HC TRLUML BALO ANGIOP 1ST ART,16337.0,16337.0,373.45,35453.43,125 CPT,37247,HC TRLUML BALO ANGIOP ADDL ART,5300.0,5300.0,144.67,5300.0,115 CPT,37248,HC TRLUML BALO ANGIOP 1ST VEIN,7833.0,7833.0,321.14,35453.43,125 CPT,37252,HC INTRAVAS ULTRASND INIT VES,4270.0,4270.0,101.46,4270.0,111 CPT,37252,HC INTRVASC US NONCORONARY 1ST,4364.0,4364.0,101.46,4364.0,111 CPT,37253,HC INTRVASC US NONCORONARY ADDL,4364.0,4364.0,80.85,4364.0,111 CPT,37765,HC PHLEB VEINS-EXTREM TO 20,10155.0,10155.0,776.0,24257.61,125 CPT,37766,HC PHLEB VEINS-EXTREM 20,10153.0,10153.0,776.0,24257.61,125 CPT,37799,HC BAL ANGIOPL STEN DIALY,4164.0,4164.0,492.09,24257.61,122 CPT,37799,HC VASCULAR HEMANGIOMA PR,6867.0,6867.0,492.09,24257.61,122 CPT,38205,HC HARVEST ALLOGENEIC STEM CELL,4106.0,4106.0,73.66,4106.0,115 CPT,38205,HC HARVEST DLI,4106.0,4106.0,73.66,4106.0,115 CPT,38206,HC HARVEST AUTOLOGOUS STEM CELLS,8735.0,8735.0,74.01,8735.0,125 CPT,38207,HC STEM CELL PROCESSING CRYOPRESERVATION,3653.0,3653.0,143.8,3653.0,122 CPT,38221,HC DIAGNOSTIC BONE MARROW BIOPSY(IES),1473.0,1473.0,69.82,5478.64,125 CPT,38222,HC DX BONE MARROW BX ASPIR,5972.0,5972.0,81.05,9635.46,125 CPT,38225,HC BLD DRV T LYMPHCYT CAR-T CLL,127630.0,127630.0,73.22,127630.0,110 CPT,38226,HC BLD DRV T LYMPHCYT PREP TRNS,13403.0,13403.0,45.49,13403.0,107 CPT,38227,HC RECEIPT PREP CAR-T CLL ADMN,13403.0,13403.0,45.86,13403.0,107 CPT,38228,HC CAR-T CLL ADMN AUTOLOGOUS,212715.0,212715.0,132.07,212715.0,125 CPT,38240,HC TRANSPLANTATION ALLOGENEIC HPC,4141.0,4141.0,222.77,208654.32,119 CPT,38241,HC TRANSPLANTATION AUTOLOGOUS HPC,4141.0,4141.0,699.83,5166.28,122 CPT,38242,HC TRANSPLANT ALLOGENEIC LYMPHOCYTES,3765.0,3765.0,89.66,11195.82,125 CPT,38243,HC TRANSPLJ HEMATOPOIETIC BOOST,8356.0,8356.0,116.12,11195.82,125 CPT,38505,HC BX LYMPH NODE BY NEEDLE,1511.0,1511.0,86.31,11195.82,125 CPT,38792,HC INJ RADIOACT TRACE SENTIN NODE,1234.0,1234.0,95.99,4664.92,122 CPT,38792,HC INJ SENTINAL NODE,287.0,287.0,48.5,4664.92,122 CPT,38900,HC IO MAP OF SENT LYMPH NODE,1234.0,1234.0,166.59,4664.92,111 CPT,40490,HC MAPS BIOPSY OF LIP,446.0,446.0,36.5,811.0,124 CPT,40525,HC MAPS RECONSTRUCT LIP WITH FLAP,2129.0,2129.0,359.8,10997.97,121 CPT,40650,HC REPAIR LIP VERMILION ONLY,1693.0,1693.0,248.93,5138.0,124 CPT,40800,HC DRAINAGE OF MOUTH LESION SMPLE,2338.0,2338.0,26.5,2349.0,124 CPT,40804,HC REMOVAL FOREIGN BODY MOUTH SIMPLE,2813.0,2813.0,27.36,3008.64,124 CPT,40808,HC MAPS BIOPSY OF MOUTH LESION,446.0,446.0,36.5,1789.04,124 CPT,41008,HC DRAINAGE OF MOUTH LESION SUBMANDIBLAR SPACE,9203.0,9203.0,23.5,10997.97,124 CPT,41100,HC MAPS BIOPSY OF TONGUE ANTERIOR TWO THIRDS,817.0,817.0,62.0,3245.0,124 CPT,41250,HC RPR<2.5CM FL/MTH 2/3 ANT TNG,1095.0,1095.0,31.5,2787.0,125 CPT,41800,HC I D OF DENTOALVEOLAR ABSC,1400.0,1400.0,23.5,2787.0,125 CPT,42400,HC BIOPSY OF SALIVARY GLAND,3762.0,3762.0,44.8,4664.92,125 CPT,42400,HC MAPS BIOPSY OF SALIVARY GLAND,542.0,542.0,35.0,3245.0,124 CPT,42550,HC INJECTION FOR SALIVARY X-RAY,2799.0,2799.0,44.16,11195.82,114 CPT,42700,HC I D PERITONSILLAR ABSCESS,2298.0,2298.0,62.0,2787.0,125 CPT,42800,HC MAPS BIOPSY OF THROAT,725.0,725.0,54.5,8112.0,124 CPT,42809,HC REMOVAL FB PHARYNX,1604.0,1604.0,27.36,2787.0,125 CPT,43194,HC ESOPHAGOSCP RIG TRNSO REM FB,17227.0,17227.0,168.72,17227.0,125 CPT,43200,HC ESOPHAGOSCOPY,3324.0,3324.0,119.64,11195.82,125 CPT,43200,HC MAPS ESOPHAGOSCOPY FLEXIBLE BRUSH,797.0,797.0,93.47,3245.0,124 CPT,43201,HC ESOPH SCOPE W/SUBMUCOUS INJ,6316.0,6316.0,146.09,11195.82,125 CPT,43202,HC ENDOSCOPY BIOPSY,3839.0,3839.0,129.89,20525.67,125 CPT,43204,HC ENDOSCOPY SCLEROSIS,2179.0,2179.0,246.98,24257.61,125 CPT,43205,HC ESOPHAGUS ENDOSCOPY/LIGATION,5762.0,5762.0,248.5,24257.61,125 CPT,43211,HC ESOPHAGOSCOP MUCOSAL RESECT,6270.0,6270.0,776.0,20525.67,125 CPT,43212,HC ESOPHAGOSCOP STENT PLACEMENT,9420.0,9420.0,776.0,20525.67,125 CPT,43214,HC ESOPHAGOSC DILATE BALLOON 30,5882.0,5882.0,776.0,20525.67,125 CPT,43215,HC ESOPHAGOSCOPY W FB REMOVAL,8206.0,8206.0,175.48,11195.82,125 CPT,43220,HC DIL ESOPH BAL DIRET,4641.0,4641.0,142.52,11195.82,125 CPT,43220,HC DILATION OF ESUP,2602.0,2602.0,142.52,11195.82,125 CPT,43226,HC ESOPHAGOSCOPY W/BALLOON DIL,5435.0,5435.0,157.41,11195.82,125 CPT,43231,HC ESOPH ENDOSCOPY W/US EXAM,10158.0,10158.0,210.34,20525.67,125 CPT,43232,HC ESOPH ENDOSCOPY W/US FN BX,7744.0,7744.0,294.03,20525.67,125 CPT,43233,HC EGD BALLOON DIL ESOPH30 MM/>,5882.0,5882.0,776.0,20525.67,125 CPT,43235,HC UPPR GI ENDOSCOPY DIAGNOSIS,4027.0,4027.0,160.28,11195.82,125 CPT,43236,HC UPPR GI SCOPE W/SUBMUC INJ,5197.0,5197.0,193.98,11195.82,125 CPT,43237,HC ENDOSCOPIC US EXAM ESOPH,5806.0,5806.0,217.51,20525.67,125 CPT,43238,HC EGD TRANS EUS/FNA/BIO ESOPHGS,5972.0,5972.0,270.05,24257.61,125 CPT,43239,HC UPPER GI ENDOSCOPY BIOPSY,4273.0,4273.0,190.18,20525.67,125 CPT,43241,HC UPPR GI ENDOSCPY W/ TRANS TUBE,7282.0,7282.0,172.85,20525.67,125 CPT,43242,HC EGD TRANS-EUS/FNA/BIO,6289.0,6289.0,322.83,20525.67,125 CPT,43243,HC UPPER GI ENDOSCOPY INJECT,5240.0,5240.0,776.0,20525.67,125 CPT,43244,HC EGD W BAND LIG ES/GAS VAR,4604.0,4604.0,314.59,24257.61,125 CPT,43245,HC UPPR GI SCOPE DILATE STRICTR,5184.0,5184.0,209.69,20525.67,125 CPT,43246,HC EGD-PLACEMENT OF PERQ GI TUBE,4762.0,4762.0,280.72,20525.67,125 CPT,43246,HC EGI ENDOSCOPY,2048.0,2048.0,219.31,6365.36,124 CPT,43246,HC UGI ENDOSCOPY,2048.0,2048.0,280.72,20525.67,125 CPT,43247,HC EGD REMOVAL OF FB,4198.0,4198.0,222.76,20525.67,125 CPT,43248,HC EGD INSERTION OF GUIDE WIRE,3836.0,3836.0,208.83,20525.67,125 CPT,43249,HC EGDW BLN DIL ESOPH < 30,3629.0,3629.0,192.96,20525.67,125 CPT,43250,HC EGD W REM LES BY HOT BX BIPOLAR,3514.0,3514.0,211.1,20525.67,125 CPT,43251,HC EGD) REMOVE TUMOR(S) BY SNARE,3588.0,3588.0,242.37,20525.67,125 CPT,43254,HC EGD ENDO MUCOSAL RESECTION,6262.0,6262.0,776.0,20525.67,125 CPT,43255,HC OPERATIVE UPPER GI ENDOSCOPY,5603.0,5603.0,297.6,20525.67,125 CPT,43259,HC ENDOSCOPIC ULTRASOUND EXAM,5669.0,5669.0,268.86,20525.67,125 CPT,43260,HC ERCP DIAGNOSTIC,7235.5,7235.5,385.25,24257.61,250 CPT,43261,HC ERCP WITH BXSINGLE OR MULTI,5153.0,5153.0,405.25,24257.61,125 CPT,43262,HC ERCP WITH SPHINCTEROTOMY,5995.0,5995.0,144.0,24257.61,125 CPT,43264,HC ERCP WITH STONE REMOVAL,5079.0,5079.0,571.38,24257.61,125 CPT,43265,HC ERCP WITH LITHOTRIPSY,5863.0,5863.0,599.04,24257.61,125 CPT,43266,HC EGD ENDOSCOPIC STENT PLACE,9710.0,9710.0,776.0,20525.67,125 CPT,43270,HC EGD LESION ABLATION,5957.0,5957.0,776.0,20525.67,125 CPT,43273,HC BRONCH RECLEAR AIRWY TREE SBSQ,4620.0,4620.0,75.7,20525.67,115 CPT,43274,HC ERCP DUCT STENT PLACEMENT,9313.0,9313.0,776.0,24257.61,125 CPT,43275,HC ERCP REMOVE FORGN BODY DUCT,9687.0,9687.0,776.0,24257.61,125 CPT,43276,HC ERCP STENT EXCHANGE W/DILATE,9687.0,9687.0,776.0,24257.61,125 CPT,43277,HC ERCP EA DUCT/AMPULLA DILATE,6341.0,6341.0,776.0,24257.61,125 CPT,43278,HC ERCP LESION ABLATE W/DILATE,8077.0,8077.0,776.0,24257.61,125 CPT,43453,HC ESOPHAGUS DILATION OVR GW,3910.0,3910.0,75.52,11195.82,125 CPT,43752,HC PLC NASO/ORO-GASTRO FEED TUBE,630.0,630.0,52.84,4664.92,122 CPT,43753,HC GASTRIC INTUBATION,744.0,744.0,16.51,3245.0,124 CPT,43755,HC DX GASTR INTUB W/ASP SPECS,1440.0,1440.0,39.2,11195.82,125 CPT,43760,HC MAPS CHANGE GASTROSTOMY TUBE,214.0,214.0,28.89,8112.0,111 CPT,43761,HC REPOSITION GAST FEEDING TUBE,5556.0,5556.0,94.43,5556.0,124 CPT,43762,HC MAPS RPLC GTUBE NO REVJ TRC,326.0,326.0,31.1,3245.0,124 CPT,43762,HC REPL G TUBE W GUID,1739.0,1739.0,31.1,11195.82,125 CPT,43763,HC RPLC GTUBE REVJ GSTRST TRC,2205.0,2205.0,145.98,11195.82,122 CPT,43870,HC REPAIR STOMACH OPENING,12043.0,12043.0,573.44,53227.0,125 CPT,43999,HC STOMACH SURGERY PROCEDURE,1264.0,1264.0,213.62,8112.0,122 CPT,44360,HC SMALL INTEST ENDOSCOPY DIAG,4665.0,4665.0,173.39,20525.67,125 CPT,44361,HC SM BOWEL ENTEROSCOPY (NO ILEUM,4665.0,4665.0,191.12,20525.67,125 CPT,44363,HC SMALL BOWEL ENDOSC W/FB REMOV,4132.0,4132.0,229.8,20525.67,125 CPT,44363,HC SML INT ENDOENTER REM FB,4132.0,4132.0,229.8,20525.67,125 CPT,44364,HC SMALL BOWEL ENDOSCOPY SNARE,5844.0,5844.0,244.36,20525.67,125 CPT,44365,HC S. BOWEL ENDOSCOPY T.REMVL,5210.0,5210.0,170.51,20525.67,125 CPT,44366,HC SMALL INTEST ENDOSCOPY HEMORR,5614.0,5614.0,207.5,20525.67,125 CPT,44369,HC SMALL BOWEL ENDOSCOPY ABLTN,5863.0,5863.0,207.5,20525.67,125 CPT,44370,HC ENTEROSCOPY2 PORTN TRANSTNT,12318.0,12318.0,253.49,20525.67,125 CPT,44372,HC S.BOWEL ENDOSCOPYW/PLMT J.TUBE,6014.0,6014.0,265.6,20525.67,125 CPT,44373,HC ENTEROSCOPY>2ND PORTN C.TUBE,6491.0,6491.0,228.48,20525.67,125 CPT,44376,HC DX SMALL BOWEL ENDOSCOPY,4760.0,4760.0,338.96,20525.67,125 CPT,44377,HC SMALL BOWEL ENDOSCOPY/BIOPSY,6117.0,6117.0,279.13,20525.67,125 CPT,44378,HC S. BOWEL ENDOSCPY>2ND C.BLEED,6938.0,6938.0,458.51,20525.67,125 CPT,44380,HC DX.S.BOWEL ILEOSCOPY,3867.0,3867.0,74.98,20525.67,125 CPT,44381,HC SMALL BOWEL ENDOSCOPY BR/WA,2708.0,2708.0,457.65,7301.0,125 CPT,44382,HC S.BOWEL ILEOSCOPY W/BX,4444.0,4444.0,89.29,20525.67,125 CPT,44385,HC DX ENDOSCOPY OF BOWEL POUCH,4202.0,4202.0,93.72,11195.82,125 CPT,44386,HC ENDOSCOPY BOWEL POUCH/BIOP,2788.0,2788.0,110.26,11195.82,125 CPT,44388,HC COLONOSCOPY VIA STOMA,4023.0,4023.0,186.28,11195.82,125 CPT,44389,HC COLON STOMA - W BIOPSY,4365.0,4365.0,206.39,20525.67,125 CPT,44390,HC COLON W/ REMOVE FB,2575.0,2575.0,248.03,20525.67,125 CPT,44391,HC COLON CONTROL BLEED-APC,3733.0,3733.0,281.54,20525.67,125 CPT,44392,HC COLONOSC STOMA REMOV LES,4488.0,4488.0,247.44,20525.67,125 CPT,44394,HC COLON W/REML OF TUMOR(S)SNARE,4313.0,4313.0,287.05,20525.67,125 CPT,44401,HC COLONOSCOPY W/ABLATION STOMA,5863.0,5863.0,776.0,20525.67,125 CPT,44404,HC COLONOSCOPY W/INJECTION,5864.0,5864.0,776.0,20525.67,125 CPT,44405,HC COLON STOMA W/TRANS DILATION,5559.0,5559.0,776.0,20525.67,125 CPT,44500,HC INTRO LONG GI TUBE,2578.0,2578.0,19.67,6558.0,125 CPT,44640,HC REPAIR BOWEL-SKIN FISTULA,9686.0,9686.0,573.44,44783.28,115 CPT,44650,HC ILEOSTOMY/JEJUNOSTOMY,9608.0,9608.0,573.44,44783.28,115 CPT,45000,HC TRANS DRAINAGE OF PELVIC ABSCESS,7835.0,7835.0,192.64,11195.82,125 CPT,45100,HC BIOPSY OF RECTUM ANL APPRCH,3810.0,3810.0,192.64,11195.82,125 CPT,45300,HC MAPS PROCTOSIGMOID RIGID DXTIC,612.0,612.0,24.37,3245.0,124 CPT,45305,HC PROCTOSIGMOIDOSCOPY W/BX,6121.0,6121.0,67.84,11195.82,125 CPT,45317,HC PROCTOSIGMOIDOSCOPY REMOVAL,7280.0,7280.0,100.2,11195.82,125 CPT,45330,HC MAPS DIAGNOSTIC SIGMOIDOSCOPY,612.0,612.0,53.15,3245.0,124 CPT,45330,HC SIGMOIDOSCOPY,3110.0,3110.0,68.03,11195.82,125 CPT,45331,HC MAPS SIGMOIDOSCOPY AND BIOPSY,529.0,529.0,63.67,3245.0,124 CPT,45331,HC SIGMOID W BIOPSY,3422.0,3422.0,81.5,11195.82,125 CPT,45333,HC SIGMOID POLYPECTOMY,7497.0,7497.0,121.14,11195.82,125 CPT,45334,HC SIGMOID W CONTL OF BLEEDING,4027.0,4027.0,143.36,11195.82,125 CPT,45335,HC SIGMOIDOSFLX W/SUBMUCOSAL INJ,3072.0,3072.0,100.67,11195.82,125 CPT,45337,HC SIGMOIDOSFLEX W DE VOLVU,3453.0,3453.0,157.4,11195.82,125 CPT,45338,HC SIGMOID W REM OF TUMOR(S),3992.0,3992.0,156.1,11195.82,125 CPT,45340,HC SIGMOIDOSFLX W/BALLON DILIAT,3664.0,3664.0,127.26,11195.82,125 CPT,45341,HC SIGMOID W/EUS,4952.0,4952.0,134.47,11195.82,125 CPT,45342,HC SGMDSCPYFLX W/ENDO FNA/B,6383.0,6383.0,199.76,11195.82,125 CPT,45347,HC SIGMOIDOSCOPY W/PLCMT STENT,8019.0,8019.0,776.0,20138.26,125 CPT,45349,HC SIGMOIDOSCOPY W/RESECTION,5543.0,5543.0,776.0,20525.67,125 CPT,45378,HC COLONOSCOPYDIAGNOSTIC,4342.0,4342.0,108.22,20525.67,125 CPT,45378,HC MAPS DIAGNOSTIC COLONOSCOPY,418.0,418.0,70.64,4326.0,124 CPT,45379,HC COLONOSC FLEXPR SP FLX RE FB,4148.0,4148.0,303.42,20525.67,125 CPT,45380,HC COLONOSCOPY BIOPSY,4550.0,4550.0,288.54,20525.67,125 CPT,45381,HC COLONOSCOPY SUBMUCOUS INJ,5738.0,5738.0,272.91,20525.67,125 CPT,45382,HC COLONOSCOPY FOR HEMORRHAGE,4426.0,4426.0,325.12,20525.67,125 CPT,45384,HC LESION REMOVE COLONOSCOPY,5917.0,5917.0,303.96,20525.67,125 CPT,45385,HC LESION REMOVAL COLONOSCOPY SNARE,6402.0,6402.0,343.14,20525.67,125 CPT,45386,HC COLON W DILATION,3911.0,3911.0,297.25,20525.67,125 CPT,45388,HC COLONOSCOPY W/ABLATION,5857.0,5857.0,776.0,20525.67,125 CPT,45389,HC COLONOSCOPY W/STENT PLCMT,6014.0,6014.0,776.0,20525.67,125 CPT,45390,HC COLONOSCOPY W/RESECTION,5493.0,5493.0,776.0,20525.67,125 CPT,45391,HC COLONOSCOPY W/ENDOSCOPE US,3954.0,3954.0,280.69,20525.67,125 CPT,45392,HC COLONOSCOPY W/ENDOSCOPIC FNB,2939.0,2939.0,355.1,20525.67,125 CPT,45398,HC COLONOSCOPY W/BAND LIGATION,5864.0,5864.0,776.0,20525.67,125 CPT,45905,HC DILATION OF ANAL SPHINCTER,8442.0,8442.0,56.32,11195.82,125 CPT,45915,HC REMOV FEC IMPACT/FB ANES,5515.0,5515.0,38.5,5515.0,124 CPT,45990,HC SURG DX EXAM ANORECTAL,8909.0,8909.0,776.0,11195.82,125 CPT,46040,HC I/D ISCHIORECT/PRECT ABSC,3246.0,3246.0,138.88,24257.61,125 CPT,46050,HC I D PERIANAL ABSCESS SUPERFIC,5462.0,5462.0,75.66,5462.0,125 CPT,46050,HC MAPS INCISION OF ANAL ABSCESS,472.0,472.0,75.66,3245.0,124 CPT,46083,HC INCISE THRMBSD EXT HEMORRHOID,712.0,712.0,41.0,2787.0,125 CPT,46220,HC MAPS REMOVAL OF ANAL TAB,1559.0,1559.0,80.0,3969.48,124 CPT,46221,HC LIGATION OF HEMORRHOID(S),3351.0,3351.0,58.88,4664.92,125 CPT,46221,HC MAPS LIGATION OF HEMORRHOID(S),546.0,546.0,46.0,3245.0,124 CPT,46260,HC REMOVE IN/EX HEM GROUPS 2,4708.0,4708.0,430.08,24257.61,125 CPT,46320,HC MAPS REMOVAL OF HEMORRHOID CLOT,1559.0,1559.0,40.0,3969.48,124 CPT,46505,HC CHEMODENERVATION ANAL MUSC,7132.0,7132.0,776.0,20525.67,125 CPT,46600,HC ANOSCOPY DIAG.,2621.0,2621.0,20.0,2621.0,124 CPT,46600,HC MAPS ANOSCOPY DIAG.,156.0,156.0,20.0,811.0,124 CPT,46606,HC ANOSCOPY W/BX SINGLE/MULTIPLE,6806.0,6806.0,25.6,11195.82,125 CPT,46614,HC ANOSCOPY CONTROL BLEEDING,6014.0,6014.0,82.19,11195.82,125 CPT,46916,HC MAPS CRYOSURGERY ANAL LESION(S),160.0,160.0,27.04,811.0,124 CPT,46945,HC REMOVE BY LIGAT INT HEM GRP,1440.0,1440.0,58.88,9207.37,125 CPT,47000,HC BX LIVER PERCUT SEPARATE PROC,2241.0,2241.0,114.75,24257.61,125 CPT,47001,HC BX LIVER PERC W/OTHER MAJ PROC,8329.0,8329.0,92.38,8329.0,114 CPT,47382,HC ABLATION 1 LIVER TUMOR (S),19653.0,19653.0,776.0,29855.52,125 CPT,47382,HC RF ABLATIONLIVER 1 OR,16853.0,16853.0,776.0,29855.52,125 CPT,47383,HC ABLATION 1 OR MORE LIVER TUMORS,39214.0,39214.0,776.0,39214.0,125 CPT,47399,HC NON-RF LIVER ABLATION,6766.0,6766.0,543.0,8112.0,122 CPT,47490,HC PERCUT.CHOLECYSTOSTOMY,5659.0,5659.0,372.33,29855.52,122 CPT,47531,HC CHOLANGIOGRAM (T-TUBE) S/1,1147.0,1147.0,77.92,11876.82,125 CPT,47531,HC INJECTION FOR CHOLANGIOGRAM,5515.0,5515.0,99.74,11876.82,125 CPT,47532,HC INJ FOR CHOLANGIOGRAM NEW ACC,10134.0,10134.0,225.56,11898.0,125 CPT,47533,HC PLMT BILIARY DRAINAGE CATH,10134.0,10134.0,319.59,29855.52,125 CPT,47534,HC PLMT BILIARY DRAIN CATH INT-EX,10134.0,10134.0,424.13,29855.52,125 CPT,47535,HC CONVERSION EXT BIL DRG CATH,10134.0,10134.0,243.88,29855.52,125 CPT,47536,HC EXCHANGE BILIARY DRG CATH,10134.0,10134.0,153.83,11898.0,125 CPT,47537,HC REMOVAL BILIARY DRG CATH,5515.0,5515.0,103.71,11195.82,125 CPT,47538,HC PERQ PLMT BILE DUCT STENT EXST,19169.0,19169.0,343.69,52247.16,125 CPT,47539,HC PERQ PLMT BILE DUCT STENT NEW ACS,19169.0,19169.0,464.82,52247.16,125 CPT,47540,HC PERQ PLMT BILE DUCT STENT NEW ACS W/ DRNGE,19169.0,19169.0,554.85,52247.16,125 CPT,47541,HC PLMT ACCESS BIL TREE SM BWL,10134.0,10134.0,295.09,29855.52,125 CPT,47542,HC DILATE BILIARY DUCT/AMPULLA,5515.0,5515.0,109.31,11195.82,114 CPT,47543,HC ENDOLUMINAL BX BILIARY TREE,5515.0,5515.0,137.31,24257.61,114 CPT,47544,HC REMOVAL DUCT GLBLDR CALCULI,5515.0,5515.0,175.95,29855.52,114 CPT,47552,HC BILIARY ENDOSCOPY,7284.0,7284.0,443.25,21474.83,122 CPT,47553,HC BILIARY ENDOSCOPY FOR BX.,15511.0,15511.0,443.25,24257.61,122 CPT,47554,HC BILIARY ENDOSCOPY THRU SKIN,9707.0,9707.0,776.0,35261.09,125 CPT,47555,HC BILIARY STRICT. DILATION,1088.0,1088.0,183.87,35453.43,122 CPT,47556,HC BILIARY ENDO W/DILATE STENT,1151.0,1151.0,194.52,35261.09,125 CPT,47999,HC UNLISTED BILIARY TRACT,11998.0,11998.0,711.49,11998.0,122 CPT,48000,HC DRAINAGE ABDOMEN PANCR,9544.0,9544.0,994.0,9544.0,112 CPT,48102,HC BX PANCREAS PERCUTANEOUS,3586.0,3586.0,296.12,24257.61,125 CPT,48510,HC S/C DRAIN PANCREATIC P,8982.0,8982.0,378.24,8982.0,115 CPT,48999,HC ENDO PANC NECROSECTOMY,3702.0,3702.0,543.0,8112.0,122 CPT,48999,HC IMPLANT ACCULOCPANCRE,5214.0,5214.0,543.0,8112.0,122 CPT,49020,HC DRAINAGE PERITONEAL AB,7006.0,7006.0,259.5,20525.67,115 CPT,49040,HC DRAINAGE SUBDIAPHRAGMA,7798.0,7798.0,359.0,8112.0,115 CPT,49060,HC DRAIN RETROP ABSCESS,8038.0,8038.0,341.12,20525.67,115 CPT,49082,HC ABD PARACENTESIS W/O IMAG GUID,2957.0,2957.0,54.53,3008.64,125 CPT,49083,HC ABD PARACENTESIS W/IMAG GUID,2325.0,2325.0,84.33,3245.0,124 CPT,49180,HC BX ABD/RETROPERITONEAL/PERCUT,2020.0,2020.0,103.64,24257.61,250 CPT,49185,HC SCLEROTX FLUID COLLECTION,5515.0,5515.0,543.0,11195.82,122 CPT,49185,HC URETERAL EMBOLIZATION/OCCL,5515.0,5515.0,543.0,11195.82,122 CPT,49400,HC REPOSITION PD CATHETER,365.0,365.0,49.28,4664.92,114 CPT,49405,HC IMAGE CATH FLUID COLXN VISC,6557.0,6557.0,221.91,20525.67,125 CPT,49406,HC IMAGE CATH FLUID PERI/RETRO,6557.0,6557.0,222.25,24257.61,125 CPT,49407,HC IMAGE CATH FLUID TRNS/VGNL,4061.0,4061.0,236.63,24257.61,125 CPT,49411,HC INTRST MRK ABD/PEL FOR RT PERQ,33515.0,33515.0,202.39,33515.0,125 CPT,49418,HC INSERT TUNNEL INTRAPERIT CATH,12673.0,12673.0,776.0,12673.0,125 CPT,49421,HC INSERT ABDOM DIALYSIS,10514.0,10514.0,776.0,11876.82,125 CPT,49422,HC REMOVE TUNNEL INTRAPER,9375.0,9375.0,428.7,11195.82,125 CPT,49423,HC EXCHANGE PREV ABSCESS DRAIN,3999.0,3999.0,75.26,11195.82,125 CPT,49424,HC INJ FOR ASSESS ABSCESS/CYST,796.0,796.0,39.94,4664.92,114 CPT,49427,HC INJ EVAL PERIT-VENOUS SHUNT,834.0,834.0,83.45,4664.92,111 CPT,49429,HC REMOVE PERITONEAL-VENOUS SHUNT,8156.0,8156.0,374.84,11195.82,125 CPT,49440,HC PERCUT.PLACE.GASTROST.TUBE,3837.0,3837.0,225.97,8966.81,125 CPT,49441,HC PERC JEJUNOSTOMY TUBE,3837.0,3837.0,246.07,11004.73,125 CPT,49446,HC CONVERT G TO GJ TUBE,3837.0,3837.0,161.08,6365.36,125 CPT,49450,HC CHANGE GASTROSTOMY TUBE,2778.0,2778.0,65.41,8966.81,125 CPT,49450,HC REPLACE G/C TUBE PERC,2546.0,2546.0,65.41,8966.81,125 CPT,49451,HC REPLACEMENT J TUBE,2778.0,2778.0,90.02,6113.74,125 CPT,49452,HC REPLACEMENT G-J TUBE,2778.0,2778.0,140.52,7336.48,125 CPT,49460,HC G-J TUBE REMOVAL,2797.0,2797.0,46.03,15080.55,125 CPT,49465,HC CONTR INJ PERQ EVAL GI TUBE,3669.0,3669.0,46.77,3669.0,121 CPT,49505,HC REPAIR 1ST INGUINL HERN 5 YRS,9349.0,9349.0,406.4,35453.43,125 CPT,50020,HC DRAIN PERIRENAL ABSCES,944.0,944.0,159.54,20525.67,125 CPT,50080,HC S/C RENAL STONE EXT,4407.0,4407.0,744.78,52247.16,125 CPT,50200,HC BX RENAL PERCUTANEOUS,6938.0,6938.0,175.5,24257.61,125 CPT,50382,HC CHANGE URETER STENT PERCUT,10754.0,10754.0,776.0,11942.21,125 CPT,50384,HC DOUBLE J REMOVAL,7194.0,7194.0,733.53,11195.82,125 CPT,50385,HC REM REPL URETER STNT W/O CYSTO,10303.0,10303.0,776.0,13857.8,125 CPT,50386,HC REM URETERAL STENT W/O CYSTO,6137.0,6137.0,284.02,6934.17,125 CPT,50387,HC CHANGE EXT/INT URETER STENT,4722.0,4722.0,104.82,11942.21,125 CPT,50389,HC REMOVE RENAL TUBE W/FLUORO,2889.0,2889.0,284.02,11195.82,125 CPT,50390,HC PERC. RENAL CYST ASPIR.,2697.0,2697.0,117.18,24257.61,125 CPT,50396,HC MANOMETRICSTUD,1963.0,1963.0,75.5,4664.92,125 CPT,50430,HC NJX PX NFROSGRM /URTRGRM NEW ACS,1718.0,1718.0,173.64,5138.0,125 CPT,50431,HC NJX PX NFROSGRM /URTRGRM EXST,1718.0,1718.0,68.48,5138.0,125 CPT,50432,HC PLMT NEPHROSTOMY CATHETER,4267.0,4267.0,229.84,24257.61,125 CPT,50433,HC PLMT NEPHROURETERAL CATHETER,4267.0,4267.0,283.53,24257.61,125 CPT,50434,HC CONVERT NEPHROSTOMY CATHETER,4267.0,4267.0,217.24,11195.82,125 CPT,50435,HC EXCHANGE NEPHROSTOMY CATH,5345.0,5345.0,105.22,11195.82,125 CPT,50436,HC DILATION OF NEPHROSTOMY TRACT/PYELOSTOMY,3777.0,3777.0,158.49,11898.0,124 CPT,50590,HC LITHOTRIPSY BY OUTSIDE VENDOR,4492.0,4492.0,319.36,40758.25,125 CPT,50592,HC PERQ RF ABLATE RENAL TUMOR UNI,11975.0,11975.0,776.0,29855.52,125 CPT,50593,HC ABLATION-KIDNEY,12489.0,12489.0,1899.0,35261.09,122 CPT,50606,HC ENDOLUMINAL BX URTR RNL PLVS,3103.0,3103.0,128.35,20525.67,114 CPT,50684,HC INJ. FOR PYELOGRAM,1739.0,1739.0,44.75,4664.92,114 CPT,50688,HC URETEROSTOMY TUBE CHANGE,936.0,936.0,158.18,11195.82,122 CPT,50690,HC CHANGE URETERA,1279.0,1279.0,43.0,4664.92,114 CPT,50693,HC PLMT URETERAL STENT PRQ EXIST,6970.0,6970.0,227.35,24257.61,125 CPT,50694,HC PLMT URETERAL STENT PRQ W/O N TRACT,6970.0,6970.0,293.96,24257.61,125 CPT,50695,HC PLMT URETERAL STENT PRQ NEW ACS W/ MCATH,6970.0,6970.0,373.22,24257.61,125 CPT,50705,HC URETERAL EMBOLIZATION/OCCL,5515.0,5515.0,164.38,11195.82,114 CPT,50706,HC BALLOON DILATE URTRL STRIX,2011.0,2011.0,152.82,11195.82,114 CPT,51102,HC PERCUTANEOUS CYSTOSTOMY,2286.0,2286.0,197.56,11195.82,125 CPT,51600,HC CYSTOGRAM INCON/VOID,410.0,410.0,32.0,6558.0,114 CPT,51600,HC MAPS OSF CYSTOGRAM INCON/VOID,463.0,463.0,32.0,463.0,113 CPT,51610,HC INJ. FOR URETHROGRAM,431.0,431.0,34.5,6558.0,114 CPT,51700,HC MAPS IRRIGATION OF BLADDER,243.0,243.0,28.7,828.78,124 CPT,51701,HC INSRT NO-INDWELL/STRAIGHT CATH,640.0,640.0,25.45,2787.0,125 CPT,51701,HC MAPS INSRT NO-INDWELL/STRAIGHT CATH,155.0,155.0,25.45,811.0,124 CPT,51702,HC MAPS URETHRAL CATHETERIZATION,387.0,387.0,27.36,811.0,124 CPT,51702,HC URETHRAL CATHETERIZATION,788.0,788.0,27.36,4664.92,125 CPT,51703,HC MAPS INSRT COMPL INDWELL CATH (FX),134.0,134.0,22.65,3245.0,124 CPT,51705,HC CHANGE CYSTOTOMYTUBE SIMPLE,1128.0,1128.0,28.0,4664.92,125 CPT,51710,HC MAPS CHANGE CYSTOTOMYTUBE COMPL,472.0,472.0,28.0,3245.0,124 CPT,51715,HC MAPS ENDOSCOPIC INJECTION/IMPLANT,3965.0,3965.0,185.69,11693.0,124 CPT,51720,HC MAPS TREATMENT OF BLADDER LESION,373.0,373.0,63.04,3245.0,124 CPT,51725,HC MAPS SIMPLE CYSTOMETROGRAM,281.0,281.0,42.5,3245.0,124 CPT,51728,HC MAPS CYSTOMETROGRAM W/VP,485.0,485.0,81.96,2313.07,124 CPT,51729,HC MAPS CYSTOMETROGRAM W/VP UP,485.0,485.0,81.96,2313.07,124 CPT,51741,HC MAPS UROFLOWMETRY,134.0,134.0,22.65,811.0,124 CPT,51784,HC EMG ANL/URETH SPHNCTR-NO NEEDL,836.0,836.0,46.52,6558.0,122 CPT,51784,HC MAPS EMG URETHRAL SPHINCTER,343.0,343.0,46.52,811.0,121 CPT,51785,HC MAPS ANAL/URINARY MUSCLE STUDY,231.0,231.0,39.04,828.78,122 CPT,51797,HC MAPS VOIDING INTRA-ABD PRESSURE,255.0,255.0,34.43,255.0,114 CPT,51798,HC MAPS MEAS PV URINE/BLADDER CAP,127.0,127.0,14.07,811.0,124 CPT,51798,HC MEAS PV URINE/BLADDER CAP,630.0,630.0,14.07,630.0,125 CPT,52000,HC CYSTOSCOPY,1697.0,1697.0,96.0,4664.92,125 CPT,52000,HC MAPS CYSTOSCOPY,621.0,621.0,75.0,3245.0,122 CPT,52281,HC MAPS CYSTOSCOPY AND TREATMENT,1524.0,1524.0,107.5,6934.17,124 CPT,52287,HC MAPS CYSTOSCOPY CHEMODENERVATION,1385.0,1385.0,130.74,8112.0,124 CPT,53060,HC DRAINAGE OF SKENE S ABSCESS,6050.0,6050.0,38.5,6934.17,125 CPT,53660,HC MAPS DILAT URETH STRIC-SUPS/INST,118.0,118.0,19.94,811.0,124 CPT,53661,HC MAPS DILATE FEMALE URETHRA SUBS,118.0,118.0,19.94,811.0,124 CPT,53899,HC UNLISTED UROLOGY PROCE,434.0,434.0,73.35,20525.67,122 CPT,54220,HC IRRIG OF CORPORA CAVENOSA PRIAPSM,900.0,900.0,81.76,2787.0,125 CPT,54230,HC INJ. CORPORA CAVERNOS.,220.0,220.0,29.7,4664.92,111 CPT,54235,HC S/C CAVERSON D I,656.0,656.0,81.76,6558.0,122 CPT,55000,HC DRAINAGE OF HYDROCELETUNICA,2102.0,2102.0,35.0,2349.0,124 CPT,55100,HC DRAINAGE OF SCROTUM ABSCESS,4888.0,4888.0,44.8,11195.82,125 CPT,55700,HC BX PROSTATE,217.0,217.0,29.3,24257.61,115 CPT,55876,HC PLACE RT DEVICE/MARKER PROS,1527.0,1527.0,258.06,4664.92,125 CPT,56405,HC ABSCESS DRAIN./PERINEAL,2124.0,2124.0,90.0,2787.0,125 CPT,56405,HC MAPS ABSCESS DRAIN./PERINEAL,250.0,250.0,42.25,4326.0,124 CPT,56420,HC BARTHOLIN S ABSCESS,2083.0,2083.0,50.5,2787.0,125 CPT,56501,HC MAPS DESTROY VULVA LESIONS SIM,1423.0,1423.0,63.5,8112.0,124 CPT,56605,HC MAPS BIOPSY OF VULVA/PERINEUM 1 LESION,562.0,562.0,55.51,3245.0,124 CPT,56606,HC MAPS BIOPSY OF VULVA/PERINEUM SEP PROC ADD LESI,234.0,234.0,27.4,234.0,114 CPT,56820,HC MAPS EXAM OF VULVA W/SCOPE,144.0,144.0,24.34,811.0,124 CPT,56821,HC MAPS EXAM/BIOPSY OF VULVA W/SCOPE,281.0,281.0,47.49,3245.0,124 CPT,57022,HC I D VAG HEMATOMA OB/POSTPART,5462.0,5462.0,90.0,9635.46,122 CPT,57061,HC MAPS DESTRUCTION VAGINA LESION(S,1845.0,1845.0,70.0,10738.13,124 CPT,57100,HC MAPS BIOPSY OF VAGINA MUCOSA SIMPLE,632.0,632.0,59.99,3245.0,124 CPT,57105,HC MAPS BIOPSY OF VAGINA EXTENSIVE REQUIRE SUTURE,1845.0,1845.0,70.0,10738.13,124 CPT,57155,HC INSERT UTERI TANDEM/OVOIDS,3302.0,3302.0,179.75,16594.02,125 CPT,57160,HC INSERT PESSARY/OTHER DEVICE,469.0,469.0,15.15,6558.0,125 CPT,57160,HC MAPS INSERT PESSARY/OTHER DEVICE,147.0,147.0,15.15,811.0,124 CPT,57200,HC COLPORRHAPHY REPAIR OF VAGINA,2826.0,2826.0,168.32,11195.82,125 CPT,57420,HC COLPOSCOPY,2443.0,2443.0,104.61,4664.92,125 CPT,57420,HC MAPS EXAM OF VAGINA W/SCOPE,250.0,250.0,42.25,3245.0,124 CPT,57421,HC MAPS EXAM/BIOPSY OF VAG W/SCOPE,562.0,562.0,94.98,3245.0,124 CPT,57452,HC MAPS EXAM OF CERVIX W/SCOPE,167.0,167.0,28.22,3245.0,124 CPT,57454,HC MAPS BX/CURETT OF CERVIX W/SCOPE,282.0,282.0,47.66,3245.0,124 CPT,57455,HC MAPS BIOPSY OF CERVIX W/SCOPE,250.0,250.0,42.25,3245.0,124 CPT,57456,HC MAPS ENDOCERV CURETTAGE W/SCOPE,281.0,281.0,47.49,3245.0,124 CPT,57460,HC MAPS BX OF CERVIX W/SCOPE LEEP,1845.0,1845.0,149.8,10738.13,124 CPT,57461,HC MAPS CONZ OF CERVIX W/SCOPE LEEP,1891.0,1891.0,173.53,10738.13,124 CPT,57500,HC MAPS BIOPSY OF CERVIX,620.0,620.0,66.12,3245.0,124 CPT,57505,HC MAPS ENDOCERVICAL CURETTAGE,535.0,535.0,22.0,3245.0,124 CPT,57520,HC MAPS CONIZATION OF CERVIXW/OR W,1845.0,1845.0,211.5,10738.13,124 CPT,57720,HC COLPORRAPHY (REV VAG REPAIR),2826.0,2826.0,477.59,10738.13,122 CPT,58100,HC MAPS BIOPSY OF UTERUS LINING,282.0,282.0,47.66,811.0,124 CPT,58110,HC MAPS BX DONE W/COLPOSCOPY ADD-ON,92.0,92.0,12.42,92.0,110 CPT,58120,HC DILATION AND CURETTAGE,2826.0,2826.0,477.59,20525.67,125 CPT,58140,HC MYOMECTOMY ABDOM METHOD,5615.0,5615.0,504.32,35453.43,115 CPT,58180,HC PARTIAL HYSTERECTOMY,9265.0,9265.0,1034.25,9265.0,112 CPT,58300,HC MAPS INSERT INTRAUTERINE DEVICE,211.0,211.0,17.25,811.0,114 CPT,58301,HC MAPS REMOVE INTRAUTERINE DEVICE,334.0,334.0,17.25,3245.0,124 CPT,58301,HC REMOVE INTRAUTERINE DEVICE,3223.0,3223.0,22.08,11195.82,125 CPT,58321,HC MAPS ARTIFICIAL INSEMINATION,243.0,243.0,41.07,3245.0,121 CPT,58322,HC MAPS ARTIFICIAL INSEMINATION,272.0,272.0,45.97,3245.0,121 CPT,58323,HC MAPS SPERM WASHING,144.0,144.0,21.28,3245.0,121 CPT,58340,HC INJ. FOR HYSTEROSALPINGRM,375.0,375.0,50.63,4664.92,114 CPT,58340,HC MAPS CATHETER FOR HYSTEROGRAPHY,765.0,765.0,52.0,765.0,113 CPT,58345,HC FALLOPIAN TUBE RECANALIZATION,2091.0,2091.0,353.38,24257.61,122 CPT,58555,HC MAPS HYSTEROSCOPY DX SEP PROC,535.0,535.0,90.41,10738.13,124 CPT,58600,HC TUBAL LIGA W/C-SEC OR ABD PROC,2166.0,2166.0,306.5,10738.13,125 CPT,58605,HC TUBAL LIGATION POST PARTUM,2166.0,2166.0,292.41,2166.0,112 CPT,58611,HC TUBAL LIGATION AFTER C/SECTION,2166.0,2166.0,141.62,2166.0,112 CPT,58670,HC LAPAROSCOPY TUBAL CAUTERY,16419.0,16419.0,405.53,29855.52,125 CPT,58671,HC LAPAROSCOPY TUBAL BLOCK,16419.0,16419.0,776.0,29855.52,125 CPT,58700,HC REMOVAL OF FALLOPIAN TUBE,20062.0,20062.0,423.68,29855.52,115 CPT,58740,HC ADHESIOLYSIS TUBE OVARY,5756.0,5756.0,670.67,35453.43,115 CPT,58820,HC DRAIN OV ABS VAGINAL,6387.0,6387.0,776.0,24257.61,125 CPT,58822,HC DRAIN OVARIAN ABSCESS,5122.0,5122.0,691.47,44783.28,112 CPT,58925,HC REMOVAL OF OVARIAN CYSTS(S),3725.0,3725.0,423.68,35453.43,125 CPT,58970,HC FOLLICE PUNC OCCYTE R,1088.0,1088.0,146.16,20525.67,122 CPT,59000,HC AMNIOCENTESIS DIAGNOSTIC,1863.5,1863.5,50.0,11195.82,249 CPT,59000,HC MAPS AMNIOCENTESIS DIAGNOSTIC,604.0,604.0,50.0,8112.0,124 CPT,59001,HC AMNIOCENTESIS THERAPY,2179.0,2179.0,129.46,11195.82,125 CPT,59001,HC MAPS AMNIOCENTESIS THERAPEUTIC,250.0,250.0,42.25,8112.0,124 CPT,59015,HC MAPS CHORION BIOPSY,549.0,549.0,59.0,3055.3,125 CPT,59020,HC FETAL CONTRACT STRESS TEST,1101.0,1101.0,25.9,1899.55,125 CPT,59025,HC FETAL MONITOR CONTINUOUS,666.0,666.0,4.72,1861.05,125 CPT,59025,HC MAPS FETAL NON-STRESS TEST,1165.0,1165.0,4.72,1861.05,125 CPT,59025,HC NON STRESS TEST,638.0,638.0,4.72,1861.05,125 CPT,59050,HC FETAL MONITOR,634.0,634.0,76.98,1854.0,108 CPT,59070,HC AMNIO DYE TEST,62.0,62.0,10.48,1854.0,122 CPT,59160,HC CURETTAGE POSTPARTUM,9596.0,9596.0,204.8,20525.67,125 CPT,59200,HC INSERT CERVICAL DILATOR,465.0,465.0,66.42,1854.0,122 CPT,59200,HC MAPS INSERT CERVICAL DILATOR,250.0,250.0,42.25,1854.0,122 CPT,59300,HC EPISIOTOMY/VAG RPR OTH/THN ATTENDING,3533.0,3533.0,597.08,10738.13,122 CPT,59320,HC REVISION OF CERVIX,8907.0,8907.0,142.67,10738.13,125 CPT,59409,HC DEL FORCEPS WITH ANESTHESIA,15705.0,15705.0,865.81,15705.0,122 CPT,59409,HC DEL FORCEPS WITHOUT ANESTHESIA,15705.0,15705.0,865.81,15705.0,122 CPT,59409,HC DEL VACUUM WITH ANESTHESIA,15705.0,15705.0,865.81,15705.0,122 CPT,59409,HC DEL VACUUM WITHOUT ANESTHESIA,15705.0,15705.0,865.81,15705.0,122 CPT,59409,HC DEL VAGINAL WITHOUT ANESTHESIA,15705.0,15705.0,865.81,15705.0,122 CPT,59410,HC DEL VAGINAL,11718.0,11718.0,1581.93,11718.0,112 CPT,59410,HC VAG DELIVERY,9822.0,9822.0,994.0,9822.0,112 CPT,59410,HC VAGINAL DELIVERY SERVICES,15705.0,15705.0,1854.0,15705.0,112 CPT,59412,HC ANTEPARTUM MANIPULATION,1393.0,1393.0,235.42,10738.13,122 CPT,59412,HC EXTERNAL VERSION,1235.0,1235.0,208.71,10738.13,122 CPT,59414,HC DELIVERY OF PLACENTA,1131.0,1131.0,85.42,10738.13,125 CPT,59514,HC CESAREAN DELIVERY ONLY,15705.0,15705.0,1854.0,15705.0,112 CPT,59515,HC DEL C/SECTION,15705.0,15705.0,1854.0,15705.0,112 CPT,59525,HC HYSTERECTOMY AFTER C/SECTION,23141.0,23141.0,605.78,23141.0,112 CPT,59866,HC MAPS ABORTION (MPR),7695.0,7695.0,146.16,7695.0,121 CPT,59871,HC REMOVE CERCLAGE SUTURE,8907.0,8907.0,865.81,10738.13,122 CPT,59899,HC AMNIOINFUSION,62.0,62.0,10.48,1854.0,122 CPT,59899,HC OTHER FETAL MONITORING,634.0,634.0,107.15,1854.0,122 CPT,60100,HC BX THYROID PERCUTANEOUS,1384.0,1384.0,83.84,11195.82,125 CPT,60300,HC ASPIR/INJ THYROID CYST,647.0,647.0,36.81,4664.92,125 CPT,61055,HC INJ FOR CISTERNOGRAM,1752.0,1752.0,135.04,11195.82,125 CPT,61070,HC PUNC SHNT TUB/RSRV FOR ASP/INJ,1720.0,1720.0,83.2,11195.82,125 CPT,61624,HC OCCLUSION OR EMBOL-CEN,1336.0,1336.0,225.78,60809.33,122 CPT,61626,HC OCCULSION OR EMA.INTRA,22921.0,22921.0,776.0,38294.15,125 CPT,61635,HC IC STENT W BALLOON ANGIOPLASTY,27949.0,27949.0,994.0,44783.28,112 CPT,61645,HC PERQ ART M-THROMBECT /NFS,9112.0,9112.0,987.32,29855.52,112 CPT,61650,HC EVASC PRLNG ADMN RX AGNT 1ST,9112.0,9112.0,835.97,29855.52,112 CPT,61651,HC EVASC PRLNG ADMN RX AGNT ADD,9112.0,9112.0,355.03,29855.52,112 CPT,62267,HC PERCUTANEOUS ASPIRATION,1886.0,1886.0,191.85,20525.67,125 CPT,62269,HC BX SPINAL CORD PERCUT,5453.0,5453.0,405.69,20525.67,122 CPT,62270,HC LUMBAR PUNCTURE DIAG,1967.0,1967.0,53.76,4664.92,125 CPT,62270,HC MAPS LUMBAR PUNCTURE DIAG,452.0,452.0,42.0,3245.0,124 CPT,62272,HC DRAINAGE SPINAL FLUID,2362.0,2362.0,47.36,4664.92,125 CPT,62273,HC INJ EPIDURAL OF BLOOD OR CLO,1629.0,1629.0,61.44,4664.92,125 CPT,62273,HC MAPS INJ EPIDURAL OF BLOOD OR CLO,747.0,747.0,48.0,3245.0,124 CPT,62284,HC INJ CT SP POS FO,1220.0,1220.0,101.81,20525.67,114 CPT,62284,HC INJ FOR MYELO/AXIAL CT,1746.0,1746.0,101.81,20525.67,114 CPT,62290,HC INJ. LUMB. DISK. EACH AREA,939.0,939.0,126.77,20525.67,114 CPT,62291,HC INJ. CERV. DISK. EACH AREA,1373.0,1373.0,102.4,2500.0,114 CPT,62302,HC MYELOGRAPHY VIA LUMBAR INJECTION,1746.0,1746.0,129.31,20525.67,125 CPT,62303,HC MYELOGRAPHY VIA THORACIC,1746.0,1746.0,131.01,20525.67,125 CPT,62304,HC MYELOGRAPHY VIA LUMBOSACRAL,1746.0,1746.0,127.17,20525.67,125 CPT,62305,HC HC MYELOGRAPHY VIA 2 OR MORE REGIONS,1746.0,1746.0,133.24,20525.67,125 CPT,62320,HC NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN,2231.0,2231.0,105.86,11195.82,125 CPT,62321,HC NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN,2071.0,2071.0,114.18,11195.82,125 CPT,62322,HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN,3074.0,3074.0,91.07,11195.82,125 CPT,62323,HC NJX INTERLAMINAR LMBR/SAC,2071.0,2071.0,104.09,11195.82,125 CPT,62324,HC NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN,3076.0,3076.0,97.23,11195.82,125 CPT,62325,HC NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN,3076.0,3076.0,111.81,11195.82,125 CPT,62326,HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN,2071.0,2071.0,95.16,11195.82,125 CPT,62327,HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN,2071.0,2071.0,101.34,11195.82,125 CPT,62328,HC DX LMBR SPI PNXR W/FLUOR/CT,1790.0,1790.0,93.93,4664.92,125 CPT,62329,HC THER SPI PNXR CSF FLUOR/CT,2315.0,2315.0,117.98,4664.92,125 CPT,62367,HC MAPS ANALYZE SPINE INFUS PUMP,280.0,280.0,47.32,4326.0,121 CPT,62368,HC MAPS ANALYZE SP INF PUMP W/REPROG,287.0,287.0,33.02,4326.0,124 CPT,63650,HC PERC IMPLNT NEUROSTIMU,20293.0,20293.0,477.38,21140.36,125 CPT,64400,HC MAPS N BLOCK INJ TRIGEMINAL,401.0,401.0,13.0,3245.0,124 CPT,64400,HC NRV BLOCK INJ TRIGEMINAL,1036.0,1036.0,16.64,4664.92,125 CPT,64405,HC MAPS N BLOCK INJ OCCIPITAL,453.0,453.0,35.0,3245.0,124 CPT,64405,HC N BLOCK INJ OCCIPITAL,286.0,286.0,44.8,3245.0,125 CPT,64408,HC MAPS NJX AA /STRD VAGUS NRV,603.0,603.0,35.0,3245.0,124 CPT,64418,HC N BLOCK INJ SUPRASCAPULAR,1026.0,1026.0,44.8,4664.92,125 CPT,64420,HC N BLOCK INJ INTERCOST SNG,2406.0,2406.0,55.68,4664.92,125 CPT,64421,HC INTERCOST NERVE BLOCK EACH ADD LEVEL,1665.0,1665.0,55.68,4664.92,125 CPT,64425,HC INJ.ANES. AGENT LLIOINGUINAL,1215.0,1215.0,44.8,4664.92,125 CPT,64425,HC MAPS INJ.ANES. AGENT LLIOINGUINAL,401.0,401.0,35.0,3245.0,124 CPT,64430,HC INJECT NERVE BLOCK PUDENDAL,2408.0,2408.0,44.8,4664.92,125 CPT,64430,HC MAPS N BLOCK INJ PUDENDAL,180.0,180.0,30.42,3245.0,124 CPT,64435,HC MAPS N BLOCK INJ PARACERVICAL,464.0,464.0,32.0,3245.0,124 CPT,64445,HC INJECTION FOR NERVE BLOCK,9646.0,9646.0,23.5,9646.0,125 CPT,64447,HC N BLOCK INJ FEM SINGLE,1026.0,1026.0,78.08,6558.0,125 CPT,64450,HC MAPS NERVE BLOCK PERIPH NERVE,411.0,411.0,21.0,3245.0,124 CPT,64450,HC NERVE BLOCK PERIPH NERVE,1458.0,1458.0,21.0,4664.92,125 CPT,64451,HC INJ ANES/STEROID NERVES SI JOINT,2396.0,2396.0,396.35,4664.92,122 CPT,64454,HC INJ ANES/STEROID GENICULAR NERVE W GUIDANCE,2396.0,2396.0,396.35,4664.92,122 CPT,64454,HC MAPS NJX AA /STRD GNCLR NRV BRNCH,755.0,755.0,127.59,3245.0,121 CPT,64455,HC INJPLANTAR COMMON DIGITAL N,561.0,561.0,23.15,4664.92,124 CPT,64479,HC INJ FORAMEN EPIDURAL C/T SINGL,3372.0,3372.0,107.77,11195.82,125 CPT,64480,HC INJ FORAMEN EPIDUR C/T EA ADD,995.0,995.0,70.34,11195.82,115 CPT,64483,HC INJ FORAMEN EPIDURAL L/S SINGL,3074.0,3074.0,121.65,11195.82,125 CPT,64484,HC INJ FORAMEN EPIDUR L/S EA ADD,2650.0,2650.0,59.6,11195.82,114 CPT,64486,HC TRANSVERSUS ABDOMINAL PLAN TAP UNI,1026.0,1026.0,100.15,4664.92,111 CPT,64488,HC TRANSVERSUS ABDOMINAL PLAN TAP BILAT,1026.0,1026.0,125.63,4664.92,111 CPT,64490,HC INJ PARAVERT F JNT C/T 1 LEV,3076.0,3076.0,109.52,11195.82,125 CPT,64491,HC INJ PARAVERT F JNT C/T 2 LEV,1026.0,1026.0,48.76,11195.82,113 CPT,64492,HC INJ PARAVERT F JNT C/T 3 LEV,3076.0,3076.0,49.6,11195.82,113 CPT,64493,HC INJ PARAVERT F JNT L/S 1 LEV,1026.0,1026.0,92.17,11195.82,125 CPT,64494,HC INJ PARAVERT F JNT L/S 2 LEV,1133.0,1133.0,41.58,11195.82,113 CPT,64495,HC INJ PARAVERT F JNT L/S 3 LEV,1133.0,1133.0,42.41,11195.82,113 CPT,64505,HC MAPS N BLOCK SPENOPALATINE GANGL,749.0,749.0,54.5,3245.0,124 CPT,64510,HC STELLATE GANGLION NERVE BLOCK,2408.0,2408.0,69.76,11195.82,125 CPT,64517,HC N BLOCK INJ HYPOGAS PL,3591.0,3591.0,134.36,11195.82,125 CPT,64520,HC SYMPATH. BLOCK THORACOLUMB,3401.0,3401.0,69.12,11195.82,125 CPT,64530,HC CELIAC PLEXUS BLOCK,3591.0,3591.0,69.12,11195.82,125 CPT,64566,HC MAPS NEUROELTRD STIM POST TIBIAL,319.0,319.0,53.91,3245.0,121 CPT,64611,HC MAPS CHEMODENERV SALIV GLANDS,245.0,245.0,41.4,1018.21,124 CPT,64612,HC MAPS DESTROY NERVE FACE MUSCLE,360.0,360.0,60.84,3245.0,124 CPT,64615,HC MAPS CHEMODENERV MUSC MIGRAINE,415.0,415.0,70.13,1018.21,124 CPT,64616,HC MAPS CHEMODENERV MUSC NECK DYSTON,267.0,267.0,45.12,1018.21,124 CPT,64617,HC MAPS CHEMODENER MUSCLE LARYNX EMG,422.0,422.0,71.32,2341.52,124 CPT,64630,HC MAPS INJECTION TREATMENT OF PUDENDAL NERVE,955.0,955.0,73.5,4326.0,124 CPT,64633,HC DESTROY CERV/THOR FACET JNT,6560.0,6560.0,234.27,11195.82,125 CPT,64634,HC DESTROY C/TH FACET JNT ADDL,6560.0,6560.0,55.22,11195.82,115 CPT,64635,HC DESTROY LUMB/SAC FACET JNT,6560.0,6560.0,229.56,11195.82,125 CPT,64636,HC DESTROY L/S FACET JNT ADDL,6560.0,6560.0,48.02,11195.82,115 CPT,64640,HC INJECTION TREATMENT OF NERVE,3078.0,3078.0,73.5,3245.0,124 CPT,64640,HC MAPS INJECTION TREATMENT OF NERVE,748.0,748.0,73.5,3245.0,124 CPT,64642,HC MAPS CHEMODENERV 1 EXTREMITY 1-4,484.0,484.0,81.8,2341.52,124 CPT,64643,HC MAPS CHEMODENERV 1 EXTREM 1-4 EA,203.0,203.0,27.41,203.0,113 CPT,64644,HC MAPS CHEMODENERV 1 EXTREM 5/> MUS,464.0,464.0,78.42,2341.52,124 CPT,64645,HC MAPS CHEMODENERV 1 EXTREM 5/> EA,243.0,243.0,32.8,243.0,113 CPT,64646,HC MAPS CHEMODENRVTN-TRNK MSC 1-5 M,416.0,416.0,70.3,2341.52,124 CPT,64647,HC CHEMODENERVATION OF TRUNK 6 OR MORE MUSCLES,2147.0,2147.0,137.04,24257.61,125 CPT,64647,HC MAPS CHEMODENERV TRUNK MUSC 6/>,969.0,969.0,107.06,2341.52,125 CPT,64650,HC MAPS CHEMODENERV ECCRINE GLANDS,269.0,269.0,45.46,3245.0,121 CPT,64680,HC DESTRCTN NEUROLYTIC W/WO RAD,3935.0,3935.0,94.08,20525.67,125 CPT,64680,HC SYMPATHECTOMY,3935.0,3935.0,94.08,20525.67,125 CPT,64999,HC LUMBAR INJ SYMPATHECTOMY,4261.0,4261.0,226.0,11195.82,122 CPT,65220,HC REMOVAL FBCORNEAL W/OSI/LMP,3272.0,3272.0,26.5,3272.0,125 CPT,65855,HC LASER SURGERY OF EYE,4785.0,4785.0,226.93,29855.52,250 CPT,66761,HC ARGON LASER REVISION OF IRIS,4785.0,4785.0,226.93,11195.82,125 CPT,66761,HC YAG LASER IRIDOTOMY,4785.0,4785.0,226.93,11195.82,125 CPT,66821,HC AFTER CATARACT LASER SURGERY,4785.0,4785.0,226.93,20525.67,125 CPT,67810,HC MAPS BIOPSY EYELID LID MARGIN,402.0,402.0,37.0,3245.0,124 CPT,69000,HC DRAIN SMPL EXT EAR ABSC/HEMAT,1509.0,1509.0,43.0,2787.0,125 CPT,69020,HC MAPS DRAIN OUTER EAR CANAL LESION,525.0,525.0,35.0,2349.0,124 CPT,69100,HC MAPS BIOPSY OF EXTERNAL EAR,448.0,448.0,41.69,3245.0,124 CPT,69145,HC MAPS EXCISION SOFT TISSUE LESION,1395.0,1395.0,86.5,9635.46,124 CPT,69200,HC MAPS REM FB EAC NO CEN ANES,323.0,323.0,27.36,811.0,124 CPT,69200,HC REM FB EAC NO CEN ANES,777.0,777.0,27.36,2787.0,125 CPT,69209,HC REMOVE IMPACTED EAR WAX UNI,227.0,227.0,9.6,227.0,125 CPT,69210,HC MAPS REMOVAL OF IMPACTED CERUMEN,80.0,80.0,13.52,811.0,121 CPT,69210,HC REMOVAL OF IMPACTED CERUMEN,645.0,645.0,46.28,4664.92,125 CPT,69220,HC MAPS CLEAN OUT MASTOID CAVITY ROUTINE CLEANING,344.0,344.0,36.84,811.0,123 CPT,69222,HC MAPS CLEAN OUT MASTOID CAVITY WITH ANES,857.0,857.0,92.5,8112.0,124 CPT,69420,HC MAPS INCISION OF EARDRUM TUBE INFLATION,435.0,435.0,73.51,3245.0,124 CPT,69433,HC MAPS CREATE EARDRUM OPENING,446.0,446.0,75.37,3245.0,124 CPT,70015,HC CISTERNOGRAM S/I ONLY,2906.0,2906.0,48.59,2906.0,118 CPT,70030,HC XRAY EYE/FOREIGN BODY,255.0,255.0,14.97,288.67,122 CPT,70100,HC MANDIBLE 4 VIEWS,838.0,838.0,16.5,838.0,123 CPT,70110,HC MANDIBLE-4 VIEWS,681.0,681.0,16.5,681.0,123 CPT,70120,HC MASTOIDS LESS 3 VIEWS,8240.0,8240.0,16.5,8240.0,122 CPT,70130,HC MASTOIDS MIN 3 VIEWS,11040.0,11040.0,26.86,11040.0,122 CPT,70140,HC FACIAL BONES 3 VIEWS,1512.0,1512.0,18.11,1512.0,123 CPT,70150,HC FACIAL BONES 3 VIEWS,1279.0,1279.0,22.5,1279.0,123 CPT,70160,HC NASAL BONES 3 VIEWS,649.0,649.0,11.5,649.0,123 CPT,70200,HC ORBITS 4 VIEWS,1297.0,1297.0,21.0,1297.0,123 CPT,70210,HC PARANASAL SINUSES < 3 VIEWS,649.0,649.0,16.5,649.0,123 CPT,70220,HC SINUSES 3 VIEWS,1136.0,1136.0,22.5,1136.0,123 CPT,70250,HC SKULL 4 VIEWS,681.0,681.0,21.0,681.0,123 CPT,70260,HC SKULL 4 VIEWS,1497.0,1497.0,27.49,1497.0,123 CPT,70328,HC TM JOINTS UNILATERAL,734.0,734.0,16.5,734.0,123 CPT,70330,HC XRAY TM JOINTS BILATERAL,838.0,838.0,16.5,838.0,123 CPT,70336,HC MRI TEMPOROMANDIBULAR JOINT,9181.0,9181.0,202.88,9181.0,125 CPT,70350,HC CEPHALOGRAM ORTHODONTIC,656.0,656.0,10.79,656.0,123 CPT,70355,HC ORTHOPANTOGRAM,624.0,624.0,10.47,624.0,123 CPT,70360,HC XRAY NECK/SOFT TISSUE,845.0,845.0,10.0,845.0,123 CPT,70450,HC CT HEAD UNENHANC EXT,7188.0,7188.0,77.5,7188.0,123 CPT,70460,HC CT HEAD WITH CONTRAST,7597.0,7597.0,80.0,7597.0,123 CPT,70470,HC CT HEAD W W/O CONTRAST,8965.0,8965.0,100.0,8965.0,123 CPT,70480,HC CT ORBIT/EAR/FOSSA W/O DYE,4728.0,4728.0,109.35,4728.0,123 CPT,70481,HC CT ORBIT/EAR/FOSSA WITH DYE,5143.0,5143.0,129.0,5143.0,123 CPT,70481,HC CT ORBITS WITH CONTRAST,5210.0,5210.0,129.0,5210.0,123 CPT,70482,HC CT ORBIT WITH WO CONTRAST,7786.0,7786.0,152.0,7786.0,123 CPT,70482,HC CT ORBIT/EAR/FOSSA W/O W DYE,7685.0,7685.0,152.0,7685.0,123 CPT,70486,HC CAT CT MAXILOF OTO W/O CN,4712.0,4712.0,77.5,4712.0,123 CPT,70487,HC CT MAXILLOFACIAL W/CONTRAST,5575.0,5575.0,80.0,5575.0,123 CPT,70488,HC CT MAXILLOFACIAL COMBINED,6426.0,6426.0,100.0,6426.0,123 CPT,70490,HC CT NECK WITHOUT CONTRAST,6219.0,6219.0,79.0,6219.0,123 CPT,70491,HC CT NECK ENHANCED,7081.0,7081.0,82.5,7081.0,123 CPT,70492,HC CT NECK WITH AND W/O CONTRAST,8682.0,8682.0,92.5,8682.0,123 CPT,70496,HC CT ANGIO HEAD W W/O CONTRAST,11232.0,11232.0,183.46,11232.0,123 CPT,70496,HC CTAHEADINCL IMAGE POST-,11384.0,11384.0,183.46,11384.0,123 CPT,70498,HC CT ANGIO NECK W W/O CONTRAST,11232.0,11232.0,183.46,11232.0,123 CPT,70498,HC CTANECKINCL IMAGE POST-,11384.0,11384.0,183.46,11384.0,123 CPT,70540,HC MRI ORBITS/FACE/NECK W/O CONTR,9181.0,9181.0,202.88,9181.0,125 CPT,70542,HC MRI NECK/ORBIT/FACE W/CONTRAST,10891.0,10891.0,261.28,10891.0,125 CPT,70543,HC RADONC MRI ORBIT/FACE/NECK W W/O CONT,10972.0,10972.0,320.15,10972.0,125 CPT,70544,HC MRA HEAD WITHOUT CONTRAST,8126.0,8126.0,202.88,8126.0,125 CPT,70545,HC MRA HEAD WITH CONTRAST,10891.0,10891.0,261.28,10891.0,125 CPT,70546,HC MR ANGIO HEAD W/O W INJ COMB,15482.0,15482.0,320.15,15482.0,125 CPT,70547,HC MRA NECK WITHOUT CONTRAST,8126.0,8126.0,202.88,8126.0,125 CPT,70548,HC MRA NECK WITH CONTRAST,10891.0,10891.0,261.28,10891.0,125 CPT,70549,HC MR ANGIO NECK W/O W INJ COMB,15482.0,15482.0,320.15,15482.0,125 CPT,70551,HC MRI BRAIN W/O CONTRAST,9181.0,9181.0,202.88,9181.0,125 CPT,70552,HC MRI BRAIN WITH CONTRAST,10891.0,10891.0,261.28,10891.0,125 CPT,70553,HC MRI BRAIN WITH W/O CONTRAST,15482.0,15482.0,269.0,15482.0,125 CPT,71045,HC CHEST SINGLE VIEW,493.0,493.0,8.11,493.0,123 CPT,71045,HC CHEST-DECUBITUS/BUCKY,1314.0,1314.0,8.11,1314.0,123 CPT,71046,HC CHEST 2 VIEWS,888.0,888.0,14.85,888.0,123 CPT,71047,HC CHEST 3 VIEWS,477.0,477.0,18.9,477.0,123 CPT,71048,HC CHEST 4 OR MORE VIEWS,1314.0,1314.0,19.43,1314.0,123 CPT,71048,HC CHEST COMPL MIN 4 VIEW W/FLURO,1234.0,1234.0,19.43,1234.0,123 CPT,71048,HC RADIOLOGIC EXAMINATION CHEST 4 OR MORE VIEWS,888.0,888.0,19.43,888.0,123 CPT,71100,HC RIBS UNILATERAL 2 VIEWS,1109.0,1109.0,16.5,1109.0,123 CPT,71101,HC RIBS UNILAT W/PA CHEST MIN 3 V,1306.0,1306.0,16.5,1306.0,123 CPT,71110,HC RIBSBILATERAL 3 VIEWS,1482.0,1482.0,16.5,1482.0,123 CPT,71111,HC RIBS BILAT W/PA CHEST MIN 4 V,1331.0,1331.0,16.5,1331.0,123 CPT,71120,HC STERNUM (COMPLETE),870.0,870.0,11.5,870.0,123 CPT,71130,HC STERNOCLAVICUL JNTS MIN 3 VIEW,842.0,842.0,11.5,842.0,123 CPT,71250,HC COMPUTED TOMOGRAPHY THORAX DIAGNOSTIC WITHOUT,6219.0,6219.0,83.1,6219.0,123 CPT,71260,HC COMPUTED TOMOGRAPHY THORAX DIAGNOSTIC WITH CON,7081.0,7081.0,87.5,7081.0,123 CPT,71270,HC CT THORAX DIAGNOSTIC W/O W CONTRAST AND SECTI,8849.0,8849.0,103.5,8849.0,123 CPT,71271,HC LOW DOSE CT SCAN LUNG CANCER SCREENING,1496.0,1496.0,50.69,1496.0,123 CPT,71275,HC CTA CHEST NOR COR W W/O CONTRA,11232.0,11232.0,183.46,11232.0,123 CPT,71275,HC CTACHESTINCL IMAGE POST,11384.0,11384.0,183.46,11384.0,123 CPT,71550,HC RADONC MRI CHEST WITHOUT CONTRAST,9181.0,9181.0,202.88,9181.0,125 CPT,71551,HC MRI CHEST W/CONT,11040.0,11040.0,261.28,11040.0,125 CPT,71551,HC MRI CHEST W/CONTRAST,10891.0,10891.0,261.28,10891.0,125 CPT,71552,HC RADONC MRI CHEST W W/O CONTRAST,15482.0,15482.0,320.15,15482.0,125 CPT,71555,HC MRA CHEST W/ W/O CONTR,11040.0,11040.0,259.37,11040.0,115 CPT,71555,HC MRA CHEST W/ CONTR,8240.0,8240.0,259.37,8240.0,115 CPT,71555,HC MRA CHEST W/O CONTRAST,8126.0,8126.0,259.37,8126.0,115 CPT,72020,HC CERVICAL SPINE SINGLE,455.0,455.0,14.46,455.0,123 CPT,72020,HC LUMBAR SPINE SINGLE,455.0,455.0,14.46,455.0,123 CPT,72020,HC THORACIC SPINE SINGLE,455.0,455.0,14.46,455.0,123 CPT,72040,HC CERVICAL SPINE (2-3 VIEWS),657.0,657.0,16.5,657.0,123 CPT,72050,HC CERVICAL SPINE MIN 4 VIEWS,1109.0,1109.0,26.5,1109.0,123 CPT,72052,HC CERVI SP COMP W/OB FLX /- EXT,1497.0,1497.0,32.5,1497.0,123 CPT,72070,HC THORACIC SPINE 2 VIEWS,865.0,865.0,20.19,865.0,123 CPT,72072,HC THORACIC SPINE ( 3 VIEWS),891.0,891.0,21.5,891.0,123 CPT,72074,HC THORACIC SPINE(MIN 4 VIEWS),1384.0,1384.0,21.5,1384.0,123 CPT,72080,HC THORACOLUMBAR SP 2 VIEW,865.0,865.0,16.5,865.0,123 CPT,72081,HC X-RAY EXAM ENTIRE SPI 1 VW,828.0,828.0,18.91,828.0,123 CPT,72082,HC X-RAY EXAM ENTIRE SPI 2/3 VW,828.0,828.0,34.34,828.0,123 CPT,72083,HC X-RAY EXAM ENTIRE SPI 4/5 VW,828.0,828.0,37.27,828.0,123 CPT,72084,HC X-RAY ENTIRE SPI 6/> VW,828.0,828.0,44.98,828.0,123 CPT,72100,HC LUMBAR SPINE (2-3 VIEWS),1136.0,1136.0,22.5,1136.0,123 CPT,72110,HC LUMBOSACRAL SPINE MIN 4 VWS,1497.0,1497.0,22.5,1497.0,123 CPT,72114,HC BENDING LUMBOSACRAL XRAY,2200.0,2200.0,21.0,2200.0,123 CPT,72120,HC L/S BEND ONLY2 OR 3 VIEWS,2073.0,2073.0,21.0,2073.0,123 CPT,72125,HC CT CERVICAL SPINE W/O CONTRAST,6219.0,6219.0,83.1,6219.0,123 CPT,72126,HC CT CERVICAL SPINE W/CONTRAST,7081.0,7081.0,94.0,7081.0,123 CPT,72127,HC CT CERV SP WITH/WITHOUT C,8967.0,8967.0,136.0,8967.0,123 CPT,72127,HC CT SERV SPINE COMB SAME DAY,8849.0,8849.0,136.0,8849.0,123 CPT,72128,HC CT THORACIC SPINE W/O CONTRAST,3520.0,3520.0,90.6,3520.0,123 CPT,72129,HC CT THORAC SP.ENHANCED,7081.0,7081.0,87.5,7081.0,123 CPT,72130,HC CT THORACIC SPINE W W/O CONT,8849.0,8849.0,136.0,8849.0,123 CPT,72130,HC CT THORACIC WITH/WITHOUT,8967.0,8967.0,136.0,8967.0,123 CPT,72131,HC CT LUMBAR SPINE W/O CONTRAST,4894.5,4894.5,88.1,6219.0,246 CPT,72132,HC CT LUMB SPINE ENHANCED,7081.0,7081.0,94.0,7081.0,123 CPT,72133,HC CT LUMBAR SP W W/O CONTRAST,8849.0,8849.0,136.0,8849.0,123 CPT,72133,HC CT LUMBAR WITH/WITHOUT,8967.0,8967.0,136.0,8967.0,123 CPT,72141,HC MRI CERVICAL SPINE W/O CONTRAS,9181.0,9181.0,202.88,9181.0,125 CPT,72142,HC MRI CERVICAL SPINE W/CONTRAST,7828.0,7828.0,261.28,7828.0,125 CPT,72146,HC MRI THORACIC SPINE W/O CONTRAS,9181.0,9181.0,187.2,9181.0,125 CPT,72147,HC MRI THORICIC SPINE W/CONTRAST,10891.0,10891.0,261.28,10891.0,125 CPT,72147,HC MRI THROACIC SPINE W/CONT,11040.0,11040.0,261.28,11040.0,125 CPT,72148,HC MRI LUMBAR SPINE W/O CONTRAST,9181.0,9181.0,187.2,9181.0,125 CPT,72149,HC MRI LUMBAR SPINE W/CONTRAST,10891.0,10891.0,261.28,10891.0,125 CPT,72156,HC MRI CERVICAL SP W W/O CONTRAST,15482.0,15482.0,269.0,15482.0,125 CPT,72157,HC MRI THORACIC SP W W/O CONTRA,15482.0,15482.0,269.0,15482.0,125 CPT,72158,HC MRI LUMBAR SP W W/O CONTRAST,15482.0,15482.0,269.0,15482.0,125 CPT,72159,HC MRA SPINAL CANAL W W/O CONTRST,8126.0,8126.0,377.3,8126.0,115 CPT,72170,HC PELVIS (1-2 VIEWS),643.0,643.0,10.0,643.0,123 CPT,72190,HC PELVIS COMPLETE,1089.0,1089.0,21.0,1089.0,123 CPT,72191,HC CTA PELVIS W W/O CONTRAST,11232.0,11232.0,183.46,11232.0,123 CPT,72191,HC CTAPELVISINCL IMAGE POS,11384.0,11384.0,183.46,11384.0,123 CPT,72192,HC CT PELVIS WITHOUT CONTRAST,6219.0,6219.0,67.5,6219.0,123 CPT,72193,HC CT PELVIS WITH CONTRAST,7081.0,7081.0,86.5,7081.0,123 CPT,72194,HC CT PELVIS COMBINED,8849.0,8849.0,102.5,8849.0,123 CPT,72194,HC CT PELVIS WITH WOUT CONTRAST,8967.0,8967.0,102.5,8967.0,123 CPT,72195,HC MRI PELVIS WITHOUT CONTRAST,9181.0,9181.0,202.88,9181.0,125 CPT,72196,HC MRI PELVIS WITH CONTRAST,10891.0,10891.0,203.4,10891.0,125 CPT,72197,HC MRI PELVIS WITH W/O CONTRAST,15482.0,15482.0,320.15,15482.0,125 CPT,72198,HC MRA PELVIS W CONTRAST,9306.0,9306.0,264.81,9306.0,115 CPT,72198,HC MRA PELVIS W/ W/O CONTR,10515.0,10515.0,264.81,10515.0,115 CPT,72200,HC SACROILIAC JTS<3 VIEWS,863.0,863.0,16.5,863.0,123 CPT,72202,HC SI JOINTS (3 VIEWS),857.0,857.0,16.5,857.0,123 CPT,72220,HC SARCRUM/COCCYX (2 VIEWS),859.0,859.0,16.5,859.0,123 CPT,72240,HC MYELOGRAM (CERV) S/I ONLY,3059.0,3059.0,36.75,3059.0,118 CPT,72255,HC MYELOGRAM (THOR) S/I ONLY,2986.0,2986.0,36.75,2986.0,118 CPT,72265,HC MYELOGRAM (LUMB) S/I ONLY,3059.0,3059.0,33.0,3059.0,118 CPT,72270,HC MYELO (ENTIRE) S/I ONLY,3363.0,3363.0,39.0,3363.0,118 CPT,72295,HC DISKO. (LUMBAR) S/I ONLY,2881.0,2881.0,36.0,6477.54,118 CPT,73000,HC CLAVICLE COMPLETE,912.0,912.0,11.5,912.0,122 CPT,73010,HC SCAPULA XRAY,838.0,838.0,16.5,838.0,122 CPT,73020,HC SHOULDER ONE VIEW,649.0,649.0,14.51,649.0,122 CPT,73030,HC SHOULDER COMPL MIN 2 VIEW,1089.0,1089.0,16.5,1089.0,122 CPT,73040,HC SHOULDER ARTHROGRM (S/I),1802.0,1802.0,16.5,1802.0,117 CPT,73050,HC AC JOINTS BILATERAL,838.0,838.0,19.0,838.0,123 CPT,73060,HC HUMERUS,649.0,649.0,11.5,649.0,122 CPT,73070,HC ELBOW ( 2 VIEWS),649.0,649.0,11.5,649.0,122 CPT,73080,HC ELBOW MIN 3 VIEW,859.0,859.0,11.5,859.0,122 CPT,73090,HC FOREARM ( 2 VIEWS ),649.0,649.0,11.5,649.0,122 CPT,73092,HC UPPER EXTREMITY INFANT MIN 2V,431.0,431.0,11.0,431.0,122 CPT,73100,HC WRIST (2 VIEWS),643.0,643.0,11.5,643.0,122 CPT,73110,HC WRIST 3 VIEWS,842.0,842.0,11.5,842.0,122 CPT,73120,HC HAND 2 VIEWS,469.0,469.0,10.0,469.0,122 CPT,73130,HC HAND 3 VIEWS,990.0,990.0,11.5,990.0,122 CPT,73140,HC FINGER MIN 2 VIEW,457.0,457.0,9.0,457.0,122 CPT,73200,HC CT UPPER EXTREMITY W/O CONTRAS,6219.0,6219.0,79.04,6219.0,122 CPT,73201,HC CT UP EXT WITH CONT,7173.0,7173.0,82.5,7173.0,122 CPT,73201,HC CT UPPER EXTREMITY WITH CONT,7081.0,7081.0,82.5,7081.0,122 CPT,73202,HC CT UP EXT WI WITOUT,8802.0,8802.0,92.5,8802.0,122 CPT,73202,HC CT UPPER EXTREMITY W W/O CONT,8682.0,8682.0,92.5,8682.0,122 CPT,73206,HC CTA UPPER EXT W W/O CONTRAST,11232.0,11232.0,183.46,11232.0,122 CPT,73206,HC CTAUP EXT INCL IMAGE POS,11384.0,11384.0,183.46,11384.0,122 CPT,73218,HC MRI UP EXT NON JOINT W/O CONTR,9181.0,9181.0,202.88,9181.0,124 CPT,73219,HC MRI UP EXT NONJOINT W/CONTRAST,10891.0,10891.0,261.28,10891.0,124 CPT,73220,HC MRI UP EXT NONJOINT W W/O CONT,15482.0,15482.0,269.0,15482.0,124 CPT,73221,HC MRI UPPER EXTRM JOINT W/O CONT,9181.0,9181.0,202.88,9181.0,124 CPT,73222,HC MRI UPPER JOINT W/CONTRAST,10891.0,10891.0,261.28,10891.0,124 CPT,73223,HC MRI UP EXTRM JOINT W W/O CONTR,15482.0,15482.0,320.15,15482.0,124 CPT,73501,HC HIP UNILATERAL 1 VIEW,672.0,672.0,14.92,672.0,123 CPT,73501,HC X-RAY EXAM HIP UNI 1 VIEW,1123.0,1123.0,14.92,1123.0,123 CPT,73502,HC X-RAY EXAM HIP UNI 2-3 VIEWS,1123.0,1123.0,22.36,1123.0,123 CPT,73503,HC X-RAY EXAM HIP UNI 4/> VIEWS,1123.0,1123.0,27.68,1123.0,123 CPT,73521,HC X-RAY EXAM HIPS BI 2 VIEWS,1804.0,1804.0,20.77,1804.0,123 CPT,73522,HC X-RAY EXAM HIPS BI 3-4 VIEWS,1804.0,1804.0,25.03,1804.0,123 CPT,73523,HC X-RAY EXAM HIPS BI 5/> VIEWS,1804.0,1804.0,30.09,1804.0,123 CPT,73525,HC HIP ARTHROGRM (S/I),1556.0,1556.0,47.5,1556.0,117 CPT,73551,HC X-RAY OF FEMUR 1 VIEW,825.0,825.0,14.38,825.0,123 CPT,73552,HC X-RAY EXAM OF FEMUR 2/>,825.0,825.0,17.05,825.0,123 CPT,73560,HC KNEE ONE OR TWO VIEWS,643.0,643.0,16.5,643.0,122 CPT,73562,HC KNEE(3 VIEWS),870.0,870.0,16.5,870.0,122 CPT,73564,HC KNEE (4 VIEWS),387.0,387.0,22.42,387.0,122 CPT,73565,HC XRAY BOTH KNEESSTANDING AP,722.0,722.0,17.36,722.0,123 CPT,73590,HC TIBIA/FIBULA (2 VIEWS),657.0,657.0,16.5,657.0,122 CPT,73592,HC LOW EXTREM INFANT MIN 2 VIEWS,275.0,275.0,16.5,288.67,122 CPT,73600,HC ANKLE (2 VIEWS),643.0,643.0,11.5,643.0,122 CPT,73610,HC ANKLE 3 VIEWS,845.0,845.0,18.73,845.0,122 CPT,73620,HC FOOT (2 VIEWS),643.0,643.0,10.0,643.0,122 CPT,73630,HC FOOT 3 VIEWS,1085.0,1085.0,11.5,1085.0,122 CPT,73650,HC LT CALCANEOUS 2 VIEW MIN,643.0,643.0,11.5,643.0,122 CPT,73650,HC OS CALCIS (HEEL),643.0,643.0,11.5,643.0,122 CPT,73660,HC TOE(S) MIN 2 VIEW,457.0,457.0,9.0,457.0,122 CPT,73700,HC CT LOWER EXTREMITY W/O CONTRAS,6219.0,6219.0,79.04,6219.0,122 CPT,73701,HC CT LOW EXTREMITY WITH CONT,7081.0,7081.0,82.5,7081.0,122 CPT,73702,HC CT LO EXT WITH WIOUT,8802.0,8802.0,92.5,8802.0,122 CPT,73702,HC CT LOW EXTREMITY W W/O CONT,8682.0,8682.0,92.5,8682.0,122 CPT,73706,HC CTA LO EXT INCL IMAGE POS,11384.0,11384.0,183.46,11384.0,122 CPT,73706,HC CTA LOWER EXT W W/O CONTRAST,11232.0,11232.0,183.46,11232.0,122 CPT,73718,HC MRI RADONC LOW EXT NON JOINT W/O CONT,9181.0,9181.0,202.88,9181.0,124 CPT,73719,HC MRI LOW EXT NON JOINT W/CONTR,10891.0,10891.0,261.28,10891.0,124 CPT,73720,HC MRI LOW EXT NONJNT W W/O CONTR,15482.0,15482.0,269.0,15482.0,124 CPT,73721,HC MRI JNT OF KWR EXREM W/O DYE,9181.0,9181.0,202.88,9181.0,124 CPT,73721,HC MRI LOWER EXTRM JOINT W/O CONT,9181.0,9181.0,202.88,9181.0,124 CPT,73722,HC MRI LOWER JOINT W/CONTRAST,10891.0,10891.0,261.28,10891.0,124 CPT,73723,HC MRI LOW EXTRM JOINT W W/O CONT,15482.0,15482.0,320.15,15482.0,124 CPT,73725,HC MRA LOWER EXT W/O CONTR,8126.0,8126.0,262.77,8126.0,114 CPT,74018,HC ABDOMEN XRAY 1 VIEW,675.0,675.0,13.77,675.0,123 CPT,74019,HC ABDOMEN(AP OBLIQUE CONE),1106.0,1106.0,16.48,1106.0,123 CPT,74021,HC ABDOMEN (COMPLETE),677.0,677.0,19.17,677.0,123 CPT,74022,HC ADB OBSTRUCT SERIES W/CHEST,1470.0,1470.0,24.0,1470.0,123 CPT,74150,HC CT ABDOMEN WITHOUT CONTRAST,6219.0,6219.0,77.5,6219.0,123 CPT,74160,HC CT ABDOMEN WITH CONTRAST,7081.0,7081.0,90.0,7081.0,123 CPT,74170,HC CT ABDOMEN COMBINED,8849.0,8849.0,111.5,8849.0,123 CPT,74174,HC CTA ABDOMEN PELVIS W W/O CON,11232.0,11232.0,333.7,11232.0,123 CPT,74175,HC CTA ABD INCL IMAGE POST-P,11384.0,11384.0,183.46,11384.0,123 CPT,74175,HC CTA ABDOMEN W W/O CONTRAST,11232.0,11232.0,183.46,11232.0,123 CPT,74176,HC CT ABDOMEN PELVIS W/O CONTRA,12439.0,12439.0,101.07,12439.0,123 CPT,74177,HC CT ABDOMEN PELVIS WITH CONTR,14153.0,14153.0,192.73,14153.0,123 CPT,74178,HC CT ABDOMEN PELVIS W W/O CONTRA,17695.0,17695.0,254.7,17695.0,123 CPT,74181,HC MRI ABDOMEN WITHOUT CONTRAST,9181.0,9181.0,202.88,9181.0,125 CPT,74182,HC MRI ABDOMEN W/INJ,10891.0,10891.0,261.28,10891.0,125 CPT,74183,HC MRI ABDOMEN W W/O CONTRAST,15482.0,15482.0,320.15,15482.0,125 CPT,74185,HC MRA ABDOMEN WITH W/O CONTRST,8126.0,8126.0,263.45,8126.0,115 CPT,74190,HC REPOSITION PD CATHETER S I,957.0,957.0,39.39,2246.58,118 CPT,74220,HC ESOPHAGRAM,706.0,706.0,22.5,706.0,123 CPT,74221,HC ESOPHAGRAM DOUBLE CONTRAST,701.0,701.0,56.01,701.0,123 CPT,74230,HC ESOPHAGRAM WITH VIDEO,1638.0,1638.0,28.0,1638.0,123 CPT,74240,HC UPPER GI,965.0,965.0,39.0,965.0,123 CPT,74246,HC UPPER GI (DBL CONTRAST),1666.0,1666.0,40.0,1666.0,123 CPT,74248,HC X-RAY SM INT F-THRU STD,730.0,730.0,35.99,730.0,108 CPT,74250,HC PNEUMOCOLON/CHAR STUDY,1095.0,1095.0,22.5,1095.0,123 CPT,74261,HC CT COLONOGRAPHYW/O DYE,7071.0,7071.0,109.35,7071.0,120 CPT,74262,HC CT COLONOGRPHY DX IMAGE POSTPROCESS W/CONTRAST,7071.0,7071.0,180.14,7071.0,120 CPT,74263,HC CT COLONOGRAPHYSCREEN,7071.0,7071.0,250.79,7071.0,110 CPT,74270,HC BARIUM ENEMA,1410.0,1410.0,22.5,1410.0,123 CPT,74280,HC BARIUM ENEMA WITH AIR STUDY,1666.0,1666.0,39.0,1666.0,123 CPT,74340,HC MA TUBE FILMS/FLUORO,657.0,657.0,88.7,657.0,105 CPT,74363,HC BILIARY STRICT DIL S/I,1335.0,1335.0,93.73,1335.0,108 CPT,74420,HC PYELOGRAM RETROGRADE,1410.0,1410.0,22.5,1410.0,123 CPT,74425,HC ANTEGRADE UROGRAPHY RADIOLOGICAL SUPVJ INTERP,1031.0,1031.0,22.5,1157.28,118 CPT,74430,HC CYSTOGRM/POUCHOGRAM S/I,1018.0,1018.0,21.5,1157.28,118 CPT,74450,HC URETHROGRAM (RETROGR) S/I,746.0,746.0,22.5,1076.52,118 CPT,74455,HC CYSTOGRM INCONT/VOID S/I,826.0,826.0,27.5,826.0,118 CPT,74455,HC MAPS CYSTOGRM INCONT/VOID S/I,281.0,281.0,27.5,791.48,118 CPT,74485,HC X-RAY GUIDE GU DILATION,8112.0,8112.0,77.77,8112.0,118 CPT,74740,HC HYSTEROSALINGRM S/I,2399.0,2399.0,26.5,2399.0,117 CPT,75557,HC MR CARDIAC MORPH FUNCT W/O CON,9181.0,9181.0,202.88,9181.0,125 CPT,75561,HC CARDIAC MRI MORPH W W/O CONT,15690.0,15690.0,320.15,15690.0,125 CPT,75561,HC MR CARDIAC MORPH FUNCT W/INJ,15690.0,15690.0,320.15,15690.0,125 CPT,75565,HC CARD MRI VEL FLW MAP ADD-ON,1667.0,1667.0,39.26,1864.0,112 CPT,75565,HC CARD MRI VELOC FLOW MAPPING,1667.0,1667.0,39.26,1864.0,112 CPT,75571,HC CT HRT W/O DYE W/CA TEST,990.0,990.0,27.36,1219.0,123 CPT,75572,HC CT HRT W/3D IMAGE,2485.0,2485.0,156.88,2485.0,123 CPT,75573,HC CT HRT W/3D IMAGECONGEN,3515.0,3515.0,156.88,3515.0,123 CPT,75574,HC CT ANGIO HRT W/3D IMAGE,6472.0,6472.0,156.88,6472.0,123 CPT,75600,HC AORTO THORACIC W/O SER,5994.0,5994.0,16.5,10473.94,118 CPT,75605,HC AORTO THORACIC W SER,5994.0,5994.0,27.5,18458.42,118 CPT,75605,HC THORACIC AORTOGRAM,5994.0,5994.0,27.5,18458.42,118 CPT,75625,HC ART. (ABDP.AORTA) S/I,5994.0,5994.0,27.5,10473.94,118 CPT,75635,HC CTA ABD AORTA ILEOFM RUN W W/O,11232.0,11232.0,183.46,11232.0,123 CPT,75635,HC CTAABD AO BIL ILIOFEM LO,11384.0,11384.0,183.46,11384.0,123 CPT,75705,HC ANGIO SPIN SEL C,3812.0,3812.0,22.5,18458.42,118 CPT,75705,HC ANGIO SPINAL SEL ECH VESS S/I,5994.0,5994.0,22.5,18458.42,118 CPT,75710,HC ART. (EXTREMITY) UNI S/I,3103.0,3103.0,22.5,10473.94,118 CPT,75710,HC UNI ILIAC ANGIO NO CATH,12293.0,12293.0,22.5,12293.0,118 CPT,75716,HC ART.(EXTREMITY) BIL S/I,9854.0,9854.0,22.5,10473.94,118 CPT,75716,HC B/L ILIAC ANGIO NO CATH,9854.0,9854.0,22.5,10473.94,118 CPT,75726,HC ART.(VISCERAL SEL.)S/I,3520.0,3520.0,22.5,18458.42,118 CPT,75731,HC ART. (ADRENAL) UNI S/I,3520.0,3520.0,22.5,10473.94,118 CPT,75733,HC ART. (ADRENAL) BIL S/I,5994.0,5994.0,22.5,10473.94,118 CPT,75736,HC ART. (PELVIC SEL.) S/I,3943.0,3943.0,22.5,18458.42,118 CPT,75741,HC ART. (PULMONARY) UNI S/I,3118.0,3118.0,22.5,10473.94,118 CPT,75743,HC ART. (PULMONARY) BIL S/I,9567.0,9567.0,22.5,10473.94,118 CPT,75746,HC ART. PULMONARY MAIN) S/I,3161.0,3161.0,15.0,10473.94,118 CPT,75756,HC ART. (MAMMARY) S/I,9511.0,9511.0,22.5,10473.94,118 CPT,75774,HC ART.(EACH ADD.VESSEL) S/I,6117.0,6117.0,22.5,6117.0,108 CPT,75805,HC LYMPHANGIOGM (ABDOM.) UNI,6241.0,6241.0,50.0,13190.58,118 CPT,75807,HC LYMPHANGIOGM (ABDOM.) BIL,6241.0,6241.0,56.5,13200.56,118 CPT,75809,HC INJ PREV PLACED P-V SHUNT S/I,364.0,364.0,28.19,379.3,118 CPT,75820,HC VENO (EXTREMITY) UNI S/I,1883.0,1883.0,22.5,5221.75,118 CPT,75822,HC VENO (EXTREMITY) BIL S/I,2370.0,2370.0,22.5,5221.75,118 CPT,75825,HC VENO (INF.VENA CAVA) S/I,2609.0,2609.0,22.5,10473.94,118 CPT,75825,HC VENO CAV INF SE,2739.0,2739.0,22.5,10473.94,118 CPT,75827,HC MAPS VEIN X-RAY CHEST,1756.0,1756.0,22.5,5221.75,118 CPT,75827,HC VENO (SUP.VENA CAVA) S/I,2739.0,2739.0,22.5,5221.75,118 CPT,75831,HC VENO (RENAL) UNI S/I,2997.0,2997.0,22.5,10473.94,118 CPT,75860,HC VENO (JUGULAR) S/I (ANGIO),2505.0,2505.0,15.0,10473.94,118 CPT,75885,HC TRANSHEP.PORTOGM /W HEMO,3595.0,3595.0,126.5,10473.94,118 CPT,75887,HC TRANSHEPPORTOGM W/O HEMO,3952.0,3952.0,107.5,10473.94,118 CPT,75889,HC HEPATIC WEDGE PRESSURES,3978.0,3978.0,131.5,10473.94,118 CPT,75891,HC HEPATIC W/O HEMODYNAMICS,4556.0,4556.0,121.5,10473.94,118 CPT,75893,HC VENOUS SAMP EG RENINS EA SAMP,2814.0,2814.0,210.58,18458.42,115 CPT,75901,HC MECH REM PERICATH FIBRIN RAD S,2146.0,2146.0,210.87,2146.0,105 CPT,75902,HC MECH REM INTRALUM THROMBUS RAD,1069.0,1069.0,78.52,1069.0,105 CPT,75956,HC ENDOVASC THOR AO REPAIR S I,5696.0,5696.0,768.96,5696.0,110 CPT,75958,HC ENDOVASC THOR AO REPAIR S I,5696.0,5696.0,757.26,5696.0,112 CPT,75959,HC ENDOVASC THOR AO REPAIR S I,5696.0,5696.0,663.36,5696.0,112 CPT,75970,HC TRANSCATHETER BIOPSY S/I,1892.0,1892.0,10.0,1920.44,108 CPT,75984,HC CATH/TUBE CHANGE S/I,2425.0,2425.0,10.0,2425.0,108 CPT,75989,HC CT GUIDE PERCUT ABSCESS DRAIN,2012.0,2012.0,10.0,2012.0,108 CPT,75989,HC FLUORO/US/CT CATH PLC,6738.0,6738.0,10.0,6738.0,108 CPT,75989,HC GUIDANCE FOR DRAINAGE PROCEDURE,6738.0,6738.0,10.0,6738.0,108 CPT,76000,HC C-ARM FLUOR-OR 76499,1634.0,1634.0,11.5,1634.0,123 CPT,76000,HC FLUORO ABD 76000,1470.0,1470.0,11.5,1470.0,123 CPT,76000,HC FLUORO-CHEST ONLY,857.0,857.0,11.5,857.0,123 CPT,76000,HC FLUOROSCOPE EXAMINATION,1470.0,1470.0,11.5,1470.0,123 CPT,76000,HC FLUOROSCOPY,1470.0,1470.0,11.5,1470.0,123 CPT,76010,HC FB NOSE TO RECTUM-CHILD,378.0,378.0,8.7,378.0,123 CPT,76014,HC MR SAFETY IMPLANT /FB ASSMT CLIN STAF 1ST 15 MI,74.0,74.0,9.41,1441.0,120 CPT,76015,HC MR SAFETY IMPLANT /FB ASSMT CLIN STAFF EA ADD 3,74.0,74.0,9.99,1441.0,105 CPT,76016,HC MR SAFETY DETERMINATION PHYSICIAN/OTHER QHP,264.0,264.0,33.82,1441.0,120 CPT,76017,HC MR SAFETY MED PHYSICS XM CUSTOMIZATION PLNG MN,725.0,725.0,92.85,1441.0,120 CPT,76018,HC MR SAFETY IMPLT ELECTRONICS PREPJ SUPVJ PHYS/QH,275.0,275.0,35.26,1441.0,120 CPT,76019,HC MR SAFETY IMPLANT POS /IMMOBLJ SUPVJ PHYS/QHP,178.0,178.0,22.81,1441.0,120 CPT,76080,HC FISTULA/SINUS TRACT S/I,837.0,837.0,16.5,1812.54,118 CPT,76098,HC BREAST SURG.SPECIMEN,411.0,411.0,10.62,1812.54,123 CPT,76098,HC SURG SPECIMEN RADIOLOGY EXAM,419.0,419.0,10.62,1812.54,123 CPT,76140,HC CONSULTATION - SECOND OPINION,170.0,170.0,7.88,399.36,107 CPT,76376,HC 3D REND W/O POST PROC SEP WKST,293.0,293.0,19.05,1219.0,105 CPT,76376,HC MAPS 3D REND W/O POST PROC SEP WKST,243.0,243.0,19.05,1219.0,105 CPT,76377,HC 3D REND W/POST PROC SEP WKST,838.0,838.0,48.97,1219.0,105 CPT,76377,HC 3D REQUIRING SEPARATE WORKSTAT,838.0,838.0,48.97,1219.0,105 CPT,76380,HC CT LTD OR FU STDY,300.0,300.0,50.7,1219.0,120 CPT,76391,HC Magnetic resonance elastography,1632.0,1632.0,147.77,1632.0,120 CPT,76496,HC UNLISTED FLUOROSCOPIC PROC,940.0,940.0,52.84,940.0,117 CPT,76497,HC DENTASCAN,764.0,764.0,63.95,1219.0,117 CPT,76498,HC FULL BODY MRI,11315.0,11315.0,91.02,11315.0,119 CPT,76499,HC PTA DIALYSIS FISTULA,809.0,809.0,68.27,809.0,119 CPT,76506,HC ULTRASOUND BRAIN B-SCAN,1225.0,1225.0,37.72,1225.0,123 CPT,76512,HC OPTHALMIC U/S CONTACT B SCAN,315.0,315.0,36.52,346.8,123 CPT,76536,HC MAPS US SOFT TISS HEADNCK BSCAN,191.0,191.0,32.28,520.02,123 CPT,76536,HC ULTRASOUND THRYOID/SOFT TISSUE,1740.0,1740.0,50.98,1740.0,123 CPT,76604,HC ULTRASOUND CHEST,1110.0,1110.0,37.72,1110.0,123 CPT,76641,HC MAPS ULTRASOUND BREAST COMPLETE,235.0,235.0,39.71,476.57,122 CPT,76641,HC ULTRASOUND BREAST COMPLETE,2020.0,2020.0,53.43,2020.0,122 CPT,76642,HC MAPS ULTRASOUND BREAST LIMITED,180.0,180.0,30.42,389.88,122 CPT,76642,HC ULTRASOUND BREAST LIMITED,986.0,986.0,40.94,986.0,122 CPT,76700,HC ULTRASOUND ABDOMINAL B SCAN,2348.0,2348.0,57.5,2348.0,123 CPT,76705,HC ULTRASOUND ABDOMINAL LIMI,1217.0,1217.0,37.5,1217.0,123 CPT,76705,HC US OF ABD LIMITED (EMBU),1278.0,1278.0,37.5,1278.0,123 CPT,76706,HC US ABD AORTA SCREEN AAA,433.0,433.0,50.11,495.22,123 CPT,76770,HC ULTRASD RETROPERITONEUM COMP,2307.0,2307.0,49.0,2307.0,123 CPT,76775,HC US RETROPERITONEAL (RENAL) LTD,1439.0,1439.0,49.0,1439.0,123 CPT,76776,HC ULTRASOUND KIDNEY TRANSPLANT,1789.0,1789.0,57.74,1789.0,123 CPT,76800,HC MAPS US EXAM SPINAL CANAL,276.0,276.0,46.64,674.29,123 CPT,76800,HC ULTRASOUND SPINAL CANAL CONT,1780.0,1780.0,50.98,1780.0,123 CPT,76800,HC US SPINAL CANAL CONTENTS,1780.0,1780.0,50.98,1780.0,123 CPT,76801,HC MAPS US PREGNANCY 1ST TRIMESTER,309.0,309.0,38.39,539.58,123 CPT,76801,HC US PREGNANCY 1ST TRIMESTER,1981.0,1981.0,38.39,1981.0,123 CPT,76802,HC MAPS US PREGNANCY 1ST TRIMESTER ADD,210.0,210.0,21.98,276.43,114 CPT,76802,HC US PREGNANCY 1ST TRIMESTER ADD,1058.0,1058.0,21.98,1058.0,114 CPT,76805,HC MAPS US PREG >/ 14 WKS SINGL GEST,326.0,326.0,46.5,622.03,125 CPT,76805,HC US PREG >/ 14 WKS SINGL GEST,1981.0,1981.0,46.5,1981.0,125 CPT,76810,HC MAPS ULTRASND PREG>14 WK-ADD GES,210.0,210.0,28.35,401.28,116 CPT,76810,HC ULTRASND PREG>14 WK-ADD GES,2179.0,2179.0,42.61,2179.0,116 CPT,76810,HC US PREG COMPL S/P 1ST TRIMST,1186.0,1186.0,42.61,1186.0,116 CPT,76811,HC DTLD FETUS MAT US1/1ST GES,1981.0,1981.0,91.2,1981.0,125 CPT,76811,HC MAPS US PREG REAL TIME DATE FAE,520.0,520.0,87.88,792.35,125 CPT,76811,HC US PREG REAL TIME DATE FAE,1981.0,1981.0,91.2,1981.0,125 CPT,76812,HC DTLD FETUS MAT USEA ADD GES,1346.0,1346.0,37.72,1346.0,116 CPT,76812,HC MAPS US PREGNANCY DETAILED ADD GEST,293.0,293.0,37.72,884.82,116 CPT,76812,HC US PREGNANCY DETAILED ADD GEST,1346.0,1346.0,37.72,1346.0,116 CPT,76813,HC MAPS US OB UTER 1ST TRI NUC MEAS,370.0,370.0,37.72,539.49,125 CPT,76814,HC MAPS US OB UTER 1ST TRI EA ADD GES,139.0,139.0,18.77,343.64,116 CPT,76815,HC MAPS US PREG LIMITED>1FETUSES,145.0,145.0,24.5,374.6,125 CPT,76815,HC US PREG LIMITED>1FETUSES,1467.0,1467.0,37.72,1467.0,125 CPT,76815,HC US WITH AFI,918.5,918.5,37.72,941.0,250 CPT,76816,HC MAPS US PREG FOLLOW UP PER FETUS,197.0,197.0,33.29,505.07,125 CPT,76816,HC US PREG FOLLOW UP PER FETUS,752.0,752.0,37.72,752.0,125 CPT,76817,HC MAPS ULTRASOUND PREG TRANSVAGINAL,239.0,239.0,37.72,428.18,125 CPT,76817,HC ULTRASOUND PREG TRANSVAGINAL,1778.0,1778.0,37.72,1778.0,125 CPT,76818,HC FETAL BIOPHYS PROFILE W/NST,2255.0,2255.0,57.74,2255.0,123 CPT,76818,HC MAPS FETAL BIOPHYS PROFILE W/NST,334.0,334.0,56.45,523.67,123 CPT,76819,HC MAPS FETAL BIOPHYSICAL PROFILE W/O,270.0,270.0,45.63,382.9,123 CPT,76820,HC MAPS DOPPLER VELOCEMETRYFEATL UMB,200.0,200.0,21.53,346.8,123 CPT,76821,HC MAPS DOPP VELOC FETAL MID CEREB ART,243.0,243.0,37.72,406.48,123 CPT,76825,HC MAPS ECHO EXAM OF FETAL HEART W OR W/O M-MODE,352.0,352.0,19.0,1812.54,123 CPT,76826,HC MAPS ECHO EXAM OF FETAL HEART F/U OR REPEAT STU,264.0,264.0,25.8,791.48,123 CPT,76827,HC MAPS US PREGNANCY DOPPLER COMPLETE,252.0,252.0,36.55,346.8,123 CPT,76827,HC US PREGNANCY DOPPLER COMPLET,1186.0,1186.0,36.55,1186.0,123 CPT,76827,HC US PREGNANCY DOPPLER COMPLETE,1186.0,1186.0,36.55,1186.0,123 CPT,76828,HC ECHO EXAM OF FETAL HEART DOPPLER F/U,588.0,588.0,20.54,588.0,123 CPT,76828,HC MAPS ECHO EXAM OF FETAL HEART DOPPLER F/U,144.0,144.0,20.54,346.8,123 CPT,76828,HC US PREG DPPLR F/U PULSE/WAVE,588.0,588.0,20.54,588.0,123 CPT,76830,HC MAPS ULTRASOUND TRANSVAGINAL,370.0,370.0,46.5,556.23,123 CPT,76830,HC ULTRASOUND TRANSVAGINAL,1778.0,1778.0,46.5,1778.0,123 CPT,76831,HC MAPS HYSTEROGNGRAM W/WO COLOR FLOW,289.0,289.0,48.84,791.48,115 CPT,76856,HC MAPS ULTRASOUND PELVIS,145.0,145.0,24.5,490.88,123 CPT,76856,HC ULTRASOUND PELVIS,1818.0,1818.0,46.5,1818.0,123 CPT,76857,HC MAPS ULTRASOUND PELVIS LIMITED,394.0,394.0,19.0,394.0,123 CPT,76857,HC ULTRASOUND PELVIS LIMITED,1335.0,1335.0,19.0,1335.0,123 CPT,76870,HC ULTRASOUND SCROTUM AND CONTENT,1780.0,1780.0,44.0,1780.0,123 CPT,76872,HC MAPS ULTRASOUND TRANSRECTAL,359.0,359.0,54.15,641.41,123 CPT,76872,HC ULTRASOUND TRANSRECTAL,2172.0,2172.0,54.15,2172.0,123 CPT,76881,HC US EXTREMITY NON-VASCULAR COMP,1772.0,1772.0,57.74,1772.0,122 CPT,76882,HC EXTREMITY NON VAS LIMITED,1772.0,1772.0,7.85,1772.0,122 CPT,76882,HC MAPS US LMTD JT/NONVASC XTR STRUX,171.0,171.0,7.85,346.8,122 CPT,76882,HC US EXTREMITY NON-VASCULAR LIM,1772.0,1772.0,7.85,1772.0,122 CPT,76885,HC US INFANT HIPSDYNAMMD MANIP,1312.0,1312.0,37.72,1312.0,123 CPT,76886,HC US EXAM INFANT HIPS STATIC,1312.0,1312.0,37.72,1312.0,120 CPT,76936,HC US GUIDED COMPRESS ANEUYSM,7182.0,7182.0,63.94,7182.0,123 CPT,76937,HC ULTRASOUND GUIDANCE FOR VASCULAR ACCESS,609.0,609.0,24.86,609.0,108 CPT,76937,HC US GUIDANCE VASCULAR ACCES,609.0,609.0,24.86,609.0,108 CPT,76940,HC US GUIDE TISSUE ABLATION,1393.0,1393.0,188.06,1393.0,105 CPT,76940,HC US IMAGING FOR BIOPSY AND ABLATION PROCEDURES,1393.0,1393.0,188.06,1393.0,105 CPT,76941,HC ULTRASONIC GUIDE FOR PUBS,1998.0,1998.0,47.24,1998.0,108 CPT,76942,HC MAPS US GUIDE FOR NEEDLE PLACE S I,3379.0,3379.0,43.2,3379.0,108 CPT,76942,HC US GUIDE FOR NEEDLE PLACE S I,3379.0,3379.0,43.2,3379.0,108 CPT,76945,HC MAPS ECHO GUIDE VILLUS SAMPLING,240.0,240.0,32.4,401.69,108 CPT,76946,HC ECHO GUIDE FOR AMNIOCENTESIS,1557.0,1557.0,18.6,1557.0,108 CPT,76946,HC MAPS ECHO GUIDE FOR AMNIOCENTESIS,184.0,184.0,18.6,184.0,108 CPT,76948,HC MAPS ECHO GUIDE OVA ASPIRATION,122.0,122.0,16.47,366.3,105 CPT,76998,HC ULTRASOUND INTRAOPERATIVE,2298.0,2298.0,175.81,2298.0,110 CPT,77001,HC FLURO GUID CENT VEN ACC DEV PL,617.0,617.0,46.26,617.0,108 CPT,77002,HC FLUORO GUIDE NEEDLE PLACE,1031.0,1031.0,35.67,1031.0,108 CPT,77003,HC FLUORO GUIDE/LOC.NEEDLE,491.0,491.0,28.19,491.0,108 CPT,77011,HC CT GUIDANCE FOR STEREO LOCAL,4091.0,4091.0,180.6,4091.0,108 CPT,77012,HC CT GUIDE NEDDLE BIOPSY,4961.0,4961.0,102.25,4961.0,108 CPT,77012,HC CT GUIDE NEEDLE ASPIRATION,1987.0,1987.0,102.25,1987.0,108 CPT,77012,HC CT GUIDE NEEDLE PLACE S/I,4899.0,4899.0,102.25,4899.0,108 CPT,77013,HC CT GUIDANCE TISSUE ABLAT,4986.0,4986.0,407.0,4986.0,105 CPT,77013,HC CT GUIDANCE TISSUE ABLATION,4917.0,4917.0,407.0,4917.0,105 CPT,77014,HC CT GUIDANCE/THERAPY FIELD,6302.0,6302.0,67.87,6302.0,115 CPT,77014,HC CT GUIDE FOR RADIATION FIELDS,4935.0,4935.0,67.87,4935.0,115 CPT,77047,HC MRI W/O CONT BREAST BI,2085.0,2085.0,133.07,2085.0,125 CPT,77048,HC MRI UNI BR W/O W CONTR CAD,7343.0,7343.0,220.54,7343.0,115 CPT,77049,HC MRI BR BILAT W/O W CONTR CAD,9181.0,9181.0,219.46,9181.0,115 CPT,77063,HC SCREENING BREAST TOMOSYNTHESIS BILATERAL,825.0,825.0,10.99,825.0,123 CPT,77065,HC DX MAMMO INCL CAD UNI,1161.0,1161.0,68.13,1161.0,123 CPT,77066,HC MAMMOGRAM DIAG BILATERAL,1400.0,1400.0,86.81,1400.0,123 CPT,77067,HC SCR MAMMO BI INCL CAD,1067.0,1067.0,65.93,1067.0,123 CPT,77072,HC BONE AGE LIMITED,1031.0,1031.0,9.8,1031.0,123 CPT,77073,HC SCANOGRAM (BONE LENGTH),957.0,957.0,20.94,957.0,123 CPT,77073,HC SCANOGRAM-BONE LENGTH,957.0,957.0,20.94,957.0,123 CPT,77074,HC OSSEOUS SURVEY LIMITED,1713.0,1713.0,30.22,1713.0,123 CPT,77075,HC BONE SURVEY COMPLETE,3398.0,3398.0,45.22,3398.0,123 CPT,77076,HC BONE(OSSEOUS)SURVEYINFANT,1155.0,1155.0,28.06,1155.0,123 CPT,77076,HC OSSEOUS SURVEY- INFANT,1031.0,1031.0,28.06,1031.0,123 CPT,77078,HC CT SPINE BONE DENSITY,3156.0,3156.0,42.85,3156.0,123 CPT,77080,HC BONE DENSITY AXIAL SKELETAL,1212.0,1212.0,42.85,1212.0,123 CPT,77081,HC DEXA WRIST,1212.0,1212.0,17.68,1212.0,123 CPT,77085,HC DXA BONE DENSITY STUDY,3324.0,3324.0,60.76,3324.0,120 CPT,77086,HC FRACTURE ASSESSMENT VIA DXA VF,1212.0,1212.0,37.96,1212.0,120 CPT,77280,HC SIMULATION SIMPLE,3810.0,3810.0,36.5,3810.0,125 CPT,77290,HC SIMULATION COMPLEX,6289.0,6289.0,72.5,6289.0,125 CPT,77293,HC RESPIRATOR MOTION MGMT SIMUL,21817.0,21817.0,242.07,21817.0,110 CPT,77295,HC 3-D RADIOTHERAPY PLAN,34299.0,34299.0,321.46,34299.0,125 CPT,77300,HC BASIC DOSIMETRY,1586.0,1586.0,21.5,1586.0,125 CPT,77301,"HC RADIOTHERAPY DOSE PLAN IMRT """"TC",21246.0,21246.0,571.64,21246.0,125 CPT,77306,HC TELETHX ISODOSE PLAN SIMPLE,6887.0,6887.0,54.49,6887.0,125 CPT,77307,HC TELETHX ISODOSE PLAN CPLX,13427.0,13427.0,72.35,13427.0,125 CPT,77321,HC SPECIAL PORT PLANS,3577.0,3577.0,31.5,3577.0,125 CPT,77332,HC TREAT DEVICES-SIMPLE,1746.0,1746.0,32.5,1746.0,125 CPT,77333,HC TRMENT DEVICES INT,2727.0,2727.0,16.97,2727.0,125 CPT,77334,HC TRMENT DEVICES COMPLEX,4960.0,4960.0,55.0,4960.0,125 CPT,77336,HC CONT PHYS SUP-WKLY,2408.0,2408.0,49.0,2408.0,125 CPT,77338,HC DESIGN MLC DEVICE FOR IMRT,12393.0,12393.0,158.05,12393.0,122 CPT,77370,HC PROF PHYSICS CONSULT,7220.0,7220.0,64.48,7220.0,125 CPT,77370,HC SPECIAL PHYSICS CONSULT -PROTON TX,7220.0,7220.0,64.48,7220.0,125 CPT,77371,HC SRS MULTISOURCE,122253.0,122253.0,832.2,122253.0,124 CPT,77373,HC IMAGE GUIDED LIN DEL(1 TRMT),64689.0,64689.0,1000.0,64689.0,125 CPT,77373,HC IMAGE GUIDED LIN DEL(2-5 TRMT),64689.0,64689.0,1000.0,64689.0,125 CPT,77373,HC STEREOTACTIC BODY RAD THERA,70272.0,70272.0,1000.0,70272.0,125 CPT,77373,HC STEREOTACTIC BODY RAD THERA (2-5),70272.0,70272.0,1000.0,70272.0,125 CPT,77373,HC STEREOTACTIC BODY RADIATION DELIVERY - GAMMA KN,70272.0,70272.0,1000.0,70272.0,125 CPT,77385,HC NTSTY MODUL RAD TX DLVR SMPL,17931.0,17931.0,268.8,17931.0,116 CPT,77386,HC NTSTY MODUL RAD TX DLVR CPLX,17931.0,17931.0,284.49,17931.0,116 CPT,77387,HC GUIDANCE FOR RADIAJ TX DLVR,5245.0,5245.0,63.81,5245.0,115 CPT,77402,HC RADIATION TREATMENT DELIVERY,5980.0,5980.0,21.5,5980.0,125 CPT,77407,HC RAD TX DELIVERY 1 MEV INTERMED,8461.0,8461.0,32.5,8461.0,125 CPT,77412,HC RADIATION TREATMENT DELIVERY,10901.0,10901.0,44.0,10901.0,125 CPT,77417,HC RADIOLOGY PORT FILM(S),410.0,410.0,12.92,410.0,115 CPT,77470,HC SPECIAL TREATMENT PROCEDURES,12205.0,12205.0,21.5,12205.0,125 CPT,77770,HC HDR RDNCL NTRSTL/ICAV BRCHTX1,16174.0,16174.0,165.31,16174.0,125 CPT,77771,HC HDR RDNCL NTRSTL/ICAV BR 2-12,28984.0,28984.0,301.07,28984.0,125 CPT,77772,HC HDR INTERST/INTRACAV-12> CHAN,12755.0,12755.0,441.84,12755.0,125 CPT,78013,HC THYROIDIMG W/VASCULAR FLOW,843.0,843.0,93.4,1326.1,123 CPT,78014,HC THY IMG VAS FL W/SING/MULT UPT,1306.0,1306.0,145.01,1326.1,123 CPT,78018,HC THYROID SCAN TOTAL BODY,5596.0,5596.0,56.5,5596.0,123 CPT,78020,HC THYROID CARCINOMA METASTASES U,2125.0,2125.0,18.07,2125.0,113 CPT,78070,HC PARATHYROID SCAN,2851.0,2851.0,62.5,2851.0,123 CPT,78071,HC PARATHYROID SCAN W/SPECT,1803.0,1803.0,200.47,1803.0,123 CPT,78072,HC PARATHYROID SCAN W/SPECT CT,1803.0,1803.0,200.47,2179.73,123 CPT,78103,HC BONE MARROW IMG MULTI AREAS,2050.0,2050.0,71.5,2050.0,123 CPT,78195,HC LYMPH NODE SCAN,1522.0,1522.0,130.0,1801.13,123 CPT,78215,HC LIVER SCAN,2527.0,2527.0,46.5,2527.0,123 CPT,78226,HC HEPATOBILIARY WITH GB,1727.0,1727.0,175.87,1727.0,123 CPT,78227,HC QUANT HEPATOBILIARY WITH GB,1727.0,1727.0,175.87,1920.85,123 CPT,78231,HC SALIVARY GLAND SCAN,1364.0,1364.0,35.0,1364.0,123 CPT,78232,HC SALIVARY GLAND FUNCT STUDY,2984.0,2984.0,39.0,2984.0,123 CPT,78261,HC GASTRIC MUCOSA IMAGE,1238.0,1238.0,45.0,1326.1,123 CPT,78264,HC GASTRIC EMPTYING,3635.0,3635.0,99.0,3635.0,123 CPT,78265,HC GASTRIC EMPTYING IMAG STUDY,1468.0,1468.0,211.11,1716.43,123 CPT,78266,HC GASTRIC EMPTYING W/SB/TRANMUL,1468.0,1468.0,232.95,1925.64,123 CPT,78278,HC GIBLEED,2148.0,2148.0,39.0,2148.0,123 CPT,78291,HC PERITONEAL SHUNT PATENCY,3409.0,3409.0,109.83,3409.0,123 CPT,78300,HC BONE SCAN LIMITED AREA,2050.0,2050.0,41.5,2050.0,123 CPT,78306,HC BONE SCAN TOTAL BODY,4002.0,4002.0,61.5,4002.0,123 CPT,78315,HC BONE SCAN 3 PHASE,3933.0,3933.0,119.0,3933.0,123 CPT,78429,HC MYOCADIAL PET W/CT,5527.0,5527.0,10.82,5527.0,125 CPT,78430,HC MYOCRD IMG PET RST/STRS W/CT,5527.0,5527.0,10.83,5527.0,125 CPT,78431,HC MYOCRD PET PRFUJ MLT STD RST STRS W/ CT,8664.0,8664.0,1120.78,8664.0,125 CPT,78433,HC MYOCRD PET PRFUJ W/METAB 2RTRACER W CT,5852.0,5852.0,988.99,7307.04,125 CPT,78434,HC AQMBF PET REST RX STRESS,2603.0,2603.0,110.05,4630.0,107 CPT,78445,HC BONE VASCULAR FLOW,2149.0,2149.0,31.5,2149.0,123 CPT,78451,HC HT MUSCLE IMAGE SPECTSING,10761.0,10761.0,190.19,10761.0,125 CPT,78452,HC HT MUSCLE IMAGE SPECTMULT,10761.0,10761.0,278.34,10761.0,125 CPT,78452,HC MAPS HT MUSCLE IMAGE SPECTMULT,1250.0,1250.0,211.25,4294.59,125 CPT,78453,HC MYOCARDIAL PERFUSION PLANAR SINGLE,4440.0,4440.0,170.46,4440.0,125 CPT,78454,HC HT MUSC IMAGEPLANARMULT,4440.0,4440.0,206.0,4440.0,125 CPT,78459,HC HEART MUSCLE IMAGING,7950.0,7950.0,621.65,7950.0,125 CPT,78466,HC NM HEART MI PLANAR,2569.0,2569.0,56.0,2569.0,125 CPT,78469,HC MYO IMG SPECT INFARCT,3423.0,3423.0,177.44,3423.0,125 CPT,78472,HC CARD.BL.POOL W/VEF WM,3423.0,3423.0,61.0,3423.0,125 CPT,78473,HC CARD BL POOL MULT W/EF WM,4187.0,4187.0,178.4,4187.0,125 CPT,78579,HC PULM VENTILATION IMAGING,1893.0,1893.0,110.74,1893.0,123 CPT,78580,HC PULMONARY PERFUSION IMAGING,2760.0,2760.0,47.5,2760.0,123 CPT,78582,HC PULM VENT PERF IMAGING,1868.0,1868.0,189.65,1868.0,123 CPT,78597,HC QUANT DIFF PULM PERF,1343.0,1343.0,118.7,1343.0,123 CPT,78598,HC QUANT DIFF VENT PERF,4859.0,4859.0,189.65,4859.0,123 CPT,78608,HC BRAIN (PET) METABOLIC EVAL,23886.0,23886.0,613.27,23886.0,125 CPT,78645,HC CSF FLOW-SHUNT EVAL,1701.0,1701.0,110.0,1801.13,118 CPT,78701,HC KIDNEY-VASCULAR FLOW,2594.0,2594.0,55.0,2594.0,123 CPT,78707,HC KIDNEY FLOW/FUNCTION,3334.0,3334.0,69.0,3334.0,123 CPT,78708,HC KIDNEY IMG W/FF W PM SING,3481.0,3481.0,69.0,3481.0,123 CPT,78709,HC KIDNEY IMG W/FF W/PM MULTI,3021.0,3021.0,185.64,3021.0,123 CPT,78800,HC TUMOR LOCAL SING AREA,1405.0,1405.0,55.0,1405.0,123 CPT,78801,HC TUMOR LOCALIZATION,4948.0,4948.0,59.0,4948.0,123 CPT,78802,HC PRETX PLANNING NON HODGKINS,5106.0,5106.0,70.0,5106.0,123 CPT,78802,HC SOFT TISSUE SCAN TOTAL,3455.0,3455.0,70.0,3455.0,123 CPT,78803,HC TUMOR SPECT,4604.0,4604.0,222.19,4604.0,123 CPT,78804,HC TUMOR LOCALIZ-WHL BODY 2-3 DAY,9057.0,9057.0,315.1,9057.0,123 CPT,78813,HC PET WHOLE BODY,19562.0,19562.0,621.65,19562.0,125 CPT,78814,HC PET W./CT LTD.AREA,23886.0,23886.0,621.65,23886.0,125 CPT,78815,HC PET W/CT SKULL TO MIDTHIGH,23886.0,23886.0,621.65,23886.0,125 CPT,78816,HC PET W/CT WHOLW BODY,23886.0,23886.0,621.65,23886.0,125 CPT,78830,HC RP LOCLZJ TUM SPECT W/CT 1 AREA 1 DAY IMAGING,4872.0,4872.0,325.48,4872.0,123 CPT,78831,HC RP LOCLZJ TUM SPECT 2 AREA 1D IMG/1 AREA IMG>2,4872.0,4872.0,329.64,4872.0,123 CPT,78832,HC RP LOCLZJ TUM SPECT CT 2AREA 1D IMG/1 AR IMG>2,5527.0,5527.0,329.64,5527.0,123 CPT,78835,HC RADIOPHARMACEUTICAL QUANTIFICATION MEAS 1 AREA,577.0,577.0,62.5,577.0,108 CPT,79005,HC ISO HYPERTHYRIOD,5025.0,5025.0,37.79,5025.0,125 CPT,79005,HC NM RN TH METS TH,6979.0,6979.0,37.79,6979.0,125 CPT,79005,HC THERAPY/THYROID CA,5025.0,5025.0,37.79,5025.0,125 CPT,80047,HC BMP IONIZED CALCIUM PANEL,78.0,78.0,8.24,78.0,122 CPT,80048,HC BASIC METABOLIC PANEL,460.0,460.0,5.08,460.0,122 CPT,80050,HC GENERAL HEALTH PANEL,1071.0,1071.0,37.46,1071.0,113 CPT,80051,HC ELECTROLYTE PANEL,275.0,275.0,4.21,275.0,122 CPT,80053,HC COMPREHENSIVE METABOLIC PANEL,596.0,596.0,6.34,596.0,122 CPT,80055,HC OBSTETRIC PANEL,690.0,690.0,12.0,690.0,122 CPT,80061,HC LIPID PANEL,356.0,356.0,8.03,356.0,122 CPT,80069,HC RENAL FUNCTION PANEL,98.0,98.0,5.21,98.0,122 CPT,80074,HC ACUTE HEPATITIS PANEL,1162.0,1162.0,28.58,1162.0,122 CPT,80076,HC HEPATIC FUNCTION PANEL,412.0,412.0,4.9,412.0,122 CPT,80081,HC OBSTETRIC PANEL W/HIV,705.0,705.0,44.92,705.0,122 CPT,80143,HC DRUG ASSAY ACETAMINOPHEN,335.0,335.0,10.61,335.0,121 CPT,80145,HC ADALIMUMAB ACT NEUTRL ANTIBODY,1335.0,1335.0,23.14,1335.0,121 CPT,80150,HC DRUG ASSAY OF AMIKACIN,419.0,419.0,9.05,419.0,122 CPT,80151,HC DRUG ASSAY OF AMIODARONE (N-DESETHYL AMIO),600.0,600.0,11.18,600.0,119 CPT,80155,HC DRUG ASSAY OF CAFFEINE,401.0,401.0,11.92,401.0,122 CPT,80156,HC DRUG ASSAY OF CARBAMAZEPINE,105.0,105.0,8.74,105.0,122 CPT,80157,HC FREE TEGRETOL,786.0,786.0,7.95,786.0,122 CPT,80158,HC DRUG ASSAY OF CYCLOSPORINE,500.0,500.0,10.83,500.0,122 CPT,80159,HC DRUG ASSAY OF CLOZAPINE,175.0,175.0,12.09,175.0,122 CPT,80162,HC DRUG ASSAY OF DIGOXIN,366.0,366.0,7.97,366.0,122 CPT,80164,HC DRUG ASSAY OF VALPROIC ACID,374.0,374.0,8.12,374.0,122 CPT,80164,HC DRUG ASSAY OF VALPROIC ACID TOTAL,158.0,158.0,8.12,158.0,122 CPT,80165,HC DRUG ASSAY OF VALPROIC ACID FREE,158.0,158.0,8.12,158.0,122 CPT,80168,HC DRUG ASSAY OF ETHOSUXIMIDE,648.0,648.0,9.8,648.0,122 CPT,80169,HC DRUG ASSAY OF EVEROLIMUS,146.0,146.0,8.24,146.0,122 CPT,80170,HC DRUG ASSAY OF GENTAMICIN,472.0,472.0,9.83,472.0,122 CPT,80171,HC DRUG ASSAY OF GABAPENTIN,207.0,207.0,11.17,207.0,122 CPT,80173,HC DRUG ASSAY OF HALOPERIDOL,796.0,796.0,9.47,796.0,122 CPT,80175,HC DRUG ASSAY OF LAMOTRIGINE,126.0,126.0,7.95,126.0,122 CPT,80176,HC DRUG ASSAY OF LIDOCAINE,671.0,671.0,8.81,671.0,122 CPT,80177,HC DRUG ASSAY OF LEVETIRACETAM,504.0,504.0,7.95,504.0,122 CPT,80178,HC DRUG ASSAY OF LITHIUM,231.0,231.0,3.97,231.0,122 CPT,80179,HC DRUG ASSAY SALICYLATE,335.0,335.0,11.18,335.0,119 CPT,80180,HC DRUG ASSAY OF MYCOPHENOLATE,192.0,192.0,10.83,192.0,122 CPT,80181,HC DRUG ASSAY OF FLECAINIDE,502.0,502.0,8.17,502.0,119 CPT,80183,HC DRUG ASSAY OF OXCARBAZEPINE,411.0,411.0,7.95,411.0,122 CPT,80184,HC DRUG ASSAY OF PHENOBARBITAL,369.0,369.0,9.18,369.0,122 CPT,80185,HC DRUG ASSAY OF PHENYTOIN,369.0,369.0,7.95,369.0,122 CPT,80186,HC DRUG ASSAY OF PHENYTOIN FREE,362.0,362.0,8.26,362.0,122 CPT,80187,HC DRUG ASSAY OF POSACONAZOLE,329.0,329.0,16.27,329.0,122 CPT,80188,HC DRUG ASSAY OF PRIMIDONE,468.0,468.0,9.95,468.0,122 CPT,80189,HC DRUG ASSAY OF ITRACONAZOLE,502.0,502.0,16.27,502.0,122 CPT,80192,HC DRUG ASSAY OF PROCAINAMIDE/ NAPA LEVELS,460.0,460.0,10.05,460.0,122 CPT,80193,HC LEFLUNOMIDE METABOLITE,194.0,194.0,21.9,194.0,121 CPT,80195,HC DRUG ASSAY OF SIROLIMUS,198.0,198.0,8.24,198.0,122 CPT,80197,HC DRUG ASSAY OF TACROLIMUS,600.0,600.0,8.24,600.0,122 CPT,80198,HC DRUG ASSAY OF THEOPHYLLINE,386.0,386.0,8.48,386.0,122 CPT,80200,HC DRUG ASSAY OF TOBRAMYCIN,438.0,438.0,9.68,438.0,122 CPT,80201,HC DRUG ASSAY OF TOPIRAMATE,374.0,374.0,7.15,374.0,122 CPT,80202,HC DRUG ASSAY OF VANCOMYCIN,426.0,426.0,8.12,426.0,122 CPT,80203,HC DRUG ASSAY ZONISAMIDE,158.0,158.0,7.95,158.0,122 CPT,80204,HC DRUG ASSAY OF METHOTREXATE,507.0,507.0,16.91,507.0,119 CPT,80230,HC DRUG ASSAY INFLIXIMAB,189.0,189.0,16.91,189.0,119 CPT,80230,HC INFLIXIMAB NEUTRALIZING AB TITER,777.0,777.0,16.91,777.0,119 CPT,80235,HC DRUG ASSAY OF LACOSAMIDE,502.0,502.0,11.89,502.0,119 CPT,80280,HC VEDOLIZUMAB LEVELS,1128.0,1128.0,23.14,1128.0,119 CPT,80285,HC DRUG ASSAY OF VORICONAZOLE,453.0,453.0,11.89,453.0,122 CPT,80299,HC CERTOLIZUMAB DRUG LEVEL,748.0,748.0,11.18,748.0,122 CPT,80299,HC DEXAMETHASONE,207.0,207.0,11.18,207.0,122 CPT,80299,HC DRUG ASSAY OF 5-FLUROCYTOSINE,145.0,145.0,11.18,145.0,122 CPT,80299,HC DRUG ASSAY OF ALLOPURINOL,502.0,502.0,11.18,502.0,122 CPT,80299,HC DRUG ASSAY OF BUPROPION,399.0,399.0,11.18,399.0,122 CPT,80299,HC DRUG ASSAY OF CLOMIPRAMINE/NORCLOMIP,502.0,502.0,11.18,502.0,122 CPT,80299,HC DRUG ASSAY OF ETHAMBUTOL,816.0,816.0,11.18,816.0,122 CPT,80299,HC DRUG ASSAY OF FLUOXETINE (PROZAC),207.0,207.0,11.18,207.0,122 CPT,80299,HC DRUG ASSAY OF ISONIAZID,374.0,374.0,11.18,374.0,122 CPT,80299,HC DRUG ASSAY OF PROPANOLOL,476.0,476.0,11.18,476.0,122 CPT,80299,HC DRUG ASSAY OF RIFAMPIN,411.0,411.0,11.18,411.0,122 CPT,80299,HC DRUG ASSAY OF SERTRALINE,207.0,207.0,11.18,207.0,122 CPT,80299,HC DRUG ASSAY OF TRAZADONE,223.0,223.0,11.18,223.0,122 CPT,80299,HC RANDOM ANTIBIOTIC LE,419.0,419.0,11.18,419.0,122 CPT,80299,HC THIOPURINE METABOLITES BY LCMS,368.0,368.0,11.18,368.0,122 CPT,80299,HC USTEKINUMAB DRUG AND ANTIBODY LEVELS,748.0,748.0,11.18,748.0,122 CPT,80307,HC DRUG SCREEN 9 BLD CONF QUANT,181.0,181.0,22.44,197.08,124 CPT,80307,HC DRUG SCREEN CLASS LIST A,1323.0,1323.0,37.28,1323.0,124 CPT,80320,HC DRUG SCREEN QUANTALCOHOLS,335.0,335.0,0.02,335.0,115 CPT,80321,HC ALCOHOLS BIOMARKERS 1OR 2,276.0,276.0,0.02,276.0,115 CPT,80321,HC PHOSPHATIDYLETHANOL,276.0,276.0,0.02,276.0,115 CPT,80323,HC ALKALOIDS NOS,335.0,335.0,0.02,335.0,112 CPT,80325,HC DRUG SCREEN AMPHETAMINES 3/4,335.0,335.0,0.02,335.0,115 CPT,80326,HC DRUG SCREEN AMPHETAMINES 5 OR MORE,227.0,227.0,0.02,227.0,115 CPT,80327,HC DRUG SCREEN ANABOLIC STEROID 1/2,335.0,335.0,0.02,335.0,115 CPT,80329,HC DRUG SCREEN ANALGESICS NON-OPIOID 1/2,335.0,335.0,0.02,335.0,115 CPT,80329,HC IBUPROFEN QUANTITATIVE SERUM,166.0,166.0,0.02,166.0,115 CPT,80335,HC DRUG ASSAY OF AMOXAPINE,1256.0,1256.0,0.02,1256.0,115 CPT,80335,HC DRUG SCREEN ANTIDEPRESSANT TRICYCLIC 1/2,335.0,335.0,0.02,335.0,115 CPT,80338,HC PHENELZINE,1393.0,1393.0,0.02,1393.0,112 CPT,80339,HC CLOBAZAM,393.0,393.0,0.02,393.0,112 CPT,80342,HC RISPERIDONE,100.0,100.0,0.02,100.0,115 CPT,80345,HC DRUG SCREEN BARBITURATES,335.0,335.0,0.02,335.0,115 CPT,80346,HC DRUG SCREEN BENZODIAZEPINES 1-12,335.0,335.0,0.02,335.0,115 CPT,80347,HC BENZODIAZEPINES S/P QUANT,216.0,216.0,0.02,216.0,115 CPT,80347,HC DRUG SCREEN BENZODIAZEPINES 13 OR MORE,335.0,335.0,0.02,335.0,115 CPT,80348,HC BUPRENORPHINE,260.0,260.0,0.02,260.0,115 CPT,80349,HC DRUG SCREEN CANNABINOIDS NATURAL,335.0,335.0,0.02,335.0,115 CPT,80349,HC MARIJUANA CONF MEC BILL,355.0,355.0,0.02,355.0,115 CPT,80349,HC THC METABOLITE S/P QUANT,216.0,216.0,0.02,216.0,115 CPT,80353,HC COCAINE MET S/P QUANTITATIVE,216.0,216.0,0.02,216.0,115 CPT,80353,HC DRUG SCREEN COCAINE,335.0,335.0,0.02,335.0,115 CPT,80354,HC DRUG SCREEN FENTANYL,335.0,335.0,0.02,335.0,115 CPT,80358,HC DRUG SCREEN METHADONE,335.0,335.0,0.02,335.0,115 CPT,80361,HC DRUG SCREEN OPIATES 1 OR MORE,335.0,335.0,0.02,335.0,115 CPT,80364,HC DRUG SCREEN OPIOID OPIATE ANALOG 5/MORE,335.0,335.0,0.02,335.0,115 CPT,80366,HC PREGABALIN SERUM/PLASMA,152.0,152.0,0.02,152.0,112 CPT,80369,HC CARISOPRODOL MEPROBAMATE URINE QUANTITATIVE,152.0,152.0,0.02,152.0,115 CPT,80373,HC DRUG SCREEN TRAMADOL,335.0,335.0,0.02,335.0,112 CPT,80375,HC DABIGATRAN,137.0,137.0,0.02,137.0,115 CPT,80375,HC DRUG SCREEN DRUG/SUBSTANCE NOS 1-3,335.0,335.0,0.02,335.0,115 CPT,80375,HC HYDROXYCHLOROQUINE,593.0,593.0,0.02,593.0,115 CPT,80375,HC METFORMIN,454.0,454.0,0.02,454.0,115 CPT,80375,HC MITOTANE,380.0,380.0,0.02,380.0,115 CPT,80377,HC DIURETIC PANEL URINE,342.0,342.0,0.02,342.0,112 CPT,80377,HC DRUG SCREEN DRUG/SUBSTANCE NOS 7 OR MORE,335.0,335.0,0.02,335.0,112 CPT,80377,HC DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 7/MORE,265.0,265.0,0.02,265.0,112 CPT,80377,HC LAXATIVESUR,580.0,580.0,0.02,580.0,112 CPT,80377,HC SULFONYLUREA PANEL,287.0,287.0,0.02,287.0,112 CPT,80503,HC PATHOLOGY CLINICAL CONSULT 5-20 MIN,390.0,390.0,23.71,390.0,116 CPT,80503,HC PATHOLOGY CLINICAL CONSULTATION CLINICAL PROBLE,237.0,237.0,23.71,237.0,116 CPT,80504,HC LAB PATHOLOGY CONSULTATION,469.0,469.0,50.72,565.16,116 CPT,80504,HC PATHOLOGY CLINICAL CONSULTATION CLINICAL PROBLE,708.0,708.0,50.72,708.0,116 CPT,80505,HC PATHOLOGY CLINICAL CONSULTATION CLINICAL PROBLE,708.0,708.0,87.79,708.0,116 CPT,80506,HC PATHOLOGY CLINICAL CONSULTATION-CLINCIAL PROBLE,237.0,237.0,29.39,237.0,107 CPT,81000,HC MAPS URINALYSIS (WITH MICROSCOPY,15.0,15.0,1.86,15.0,122 CPT,81000,HC URINALYSIS (WITH MICROSCOPY,103.0,103.0,2.41,103.0,122 CPT,81001,HC URINALYSIS AUTO W/SCOPE,195.0,195.0,1.9,195.0,122 CPT,81002,HC DIPSTICK URINE ANALYSIS,26.0,26.0,2.09,26.0,122 CPT,81002,HC MAPS URINALYSISNONAUTO W/O SCOP,15.0,15.0,1.86,15.0,122 CPT,81003,HC MAPS URINALYSIS AUTO W/O SCOPE,30.0,30.0,1.35,30.0,122 CPT,81003,HC URINALYSIS AUTO W/O SCOPE POC,145.0,145.0,1.35,145.0,122 CPT,81003,HC URINALYSIS AUTOMATED WITHOUT MICROSCOPY,153.0,153.0,1.35,153.0,122 CPT,81005,HC MAPS URINAL QUAL/SEMIQNTEXCPT IMM,15.0,15.0,1.3,15.0,122 CPT,81005,HC MELANIN,129.0,129.0,1.3,129.0,122 CPT,81015,HC URINALYSIS MICROSCOPIC,33.0,33.0,1.83,33.0,122 CPT,81025,HC MAPS URINE PREGNANCY,26.0,26.0,3.22,27.31,122 CPT,81025,HC URINE PREGNANCY,339.0,339.0,4.0,339.0,122 CPT,81025,HC URINE PREGNANCY TEST,339.0,339.0,4.0,339.0,122 CPT,81050,HC URINALYSIS VOLUME MEASURE,82.0,82.0,2.18,82.0,119 CPT,81105,HC HUMAN PLATELET AG 1 GENOTYPING,202.0,202.0,25.05,387.62,124 CPT,81106,HC HUMAN PLATELET AG 2 GENOTYPING,202.0,202.0,25.05,387.62,121 CPT,81107,HC HUMAN PLATELET AG 3 GENOTYPING,202.0,202.0,25.05,387.62,121 CPT,81108,HC HUMAN PLATELET AG 4 GENOTYPING,202.0,202.0,25.05,387.62,121 CPT,81109,HC HUMAN PLATELET AG 5 GENOTYPING,202.0,202.0,25.05,387.62,121 CPT,81110,HC HUMAN PLATELET AG 6 GENOTYPING,202.0,202.0,25.05,387.62,121 CPT,81112,HC HUMAN PLATELET AG 15 GENOTYPING,202.0,202.0,25.05,387.62,121 CPT,81120,HC HEME PANEL-IDH1,1122.0,1122.0,115.95,1122.0,121 CPT,81120,HC IDH1,807.0,807.0,100.07,807.0,121 CPT,81120,HC SOLID TUMOR-IDH1,1466.0,1466.0,115.95,1466.0,121 CPT,81121,HC HEME PANEL-IDH2,1122.0,1122.0,139.13,1122.0,121 CPT,81121,HC IDH2,807.0,807.0,100.07,938.1,121 CPT,81163,HC BRCA1 AND BRCA2,3064.0,3064.0,268.51,3064.0,124 CPT,81170,HC BCR-ABL1 MUTATION ANALYSIS BY,2686.0,2686.0,180.0,2686.0,124 CPT,81170,HC HEME PANEL-ABL1,1175.0,1175.0,145.7,1175.0,124 CPT,81170,HC SOLID TUMOR-ABL1,1466.0,1466.0,180.0,1466.0,124 CPT,81175,HC HEME PANEL-ASXL1,1122.0,1122.0,139.13,2145.52,121 CPT,81185,HC CACNA1A GENE FULL GENE SEQ,6461.0,6461.0,389.68,6461.0,121 CPT,81185,HC EPISODIC ATAXIA EVALUATION,4909.0,4909.0,389.68,4909.0,121 CPT,81191,HC SOLID TUMOR-NTRK1,1532.0,1532.0,113.29,1532.0,121 CPT,81192,HC SOLID TUMOR-NTRK2,1532.0,1532.0,113.29,1532.0,121 CPT,81193,HC SOLID TUMOR-NTRK3,1532.0,1532.0,113.29,1532.0,121 CPT,81194,HC SOLID TUMOR-NTRK TRANSLOCATION ANALYSIS,1532.0,1532.0,189.97,1643.73,121 CPT,81195,HC GENOME WIDE ARRAY,8165.0,8165.0,1012.46,8165.0,121 CPT,81200,HC ASHK DISEASE PANEL - ASPA GENE,226.0,226.0,28.02,226.0,124 CPT,81200,HC ASPA (CANAVAN DISEASE) GENE ANALYSIS,1701.0,1701.0,28.35,1701.0,124 CPT,81201,HC SOLID TUMOR- APC,1466.0,1466.0,181.78,2473.77,124 CPT,81205,HC ASHK DISEASE PANEL - BCKDHB GENE,226.0,226.0,28.02,301.26,121 CPT,81206,HC BCRABL QNT MAJOR P210,1866.0,1866.0,98.38,1866.0,121 CPT,81206,HC BCRABL QUAL MAJOR P210,770.0,770.0,95.48,770.0,121 CPT,81207,HC BCR-ABL1 MINOR QUANT,945.0,945.0,86.9,945.0,121 CPT,81207,HC BCRABL QUAL MINOR P190,770.0,770.0,86.9,770.0,121 CPT,81209,HC ASHK DISEASE PANEL - BLM GENE,226.0,226.0,21.49,226.0,121 CPT,81209,HC BLOOM DOT/SLOT,1306.0,1306.0,21.49,1306.0,121 CPT,81210,HC BRAF CODON PCR 81210,2814.0,2814.0,105.24,2814.0,124 CPT,81210,HC HEME PANEL-BRAF,1122.0,1122.0,105.24,1122.0,124 CPT,81210,HC SOLID TUMOR-BRAF,1466.0,1466.0,105.24,1466.0,124 CPT,81216,HC BCR-ABL1 QUAL TO QUANT,292.0,292.0,36.21,587.11,124 CPT,81217,HC BCR-ABL1T(9 22)QUAL BY RT-PCR,292.0,292.0,36.21,926.08,124 CPT,81218,HC HEME PANEL-CEBPA FULL SEQUENCE,1175.0,1175.0,145.14,1175.0,124 CPT,81219,HC CALR MUTATION ANALYSIS,945.0,945.0,72.98,945.0,121 CPT,81219,HC HEME PANEL-CALR COM VARIANTS,1175.0,1175.0,72.98,1175.0,121 CPT,81220,HC CFTR GENE COM VARIANTS,1584.0,1584.0,196.42,1765.26,124 CPT,81220,HC CFTR GENE COM VARIANTS 165,2985.0,2985.0,304.15,2985.0,124 CPT,81220,HC CYSTIC FIBROSIS (CFTR) 165 PATHOGENIC VARIANTS,214.0,214.0,26.54,1050.3,124 CPT,81223,HC CFTR GENE FULL SEQUENCE,4107.0,4107.0,279.75,4107.0,124 CPT,81225,HC CYTOCHROME P450 2C19 9 MUTAT,1798.0,1798.0,174.82,1798.0,121 CPT,81229,HC COMP.MICROARRAY ANALYSIS,9161.0,9161.0,696.0,9161.0,121 CPT,81229,HC CYTOGENOMIC MOLECULAR INVERSION PROBE ARRAY FFP,4535.0,4535.0,562.34,4535.0,121 CPT,81229,HC CYTOGENOMIC SNP MICROARRAY,10499.0,10499.0,696.0,10499.0,121 CPT,81229,HC GENOMIC SNP MICROARRAY POC,5362.0,5362.0,664.89,5362.0,121 CPT,81232,HC DPYD GENE COMMON VARIANTS,1809.0,1809.0,104.89,1809.0,121 CPT,81235,HC EGFR GENE COM VARIANTS,3249.0,3249.0,194.75,3249.0,124 CPT,81235,HC SOLID TUMOR-EGFR,1466.0,1466.0,181.78,1466.0,124 CPT,81236,HC HEME PANEL-EZH2,1532.0,1532.0,130.25,1532.0,121 CPT,81240,HC PROTHROMBIN MUTATION,894.0,894.0,39.41,894.0,124 CPT,81241,HC FACTOR V MUTATION,894.0,894.0,44.02,894.0,124 CPT,81242,HC ASHK DISEASE PANEL - FANCC GENE,226.0,226.0,20.02,226.0,121 CPT,81242,HC FANCONI ANEMIA GROUP C,1511.0,1511.0,20.02,1511.0,121 CPT,81243,HC FMR1 W/REFLEX TO METHYLATION,362.0,362.0,31.18,362.0,124 CPT,81244,HC FMR1 GENE CHARACTERIZATION REFLEX,1628.0,1628.0,26.93,1628.0,124 CPT,81245,HC FLT3 GENE,1294.0,1294.0,99.31,1294.0,124 CPT,81245,HC HEME PANEL-FLT3,1122.0,1122.0,99.31,1122.0,124 CPT,81245,HC SOLID TUMOR-FLT3,1466.0,1466.0,99.31,1466.0,124 CPT,81246,HC TKD VARIANTS,1272.0,1272.0,49.8,1272.0,121 CPT,81250,HC ASHK DISEASE PANEL - G6PC GENE,226.0,226.0,28.02,226.0,121 CPT,81250,HC GLYCO STORAGE DISEASE TYPE 1A,1203.0,1203.0,35.09,1203.0,121 CPT,81251,HC ASHK DISEASE PANEL - GBA GENE,226.0,226.0,28.02,226.0,121 CPT,81251,HC GAUCHER DISEASE MUTATION ANALYSIS,1511.0,1511.0,28.35,1511.0,121 CPT,81255,HC ASHK DISEASE PANEL - HEXA GENE,226.0,226.0,28.02,226.0,124 CPT,81255,HC TSACHS MUTATION ANALYSIS,1701.0,1701.0,28.12,1701.0,124 CPT,81256,HC HEMOCHROMATOSIS MUTATION,345.0,345.0,39.22,345.0,124 CPT,81260,HC ASHK DISEASE PANEL - IKBKAB GENE,226.0,226.0,23.59,226.0,124 CPT,81260,HC FAMILIAL DYSAUTONOMIA,1203.0,1203.0,23.59,1203.0,124 CPT,81261,HC IGH GENE REARRANGE AMP METH,1739.0,1739.0,118.79,1739.0,124 CPT,81263,HC IGH VARI REGIONAL MUTATION,2039.0,2039.0,176.71,2039.0,124 CPT,81265,HC COMPARATIVE ANALYSIS USING SRT MARKERS,4354.0,4354.0,139.84,4354.0,121 CPT,81265,HC MATERNAL CELL CONTAM FETAL SPEC,325.0,325.0,40.3,739.18,121 CPT,81265,HC PRE BME CHIMERISM ANALYSIS,5170.0,5170.0,139.84,5170.0,121 CPT,81266,HC ADDITIONAL CHIMERISM SPECIMEN,1080.0,1080.0,133.92,1080.0,121 CPT,81267,HC POST CHIMERISM ANALYSIS,4770.0,4770.0,124.48,4770.0,121 CPT,81268,HC CD 33/66B CHIMERISM ANALYSIS,4477.0,4477.0,156.47,4477.0,121 CPT,81268,HC POST CHIMERISM TCELL ANALYSIS,4770.0,4770.0,156.47,4770.0,121 CPT,81269,HC HBA1/HBA2 GENE,1424.0,1424.0,117.75,1424.0,121 CPT,81270,HC JAK V617F,1570.0,1570.0,55.0,1570.0,124 CPT,81271,HC HUNTINGTON S DISEASE,502.0,502.0,62.25,502.0,121 CPT,81272,HC HEME PANEL-KIT,1122.0,1122.0,139.13,1122.0,124 CPT,81272,HC KIT GENE TARGETED SEQ ANALYS - GIST,1103.0,1103.0,136.77,1103.0,124 CPT,81272,HC SOLID TUMOR-KIT,1466.0,1466.0,181.78,1466.0,124 CPT,81273,HC C-KIT(D816V),1007.0,1007.0,74.92,1007.0,124 CPT,81275,HC HEME PANEL-KRAS,1122.0,1122.0,115.95,1122.0,124 CPT,81275,HC KRAS CODON 12 13,2898.0,2898.0,115.95,2898.0,124 CPT,81275,HC SOLID TUMOR-KRAS,1466.0,1466.0,115.95,1466.0,124 CPT,81276,HC HEME PANEL-KRAS,1122.0,1122.0,115.95,1122.0,124 CPT,81276,HC SOLID TUMOR-KRAS,1466.0,1466.0,115.95,1466.0,124 CPT,81277,HC CYTOGENOMIC SNP MICROARRAY ONCOLOGY,3734.0,3734.0,463.02,3734.0,121 CPT,81278,HC IGH-BCL2 FUSION T(14 18) BY FISH,1075.0,1075.0,124.39,1075.0,121 CPT,81279,HC HEME PANEL-JAK2,1122.0,1122.0,101.19,1122.0,124 CPT,81279,HC JAK2 EXON 12 MUTATION ANALYSIS,464.0,464.0,57.54,587.36,124 CPT,81279,HC SOLID TUMOR-JAK2,1466.0,1466.0,101.19,1466.0,124 CPT,81287,HC MGMT PROMOTER METHYLATION,2933.0,2933.0,50.2,2933.0,124 CPT,81288,HC MLH1 PROMOTOR METHYLATION,833.0,833.0,96.44,833.0,121 CPT,81290,HC ASHK DISEASE PANEL - MCOLN1 GENE,226.0,226.0,23.59,226.0,121 CPT,81290,HC MUCOLIPIDOSIS TYPE IV,1511.0,1511.0,23.59,1511.0,121 CPT,81291,HC MTHFR MUTATION DETECTION,273.0,273.0,33.85,273.0,121 CPT,81292,HC SOLID TUMOR-MLH1,1466.0,1466.0,181.78,2142.03,124 CPT,81295,HC SOLID TUMOR-MSH2,1532.0,1532.0,116.74,1532.0,124 CPT,81298,HC SOLID TUMOR-MSH6,1532.0,1532.0,189.97,2035.63,124 CPT,81301,HC MICROSATELLITE INSTABILITY (MSI) HNPCC/LYNCH SY,726.0,726.0,90.02,1105.46,124 CPT,81305,HC HEME PANEL-MYD88,1122.0,1122.0,80.77,1122.0,121 CPT,81306,HC NUDT15 GENE COMMON VARIANTS,450.0,450.0,55.8,924.05,121 CPT,81309,HC SOLID TUMOR-PIK3CA,1466.0,1466.0,150.18,1466.0,121 CPT,81310,HC HEME PANEL-NPM1,1122.0,1122.0,139.13,1122.0,124 CPT,81310,HC NPM1 INSERTION MUTATION DNA SCREEN,350.0,350.0,43.4,781.84,124 CPT,81310,HC NPM1 MUTATION DETECTION BY RT-PCR QUANTATIVE,657.0,657.0,81.47,781.84,124 CPT,81311,HC HEME PANEL-NRAS,1122.0,1122.0,139.13,1122.0,124 CPT,81311,HC SOLID TUMOR-NRAS,1466.0,1466.0,177.47,1466.0,124 CPT,81313,HC PCA3 BY TMA,996.0,996.0,123.5,996.0,121 CPT,81314,HC PDGFRA GENE - GIST,1103.0,1103.0,136.77,1103.0,124 CPT,81314,HC SOLID TUMOR-PDGFRA,1466.0,1466.0,181.78,1466.0,124 CPT,81315,HC LTX-PML/RARA (L FORM),721.0,721.0,89.4,721.0,124 CPT,81315,HC PML- RAR TRANS PCR,3936.0,3936.0,124.39,3936.0,124 CPT,81316,HC APL EXON 6,548.0,548.0,67.95,657.48,124 CPT,81317,HC SOLID TUMOR-PMS2,1532.0,1532.0,189.97,2145.52,248 CPT,81321,HC HEME PANEL-PTEN,1122.0,1122.0,139.13,1902.9,121 CPT,81321,HC SOLID TUMOR-PTEN,1466.0,1466.0,181.78,1902.9,121 CPT,81324,HC PMP22 GENE DUP/DELET,2609.0,2609.0,323.52,2609.0,124 CPT,81329,HC SPINAL MUSCULAR ATROPHY (SMA),646.0,646.0,63.08,646.0,124 CPT,81330,HC ASHK DISEASE PANEL - SMPD1 GENE,226.0,226.0,28.02,226.0,124 CPT,81330,HC NIEMAN PICK DISEASE ANALYSIS,1511.0,1511.0,28.2,1511.0,124 CPT,81331,HC PRADER WILLI BY METHYLATION,649.0,649.0,30.64,649.0,124 CPT,81332,HC ALPHA-1-ANTITRYPSIN GENOTYPE WITH REFLEX TO PHE,677.0,677.0,26.19,677.0,124 CPT,81334,HC HEME PANEL-RUNX1,1122.0,1122.0,139.13,1122.0,121 CPT,81334,HC RUNX1 GENE ANALYSIS - GENEX PANEL,711.0,711.0,88.16,1045.04,121 CPT,81338,HC HEME PANEL-MPL GENE COMMON VARIANTS,1175.0,1175.0,90.2,1175.0,121 CPT,81338,HC SOLID TUMOR-MPL GENE COMMON VARIANTS,1532.0,1532.0,90.2,1532.0,121 CPT,81339,HC HEME PANEL-MPL GENE SEQ ALYS EXON 10,1175.0,1175.0,101.19,1175.0,121 CPT,81339,HC SOLID TUMOR-MPL GENE SEQ ALYS EXON 10,1532.0,1532.0,101.19,1532.0,121 CPT,81342,HC TRG GENE REARRANGEMENT ANAL,3108.0,3108.0,120.9,3108.0,121 CPT,81347,HC HEME PANEL-SF3B1 GENE COMMON VARIANTS,1175.0,1175.0,105.59,1175.0,121 CPT,81347,HC SOLID TUMOR-SF3B1 GENE COMMON VARIANTS,1532.0,1532.0,105.59,1532.0,121 CPT,81348,HC HEME PANEL-SRSF2 GENE COMMON VARIANTS,1175.0,1175.0,95.85,1175.0,121 CPT,81348,HC SOLID TUMOR-SRSF2 GENE COMMON VARIANTS,1532.0,1532.0,95.85,1532.0,121 CPT,81350,HC UDP GLUCURONSYLTRANSFERASE 1A1,1007.0,1007.0,124.87,1007.0,121 CPT,81351,HC HEME PANEL-TP53,1122.0,1122.0,139.13,2035.63,121 CPT,81351,HC SOLID TUMOR-TP53,1466.0,1466.0,181.78,2035.63,121 CPT,81357,HC HEME PANEL-U2AF1 GENE COMMON VARIANTS,1175.0,1175.0,105.59,1175.0,121 CPT,81357,HC SOLID TUMOR-U2AF1 GENE COMMON VARIANTS,1532.0,1532.0,105.59,1532.0,121 CPT,81360,HC HEME PANEL-ZRSR2 GENE COMMON VARIANTS,1175.0,1175.0,105.59,1175.0,121 CPT,81360,HC SOLID TUMOR-ZRSR2 GENE COMMON VARIANTS,1532.0,1532.0,105.59,1532.0,121 CPT,81364,HC BETAGLOBIN (HBB) MUTATIONS,808.0,808.0,100.19,1029.41,121 CPT,81370,HC HLA C1C2LR,6011.0,6011.0,241.27,6011.0,124 CPT,81372,HC HLA ABDRLR,5450.0,5450.0,231.88,5450.0,124 CPT,81372,HC HLA C1LR,2305.0,2305.0,231.88,2305.0,124 CPT,81373,HC HLA LRA,899.0,899.0,76.46,899.0,124 CPT,81373,HC HLA LRC,899.0,899.0,76.46,899.0,124 CPT,81374,HC HLA B27,1209.0,1209.0,44.6,1209.0,124 CPT,81375,HC HLA C2LR,3705.0,3705.0,132.44,3705.0,124 CPT,81376,HC HLA CELIAC,899.0,899.0,73.33,899.0,124 CPT,81376,HC HLA LRDQB,899.0,899.0,73.33,899.0,124 CPT,81376,HC HLA LRDR,899.0,899.0,73.33,899.0,124 CPT,81380,HC HLA HRA,2800.0,2800.0,106.35,2800.0,124 CPT,81380,HC HLA HRB,2800.0,2800.0,106.35,2800.0,124 CPT,81381,HC HLA 5701,2800.0,2800.0,99.28,2800.0,124 CPT,81382,HC CELIAC HLA-DQ GENOTYPING,279.0,279.0,34.6,392.25,124 CPT,81382,HC HLA HRDPB,1628.0,1628.0,74.21,1628.0,124 CPT,81382,HC HLA II TYPING 1 LOC HR,557.0,557.0,69.07,557.0,124 CPT,81400,HC ASHK DISEASE PANEL -MOL PATH LEVEL 1,226.0,226.0,28.02,226.0,121 CPT,81400,HC INTERLUKIN 28 B,1370.0,1370.0,38.38,1370.0,121 CPT,81401,HC AML1-ETO T(8 21) QUANT,1386.0,1386.0,82.2,1386.0,121 CPT,81401,HC APOLIPOROTEIN E,351.0,351.0,43.52,434.5,121 CPT,81401,HC ASHK DISEASE PANEL -MOL PATH LEVEL 2,226.0,226.0,28.02,434.5,121 CPT,81401,HC CBFB-MYH11 DETECTION QUANT,1144.0,1144.0,82.2,1144.0,121 CPT,81401,HC CNBP REPEAT ANALYSIS,1075.0,1075.0,82.2,1075.0,121 CPT,81401,HC DM1 DNA TEST,2501.0,2501.0,82.2,2501.0,121 CPT,81401,HC DMPK REPEAT ANALYSIS,1184.0,1184.0,82.2,1184.0,121 CPT,81401,HC KENNEDY S DISEASE,1798.0,1798.0,82.2,1798.0,121 CPT,81401,HC LTX- AML1/ETO,444.0,444.0,55.06,444.0,121 CPT,81401,HC LTX- CBFB/MYH11 (A TYPE),444.0,444.0,55.06,444.0,121 CPT,81401,HC LTX-CBFB/MYH11 (D TYPE),444.0,444.0,55.06,444.0,121 CPT,81401,HC LTX-E2A/PBX2,444.0,444.0,55.06,444.0,121 CPT,81401,HC MITOCHONDRIAL EVALUATION,6127.0,6127.0,82.2,6127.0,121 CPT,81401,HC SOLID TUMOR - EWSR1,1532.0,1532.0,82.2,1532.0,121 CPT,81401,HC SOLID TUMOR - PPARG,1532.0,1532.0,82.2,1532.0,121 CPT,81401,HC SOLID TUMOR-EML4/ALK,1532.0,1532.0,82.2,1532.0,121 CPT,81401,HC SOLID TUMOR-FGFR3,1466.0,1466.0,82.2,1466.0,121 CPT,81402,HC HEME PANEL-MPL,1175.0,1175.0,82.14,1175.0,121 CPT,81402,HC MPL MUTATION ANALYSIS,1356.0,1356.0,82.14,1356.0,121 CPT,81402,HC SOLID TUMOR - PDGFB,1532.0,1532.0,82.14,1532.0,121 CPT,81403,HC HEME PANEL-DNMT3A,1122.0,1122.0,101.19,1122.0,121 CPT,81403,HC HEMOPHILIA A INVERSIONS REFLEX,857.0,857.0,101.19,857.0,121 CPT,81403,HC MOL PATH LEVEL 4 - GENEX PANEL,401.0,401.0,49.72,587.36,121 CPT,81403,HC RED CELL GENOTYPING COMMON PAN,873.0,873.0,101.19,873.0,121 CPT,81403,HC SMARCB1 KNOWN MUTATION (KT2),857.0,857.0,101.19,857.0,121 CPT,81403,HC SOLID TUMOR-CTNNB1,1466.0,1466.0,101.19,1466.0,121 CPT,81403,HC SOLID TUMOR-GNAQ,1466.0,1466.0,101.19,1466.0,121 CPT,81403,HC Y CHROM MICRODELET,899.0,899.0,101.19,899.0,121 CPT,81404,HC ATHAL ISO,2100.0,2100.0,150.18,2100.0,121 CPT,81404,HC BETA THALASSEMIA DNA,2072.0,2072.0,150.18,2072.0,121 CPT,81404,HC FAM AMYLOID(TTR GENE)81404,390.0,390.0,48.36,871.62,121 CPT,81404,HC FAMILIAL MEDITERRANEAN FEVER SEQUENCING,2468.0,2468.0,150.18,2468.0,121 CPT,81404,HC FAMILIAL TRANSTHYRETIN (TTR) AMYLOIDOSIS SEQUEN,1215.0,1215.0,150.18,1215.0,121 CPT,81404,HC FSHD1 SOUTHERN BLOT TEST,3218.0,3218.0,150.18,3218.0,121 CPT,81404,HC HEME PANEL-CDKN2A,1122.0,1122.0,139.13,1122.0,121 CPT,81404,HC SOLID TUMOR-FGFR2,1466.0,1466.0,150.18,1466.0,121 CPT,81404,HC SOLID TUMOR-HRAS,1466.0,1466.0,150.18,1466.0,121 CPT,81404,HC SOLID TUMOR-RET,1466.0,1466.0,150.18,1466.0,121 CPT,81404,HC SOLID TUMOR-STK11,1466.0,1466.0,150.18,1466.0,121 CPT,81404,HC SOLID TUMOR-VHL,1466.0,1466.0,150.18,1466.0,121 CPT,81405,HC CASR DNA SEQUENCING,7116.0,7116.0,164.66,7116.0,121 CPT,81405,HC FABRY GENE ANALYSIS,3330.0,3330.0,164.66,3330.0,121 CPT,81405,HC FAM HYPOCALURIC HYPERCAL(CASR),6914.0,6914.0,164.66,6914.0,121 CPT,81405,HC HEME PANEL-WT1,1122.0,1122.0,139.13,1122.0,121 CPT,81405,HC MULTIPLE ENDOCRINE NEOPL TYPE,2054.0,2054.0,164.66,2054.0,121 CPT,81405,HC SOLID TUMOR-FGFR1,1466.0,1466.0,164.66,1466.0,121 CPT,81405,HC SOLID TUMOR-HNF1A,1466.0,1466.0,164.66,1466.0,121 CPT,81405,HC SOLID TUMOR-RET,1466.0,1466.0,164.66,1466.0,121 CPT,81406,HB CONGENITAL MYASTHENIC SYNDRM ADV SEQ EVAL,6671.0,6671.0,169.73,6671.0,121 CPT,81406,HC CADASIL FULL SEQUENCE,6099.0,6099.0,169.73,6099.0,121 CPT,81406,HC CADASIL NOTCH 3,2886.0,2886.0,169.73,2886.0,121 CPT,81406,HC F8 DELETION/DUPLICATION BILL,1025.0,1025.0,127.1,1025.0,121 CPT,81406,HC FTD EVALUATION,5082.0,5082.0,169.73,5082.0,121 CPT,81406,HC HEME PANEL-PTPN11,1122.0,1122.0,139.13,1122.0,121 CPT,81406,HC MOL PATH - LEVEL 7,1103.0,1103.0,136.77,1103.0,121 CPT,81406,HC MOL PATH LEVEL 7 - GENEX PANEL,609.0,609.0,75.52,897.15,121 CPT,81406,HC MULTIPLE ENDOCRINE NEOPLASIA TYPE 2 (MEN2) RET,1985.0,1985.0,169.73,1985.0,121 CPT,81406,HC SOLID TUMOR - FUS,1532.0,1532.0,169.73,1532.0,121 CPT,81406,HC SOLID TUMOR-CDH1,1466.0,1466.0,169.73,1466.0,121 CPT,81406,HC SOLID TUMOR-MAP2K1,1389.0,1389.0,169.73,1389.0,121 CPT,81406,HC SOLID TUMOR-MAP2K2,1389.0,1389.0,169.73,1389.0,121 CPT,81406,HC SOLID TUMOR-PTPN11,1466.0,1466.0,169.73,1466.0,121 CPT,81406,HC SOLID TUMOR-RAF1,1389.0,1389.0,169.73,1389.0,121 CPT,81406,HC SOLID TUMOR-SMAD4,1466.0,1466.0,169.73,1466.0,121 CPT,81406,HC TAY SACHS DISEASE(HEXA) SEQUENCING 7.6KB DELE,1867.0,1867.0,169.73,1867.0,121 CPT,81406,HC TSC 1 GENE,4994.0,4994.0,169.73,4994.0,121 CPT,81406,HC WILSON DISEASE (ATP7B) SEQUENCING,3239.0,3239.0,169.73,3239.0,121 CPT,81407,HC F8 SEQUENCING BILL,1468.0,1468.0,182.03,2683.95,121 CPT,81407,HC FAM HEMIPL MIGRN TYPE III DNA,1888.0,1888.0,234.11,2683.95,121 CPT,81407,HC HEME PANEL-NOTCH1,1122.0,1122.0,139.13,2683.95,121 CPT,81407,HC MOL PATH - LEVEL 8,1103.0,1103.0,136.77,2683.95,121 CPT,81407,HC SOLID TUMOR-NOTCH1,1466.0,1466.0,181.78,2683.95,121 CPT,81407,HC TSC 2 GENE,7383.0,7383.0,462.43,7383.0,121 CPT,81408,HC HEME PANEL-ATM,1122.0,1122.0,139.13,3774.0,121 CPT,81408,HC MARFAN SYNDROME (FBN1) SEQ DEL/DUP INTERP,2452.0,2452.0,304.05,6343.0,121 CPT,81408,HC MARFAN SYNDROME (FBN1) SEQ INTERP,3454.0,3454.0,428.3,6343.0,121 CPT,81408,HC MOL PATH LEVEL 9 - GENEX PANEL,4299.0,4299.0,533.08,6343.0,121 CPT,81408,HC SOLID TUMOR-ATM,1466.0,1466.0,181.78,4649.42,121 CPT,81412,HC ASHKENAZI JEWISH ASSOC DIS,1460.0,1460.0,181.04,4630.39,121 CPT,81418,HC CYP2D6 LONG RANGE PCR DUPLICATION,1103.0,1103.0,136.77,2908.52,121 CPT,81420,HC FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS,1754.0,1754.0,217.5,2407.33,124 CPT,81420,HC MATIT21-MOLEC,3246.0,3246.0,402.5,3246.0,124 CPT,81422,HC FETAL CHROMOSOMAL MICRODELETION(S) GENOMIC SEQU,1754.0,1754.0,217.5,2407.33,121 CPT,81443,HC AMYOTROPHIC LATERAL SCLEROSIS ADVANCED EVALUATI,10929.0,10929.0,1127.49,10929.0,121 CPT,81443,HC ATAXIA COMPREHENSIVE EVALUATION,15317.0,15317.0,1127.49,15317.0,121 CPT,81445,HC SOLID TUMOR PANEL 5-50 GENES,13782.0,13782.0,358.75,13782.0,124 CPT,81449,HC TARGETED GENOMIC SEQ PANELSOLID ORGAN NEOPLASM5,13782.0,13782.0,338.29,13782.0,124 CPT,81450,HC COMPREHENSIVE NEUROPATHY ASSAY,6300.0,6300.0,455.72,6300.0,124 CPT,81450,HC HEME PANEL 5-50 GENES,12885.0,12885.0,455.72,12885.0,124 CPT,81451,HC TARGETED SEQ PANELHEMATOLYMPHOID NEOPLASM 5-50,12885.0,12885.0,429.74,12885.0,121 CPT,81455,HC SOLID OR HEME PANEL 51 GENES,16835.0,16835.0,1595.37,16835.0,124 CPT,81456,HC TARGETED SEQ PANELSOLID OR HEMATOLYMPH NEOPLASM,16835.0,16835.0,1651.91,16835.0,124 CPT,81460,HC EER MITO DISORDERS MTDNA SEQ/DEL,1241.0,1241.0,153.88,3935.83,121 CPT,81465,HC MITO DISORDERS MTDNA SEQ/DEL,1241.0,1241.0,153.88,2968.52,121 CPT,81479,HC API2/MLT 1 T (11 18) BY PCR,1262.0,1262.0,156.49,1262.0,112 CPT,81479,HC ARC F-RHCE RHD VARI SNP ARRAY,2698.0,2698.0,177.17,2698.0,112 CPT,81479,HC ARC G-SNP ID RFLP 2-5 EXON SEQ,2698.0,2698.0,177.17,2698.0,112 CPT,81479,HC ARC J-RHD RHCE SNP ARRAYS,2698.0,2698.0,177.17,2698.0,112 CPT,81479,HC ARC K-SNP ID RFLP EXON SEQ,2698.0,2698.0,177.17,2698.0,112 CPT,81479,HC ASHK DISEASE PANEL -MOL PATH UNLISTED,226.0,226.0,28.02,226.0,112 CPT,81479,HC C9ORF72 ANALYSIS,399.0,399.0,49.48,399.0,112 CPT,81479,HC CARDIOMYOPATHY PANEL,13513.0,13513.0,177.17,13513.0,112 CPT,81479,HC CIQ 4Q25-AF RSK GNTYP,811.0,811.0,100.56,811.0,112 CPT,81479,HC CIQ LPA ASPIRIN GNTYP,406.0,406.0,50.34,406.0,112 CPT,81479,HC CONFIRM MDX FOR PROSTATE CANCER,9291.0,9291.0,177.17,9291.0,112 CPT,81479,HC CSF METAGENOMICS,6554.0,6554.0,177.17,6554.0,112 CPT,81479,HC CXCL9,406.0,406.0,50.34,406.0,112 CPT,81479,HC DM2 DNA TEST,4079.0,4079.0,177.17,4079.0,112 CPT,81479,HC EGFRVIII,1533.0,1533.0,177.17,1533.0,112 CPT,81479,HC EHLER_DANLOS (PLOD1),2779.0,2779.0,177.17,2779.0,112 CPT,81479,HC ESR1,1532.0,1532.0,177.17,1532.0,112 CPT,81479,HC GENOME DX DECIPHER,14497.0,14497.0,177.17,14497.0,112 CPT,81479,HC HEME PANEL-DDX3X,1122.0,1122.0,139.13,1122.0,112 CPT,81479,HC HEME PANEL-ETV6,1122.0,1122.0,139.13,1122.0,112 CPT,81479,HC HEME PANEL-FBXW7,1122.0,1122.0,139.13,1122.0,112 CPT,81479,HC HEME PANEL-GATA2,1175.0,1175.0,145.7,1175.0,112 CPT,81479,HC HEME PANEL-GNAS,1122.0,1122.0,139.13,1122.0,112 CPT,81479,HC HEME PANEL-IL7R,1175.0,1175.0,145.7,1175.0,112 CPT,81479,HC HEME PANEL-KLHL6,1122.0,1122.0,139.13,1122.0,112 CPT,81479,HC HEME PANEL-MAPK1,1122.0,1122.0,139.13,1122.0,112 CPT,81479,HC HEME PANEL-PHF6,1122.0,1122.0,139.13,1122.0,112 CPT,81479,HC HEME PANEL-TET2,1122.0,1122.0,139.13,1122.0,112 CPT,81479,HC HEME PANEL-XPO1,1122.0,1122.0,139.13,1122.0,112 CPT,81479,HC HEME PANEL-ZMYM3,1122.0,1122.0,139.13,1122.0,112 CPT,81479,HC MARFAN SYNDROME (FBN1) SEQ DEL/DUP SPCM,2452.0,2452.0,177.17,2452.0,112 CPT,81479,HC MISCELLANEOUS MOLECULAR,161.0,161.0,19.96,177.17,112 CPT,81479,HC MOL PATH UNLISTED - GENEX PANEL,23.0,23.0,2.85,177.17,112 CPT,81479,HC PROLARIS,9626.0,9626.0,177.17,9626.0,112 CPT,81479,HC SCN 9A,11976.0,11976.0,177.17,11976.0,112 CPT,81479,HC SEPT9 DNA SEQUENCING TEST,2202.0,2202.0,177.17,2202.0,112 CPT,81479,HC SOLID TUMOR - THADA,1532.0,1532.0,177.17,1532.0,112 CPT,81479,HC SOLID TUMOR - USP6,1532.0,1532.0,177.17,1532.0,112 CPT,81479,HC SOLID TUMOR-AKT1,1466.0,1466.0,177.17,1466.0,112 CPT,81479,HC SOLID TUMOR-ARAF,1389.0,1389.0,172.24,1389.0,112 CPT,81479,HC SOLID TUMOR-B2M,1532.0,1532.0,177.17,1532.0,112 CPT,81479,HC SOLID TUMOR-CSF1R,1466.0,1466.0,177.17,1466.0,112 CPT,81479,HC SOLID TUMOR-ERBB2,1466.0,1466.0,177.17,1466.0,112 CPT,81479,HC SOLID TUMOR-ERBB4,1466.0,1466.0,177.17,1466.0,112 CPT,81479,HC SOLID TUMOR-ERG,1532.0,1532.0,177.17,1532.0,112 CPT,81479,HC SOLID TUMOR-FBXW7,1466.0,1466.0,177.17,1466.0,112 CPT,81479,HC SOLID TUMOR-FOXL2,1532.0,1532.0,177.17,1532.0,112 CPT,81479,HC SOLID TUMOR-GNA11,1466.0,1466.0,177.17,1466.0,112 CPT,81479,HC SOLID TUMOR-GNAS,1466.0,1466.0,177.17,1466.0,112 CPT,81479,HC SOLID TUMOR-JAK3,1466.0,1466.0,177.17,1466.0,112 CPT,81479,HC SOLID TUMOR-KDR,1466.0,1466.0,177.17,1466.0,112 CPT,81479,HC SOLID TUMOR-MET,1466.0,1466.0,177.17,1466.0,112 CPT,81479,HC SOLID TUMOR-NRG1,1532.0,1532.0,177.17,1532.0,112 CPT,81479,HC SOLID TUMOR-POLD1,1532.0,1532.0,177.17,1532.0,112 CPT,81479,HC SOLID TUMOR-POLE,1532.0,1532.0,177.17,1532.0,224 CPT,81479,HC SOLID TUMOR-RB1,1466.0,1466.0,177.17,1466.0,112 CPT,81479,HC SOLID TUMOR-ROS1,1532.0,1532.0,177.17,1532.0,112 CPT,81479,HC SOLID TUMOR-SMARCB1,1466.0,1466.0,177.17,1466.0,112 CPT,81479,HC SOLID TUMOR-SMO,1466.0,1466.0,177.17,1466.0,112 CPT,81479,HC SOLID TUMOR-SRC,1466.0,1466.0,177.17,1466.0,112 CPT,81479,HC SOLID TUMOR-TMPSS2,1532.0,1532.0,177.17,1532.0,112 CPT,81479,HC UNLISTED MOLECULAR PATH PROCEDURE,2205.0,2205.0,177.17,2205.0,112 CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY,1080.0,1080.0,133.92,1080.0,112 CPT,81479,HC UNLISTED MOLECULAR RBC OR PLATELET SNP ARRAY,2698.0,2698.0,177.17,2698.0,112 CPT,81509,HC FTL CGEN ABNOR 3 PROTEINS,276.0,276.0,34.22,2806.66,121 CPT,81515,HC BACTERIAL VAGINOSIS BY TMA,576.0,576.0,71.42,834.07,121 CPT,81515,HC MULTIPLEX VAGINOSIS PANEL MVP,300.0,300.0,37.2,834.07,121 CPT,81539,HC PROSTATE SPECIFIC KALLIKREIN 4KSCORE,2170.0,2170.0,269.08,2410.34,121 CPT,82010,HC BETA HYDROXYBUTERATE,132.0,132.0,4.9,132.0,122 CPT,82017,HC ACYLCARNITINE PROFILE,470.0,470.0,10.12,470.0,119 CPT,82024,HC ACTH,384.0,384.0,23.17,384.0,122 CPT,82040,HC ALBUMIN SERUM,103.0,103.0,1.93,103.0,122 CPT,82042,HC ALBUMIN URINE OR OTHER (NON-BLOOD),209.0,209.0,2.72,209.0,119 CPT,82043,HC MICROALBUMIN QUANTITATIVE,175.0,175.0,3.47,175.0,122 CPT,82077,HC ASSAY SPEC XCP UR BREATH IA,352.0,352.0,7.57,352.0,119 CPT,82085,HC ALDOLASE,281.0,281.0,5.83,281.0,122 CPT,82088,HC ALDOSTERONE,1143.0,1143.0,24.45,1143.0,122 CPT,82088,HC ALDOSTERONE INFERIOR VENA CAVA,30.0,30.0,3.72,95.14,122 CPT,82088,HC ALDOSTERONE LEFT ADRENAL VEIN,30.0,30.0,3.72,95.14,122 CPT,82088,HC ALDOSTERONE RIGHT ADRENAL VEIN,30.0,30.0,3.72,95.14,122 CPT,82088,HC URINE ALDOSTERONE,1182.0,1182.0,24.45,1182.0,122 CPT,82103,HC A1A FECES 24HR,189.0,189.0,8.06,189.0,122 CPT,82103,HC ALPHA-1-ANTITRYPSIN TOTAL,357.0,357.0,8.06,357.0,122 CPT,82104,HC ALPHA-1-ANTITRYPSIN PHENO,460.0,460.0,8.68,460.0,122 CPT,82105,HC ALPHA-FETOPROTEIN SERUM,450.0,450.0,10.06,450.0,122 CPT,82105,HC MATERNAL SERUM SCRNAFP ONLY,186.0,186.0,10.06,186.0,122 CPT,82106,HC ALPHA-FETOPROTEIN AMNIOTIC,276.0,276.0,10.2,276.0,122 CPT,82108,HC ALUMINUM,802.0,802.0,15.29,802.0,122 CPT,82108,HC ALUMINUM URINE,802.0,802.0,15.29,802.0,122 CPT,82127,HC AMINO ACID SINGLE QUAL,335.0,335.0,8.51,335.0,122 CPT,82131,HC N- METHYLHISTAMINE,688.0,688.0,13.79,688.0,122 CPT,82131,HC PHENYLALANINE,192.0,192.0,13.79,192.0,122 CPT,82131,HC URINE CYSTINE,688.0,688.0,13.79,688.0,122 CPT,82135,HC AMINOLEVULINIC ACID,454.0,454.0,9.87,454.0,122 CPT,82139,HC AMINO ACIDS QUAN 6 OR MORE,1425.0,1425.0,10.12,1425.0,122 CPT,82139,HC AMINO ACIDS QUAN 6 OR MORE URINE,2001.0,2001.0,10.12,2001.0,122 CPT,82140,HC AMMONIA,404.0,404.0,5.0,404.0,121 CPT,82150,HC AMYLASE,339.0,339.0,3.89,339.0,122 CPT,82157,HC ANDROSTENEDIONE,569.0,569.0,17.57,569.0,122 CPT,82164,HC ANGIOTENSIN CONVERTING ENZYME,405.0,405.0,8.76,405.0,122 CPT,82166,HC ANTI-MULLERIAN HORMONE,279.0,279.0,23.17,279.0,119 CPT,82172,HC APOLIPOPROTEIN,406.0,406.0,12.65,406.0,122 CPT,82175,HC ARSENIC,534.0,534.0,11.38,534.0,119 CPT,82180,HC ASCORBIC ACID (VIT C),393.0,393.0,5.93,393.0,122 CPT,82232,HC BETA-2 MICROGLOBULIN,447.0,447.0,9.71,447.0,122 CPT,82233,HC BETA-AMYLOID 1-40 (ABETA 40),980.0,980.0,77.35,980.0,121 CPT,82234,HC BETA-AMYLOID 1-42 (ABETA 42),980.0,980.0,77.35,980.0,121 CPT,82239,HC BILE ACIDS TOTAL,385.0,385.0,10.27,385.0,122 CPT,82247,HC BILIRUBIN TOTAL,125.0,125.0,3.01,125.0,122 CPT,82247,HC HCV FIBROSURETBIL,84.0,84.0,3.01,84.0,122 CPT,82247,HC TOTAL BILI-LC,62.0,62.0,3.01,62.0,122 CPT,82248,HC BILIRUBIN DIRECT,138.0,138.0,3.01,138.0,122 CPT,82270,HC DRUG ASSAY OF OXCARBAZEPINE,30.0,30.0,2.63,30.0,122 CPT,82270,HC HEMOCULT/HEMOPROMPT,132.0,132.0,2.63,132.0,122 CPT,82270,HC OCCULT BLOOD FECES,132.0,132.0,2.63,132.0,122 CPT,82274,HC FECAL OCCULT BLOOD IMMUNO (SEN,119.0,119.0,2.8,119.0,122 CPT,82274,HC OCCULT BLOOD BY FECAL HEMOGLOB,174.0,174.0,2.8,174.0,122 CPT,82300,HC CADMIUM,331.0,331.0,14.18,331.0,122 CPT,82306,HC 25-HO-VIT D2D3,791.0,791.0,17.76,791.0,122 CPT,82308,HC CALCITONIN,742.0,742.0,16.07,742.0,122 CPT,82310,HC CALCIUM,123.0,123.0,1.93,123.0,122 CPT,82330,HC CALCIUM IONIZED,381.0,381.0,8.21,381.0,122 CPT,82330,HC IONIZED CALCIUM POC,369.0,369.0,8.21,369.0,122 CPT,82340,HC CALCIUM URINE,175.0,175.0,3.62,175.0,122 CPT,82365,HC CALCULUS SPECTROSCOPY,366.0,366.0,7.74,366.0,122 CPT,82373,HC CARBOHYDRATE DEFICIENT TRANSFERRIN FOR ALCOHOL,433.0,433.0,7.96,433.0,122 CPT,82374,HC BLOOD CARBON DIOXIDE CONTENT,88.0,88.0,1.93,88.0,122 CPT,82375,HC ASSAY CARBOXYHB POINT OF CARE,348.0,348.0,5.6,348.0,122 CPT,82378,HC CEA (CARCINOEMBRYONIC ANTIGEN),519.0,519.0,11.38,519.0,122 CPT,82379,HC CARNITINE FREE TOTAL,600.0,600.0,10.12,600.0,119 CPT,82380,HC CAROTENE,271.0,271.0,5.53,271.0,122 CPT,82384,HC CATECHOLAMINES FRACTION,684.0,684.0,15.15,684.0,122 CPT,82384,HC CATECHOLAMINES FRACTION URINE,569.0,569.0,15.15,569.0,122 CPT,82390,HC CERULOPLASMIN,476.0,476.0,6.44,476.0,122 CPT,82397,HC CHEMILUMINESCENT ASSAY,537.0,537.0,8.47,537.0,119 CPT,82397,HC LEPTIN LEVEL,245.0,245.0,8.47,245.0,119 CPT,82435,HC CHLORIDE,113.0,113.0,1.93,113.0,122 CPT,82436,HC CHLORIDE URINE,159.0,159.0,3.45,159.0,122 CPT,82438,HC CHLORIDE OTHER,242.0,242.0,3.0,242.0,122 CPT,82465,HC CHOLESTEROL SERUM,137.0,137.0,1.93,137.0,122 CPT,82482,HC CHOLINESTERASE RBC,251.0,251.0,5.89,251.0,122 CPT,82495,HC CHROMIUM,406.0,406.0,6.0,406.0,122 CPT,82507,HC CITRATE URINE,724.0,724.0,16.68,724.0,119 CPT,82523,HC C TELOPEPTIDE TYPE 1,109.0,109.0,11.21,109.0,119 CPT,82523,HC N-TELOPEPTIDE,425.0,425.0,11.21,425.0,119 CPT,82525,HC COPPER,340.0,340.0,7.45,340.0,122 CPT,82530,HC CORTISOL SERUM FREE,486.0,486.0,10.03,486.0,122 CPT,82530,HC CORTISOL URINE FREE,486.0,486.0,10.03,486.0,122 CPT,82533,HC CORTISOL TOTAL,447.0,447.0,9.78,447.0,122 CPT,82540,HC CREATINE 24 HOUR URINE,292.0,292.0,2.78,292.0,119 CPT,82542,HC AMTLOID PROTEIN ID,3719.0,3719.0,14.45,3719.0,124 CPT,82542,HC CANNABINOID GCMS,469.0,469.0,14.45,469.0,124 CPT,82542,HC CIQ OMEGA-3 -6 FA,682.0,682.0,14.45,682.0,124 CPT,82542,HC COENZYME Q10TOT,333.0,333.0,14.45,333.0,124 CPT,82542,HC ESSENTIAL FATTY ACID SERUM,749.0,749.0,14.45,749.0,124 CPT,82542,HC GL-3 PLASMA,194.0,194.0,14.45,194.0,124 CPT,82542,HC LEUKOTRIENE URINE,669.0,669.0,14.45,669.0,124 CPT,82542,HC LYSOL GL-3 PLASMA,194.0,194.0,14.45,194.0,124 CPT,82542,HC N-METHYLHISTAMINE RANDOM URINE,258.0,258.0,14.45,258.0,124 CPT,82542,HC OMEGACHECK,123.0,123.0,14.45,123.0,124 CPT,82542,HC PARATHYROID HORMONE,479.0,479.0,14.45,479.0,124 CPT,82542,HC PORPHYRINS PLASMA FRACTIONATIO,848.0,848.0,14.45,848.0,124 CPT,82542,HC SORBITAL XYLITOL QUANTITATIVE URINE,550.0,550.0,14.45,550.0,124 CPT,82542,HC SULFONYLUREA URINE,502.0,502.0,14.45,502.0,124 CPT,82542,HC SYN GLUCOCORTICOID SCREEN UR,791.0,791.0,14.45,791.0,124 CPT,82550,HC CREATINE KINASE,281.0,281.0,1.93,281.0,122 CPT,82552,HC CPK ISOENZYME,385.0,385.0,8.03,385.0,122 CPT,82553,HC CK-MB,438.0,438.0,6.93,438.0,122 CPT,82565,HC CREATININE,136.0,136.0,1.93,136.0,122 CPT,82570,HC CREATININE URINE OR OTHER,158.0,158.0,3.11,158.0,122 CPT,82575,HC CREATININE CLEARANCE TEST,333.0,333.0,5.68,333.0,122 CPT,82585,HC CRYOFIBRINOGEN,216.0,216.0,5.0,216.0,122 CPT,82595,HC CRYOGLOBULIN,212.0,212.0,3.88,212.0,122 CPT,82600,HC CYANIDE,174.0,174.0,11.64,174.0,122 CPT,82607,HC VITAMIN B-12,419.0,419.0,9.05,419.0,122 CPT,82608,HC VITAMIN B-12 BINDING CAPACITY,144.0,144.0,8.59,144.0,122 CPT,82610,HC CYSTATIN C,656.0,656.0,11.11,656.0,122 CPT,82626,HC DEHYDROEPIANDROSTERONE,237.0,237.0,15.16,237.0,122 CPT,82627,HC DEHYDROEPIANDROSTERONE,1120.0,1120.0,13.34,1120.0,122 CPT,82633,HC DESOXYCORTICOSTERONE,152.0,152.0,18.59,152.0,122 CPT,82634,HC DEOXYCORTISOL,432.0,432.0,17.5,432.0,122 CPT,82638,HC PCE/DIBUCAINE INHIBITION,82.0,82.0,7.0,82.0,122 CPT,82652,HC VIT D 1 25-DIHYDROXY,1047.0,1047.0,23.1,1047.0,122 CPT,82653,HC PANCREATIC ELASTASE FECAL,552.0,552.0,13.04,552.0,122 CPT,82657,HC AIRWAY PEPSIN ASSAY,293.0,293.0,13.3,293.0,119 CPT,82657,HC ALPHAGALACTOSIDASE,723.0,723.0,13.3,723.0,119 CPT,82657,HC EYRTHOCYTE PBG DEAM,842.0,842.0,13.3,842.0,119 CPT,82657,HC GAUCHER DISEASE (GBA) ENZYME ACTIVITIY IN LEUKO,348.0,348.0,13.3,348.0,119 CPT,82657,HC L-ASPARAGINASE ACTIVITY ASSAY,1147.0,1147.0,13.3,1147.0,119 CPT,82657,HC LYSO ENZ(GALACTOKINASE),1718.0,1718.0,13.3,1718.0,119 CPT,82657,HC LYSOSOMAL ACID LIPASE ACTIVITY DBS,692.0,692.0,13.3,692.0,119 CPT,82657,HC POMPE DISEASE,2984.0,2984.0,13.3,2984.0,119 CPT,82657,HC THIPURINE METHYLTRANSFERASE RBC,311.0,311.0,13.3,311.0,119 CPT,82664,HC ELECTROPHORETIC TECHNIQUE,515.0,515.0,36.9,515.0,119 CPT,82668,HC ERYTHROPOIETIN,412.0,412.0,11.27,412.0,122 CPT,82670,HC ESTRADIOL,761.0,761.0,16.76,761.0,122 CPT,82670,HC MAPS ESTRADIOL,120.0,120.0,14.88,120.0,122 CPT,82672,HC ESTROGEN,540.0,540.0,13.02,540.0,122 CPT,82677,HC ESTRIOL,675.0,675.0,14.51,675.0,122 CPT,82679,HC ESTRONE,406.0,406.0,13.0,406.0,122 CPT,82693,HC ETHYLENE GLYCOL,572.0,572.0,8.94,572.0,119 CPT,82705,HC FATS/LIPIDS FECES QUAL,212.0,212.0,3.06,212.0,122 CPT,82710,HC FATS/LIPIDS FECES QUANT,504.0,504.0,4.02,504.0,122 CPT,82725,HC FATTY ACIDS FREE,275.0,275.0,11.26,275.0,122 CPT,82726,HC LONG CHAIN FATTY ACIDS,689.0,689.0,11.85,689.0,122 CPT,82728,HC FERRITIN,381.0,381.0,8.18,381.0,122 CPT,82731,HC FETAL FIBRONECTIN,2487.0,2487.0,20.0,2487.0,122 CPT,82746,HC FOLIC ACID SERUM,403.0,403.0,8.82,403.0,122 CPT,82747,HC FOLIC ACID RBC,583.0,583.0,10.59,583.0,122 CPT,82757,HC MAPS ASSAY OF SEMEN FRUCTOSE,127.0,127.0,10.4,127.0,122 CPT,82784,HC ASSAY IGA/IGD/IGG/IGM EACH,262.0,262.0,5.58,262.0,122 CPT,82784,HC CSF IGG,262.0,262.0,5.58,262.0,122 CPT,82784,HC IGM,262.0,262.0,5.58,262.0,122 CPT,82784,HC IMMUNOGLOBULIN A,262.0,262.0,5.58,262.0,122 CPT,82784,HC IMMUNOGLOBULIN G,262.0,262.0,5.58,262.0,122 CPT,82784,HC IMMUNOGLOBULIN M,262.0,262.0,5.58,262.0,122 CPT,82784,HC IMMUNOGLOBULINS SERUM CRYOPRECIPITINS,98.0,98.0,5.58,98.0,122 CPT,82784,HC MOTOR NEUROPATHY IGA,204.0,204.0,5.58,204.0,122 CPT,82784,HC MOTOR NEUROPATHY IGG,258.0,258.0,5.58,258.0,122 CPT,82784,HC MOTOR NEUROPATHY IGM,204.0,204.0,5.58,204.0,122 CPT,82785,HC IGE,450.0,450.0,9.88,450.0,122 CPT,82787,HC IGA1 (SIB),240.0,240.0,4.81,240.0,122 CPT,82787,HC IGA2 (SIB),240.0,240.0,4.81,240.0,122 CPT,82787,HC IGG SUB 1,583.0,583.0,4.81,583.0,122 CPT,82787,HC IGG SUB 4,583.0,583.0,4.81,583.0,122 CPT,82787,HC IGG SUBCLASSES,583.0,583.0,4.81,583.0,122 CPT,82803,HC ABG ANALYSIS,206.0,206.0,15.64,206.0,124 CPT,82803,HC ABG ANALYSIS-NEONATE,206.0,206.0,15.64,206.0,124 CPT,82803,HC BLOOD GAS,706.0,706.0,15.64,706.0,124 CPT,82941,HC GASTRIN,476.0,476.0,10.58,476.0,122 CPT,82943,HC GLUCAGON,385.0,385.0,8.57,385.0,122 CPT,82945,HC GLUCOSE CSF,454.0,454.0,2.36,454.0,122 CPT,82945,HC GLUCOSE OTHER FLUID,454.0,454.0,2.36,454.0,122 CPT,82945,HC URINE GLUCOSE,454.0,454.0,2.36,454.0,122 CPT,82947,HC GLUCOSE,130.0,130.0,1.93,130.0,122 CPT,82947,HC MAPS ASSAY GLUCOSE BLOOD QUANT,20.0,20.0,1.93,20.0,122 CPT,82948,HC FS GLUCOSE (BLOOD-REAGENT STRI,161.0,161.0,2.0,161.0,122 CPT,82950,HC POST GLUCOSE DOSE-INCL,104.0,104.0,2.85,104.0,122 CPT,82951,HC GLUCOSE TOLERANCE TEST (GTT),438.0,438.0,7.72,438.0,122 CPT,82952,HC GTT-ADDED SAMPLES,119.0,119.0,2.35,119.0,122 CPT,82955,HC G6PD QUANTITATION,262.0,262.0,5.82,262.0,122 CPT,82960,HC G6PD SCREEN,277.0,277.0,3.63,277.0,122 CPT,82962,HC GLUCOSE - POCT,88.0,88.0,1.97,88.0,124 CPT,82977,HC GGT,179.0,179.0,1.93,179.0,122 CPT,82977,HC GGT-LC,79.0,79.0,1.93,79.0,122 CPT,82985,HC ALPHA-1-ACID GLUCOPROTEIN SER,226.0,226.0,10.06,226.0,122 CPT,82985,HC FRUCTOSAMINE,335.0,335.0,10.06,335.0,122 CPT,83001,HC FSH (FOLLICLE STIMULATING HORMONE),515.0,515.0,11.15,515.0,122 CPT,83001,HC MAPS GONADOTROPN FOLL STM HRM(FSH),80.0,80.0,9.92,80.0,122 CPT,83002,HC LH (LUTEINIZING HORMONE),525.0,525.0,11.11,525.0,122 CPT,83002,HC MAPS GONADOTROPN LUTEINZNG HRM(LH),100.0,100.0,11.11,100.0,122 CPT,83003,HC GROWTH HORMONE,455.0,455.0,8.0,455.0,122 CPT,83012,HC HAPTOGLOBIN,345.0,345.0,12.0,345.0,122 CPT,83018,HC COBALT,534.0,534.0,13.18,534.0,122 CPT,83018,HC MOLYBDENUM,289.0,289.0,13.18,289.0,122 CPT,83018,HC SERUM IODINE QUANT EA,540.0,540.0,13.18,540.0,122 CPT,83018,HC THALLIUM,180.0,180.0,13.18,180.0,122 CPT,83020,HC HEMOGLOBIN ELECTROPHORESIS,369.0,369.0,7.72,369.0,122 CPT,83021,HC HEMOGLOBIN CHROMOTOGRAPHY,81.0,81.0,10.04,81.0,122 CPT,83033,HC FETAL HEMOGLOBIN ASSAY QUAL,263.0,263.0,4.8,263.0,122 CPT,83036,HC HEMOGLOBIN A1C,262.0,262.0,5.83,262.0,122 CPT,83050,HC METHEMAGLOBIN,255.0,255.0,3.0,255.0,122 CPT,83051,HC PLASMA HEMOGLOBIN,185.0,185.0,3.5,185.0,122 CPT,83060,HC SULFHEMOGLOBIN,435.0,435.0,3.0,435.0,122 CPT,83070,HC HEMOSIDERIN,152.0,152.0,2.85,152.0,122 CPT,83080,HC HEXOSAMINIDASE A PRCNT TOT LEU,1047.0,1047.0,10.12,1047.0,119 CPT,83088,HC HISTAMINE BLOOD,647.0,647.0,13.0,647.0,122 CPT,83088,HC HISTAMINE CU INDEX,647.0,647.0,13.0,647.0,122 CPT,83088,HC HISTAMINE URINE,335.0,335.0,13.0,335.0,122 CPT,83090,HC HOMOCYSTEINE,530.0,530.0,10.75,530.0,122 CPT,83150,HC HOMOVANILLIC ACID,139.0,139.0,7.5,139.0,122 CPT,83497,HC 5- (HIAA),324.0,324.0,7.74,324.0,122 CPT,83498,HC ASSAY OF PROGESTERONE 17-D,223.0,223.0,16.3,223.0,122 CPT,83516,HC 68KD (HSP-70) ABS,953.0,953.0,6.92,953.0,119 CPT,83516,HC ABTI-GBM AB,356.0,356.0,6.92,356.0,119 CPT,83516,HC ACETYLCHOLINE BLOCKING AB,680.0,680.0,6.92,680.0,119 CPT,83516,HC ACETYLCHOLINE MODULATING AB,276.0,276.0,6.92,276.0,119 CPT,83516,HC ANTI HISTONE AB,412.0,412.0,6.92,412.0,119 CPT,83516,HC ANTI-C1Q AB IGG,299.0,299.0,6.92,299.0,119 CPT,83516,HC ANTI-MYELOPEROXIDASE ANTIBODY,120.0,120.0,6.92,120.0,119 CPT,83516,HC ASIALO GM1 IGG,476.0,476.0,6.92,476.0,119 CPT,83516,HC ASIALO GM1 IGM,476.0,476.0,6.92,476.0,119 CPT,83516,HC ASIALO-GM1,238.0,238.0,6.92,238.0,119 CPT,83516,HC B - AMCA IGG,356.0,356.0,6.92,356.0,119 CPT,83516,HC B IMMUNOASSAYMULT-STEP,117.0,117.0,6.92,117.0,119 CPT,83516,HC B-ACCA IGA,356.0,356.0,6.92,356.0,119 CPT,83516,HC B-ALCA IGG,356.0,356.0,6.92,356.0,119 CPT,83516,HC BULLOUS PEMPHIG ANTIGENS IGG,643.0,643.0,6.92,643.0,119 CPT,83516,HC CENTROMERE ANTIBODY SCREEN,323.0,323.0,6.92,323.0,119 CPT,83516,HC CHROMATIN AB IGG,230.0,230.0,6.92,230.0,119 CPT,83516,HC EJ AB,99.0,99.0,6.92,99.0,119 CPT,83516,HC GANGLIOSIDE ABSCOMBIND IGGLGM,233.0,233.0,6.92,233.0,119 CPT,83516,HC GBM IGG BY MULTIPLEX BEAD,541.0,541.0,6.92,541.0,119 CPT,83516,HC GLIADIN ABS,286.0,286.0,6.92,286.0,119 CPT,83516,HC GLUTAMIC ACID DECARBOXYLASE AB,151.0,151.0,6.92,151.0,119 CPT,83516,HC GM-1 ANTIBODIES,286.0,286.0,6.92,286.0,119 CPT,83516,HC GM1 IGM,476.0,476.0,6.92,476.0,119 CPT,83516,HC IMMUNOASSAY NON INFECT. AB/AG,1316.0,1316.0,6.92,1316.0,119 CPT,83516,HC IMMUNOASSAY NONINFECT AB,356.0,356.0,6.92,356.0,119 CPT,83516,HC KU AB,99.0,99.0,6.92,99.0,119 CPT,83516,HC MAG ANTIBODY,356.0,356.0,6.92,356.0,119 CPT,83516,HC MI-2 AB,99.0,99.0,6.92,99.0,119 CPT,83516,HC MOTOR NEUROPATHY MAG IGM,238.0,238.0,6.92,238.0,119 CPT,83516,HC MOTOR NEUROPATHY SGPG IGM,238.0,238.0,6.92,238.0,119 CPT,83516,HC MYOSITIS SRP,63.0,63.0,6.92,63.0,119 CPT,83516,HC NEURONAL NUCL ABS IGG IMMBLOT,544.0,544.0,6.92,544.0,119 CPT,83516,HC OJ AB,99.0,99.0,6.92,99.0,119 CPT,83516,HC P155/140 AB,99.0,99.0,6.92,99.0,119 CPT,83516,HC PEMPHI DESMOGLEIN 3,492.0,492.0,6.92,492.0,119 CPT,83516,HC PL-12 AB,99.0,99.0,6.92,99.0,119 CPT,83516,HC PL-7 AB,99.0,99.0,6.92,99.0,119 CPT,83516,HC PM/SCL COMPLEX AB,99.0,99.0,6.92,99.0,119 CPT,83516,HC RNA POLYMERASE III ANTIBODY I,241.0,241.0,6.92,241.0,119 CPT,83516,HC SERINE PROTEASE3IGG,120.0,120.0,6.92,120.0,119 CPT,83516,HC SGPG ANTIBODY IGM,153.0,153.0,6.92,153.0,119 CPT,83516,HC SLA ANTIBODY IGG,153.0,153.0,6.92,153.0,119 CPT,83516,HC SRP AB,99.0,99.0,6.92,99.0,119 CPT,83516,HC TITIN ANTIBODY,158.0,158.0,6.92,158.0,119 CPT,83516,HC U2 SN RNP AB,99.0,99.0,6.92,99.0,119 CPT,83519,HC 21-HYDROXYLASE AUTOANTIBODIES SERUM,128.0,128.0,11.04,128.0,119 CPT,83519,HC ACETYLCHOLINE BINDING AB,144.0,144.0,11.04,144.0,119 CPT,83519,HC GLUTAMIC ACID DECARBOXYLASE AB,276.0,276.0,11.04,276.0,119 CPT,83519,HC IGF BIND PROT 2,276.0,276.0,11.04,276.0,119 CPT,83519,HC IGF BINDING PROTEIN-1,450.0,450.0,11.04,450.0,119 CPT,83519,HC IMMUNOASSAY QUANTITATIVE RIA,680.0,680.0,11.04,680.0,119 CPT,83519,HC MSCLE-SPEC RCPTR TYROSNE KNASE,1659.0,1659.0,11.04,1659.0,119 CPT,83519,HC PANCREAT POLYPEP,276.0,276.0,11.04,276.0,119 CPT,83519,HC PROCOLLAGEN TYPE I INTACT N-TP,618.0,618.0,11.04,618.0,119 CPT,83519,HC VGKC AB,566.0,566.0,11.04,566.0,119 CPT,83519,HC VOLTAGE-GATED POTASSIUM CHANNEL AB CSF,472.0,472.0,11.04,472.0,119 CPT,83520,HC ADMARK TAU/TOTAL INTERP CSF,3167.0,3167.0,10.36,3167.0,121 CPT,83520,HC ALPHA SUBUNIT - LH FSH TSH,987.0,987.0,10.36,987.0,121 CPT,83520,HC ANTIMOUSE AB,154.0,154.0,10.36,154.0,121 CPT,83520,HC CYTOKINE PANEL 13,52.0,52.0,6.45,54.77,121 CPT,83520,HC CYTOKINE PANEL TH1,1208.0,1208.0,10.36,1208.0,121 CPT,83520,HC CYTOKINE PANEL TH2,1208.0,1208.0,10.36,1208.0,121 CPT,83520,HC CYTOKINES,131.0,131.0,10.36,131.0,121 CPT,83520,HC GQ1B ABS,517.0,517.0,10.36,517.0,121 CPT,83520,HC HUMAN ANTIMOUSE ANTIBODIES,885.0,885.0,10.36,885.0,121 CPT,83520,HC IMMUNOASSAY ANALYTE QUANT NOS,422.0,422.0,10.36,422.0,121 CPT,83520,HC INFLIXIMAB ANTI-DRUG ANTIBODY,609.0,609.0,10.36,609.0,121 CPT,83520,HC INHIBIN B,366.0,366.0,10.36,366.0,121 CPT,83520,HC INSULIN-LIKE GROW FACT 2(IGF-2,378.0,378.0,10.36,378.0,121 CPT,83520,HC INTACT FIBROBLAST GROWTH FACTOR 23,869.0,869.0,10.36,869.0,121 CPT,83520,HC INTERFERON GAMMA,313.0,313.0,10.36,313.0,121 CPT,83520,HC INTERLEUKIN 2 RECEPTOR BY MAFD,885.0,885.0,10.36,885.0,121 CPT,83520,HC MANNOSE BINDING LECTIN QUANT,329.0,329.0,10.36,329.0,121 CPT,83520,HC PHOSPHOLIPASE A2 RECEPTOR ANTIBODY ELISA,614.0,614.0,10.36,614.0,121 CPT,83520,HC RECOMBX(R) CV2 AUTOANTIBODY TEST,580.0,580.0,10.36,580.0,121 CPT,83520,HC RECOMBX(R) MATA AUTOANTIBODY TEST,719.0,719.0,10.36,719.0,121 CPT,83520,HC RECOMBX(R) ZIC4 AUTOANTIBODY TEST,801.0,801.0,10.36,801.0,121 CPT,83520,HC SULFATIDE AB,774.0,774.0,10.36,774.0,121 CPT,83520,HC TATC ABS,324.0,324.0,10.36,324.0,121 CPT,83520,HC THROMBOPOIETIN (TPO),437.0,437.0,10.36,437.0,121 CPT,83520,HC TRANSFORMING GROWTH FACTOR BETA,453.0,453.0,10.36,453.0,121 CPT,83520,HC TRYPTASE,412.0,412.0,10.36,412.0,121 CPT,83520,HC TSH RECEPTOR AB,324.0,324.0,10.36,324.0,121 CPT,83520,HC TUMOR NECROSIS FACTOR,517.0,517.0,10.36,517.0,121 CPT,83520,HC VEG FACTOR,455.0,455.0,10.36,455.0,121 CPT,83521,HC URINE FREE KAPPA,599.0,599.0,9.81,599.0,124 CPT,83521,HC URINE FREE LAMBDA,599.0,599.0,9.81,599.0,124 CPT,83525,HC INSULIN TOTAL,307.0,307.0,6.86,307.0,122 CPT,83527,HC INSULINFREE,196.0,196.0,7.77,196.0,122 CPT,83529,HC INTERLEUKIN 6,899.0,899.0,9.81,899.0,119 CPT,83540,HC IRON,182.0,182.0,3.88,182.0,122 CPT,83586,HC ASSAY 17- KETOSTEROIDS,357.0,357.0,7.68,357.0,122 CPT,83605,HC LACTIC ACID,292.0,292.0,6.94,292.0,122 CPT,83615,HC LACTATE DEHYDROGENASE (LD LDH),165.0,165.0,1.93,165.0,122 CPT,83625,HC LDH ISOENZYMES,352.0,352.0,7.67,352.0,122 CPT,83630,HC LACTOFERRIN FECAL (QUAL),108.0,108.0,11.82,108.0,122 CPT,83632,HC PLACENTAL LACTOGEN HUMAN,556.0,556.0,12.13,556.0,122 CPT,83655,HC LEAD LEVEL,335.0,335.0,7.27,335.0,122 CPT,83690,HC LIPASE,334.0,334.0,4.13,334.0,122 CPT,83695,HC LIPOPROTEIN(A),340.0,340.0,8.59,340.0,122 CPT,83700,HC LIPOPRO BLD ELECTROPHORETIC,185.0,185.0,6.76,185.0,122 CPT,83701,HC LDL SUBCLASSES,493.0,493.0,20.32,493.0,122 CPT,83704,HC LIPOPROTEIN BLD BY NMR,251.0,251.0,20.51,251.0,119 CPT,83718,HC ASSAY OF LIPOPROTEIN,227.0,227.0,4.91,227.0,122 CPT,83721,HC LOW DENSITY LIPOPROTEIN,227.0,227.0,6.3,227.0,122 CPT,83735,HC MAGNESIUM,209.0,209.0,4.02,209.0,122 CPT,83785,HC MANGANESE,948.0,948.0,13.96,948.0,119 CPT,83789,HC BILE ACIDFRAC/TOTAL,584.0,584.0,14.47,584.0,121 CPT,83789,HC CORTISONE URINE 24HR,723.0,723.0,14.47,723.0,121 CPT,83789,HC FAM AMYLOID(TTR GENE)MASS SPEC,390.0,390.0,14.47,390.0,121 CPT,83789,HC MS MS/MS QUANT,2991.0,2991.0,14.47,2991.0,121 CPT,83789,HC NEWBORN SCREEN,446.0,446.0,14.47,446.0,121 CPT,83789,HC URINE IODINE,196.0,196.0,14.47,196.0,121 CPT,83825,HC MERCURY,447.0,447.0,9.76,447.0,122 CPT,83835,HC DRUG ASSAY OF METANEPHRINES,537.0,537.0,10.16,537.0,122 CPT,83873,HC MYELIN BASIC PROTEIN CSF,447.0,447.0,10.32,447.0,122 CPT,83874,HC MYOGLOBIN,447.0,447.0,7.75,447.0,122 CPT,83880,HC B-TYPE NATRIURETIC PEPTIDE,837.0,837.0,23.56,837.0,122 CPT,83883,HC A2-MACROGLOBULIN,166.0,166.0,8.16,166.0,119 CPT,83883,HC NASH FIBROSURE,544.0,544.0,8.16,544.0,119 CPT,83883,HC RETINOL BINDING PROTEIN,123.0,123.0,8.16,123.0,119 CPT,83884,HC NEUROFILAMENT LIGHT CHAIN PLASMA,630.0,630.0,69.74,630.0,121 CPT,83915,HC 5 NUCLEOTIDASE,307.0,307.0,6.69,307.0,124 CPT,83916,HC CSF IGG INDEX,542.0,542.0,15.0,542.0,124 CPT,83916,HC OLIGOCLONAL BANDS,517.0,517.0,15.0,517.0,124 CPT,83918,HC ORGANIC ACIDS TOTAL QUANT,777.0,777.0,14.16,777.0,124 CPT,83921,HC 2 HYDROXYGLUTARIC ACID,233.0,233.0,12.73,233.0,124 CPT,83921,HC METHYLMALONIC ACID QUAN,552.0,552.0,12.73,552.0,124 CPT,83921,HC OROTIC ACID URINE,235.0,235.0,12.73,235.0,124 CPT,83930,HC OSMOLALITY,237.0,237.0,3.0,237.0,124 CPT,83935,HC OSMOLALITY - URINE,237.0,237.0,3.0,237.0,124 CPT,83937,HC OSTEOCALCIN,188.0,188.0,17.91,188.0,124 CPT,83945,HC OXALATE,356.0,356.0,8.67,356.0,124 CPT,83970,HC ASSAY OF PARATHORMONE,320.0,320.0,24.77,320.0,124 CPT,83970,HC INTACT PARATHYROID HORMONE,1134.0,1134.0,24.77,1134.0,124 CPT,83986,HC FLUID PH,160.0,160.0,2.0,160.0,124 CPT,83992,HC DRUG ASSAY OF PHENCYCLIDINE,620.0,620.0,0.02,620.0,115 CPT,83993,HC CALPROTECTIN FECAL,616.0,616.0,11.78,616.0,124 CPT,84060,HC ACID PHOSPHATASE,1069.0,1069.0,4.58,1069.0,122 CPT,84066,HC PROSTATIC ACID PHOSPHATASE,226.0,226.0,5.8,226.0,122 CPT,84075,HC ALKALINE PHOSPHATASE,126.0,126.0,1.93,126.0,122 CPT,84080,HC ALKALINE PHOSPHATASE ISOENZYMES,419.0,419.0,8.87,419.0,119 CPT,84100,HC ASSAY OF PHOSPHORUS,152.0,152.0,1.93,152.0,122 CPT,84105,HC ASSAY OF URINE PHOSPHORUS,153.0,153.0,3.47,153.0,122 CPT,84105,HC PHOSPHORUS URINE,153.0,153.0,3.47,153.0,122 CPT,84110,HC PORPHOBILINOGEN URINE,237.0,237.0,2.0,237.0,122 CPT,84112,HC EVAL AMNIOTIC FLUID PROTEIN,251.0,251.0,31.12,311.16,119 CPT,84120,HC PORPHYRINS URINE QUANTITATIVE,454.0,454.0,7.5,454.0,122 CPT,84126,HC PORPHYRINS FECAL,502.0,502.0,23.47,502.0,119 CPT,84132,HC POTASSIUM POC,144.0,144.0,1.93,144.0,122 CPT,84132,HC POTASSIUM SERUM,138.0,138.0,1.93,138.0,122 CPT,84133,HC POTASSIUM URINE,186.0,186.0,2.84,186.0,122 CPT,84134,HC PREALBUMIN,446.0,446.0,8.75,446.0,122 CPT,84140,HC PREGNENOLONE,186.0,186.0,12.4,186.0,122 CPT,84143,HC 17-HYDROXYPREGNENOLN,251.0,251.0,13.69,251.0,122 CPT,84144,HC MAPS PROGESTERONE,90.0,90.0,11.16,90.0,122 CPT,84144,HC PROGESTERONE,572.0,572.0,12.52,572.0,122 CPT,84145,HC PROCALCITONIN,618.0,618.0,16.33,618.0,122 CPT,84146,HC MACROPROLACTIN,307.0,307.0,11.63,307.0,122 CPT,84146,HC MAPS ASSAY OF PROLACTIN,73.0,73.0,9.05,73.0,122 CPT,84146,HC PROLACTIN,534.0,534.0,11.63,534.0,122 CPT,84150,HC 23 DINOR 11B-PROSTAGLANDIN F2A URINE,352.0,352.0,11.0,352.0,122 CPT,84150,HC 23BPG URINE,699.0,699.0,11.0,699.0,122 CPT,84150,HC PROSTAGLANDIN D2,556.0,556.0,11.0,556.0,122 CPT,84153,HC PROSTATE HEALTH INDEX,173.0,173.0,11.03,173.0,122 CPT,84153,HC PSA TOTAL DIAGNOSTIC,462.0,462.0,11.03,462.0,122 CPT,84153,HC PSA TOTAL SCREENING,444.0,444.0,11.03,444.0,122 CPT,84153,HC PSA ULTRA SENSITIVE,114.0,114.0,11.03,114.0,122 CPT,84154,HC FREE PSA/P2PSA REFLEX,464.0,464.0,11.03,464.0,122 CPT,84154,HC PSA FREE,188.0,188.0,11.03,188.0,122 CPT,84155,HC TOTAL PROTEIN,137.0,137.0,1.93,137.0,122 CPT,84156,HC PROTEIN URINE,174.0,174.0,1.93,174.0,122 CPT,84157,HC TOTAL PROTEIN CSF,228.0,228.0,1.93,228.0,122 CPT,84160,HC S. PROTEIN REFRACT,58.0,58.0,3.37,58.0,122 CPT,84165,HC MOTOR NEUROPATHY ELECTROPHORESIS,331.0,331.0,6.44,331.0,122 CPT,84165,HC SERUM PROTEIN ELECTROPHORESIS,331.0,331.0,6.44,331.0,122 CPT,84166,HC URINE PROTEIN ELETROPOHORESIS,787.0,787.0,10.7,787.0,122 CPT,84181,HC RYR AUTOANTIBODY TEST,1460.0,1460.0,10.22,1460.0,124 CPT,84182,HC 14-3-3 PROTEIN TAU/THETA CSF,166.0,166.0,17.53,166.0,124 CPT,84182,HC ANTI-RETINOL AUTOANTIBODY,1370.0,1370.0,17.53,1370.0,124 CPT,84182,HC B WESTERN BLOTIMMU PROBE,175.0,175.0,17.53,175.0,124 CPT,84182,HC CV2 AUTOAB,1263.0,1263.0,17.53,1263.0,124 CPT,84182,HC LIVER CYTOSOLIC (LC-1) AB,296.0,296.0,17.53,296.0,124 CPT,84182,HC LIVER CYTOSOLIC AG TYPE 1 AB IGG,301.0,301.0,17.53,301.0,124 CPT,84202,HC FREE RBC PROTOPORPHYRIN,433.0,433.0,8.61,433.0,122 CPT,84202,HC ZINC PROTOPORPHYRIN,153.0,153.0,8.61,153.0,122 CPT,84206,HC PROINSULIN,219.0,219.0,8.0,219.0,122 CPT,84207,HC VITAMIN B-6,600.0,600.0,16.86,600.0,122 CPT,84210,HC PYRUVATE,366.0,366.0,8.0,366.0,122 CPT,84220,HC PYRUVATE KINASE,144.0,144.0,5.66,144.0,122 CPT,84238,HC ACETYLCHOLINE RECEPTOR AB,968.0,968.0,21.94,968.0,122 CPT,84238,HC SOLUBLE TRANSFERRIN RECEPTOR,401.0,401.0,21.94,401.0,122 CPT,84244,HC RENIN ACTIVITY,609.0,609.0,12.0,609.0,122 CPT,84252,HC VITAMIN B2,478.0,478.0,8.0,478.0,122 CPT,84255,HC SELENIUM,419.0,419.0,15.32,419.0,119 CPT,84260,HC SEROTONIN,828.0,828.0,18.59,828.0,122 CPT,84270,HC SEX HORMONE BINDING GLOB,143.0,143.0,13.04,143.0,122 CPT,84285,HC SILICON,286.0,286.0,14.0,286.0,122 CPT,84295,HC ASSAY OF SERUM SODIUM,161.0,161.0,1.93,161.0,122 CPT,84295,HC SODIUM SERUM POC,113.0,113.0,1.93,113.0,122 CPT,84300,HC SODIUM URINE,160.0,160.0,3.04,160.0,122 CPT,84300,HC SODIUM URINE 24 HR,160.0,160.0,3.04,160.0,122 CPT,84302,HC SODIUMOTHER SOURCE,267.0,267.0,2.92,267.0,122 CPT,84305,HC SOMATOMEDIN C,561.0,561.0,12.76,561.0,122 CPT,84307,HC SOMATOSTATIN QUANT,665.0,665.0,10.97,665.0,122 CPT,84311,HC ADENOSINE DEAMINASE FLUID,117.0,117.0,4.86,117.0,119 CPT,84311,HC CHOLESTEROL FLUID,168.0,168.0,4.86,168.0,119 CPT,84311,HC CHYMOTRYPSINFECES,330.0,330.0,4.86,330.0,119 CPT,84311,HC FECAL POTASSIUM,1237.0,1237.0,4.86,1237.0,119 CPT,84311,HC PORPHYRINS PROFILE,723.0,723.0,4.86,723.0,119 CPT,84311,HC PORPHYRINS TOTAL,137.0,137.0,4.86,137.0,119 CPT,84376,HC REDUCING SUBSTANCES FECAL,63.0,63.0,3.3,63.0,122 CPT,84378,HC 15 ANHYDROGLUCITOL(GLYCOMARK),385.0,385.0,6.92,385.0,122 CPT,84378,HC GALACTOSE-1-PHOSPHATE IN RED BLOOD CELLS,348.0,348.0,6.92,348.0,122 CPT,84392,HC SULFATE URINE,102.0,102.0,3.29,102.0,119 CPT,84402,HC FREE TESTOSTERONE,642.0,642.0,15.28,642.0,122 CPT,84402,HC FREE TESTOSTERONE FEMALE,642.0,642.0,15.28,642.0,122 CPT,84403,HC TOTAL TESTOSTERONE,713.0,713.0,15.49,713.0,122 CPT,84403,HC TOTAL TESTOSTERONE FEMALE,254.0,254.0,15.49,254.0,122 CPT,84425,HC VITAMIN B1 THIAMINE,566.0,566.0,7.0,566.0,122 CPT,84432,HC THYROGLOBULIN,530.0,530.0,9.64,530.0,122 CPT,84433,HC TPMT DNA,1165.0,1165.0,10.07,1165.0,122 CPT,84436,HC THYROXINE TOTAL,239.0,239.0,4.12,239.0,122 CPT,84439,HC FREE THYROXINE (T4),289.0,289.0,5.41,289.0,122 CPT,84442,HC THYROXINE BINDING GLOBULIN,407.0,407.0,8.87,407.0,122 CPT,84443,HC MAPS THYROID STIMULTNG HORMONE(TSH),50.0,50.0,6.2,53.28,122 CPT,84443,HC THYROID STIMULATING HORMONE (TSH),468.0,468.0,10.08,468.0,122 CPT,84445,HC THYROID STIMULATING (TSI),1300.0,1300.0,20.0,1300.0,122 CPT,84446,HC VITAMIN E,384.0,384.0,8.51,384.0,122 CPT,84449,HC CORTISOL BINDING GLOBULIN,368.0,368.0,10.8,368.0,122 CPT,84450,HC ASPARTAMINE TRANSFERASE (AST),126.0,126.0,1.93,126.0,122 CPT,84460,HC ALANINE TRANSFERASE (ALT),130.0,130.0,1.93,130.0,122 CPT,84466,HC TRANSFERRIN,390.0,390.0,7.66,390.0,122 CPT,84478,HC TRIGLYCERIDES,174.0,174.0,1.93,174.0,122 CPT,84479,HC T3 UPTAKE,237.0,237.0,3.88,237.0,122 CPT,84480,HC TRIIODOTHYRONINE (T3),384.0,384.0,8.0,384.0,122 CPT,84481,HC FREE T3,469.0,469.0,10.16,469.0,122 CPT,84482,HC REVERSE T3,508.0,508.0,9.46,508.0,122 CPT,84484,HC TROPONIN,491.0,491.0,7.48,491.0,122 CPT,84520,HC UREA NITROGEN,119.0,119.0,1.93,119.0,122 CPT,84540,HC UREA NITROGEN URINE,159.0,159.0,3.34,159.0,119 CPT,84550,HC URIC ACID,151.0,151.0,1.93,151.0,122 CPT,84560,HC URIC ACID URINE,166.0,166.0,3.05,166.0,122 CPT,84585,HC VANILLYL MANDELIC ACID,428.0,428.0,9.3,428.0,122 CPT,84586,HC VASOACTIVE INT POLYPEPTIDE,1105.0,1105.0,21.2,1105.0,122 CPT,84588,HC VASOPRESSIN (ADH),525.0,525.0,20.36,525.0,122 CPT,84590,HC VITAMIN A,351.0,351.0,6.97,351.0,122 CPT,84591,HC VITAMIN B3,191.0,191.0,10.24,191.0,119 CPT,84597,HC VITAMIN K1,289.0,289.0,8.23,289.0,119 CPT,84600,HC METHANOL,374.0,374.0,10.27,374.0,119 CPT,84600,HC VOLATILES,374.0,374.0,10.27,374.0,119 CPT,84630,HC ZINC,318.0,318.0,6.83,318.0,122 CPT,84630,HC ZINC RBC,195.0,195.0,6.83,195.0,122 CPT,84681,HC C-PEPTIDE,572.0,572.0,12.49,572.0,122 CPT,84702,HC HCG QUANTITATIVE,335.0,335.0,9.03,335.0,122 CPT,84702,HC HCG TUMOR MARKER,159.0,159.0,9.03,159.0,122 CPT,84702,HC MAPS GONADOTRPNCHORNC(HCG) QUAN,60.0,60.0,7.44,60.0,122 CPT,84999,HC CHITOTRIOSIDASE,1839.0,1839.0,37.29,1839.0,112 CPT,84999,HC MAPS CLINICAL CHEMISTRY TEST,15.0,15.0,1.86,37.29,112 CPT,84999,HC MISC CHEM TEST,517.0,517.0,37.29,517.0,112 CPT,84999,HC OSMOLALITY STOOL,517.0,517.0,37.29,517.0,112 CPT,85007,HC BL SMEAR W/DIFF WBC COUNT,179.0,179.0,2.28,179.0,122 CPT,85008,HC PLATELET SCREEN,143.0,143.0,2.06,143.0,122 CPT,85008,HC RBC MORPHOLOGY T/F,143.0,143.0,2.06,143.0,122 CPT,85009,HC MANUAL DIFF WBC COUNT B-COAT,158.0,158.0,3.04,158.0,122 CPT,85014,HC HEMATOCRIT,131.0,131.0,1.42,131.0,122 CPT,85018,HC HEMOGLOBIN,117.0,117.0,1.42,117.0,122 CPT,85025,HC COMPLETE CBC W/AUTO DIFF WBC,263.0,263.0,4.66,263.0,122 CPT,85027,HC COMPLETE CBC AUTOMATED,249.0,249.0,3.88,249.0,122 CPT,85045,HC AUTOMATED RETICULOCYTE COUNT,220.0,220.0,2.39,220.0,122 CPT,85048,HC AUTOMATED LEUKOCYTE COUNT,144.0,144.0,1.52,144.0,122 CPT,85049,HC AUTOMATED PLATELET COUNT,265.0,265.0,2.69,265.0,122 CPT,85097,HC BONE MARROW INTERPRETATION,615.0,615.0,19.2,2672.59,124 CPT,85210,HC FACTOR II ASSAY,331.0,331.0,4.0,331.0,124 CPT,85220,HC FACTOR V ASSAY,723.0,723.0,5.0,723.0,124 CPT,85230,HC FACTOR VII ASSAY,600.0,600.0,5.0,600.0,124 CPT,85240,HC FACTOR VIII ASSAY,753.0,753.0,10.74,753.0,124 CPT,85245,HC RISTOCETIN/VWF RCO,761.0,761.0,13.76,761.0,124 CPT,85246,HC FACTOR VIII ANTIGEN,680.0,680.0,13.76,680.0,124 CPT,85247,HC FACTOR VIII MULTIMERS,907.0,907.0,13.76,907.0,124 CPT,85250,HC FACTOR IX ASSAY,625.0,625.0,5.0,625.0,124 CPT,85260,HC FACTOR X ASSAY,560.0,560.0,10.74,560.0,124 CPT,85260,HC FACTOR XA ASSAY,500.0,500.0,10.74,500.0,124 CPT,85270,HC FACTOR XI ASSAY,648.0,648.0,10.74,648.0,124 CPT,85280,HC FACTOR XII ASSAY,699.0,699.0,11.61,699.0,124 CPT,85290,HC FACTOR XIII ASSAY,507.0,507.0,8.0,507.0,124 CPT,85292,HC PREKALLIKREIN,644.0,644.0,11.36,644.0,124 CPT,85293,HC HIGH MOLEC WI KININOGEN,629.0,629.0,11.36,629.0,124 CPT,85300,HC ANTITHROMBIN III ACTIVITY,613.0,613.0,7.11,613.0,124 CPT,85301,HC ANTITHROMBIN III ANTIGEN,564.0,564.0,6.49,564.0,124 CPT,85302,HC PROTEIN C ANTIGEN,28.0,28.0,3.47,38.09,124 CPT,85303,HC PROTEIN C ACTIVITY,706.0,706.0,8.3,706.0,124 CPT,85306,HC PROTEIN S FREE,88.0,88.0,9.19,88.0,124 CPT,85306,HC PROTEIN S FUNCTION TOTAL,503.0,503.0,9.19,503.0,124 CPT,85307,HC ACTIVATED PROTEIN C RESISTANCE,165.0,165.0,9.19,165.0,124 CPT,85335,HC FACTOR VIII INHIB ASSAY,734.0,734.0,7.55,734.0,124 CPT,85335,HC INHIBITOR SCREEN,360.0,360.0,7.55,360.0,124 CPT,85335,HC INHIBITOR SCREEN PT,114.0,114.0,7.55,114.0,124 CPT,85347,HC ACTIVATED CLOTTING TIME-POC,351.0,351.0,2.57,351.0,122 CPT,85360,HC EUGLOBULIN CLOT LYSIS TIME,263.0,263.0,5.0,263.0,124 CPT,85379,HC D DIMER QUANTITATIVE,450.0,450.0,6.11,450.0,122 CPT,85380,HC D-DIMER,600.0,600.0,6.11,600.0,124 CPT,85384,HC FIBRINOGEN,137.0,137.0,5.83,137.0,124 CPT,85385,HC IMMUNOLOGIC FIBRINOGEN,137.0,137.0,8.68,137.0,124 CPT,85390,HC FIBRINOLYSINS SCREEN I R,84.0,84.0,3.0,84.0,122 CPT,85397,HC ADAMTS13 ACTIVITY,718.0,718.0,15.55,718.0,122 CPT,85410,HC ALPHA 2 ANTI PLASMIN,584.0,584.0,4.63,584.0,124 CPT,85415,HC PLASMINOGEN ACTIVATOR INHIBITOR,851.0,851.0,10.31,851.0,122 CPT,85420,HC PLASMINOGEN,630.0,630.0,3.92,630.0,124 CPT,85460,HC KLEIHAUER - BETKE,433.0,433.0,4.64,433.0,124 CPT,85461,HC FETAL ROSETTE TEST,524.0,524.0,5.62,524.0,122 CPT,85520,HC HEPARIN ASSAY,530.0,530.0,6.53,530.0,124 CPT,85525,HC HEPARSORB PTT T/F,241.0,241.0,7.1,241.0,124 CPT,85549,HC LYSOZYME (MURAMIDASE),351.0,351.0,11.25,351.0,122 CPT,85576,HC VERIFY NOW PRU P2Y12,918.0,918.0,14.95,918.0,124 CPT,85597,HC PHOSPHOLIPID NEUTRALIZATION PLATELET,455.0,455.0,10.79,455.0,124 CPT,85598,HC PHSPHLPD NTRLIZTN HEX PHSPHLPD,53.0,53.0,6.57,57.02,124 CPT,85610,HC MAPS PROTHROMBIN TIME,15.0,15.0,1.86,15.0,124 CPT,85610,HC PROTHROMBIN TIME,159.0,159.0,2.57,159.0,124 CPT,85613,HC RUSSELL VIPER VENOM DILUTED,364.0,364.0,5.75,364.0,124 CPT,85613,HC RUSSELL VIPER VENOM DILUTED RATIO,364.0,364.0,5.75,364.0,124 CPT,85635,HC REPTILASE TIME,393.0,393.0,5.91,393.0,124 CPT,85651,HC SEDIMENTATION RATE NONAUTOMATED,212.0,212.0,2.56,212.0,122 CPT,85652,HC SEDIMENTATION RATE AUTOMATED,133.0,133.0,1.62,133.0,122 CPT,85660,HC SICKLE CELL PREPARATION,192.0,192.0,3.0,192.0,122 CPT,85670,HC THROMBIN TIME,334.0,334.0,3.46,334.0,124 CPT,85705,HC TISSUE THROMBOPLASTIN INHIBITION,767.0,767.0,5.78,767.0,124 CPT,85730,HC PARTIAL THROMBOPLASTIN TIME,271.0,271.0,3.61,271.0,122 CPT,85810,HC BLOOD VISCOSITY EXAMINATION,281.0,281.0,4.0,281.0,122 CPT,86000,HC F. TULARENSIS AB AGGLUTINATION,99.0,99.0,4.19,99.0,122 CPT,86001,HC HYPERSENSITIVITY,1175.0,1175.0,4.69,1175.0,122 CPT,86003,HC ALLER AEROBASIDIUM PULLULANS,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERCOMMON/SHORT RAGWEED,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERFNGI/MLDCURVULARIA LUNA,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERFNGI/MLDHELMINTHOSPORIU,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERFNGI/MOLDCEPHALOSPORIUM,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERFNGI/MOLDMUCO RACEMOSUS,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERFUNGI/MOLDA.FUMIGATUS,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERG FUNGI/MOLD EPICOCCUM,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERGAMERICAN BEECH TREE,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERGEN ANIMAL CAT DANDER,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERGEN ANIMAL DOG DANDER,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERGEN DOG EPITHELIUM,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERGEN FOOD ALMOND IGE,57.0,57.0,3.13,57.0,122 CPT,86003,HC ALLERGEN FOOD BARLEY IGE,57.0,57.0,3.13,57.0,122 CPT,86003,HC ALLERGEN FOOD BLUE MUSSEL IGE,57.0,57.0,3.13,57.0,122 CPT,86003,HC ALLERGEN FOOD BRAZIL NUT IGE,57.0,57.0,3.13,57.0,122 CPT,86003,HC ALLERGEN FOOD CASEIN IGE,57.0,57.0,3.13,57.0,122 CPT,86003,HC ALLERGEN FOOD CASHEW IGE,57.0,57.0,3.13,57.0,122 CPT,86003,HC ALLERGEN FOOD CHEESE CHEDDAR IGE,57.0,57.0,3.13,57.0,122 CPT,86003,HC ALLERGEN FOOD CLAM IGE,57.0,57.0,3.13,57.0,122 CPT,86003,HC ALLERGEN FOOD COCONUT IGE,57.0,57.0,3.13,57.0,122 CPT,86003,HC ALLERGEN FOOD CODFISH IGE,57.0,57.0,3.13,57.0,122 CPT,86003,HC ALLERGEN FOOD CRAB IGE,57.0,57.0,3.13,57.0,122 CPT,86003,HC ALLERGEN FOOD EGG WHITE IGE,57.0,57.0,3.13,57.0,122 CPT,86003,HC ALLERGEN FOOD EGG WHOLE IGE,57.0,57.0,3.13,57.0,122 CPT,86003,HC ALLERGEN FOOD EGG YOLK IGE,57.0,57.0,3.13,57.0,122 CPT,86003,HC ALLERGEN FOOD GLUTEN IGE,57.0,57.0,3.13,57.0,122 CPT,86003,HC ALLERGEN FOOD HAZELNUT IGE,57.0,57.0,3.13,57.0,122 CPT,86003,HC ALLERGEN FOOD LOBSTER IGE,57.0,57.0,3.13,57.0,122 CPT,86003,HC ALLERGEN FOOD MILK COW IGE,57.0,57.0,3.13,57.0,122 CPT,86003,HC ALLERGEN FOOD OAT IGE,57.0,57.0,3.13,57.0,122 CPT,86003,HC ALLERGEN FOOD OYSTER IGE,57.0,57.0,3.13,57.0,122 CPT,86003,HC ALLERGEN FOOD PEANUT COMPONENTS IGE,111.0,111.0,3.13,111.0,122 CPT,86003,HC ALLERGEN FOOD PEANUT IGE,57.0,57.0,3.13,57.0,122 CPT,86003,HC ALLERGEN FOOD PECAN IGE,57.0,57.0,3.13,57.0,122 CPT,86003,HC ALLERGEN FOOD PISTACHIO IGE,57.0,57.0,3.13,57.0,122 CPT,86003,HC ALLERGEN FOOD SALMON IGE,57.0,57.0,3.13,57.0,122 CPT,86003,HC ALLERGEN FOOD SCALLOP IGE,57.0,57.0,3.13,57.0,122 CPT,86003,HC ALLERGEN FOOD SESAME SEED IGE,57.0,57.0,3.13,57.0,122 CPT,86003,HC ALLERGEN FOOD SHRIMP IGE,57.0,57.0,3.13,57.0,122 CPT,86003,HC ALLERGEN FOOD SOYBEAN IGE,57.0,57.0,3.13,57.0,122 CPT,86003,HC ALLERGEN FOOD TROUT IGE,57.0,57.0,3.13,57.0,122 CPT,86003,HC ALLERGEN FOOD TUNA IGE,57.0,57.0,3.13,57.0,122 CPT,86003,HC ALLERGEN FOOD WALNUT IGE,57.0,57.0,3.13,57.0,122 CPT,86003,HC ALLERGEN FOOD WHEAT IGE,57.0,57.0,3.13,57.0,122 CPT,86003,HC ALLERGEN FOOD WHEY IGE,57.0,57.0,3.13,57.0,122 CPT,86003,HC ALLERGEN FUSARIUM MONLIFORME,263.0,263.0,3.13,263.0,122 CPT,86003,HC ALLERGEN HORMODENDRUM HORDEI,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERGEN SPECIFIC IGE EACH,216.0,216.0,3.13,216.0,122 CPT,86003,HC ALLERGENBOX ELDER/MAPLE TREE,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERGENFUNGI MOLDSA IGE,23.0,23.0,2.85,23.0,122 CPT,86003,HC ALLERGENFUNGI MOLDSB IGE,23.0,23.0,2.85,23.0,122 CPT,86003,HC ALLERGENGRASSJOHNSON GRASS,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERGENGRASSTIMOTHY GRASS,426.0,426.0,3.13,426.0,122 CPT,86003,HC ALLERGENMITESD.FARINAE,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERGENTREEALDER TREE,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERGENTREEBIRCH TREE,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERGENTREECOTTONWOOD TREE,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERGENTREEELM TREE,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERGENTREEOAK TREE,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERGENTREEPECAN TREE,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERGENTREESWEET GUM TREE,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERGENTREESYCAMORE TREE,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERGENTREEWALNUT TREE,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERGENTREEWHITE ASH TREE,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERGENTREEWILLOW TREE,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERGENWEEDCOCKLEBUR,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERGENWEEDENGLISH PLANTAIN,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERGENWEEDGIANT RAGWEED,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERGENWEEDLAMB S QUARTERS,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERGFUNGI/MOLDA.ALTERNATAS,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERGFUNGI/MOLDP.NOTATUM,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERGFUNGI/MOLDPHOMA BETAE,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERGFUNGI/MOLDR.NIGRICAN,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERGMITESD.PTERONYSSINUS,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERGRASSORCH GRASS/COCKSFT,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERGRASSPERENNIAL RYE GRAS,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERGRASSSWEET VERNAL GRASS,56.0,56.0,3.13,56.0,122 CPT,86003,HC ALLERINSECTCOCKROACHGERMAN,56.0,56.0,3.13,56.0,122 CPT,86003,HC HYPER PNEUMO IGE,59.0,59.0,3.13,59.0,122 CPT,86003,HC LATEX ALLERGENIGE,502.0,502.0,3.13,502.0,122 CPT,86003,HC RAST 1 ALLERGEN,245.0,245.0,3.13,245.0,122 CPT,86003,HC STAPH ENTEROTOXIN A,48.0,48.0,3.13,48.0,122 CPT,86003,HC STAPH ENTEROTOXIN B,48.0,48.0,3.13,48.0,122 CPT,86003,HC VENOM RAST 1GE,263.0,263.0,3.13,263.0,122 CPT,86008,HC ALLERGEN FOOD SEVERE PEANUT ARA H 1,111.0,111.0,10.76,111.0,122 CPT,86008,HC ALLERGEN FOOD SEVERE PEANUT ARA H 2,111.0,111.0,10.76,111.0,122 CPT,86008,HC ALLERGEN FOOD SEVERE PEANUT ARA H 3,111.0,111.0,10.76,111.0,122 CPT,86008,HC ALLERGEN FOOD SEVERE PEANUT ARA H 8,111.0,111.0,10.76,111.0,122 CPT,86008,HC ALLERGEN FOOD SEVERE PEANUT ARA H 9,111.0,111.0,10.76,111.0,122 CPT,86021,HC CU INDEXLEUKO AN,126.0,126.0,5.0,126.0,122 CPT,86021,HC LEUKOCYTE ANTIBODY IDENTIFICATION,492.0,492.0,5.0,492.0,122 CPT,86021,HC NEUTROPHIL AB,228.0,228.0,5.0,228.0,122 CPT,86022,HC HEPARIN ASSOCIATED ANTIBODIES,1640.0,1640.0,5.0,1640.0,124 CPT,86022,HC HEPARIN INDUCED PLATELET AB,1665.0,1665.0,5.0,1665.0,124 CPT,86022,HC PLATELET ANTIBODIES,1640.0,1640.0,5.0,1640.0,124 CPT,86022,HC PLATELET ANTIBODIES INDIRECT,271.0,271.0,5.0,271.0,124 CPT,86022,HC SEROTONIN RELEASE,1045.0,1045.0,5.0,1045.0,124 CPT,86023,HC PLATELET ASSOC. IMM. ASSAY,671.0,671.0,7.48,671.0,122 CPT,86038,HC ANTINUCLEAR ANTIBODIES,334.0,334.0,7.25,334.0,122 CPT,86039,HC ANTI-NUCLEAR ABIGG IFA,120.0,120.0,6.7,120.0,122 CPT,86060,HC ANTISTREPTOLYSIN O TITER,255.0,255.0,4.38,255.0,122 CPT,86077,HC BLOOD BANK CONSULT FEE,248.0,248.0,30.25,248.0,119 CPT,86078,HC TRXN BB CONSULT FEE,655.0,655.0,41.56,655.0,119 CPT,86079,HC PLCY DEVIATION CONSULT FEE,493.0,493.0,41.56,493.0,124 CPT,86140,HC C-REACTIVE PROTEIN,318.0,318.0,3.0,318.0,122 CPT,86141,HC C-REACTIVE PROTEIN HIGH SENSITIVITY,318.0,318.0,7.77,318.0,122 CPT,86146,HC BETA-2 GLYCOPROTEIN ANTIBODY,385.0,385.0,15.27,385.0,124 CPT,86147,HC CARDIOLIPID ANTIBODY,642.0,642.0,15.27,642.0,124 CPT,86148,HC PHOSPHATIDYLS IGA,201.0,201.0,9.64,201.0,119 CPT,86148,HC PHOSPHATIDYLS IGG,201.0,201.0,9.64,201.0,119 CPT,86148,HC PHOSPHATIDYLS IGM,201.0,201.0,9.64,201.0,119 CPT,86152,HC CIRCULATING TUMOR CELL COUNT,2551.0,2551.0,150.47,2551.0,119 CPT,86156,HC COLD AGGLUTININ SCREEN,154.0,154.0,4.84,154.0,122 CPT,86157,HC COLD AGGLUTININ TITER,237.0,237.0,4.84,237.0,122 CPT,86160,HC C1 ESTERASE INHIBITOR,374.0,374.0,7.2,374.0,122 CPT,86160,HC C10 COMPLEMENT,339.0,339.0,7.2,339.0,122 CPT,86160,HC C2 COMPLEMENT,374.0,374.0,7.2,374.0,122 CPT,86160,HC C3 COMPLEMENT,339.0,339.0,7.2,339.0,122 CPT,86160,HC C4 COMPLEMENT,339.0,339.0,7.2,339.0,122 CPT,86160,HC C5 COMPLEMENT,160.0,160.0,7.2,160.0,122 CPT,86160,HC C6 COMPLEMENT,160.0,160.0,7.2,160.0,122 CPT,86160,HC C7 COMPLEMENT,239.0,239.0,7.2,239.0,122 CPT,86160,HC C8 COMPLEMENT,239.0,239.0,7.2,239.0,122 CPT,86160,HC C9 COMPLEMENT,239.0,239.0,7.2,239.0,122 CPT,86161,HC C1EST FUNCTION,419.0,419.0,7.2,419.0,122 CPT,86161,HC C3 NEPHRITIC FACTOR,399.0,399.0,7.2,399.0,122 CPT,86162,HC COMPLEMENT TOTAL (CH50),554.0,554.0,12.19,554.0,122 CPT,86200,HC CYC CITRUL PEP IGG,205.0,205.0,7.77,205.0,122 CPT,86215,HC DEOXYRIBONUCLEASE ANTIBODY,126.0,126.0,7.95,126.0,122 CPT,86225,HC ANTI DNA,215.0,215.0,8.24,215.0,122 CPT,86231,HC ENDOMYSIAL ANTIBODY,320.0,320.0,6.87,320.0,122 CPT,86235,HC ANTI RNP,161.0,161.0,10.76,161.0,122 CPT,86235,HC ANTI SM/RNP,448.0,448.0,10.76,448.0,122 CPT,86235,HC ANTI-JO-1,161.0,161.0,10.76,161.0,122 CPT,86235,HC ANTI-SCL-70,625.0,625.0,10.76,625.0,122 CPT,86235,HC EXTRACTABLE NUCLEAR AG AB EACH,165.0,165.0,10.76,165.0,122 CPT,86235,HC INTERSTITAL LUNG DISEASE AUTOANTIBODIES WITH RE,861.0,861.0,10.76,861.0,122 CPT,86235,HC JO-1 AB IGG,161.0,161.0,10.76,161.0,122 CPT,86235,HC MI-2 ABS,168.0,168.0,10.76,168.0,122 CPT,86235,HC MYOSITIS PANEL,63.0,63.0,7.81,63.0,122 CPT,86235,HC PM SCL 100,237.0,237.0,10.76,237.0,122 CPT,86235,HC SJGR SSA,313.0,313.0,10.76,313.0,122 CPT,86235,HC SJOGREN ANTIBODY SSAB,313.0,313.0,10.76,313.0,122 CPT,86255,HC ADRENAL AB SCREEN,139.0,139.0,7.23,139.0,122 CPT,86255,HC AMPAR(GLU2),254.0,254.0,7.23,254.0,122 CPT,86255,HC AMPAR(GLUR1),254.0,254.0,7.23,254.0,122 CPT,86255,HC ANNA SCREEN,426.0,426.0,7.23,426.0,122 CPT,86255,HC ANTI PARIETAL CELL ANTIBODY,191.0,191.0,7.23,191.0,122 CPT,86255,HC ANTI RECTICULIN,180.0,180.0,7.23,180.0,122 CPT,86255,HC ANTI STRIATED MUSCLE AB.,426.0,426.0,7.23,426.0,122 CPT,86255,HC ATYPICAL ANCA,94.0,94.0,7.23,94.0,122 CPT,86255,HC CASPR2,591.0,591.0,7.23,591.0,122 CPT,86255,HC CSF NMO IGG,191.0,191.0,7.23,191.0,122 CPT,86255,HC FLUOR NONINFECT AB SCREEN EA,460.0,460.0,7.23,460.0,122 CPT,86255,HC FLUORESCENT ANTIBODY SCREEN,541.0,541.0,7.23,541.0,122 CPT,86255,HC FLURESNT AB (IE. ANA AMA) T/F,426.0,426.0,7.23,426.0,122 CPT,86255,HC GABA-B-R,146.0,146.0,7.23,146.0,122 CPT,86255,HC GAD-65,254.0,254.0,7.23,254.0,122 CPT,86255,HC LGI1,254.0,254.0,7.23,254.0,122 CPT,86255,HC LRP4 AUTOANTIBODY,1946.0,1946.0,7.23,1946.0,122 CPT,86255,HC MUSK SER ONLY,620.0,620.0,7.23,620.0,122 CPT,86255,HC NMDAR CSF,591.0,591.0,7.23,591.0,122 CPT,86255,HC NMDAR SERUM,426.0,426.0,7.23,426.0,122 CPT,86255,HC PARANEOPLASTIC ABS W/RFLX CSF,128.0,128.0,7.23,128.0,122 CPT,86255,HC PARANEOPLASTIC SYNDRME AB PANL,180.0,180.0,7.23,180.0,122 CPT,86255,HC THSD7,938.0,938.0,7.23,938.0,122 CPT,86256,HC ANCA SCREEN (TITER) T/F,1046.0,1046.0,7.23,1046.0,122 CPT,86256,HC ANTI-MITOCHONDRIAL ANTIBODY TITER,196.0,196.0,7.23,196.0,122 CPT,86256,HC CASPR2 AB IGG TITER,563.0,563.0,7.23,563.0,122 CPT,86256,HC MOG AB IGG TITER,284.0,284.0,7.23,284.0,122 CPT,86256,HC MUSK AB IGG BY CBA IFA,473.0,473.0,7.23,473.0,122 CPT,86256,HC NMDAR TITER,450.0,450.0,7.23,450.0,122 CPT,86256,HC NMO AB SCREEN,151.0,151.0,7.23,151.0,122 CPT,86256,HC PARANEOPLSTIC AUTOAB EVALSER,3987.0,3987.0,7.23,3987.0,122 CPT,86256,HC PHOSPHOLIP A2 RECPTRIGG TITER,816.0,816.0,7.23,816.0,122 CPT,86256,HC PNEOE,3034.0,3034.0,7.23,3034.0,122 CPT,86256,HC SMOOTH MUSCLE IGG AB TITER,196.0,196.0,7.23,196.0,122 CPT,86256,HC STRIA MUSC AB IGG TITER,237.0,237.0,7.23,237.0,122 CPT,86258,HC GLIADIN IGG,285.0,285.0,6.55,285.0,119 CPT,86300,HC CANCER ANTIGEN 15-3,580.0,580.0,12.49,580.0,122 CPT,86300,HC CANCER ANTIGEN 27-29,580.0,580.0,12.49,580.0,122 CPT,86301,HC CANCER ANTIGEN 19-9,580.0,580.0,12.49,580.0,122 CPT,86304,HC CANCER ANTIGEN 125,580.0,580.0,12.49,580.0,122 CPT,86305,HC HUMAN EPIDIDYMIS PROTEIN 4,1070.0,1070.0,12.49,1070.0,122 CPT,86308,HC HETEROPHILE ANTIBODY SCREEN,220.0,220.0,3.11,220.0,122 CPT,86309,HC HETEROPHILE ANTIBODY TITER,89.0,89.0,3.88,89.0,122 CPT,86316,HC AT1R,551.0,551.0,12.49,551.0,122 CPT,86316,HC CHROMOGRANIN A,472.0,472.0,12.49,472.0,122 CPT,86316,HC IMMUNOASSAY TUMOR ANTIGEN,464.0,464.0,12.49,464.0,122 CPT,86316,HC NEURON SPECIFIC ENOLASE,219.0,219.0,12.49,219.0,122 CPT,86316,HC SOLUB MESOTHELIN RELAT PEPTIDE,338.0,338.0,12.49,338.0,122 CPT,86317,HC DIPHTHERIA ANTIBODY IGG,428.0,428.0,8.99,428.0,122 CPT,86317,HC PROTEIN 14-3-3 CSF WITH REFLE,1695.0,1695.0,8.99,1695.0,122 CPT,86317,HC TETANUS AB IGG,428.0,428.0,8.99,428.0,122 CPT,86318,HC PHERESIS CMV NEG,339.0,339.0,10.85,339.0,122 CPT,86331,HC HYPER PNEUMO GEL DIFFUSION,262.0,262.0,7.19,262.0,122 CPT,86332,HC IMMUNE COMPLEX C1Q,339.0,339.0,14.62,339.0,122 CPT,86334,HC IMMUNOFIX E-PHORESIS SERUM,125.0,125.0,13.4,125.0,122 CPT,86334,HC IMMUNOFIXATION QUAL GEL,56.0,56.0,6.94,70.85,122 CPT,86335,HC BETA 2 TRANSFERRIN,250.0,250.0,17.61,250.0,122 CPT,86335,HC IMMUNFIX E-PHORSIS/URINE/CSF,554.0,554.0,17.61,554.0,122 CPT,86336,HC INHIBIN A,126.0,126.0,9.2,126.0,119 CPT,86337,HC INSULIN ANTIBODIES,151.0,151.0,11.0,151.0,122 CPT,86340,HC INTRINSIC FACTOR ANTIBODY,405.0,405.0,9.05,405.0,122 CPT,86341,HC IA-2 ANTIBODY,692.0,692.0,14.14,692.0,122 CPT,86341,HC ISLET CELL ANTIBODY,393.0,393.0,14.14,393.0,122 CPT,86341,HC ZINC TRANSPORTER 8 AB,542.0,542.0,14.14,542.0,122 CPT,86343,HC LEUKOCYTE HISTAMINE RELEASE,364.0,364.0,7.48,364.0,119 CPT,86352,HC CELL FUNCTION ASSAY W/STIM,687.0,687.0,77.84,687.0,122 CPT,86352,HC INFLIXIMAB ACTIV NEUTRALIZ AB,687.0,687.0,77.84,687.0,122 CPT,86352,HC NEUTROPHIL OXIDATIVE BURST,1357.0,1357.0,77.84,1357.0,122 CPT,86353,HC LYMPHOCYTE AG MYTOGEN PROLIF,478.0,478.0,29.42,478.0,122 CPT,86355,HC ABSOLUTE CD 19,374.0,374.0,22.64,374.0,124 CPT,86355,HC B CELLS TOTAL,885.0,885.0,22.64,885.0,124 CPT,86355,HC TOTAL MEMORY B-CELL ABSOLUTE CD19 /CD27,126.0,126.0,15.62,126.0,124 CPT,86356,HC ABSOLUTE CD2,286.0,286.0,16.07,286.0,124 CPT,86356,HC ABSOLUTE CD3,286.0,286.0,16.07,286.0,124 CPT,86356,HC ABSOLUTE CD4,286.0,286.0,16.07,286.0,124 CPT,86356,HC ABSOLUTE CD45RA,286.0,286.0,16.07,286.0,248 CPT,86356,HC ABSOLUTE CD8,284.0,284.0,16.07,284.0,124 CPT,86356,HC ABSOLUTE HLA-DR,286.0,286.0,16.07,286.0,124 CPT,86356,HC ALPHA/BETA DOUBLE-NEGATIVE T-CELLS FOR AUTOIMMU,1023.0,1023.0,16.07,1023.0,124 CPT,86356,HC B-CELLS ABSOLUTE CD19,126.0,126.0,15.62,126.0,124 CPT,86356,HC MONONUCLEAR CELL ANTIGEN,284.0,284.0,16.07,284.0,124 CPT,86356,HC NAIVE B-CELL ABSOLUTE CD19 /CD27-/IGD,126.0,126.0,15.62,126.0,124 CPT,86356,HC NON-SWITCHED ABS CD19 /CD27 IGD /IGM,126.0,126.0,15.62,126.0,124 CPT,86356,HC PNH HIGH SENSITIVITY RBC,682.0,682.0,16.07,682.0,124 CPT,86356,HC SEZARY MONITORING FLOW CYTOMETRY BLOOD,840.0,840.0,16.07,840.0,124 CPT,86357,HC ABSOLUTE NATURAL KILLER CELLS,374.0,374.0,16.55,374.0,124 CPT,86357,HC TOTAL NK CELLS,655.0,655.0,16.55,655.0,124 CPT,86359,HC LYMPHOCYTE SUBSET PANEL 7 INFO,374.0,374.0,22.64,374.0,122 CPT,86359,HC MN3 (CD4 MON BILLING),460.0,460.0,22.64,460.0,122 CPT,86360,HC CD4 CD8 RATIO,468.0,468.0,28.19,468.0,122 CPT,86360,HC MN4 (CD4 MON BILLING),875.0,875.0,28.19,875.0,122 CPT,86362,HC MOG AB IGG SCREEN,390.0,390.0,6.85,390.0,122 CPT,86363,HC MOG FACS TITER,1409.0,1409.0,7.88,1409.0,122 CPT,86364,HC TISSUE TRANSGLUTAMINASE IGA,119.0,119.0,6.55,119.0,119 CPT,86364,HC TTG ABS IGA,356.0,356.0,6.55,356.0,119 CPT,86367,HC CD34 STEM CELLS,642.0,642.0,42.0,642.0,122 CPT,86376,HC ANTI THYROID MICROSOMAL,647.0,647.0,7.91,647.0,122 CPT,86376,HC LIVERKIDNEY MICROSOMAL ANTIBO,405.0,405.0,7.91,405.0,122 CPT,86381,HC MITOCHONDRIAL ANTIBODY (EG M2) EACH,826.0,826.0,14.45,826.0,119 CPT,86382,HC RABIES ANTIBODY SCREEN,168.0,168.0,10.15,168.0,119 CPT,86382,HC RABIES TITER,507.0,507.0,10.15,507.0,119 CPT,86406,HC CRYPTOCOCCAL ANTIGEN TITER,351.0,351.0,6.38,351.0,122 CPT,86431,HC RHEUMATOID FACTOR QUANT,220.0,220.0,3.4,220.0,122 CPT,86480,HC QUANTIFERON TB TEST,825.0,825.0,37.19,825.0,124 CPT,86481,HC TSPOT,668.0,668.0,60.0,668.0,124 CPT,86581,HC PNEUMOCOCCAL ANTIBODIES,141.0,141.0,17.48,291.87,121 CPT,86592,HC RPR-TEST FOR SYPHILIS,165.0,165.0,2.56,165.0,122 CPT,86592,HC VDRL CSF,165.0,165.0,2.56,165.0,122 CPT,86592,HC VDRL-SYPHILIS TESTCSF,254.0,254.0,2.56,254.0,122 CPT,86593,HC RPR QUANTITATIVE,196.0,196.0,2.64,196.0,122 CPT,86593,HC VDRL TITER CSF,47.0,47.0,2.64,47.0,122 CPT,86596,HC VGCC ANTIBODY,618.0,618.0,7.23,618.0,122 CPT,86606,HC ABPA PANEL (ALLERGIC BRONCHOPULMONARY ASPERIGIL,69.0,69.0,8.56,69.0,122 CPT,86606,HC ASPERGILLUS ANTIBODY,136.0,136.0,9.03,136.0,122 CPT,86606,HC ASPERGILLUS FUMIGATUS ABIGG,238.0,238.0,9.03,238.0,122 CPT,86611,HC BARTONELLA HENSELAE ANTIBODY IGG,1925.0,1925.0,6.11,1925.0,122 CPT,86611,HC BARTONELLA HENSELAE ANTIBODY IGM,1925.0,1925.0,6.11,1925.0,122 CPT,86611,HC BARTONELLA QUINTANA ANTIBODY IGG,1925.0,1925.0,6.11,1925.0,122 CPT,86611,HC BARTONELLA QUINTANA ANTIBODY IGM,1925.0,1925.0,6.11,1925.0,122 CPT,86612,HC BLASTOMYCES ANTIBODY,93.0,93.0,7.74,93.0,122 CPT,86615,HC B. PERTUSSIS IGM ANTIBODY,130.0,130.0,7.91,130.0,122 CPT,86615,HC B.PERTUSSIS IGG ANTIBODY,130.0,130.0,7.91,130.0,122 CPT,86615,HC B.PERTUSSIS IGG W/REF,130.0,130.0,7.91,130.0,122 CPT,86617,HC B. BURGDERFORI AB IGG IB,731.0,731.0,9.29,731.0,124 CPT,86617,HC B. BURGDORFERI AB IGM,34.0,34.0,4.22,49.13,124 CPT,86617,HC BORRELIA AB CONFIRM,1150.0,1150.0,9.29,1150.0,124 CPT,86618,HC BOR BURG C6 PEPTIDE AB,220.0,220.0,10.22,220.0,122 CPT,86618,HC INFECTIOUS ANTIGEN ELISA,381.0,381.0,10.22,381.0,122 CPT,86618,HC LYME AB,432.0,432.0,10.22,432.0,122 CPT,86622,HC BRUCELLA ANTIBODIES IGG,258.0,258.0,5.36,258.0,122 CPT,86622,HC BRUCELLA ANTIBODIES IGM,258.0,258.0,5.36,258.0,122 CPT,86622,HC SEROLOGICAL TITERS,680.0,680.0,5.36,680.0,122 CPT,86628,HC CANDIDA ANTIBODY,183.0,183.0,7.21,183.0,122 CPT,86631,HC CHLAMYDIA IGG ANTIBODY,351.0,351.0,7.09,351.0,122 CPT,86631,HC LGV PER SPECIES,351.0,351.0,7.09,351.0,122 CPT,86632,HC CHLAMYDIA IGM ANTIBODY,249.0,249.0,7.61,249.0,122 CPT,86632,HC LGV PER ISOTYPE,249.0,249.0,7.61,249.0,122 CPT,86635,HC COCCIDIOIDES ANTIBODY (CF),279.0,279.0,6.88,279.0,122 CPT,86635,HC COCCIDIOIDES ANTIBODY (ID),279.0,279.0,6.88,279.0,122 CPT,86635,HC COCCIDIOIDES ANTIBODY IGG,279.0,279.0,6.88,279.0,122 CPT,86635,HC COCCIDIOIDES ANTIBODY IGM,279.0,279.0,6.88,279.0,122 CPT,86638,HC Q FEVER ANTIBODY PHASE II,104.0,104.0,7.27,104.0,122 CPT,86644,HC CMV ANTIBODY,472.0,472.0,8.63,472.0,122 CPT,86645,HC CMV ANTIBODY IGM,426.0,426.0,10.11,426.0,122 CPT,86658,HC COXSACKIE TITER,495.0,495.0,7.82,495.0,119 CPT,86658,HC ECHOVIRUS TITER,495.0,495.0,7.82,495.0,119 CPT,86658,HC POLIOVIRUS 1,495.0,495.0,7.82,495.0,119 CPT,86658,HC POLIOVIRUS 3,495.0,495.0,7.82,495.0,119 CPT,86663,HC EPSTEIN-BARR ANTIBODY,1343.0,1343.0,7.87,1343.0,122 CPT,86664,HC EPSTEIN-BARR ANTI-NUCLEAR AB,385.0,385.0,9.17,385.0,122 CPT,86665,HC EBV PANEL,455.0,455.0,10.88,455.0,122 CPT,86665,HC EBV VIRAL (APSII),455.0,455.0,10.88,455.0,122 CPT,86665,HC EPSTEIN-BARR IGG CAPSID VCA,455.0,455.0,10.88,455.0,122 CPT,86665,HC EPSTEIN-BARR IGM CAPSID VCA,455.0,455.0,10.88,455.0,122 CPT,86666,HC EHRLICHIA IGG ANTIBODY,516.0,516.0,6.11,516.0,122 CPT,86666,HC EHRLICHIA IGM ANTIBODY,516.0,516.0,6.11,516.0,122 CPT,86666,HC HGE AGENT,953.0,953.0,6.11,953.0,122 CPT,86668,HC FRANCISELLA TULARENSIS AB IGG,98.0,98.0,8.5,98.0,122 CPT,86668,HC FRANCISELLA TULARENSIS AB IGM,98.0,98.0,8.5,98.0,122 CPT,86671,HC S.CEREVISIAE ANTIBODYIGG,459.0,459.0,7.35,459.0,119 CPT,86671,HC SACCHAROMYCES CEREVISIAE ANTIBODIES IGA,137.0,137.0,7.35,137.0,119 CPT,86671,HC SACCHAROMYCES CEREVISIAE ANTIBODIES IGG,137.0,137.0,7.35,137.0,119 CPT,86677,HC HELICOBACTER PYLORI IGG ANTIBODY,405.0,405.0,7.39,405.0,122 CPT,86682,HC CYSTICERCOSIS IGGELISA,78.0,78.0,7.81,78.0,119 CPT,86682,HC ECHINOCOCCUS ABS,1130.0,1130.0,7.81,1130.0,119 CPT,86682,HC FILARIA IGG4 ANTIBODY,217.0,217.0,7.81,217.0,119 CPT,86682,HC STRONGYLOIDES AB,186.0,186.0,7.81,186.0,119 CPT,86682,HC TOXOCARA AB IGG,186.0,186.0,7.81,186.0,119 CPT,86682,HC TOXOCARA ANTIBODY BY ELISA,292.0,292.0,7.81,292.0,119 CPT,86689,HC HTLV/HIV CONFIRM ANTIBODY,560.0,560.0,11.61,560.0,124 CPT,86692,HC HEPATITIS DELTA ANTIBODY,393.0,393.0,10.3,393.0,122 CPT,86694,HC HERPES ANTIBODY TITER,386.0,386.0,8.63,386.0,122 CPT,86694,HC HERPES I/II IGM AB,386.0,386.0,8.63,386.0,122 CPT,86695,HC HSV 1 IGG AB,405.0,405.0,7.91,405.0,122 CPT,86696,HC HSV 2 IGG AB,516.0,516.0,11.61,516.0,122 CPT,86698,HC HISTOPLASMA ID,390.0,390.0,8.27,390.0,122 CPT,86698,HC HISTOPLASMA MYCELIA,390.0,390.0,8.27,390.0,122 CPT,86698,HC HISTOPLASMA MYCELIA CF,113.0,113.0,8.27,113.0,122 CPT,86698,HC HISTOPLASMA YEAST,390.0,390.0,8.27,390.0,122 CPT,86698,HC HISTOPLASMA YEAST CF,113.0,113.0,8.27,113.0,122 CPT,86703,HC HIV-1/HIV-2 1 RESULT ANTBDY,137.0,137.0,8.23,137.0,122 CPT,86704,HC HEP B CORE ANTIBODY TOTAL,299.0,299.0,7.23,299.0,122 CPT,86705,HC HEP B CORE ANTIBODY IGM,334.0,334.0,7.06,334.0,122 CPT,86706,HC HEP B SURFACE ANTIBODY,292.0,292.0,6.44,292.0,122 CPT,86707,HC HEPATITIS BE ANTIBODY,276.0,276.0,6.94,276.0,122 CPT,86708,HC HEPATITIS A TOTAL ANTIBODY,60.0,60.0,7.43,60.0,122 CPT,86709,HC HEPATITIS A IGM ANTIBODY,67.0,67.0,6.76,67.0,122 CPT,86710,HC INFLU A IGG,405.0,405.0,8.13,405.0,119 CPT,86710,HC INFLU A IGM,227.0,227.0,8.13,227.0,119 CPT,86710,HC INFLU B IGG,227.0,227.0,8.13,227.0,119 CPT,86710,HC INFLU B IGM,227.0,227.0,8.13,227.0,119 CPT,86713,HC LEGIONELLA ANTIBODY,365.0,365.0,9.18,365.0,122 CPT,86720,HC LEPTOSPIRA IGG ANTIBODY,126.0,126.0,9.72,126.0,122 CPT,86735,HC MUMPS ANTIBODIES,405.0,405.0,7.83,405.0,119 CPT,86738,HC MYCOPLASMA PNEUMONIAE TITER,405.0,405.0,7.94,405.0,122 CPT,86747,HC PARVOVIRUS IGG ANTIBODY,405.0,405.0,9.02,405.0,122 CPT,86747,HC PARVOVIRUS IGM ANTIBODY,1080.0,1080.0,9.02,1080.0,122 CPT,86753,HC ENTAMOEBA HISTOLYTICA AB,405.0,405.0,7.43,405.0,119 CPT,86753,HC TRYPANA CRUZI IGG,133.0,133.0,7.43,133.0,119 CPT,86753,HC TRYPANA CRUZI IGM,133.0,133.0,7.43,133.0,119 CPT,86757,HC RICKETTSIA TYPHI IGG,405.0,405.0,11.61,405.0,122 CPT,86757,HC RICKETTSIA TYPHI IGM,405.0,405.0,11.61,405.0,122 CPT,86757,HC ROCKY MT SPOT FEV IGG,405.0,405.0,11.61,405.0,122 CPT,86757,HC ROCKY MT SPOT FEV IGM,405.0,405.0,11.61,405.0,122 CPT,86762,HC RUBELLA ANTIBODY IGG,500.0,500.0,8.63,500.0,122 CPT,86762,HC RUBELLA ANTIBODY IGM,386.0,386.0,8.63,386.0,122 CPT,86762,HC RUBELLA-IMMUNE STATUS,386.0,386.0,8.63,386.0,122 CPT,86765,HC RUBEOLA AB IGG,255.0,255.0,7.73,255.0,122 CPT,86765,HC RUBEOLA TITER IGM,255.0,255.0,7.73,255.0,122 CPT,86769,HC ANTIBODY SEVERE ACUTE RESPIRATORY SYNDROME COR,245.0,245.0,11.16,245.0,122 CPT,86777,HC TOXOPLASMA ANTIBODY,386.0,386.0,8.63,386.0,122 CPT,86778,HC TOXOPLASMA ANTIBODY IGM,405.0,405.0,8.65,405.0,122 CPT,86780,HC TREPONEMA PALLIDUM MICROHEMAGGL,335.0,335.0,7.94,335.0,122 CPT,86784,HC TRICHINELLA ANTIBODY,165.0,165.0,7.54,165.0,122 CPT,86787,HC VARICELLA-ZOSTER ANTIBODY,324.0,324.0,7.73,324.0,122 CPT,86787,HC VARICELLA-ZOSTER IGG CSF,125.0,125.0,7.73,125.0,122 CPT,86787,HC VARICELLA-ZOSTER IGM CSF,117.0,117.0,7.73,117.0,122 CPT,86787,HC VZV IGM,117.0,117.0,7.73,117.0,122 CPT,86789,HC ARBOVIRUS ABS CSF,802.0,802.0,8.63,802.0,122 CPT,86789,HC WEST NILE VIRUS IGG ANTIBODY,138.0,138.0,8.63,138.0,122 CPT,86790,HC CHIKUNGUNYA AB IGG,279.0,279.0,7.73,279.0,119 CPT,86790,HC CHIKUNGUNYA AB IGM,279.0,279.0,7.73,279.0,119 CPT,86790,HC DENGUE FEVER IGG,385.0,385.0,7.73,385.0,119 CPT,86790,HC DENGUE FEVER IGM,385.0,385.0,7.73,385.0,119 CPT,86790,HC HEPATITIS E ANTIBODYIGG,198.0,198.0,7.73,198.0,119 CPT,86790,HC HEPATITIS E ANTIBODYIGM,209.0,209.0,7.73,209.0,119 CPT,86790,HC HERPESVIRUS 6 ABIGG,385.0,385.0,7.73,385.0,119 CPT,86790,HC HTLV I/II,202.0,202.0,7.73,202.0,119 CPT,86790,HC JC VIRUS,2517.0,2517.0,7.73,2517.0,119 CPT,86794,HC ZIKA VIRUS IGM AB CAPTURE (MAC) ELISA,263.0,263.0,10.11,263.0,122 CPT,86800,HC ANTI THYROGLOBIN IGG,830.0,830.0,9.55,830.0,122 CPT,86800,HC ANTI THYROGLOBULIN AB,383.0,383.0,9.55,383.0,122 CPT,86800,HC THYROGLOBULIN ANTIBODY,170.0,170.0,9.55,170.0,122 CPT,86803,HC HEPATITIS C ANTIBODY,381.0,381.0,8.56,381.0,122 CPT,86813,HC HLA COMPATIBLE,2046.0,2046.0,34.8,2046.0,122 CPT,86825,HC HLA AUTO CROSSMATCH,2466.0,2466.0,65.69,2466.0,122 CPT,86825,HC HLA FLOWCYTOMETRY CROSSMATCH,2466.0,2466.0,65.69,2466.0,122 CPT,86831,HC MICA ANTIBODY,348.0,348.0,43.15,348.0,122 CPT,86832,HC HLA LSA1,3473.0,3473.0,102.0,3473.0,122 CPT,86832,HC HLA LSA1C1Q,1201.0,1201.0,102.0,1201.0,122 CPT,86833,HC HLA LSA2,3495.0,3495.0,92.73,3495.0,122 CPT,86849,HC NK CELL FUNCTION,4469.0,4469.0,37.29,4469.0,112 CPT,86849,HC PROTHROMBIN IGG,212.0,212.0,26.29,212.0,112 CPT,86850,HC ANTIBODY SCREEN,215.0,215.0,8.45,215.0,122 CPT,86860,HC RBC ANTIBODY ELUTION,299.0,299.0,8.45,565.16,122 CPT,86870,HC ANTIBODY INTERPRETATIONS,596.0,596.0,8.45,1189.03,124 CPT,86880,HC ANITHUMAN GLOBULIN TESTS DIRECT EACH ANTISERUM,138.0,138.0,5.39,195.68,122 CPT,86880,HC DIRECT COOMBS,138.0,138.0,5.39,195.68,122 CPT,86885,HC ANITHUMAN GLOBULIN TEST INDIRECT EACH ANTISERUM,287.0,287.0,5.72,565.16,122 CPT,86886,HC ANTIBODY TITER INTERP,276.0,276.0,5.18,565.16,122 CPT,86886,HC ANTIHUMAN GLOBULIN TEST INDIRECT EACH ANTIBODY,276.0,276.0,5.18,565.16,122 CPT,86890,HC AUTOLOGUS BLOOD HANDLING,748.0,748.0,44.05,748.0,121 CPT,86900,HC ABO GROUP,175.0,175.0,2.99,441.35,124 CPT,86901,HC GROUP RH,165.0,165.0,2.99,165.0,122 CPT,86901,HC RH TYPE,166.0,166.0,2.99,166.0,122 CPT,86902,HC ANTIGEN TYPING OF UNITS,307.0,307.0,2.82,1189.03,122 CPT,86904,HC AG SCREEN/PT SERUM,362.0,362.0,13.13,362.0,124 CPT,86905,HC BLOOD TYPING RBC ANTIGENS,215.0,215.0,3.28,1189.03,122 CPT,86906,HC RH PHENOTYPE,385.0,385.0,7.75,385.0,122 CPT,86920,HC IMMEDIATE SPIN CROSSMATCH,293.0,293.0,21.0,565.16,124 CPT,86921,HC INCUBATION COMBATIBILITY EACH,302.0,302.0,21.0,565.16,124 CPT,86922,HC ANTIGLOBULIN COMBATIBILITY EACH,448.0,448.0,21.0,565.16,124 CPT,86923,HC ELECTRONIC CROSSMATCH,290.0,290.0,21.0,565.16,124 CPT,86941,HC AGG/HEMOLYSN INC,192.0,192.0,7.27,192.0,122 CPT,86941,HC ANTI-A TITER,192.0,192.0,7.27,192.0,122 CPT,86941,HC ANTI-B TITER,103.0,103.0,7.27,103.0,122 CPT,86941,HC HEMOLYSINS/AGGLUTININS,247.0,247.0,7.27,247.0,122 CPT,86965,HC PLATELET POOLING,419.0,419.0,22.86,565.16,121 CPT,86970,HC PRE-RX RBCS CHEM,411.0,411.0,11.77,411.0,119 CPT,86971,HC PRETREAT W/ENZ,411.0,411.0,11.77,565.16,119 CPT,86972,HC ARC RETIC SEP,331.0,331.0,12.56,565.16,119 CPT,86975,HC INC SERUM/DRUGS,406.0,406.0,18.4,1481.85,119 CPT,86976,HC DILUTION,419.0,419.0,12.56,419.0,119 CPT,86977,HC NEUTRALIZATION,220.0,220.0,27.28,565.16,119 CPT,86978,HC DIFF AUTO ADS,242.0,242.0,18.4,242.0,119 CPT,86985,HC SERUM PROCESSING CHARGE,868.0,868.0,13.17,868.0,121 CPT,87015,HC PARASITOLOGY STAIN,74.0,74.0,4.01,74.0,122 CPT,87015,HC SPECIMEN CONCENTRATION,228.0,228.0,4.01,228.0,122 CPT,87040,HC BLOOD CULTURE,555.0,555.0,6.19,555.0,122 CPT,87045,HC STOOL CULTURE,374.0,374.0,5.66,374.0,122 CPT,87046,HC STOOL ADD L PATHOGEN,315.0,315.0,2.61,315.0,122 CPT,87070,HC BACTERIAL CULTURE,403.0,403.0,5.17,403.0,122 CPT,87070,HC ENVIRONMENTAL CULTURE,448.0,448.0,5.17,448.0,122 CPT,87070,HC RESPIRATORY CULTURE,231.0,231.0,5.17,231.0,122 CPT,87071,HC CULTURE QUANT AEROBIC PRESUMPTIVE,392.0,392.0,5.22,392.0,122 CPT,87073,HC CULTURE QUANT ANAEROBIC PRESUMPTIVE,503.0,503.0,5.22,503.0,122 CPT,87075,HC ANAEROBIC CULTURE,511.0,511.0,5.68,511.0,122 CPT,87076,HC CULTURE ANAEROBE ID EACH,287.0,287.0,4.85,287.0,122 CPT,87077,HC CULTURE AEROBIC ISOLATE IDENTIFICATION,331.0,331.0,4.85,331.0,122 CPT,87081,HC SCREENING CULTURE,242.0,242.0,3.98,242.0,122 CPT,87081,HC STREP SCREEN,242.0,242.0,3.98,242.0,122 CPT,87086,HC URINE CULTURE T/F,284.0,284.0,4.84,284.0,122 CPT,87088,HC URINE CULT I.D.,231.0,231.0,4.85,231.0,122 CPT,87101,HC FUNGUS CULTURE HAIRNAILSKIN,334.0,334.0,4.63,334.0,122 CPT,87102,HC FUNGAL CULTURE,432.0,432.0,5.05,432.0,122 CPT,87103,HC FUNGUS CULTURE BLOOD,411.0,411.0,12.28,411.0,122 CPT,87106,HC YEAST DEFINITIVE ID,302.0,302.0,6.19,302.0,122 CPT,87107,HC MOLD DEFINITIVE ID,276.0,276.0,6.19,276.0,122 CPT,87109,HC MYCOPLASMA CULTURE,460.0,460.0,9.23,460.0,122 CPT,87110,HC CHLAMYDIA CULTURE,493.0,493.0,11.76,493.0,122 CPT,87116,HC ACID FAST CULTURE (AFB),469.0,469.0,6.48,469.0,122 CPT,87118,HC AFB IDENTIFICATION,352.0,352.0,8.77,352.0,122 CPT,87147,HC IMMUNO TYPINGNON IFPER ANTIS,215.0,215.0,3.0,215.0,122 CPT,87150,HC DNA/RNA AMPLIFIED PROBE,351.0,351.0,21.05,351.0,122 CPT,87153,HC DNA/RNA SEQUENCING,1034.0,1034.0,69.22,1034.0,122 CPT,87169,HC MACROSCOPIC EXAM PARASITE,390.0,390.0,2.59,390.0,119 CPT,87172,HC PINWORM EXAM,132.0,132.0,2.56,132.0,119 CPT,87176,HC TISSUE GRINGING HOMOGENIZATION,186.0,186.0,3.53,186.0,122 CPT,87177,HC OVA AND PARASITES EXAMINATION,307.0,307.0,5.34,307.0,122 CPT,87181,HC ANTIMICROBIAL SUSCPT SNGL DRUG,242.0,242.0,2.85,242.0,122 CPT,87184,HC BACTERIAL SUSCEPTIBILITY- DISK METHOD,226.0,226.0,4.49,226.0,122 CPT,87185,HC ENZYME DETECTION,132.0,132.0,2.85,132.0,122 CPT,87186,HC BETA LACTAMASE,315.0,315.0,5.19,315.0,122 CPT,87186,HC MIN.INHIB CONG - MIC,315.0,315.0,5.19,315.0,122 CPT,87188,HC FUNGAL SUSCEPTIBILITY,227.0,227.0,3.98,227.0,122 CPT,87188,HC MACRO DILUTION AFB,390.0,390.0,3.98,390.0,122 CPT,87205,HC GRAM STAIN,177.0,177.0,2.56,177.0,122 CPT,87206,HC ACANTHAMOEBAE STAIN,242.0,242.0,3.0,242.0,122 CPT,87206,HC FLUORESCENT/ ACID FAST SMEAR,242.0,242.0,3.0,242.0,122 CPT,87207,HC BLOOD PARASITES SMEAR,251.0,251.0,3.59,251.0,122 CPT,87209,HC SMEAR COMPLEX STAIN,578.0,578.0,10.67,578.0,122 CPT,87210,HC MAPS SMEARWET MOUNT SALINE/IN,30.0,30.0,3.49,30.0,122 CPT,87210,HC WET PREP - TRICH/YEAST,108.0,108.0,3.49,108.0,122 CPT,87220,HC KOH PREP - TISSUE FUNGI,248.0,248.0,2.56,248.0,122 CPT,87220,HC MAPS TISSUE EXAM FOR FUNGI (KOH SLIDE),41.0,41.0,2.56,41.0,122 CPT,87230,HC C. DIFFICILE TOXIN,460.0,460.0,11.84,460.0,122 CPT,87252,HC VIRAL CULT (EXC HERP/CMV),1081.0,1081.0,15.64,1081.0,122 CPT,87301,HC ADENOVIRUS AG EIA,315.0,315.0,7.19,315.0,119 CPT,87305,HC ASPERGILLUS AG,132.0,132.0,7.19,132.0,122 CPT,87324,HC C-DIFF TOXIN,126.0,126.0,7.19,126.0,119 CPT,87328,HC CRYPTOSPORIDIUM AG,335.0,335.0,8.29,335.0,119 CPT,87329,HC GIARDIA AG EIA,335.0,335.0,7.19,335.0,122 CPT,87332,HC CMV PROCESSING FEE,492.0,492.0,7.19,492.0,119 CPT,87337,HC E HISTOYTICA AG,404.0,404.0,7.19,404.0,122 CPT,87338,HC H. PYLORI ANTIGEN,460.0,460.0,8.63,460.0,119 CPT,87341,HC HBSAG CONFIRMATION,231.0,231.0,6.2,231.0,122 CPT,87350,HC HEPATITIS BE AG,281.0,281.0,6.92,281.0,122 CPT,87385,HC HISTOPLASMA CAPSUL AG,292.0,292.0,7.95,292.0,119 CPT,87389,HC 4TH GENERATION HIV,137.0,137.0,14.45,137.0,122 CPT,87425,HC ROTAVIRUS AG,386.0,386.0,7.19,386.0,119 CPT,87449,HC (13)BETA-D-GLUCAN,560.0,560.0,7.19,560.0,119 CPT,87449,HC BLASTOMYCES ANTIGEN EIA,126.0,126.0,7.19,126.0,119 CPT,87449,HC INF AG ANTIG DETECT BY EIAEA,126.0,126.0,7.19,126.0,119 CPT,87449,HC LEGIONELLA URINE ANTIGEN,365.0,365.0,7.19,365.0,119 CPT,87449,HC STREP PNEUMONIAE ANTIGEN,613.0,613.0,7.19,613.0,119 CPT,87467,HC HEPATITIS B SURFACE AG,262.0,262.0,6.83,262.0,122 CPT,87468,HC ANAPLSMA PHGCYTOPHLM AMP PRB,670.0,670.0,15.94,670.0,122 CPT,87469,HC B.MICROTI ABIGG,136.0,136.0,15.94,136.0,122 CPT,87469,HC B.MICROTI ABIGM,136.0,136.0,15.94,136.0,122 CPT,87469,HC BABESIA SPECIES BY PCR,609.0,609.0,15.94,609.0,122 CPT,87471,HC BARTONELLA SPECIES PCR,345.0,345.0,21.05,345.0,122 CPT,87476,HC B.BURGDORFERI,863.0,863.0,21.05,863.0,122 CPT,87478,HC BORRELIA MIYAMOTOI DETECTION PCR,1109.0,1109.0,15.94,1109.0,122 CPT,87481,HC CANDIDA SPECIES (OTHER) BY TMA,193.0,193.0,21.05,193.0,122 CPT,87483,HC CNS DNA AMP PROBE TYPE 12-25,2837.0,2837.0,250.07,2837.0,119 CPT,87484,HC E.CHAFFEENSIS DNA PCR,48.0,48.0,5.95,111.29,122 CPT,87486,HC CHYLMD PNEUM DNA AMP PROBE,533.0,533.0,21.05,533.0,122 CPT,87491,HC CHYLMD TRACH DNA AMP PROBE,863.0,863.0,21.05,863.0,122 CPT,87493,HC C.DIFFICILE TOXIN BY AMPL PROB,98.0,98.0,12.15,118.2,122 CPT,87496,HC CYTOMEGALOVIRUS BY PCR,848.0,848.0,21.05,848.0,122 CPT,87497,HC CMV QUANTITATION,666.0,666.0,25.7,666.0,122 CPT,87498,HC ENTEROVIRUSAMPLIFIED PROBE,867.0,867.0,21.05,867.0,122 CPT,87502,HC INFLUENZA DNA AMP PROBE,760.0,760.0,31.45,760.0,122 CPT,87506,HC IADNA-DNA/RNA PROBE TQ 6-11,1894.0,1894.0,115.34,1894.0,119 CPT,87512,HC GARDNER VAG DNA QUANT,423.0,423.0,25.06,423.0,119 CPT,87517,HC HEPATITIS B DNA QUANT,823.0,823.0,25.7,823.0,124 CPT,87522,HC HEPC VIRUS QUANTIFICATION,823.0,823.0,25.7,823.0,124 CPT,87529,HC HSV DNA AMP PROBE,691.0,691.0,21.05,830.0,242 CPT,87533,HC HHV-6 DNA QUANT,973.0,973.0,25.06,973.0,121 CPT,87535,HC HIV-1 PROBE REVERSE TRNSCRPJ,1005.0,1005.0,21.05,1005.0,121 CPT,87536,HC HIV 1 QUANTIFICATION,823.0,823.0,51.06,823.0,124 CPT,87536,HC HIV-1 VIRAL LOAD,1207.0,1207.0,51.06,1207.0,124 CPT,87539,HC HIV 2 VIRAL LOAD,992.0,992.0,35.17,992.0,119 CPT,87541,HC LEGION PNEUMO DNA AMP PROB,315.0,315.0,21.05,315.0,119 CPT,87555,HC M.TUBERCULO DNA DIR PROBE,528.0,528.0,16.13,528.0,119 CPT,87560,HC M.AVIUM-INTRA DNA DIR PROB,393.0,393.0,16.37,393.0,119 CPT,87563,HC M. GENITALIUM AMP PROBE,497.0,497.0,15.39,497.0,122 CPT,87564,HC M.TUBERCULO DNA AMP PROBE,774.0,774.0,34.86,774.0,119 CPT,87581,HC M.PNEUMON DNA AMP PROBE,501.0,501.0,21.05,501.0,119 CPT,87591,HC N.GONORRHOEAE DNA AMP PROB,863.0,863.0,21.05,863.0,122 CPT,87593,HC ORTHOPOXVIRUS DETECTION BY NUCLEIC ACID BY AMP,188.0,188.0,22.75,188.0,122 CPT,87594,HC PNEUMOCYSTIS JIROVECII DFA,126.0,126.0,15.62,126.0,119 CPT,87625,HC HPV GENOTYPES 16 18/45 ANAL-RECTAL,286.0,286.0,24.33,286.0,122 CPT,87626,HC HPV HIGH-RISK,580.0,580.0,31.88,580.0,119 CPT,87626,HC HUMAN PAPILLOMAVIRUS DNA PROBE,580.0,580.0,31.88,580.0,119 CPT,87631,HC RESP VIRUS 3-5 TARGETS,1140.0,1140.0,84.73,1140.0,122 CPT,87632,HC RESP VIRUS 6-11 TARGETS,2112.0,2112.0,130.84,2112.0,122 CPT,87633,HC RESP VIRUS 12-25 TARGETS,4414.0,4414.0,250.07,4414.0,122 CPT,87635,HC SARS-COV-2 COVID-19 AMP PRB,245.0,245.0,23.36,245.0,122 CPT,87636,HC SARSCOV2 INF A B AMP PRB,1217.0,1217.0,23.36,1217.0,121 CPT,87637,HC SARSCOV2 INF A B RSV AMP PRB,1824.0,1824.0,23.36,1824.0,121 CPT,87641,HC AMPLIFIED PROBEMRSA,542.0,542.0,21.05,542.0,122 CPT,87653,HC STREP B DNA AMP PROBE,350.0,350.0,21.05,350.0,122 CPT,87661,HC TRICHOMONAS VAGINALIS AMPLIF,331.0,331.0,21.05,331.0,122 CPT,87662,HC ZIKA VIRUS BY PCR BLOOD,472.0,472.0,30.79,472.0,122 CPT,87662,HC ZIKA VIRUS BY PCR URINE,472.0,472.0,30.79,472.0,122 CPT,87798,HC 14-3-3 PROTEIN REFLEXED CSF,315.0,315.0,21.05,315.0,122 CPT,87798,HC ADENOVIRUS DNA QUAL,891.0,891.0,21.05,891.0,122 CPT,87798,HC BABESIA MICROTI BY PCR,1181.0,1181.0,21.05,1181.0,122 CPT,87798,HC COXIELLA BURNETTI DNA QUAL,838.0,838.0,21.05,838.0,122 CPT,87798,HC DONOR WEST NILE VIRUS NAT,743.0,743.0,21.05,743.0,122 CPT,87798,HC ENTEROVIRUS PCR NEONATE,344.0,344.0,21.05,344.0,122 CPT,87798,HC HEPATITIS D VIRUS RNA QUAL,1128.0,1128.0,21.05,1128.0,122 CPT,87798,HC HERPESVIRUS8 DNA QUAL TO QUANT,386.0,386.0,21.05,386.0,122 CPT,87798,HC INFEC AGENT BY AMP PROBE,900.0,900.0,21.05,900.0,122 CPT,87798,HC PNEUMOCYSTIS JIROVECII BY PCR,488.0,488.0,21.05,488.0,122 CPT,87798,HC TOXOPLASMAPCR,614.0,614.0,21.05,614.0,122 CPT,87798,HC TROPHERYMA WHIPPLEI BY PCR,1361.0,1361.0,21.05,1361.0,122 CPT,87798,HC UREAPLASMA,984.0,984.0,21.05,984.0,122 CPT,87798,HC UREAPLASMA UREALYTICUM PCR,1199.0,1199.0,21.05,1199.0,122 CPT,87798,HC VIRAL DETECTION BY PCR,900.0,900.0,21.05,900.0,122 CPT,87799,HC ADENOVIRUS DNAQNT,1256.0,1256.0,25.7,1256.0,119 CPT,87799,HC BK VIRUS DETECTION URINE,563.0,563.0,25.7,563.0,119 CPT,87799,HC DETECT AGENT NOS DNA QUANT,362.0,362.0,25.7,362.0,119 CPT,87799,HC EBV QUANTIFICATION,634.0,634.0,25.7,634.0,119 CPT,87799,HC EPSTEIN BARR VIRUS BY QUANT NAAT PLASMA,251.0,251.0,25.7,251.0,119 CPT,87799,HC HDV QUANTITATIVE PCR,549.0,549.0,25.7,549.0,119 CPT,87799,HC INF AG BY NUCLECI ACIDQUANT,206.0,206.0,25.54,206.0,119 CPT,87799,HC PARVOVIRUS B19 BY QUANTITATIVE PCR,385.0,385.0,25.7,385.0,119 CPT,87799,HC SURESWABBACTERIAL VAGINOSIS,433.0,433.0,25.7,433.0,119 CPT,87801,HC BROAD RANGE BACTERIA PCR AND SEQUENCING,887.0,887.0,38.8,887.0,122 CPT,87801,HC INF AGENT BY AMPLIF PROBE(S),830.0,830.0,38.8,830.0,122 CPT,87899,HC INF AGENT NOS ASSAY W/OPTIC,130.0,130.0,9.64,130.0,119 CPT,87900,HC HIV GENOSURE MG,1245.0,1245.0,78.21,1245.0,122 CPT,87900,HC HIV-1 DRUG RESISTANCE,1077.0,1077.0,78.21,1077.0,122 CPT,87900,HC HIV-1 DRUG RESISTANCE BY NGS-PHENOTYPE,325.0,325.0,40.3,413.41,122 CPT,87900,HC HIVGENO PHENOTYPE,447.0,447.0,55.43,447.0,122 CPT,87900,HC PHENOTYPE NS3/4A,730.0,730.0,78.21,730.0,122 CPT,87901,HC EER HIV GENOSURE MG,1245.0,1245.0,154.38,1245.0,122 CPT,87901,HC EER HIV-1 REVERSE,1077.0,1077.0,133.55,1077.0,122 CPT,87901,HC HIV GENOTYPE,4529.0,4529.0,154.47,4529.0,122 CPT,87901,HC HIV-1 DRUG RESISTANCE BY NGS -GENOTYPE,325.0,325.0,40.3,816.5,122 CPT,87902,HC HCV NS3/4A DRUG RESIST ASSAY,1560.0,1560.0,154.47,1560.0,119 CPT,87902,HC HEP C GENOTYPE,2083.0,2083.0,154.47,2083.0,119 CPT,87903,HC HIV DRUG RESIST ASSAY,2484.0,2484.0,293.2,2484.0,122 CPT,87904,HC HIV PHENOSENSE,1771.0,1771.0,15.64,1771.0,122 CPT,87906,HC EER HIV-1 DNA/RNA,1077.0,1077.0,77.24,1077.0,122 CPT,87906,HC EER HIV-1 DRUG RESISTANCE BY NGS,325.0,325.0,40.3,408.27,122 CPT,87906,HC HIV-1 INT INHIB RSTNC BY SEQ,1952.0,1952.0,77.24,1952.0,122 CPT,87910,HC CMV ANTIVIRAL RESISTANCE,2366.0,2366.0,154.47,2366.0,122 CPT,87912,HC HEPATITIS B VIRUS GENOTYPING,2510.0,2510.0,154.47,2510.0,122 CPT,87999,HC EXPLIFY RESPIRATORY RNA PATHOGEN DETECTION,1144.0,1144.0,37.29,1144.0,112 CPT,88104,HC BRUSH CYTOLOGY T/F,472.0,472.0,6.5,472.0,124 CPT,88106,HC CYTOSPIN T/F,530.0,530.0,2.5,530.0,122 CPT,88108,HC CYTOPATH CONCENTRATE TECH,469.0,469.0,4.0,469.0,122 CPT,88112,HC CYTO NON-GYN CELL ENHANCEMENT,572.0,572.0,36.89,572.0,124 CPT,88120,HC FISHURINEEACH SPECIMEN,588.0,588.0,63.57,1284.23,124 CPT,88121,HC UROVYSION FISH,993.0,993.0,63.57,993.0,124 CPT,88141,HC GYN PROFESSIONAL COM,262.0,262.0,6.53,262.0,115 CPT,88142,HC LIQUID BASE PAP(S) DX,572.0,572.0,12.16,572.0,124 CPT,88160,HC MISCELLANEOUS CYTO SMEAR T/F,333.0,333.0,2.5,333.0,124 CPT,88161,HC CYTO OTHER SOURCE PREP SCRE,412.0,412.0,8.8,412.0,124 CPT,88164,HC PAP SMEAR,107.0,107.0,7.15,107.0,122 CPT,88172,HC NEEDLE ASPIRATION EVAL,596.0,596.0,22.7,596.0,121 CPT,88173,HC FINE NEEDLE ASPIRATION BX,671.0,671.0,19.76,671.0,121 CPT,88175,HC AUTOMATED PAP SCREEN,330.0,330.0,15.97,330.0,124 CPT,88177,HC FNAADDITIONALSAME SITE,571.0,571.0,9.86,571.0,112 CPT,88182,HC DNA ANALYSIS BY FLOW CYTOMETRY,1361.0,1361.0,6.87,1361.0,124 CPT,88182,HC TELOMERE LENGTH,1372.0,1372.0,6.87,1372.0,124 CPT,88184,HC ALL MRD FLOW INITIAL,633.0,633.0,37.14,1189.03,124 CPT,88184,HC BLOOD FETAL HGB,679.0,679.0,37.14,1189.03,124 CPT,88184,HC CLL MRD FLOW INITIAL,633.0,633.0,37.14,1189.03,124 CPT,88184,HC F C - FIRST MARKER,679.0,679.0,37.14,1189.03,124 CPT,88184,HC MINIMAL RESIDUAL DISEASE (MRD),543.0,543.0,37.14,1189.03,124 CPT,88184,HC MLL MRD FLOW INITIAL,1265.0,1265.0,37.14,1265.0,124 CPT,88185,HC ALL MRD FLOW ADD L,204.0,204.0,18.26,204.0,115 CPT,88185,HC CLL MRD FLOW ADD L,204.0,204.0,18.26,204.0,115 CPT,88185,HC FLOW CYTOMETRY ADD MARKER,340.0,340.0,18.26,340.0,115 CPT,88185,HC IMMUNOPHEN QNTY,339.0,339.0,18.26,339.0,115 CPT,88185,HC MLL MRD FLOW ADD L,407.0,407.0,18.26,407.0,115 CPT,88188,HC MIN RES READ 2,571.0,571.0,63.82,571.0,110 CPT,88230,HC B CHROMO ANA PB-TISS CUL,399.0,399.0,49.48,399.0,124 CPT,88230,HC TISSUE CULT NON-NEO LYMPH,1153.0,1153.0,69.89,1153.0,124 CPT,88233,HC KARYOTYPE TISSUE,1300.0,1300.0,84.44,1300.0,124 CPT,88233,HC TISSUE CULTURE SKIN/BIOPSY,1088.0,1088.0,84.44,1088.0,124 CPT,88235,HC MAPS TISSUE CULTR-CHROM ANL AMNT,350.0,350.0,43.4,476.68,124 CPT,88237,HC TISS CULTURE NEOPLASTIC BM/B,1625.0,1625.0,86.25,1625.0,124 CPT,88249,HC CHROMOSOME ANALYSIS 100,888.0,888.0,103.9,888.0,124 CPT,88249,HC CHROMOSOME BRKG ANLYS-FANCONI,3194.0,3194.0,103.9,3194.0,124 CPT,88262,HC CHRMSM COUNT 15-20 CLL 2KARYOTYP BANDING,3900.0,3900.0,75.29,3900.0,124 CPT,88262,HC CHROMOSOME ANALYSIS 15-20,1278.0,1278.0,75.29,1278.0,124 CPT,88264,HC CHROMOSOME ANALYSIS 20-25,1278.0,1278.0,86.77,1278.0,124 CPT,88267,HC CHROM ANALYSIS AMNIO 15-20,7362.0,7362.0,113.14,7362.0,124 CPT,88269,HC CHROMOSOME ANALYSIS AMNIOTIC FLUID,748.0,748.0,92.75,748.0,124 CPT,88271,HC B CHROMO ANA FISH-DNA PROBE,849.0,849.0,12.85,849.0,121 CPT,88271,HC B MULT MYELO FISH -- DNA PROBE,849.0,849.0,12.85,849.0,121 CPT,88271,HC CHROMOSOME FISH INTERPHASE,131.0,131.0,12.85,131.0,121 CPT,88271,HC MAPS MOLECLR CYTOGENTC DNA PROBE,100.0,100.0,12.4,100.0,121 CPT,88275,HC B CHROMO ANA FISH-IN SITU HYBR,974.0,974.0,30.71,974.0,121 CPT,88275,HC CHROMO.INTERPHASE,426.0,426.0,30.71,426.0,121 CPT,88291,HC CHROMO ANALY BONE MARROW,215.0,215.0,26.66,215.0,107 CPT,88291,HC EER CHR.INTERP,180.0,180.0,22.32,180.0,107 CPT,88291,HC MULTIPLE MYELOMA FISH,215.0,215.0,26.66,215.0,107 CPT,88299,HC CYTOGENIC STUDY BASIC,840.0,840.0,53.51,840.0,121 CPT,88299,HC CYTOGENIC STUDY EXTENSIVE,1533.0,1533.0,53.51,1533.0,121 CPT,88300,HC GROSS ANALYSIS LEVEL I,265.0,265.0,1.5,265.0,124 CPT,88302,HC SURG PATH LEVEL II,412.0,412.0,5.0,412.0,124 CPT,88304,HC MAPS LEVEL III-SURGICAL PATHOLOG,59.0,59.0,6.5,172.85,124 CPT,88304,HC SURG PATH LEVEL III,541.0,541.0,6.5,541.0,124 CPT,88305,HC CYTO CELL BLOCK,1057.0,1057.0,9.0,1057.0,122 CPT,88305,HC MAPS LEVL IV-SURG PATH GROSS MIC,228.0,228.0,9.0,228.0,122 CPT,88305,HC PROSTATE NEEDLE BIOPSY,1057.0,1057.0,9.0,1057.0,122 CPT,88305,HC SURG PATH LEVEL IV,1057.0,1057.0,9.0,1057.0,122 CPT,88307,HC SURG PATH LEVEL V T/F,1836.0,1836.0,11.5,1836.0,122 CPT,88309,HC SURG PATH LEVEL VI,3198.0,3198.0,17.5,3198.0,124 CPT,88311,HC DECALCIFICATION OF BONE,716.0,716.0,6.19,716.0,115 CPT,88311,HC MAPS DECALCIFICATION PROCEDURE,27.0,27.0,3.35,42.34,115 CPT,88312,HC GROUP I STAIN,1101.0,1101.0,51.83,1101.0,124 CPT,88312,HC MAPS SPECIAL STAIN INTRP/REP GRP,149.0,149.0,18.48,232.1,124 CPT,88313,HC GROUP II STAIN,1101.0,1101.0,41.2,1101.0,124 CPT,88313,HC MAPS SPECIAL STAIN INTRP/REP GR,74.0,74.0,9.18,441.35,124 CPT,88314,HC HISTOSTAIN WITH FROZEN SECT,710.0,710.0,8.59,710.0,115 CPT,88319,HC LEUKOCYTE CYTOCHEMISTRIES,599.0,599.0,7.41,2672.59,124 CPT,88319,HC MYELOPEROXIDASE STAIN,1103.0,1103.0,7.41,2672.59,124 CPT,88321,HC OUTSIDE SLIDE CONSULT-CYTOLOGY,710.0,710.0,39.07,710.0,121 CPT,88323,HC OUTSIDE CONSULT T/F,885.0,885.0,10.36,885.0,124 CPT,88325,HC COMPREHENSIVE REVIEW CONSULTATION,1057.0,1057.0,68.11,1057.0,121 CPT,88325,HC MAPS COMPREHENSIVE REVIEW OF DATA,176.0,176.0,21.82,565.16,121 CPT,88329,HC INTRA OP CONSULT,599.0,599.0,29.77,599.0,124 CPT,88331,HC FROZEN/SECTION,1235.0,1235.0,7.5,1235.0,124 CPT,88332,HC FROZEN SECTION ADDITIONAL,515.0,515.0,9.97,515.0,112 CPT,88333,HC TOUCH PREPINITIAL,231.0,231.0,16.01,2672.59,119 CPT,88334,HC TOUCH PREPEACH ADDITIONAL,119.0,119.0,12.52,119.0,107 CPT,88341,HC IMMUNOPEROXIDASE STAINEA ADDL,1306.0,1306.0,34.03,1306.0,115 CPT,88342,HC IMMUNOHISTO ANTIBODY STAIN,317.0,317.0,39.31,565.16,124 CPT,88342,HC IMMUNOPEROXIDASE STAIN,656.0,656.0,40.14,656.0,124 CPT,88344,HC IHC MULTIPLEX,2088.0,2088.0,57.15,2088.0,124 CPT,88344,HC IMMUNOHISTO ANTIBODY SLIDE,1266.0,1266.0,57.15,1266.0,124 CPT,88344,HC MAPS IMMUNHST ANTIBD SLDEA MULT,306.0,306.0,37.94,1189.03,124 CPT,88346,HC IMMUNOFLUORESCENT STAIN,936.0,936.0,15.3,936.0,124 CPT,88346,HC IMMUNOFLUORINDIRECT EA ANTIB,1306.0,1306.0,15.3,1306.0,124 CPT,88346,HC PARANEOPLASTIC PEMPHIGUS AB SCREEN,1404.0,1404.0,15.3,1404.0,124 CPT,88346,HC PEMPHI CELL SURFACE,572.0,572.0,15.3,572.0,124 CPT,88348,HC ELECTRON MICROSCOPY,3615.0,3615.0,17.5,3615.0,124 CPT,88350,HC IF ANTIBODY STAIN EA ADDL,1306.0,1306.0,12.03,1306.0,115 CPT,88360,HC ERBB2 (HER2) IHC,173.0,173.0,21.45,565.16,124 CPT,88360,HC ERBB2 (HER2/NEU),396.0,396.0,42.12,565.16,124 CPT,88360,HC ROS1 IHC,313.0,313.0,38.81,565.16,124 CPT,88360,HC TUMR IHC AB,797.0,797.0,42.12,797.0,124 CPT,88362,HC NERVE TEASING PREPARATIONS,1459.0,1459.0,39.42,2672.59,124 CPT,88363,HC EXAM/SELECT RETRIEVED ARCHIVAL,179.0,179.0,7.9,179.0,124 CPT,88364,HC FISH EA ADDL SNGLE PRBE STAIN,1500.0,1500.0,52.09,1500.0,115 CPT,88365,HC INSITU HYBRIDIZATION (FISH),1232.0,1232.0,11.54,1232.0,122 CPT,88366,HC ALK GENE REARRANGEMENTS BY FISH LUNG,1312.0,1312.0,64.32,1312.0,124 CPT,88366,HC DDIT3 (CHOP) (12Q13) FISH (ARUP),1046.0,1046.0,64.32,1046.0,124 CPT,88366,HC EWSR1 (22Q12) FISH,951.0,951.0,64.32,951.0,124 CPT,88366,HC FOXO1 (FKHR) (13Q14) FISH,927.0,927.0,64.32,927.0,124 CPT,88366,HC FUS (16P11) FISH,1095.0,1095.0,64.32,1095.0,124 CPT,88366,HC ISH MULTIPLEX STAIN,2457.0,2457.0,64.32,2457.0,124 CPT,88366,HC PANCREATOBILIARY FISH,1201.0,1201.0,64.32,1201.0,124 CPT,88366,HC ROS1 FISH,1474.0,1474.0,64.32,1474.0,124 CPT,88367,HC 1P19Q,1561.0,1561.0,42.12,1561.0,124 CPT,88367,HC HER 2/NEU SERUM,502.0,502.0,42.12,1189.03,124 CPT,88367,HC IGH-BCL2 T(14 18) BY FISH,1356.0,1356.0,42.12,1356.0,124 CPT,88367,HC ROS1 FISH,3536.0,3536.0,42.12,3536.0,124 CPT,88368,HC ISH PRB MAN INITIAL SNGLE,869.0,869.0,42.12,1189.03,124 CPT,88369,HC ISH MAN EACH ADDL STAIN,1399.0,1399.0,36.15,1399.0,115 CPT,88374,HC M/PHMTRC ALYS ISHMULTIPLEX,595.0,595.0,73.78,674.68,124 CPT,88377,HC 1P 19Q FISH,1342.0,1342.0,110.29,1342.0,124 CPT,88377,HC ISH MULTIPLEX PRB MANUAL,3121.0,3121.0,110.29,3121.0,124 CPT,88377,HC MDM2 FISH,1207.0,1207.0,110.29,1207.0,124 CPT,88381,HC MANUAL MICRODISSECTION,435.0,435.0,53.94,435.32,110 CPT,89050,HC BODY FLUID CELL COUNT,263.0,263.0,2.83,263.0,122 CPT,89050,HC URINE EOSINOPHILS,779.0,779.0,2.83,779.0,122 CPT,89051,HC BODY FLUID CELL COUNT WITH DIF,348.0,348.0,3.36,348.0,122 CPT,89060,HC BODY FLUID CRYSTAL ANALYSIS,231.0,231.0,4.4,231.0,122 CPT,89190,HC MANUAL EOS COUNT,186.0,186.0,3.47,186.0,122 CPT,89250,HC MAPS CULTUR-OOCYTE/EMBRYO> 4 DAY,3000.0,3000.0,47.06,3000.0,121 CPT,89320,HC MAPS SEMEN ANALYSIS COMPLETE,269.0,269.0,7.39,269.0,121 CPT,89352,HC MAPS THAWING-CRYOPRESERVD EMBRYO,194.0,194.0,20.84,565.16,119 CPT,89353,HC MAPS THAWING CRYOPRESRVED SPERM,158.0,158.0,19.59,172.85,119 CPT,90283,PHOTOPHERESIS,516.0,516.0,10.0,516.0,115 CPT,90371,HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5ML IM SOSY,319.0,319.0,10.0,414.64,122 CPT,90371,HEPATITIS B IMMUNE GLOBULIN 220 UNIT/ML IM SOLN,1741.0,1741.0,10.0,2881.0,366 CPT,90371,HEPATITIS B IMMUNE GLOBULIN 312 UNIT/ML IM SOLN WR,1616.0,1616.0,10.0,2631.0,488 CPT,90375,RABIES IMMUNE GLOBULIN 1500 UNIT/5ML INJECTION SOL,12158.5,12158.5,10.0,12249.0,244 CPT,90375,RABIES IMMUNE GLOBULIN 300 UNIT/ML INJECTION SOLN,2432.0,2432.0,10.0,2450.0,244 CPT,90375,RABIES IMMUNE GLOBULIN 900 UNIT/3ML INJECTION SOLN,7350.0,7350.0,10.0,7350.0,122 CPT,90376,RABIES IMMUNE GLOBULIN 300 UNIT/2ML INJECTION SOLN,3259.0,3259.0,10.0,3259.0,122 CPT,90377,RABIES IMMUNE GLOBULIN 1500 UNIT/10ML INJECTION SO,12252.0,12252.0,237.1,12252.0,119 CPT,90377,RABIES IMMUNE GLOBULIN 300 UNIT/2ML INJECTION SOLN,2685.0,2685.0,237.1,2685.0,119 CPT,90380,NIRSEVIMABALIP 50 MG/0.5ML IM SOSY,1872.0,1872.0,10.0,1872.0,228 CPT,90384,HC MAPS RH IGHUMANFULL-DOSE IM,145.0,145.0,10.0,145.0,114 CPT,90384,HC RHOGAM ADMINISTRATION,516.0,516.0,10.0,1868.94,115 CPT,90385,HC MAPS RH IG MINIDOSE IM,95.0,95.0,10.0,240.67,122 CPT,90396,VARICELLAZOSTER IMMUNE GLOB 125 UNIT/1.2ML IM SOLN,8211.0,8211.0,10.0,8211.0,244 CPT,90471,HC MAPS VACCINE INITIAL,60.0,60.0,10.14,238.85,114 CPT,90471,HC VACCINE INITIAL,310.0,310.0,20.87,310.0,114 CPT,90472,HC MAPS IMMUNIZATION ADMIN EACH ADD,20.0,20.0,2.7,20.0,105 CPT,90472,HC VACCINE EA ADDTL,48.0,48.0,6.48,48.0,105 CPT,90620,MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY,806.0,806.0,10.0,806.0,228 CPT,90632,HEPATITIS A VACCINE 1440 EL U/ML IM SUSP,298.0,298.0,10.0,298.0,230 CPT,90632,HEPATITIS A VACCINE 50 UNIT/ML IM SUSP,284.0,284.0,10.0,284.0,230 CPT,90647,HAEMOPHILUS B POLYSAC CONJ VAC 7.5 MCG/0.5 ML IM S,107.0,107.0,10.0,107.0,228 CPT,90647,HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR,47.0,47.0,6.35,47.0,228 CPT,90647,HC HIB VACCINE PRP-OMP IM,171.0,171.0,10.0,171.0,114 CPT,90648,HAEMOPHILUS B POLYSAC CONJ VAC 10 MCG INJECTION SO,457.0,457.0,10.0,457.0,114 CPT,90649,HC MAPS 4VHPV VACCINE 3 DOSE IM,490.0,490.0,10.0,490.0,114 CPT,90651,HC MAPS 9VHPV VACCINE 3 DOSE IM,823.0,823.0,10.0,823.0,106 CPT,90651,HPV 9VALENT RECOMB VACCINE IM SUSP,1035.0,1035.0,10.0,1035.0,114 CPT,90651,HPV 9VALENT RECOMB VACCINE IM SUSY,1035.0,1035.0,10.0,1035.0,228 CPT,90656,HC MAPS FLU VIR VAC SPLIT PR 3YR IM,40.0,40.0,6.76,44.4,124 CPT,90656,INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY,72.5,72.5,10.0,82.14,496 CPT,90658,HC MAPS FLU VIRUS VACSPLIT <3 YRS.,49.0,49.0,8.28,54.39,124 CPT,90662,HC FLU VACC PRSV FREE INC ANTIG,70.0,70.0,10.0,107.98,124 CPT,90662,HC MAPS FLU VIRS VACENHNCD IMMUNGN,210.0,210.0,10.0,233.11,124 CPT,90662,INFLUENZA VAC HIGHDOSE QUAD 0.7 ML IM SUSY,212.5,212.5,10.0,257.53,248 CPT,90662,INFLUENZA VAC SPLIT HIGHDOSE (FLUZONE HIGH DOSE) 0,264.0,264.0,10.0,293.05,248 CPT,90670,HC MAPS PNEUMOCOCCAL VACC 13 VAL IM,775.0,775.0,10.0,860.27,123 CPT,90670,PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML INJECTION,422.0,422.0,10.0,468.43,246 CPT,90673,INFLUENZA VAC RECOMB HA (PF) 0.5 ML IM SOSY,264.0,264.0,10.0,293.05,248 CPT,90675,HC RABIES SHOT (IM),328.0,328.0,10.0,961.93,122 CPT,90675,RABIES VACCINE PCEC IM SUSR,1365.0,1365.0,10.0,1491.0,366 CPT,90677,PNEUMOCOCCAL 20VAL CONJ VACC 0.5 ML IM SUSY,956.5,956.5,10.0,1077.83,372 CPT,90680,ROTAVIRUS VAC LIVE PENTAVALENT PO SOLN,346.0,346.0,10.0,346.0,228 CPT,90686,FLULAVAL QUADRIVALENT 0.5 ML IM SUSY,68.0,68.0,10.0,75.48,124 CPT,90686,FLUZONE QUADRIVALENT 0.5 ML IM SUSY,70.0,70.0,10.0,77.7,124 CPT,90686,HC MAPS IIV4 VACC NO PRSV 3 YRS IM,58.0,58.0,9.8,64.38,124 CPT,90691,TYPHOID VI POLYSACCHARIDE VACC 25 MCG/0.5ML IM SOL,6948.0,6948.0,10.0,6948.0,114 CPT,90691,TYPHOID VI POLYSACCHARIDE VACC 25 MCG/0.5ML IM SOS,503.0,503.0,10.0,503.0,114 CPT,90700,DIPHTHACELL PERTUSSISTETANUS 255810 LFMCG/0.5 IM S,103.0,103.0,10.0,103.0,228 CPT,90707,MEASLES MUMPS RUBELLA VAC INJECTION SOLR,332.0,332.0,10.0,332.0,228 CPT,90713,POLIOVIRUS VACCINE INACTIVATED INJECTION INJ,1531.0,1531.0,10.0,1531.0,228 CPT,90714,HC TETANUS VACCINE IM,166.0,166.0,10.0,166.0,115 CPT,90714,TETANUSDIPHTHERIA TOXOIDS TD 22 LF/0.5ML IM SUSP,101.0,101.0,10.0,101.0,230 CPT,90715,DIPHTHACELL PERTUSSISTETANUS 15235 LFMCG/0.5 IM SU,105.0,105.0,10.0,105.0,230 CPT,90715,HC MAPS TDAP VACCINE>7 YEARS IM,127.0,127.0,10.0,127.0,115 CPT,90715,TETANUSDIPHTHACELL PERTUSSIS 52.518.5 LFMCG/0.5 IM,117.0,117.0,8.64,170.0,575 CPT,90715,TETANUSDIPHTHACELL PERTUSSIS 5215.5 LFMCG/0.5 IM S,171.0,171.0,10.0,171.0,460 CPT,90716,VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML INJECT,628.0,628.0,10.0,628.0,228 CPT,90732,HC MAPS PNEUMOCOCCAL VACC 23 VAL IM,253.0,253.0,10.0,436.24,248 CPT,90732,HC PHEUMOCOCCAL IMMUNIZATION,237.0,237.0,10.0,263.08,124 CPT,90733,MENING ACY W135 TETANUS CONJ IM SOLN,601.0,601.0,10.0,601.0,342 CPT,90739,HEPATITIS B VAC RECOMB ADJ 20 MCG/0.5ML IM SOSY,532.0,532.0,10.0,590.53,248 CPT,90744,HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML INJECTION,102.0,102.0,10.0,113.22,248 CPT,90744,HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML INJECTION,98.0,98.0,10.0,108.78,124 CPT,90746,HEPATITIS B VAC RECOMBINANT 20 MCG/ML INJECTION (W,219.5,219.5,10.0,277.51,620 CPT,90746,HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML INJECTION,98.0,98.0,10.0,108.78,248 CPT,90750,ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSR,713.0,713.0,10.0,713.0,342 CPT,90791,HC PSYCHIATRIC DIAGNOSTIC EVALUATION NO MEDICAL S,299.25,299.25,50.57,999.0,122 CPT,90791,HC CBE NON-MD,151.26,151.26,25.56,588.79,119 CPT,90791,HC MAPS PSYCH DIAGNOSTIC EVALUATION,344.0,344.0,51.71,999.0,122 CPT,90791,PSYCH DIAGNOSTIC EVALUATION,350.0,350.0,51.71,588.79,119 CPT,90792,HC CBE MD,108.94,108.94,18.41,588.79,119 CPT,90792,HC CBR MD,217.88,217.88,36.82,588.79,119 CPT,90792,HC CRC EVALUATION,1350.0,1350.0,68.57,1350.0,119 CPT,90792,HC CRNP EVALUATION,711.48,711.48,120.24,711.48,119 CPT,90792,HC CRNP EVALUATION - AUDIO ONLY TELEHEALTH,711.48,711.48,120.24,711.48,119 CPT,90792,HC MAPS PSYCH DIAG EVAL W/MED SRVCS,298.0,298.0,50.36,588.79,122 CPT,90792,HC PSYCHIATRIC EVAL,711.48,711.48,120.24,711.48,119 CPT,90832,HC CBE-PHD. ADULTS,139.16,139.16,23.52,588.79,119 CPT,90832,HC INDIVIDUAL THERAPY - EXPOSED BASED CBT,58.0,58.0,9.8,588.79,119 CPT,90832,HC INDIVIDUAL THERAPY NON MD,103.56,103.56,17.5,588.79,119 CPT,90832,HC INDIVIDUAL THERAPY- TFCBT,140.36,140.36,23.72,588.79,119 CPT,90832,HC PSYCH INDIV THERAPY W/MD (30 MINS),228.24,228.24,38.57,588.79,119 CPT,90832,HC SPECIALIZED INDIVIDUALTHERAPY (INACTIVE),106.0,106.0,17.91,588.79,119 CPT,90834,HC IND THERAPY MODERATE MD (45 MINS),342.08,342.08,57.81,588.79,119 CPT,90834,HC INDIVIDUAL THERAPY NON MD-MODERATE,129.94,129.94,21.96,588.79,119 CPT,90837,HC IND THERAPY COMPLEX MD ( 60 MINS),456.54,456.54,77.16,588.79,119 CPT,90837,HC INDIVIDUAL THERAPY NON MD,190.6,190.6,32.21,588.79,119 CPT,90837,THERAPY NON MD CLINICAL PSYCHOLOGIST,46.25,46.25,7.82,588.79,119 CPT,90837,THERAPY NON MD GRAD STUDENT,12.5,12.5,2.11,588.79,119 CPT,90837,THERAPY NON MD LICENSED MASTER,36.25,36.25,6.13,588.79,119 CPT,90837,THERAPY NON MD POSTDOC,30.0,30.0,5.07,588.79,119 CPT,90846,COLLATERAL FAM NON MD CLINICAL PSYCHOLOGIST,46.25,46.25,7.82,588.79,119 CPT,90846,COLLATERAL FAM NON MD GRAD STUDENT,12.5,12.5,2.11,588.79,119 CPT,90846,COLLATERAL FAM NON MD LICENSED MASTER,36.25,36.25,6.13,588.79,119 CPT,90846,COLLATERAL FAM NON MD POSTDOC,30.0,30.0,5.07,588.79,119 CPT,90846,HC FAMILY COLLATERAL THERAPY - EXPOSED BASED CBT,29.0,29.0,4.9,588.79,119 CPT,90846,HC O/P PSYCH FAMILY COLLATERAL W/O PT --TFCBT,70.18,70.18,11.86,588.79,119 CPT,90846,HC PSYCH COLLATERAL FAM MD W/O PT,118.8,118.8,20.08,588.79,119 CPT,90846,HC PSYCH COLLATERAL FAM NON MD W/O PT,55.26,55.26,9.34,588.79,119 CPT,90847,HC FAMILY THERAPY - EXPOSED BASED CBT,29.0,29.0,4.9,588.79,119 CPT,90847,HC FAMILY THERAPY-TFCBT,70.18,70.18,11.86,588.79,119 CPT,90847,HC PSYCH FAM/COUPLE NON-MD W/PT,43.5,43.5,7.35,588.79,119 CPT,90847,HC PSYCH FAM/COUPLES MD W/PT,108.64,108.64,18.36,588.79,119 CPT,90853,HC GROUP THERAPY,15.76,15.76,2.66,337.0,119 CPT,90853,HC GROUP THERAPY-TDP,15.76,15.76,2.66,337.0,119 CPT,90853,HC SPECIALIZED GROUP THERAPY,299.25,299.25,50.57,337.0,119 CPT,90870,HC ELECTROCONVULSIVE THERAPY,2298.0,2298.0,45.0,2848.61,122 CPT,90912,HC MAPS BIOFEEDBACK PERI/URO/RECTAL,118.0,118.0,19.94,999.0,122 CPT,90935,HC ACUTE HEMODIALYSIS (IP) 1 1,1393.0,1393.0,171.53,2276.63,121 CPT,90935,HC ACUTE HEMODIALYSIS (IP) 2 1,3261.0,3261.0,171.53,3261.0,121 CPT,90935,HC HEMODIALYSIS 1 1,1868.0,1868.0,171.53,2276.63,121 CPT,90935,HC O/P HEMODIALYSIS 1 1,1868.0,1868.0,171.53,2276.63,122 CPT,90935,HC O/P HEMODIALYSIS 2 1,3261.0,3261.0,171.53,3261.0,122 CPT,91034,HC GASTRO.REFLUX TEST W/ N/C/E,2662.0,2662.0,131.38,8112.0,125 CPT,91110,HC WIRELESS CAPSULE ENDOSCOPY,2591.0,2591.0,433.82,8112.0,125 CPT,91111,HC ESOPHAGEAL CAPSULE ENDOSCOPY,6816.0,6816.0,530.78,8112.0,122 CPT,91120,HC MAPS RECTAL SENSATNTONE/COMPL TST,1138.0,1138.0,46.52,1138.0,116 CPT,91122,HC MAPS ANORECTAL MANOMETRY,536.0,536.0,41.0,536.0,116 CPT,91322,COVID19 MRNA VACC (MODERNA) 50 MCG/0.5ML IM SUSY,489.0,489.0,40.0,567.22,372 CPT,92083,HC MAPS VISUAL FIELD EXAMINATION(S) EXTENDED,120.0,120.0,20.28,441.35,120 CPT,92507,HC ADULT SPEECH/LANGUAGE THERAPY 15MIN,986.0,986.0,21.7,986.0,125 CPT,92507,HC PEDIATRIC SPEECH/LANGUAGE TX I,534.0,534.0,21.7,534.0,125 CPT,92507,HC SPEECH/HEARING THERAPY,986.0,986.0,21.7,986.0,125 CPT,92511,HC NASOPHARYNGOSCOPY,528.0,528.0,45.09,8112.0,121 CPT,92517,HC MAPS VEMP TEST I R CERVICAL,225.0,225.0,38.02,426.82,122 CPT,92521,HC EVALUATION OF SPEECH FLUENCY,1095.0,1095.0,74.0,1095.0,122 CPT,92522,HC EVAL SPEECH PRODUCTION,1095.0,1095.0,74.0,1095.0,122 CPT,92522,HC EVALUATE SPEECH PRODUCTION,1095.0,1095.0,74.0,1095.0,122 CPT,92523,HC NEONATE/PEDS SPEECH SOUND LAUG COMPREHEN,1095.0,1095.0,74.0,1095.0,122 CPT,92523,HC SPEECH SOUND LAUG COMPREHEN,1095.0,1095.0,74.0,1095.0,122 CPT,92524,HC BEHAVRAL QUALIT ANALYS VOICE,1095.0,1095.0,73.94,1095.0,122 CPT,92526,HC TREATMENT OF SWALLOWING DYSFUNCTION,1011.0,1011.0,57.11,1011.0,122 CPT,92550,HC MAPS TYMPANOMETRY REFLEX THRESH,130.0,130.0,16.25,716.25,125 CPT,92551,HC MAPS PURE TONE SCREEN,51.0,51.0,6.89,51.0,115 CPT,92552,HC MAPS PURE TONE AUDIOMETRY AIR,142.0,142.0,8.0,441.35,125 CPT,92553,HC MAPS AUDIOMETRY AIR BONE,173.0,173.0,14.0,426.82,125 CPT,92555,HC MAPS SPEECH THRESHOLD AUDIOMETRY,57.0,57.0,6.5,195.68,125 CPT,92556,HC MAPS SPEECH AUDIOMETRY COMPLETE,96.0,96.0,15.0,195.68,125 CPT,92557,HC MAPS COMPREHENSIVE HEARING TEST,190.0,190.0,24.64,426.82,125 CPT,92565,HC MAPS STENGER TEST PURE TONE,94.0,94.0,10.05,195.68,125 CPT,92567,HC MAPS TYMPANOMETRY,140.0,140.0,9.44,140.0,125 CPT,92588,HC MAPS EVOKED AUDITORY TST COMPLETE,289.0,289.0,6.54,1237.84,125 CPT,92597,HC EVAL-USE/FIT-VOICE PROSTH DEV,710.0,710.0,48.76,710.0,122 CPT,92604,HC MAPS REPROGRAM COCHLEAR IMPLT 7/>,190.0,190.0,32.11,426.82,122 CPT,92610,HC ADULT CLINICAL SWALLOW EVAL,1638.0,1638.0,57.62,1638.0,122 CPT,92610,HC EVALUATE SWALLOWING FUNCTION,1638.0,1638.0,57.62,1638.0,122 CPT,92610,HC PEDI CLINICAL SWALLOW EVAL,983.0,983.0,57.62,983.0,122 CPT,92611,HC MOTION FLUOROSCOPY/SWALLOW,1638.0,1638.0,42.32,1638.0,125 CPT,92611,HC PEDI VFSS,1066.0,1066.0,42.32,1066.0,125 CPT,92612,HC ENDOSCOPY SWALLOW TST (FEES),1107.0,1107.0,62.88,1107.0,125 CPT,92653,HC AUDITORY EVOKED POTENTIALS NEURODIAGNOSTIC WIT,1085.0,1085.0,67.51,1085.0,125 CPT,92920,HC PRQ CARDIAC ANGIOPLAST 1 ART,58708.0,58708.0,776.0,58708.0,125 CPT,92921,HC PRQ CARDIAC ANGIO ADDL ART,16770.0,16770.0,228.17,32504.0,113 CPT,92924,HC PRQ CARD ANGIO/ATHRECT 1 ART,76036.0,76036.0,776.0,76036.0,125 CPT,92925,HC PRQ CARD ANGIO/ATHRECT ADDL,35025.0,35025.0,264.16,35025.0,113 CPT,92928,HC PRQ CARD STENT W/ANGIO 1 VSL,78380.0,78380.0,776.0,78380.0,125 CPT,92929,HC PRQ CARD STENT W/ANGIO ADDL,31544.0,31544.0,253.48,51895.0,113 CPT,92933,HC PRQ CARD STENT/ATH/ANGIO SINGLE ARTERY,154412.0,154412.0,776.0,154412.0,125 CPT,92934,HC PRQ CARD STENT/ATH/ANGIO ADDL ARTERY,66566.0,66566.0,276.02,66566.0,113 CPT,92937,HC PRQ REVASC BYP GRAFT 1 VSL,77145.0,77145.0,776.0,77145.0,125 CPT,92938,HC PRQ REVASC BYP GRAFT ADDL,35473.0,35473.0,472.25,51895.0,113 CPT,92941,HC PRQ CARD REVASC MI 1 VSL,77145.0,77145.0,776.0,77145.0,116 CPT,92943,HC PRQ CARD REVASC CHRONIC 1VSL,77145.0,77145.0,776.0,77145.0,125 CPT,92944,HC PRQ CARD REVASC CHRONIC ADDL,35473.0,35473.0,529.75,51895.0,113 CPT,92950,HC CARDIOPULMONARY RESUSCIT,750.0,750.0,93.57,750.0,122 CPT,92950,HC NEONATAL RESUSCITATION,750.0,750.0,93.57,750.0,122 CPT,92960,HC CARDIOVERSIONELECTIVE/EMER,3809.0,3809.0,111.36,14061.0,125 CPT,92961,HC CARDIOVERSION ELECTRIC INT,2250.0,2250.0,223.76,14061.0,122 CPT,92961,HC CARDIOVERSION-INTERNAL,2250.0,2250.0,223.76,14061.0,122 CPT,92972,HB PERQ TRLUML CORONRY LITHOTRP,1617.0,1617.0,167.53,14061.0,112 CPT,92973,HC PRQ CORONARY MECH THROMBECT,1617.0,1617.0,167.36,32606.6,116 CPT,92974,HC CATH PLACECARDIO BRACHYTX,8512.0,8512.0,183.07,8512.0,113 CPT,92975,HC DISSOLVE CLOT HEART VESSEL,2949.0,2949.0,398.12,14061.0,115 CPT,92978,HC INTRAVASC US HEART ADD-ON DURING DIAG EVAL,12187.0,12187.0,150.13,14061.0,115 CPT,92978,HC IV OCT FOR PROC INIT VESSEL,12351.0,12351.0,150.13,14061.0,115 CPT,92979,HC INTRAVASC OPT TOMO EA ADD VESS,1932.0,1932.0,226.0,14061.0,112 CPT,92979,HC INTRAVASC US HEART ADD-ON EACH ADDL VESSAL,1932.0,1932.0,226.0,14061.0,112 CPT,92986,HC REVISION OF AORTIC VALVE,42860.0,42860.0,776.0,52247.16,125 CPT,92987,HC REVISION OF MITRAL VALVE,46023.0,46023.0,1899.0,52247.16,122 CPT,93005,HC EKG TRAC REPT,1271.0,1271.0,7.35,1271.0,125 CPT,93005,HC MAPS EKG TRACING,317.0,317.0,7.35,317.0,125 CPT,93017,HC CARDIOVASCULAR STRESS TEST,3328.0,3328.0,42.26,3328.0,125 CPT,93017,HC MAPS CARDIOVASCULAR STRESS TEST,253.0,253.0,42.26,716.25,125 CPT,93017,HC STRESS STUDY,3328.0,3328.0,42.26,3328.0,125 CPT,93225,HC ECG MONIT/REPRT UP TO 48 HRS CONN/RECORD/DISCON,1222.0,1222.0,18.25,1222.0,125 CPT,93225,HC MAPS ECG MONIT/REPRT UP TO 48 HRS CONN/RECORD/D,200.0,200.0,18.25,441.35,125 CPT,93226,HC ECG MONIT/REPRT UP TO 48 HRS SCANNING W REPORT,1805.0,1805.0,39.2,1805.0,125 CPT,93226,HC MAPS ECG MONIT/REPRT UP TO 48 HRS SCANNING W R,200.0,200.0,33.8,222.25,125 CPT,93229,HC REMOTE 30 DAY ECG TECH SUPP,2200.0,2200.0,162.87,5225.73,122 CPT,93260,HC IV OCT FOR PROC INIT VESSEL,899.0,899.0,22.48,14061.0,122 CPT,93260,HC MAPS PRGRMG DEV EVAL IMPLTBL SYS,79.0,79.0,13.35,2060.0,122 CPT,93261,HC INTERROGATE SUBQ DEFIB,570.0,570.0,22.48,14061.0,122 CPT,93261,HC MAPS INTERROGATE SUBQ DEFIB,77.0,77.0,13.01,14061.0,122 CPT,93279,HC MAPS PM DEVICE PROGR EVAL SNGL,44.0,44.0,7.44,14061.0,125 CPT,93279,HC PM DEVICE PROGR EVAL SNGL,1095.0,1095.0,10.54,14061.0,125 CPT,93280,HC MAPS PM DEVICE PROGR EVAL DUAL,556.0,556.0,12.22,14061.0,125 CPT,93280,HC PM DEVICE PROGR EVAL DUAL,108.0,108.0,12.22,14061.0,125 CPT,93281,HC MAPS PM DEVICE PROGR EVAL MULTI,44.0,44.0,7.44,14061.0,125 CPT,93281,HC PM DEVICE PROGR EVAL MULTI,1095.0,1095.0,14.11,14061.0,125 CPT,93282,HC MAPS PRGRMG EVAL IMPLANTABLE DFB SINGLE LEAD,556.0,556.0,12.64,14061.0,125 CPT,93282,HC PRGRMG EVAL IMPLANTABLE DFB SINGLE LEAD,1748.0,1748.0,12.64,14061.0,125 CPT,93283,HC MAPS PRGRMG EVAL IMPLANTABLE DFB DUAL LEAD,556.0,556.0,14.53,14061.0,125 CPT,93283,HC PRGRMG EVAL IMPLANTABLE DFB DUAL LEAD,1748.0,1748.0,14.53,14061.0,125 CPT,93284,HC MAPS PRGRMG EVAL IMPLANTABLE DFB MULTIPLE LEAD,556.0,556.0,16.63,14061.0,125 CPT,93284,HC PRGRMG EVAL IMPLANTABLE DFB MULTIPLE LEAD,1748.0,1748.0,16.63,14061.0,125 CPT,93285,HC ILR PROGRAM EVAL,1095.0,1095.0,9.7,2060.0,125 CPT,93285,HC MAPS ILR DEVICE EVAL PROGR IMPLANTABLE LOOP,556.0,556.0,9.7,14061.0,125 CPT,93286,HC PERI-PX PACEMAKER DEVICE EVL,1095.0,1095.0,34.99,14061.0,112 CPT,93287,HC PERI-PX DEVICE EVAL PRGR,662.0,662.0,34.99,14061.0,112 CPT,93288,HC MAPS PM DEVICE EVAL IN PERSON,352.0,352.0,9.91,2060.0,125 CPT,93288,HC PCM INTER S/D/M/LD IN PERSON,1095.0,1095.0,9.91,2060.0,125 CPT,93289,HC DFB INTER S/D/M/LD IN PERSON,1748.0,1748.0,12.22,2060.0,125 CPT,93289,HC MAPS INTERROG DEVICE EVAL HEART,352.0,352.0,12.22,2060.0,125 CPT,93290,HC MAPS ICM DEVICE EVAL,44.0,44.0,7.44,14061.0,125 CPT,93291,HC ILR INTER IN PERSON,1095.0,1095.0,11.98,2060.0,125 CPT,93291,HC MAPS ILR DEVICE INTERROGATE,39.0,39.0,6.59,2060.0,125 CPT,93293,HC MAPS PM PHONE R-STRIP DEVICE EVAL,42.0,42.0,7.1,2060.0,125 CPT,93296,HC MAPS PM/ICD REMOTE TECH SERV,398.0,398.0,19.99,2060.0,125 CPT,93303,HC TRANSTHORACIC ECHOCOMPLETE,2276.0,2276.0,95.0,2276.0,125 CPT,93306,HC MAPS TTE W/DOPPLER COMPLETE,499.0,499.0,84.33,2060.0,125 CPT,93306,HC TTE W/DOPPLER COMPLETE,8320.0,8320.0,98.14,8320.0,125 CPT,93307,HC ECHO TRANSTHX REAL TIME COMPLE,3328.0,3328.0,95.0,3328.0,125 CPT,93308,HC ECHO TRANSTHX REAL TIME LIMITE,1519.0,1519.0,21.5,1519.0,125 CPT,93308,HC MAPS ECHO TRANSTHX REAL TIME LIMITE,540.0,540.0,21.5,791.48,125 CPT,93312,HC ECHOCARDIOGRAPHY TRANSESOPHAG,5725.0,5725.0,132.93,5725.0,125 CPT,93319,HC 3D ECHO AND POSTPROCESSING DURING TEE,1043.0,1043.0,19.75,2060.0,111 CPT,93320,HC DOPPLER STUDY (ADD-ON),2241.0,2241.0,41.39,2241.0,115 CPT,93320,HC MAPS DOPPLER STUDY (ADD-ON),164.0,164.0,22.14,299.5,115 CPT,93321,HC DOPPLER ECHO EXAM HEART,1150.0,1150.0,20.55,1150.0,115 CPT,93321,HC MAPS DOPPLER ECHO EXAM HEART,257.0,257.0,20.55,257.0,115 CPT,93325,HC DOPPLER COLOR FLOW ADD-ON,2569.0,2569.0,16.12,2569.0,115 CPT,93325,HC ECHOCARD CFM LTD,2569.0,2569.0,16.12,2569.0,115 CPT,93325,HC MAPS DOPPLER COLOR FLOW ADD-ON,270.0,270.0,16.12,270.0,115 CPT,93350,HC MAPS STRESS TTE ONLY,499.0,499.0,46.5,1812.54,125 CPT,93350,HC STRESS TTE ONLY,2052.0,2052.0,46.5,2052.0,125 CPT,93351,HC MAPS STRESS TTE COMPLETE,642.0,642.0,108.5,2060.0,125 CPT,93351,HC STRESS TTE COMPLETE,3017.0,3017.0,119.21,3017.0,125 CPT,93355,HC ECHO TRANSESOPHAGEAL (TEE),5866.0,5866.0,356.29,5866.0,112 CPT,93356,HC MAPS MYOCRD STRAIN IMG SPCKL TRCK,41.0,41.0,5.54,2060.0,109 CPT,93356,HC MYOCARDIAL STRAIN IMAGING,1220.0,1220.0,13.61,2060.0,109 CPT,93451,HC RIGHT HEART CATH,11878.0,11878.0,776.0,29345.94,125 CPT,93452,HC LEFT HRT CATH W/VENTRCLGRPHY,9453.0,9453.0,776.0,32606.6,125 CPT,93453,HC R L HRT CATH W/VENTRICLGRPHY,24974.0,24974.0,776.0,35867.26,125 CPT,93453,HC TRANSEPT-RT LT ATRIAL PRESSURE,46843.0,46843.0,776.0,46843.0,125 CPT,93454,HC CORONARY ARTERY ANGIO S I,27565.0,27565.0,776.0,32606.6,125 CPT,93455,HC CORONARY ART/GRFT ANGIO S I,17957.0,17957.0,776.0,32606.6,125 CPT,93456,HC R HRT CORONARY ARTERY ANGIO,17735.0,17735.0,776.0,32606.6,125 CPT,93457,HC R HRT ART/GRFT ANGIO,17735.0,17735.0,776.0,32606.6,125 CPT,93458,HC L HRT ARTERY/VENTRICLE ANGIO,28031.0,28031.0,776.0,32606.6,125 CPT,93459,HC L HRT ART/GRFT ANGIO,28977.0,28977.0,776.0,32606.6,125 CPT,93460,HC R L HRT ART/VENTRICLE ANGIO,43558.0,43558.0,776.0,43558.0,125 CPT,93461,HC R L HRT ART/VENTRICLE ANGIO WHEN PERFORMED IN B,49137.0,49137.0,776.0,49137.0,125 CPT,93462,HC L HRT CATH TRNSPTL PUNCTURE,37666.0,37666.0,226.0,37666.0,113 CPT,93463,HC DRUG ADMIN HEMODYNMIC MEAS,5857.0,5857.0,111.56,14061.0,112 CPT,93464,HC EXERCISE W/HEMODYNAMIC MEAS,5857.0,5857.0,148.1,14061.0,112 CPT,93503,HC PLACE SWAN-GANZ CATH,11884.0,11884.0,133.95,20525.67,125 CPT,93505,HC BIOPSY OF HEART LINING,16091.0,16091.0,240.0,29855.52,125 CPT,93563,HC INJECT CONGENITAL CARD CATH,5857.0,5857.0,87.9,14061.0,112 CPT,93564,HC INJ COR ANGIO-BYPASS GRAFTS,5857.0,5857.0,89.56,14061.0,112 CPT,93565,HC INJ COR ANGIO-LT VENT/ATRIAL A,5857.0,5857.0,67.69,14061.0,112 CPT,93566,HC INJECT R VENTR/ATRIAL ANGIO,5857.0,5857.0,67.69,14061.0,112 CPT,93567,HC INJECT SUPRVLV AORTOGRAPHY,5857.0,5857.0,76.16,14061.0,112 CPT,93568,HC INJ COR ANGIO-PULM ANGIO,5857.0,5857.0,69.28,14061.0,112 CPT,93569,HC NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY UNI,5857.0,5857.0,58.02,14061.0,112 CPT,93571,HC FFR HEART FLOW RESERVE MEASURE/STRESS AGENT,10944.0,10944.0,226.0,14061.0,112 CPT,93572,HC HEART FLOW RESERVE MEASURE EACH ADD VESSAL,1739.0,1739.0,226.0,14061.0,112 CPT,93573,HC NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY BI,5857.0,5857.0,96.69,14061.0,112 CPT,93574,HC NJX DRG C-CATHJ SLCTV PULM VEN ANGIOGRAPHY,5857.0,5857.0,106.66,14061.0,112 CPT,93575,HC NJX DRG C-CATHJ SLCTV PULM ANGRPH MAPCA CHD EA,5857.0,5857.0,142.69,14061.0,112 CPT,93580,HC TRANSCATH CLOSURE OF ASD,66987.0,66987.0,776.0,66987.0,125 CPT,93581,HC TRANSCATH CLOSURE OF VSD,65790.0,65790.0,1970.0,65790.0,122 CPT,93582,HC PERQ TRANSCATH CLOSURE PDA,67588.0,67588.0,1528.72,67588.0,122 CPT,93583,HC PERQ TRANSCATH SEPTAL REDUXN,67588.0,67588.0,994.0,67588.0,112 CPT,93584,HC VNGRPH CHD ANOM/PERSIST SVC,5504.0,5504.0,87.27,14061.0,112 CPT,93585,HC VNGRPH CHD AZYGS/HEMIAZYGS,5504.0,5504.0,82.23,14061.0,112 CPT,93586,HC VENOGRAPHY CHD CORONARY SINUS,5504.0,5504.0,103.92,14061.0,112 CPT,93587,HC VNGRPH CHD VNVN CLTRL AT/ABV,5504.0,5504.0,153.36,14061.0,112 CPT,93588,HC VNGRPH CHD VNVN CLTRL BELOW,5504.0,5504.0,154.88,14061.0,112 CPT,93594,HC R HRT CATH CHD W/IMG CATH TRGT ZON ABNL NT CONN,13715.0,13715.0,776.0,29345.94,124 CPT,93596,HC R L HEART CATH CONGENITAL SEPTAL,24974.0,24974.0,776.0,35867.26,124 CPT,93596,HC R L HEART CATH CONGENITAL TRANSSEPTAL SEPTUM,17957.0,17957.0,776.0,35867.26,124 CPT,93598,HC CARDIAC OUTPUT MEASUREMENT,369.0,369.0,49.82,2060.0,112 CPT,93600,HC BUNDLE HIS RECORDING,6605.0,6605.0,94.2,32881.0,125 CPT,93602,HC INTRA-ATRIAL RECORDING,5270.0,5270.0,53.83,32881.0,125 CPT,93603,HC RT VENTRICULAR RECORDING,6225.0,6225.0,81.54,32881.0,122 CPT,93609,HC INTRA VENT/ATR TACHYCARDIA,12835.0,12835.0,234.0,46935.0,115 CPT,93610,HC INTRA-ATRIAL PACING,7081.0,7081.0,65.23,32881.0,125 CPT,93612,HC INTRAVENTRICULAR PACING,7425.0,7425.0,75.42,32881.0,125 CPT,93613,HC ELECTROPHYS MAP 3D ADD-ON,14937.0,14937.0,330.78,46935.0,112 CPT,93615,HC ESOPH REC ATR ELECTROGRAM,1903.0,1903.0,11.8,32881.0,125 CPT,93616,HC ESOPH REC ATR ELECT W/PACING,3093.0,3093.0,23.24,32881.0,125 CPT,93618,HC INDUCT ARRHYTHMIA ELECT PACING,13275.0,13275.0,174.07,32881.0,125 CPT,93619,HC ELECTROPHYSIOLOGY EVALUATION W/O INDUCTION,39070.0,39070.0,776.0,46935.0,125 CPT,93620,HC ELECTROPHYSIOLOGY EVALUATION MULTIPLE ELECTRODE,58964.0,58964.0,776.0,58964.0,125 CPT,93621,HC ELECTROPHYSIOLOGY EVALUATION W LEFT ATRIAL PACI,30675.0,30675.0,1370.63,46935.0,112 CPT,93622,HC ELECTROPHYSIOLOGY EVALUATION LEFT VENTRICULAR,30675.0,30675.0,1378.68,46935.0,112 CPT,93623,HC STIMULATION PACING HEART,16961.0,16961.0,372.33,46935.0,112 CPT,93624,HC EPSTUDY F/UP-EVALDRUG WPRIORCO,37831.0,37831.0,80.73,37831.0,122 CPT,93631,HC HEART PACING MAPPING,3675.0,3675.0,496.13,46935.0,112 CPT,93640,HC EVALUATION HEART DEVICE,15670.0,15670.0,226.0,32881.0,115 CPT,93641,HC ELECTROPHYSIOLOGY EVALUATION SINGLE OR DUAL,20479.0,20479.0,1528.72,32881.0,112 CPT,93642,HC ELECTROPHYSIOLOGY EVALUATION SINGLE OR DUAL CHA,31681.0,31681.0,416.24,32881.0,125 CPT,93644,HC ELECTROPHYSIOLOGY EVALUATION SUB IMPLANT DEFIB,31337.0,31337.0,57.92,32881.0,112 CPT,93644,HC MAPS ELECTROPHYSIOLOGY EVALUATION SUB IMPLANT D,350.0,350.0,47.25,32881.0,112 CPT,93650,HC ABLATE HEART DYSRHYTHM FOCUS COMP HEART BLOCK,21003.0,21003.0,776.0,72783.0,125 CPT,93653,HC EP ABLATE SUPRAVENT ARRHYT,91342.0,91342.0,776.0,91342.0,125 CPT,93654,HC EP ABLATE VENTRIC TACHY,138861.0,138861.0,776.0,138861.0,125 CPT,93655,HC ABLATE ARRHYTHMIA ADD ON,58246.0,58246.0,645.21,72783.0,112 CPT,93656,HC TX ATRIAL FIB PULM VEIN ISOL,159676.0,159676.0,776.0,159676.0,125 CPT,93657,HC TX L/R ATRIAL FIB ADDL,58246.0,58246.0,645.81,72783.0,112 CPT,93660,HC TILT TABLE EVALUATION,2832.0,2832.0,178.88,32881.0,122 CPT,93662,HC INTRACARDIAC ECG (ICE),12187.0,12187.0,226.0,52247.16,112 CPT,93724,HC ELECT ANAL ANTITACH P/M SYS,5640.0,5640.0,20.67,14061.0,125 CPT,93750,HC INTERROGATION VAD IN PERSON,435.0,435.0,36.14,2060.0,125 CPT,93770,HC DETERMINE OF VENOUS PRESSURE,1585.0,1585.0,3.9,2060.0,110 CPT,93797,HC OUTPATIENT CARDIAC REHAB W/O CONT ECG MONITOR,565.0,565.0,41.74,565.0,122 CPT,93798,HC CARDIAC REHAB/MONITOR,565.0,565.0,41.74,565.0,122 CPT,93799,HC ALCOHOL ABLATION,37667.0,37667.0,100.94,37667.0,122 CPT,93799,HC IFR (INSTANTANEOUS WAVE-FREE RATIO) HEART FLOW,10944.0,10944.0,100.94,14061.0,122 CPT,93880,HC MAPS ULTRASOUND CAROTID,434.0,434.0,73.35,1113.19,125 CPT,93880,HC ULTRASOUND CAROTID,4151.0,4151.0,91.2,4151.0,125 CPT,93882,HC CAROTID DUPLEX SCAN UNILAT,3239.0,3239.0,91.2,3239.0,125 CPT,93882,HC MAPS EXTRACRANIAL UNI/LTD STUDY,398.0,398.0,67.26,729.57,125 CPT,93882,HC US EXTRACRAN ARTERIES UNI/LIMT,3239.0,3239.0,91.2,3239.0,125 CPT,93886,HC TRANSCRAN DOPPLER INTRACRANI,4045.0,4045.0,91.2,4045.0,125 CPT,93886,HC TRANSCRANIAL DOPPLER COMPLETE,4045.0,4045.0,91.2,4045.0,125 CPT,93888,HC NEONATAL HEAD DOPPLER,2835.0,2835.0,37.72,2835.0,125 CPT,93888,HC TRANSCRAN DOPPLER LI,2835.0,2835.0,37.72,2835.0,125 CPT,93888,HC TRANSCRANIAL LIMITED,2835.0,2835.0,37.72,2835.0,125 CPT,93892,HC TCD EMBOLI DETECT W/O INJ,3957.0,3957.0,57.74,3957.0,125 CPT,93922,HC ARTERIAL PVR/DOPPLER LIM,1926.0,1926.0,37.11,1926.0,125 CPT,93922,HC MAPS UPR/L XTREMITY ART 2 LEVELS,123.0,123.0,20.79,474.64,125 CPT,93923,HC MAPS VOLUME PULSE RECOGNITION BILAT,273.0,273.0,46.14,743.56,125 CPT,93923,HC VOLUME PULSE RECOGNITION BILAT,473.0,473.0,63.94,743.56,125 CPT,93924,HC LWR XTR VASC STDY BILAT,3959.0,3959.0,63.94,3959.0,125 CPT,93924,HC MAPS LWR XTR VASC STDY BILAT,522.0,522.0,63.94,918.36,125 CPT,93925,HC MAPS US LOW EXT ARTERIES BILAT,834.0,834.0,91.2,1410.87,125 CPT,93925,HC US LOW EXT ARTERIES BILAT,4343.0,4343.0,91.2,4343.0,125 CPT,93926,HC ARTERIAL DUPLEX UNILAT LEG,2532.0,2532.0,57.74,2532.0,125 CPT,93926,HC MAPS ARTERIAL DUPLEX UNILAT LEG,561.0,561.0,57.74,754.25,125 CPT,93926,HC US LOW EXT ART. FU/LTD,2599.0,2599.0,57.74,3400.0,250 CPT,93930,HC MAPS US UPP EXT ARTERIES (BIL),611.0,611.0,91.2,1143.0,125 CPT,93930,HC US UPP EXT ARTERIES (BIL),3541.0,3541.0,91.2,3541.0,125 CPT,93931,HC ARTERIAL DUPLEX UNILAT ARM,2532.0,2532.0,57.74,2532.0,125 CPT,93931,HC MAPS UPPER EXTREMITY STUDY,385.0,385.0,57.74,723.12,125 CPT,93931,HC US UPP EXT ART. FU/LTD,1798.0,1798.0,57.74,1798.0,125 CPT,93970,HC MAPS ULTRASOUND EXTREMITY VEINS,573.0,573.0,91.2,1094.64,125 CPT,93970,HC ULTRASOUND EXTREMITY VEINS,4151.0,4151.0,91.2,4151.0,125 CPT,93971,HC MAPS US EXTREM VEINS UNILAT/LTD,446.0,446.0,57.74,694.3,125 CPT,93971,HC MAPS VENOUS DUPLEX SCAN UNILAT,446.0,446.0,57.74,694.3,125 CPT,93971,HC US EXTREM VEINS UNILAT/LTD,2897.0,2897.0,57.74,2897.0,125 CPT,93971,HC VENOUS DUPLEX SCAN UNILAT,2797.0,2797.0,57.74,2797.0,125 CPT,93975,HC MAPS US TRUNK (ORG/ART/VEINS),634.0,634.0,91.2,1545.38,125 CPT,93975,HC US TRUNK (ORG/ART/VEINS),5023.0,5023.0,91.2,5023.0,125 CPT,93976,HC MAPS DUPLEX SCAN ABNMPELVCSCROTAL,346.0,346.0,58.47,836.3,125 CPT,93976,HC US TRUNK ORG/ART/VEINS FU,3605.0,3605.0,78.6,3605.0,125 CPT,93978,HC MAPS US TRUNK MAJ VES/ART/VEINS,203.0,203.0,34.31,1053.76,125 CPT,93978,HC US TRUNK MAJ VES/ART/VEINS,1720.0,1720.0,90.63,1720.0,125 CPT,93979,HC MAPS DUPLX SCAN-AORTAINFER VENA CAVA UNILAT/LIM,336.0,336.0,56.78,682.3,125 CPT,93979,HC US TRUNK MAJ VESS/ART/VEINS FU,1122.0,1122.0,57.74,1122.0,125 CPT,93980,HC ULTRASOUND PENILE VESSELS,908.0,908.0,91.2,908.0,125 CPT,93985,HC VESSEL MAP FOR HEMO COMP BILATERAL,725.0,725.0,122.52,791.48,125 CPT,93986,HC DUP-SCAN HEMO COMPL UNI STD,315.0,315.0,53.23,350.41,125 CPT,93990,HC DOPPLER FLOW TESTING,572.0,572.0,57.74,572.0,125 CPT,93990,HC DUPLEX SCAN OF HEMODIALYSIS,572.0,572.0,57.74,572.0,125 CPT,93998,HC CHD RISK IMT STUDY,139.0,139.0,22.69,139.0,122 CPT,94002,HC HIGH FREQ OSCILLAT INTITAL DAY-NEONATE,4604.0,4604.0,128.79,4604.0,122 CPT,94002,HC VENT MGMT INPAT INIT DAY,1868.0,1868.0,128.79,2049.33,122 CPT,94002,HC VENT MGMT INPAT INIT DAY-NEONATE,1868.0,1868.0,128.79,2049.33,122 CPT,94002,HC VENTILATOR TRANSPORT,3481.0,3481.0,128.79,3481.0,122 CPT,94002,HC VENTILATOR TRANSPORT-NEONATE,2354.0,2354.0,128.79,2354.0,122 CPT,94003,HC HIGH FREQ OSCILLAT SUBSEQ DAY-NEONATE,4604.0,4604.0,94.13,4604.0,122 CPT,94003,HC NON-INVASIVE VENT DAY SUBSEQ-NEONATE,744.0,744.0,94.13,2049.33,122 CPT,94003,HC VENT MGMT INPAT SUBQ DAY,1868.0,1868.0,94.13,2049.33,122 CPT,94003,HC VENT MGMT INPAT SUBQ DAY-NEONATE,1868.0,1868.0,94.13,2049.33,122 CPT,94010,HC BEDSIDE SPIROMETRY,1134.0,1134.0,9.0,1134.0,125 CPT,94010,HC MAPS SPIROMETRY,195.0,195.0,9.0,716.25,125 CPT,94010,HC SPIROMETRY,2110.0,2110.0,9.0,2110.0,125 CPT,94060,HC MAPS BRONCHOSPASAM EVALUATION,283.0,283.0,11.4,1237.84,125 CPT,94060,HC PRE/POST BRONCHODILATOR SPIRO,3116.0,3116.0,11.4,3116.0,125 CPT,94070,HC MULTI SPIROMETRY W/AGENT,1665.0,1665.0,11.4,1665.0,125 CPT,94150,HC FORCED VITAL CAPACITY,331.0,331.0,2.4,426.82,120 CPT,94150,HC NEGATIVE INSPIRATORY FUNCTION,331.0,331.0,2.4,426.82,120 CPT,94150,HC VITAL CAPAC-TECH,3401.0,3401.0,2.4,3401.0,120 CPT,94200,HC LUNG FUNCTION TEST (MBC/MVV),717.0,717.0,5.4,717.0,125 CPT,94610,HC SURFACTANT ADMIN THRU TUBE-NEONATE,275.0,275.0,17.81,726.4,122 CPT,94618,HC PULM STRESS TEST 6 MIN WALKHR OXIMETRY AND O2 T,709.0,709.0,8.66,709.0,125 CPT,94626,HC PHYS/QHP SVCS OP PULM REHAB W/CONT OXIMTRY MNTR,199.0,199.0,33.63,199.0,122 CPT,94640,HC DRY POWDER INHALER,385.0,385.0,17.81,726.4,122 CPT,94640,HC HAND HELD NEBULZR,609.0,609.0,17.81,726.4,122 CPT,94640,HC HAND HELD NEBULZR-NEONATE,410.0,410.0,17.81,726.4,122 CPT,94640,HC INDUCED SPUTUM,609.0,609.0,17.81,726.4,122 CPT,94640,HC INHALATION TREATMENT,385.0,385.0,17.81,726.4,122 CPT,94640,HC MDI/DPI,609.0,609.0,17.81,726.4,122 CPT,94640,HC MDI/DPI-NEONATE,609.0,609.0,17.81,726.4,122 CPT,94640,HC MEDICATION NEBULIZER- NEONATE,410.0,410.0,17.81,726.4,122 CPT,94640,HC VOLUME VENT TREAT-NEONATE,385.0,385.0,17.81,726.4,122 CPT,94640,HC VOLUME VENT.TREAT,385.0,385.0,17.81,726.4,122 CPT,94644,HC CONT NEBULIZER 1ST HR,786.0,786.0,25.7,786.0,125 CPT,94645,HC CONT BRONCHODIL NEB RX SUBSEQ,609.0,609.0,9.8,609.0,116 CPT,94645,HC CONT NEBULIZER ADDTL HR,609.0,609.0,9.8,609.0,116 CPT,94660,HC BIPAP EMERGENT,1023.0,1023.0,59.23,1023.0,122 CPT,94660,HC BIPAP NON-EMERGENT,1023.0,1023.0,59.23,1023.0,122 CPT,94660,HC BIPAP NON-EMERGENT SUBSEQ DAY,1023.0,1023.0,59.23,1023.0,122 CPT,94660,HC BIPAP NON-EMERGENT-NEONATE,726.0,726.0,59.23,726.4,122 CPT,94660,HC CPAP - NEONATE,305.0,305.0,51.54,726.4,122 CPT,94660,HC CPAP EMERGENT,1023.0,1023.0,59.23,1023.0,122 CPT,94660,HC CPAP EMERGENT-NEONATE,691.0,691.0,59.23,726.4,122 CPT,94660,HC CPAP EMERGENTSUBSEQ DAY,744.0,744.0,59.23,744.0,122 CPT,94660,HC CPAP NEONATE,1264.0,1264.0,59.23,1264.0,122 CPT,94660,HC CPAP NON EMER SUBSEQ DAY,782.0,782.0,59.23,782.0,122 CPT,94660,HC CPAP NON-EMERGENT,1868.0,1868.0,59.23,1868.0,122 CPT,94660,HC CPAP NON-EMERGENT-NEONATE,1868.0,1868.0,59.23,1868.0,122 CPT,94660,HC EZPAP TREATMENT,517.0,517.0,59.23,726.4,122 CPT,94660,HC NASAL CPAP,1201.0,1201.0,59.23,1201.0,122 CPT,94660,HC NON-INV VENT 1ST DAY-NEONATE,1023.0,1023.0,59.23,1023.0,122 CPT,94660,HC NON-INV VENT SUBQ DAY NEONATE,1023.0,1023.0,59.23,1023.0,122 CPT,94660,HC NON-INVAS VENT SBSQ DAY TX EMR,744.0,744.0,59.23,744.0,122 CPT,94660,HC POS AIRWAY PRESSURE CPAP,1868.0,1868.0,59.23,1868.0,122 CPT,94664,HC AEROSOL/VAPINHA INITEVAL,615.0,615.0,10.92,726.4,125 CPT,94667,HC ACAPELLA TREATMENT,216.0,216.0,15.46,441.35,122 CPT,94667,HC ACAPELLA TREATMENT-NEONATE,216.0,216.0,15.46,441.35,122 CPT,94667,HC CHEST PHYSIO - AIRWAY CLRNC EV,566.0,566.0,15.46,566.0,122 CPT,94667,HC CHEST WALL MANIPULATION TO FACILITATE LUNG FUNC,566.0,566.0,15.46,566.0,122 CPT,94668,HC CHEST PHYS THRAPY,290.0,290.0,15.24,441.35,122 CPT,94669,HC CHEST MANIP/LUNG FUNC INITIAL,215.0,215.0,24.62,726.4,122 CPT,94669,HC THERAPY VEST,215.0,215.0,24.62,726.4,122 CPT,94681,HC END TIDAL CO2 - CON,1976.0,1976.0,22.5,1976.0,125 CPT,94681,HC END TIDAL CO2 - PRN,2035.0,2035.0,22.5,2035.0,125 CPT,94681,HC END TIDAL CO2 - PRN-NEONATE,1376.0,1376.0,22.5,1376.0,125 CPT,94726,HC PLETHYSMOGRAPHY FOR DETERMINATION OF LUNG VOL A,2394.0,2394.0,30.44,2394.0,125 CPT,94729,HC DIFF CAPAC-TECH,2394.0,2394.0,33.12,2394.0,116 CPT,94760,HC MAPS PULSE OXIMETRY SING DETERM,35.0,35.0,1.98,35.0,115 CPT,94760,HC PULSE OXIMETRY SING DETERM,407.0,407.0,1.98,407.0,115 CPT,94761,HC PULSE OXIMETRY MULT DETERM,1081.0,1081.0,3.86,1081.0,115 CPT,94761,HC WALKING PULSE O2,132.0,132.0,3.86,132.0,115 CPT,94762,HC OVERNIGHT OXIMETRY STUDY,1575.0,1575.0,31.67,1575.0,122 CPT,94762,HC OXIMETRY(ONE TIME) SPOT CHECK-NEONATE,1065.0,1065.0,31.67,1065.0,122 CPT,94799,HC COUGH ASSIST TREATMENT,131.0,131.0,22.14,426.82,122 CPT,94799,HC EXTENDED THERAPY,711.0,711.0,100.94,711.0,122 CPT,94799,HC EXTENDED THERAPY-NEONATE,480.0,480.0,81.12,480.0,122 CPT,94799,HC HUMIDIFIER DISP. NEONATAL CHNG,144.0,144.0,24.34,426.82,122 CPT,94799,HC PULMONARY COND ASSESSMENT,369.0,369.0,62.36,426.82,122 CPT,95012,HC MAPS EXHALED NITRIC OXIDE MEAS,67.0,67.0,11.32,123.91,122 CPT,95180,HC MAPS RAPID DESENSITIZATION,264.0,264.0,8.5,1481.85,125 CPT,95249,HC AMBULATORY CONTINUOUS GLUCOSE MONITORING VIA A,195.0,195.0,32.95,195.68,125 CPT,95250,HC GLUCOSE MONITORING CONT,424.0,424.0,71.66,441.63,125 CPT,95700,HC EEG SETUP FOR EAP,1952.0,1952.0,160.49,1952.0,125 CPT,95705,HC EEG W/O VID 2-12 HR UNMNTR,8878.0,8878.0,80.0,8878.0,125 CPT,95706,HC EEG WO VID 2-12HR INTMT MNTR,8878.0,8878.0,160.49,8878.0,125 CPT,95707,HC EEG W/O VID 2-12HR CONT MNTR,8878.0,8878.0,160.49,8878.0,125 CPT,95708,HC EEG WO VID EA 12-26HR UNMNTR,8878.0,8878.0,120.0,8878.0,125 CPT,95709,HC EEG W/O VID EA 12-26HR INTMT,8878.0,8878.0,307.93,8878.0,125 CPT,95710,HC EEG W/O VID EA 12-26HR CONT,8878.0,8878.0,307.93,8878.0,125 CPT,95711,HC VEEG 2-12 HR UNMONITORED,8878.0,8878.0,100.0,8878.0,125 CPT,95712,HC VEEG 2-12 HR INTMT MNTR,8878.0,8878.0,160.49,8878.0,125 CPT,95713,HC VEEG 2-12 HR CONT MNTR,8878.0,8878.0,307.93,8878.0,125 CPT,95714,HC VEEG EA 12-26 HR UNMNTR,4589.0,4589.0,160.0,4589.0,125 CPT,95715,HC VEEG EA 12-26HR INTMT MNTR,4589.0,4589.0,307.93,4589.0,125 CPT,95716,HC VEEG EA 12-26HR CONT MNTR,4589.0,4589.0,576.37,4589.0,125 CPT,95800,HC SLP STDY UNATTENDED,428.0,428.0,72.33,716.25,125 CPT,95805,HC MULTIPLE SLEEP LATENCY TEST,5159.0,5159.0,201.32,5159.0,125 CPT,95806,HC SLEEP STUDY UNATT RESP EFFT,920.0,920.0,56.86,920.0,121 CPT,95807,HC SLEEP STUDY ATTENDED,876.0,876.0,148.04,2431.0,125 CPT,95808,HC POLYSOM ANY AGE 1-3> PARAM,7097.0,7097.0,273.78,7097.0,125 CPT,95810,HC POLYSOM 6/> YRS 4/> PARAM,7644.0,7644.0,270.32,7644.0,125 CPT,95810,HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND,7281.0,7281.0,270.32,7281.0,125 CPT,95811,HC POLYSOM 6/>YRS CPAP 4/> PARM,8715.0,8715.0,476.34,8715.0,125 CPT,95811,HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTN,8301.0,8301.0,476.34,8301.0,125 CPT,95812,HC EEG EXTENDED 41-60 MINUTES,2135.0,2135.0,38.93,2135.0,125 CPT,95812,HC MAPS EEG EXTENDED 41-60 MINUTES,243.0,243.0,38.93,716.25,125 CPT,95813,HC EEG OVER 1 HOUR,2698.0,2698.0,44.45,2698.0,125 CPT,95813,HC MAPS EEG EXTND MNTR 61-119 MIN,769.0,769.0,44.45,769.0,125 CPT,95816,HC EEG AWAKE AND DROWSY,1952.0,1952.0,13.5,1952.0,125 CPT,95816,HC MAPS EEG AWAKE AND DROWSY,210.0,210.0,13.5,716.25,125 CPT,95819,HC EEG AWAKE AND ASLEEP,2099.0,2099.0,13.5,2099.0,125 CPT,95819,HC EEG-ROUTINE,2099.0,2099.0,13.5,2099.0,125 CPT,95860,HC 95860 NEEDLE EMG-1 EXTREMITY,1425.0,1425.0,17.5,1425.0,125 CPT,95860,HC EMG 1 EXTREMITY T/F,963.0,963.0,17.5,963.0,125 CPT,95861,HC EMG 3 EXTREMITY W/OR WO PARASP,2403.0,2403.0,22.5,2403.0,125 CPT,95863,HC EMG 3 EXTREMITY W/OR WO PARASP,6505.0,6505.0,25.0,6505.0,125 CPT,95867,HC 95867 NEEDLE EMG-CRANIAL NERVES-UNILAT,2367.0,2367.0,15.0,2367.0,125 CPT,95868,HC EMG CRANIAL BIL T/F,658.0,658.0,25.46,716.25,125 CPT,95869,HC MUSCLE TEST THOR PARASPINAL,784.0,784.0,7.79,784.0,125 CPT,95870,HC MAPS MUSCLE TEST NONPARASPINAL,230.0,230.0,17.26,8112.0,124 CPT,95870,HC MUSCLE TEST NONPARASPINAL,1425.0,1425.0,17.26,1425.0,125 CPT,95872,HC MAPS MUSCLE TEST ONE FIBER,170.0,170.0,21.0,716.25,125 CPT,95872,HC MUSCLE TEST ONE FIBER,3944.0,3944.0,21.0,3944.0,125 CPT,95874,HC MAPS GUIDE NERV DESTR NEEDLE EMG,119.0,119.0,16.07,119.0,112 CPT,95885,HC MAPS MUSC TST DONE W/NERV TST LIM,138.0,138.0,18.63,138.0,116 CPT,95885,HC MUSC TST DONE W/NERV TST LIM,491.0,491.0,27.89,491.0,116 CPT,95886,HC MAPS MUSC TEST DONE W/N TEST COMP,161.0,161.0,21.74,161.0,116 CPT,95886,HC MUSC TEST DONE W/N TEST COMP,1124.0,1124.0,29.39,1124.0,116 CPT,95887,HC MUSC TST DONE W/N TST NONEXT,681.0,681.0,26.48,681.0,116 CPT,95907,HC 95907 1-2 NERVE CONDUCTION STUDIES,1279.0,1279.0,26.84,1279.0,125 CPT,95907,HC MAPS NVR CNDJ TST 1-2 STUDIES,193.0,193.0,26.84,716.25,125 CPT,95908,HC 3-4 NERVE CONDUCTION STUDIES,2309.0,2309.0,26.84,2309.0,125 CPT,95908,HC 95908 3-4 NERVE CONDUCTION STUDIES,2309.0,2309.0,26.84,2309.0,125 CPT,95908,HC MAPS NRV CNDJ TST 3-4 STUDIES,193.0,193.0,26.84,716.25,125 CPT,95909,HC 5-6 NERVE CONDUCTION STUDIES,3345.0,3345.0,26.84,3345.0,125 CPT,95909,HC 95909 5-6 NERVE CONDUCTION STUDIES,3345.0,3345.0,26.84,3345.0,125 CPT,95909,HC MAPS NRV CNDJ TST 5-6 STUDIES,334.0,334.0,26.84,716.25,125 CPT,95910,HC 7-8 NERVE CONDUCTION STUDIES,4373.0,4373.0,26.84,4373.0,125 CPT,95910,HC 95910 7-8 NERVE CONDUCTION STUDIES,4373.0,4373.0,26.84,4373.0,125 CPT,95910,HC MAPS 7-8 NERVE CONDUCTION STUDIES,323.0,323.0,26.84,1237.84,125 CPT,95911,HC 9-10 NERVE CONDUCTION STUDIES,5406.0,5406.0,49.69,5406.0,125 CPT,95911,HC 95911 9-10 NERVE CONDUCTION STUDIES,5406.0,5406.0,49.69,5406.0,125 CPT,95911,HC MAPS 9-10 NERVE CONDUCTION STUDIES,342.0,342.0,49.69,1237.84,125 CPT,95912,HC 11-13 NERVE CONDUCTION STUDIES,6434.0,6434.0,49.69,6434.0,125 CPT,95912,HC 95912 11-13 NERVE CONDUCTION STUDIES,6434.0,6434.0,49.69,6434.0,125 CPT,95912,HC MAPS NRV CNDJ TEST 11-12 STUDIES,339.0,339.0,49.69,1237.84,125 CPT,95913,HC 13 OR > NERVE CONDUCTION STUDI,6949.0,6949.0,49.69,6949.0,125 CPT,95913,HC 95913 13 OR > NERVE CONDUCTION STUDIES,6949.0,6949.0,49.69,6949.0,125 CPT,95913,HC MAPS NERVE CONDCTN STUDS 13 OR MORE,321.0,321.0,49.69,1237.84,125 CPT,95930,HC MAPS VISUAL EVOKD POTENTL(VEP) T,193.0,193.0,32.62,716.25,125 CPT,95930,HC VISUAL EVOKED RESPONSE,2123.0,2123.0,56.82,2123.0,125 CPT,95937,HC MAPS NEUROMUSCULAR JUNCTION TEST,176.0,176.0,12.23,426.82,125 CPT,95937,HC NEUROMUSCULAR JUNCTION TEST,2172.0,2172.0,12.23,2172.0,125 CPT,95938,HC SOMATOSENSORY TESTING,2957.0,2957.0,110.97,2957.0,125 CPT,95971,HC ANALYZE NEUROSTIM,1686.0,1686.0,67.19,1686.0,122 CPT,95971,HC MAPS ANALYZE NEUROSTIM SIMPLE,450.0,450.0,67.19,450.0,122 CPT,95972,HC MAPS ANALYZE NEUROSTIM COMPLEX,156.0,156.0,26.36,315.37,125 CPT,95976,HC MAPS ELEC ALYS IMPLT SMPL CN NPGT PRGRMG,189.0,189.0,23.45,189.0,125 CPT,95977,HC MAPS ELEC ALYS IMPLT CPLX CN NPGT PRGRMG,188.0,188.0,31.77,315.37,125 CPT,95983,HC ELECTRONIC ANALYSIS OF IMPLANTED NEUROSTIMULATO,1752.0,1752.0,23.45,1752.0,125 CPT,95983,HC MAPS ELEC ALYS IMPLT BRN NPGT PRGRMG 1ST 15 MIN,189.0,189.0,23.45,315.37,125 CPT,95984,HC ELECTRONIC ANALYSIS OF IMPLANTED NEUROSTIMULATO,1221.0,1221.0,35.7,1221.0,110 CPT,95984,HC MAPS ELEC ALYS IMPLT BRN NPGT PRGRMG EA ADDL 15,85.0,85.0,11.48,85.0,110 CPT,95990,HC APHERESIS WBC THERAPEUTIC,185.0,185.0,31.26,1095.69,125 CPT,95992,HC MAPS CANALITH REPOSITIONING PROC,71.0,71.0,12.0,222.0,122 CPT,96040,HC MAPS GENETIC COUNSELING 30 MIN,152.0,152.0,20.52,152.0,112 CPT,96105,HC MAPS APHASIA ASSESMENT 1ST HR,168.0,168.0,28.39,317.44,125 CPT,96112,HC MAPS DEVELOPMENTAL TST ADMIN PHYS/QHP 1ST HOUR,275.0,275.0,46.47,999.0,125 CPT,96113,HC MAPS DEVELOPMENTAL TST ADMIN PHYS/QHP EA ADDL 3,275.0,275.0,37.13,999.0,111 CPT,96116,HC MAPS NUBHVL XM PHYS/QHP 1ST HR,335.0,335.0,56.61,999.0,122 CPT,96121,HC MAPS NEUROBEHAVIORAL STATUS XM PHYS/QHP EA ADDL,275.0,275.0,37.13,999.0,108 CPT,96127,HC PSYCH ASSESSMENT,190.58,190.58,4.0,999.0,125 CPT,96130,HC PSYCL TST EVAL PHYS/QHP 1ST,302.5,302.5,51.12,999.0,125 CPT,96131,HC PSYCL TST EVAL PHYS/QHP EA,302.5,302.5,40.84,999.0,111 CPT,96132,HC MAPS NRPSYC TST EVAL PHYS/QHP 1ST,350.0,350.0,59.15,1237.84,125 CPT,96133,HC MAPS NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP EA AD,113.0,113.0,15.26,999.0,111 CPT,96136,HC MAPS PSYCH/NEUROPSYCH TEST ADMIN SCORING 2 OR,222.0,222.0,19.96,999.0,125 CPT,96137,HC MAPS PAYCL/NRPSYCL TST PHYS/QHP 2 TST EA ADDL,113.0,113.0,15.26,999.0,111 CPT,96150,HC MAPS ASSESS HLTH/BEHAVE INIT,58.0,58.0,7.83,999.0,113 CPT,96151,HC MAPS ASSESS HLTH/BEHAVE SUBSEQ,58.0,58.0,7.83,999.0,113 CPT,96152,HC MAPS INTERVENE HLTH/BEHAVE INDIV,58.0,58.0,7.83,58.0,110 CPT,96154,HC MAPS INTERV HLTH/BEHAVFAM W/PT,58.0,58.0,7.83,8112.0,112 CPT,96360,HC HYDRATIONIV INF INITUPTO 1HR,799.5,799.5,31.63,1297.0,248 CPT,96361,HC HYDRAT IV INF EA ADD HRUPTO8,335.5,335.5,9.0,348.0,248 CPT,96365,HC IV INF INITITAL 1ST HR,724.0,724.0,39.3,724.0,124 CPT,96365,HC IV INF TX/PX/DX INI UP TO 1HR,960.0,960.0,39.3,960.0,125 CPT,96366,HC IV INF EA ADD HR,368.0,368.0,12.29,368.0,124 CPT,96366,HC IV INF TX/PX/DX INI EA ADD HR,960.0,960.0,12.29,960.0,125 CPT,96367,HC IV INF EA ADD SEQ INFUS,447.0,447.0,19.24,447.0,124 CPT,96367,HC IV INF TX/DXADD SEQUP TO 1H,425.0,425.0,19.24,425.0,124 CPT,96368,HC IV INF TX/DXCONCURRENT INF,244.0,244.0,11.43,271.0,228 CPT,96372,HC INTRAMSCINJ.ANTIBIOTIC,277.5,277.5,12.7,307.0,249 CPT,96372,HC MAPS INTRAMSCINJ.ANTIBIOTIC,72.0,72.0,12.17,238.85,125 CPT,96372,HC SQ/IM INJ NON CHEMO,248.0,248.0,12.7,248.0,125 CPT,96372,HC THER/PROPH/DIAG INJ SC/IM,307.0,307.0,12.7,307.0,124 CPT,96372,HC TX/PX/DX INJ INTRA-ARTERIAL,217.0,217.0,12.7,238.85,125 CPT,96374,HC IV PUSH INITIAL,528.0,528.0,20.87,705.56,124 CPT,96374,HC THERAP/PROPHYL/DX INJ IV,1297.0,1297.0,20.87,1297.0,250 CPT,96375,HC IV PUSH EA ADDL SEQ,329.0,329.0,13.01,329.0,125 CPT,96375,HC TX/PROPH/DX IV INJ EACH ADDL,1253.0,1253.0,13.01,1253.0,125 CPT,96376,HC IV PUSH SAME DRUG ADON,509.0,509.0,41.45,711.0,224 CPT,96376,HC OTHER PRO/DX IV P/SEQ SAME SUB,426.0,426.0,57.51,426.0,112 CPT,96377,HC APPL ON-BODY INJECTOR FOR TIMED SUBQ INJECTION,519.0,519.0,17.99,519.0,118 CPT,96401,HC CHEMO SQ/IM NON-HOR,540.0,540.0,20.87,540.0,125 CPT,96402,HC CHEMO HORMONAL SQ/IM,540.0,540.0,20.87,540.0,125 CPT,96402,HC MAPS CHEMO HORMON ANTINEOPL SQ/IM,165.0,165.0,20.87,238.85,125 CPT,96405,HC CHEMO INTRALESIONAL UP TO 7,540.0,540.0,20.87,540.0,125 CPT,96405,HC MAPS CHEMO INTRALESIONAL UP TO 7,195.0,195.0,20.87,238.85,125 CPT,96406,HC CHEMO INTRALESIONAL OVER 7,540.0,540.0,38.12,705.56,125 CPT,96409,HC CHEMO IV PUSH INITIAL,957.0,957.0,75.92,1095.69,125 CPT,96411,HC CHEMO IV PUSHEA ADD DRUG,957.0,957.0,43.59,957.0,125 CPT,96413,HC CHEMO INFUSION 1ST HR,1608.0,1608.0,124.55,1608.0,125 CPT,96413,HC MAPS CHEMO IV INFUSION 1 HR,453.0,453.0,76.56,1095.69,125 CPT,96415,HC CHEMO INFUS EACH ADD HR,592.0,592.0,20.87,592.0,125 CPT,96416,HC CHEMO PROLONG INFUS>8H,1373.0,1373.0,124.55,1373.0,125 CPT,96417,HC CHEMO EA AD SEQ INFUS,656.0,656.0,43.59,656.0,125 CPT,96446,HC CHEMO ADM PERITONEAL C,1621.0,1621.0,17.1,1621.0,125 CPT,96450,HC CHEMO VIA SPINAL TAP,2299.0,2299.0,76.66,8112.0,124 CPT,96521,HC PORTABLE PUMP REFILL,645.0,645.0,75.92,705.56,124 CPT,96522,HC HEPATIC PUMP,645.0,645.0,75.92,705.56,125 CPT,96523,HC CVC CATH FLUSH,324.0,324.0,19.48,324.0,125 CPT,96523,HC IRRIGATION IMPLANTED VAD,217.0,217.0,19.48,217.0,125 CPT,96542,HC CHEMO VIA OMMAYA,1621.0,1621.0,37.43,1621.0,250 CPT,97110,HC THERAPEUTIC EXERCISES,433.0,433.0,16.51,433.0,120 CPT,97112,HC PT NEURO MS RE-ED (P,459.0,459.0,22.72,459.0,120 CPT,97116,HC PT GAIT TRAINING (P,385.0,385.0,16.51,385.0,120 CPT,97124,HC MASSAGE THERAPY 15 MINS,403.0,403.0,20.54,403.0,120 CPT,97129,HC COGNITIVE SKILLS DEVELOPMENT,339.0,339.0,14.98,339.0,122 CPT,97140,HC MANUAL THERAPY 15 MINS,411.0,411.0,18.21,411.0,120 CPT,97150,HC GROUP THERAPEUTIC PROCEDURES,594.0,594.0,12.15,594.0,120 CPT,97161,HC PT EVAL LOW COMPLEX 20 MIN,674.0,674.0,63.61,674.0,125 CPT,97162,HC PT EVAL MODERATE COMPLEX 30 MIN,674.0,674.0,49.9,674.0,125 CPT,97163,HC PT EVAL HIGH COMPLEX 45 MIN,674.0,674.0,63.61,674.0,125 CPT,97164,HC PT RE-EVAL 20 MIN,493.0,493.0,43.12,493.0,125 CPT,97165,HC OT EVAL LOW COMPLEXITY 30 MIN,665.0,665.0,61.73,665.0,125 CPT,97166,HC OT EVAL MOD COMPLEXITY 45 MIN,665.0,665.0,49.9,665.0,125 CPT,97167,HC OT EVAL HIGH COMPLEXITY 60 MIN,665.0,665.0,61.73,665.0,125 CPT,97168,HC OT RE EVAL ESTABLISHED PLAN OF CARE,493.0,493.0,40.69,493.0,125 CPT,97530,HC THERAPEUTIC ACTIVITIES,459.0,459.0,24.81,459.0,120 CPT,97535,HC SELF CARE MNGMENT TRAINING,462.0,462.0,22.07,462.0,120 CPT,97537,HC COMMUNITY/WORK REINTEGRATION 15MIN,425.0,425.0,21.37,425.0,119 CPT,97542,HC WHEELCHAIR MNGMENT TRAINING 15 MINS,433.0,433.0,21.37,433.0,120 CPT,97598,HC RMVL DEVITAL TIS ADDL 20CM/<,666.0,666.0,11.56,666.0,112 CPT,97605,HC MAPS NEG PRESS WOUND TX 50 SQ C,152.0,152.0,25.69,8112.0,122 CPT,97750,HC PHYSICAL PERFORMANCE TEST,468.0,468.0,22.98,468.0,120 CPT,97760,HC MAPS ORTHOTIC MGMT AND TRAINING,65.0,65.0,10.98,222.0,122 CPT,97760,HC ORTHOTIC MGMT AND TRAINING,462.0,462.0,32.29,462.0,122 CPT,97763,HC ORTHOTIC(S)/PROSTHETIC(S) MANAGEMENT AND/OR TRA,403.0,403.0,35.5,403.0,122 CPT,97802,HC CNS ASSMT IP INIT 1ST 15 MIN,248.0,248.0,19.96,248.0,122 CPT,97802,MNT INITIAL EACH 15 MIN,248.0,248.0,19.96,248.0,122 CPT,97803,HC MED NUTRITION INDIV SUBSEQ,248.0,248.0,17.22,248.0,122 CPT,97803,MNT REASSESMENT EACH 15 MIN,248.0,248.0,17.22,248.0,122 CPT,97804,MNT GROUP (2 PPL) EACH 30 MIN,248.0,248.0,9.18,248.0,122 CPT,98960,HC INCENTIVE SPIROMETER,433.0,433.0,36.54,433.0,106 CPT,98960,HC PATIENT/FAMILY EDU EACH 30 MIN-NEONATE,132.0,132.0,17.82,132.0,107 CPT,98960,HC PATIENT/FAMILY EDU EACH 30 MINS,132.0,132.0,17.82,132.0,107 CPT,98960,HC SELF-MGMT EDUC TRAIN 1 PT,132.0,132.0,17.82,132.0,107 CPT,99001,HC DIRECTED DONOR PROCESSING FEE,753.0,753.0,93.37,753.0,107 CPT,99001,HC SPEC HANDLING CHARGE,151.0,151.0,18.72,151.0,107 CPT,99001,HC SPECIMEN PACKAGING FEE,131.0,131.0,16.24,131.0,107 CPT,99001,HC SPECIMEN SHIPPING FEE,151.0,151.0,18.72,151.0,107 CPT,99152,HC CONSCIOUS SED ADLT FRST 30 MIN,997.0,997.0,9.9,997.0,114 CPT,99152,HC MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS,83.0,83.0,9.9,83.0,114 CPT,99153,HC MOD SED SAME PHYS/QHP EA ADD 15 MIN 5/> YRS,77.0,77.0,8.33,77.0,114 CPT,99156,HC MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5/> YRS,313.0,313.0,42.26,2787.0,115 CPT,99190,HC SPECIAL PUMP SERVICES W W/O ECH EACH HOUR,1095.0,1095.0,147.83,8112.0,112 CPT,99195,HC THERAPEUTIC PHLEBOTOMY,423.0,423.0,1.14,441.35,125 CPT,99202,HC CRNP MEDMGMT OFFICE VISIT NEW LEV II 15-29 MIN,85.86,85.86,11.59,85.86,108 CPT,99202,HC MAPS NW PTO/P W PROB FOC HEM,140.0,140.0,18.9,140.0,108 CPT,99202,HC MD MEDMGMT OFFICE VISIT NEW LEV II 15-29 MINS,113.8,113.8,15.36,113.8,108 CPT,99202,HC OFFICE/OUTPT VISIT NEW LEVL II,318.0,318.0,42.93,318.0,108 CPT,99203,HC CRNP MEDMGMT OFFICE VISIT NEW LEVL III 30-44 M,171.72,171.72,23.18,171.72,108 CPT,99203,HC MD MEDMGMT OFFICE VISIT NEW LEVL III 30-44 MIN,227.6,227.6,30.73,227.6,108 CPT,99204,HC CRNP MEDMGMT OFFICE/OUTPT VISIT NEW LEVL IV 45,257.58,257.58,34.77,257.58,108 CPT,99204,HC MD MEDMGMT OFFICE/OUTPT VISIT NEW LEVL IV 45-5,341.4,341.4,46.09,341.4,108 CPT,99205,HC CRNP MEDMGMT OFFICE/OUTPT VISIT NEW LEVL V 60-,343.44,343.44,46.36,343.44,108 CPT,99205,HC MD MEDMGMT OFFICE/OUTPT VISIT NEW LEVL V 60-74,455.2,455.2,61.45,455.2,108 CPT,99211,HC CLOZARIL MONITOR EVAL MD (OV/OP VST EVAL M,108.64,108.64,14.67,108.64,108 CPT,99211,HC MAPS OFFICE/OUTPATIENT VISIT EST,140.0,140.0,18.9,140.0,108 CPT,99211,HC MED MGMT. EST/PT.,64.5,64.5,8.71,64.5,108 CPT,99211,HC OFFICE OUT/PT VISIT EST LEVL 1,143.0,143.0,19.3,143.0,108 CPT,99211,HC PSYCH MED. MGMT. ESTABLISHED CLIENT,102.86,102.86,13.89,102.86,108 CPT,99212,HC CRNP MEDMGMT OFFICE/OUTPT VISIT EST LEVL II 10,85.86,85.86,11.59,85.86,108 CPT,99212,HC MD MEDMGMT OFFICE/OUTPT VISIT EST LEVL II 10-1,113.8,113.8,15.36,113.8,108 CPT,99212,HC OFFICE/PUTPT VISIT EST LEVL II,318.0,318.0,42.93,318.0,108 CPT,99213,HC CRNP MEDMGMT OFFICE OUTPT VISIT EST LEVL III 20,171.72,171.72,23.18,171.72,108 CPT,99213,HC MD MEDMGMT OFFICE OUTPT VISIT EST LEVL III 20-2,227.6,227.6,30.73,227.6,108 CPT,99213,HC MED MGMT. ESTABLISHED LOW TO MODERATE FACE TO,70.0,70.0,9.45,70.0,108 CPT,99214,HC CRNP MEDMGMT OFFICE/OUTPT VISIT EST LEVL IV 30,257.58,257.58,34.77,257.58,108 CPT,99214,HC MD MEDMGMT OFFICE/OUTPT VISIT EST LEVL IV MINI,341.4,341.4,46.09,341.4,108 CPT,99215,HC CRNP MEDMGMT OFFICE/OUTPT VISIT EST LEVL V 40-,343.44,343.44,46.36,343.44,108 CPT,99215,HC MD MEDMGMT OFFICE/OUTPT VISIT EST LEVL V 40-54,455.2,455.2,61.45,455.2,108 CPT,99281,HC LEVEL 1 E.R.,599.0,599.0,16.19,3873.0,125 CPT,99282,HC LEVEL 2 E.R.,1127.0,1127.0,32.98,3873.0,125 CPT,99283,HC LEVEL 3 E.R.,1213.0,1213.0,56.65,3873.0,125 CPT,99284,HC LEVEL 4 E.R.,2662.0,2662.0,90.0,3873.0,125 CPT,99285,HC LEVEL 5 E.R.,4829.0,4829.0,90.0,4829.0,125 CPT,99291,HC CRITCAL CARE 1ST 30-74 MIN,6747.0,6747.0,151.63,8072.0,124 CPT,99291,HC LEVEL 6 E.R,6791.0,6791.0,90.0,34245.0,125 CPT,99292,HC CRITICAL CARE EA ADDL 30 MIN,4829.0,4829.0,74.4,8072.0,114 CPT,99401,HC PREVENT COUNSELINDIV15 MIN,108.0,108.0,14.58,108.0,107 CPT,99402,HC PREVENT COUNSEL INDIV30 MIN,163.0,163.0,22.01,163.0,107 CPT,99403,HC PREVENT COUNSEL INDIV45 MIN,227.0,227.0,30.65,227.0,107 CPT,99404,HC PREVENT COUNSEL INDIV 60 MIN,284.0,284.0,38.34,284.0,107 CPT,99406,HC MAPS BEHAV CHNG SMOKING 3-10 MIN,33.0,33.0,5.58,124.29,117 CPT,99465,HC NB RESUSCITATION,750.0,750.0,93.57,2192.46,122 CPT,99492,HC MAPS INITL PSYCH COLLABRTV CARE MGMT1ST 70 MINS,100.0,100.0,16.9,337.0,125 CPT,99495,HC MAPS TRANS CARE MGMT 14 DAY DISCH,115.0,115.0,19.43,441.63,122 CPT,99496,HC MAPS TRANS CARE MGMT 7 DAY DISCH,115.0,115.0,19.43,441.63,122 HCPCS,A4216,NORMAL SALINE FLUSH 0.9 IV SOLN,5.5,5.5,0.27,9.0,222 HCPCS,A4216,SODIUM CHLORIDE FLUSH 0.9 IV SOLN,4.0,4.0,0.27,11.0,555 HCPCS,A4216,STERILE WATER FOR INJECTION SOLN,11.5,11.5,0.14,32.0,4107 HCPCS,A4264,HC MAPS INTRATUBAL OCCLUSION DEVICE,1800.0,1800.0,243.0,1800.0,101 HCPCS,A4561,HC MAPS PESSARY RUBBERANY TYPE,35.0,35.0,4.73,35.0,111 HCPCS,A4562,HC MAPS PESSARYNON-RUBBER TYPE,75.0,75.0,10.13,75.0,111 HCPCS,A4590,HC MAPS CAST/SPLIT,99.0,99.0,13.37,99.0,111 HCPCS,A9500,HC RN SESTA/CARD (PER DOSE),809.0,809.0,109.22,809.0,111 HCPCS,A9502,HC MAPS TC-99M TETROFOSMNDXPER STDY DOSE,1428.0,1428.0,86.98,1428.0,111 HCPCS,A9503,HC RN MEDRO/MDP( UP TO 30 MCI),552.0,552.0,13.26,552.0,106 HCPCS,A9505,HC DIA RAD THALLIUM PER MCU,476.0,476.0,33.31,476.0,111 HCPCS,A9505,HC RN THALLIUM(PER MCI),476.0,476.0,33.31,476.0,111 HCPCS,A9508,HC RN I-131 MIBG (PER 0.5 MCI),4645.0,4645.0,627.08,4645.0,117 HCPCS,A9509,HC I-123 SOD IODID DXEA ADD MCI,1073.0,1073.0,144.86,1073.0,108 HCPCS,A9510,HC TC 99M DISOFENIN PER VIAL,457.0,457.0,61.7,457.0,112 HCPCS,A9512,HC TC-99 PERTECHNETATE PER MCI,103.0,103.0,1.52,103.0,111 HCPCS,A9516,HC RN I-123 PER 100 UCI,3122.0,3122.0,108.36,3122.0,112 HCPCS,A9517,HC RN I-131SOD.IODINE CAP PER MCI,138.0,138.0,18.63,138.0,119 HCPCS,A9521,HC RN CERETEC (PER DOSE),5058.0,5058.0,567.61,5058.0,119 HCPCS,A9528,HC I-131 IODID CAP DXEA ADD MCI,138.0,138.0,6.46,138.0,111 HCPCS,A9530,HC THER RAD I-131 SOL PER MCI,138.0,138.0,7.64,138.0,119 HCPCS,A9537,HC MEBROFENIN UP TO 15MCI,717.0,717.0,9.65,717.0,111 HCPCS,A9537,HC TC99M MEBROFENIN < 15 MCI,656.0,656.0,9.65,656.0,111 HCPCS,A9538,HC PYROPHOSPHATE DX UP TO 25MCI,600.0,600.0,19.2,600.0,111 HCPCS,A9540,HC RN TC99M ALBUMIN(UP TO 10MCI),552.0,552.0,29.96,552.0,111 HCPCS,A9541,HC TC-99 SULF COLLDX UP TO 20MCI,826.0,826.0,111.51,1089.53,111 HCPCS,A9548,HC RN IND111DTPA 0.5MCI,12176.0,12176.0,715.29,12176.0,119 HCPCS,A9552,HC RN FLUROEOXYGLUCOSE F-18 FDG,1250.0,1250.0,168.75,1250.0,103 HCPCS,A9556,HC RN GALLIUM (PER MCI),201.0,201.0,27.14,201.0,111 HCPCS,A9557,HC TC-99M BICISATE UP TO 25 MCI,2209.0,2209.0,298.22,2333.07,119 HCPCS,A9558,HC RN XENON (PER 10 MCI),287.0,287.0,38.75,287.0,111 HCPCS,A9560,HC TCF-99 LABEL RBC SDX UP TO 30,534.0,534.0,72.09,534.0,111 HCPCS,A9560,TECHNETIUM TC 99M PYROPHOS IV KIT,231.0,231.0,31.19,231.0,224 HCPCS,A9561,HC TC-99M/OXIDRONATE/D TO 30MCI,513.0,513.0,44.88,513.0,111 HCPCS,A9562,HC RN MAG-PER STUDY DOSE<15MCI,886.0,886.0,119.61,886.0,111 HCPCS,A9567,HC TC-99M PENTETAT DX UP TO 75MCI,515.0,515.0,17.98,515.0,111 HCPCS,A9570,HC INDIUM IN-111 WBCDXPER DOSE,4943.0,4943.0,667.31,4943.0,120 HCPCS,A9572,HC RN IND-III PENTETRE UP TO 6MCI,8848.0,8848.0,1194.48,8848.0,120 HCPCS,A9575,GADOTERATE MEGLUMINE 10 MMOL/20ML IV SOLN,202.0,202.0,0.1,363.0,416 HCPCS,A9575,GADOTERATE MEGLUMINE 10 MMOL/20ML IV SOSY,392.0,392.0,0.1,392.0,104 HCPCS,A9575,GADOTERATE MEGLUMINE 2.5 MMOL/5ML IV SOLN,102.0,102.0,0.1,108.0,208 HCPCS,A9575,GADOTERATE MEGLUMINE 5 MMOL/10ML IV SOLN,119.0,119.0,0.1,182.0,416 HCPCS,A9575,GADOTERATE MEGLUMINE 50 MMOL/100ML IV SOLN,930.0,930.0,0.1,930.0,104 HCPCS,A9575,GADOTERATE MEGLUMINE 7.5 MMOL/15ML IV SOLN,189.0,189.0,0.1,272.0,312 HCPCS,A9576,GADOTERIDOL 279.3 MG/ML IV SOLN,995.0,995.0,1.41,995.0,104 HCPCS,A9577,GADOBENATE DIMEGLUMINE 529 MG/ML IV SOLN,258.5,258.5,1.74,379.0,416 HCPCS,A9579,GADODIAMIDE 287 MG/ML IV SOLN,300.0,300.0,1.46,371.0,312 HCPCS,A9579,GADOTERIDOL 279.3 MG/ML IV SOLN,258.5,258.5,1.46,379.0,416 HCPCS,A9581,GADOXETATE DISODIUM 0.25 MMOL/ML IV SOLN,712.5,712.5,14.7,913.0,208 HCPCS,A9582,HC IODN I-123 IOBENGUANE STDYDOSE,9494.0,9494.0,1281.69,9494.0,120 HCPCS,A9584,HC IODINE I-123 IOFLUPANE DX 5MCI,7872.0,7872.0,1062.72,7872.0,120 HCPCS,A9585,GADOBUTROL 1 MMOL/ML IV SOLN,225.0,225.0,0.26,225.0,104 HCPCS,A9585,GADOBUTROL 10 MMOL/10ML IV SOSY,321.0,321.0,0.26,321.0,104 HCPCS,A9587,HC GALLIUM-68 DOTATATE PER 0.1 MCI,289.0,289.0,39.02,289.0,108 HCPCS,A9589,HEXAMINOLEVULINATE HCL 100 MG INTRAVESICAL SOLR,4706.0,4706.0,635.31,4706.0,112 HCPCS,A9595,HC PIFLUFOLASTAT F-18 DIAGNOSTIC PER MCI,1865.0,1865.0,251.78,1865.0,119 HCPCS,A9596,HC GALLIUM ILLUCCIX 1 MCI,2283.0,2283.0,308.21,2283.0,119 HCPCS,A9603,PAFOLACIANINE SODIUM 3.2 MG/1.6ML IV SOLN,15300.0,15300.0,132.29,15300.0,111 HCPCS,A9607,HC LU-177 PSMA 1 MCI,515.0,515.0,69.53,780.12,119 HCPCS,C1714,HC ATHERECTOMY CATH DIRE,8168.0,8168.0,1102.68,8168.0,111 HCPCS,C1717,HC BRACHYTXNON-STRHDR IR-192,2403.0,2403.0,139.3,2403.0,111 HCPCS,C1717,HC IRIDUM 192 HDR(NUCLETRON),2403.0,2403.0,139.3,2403.0,111 HCPCS,C1721,HC DEFIB DUAL CHAMBER I,63685.0,63685.0,8597.48,63685.0,113 HCPCS,C1722,HC DEFIB SINGLE CHAMBER,58986.0,58986.0,7963.11,58986.0,113 HCPCS,C1724,HC CATH TRANSLU ATHERECT,9156.0,9156.0,1236.06,9156.0,111 HCPCS,C1724,HC CATH TRANSLU ATHERECTO,12078.0,12078.0,601.83,19698.0,222 HCPCS,C1725,HC CATH TRANSLU ANGIO N,2539.0,2539.0,342.77,2539.0,111 HCPCS,C1725,HC CATH TRANSLU ANGIO NON,4942.0,4942.0,121.1,6082.0,333 HCPCS,C1727,HC CATH BALLOON TISSUE DI,3963.0,3963.0,535.0,3963.0,111 HCPCS,C1728,HC CATH BRACHYTX SEED ADM,2805.0,2805.0,378.68,2805.0,102 HCPCS,C1730,HC CATH EP DIAG NOT 3D,16343.0,16343.0,2206.31,16343.0,111 HCPCS,C1730,HC CATH EP DIAG NOT 3D<19,945.5,945.5,64.26,1415.0,222 HCPCS,C1731,HC CATH EPDIAGNOT 3D 20,4717.0,4717.0,636.8,4717.0,111 HCPCS,C1731,HC CATHETER EPDIAG NOT,7545.0,7545.0,1018.58,7545.0,111 HCPCS,C1732,HC CATH EP DIAG/ABL 3D,12587.0,12587.0,1699.25,12587.0,111 HCPCS,C1732,HC CATH EP DIAG/ABL 3D VE,897.0,897.0,121.1,897.0,111 HCPCS,C1733,HC CATH EP DIAG/ABL NOT,12270.0,12270.0,1656.45,12270.0,111 HCPCS,C1733,HC CATH EP DIAG/ABL NOT 3,2831.0,2831.0,254.88,3774.0,222 HCPCS,C1733,HC CATH EP DIAG/ABL<>3D V,6788.0,6788.0,916.38,6788.0,111 HCPCS,C1753,HC CATHETER INT-VAS ULTR,6445.0,6445.0,870.08,6445.0,111 HCPCS,C1757,HC CATHETER THROM/EMBOLE,6404.0,6404.0,468.18,9340.0,222 HCPCS,C1759,HC CATH INTERCARDIAC ECHO,11162.5,11162.5,1470.15,11435.0,222 HCPCS,C1759,HC INTRACARDIAC ECHO CATH,6502.0,6502.0,877.77,6502.0,111 HCPCS,C1760,HC ANGIOSEAL,1948.0,1948.0,262.98,1948.0,111 HCPCS,C1764,HC EVENT RECORDERCARDIAC,22549.0,22549.0,3044.12,22549.0,113 HCPCS,C1766,HC INTRO/SHEATH STRBLE,851.0,851.0,114.89,851.0,111 HCPCS,C1766,HC INTRO/SHEATHSTRBLE,4189.0,4189.0,565.51,4189.0,111 HCPCS,C1769,HC GLIDEWIRE CATHETER,1081.0,1081.0,145.94,1081.0,111 HCPCS,C1769,HC GUIDEWIRE 1300,6437.0,6437.0,869.0,6437.0,111 HCPCS,C1769,HC GUIDEWIRE 250,1179.0,1179.0,159.17,1179.0,111 HCPCS,C1769,HC GUIDEWIRE 700,3468.0,3468.0,468.18,3468.0,111 HCPCS,C1777,HC LEAD AICD ENDO SINGL,17858.0,17858.0,2410.83,17858.0,113 HCPCS,C1779,HC LEAD PMKR TRANSVENOU,2903.0,2903.0,391.91,2903.0,103 HCPCS,C1781,HC GRAFT PATCH MESH,1450.0,1450.0,191.03,1485.0,202 HCPCS,C1785,HC PM DUAL CHAMBER RATE,21247.0,21247.0,2868.35,21247.0,108 HCPCS,C1786,HC PM SINGLE CHAMBER RA,17572.0,17572.0,2372.22,17572.0,108 HCPCS,C1817,HC SEPTAL OCCLUDER,35619.0,35619.0,4808.57,35619.0,113 HCPCS,C1874,HC DRUG ELUTING STENT W/D,14107.0,14107.0,1904.45,14107.0,113 HCPCS,C1876,HC STENT NON-COA/NON-COV,11657.0,11657.0,1573.7,11657.0,113 HCPCS,C1876,HC STENT NON-COATEDW/DEL,7791.0,7791.0,1051.79,7791.0,113 HCPCS,C1877,HC STENT NON-COATED BALL,11669.0,11669.0,1575.32,11669.0,113 HCPCS,C1880,HC IVC FILTER,10803.0,10803.0,1458.41,10803.0,113 HCPCS,C1882,HC DEFIB NOT SINGLE OR DU,90443.0,90443.0,12209.81,90443.0,113 HCPCS,C1883,HC ADAPTOR/EXTENSION PAC,6667.0,6667.0,900.05,6667.0,108 HCPCS,C1884,HC EMBOLIZATION PROTECTIV,11944.0,11944.0,1612.44,11944.0,111 HCPCS,C1887,HC CATHETERGUIDING,1949.0,1949.0,263.12,1949.0,111 HCPCS,C1887,HC LEAD DEL SYS CATH,3681.0,3681.0,496.94,3681.0,111 HCPCS,C1892,HC INTRO/SHEATHFIXEDPEE,387.0,387.0,52.25,387.0,111 HCPCS,C1893,HC INTRO/SHEATH FIXEDNO,312.0,312.0,42.12,312.0,111 HCPCS,C1893,HC INTRODUCER FIXEDNON-P,756.0,756.0,102.06,756.0,111 HCPCS,C1894,HC AORTIC VALVE SHEATH,2756.0,2756.0,372.06,2756.0,111 HCPCS,C1894,HC INTRO/SHEATH NON GUID,1232.0,1232.0,166.32,1232.0,111 HCPCS,C1895,HC LEAD AICD ENDO DUAL,17401.0,17401.0,2349.14,17401.0,113 HCPCS,C1896,HC LEAD DEFIB NO ENDO 1O,42508.0,42508.0,5738.58,42508.0,113 HCPCS,C1896,HC SUBCUTANEOUS ARRAY PAT,10420.0,10420.0,1406.7,10420.0,113 HCPCS,C1898,HC LEAD PM NO TRANSV VD,3131.0,3131.0,422.69,3131.0,103 HCPCS,C1899,HC LEAD PMKR/AICD COMBIN,33982.0,33982.0,4587.57,33982.0,108 HCPCS,C1900,HC LEAD L VENT COR VENOU,11327.0,11327.0,1529.15,11327.0,113 HCPCS,C2616,HC Y-90 SPHERES,55785.0,55785.0,7542.13,56360.76,123 HCPCS,C2619,HC PM DUAL CHAMB NON-RA,44441.0,44441.0,5999.54,44441.0,108 HCPCS,C2620,HC PM SINGLE CHAMB NON-,38409.0,38409.0,5185.22,38409.0,108 HCPCS,C2621,HC PM NOT SINGLE OR DUAL,34852.0,34852.0,4705.02,34852.0,108 HCPCS,C2623,HC CATHTRNSLMN COATED NO,6611.0,6611.0,892.49,6611.0,111 HCPCS,C2624,HC CARDIOMEMS SENSOR,64497.0,64497.0,8707.1,64497.0,113 HCPCS,C8924,HC 2D TTE W OR W/O FOL W/CONFU,5280.0,5280.0,127.38,5280.0,122 HCPCS,C8925,HC 2D TEE W OR W/O FOL W/CONIN,2737.0,2737.0,333.74,2737.0,122 HCPCS,C8926,HC TEE W OR W/O FOL W/CONTCONG,2334.0,2334.0,333.74,2600.41,122 HCPCS,C8926,HC TEE W/CONTRAST CONGENITAL,2334.0,2334.0,333.74,2600.41,122 HCPCS,C8929,HC TTE W OR WO FOL WCONDOPPLER,11761.0,11761.0,284.61,11761.0,122 HCPCS,C8930,HC TTE W OR W/O CONTR CONT ECG,3160.0,3160.0,248.66,3160.0,122 HCPCS,C9047,CAPLACIZUMABYHDP 11 MG INJECTION KIT,29672.0,29672.0,746.28,29672.0,119 HCPCS,C9089,BUPIVACAINE HCL (300 MG DOSE) 3 X 100 MG IMPLANT I,299.0,299.0,0.83,299.0,222 HCPCS,C9293,GLUCARPIDASE 1000 UNITS IV SOLR,148227.0,148227.0,336.52,148227.0,119 HCPCS,C9399,ATEZOLIZUMABHYALURONIDASTQJS 187530000 MGUT/15ML S,39327.0,39327.0,5309.15,39327.0,113 HCPCS,C9399,BELIMUMAB 200 MG/ML SC SOAJ,4359.0,4359.0,588.47,4359.0,113 HCPCS,C9399,BELIMUMAB 200 MG/ML SC SOSY,4359.0,4359.0,588.47,4359.0,113 HCPCS,C9399,CASIMERSEN 100 MG/2ML IV SOLN,5760.0,5760.0,777.6,5760.0,113 HCPCS,C9399,DEFIBROTIDE SODIUM 200 MG/2.5ML IV SOLN,4097.0,4097.0,553.1,4097.0,113 HCPCS,C9399,GOLIMUMAB 50 MG/0.5ML SC SOAJ,21968.0,21968.0,2965.68,21968.0,113 HCPCS,C9399,GOLIMUMAB 50 MG/0.5ML SC SOSY,21968.0,21968.0,2965.68,21968.0,113 HCPCS,C9399,IMETELSTAT SODIUM 188 MG IV SOLR,35583.0,35583.0,4803.7,35583.0,113 HCPCS,C9399,IMETELSTAT SODIUM 47 MG IV SOLR,8896.0,8896.0,1200.96,8896.0,113 HCPCS,C9399,LETERMOVIR 240 MG PO TABS,941.0,941.0,127.04,941.0,226 HCPCS,C9399,LETERMOVIR 480 MG PO TABS,941.0,941.0,127.04,941.0,452 HCPCS,C9399,LETERMOVIR 480 MG/24ML IV SOLN,1302.0,1302.0,175.77,1302.0,226 HCPCS,C9399,METHOTREXATE (PF) 20 MG/0.4ML SC SOAJ,490.0,490.0,66.15,490.0,113 HCPCS,C9399,MIGLUSTAT (GAA DEFICIENCY) 65 MG PO CAPS,119.0,119.0,16.07,119.0,113 HCPCS,C9399,OCRELIZUMABHYALURONIDASEOCSQ 92023000 MGUT/23ML SC,141945.0,141945.0,19162.58,141945.0,113 HCPCS,C9399,QUIZARTINIB DIHYDROCHLORIDE 17.7 MG PO TABS,1966.0,1966.0,265.41,1966.0,113 HCPCS,C9399,QUIZARTINIB DIHYDROCHLORIDE 26.5 MG PO TABS,1966.0,1966.0,265.41,1966.0,113 HCPCS,C9399,RISANKIZUMABRZAA 150 MG/ML SC SOAJ,75663.0,75663.0,10214.51,75663.0,114 HCPCS,C9399,SECUKINUMAB (300 MG DOSE) 150 MG/ML SC SOAJ,13337.0,13337.0,1800.5,13337.0,113 HCPCS,C9399,SECUKINUMAB (300 MG DOSE) 150 MG/ML SC SOSY,13337.0,13337.0,1800.5,13337.0,113 HCPCS,C9399,SECUKINUMAB 150 MG/ML SC SOAJ,26673.0,26673.0,3600.86,26673.0,113 HCPCS,C9399,SECUKINUMAB 150 MG/ML SC SOSY,26673.0,26673.0,3600.86,26673.0,113 HCPCS,C9399,ZOLBETUXIMABCLZB 100 MG IV SOLR,5760.0,5760.0,777.6,5760.0,113 HCPCS,C9460,CANGRELOR TETRASODIUM 50 MG IV SOLR,3436.0,3436.0,18.71,3436.0,238 HCPCS,C9482,SOTALOL HCL 150 MG/10ML IV SOLN,11866.0,11866.0,18.82,11866.0,119 HCPCS,C9600,HC PRQ CARD DE STENT W/ANGIO 1VSL,78380.0,78380.0,2060.0,78380.0,122 HCPCS,C9601,HC PERC DRUG-EL COR STENT BRAN,31544.0,31544.0,2060.0,58523.0,112 HCPCS,C9602,HC PERC D-E COR STENT ATHER S,154412.0,154412.0,2060.0,154412.0,122 HCPCS,C9603,HC PERC D-E COR STENT ATHER BR,66566.0,66566.0,2060.0,66566.0,112 HCPCS,C9604,HC PERC D-E COR REVASC T CABG S,77145.0,77145.0,2060.0,77145.0,122 HCPCS,C9605,HC PERC D-E COR REVASC T CABG B,35473.0,35473.0,2060.0,58523.0,112 HCPCS,C9606,HC PERC D-E COR REVASC W AMI S,77145.0,77145.0,2060.0,77145.0,113 HCPCS,C9607,HC PERC D-E COR REVASC CHRO SIN,77145.0,77145.0,2060.0,77145.0,122 HCPCS,C9608,HC PERC D-E COR REVASC CHRO ADD,35473.0,35473.0,2060.0,58523.0,112 HCPCS,C9728,HC PLACE DEVICE/MARKER NON PROS,5344.0,5344.0,903.14,5344.0,122 HCPCS,C9764,HC PR REVASC INTRAVASC LITHOTRIPSY,17216.0,17216.0,1899.0,38294.15,122 HCPCS,C9765,HC REVASC INTRA LITHOTRIP-STENT,34879.0,34879.0,3735.0,60809.33,122 HCPCS,C9766,HC PR REVASC INTRA LITHOTRIP-ATHER,34953.0,34953.0,2060.0,60809.33,122 HCPCS,C9767,HC PR REVASC LITHOTRIP-STENT-ATHER,55790.0,55790.0,2060.0,60809.33,122 HCPCS,C9772,HC PR REVASC LITHOTRIP TIBI/PERONE,34879.0,34879.0,2060.0,38294.15,122 HCPCS,C9773,HC PR REVASC LITHOTR-STENT TIB/PER,55790.0,55790.0,2060.0,60809.33,122 HCPCS,C9774,HC PR REVASC LITHOTR-ATHER TIB/PER,55790.0,55790.0,2060.0,60809.33,122 HCPCS,C9775,HC PR REVASC LITH-STEN-ATH TIB/PER,55790.0,55790.0,2060.0,60809.33,122 HCPCS,G0008,HC ADMIN INFLUENZA VIRUS,237.0,237.0,10.0,237.0,117 HCPCS,G0008,HC MAPS ADMINISTER FLU VACCINE,108.0,108.0,10.0,155.34,117 HCPCS,G0009,HC ADMIN PNEUMOCOCCAL VAC,459.0,459.0,10.0,459.0,117 HCPCS,G0009,HC MAPS ADMIN PNEUMOCOCCAL VAC,84.0,84.0,10.0,155.34,117 HCPCS,G0010,HC ADMIN HEPATITIS B VACC,237.0,237.0,20.87,237.0,114 HCPCS,G0101,HC MAPS CA SCREEN PELVIC/BREAST EXAM,56.0,56.0,9.46,337.0,119 HCPCS,G0108,HC DIAB MANAGE TRN PER INDIV,468.0,468.0,21.41,468.0,125 HCPCS,G0109,HC DIAB MANAGE TRN IND/GROUP,223.0,223.0,12.07,223.0,125 HCPCS,G0239,HC NEGATIVE INSPIRATORY,305.0,305.0,17.81,305.0,122 HCPCS,G0239,HC RESP THERAPEUTIC PROCEDURE,305.0,305.0,17.81,305.0,122 HCPCS,G0257,HC UNSCHED DIALYSIS ESRD PT HOS,2958.0,2958.0,261.72,2958.0,122 HCPCS,G0268,HC MAPS REMOVAL OF IMPACTED WAX MD,62.0,62.0,8.37,8112.0,111 HCPCS,G0270,MNT SUBSQ-INDIVIDUAL EACH 15 MIN,233.0,233.0,20.87,233.0,122 HCPCS,G0278,HC ILIAC ART ANGIOCARDIAC CATH,137.0,137.0,15.17,14061.0,112 HCPCS,G0296,HC MAPS VISIT TO DETERMINE LDCT ELIGIBL,85.0,85.0,14.36,337.0,122 HCPCS,G0378,HC DOWNGRADE OBSERVATION UNIT CHARGE,304.0,304.0,41.04,3786.0,112 HCPCS,G0378,HC HOSPITAL OBSERVATION PER HR,304.0,304.0,41.04,3786.0,112 HCPCS,G0378,HC LABOR AND DELIVERY PETU PAH,1216.0,1216.0,164.16,3786.0,112 HCPCS,G0378,HC OBSERVATION ADJUSTMENT,204.0,204.0,27.54,3786.0,112 HCPCS,G0399,HC HOME SLEEP TEST/TYPE 3 PORTA,920.0,920.0,62.17,920.0,122 HCPCS,G0463,HC HOSPITAL OUTPATIENT CLINIC VISIT NEW,143.0,143.0,24.17,441.63,117 HCPCS,G0472,HC HEP C SCREEN HIGH RISK/OTHER,381.0,381.0,9.42,381.0,124 HCPCS,G0480,HC DRUG TEST DEFINITIVE 1-7 CLASSES,323.0,323.0,38.76,362.91,124 HCPCS,G0483,HC DRUG TESTS DEFINITIVE,1260.0,1260.0,104.36,1260.0,124 HCPCS,G2066,HC MAPS INTER DEVC REMOTE 30D,166.0,166.0,22.41,166.0,116 HCPCS,G2214,HC MAPS INIT/SUB PSYCH CARE M 1ST 30,105.0,105.0,17.74,337.0,125 HCPCS,G9873,HC FIRST MEDICARE DIABETES PREVENTION PROGRAM (MDP,74.0,74.0,9.99,74.0,109 HCPCS,G9873,HC MDPP SESSION REPORTED AS A LINE-ITEM ON A CLAIM,74.0,74.0,9.99,74.0,109 HCPCS,G9874,HC FOUR TOTAL MEDICARE DIABETES PREVENTION PROGRAM,143.0,143.0,19.3,143.0,109 HCPCS,G9875,HC NINE TOTAL MEDICARE DIABETES PREVENTION PROGRAM,255.0,255.0,34.43,255.0,109 HCPCS,G9876,HC TWO MEDICARE DIABETES PREVENTION PROGRAM (MDPP),45.0,45.0,6.08,45.0,109 HCPCS,G9877,HC TWO MEDICARE DIABETES PREVENTION PROGRAM IN MO,45.0,45.0,6.08,45.0,109 HCPCS,G9878,HC TWO MEDICARE DIABETES PREVENTION PROGRAM IN MO,171.0,171.0,23.09,171.0,109 HCPCS,G9879,HC TWO MEDICARE DIABETES PREVENTION PROGRAM CORE,171.0,171.0,23.09,171.0,109 HCPCS,G9880,HC BENEFICIARY ACHIEVED 5 WEIGHT LOSS FROM BASELI,453.0,453.0,61.16,453.0,109 HCPCS,G9881,HC BENEFICIARY ACHIEVED 9 WEIGHT LOSS FROM BASELI,74.0,74.0,9.99,74.0,109 HCPCS,G9882,HC (MDPP) ONGOING MAINTENANCE SESSIONS WERE ATTEN,143.0,143.0,19.3,143.0,109 HCPCS,G9883,HC (MDPP) MAINTENANCE SESSIONS WERE ATTENDED IN MO,143.0,143.0,19.3,143.0,109 HCPCS,G9884,HC FOUR TOTAL MEDICARE DIABETES PREVENTION PROGRAM,143.0,143.0,19.3,143.0,109 HCPCS,G9885,HC (MDPP) MAINTENANCE SESSIONS WERE ATTENDED IN MO,143.0,143.0,19.3,143.0,109 HCPCS,G9890,HC BRIDGE PAYMENT FIRST (MDPP) CORE SESSION BY TH,74.0,74.0,9.99,74.0,109 HCPCS,H0004,HC BEHAVIORAL HEALTH COUNSELING AND THERAPY,94.16,94.16,12.71,94.16,113 HCPCS,H0034,HC MED ADM -HALDOL INJECTION,47.02,47.02,6.35,47.02,112 HCPCS,H0034,HC MED ADM- PROLIXIN INJECTTION,47.02,47.02,6.35,47.02,112 HCPCS,H0034,HC MED ADM-RISPERADOL CONSTA INJ,47.02,47.02,6.35,47.02,112 HCPCS,H0034,HC MED ADM-SUSTENA,47.02,47.02,6.35,47.02,112 HCPCS,H0034,HC MED ADMIN,64.5,64.5,8.71,64.5,112 HCPCS,H0034,HC MED ADMIN EVAL NON MD,47.02,47.02,6.35,47.02,112 HCPCS,H0034,HC MEDICATION MANAGEMENT - CRNP,84.7,84.7,11.43,84.7,110 HCPCS,H0034,HC MEDICATION MANAGEMENT - CRNP - AUDIO ONLY TELEH,84.7,84.7,11.43,84.7,110 HCPCS,H0034,HC PSYCH CLOZAPINE SUPP SVC,118.8,118.8,16.04,118.8,112 HCPCS,H0046,HC SOCIAL REHAB-OTHER BILLABLE,24.66,24.66,4.17,999.0,112 HCPCS,H2010,HC COMPREHENSIVE MEDICATION SVCS,76.5,76.5,12.93,999.0,112 HCPCS,H2015,HC SUPPORTED LIVING,55.66,55.66,9.41,999.0,111 HCPCS,J0122,ERAVACYCLINE DIHYDROCHLORIDE 100 MG IV SOLR,396.0,396.0,1.21,396.0,238 HCPCS,J0122,ERAVACYCLINE DIHYDROCHLORIDE 50 MG IV SOLR,222.0,222.0,1.21,222.0,238 HCPCS,J0129,ABATACEPT 125 MG/ML SC SOSY,5126.0,5126.0,43.8,5126.0,119 HCPCS,J0129,ABATACEPT 250 MG IV SOLR,5265.0,5265.0,43.8,5265.0,119 HCPCS,J0131,ACETAMINOPHEN 10 MG/ML IV SOLN,55.5,55.5,0.05,135.0,1120 HCPCS,J0132,ACETYLCYSTEINE 200 MG/ML IV SOLN,396.0,396.0,0.37,1051.0,1120 HCPCS,J0133,ACYCLOVIR SODIUM 50 MG/ML IV SOLN,90.0,90.0,0.03,126.0,784 HCPCS,J0134,ACETAMINOPHEN 10 MG/ML IV SOLN,35.0,35.0,0.04,35.0,112 HCPCS,J0135,ADALIMUMAB 40 MG/0.8ML SC AJKT,12461.0,12461.0,1682.24,12461.0,111 HCPCS,J0135,ADALIMUMAB 40 MG/0.8ML SC PSKT,12461.0,12461.0,1682.24,12461.0,111 HCPCS,J0136,ACETAMINOPHEN 10 MG/ML IV SOLN,26.5,26.5,0.05,30.0,224 HCPCS,J0137,ACETAMINOPHEN 10 MG/ML IV SOLN,44.0,44.0,0.05,44.0,224 HCPCS,J0153,ADENOSINE (DIAGNOSTIC) 3 MG/ML IV SOLN,565.5,565.5,0.32,699.0,224 HCPCS,J0153,ADENOSINE 12 MG/4ML IV SOLN,94.0,94.0,0.32,94.0,112 HCPCS,J0153,ADENOSINE 3 MG/ML IV SOLN (CATH LAB INFUSION),464.0,464.0,0.32,706.0,784 HCPCS,J0153,ADENOSINE 6 MG/2ML IV SOLN,31.5,31.5,0.32,58.0,1120 HCPCS,J0171,EPINEPHRINE (ANAPHYLAXIS) 1 MG/ML INJECTION SOLN,54.0,54.0,0.76,450.0,333 HCPCS,J0171,EPINEPHRINE (ANAPHYLAXIS) 30 MG/30ML INJECTION SOL,856.5,856.5,0.76,903.0,333 HCPCS,J0171,EPINEPHRINE 0.1 MG/10ML IV SOSY,17.0,17.0,0.76,17.0,111 HCPCS,J0171,EPINEPHRINE 0.3 MG/0.3ML INJECTION SOAJ,652.5,652.5,0.76,1096.0,666 HCPCS,J0171,EPINEPHRINE 1 MG/10ML INJECTION SOSY,19.0,19.0,0.76,19.0,111 HCPCS,J0171,EPINEPHRINE 1 MG/10ML IV SOSY,34.0,34.0,0.76,34.0,222 HCPCS,J0171,EPINEPHRINE 1 MG/ML INJECTION (WRAPPER),324.0,324.0,0.76,903.0,666 HCPCS,J0171,EPINEPHRINE HCL 0.1 MG/ML INJECTION (WRAPPER),36.0,36.0,0.76,45.0,333 HCPCS,J0171,EPINEPHRINE HCLNACL 40.9 MG/250ML IV SOLN,82.5,82.5,0.76,124.0,333 HCPCS,J0171,EPINEPHRINE HCLNACL 40.9 MG/250ML IV SOLN (WRAPPE,324.0,324.0,0.76,324.0,222 HCPCS,J0171,EPINEPHRINE PF 1 MG/ML INJECTION SOLN,30.5,30.5,0.76,53.0,666 HCPCS,J0171,EPINEPHRINENACL 80.9 MG/250ML IV SOLN,300.0,300.0,0.76,324.0,333 HCPCS,J0174,LECANEMABIRMB 200 MG/2ML IV SOLN,918.0,918.0,1.33,918.0,119 HCPCS,J0174,LECANEMABIRMB 500 MG/5ML IV SOLN,2294.0,2294.0,1.33,2294.0,119 HCPCS,J0175,DONANEMABAZBT 350 MG/20ML IV SOLN,2505.0,2505.0,4.09,2505.0,119 HCPCS,J0177,AFLIBERCEPT 8 MG/0.07ML INTRAVITREAL SOLN,9450.0,9450.0,306.98,9450.0,119 HCPCS,J0178,AFLIBERCEPT 2 MG/0.05ML INTRAVITREAL SOLN,6660.0,6660.0,763.9,6660.0,119 HCPCS,J0178,AFLIBERCEPT 2 MG/0.05ML INTRAVITREAL SOSY,6660.0,6660.0,763.9,6660.0,119 HCPCS,J0180,AGALSIDASE BETA 35 MG IV SOLR,26838.0,26838.0,223.52,26838.0,119 HCPCS,J0180,AGALSIDASE BETA 5 MG IV SOLR,3834.0,3834.0,223.52,3834.0,119 HCPCS,J0185,APREPITANT 130 MG/18ML IV EMUL,1573.0,1573.0,1.7,1573.0,119 HCPCS,J0202,ALEMTUZUMAB 12 MG/1.2ML IV SOLN,104970.0,104970.0,2413.36,104970.0,119 HCPCS,J0219,AVALGLUCOSIDASE ALFANGPT 100 MG IV SOLR,6677.0,6677.0,77.86,6677.0,119 HCPCS,J0221,ALGLUCOSIDASE ALFA 50 MG IV SOLR,2262.0,2262.0,201.64,2262.0,119 HCPCS,J0222,PATISIRAN SODIUM 10 MG/5ML IV SOLN,35226.0,35226.0,98.83,35226.0,119 HCPCS,J0223,GIVOSIRAN SODIUM 189 MG/ML SC SOLN,153418.0,153418.0,115.47,153418.0,119 HCPCS,J0225,VUTRISIRAN SODIUM 25 MG/0.5ML SC SOSY,417150.0,417150.0,4917.75,417150.0,119 HCPCS,J0248,REMDESIVIR 100 MG IV SOLR,2015.5,2015.5,6.35,2159.0,238 HCPCS,J0257,ALPHA1PROTEINASE INHIBITOR 1000 MG/50ML IV SOLN,2220.0,2220.0,5.51,2220.0,119 HCPCS,J0270,ALPROSTADIL (VASODILATOR) 10 MCG INTRACAVER KIT,1228.0,1228.0,6.54,1842.0,222 HCPCS,J0270,ALPROSTADIL (VASODILATOR) 20 MCG INTRACAVER KIT,587.5,587.5,6.54,794.0,333 HCPCS,J0270,ALPROSTADIL 500 MCG/ML INJECTION SOLN,553.0,553.0,6.54,553.0,444 HCPCS,J0270,HC MAPS INJECTNALPROSTADIL1.25 MC,16.0,16.0,2.16,23.27,111 HCPCS,J0278,AMIKACIN 20MG/ML OPHTHALMIC SOLUTION ORD,236.0,236.0,0.54,236.0,112 HCPCS,J0278,AMIKACIN 400 MCG/0.1ML INTRAVITREAL INJ ORD,14.0,14.0,0.54,14.0,224 HCPCS,J0278,AMIKACIN SULFATE 1 GM/4ML INJECTION SOLN,56.0,56.0,0.54,84.0,784 HCPCS,J0278,AMIKACIN SULFATE 500 MG/2ML INJECTION SOLN,28.0,28.0,0.54,42.0,1008 HCPCS,J0280,AMINOPHYLLINE 25 MG/ML IV SOLN,49.5,49.5,5.17,60.0,448 HCPCS,J0280,HC MAPS AMINOPHYLLIN 250 MG INJ,11.0,11.0,1.49,22.95,112 HCPCS,J0282,AMIODARONE HCL 150 MG/3ML IV SOLN,11.0,11.0,0.39,14.0,672 HCPCS,J0282,AMIODARONE HCL 450 MG/9ML IV SOLN,24.0,24.0,0.39,28.0,560 HCPCS,J0282,AMIODARONE HCL 900 MG/18ML IV SOLN,54.0,54.0,0.39,54.0,112 HCPCS,J0282,AMIODARONE IV VIAL (CNR WRAPPER),8.0,8.0,0.39,8.0,112 HCPCS,J0283,AMIODARONE HCL IN DEXTROSE 1504.21 MG/100ML IV SO,125.0,125.0,2.52,125.0,112 HCPCS,J0283,AMIODARONE HCL IN DEXTROSE 3604.14 MG/200ML IV SO,167.0,167.0,2.52,167.0,112 HCPCS,J0285,AMPHOTERICIN B 100 MCG/ML NASAL IRRIGATION ORD,28.0,28.0,3.78,96.37,112 HCPCS,J0285,AMPHOTERICIN B 5 MCG/0.1ML OPHTHALMIC SOLUTION,1.0,1.0,0.14,96.37,112 HCPCS,J0285,AMPHOTERICIN B 50 MG IV SOLR,180.0,180.0,24.3,180.0,112 HCPCS,J0285,AMPHOTERICIN B OPHTHALMIC SOLUTION 0.15,180.0,180.0,24.3,180.0,112 HCPCS,J0285,AMPHOTERICIN B OPHTHALMIC SOLUTION 0.5 MG/ML ORD,1.0,1.0,0.14,96.37,112 HCPCS,J0285,AMPHOTERICIN B OPHTHALMIC SOLUTION 2 MG/ML ORD,1.0,1.0,0.14,96.37,112 HCPCS,J0285,AMPHOTERICIN B OPHTHALMIC SOLUTION 5 MG/ML ORD,1.0,1.0,0.14,96.37,112 HCPCS,J0287,AMPHOTERICIN B LIPID 5 MG/ML IV SUSP,378.0,378.0,10.3,378.0,112 HCPCS,J0289,AMPHOTERICIN B LIPOSOME 50 MG IV SUSR,1015.5,1015.5,20.72,1113.0,357 HCPCS,J0290,AMPICILLIN IVPB 1G/50ML NSS (CNR),31.0,31.0,0.49,31.0,112 HCPCS,J0290,AMPICILLIN IVPB 2G/100ML NSS (CNR),56.0,56.0,0.49,56.0,112 HCPCS,J0290,AMPICILLIN SODIUM 1 G INJECTION SOLR,23.0,23.0,0.49,26.0,1344 HCPCS,J0290,AMPICILLIN SODIUM 1 G IV SOLR,54.0,54.0,0.49,54.0,112 HCPCS,J0290,AMPICILLIN SODIUM 10 G INJECTION (WRAPPER),3016.0,3016.0,0.49,3016.0,112 HCPCS,J0290,AMPICILLIN SODIUM 10 G IV SOLR,274.0,274.0,0.49,324.0,560 HCPCS,J0290,AMPICILLIN SODIUM 2 G INJECTION SOLR,34.5,34.5,0.49,51.0,1792 HCPCS,J0290,AMPICILLIN SODIUM 2 G IV SOLR,105.0,105.0,0.49,105.0,112 HCPCS,J0290,AMPICILLIN SODIUM 250 MG INJECTION SOLR,13.0,13.0,0.49,13.0,224 HCPCS,J0290,AMPICILLIN SODIUM 30 MG/ML INJECTION (NEO) (CNR),7.0,7.0,0.49,7.0,112 HCPCS,J0290,AMPICILLIN SODIUM 500 MG INJECTION SOLR,12.0,12.0,0.49,14.0,1232 HCPCS,J0295,AMPICILLINSULBACTAM IVPB 1.5G/100ML NSS (CNR),19.0,19.0,1.33,19.0,112 HCPCS,J0295,AMPICILLINSULBACTAM IVPB 1.5G/50ML NSS (CNR),29.0,29.0,1.33,29.0,112 HCPCS,J0295,AMPICILLINSULBACTAM IVPB 3G/100ML NSS (CNR),59.0,59.0,1.33,59.0,112 HCPCS,J0295,AMPICILLINSULBACTAM SODIUM 1.5 (10.5) G INJECTION,20.0,20.0,1.33,29.0,1232 HCPCS,J0295,AMPICILLINSULBACTAM SODIUM 1.5 (10.5) G IV SOLR,20.0,20.0,1.33,20.0,112 HCPCS,J0295,AMPICILLINSULBACTAM SODIUM 15 (105) G IV SOLR,208.0,208.0,1.33,270.0,672 HCPCS,J0295,AMPICILLINSULBACTAM SODIUM 3 (21) G INJECTION SOLR,33.0,33.0,1.33,58.0,1232 HCPCS,J0295,AMPICILLINSULBACTAM SODIUM 3 (21) G IV SOLR,34.0,34.0,1.33,34.0,224 HCPCS,J0330,SUCCINYLCHOLINE CHLORIDE 100 MG/5ML IV SOSY (WRAPP,56.0,56.0,0.81,100.0,999 HCPCS,J0330,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,30.5,30.5,0.81,72.0,2442 HCPCS,J0330,SUCCINYLCHOLINE CHLORIDE 200 MG/10ML IV SOSY,72.0,72.0,0.81,125.0,333 HCPCS,J0360,HYDRALAZINE HCL 20 MG/ML INJECTION SOLN,41.5,41.5,1.76,54.0,1456 HCPCS,J0401,ARIPIPRAZOLE ER 300 MG IM PRSY,7614.0,7614.0,7.07,7614.0,119 HCPCS,J0401,ARIPIPRAZOLE ER 400 MG IM PRSY (WRAPPER),10152.0,10152.0,7.07,10152.0,238 HCPCS,J0456,AZITHROMYCIN 500 MG IV SOLR,27.0,27.0,1.49,52.0,1680 HCPCS,J0457,AZTREONAM 1 G INJECTION SOLR,113.5,113.5,2.07,130.0,896 HCPCS,J0457,AZTREONAM 2 G INJECTION SOLR,234.0,234.0,2.07,264.0,1008 HCPCS,J0457,AZTREONAM IVPB 1G/50ML NSS (CNR),119.0,119.0,2.07,119.0,112 HCPCS,J0457,AZTREONAM IVPB 2G/100ML NSS (CNR),108.0,108.0,2.07,108.0,112 HCPCS,J0461,ATROPINE SULFATE 0.25 MG/5ML INJECTION SOSY,89.0,89.0,0.07,89.0,112 HCPCS,J0461,ATROPINE SULFATE 0.4 MG/ML INJECTION SOLN (WRAPPER,41.0,41.0,0.07,48.0,784 HCPCS,J0461,ATROPINE SULFATE 0.5 MG/5ML INJECTION SOSY,59.0,59.0,0.07,59.0,224 HCPCS,J0461,ATROPINE SULFATE 1 MG/10ML INJECTION SOSY,38.0,38.0,0.07,67.0,1344 HCPCS,J0461,ATROPINE SULFATE 1 MG/ML IV SOLN,68.0,68.0,0.07,68.0,224 HCPCS,J0461,ATROPINE SULFATE 1 MG/ML IV SOLN (WRAPPER),62.0,62.0,0.07,62.0,224 HCPCS,J0461,ATROPINE SULFATE 8 MG/20ML INJECTION SOLN,252.0,252.0,0.07,252.0,448 HCPCS,J0461,ATROPINE SULFATE FOR ENDOTRACHEAL ADMIN ONLY,46.0,46.0,0.07,46.0,112 HCPCS,J0475,BACLOFEN 10000 MCG/20ML INTRATHECAL SOSY,914.0,914.0,123.39,914.0,119 HCPCS,J0475,BACLOFEN 20000 MCG/20ML INTRATHECAL SOSY,1828.0,1828.0,173.84,1828.0,119 HCPCS,J0475,BACLOFEN 40000 MCG/20ML INTRATHECAL SOSY,3660.0,3660.0,173.84,3660.0,119 HCPCS,J0476,BACLOFEN 50 MCG/ML INTRATHECAL SOSY,238.0,238.0,21.46,317.0,224 HCPCS,J0480,BASILIXIMAB 20 MG IV SOLR,16092.0,16092.0,2172.42,16092.0,119 HCPCS,J0485,BELATACEPT 250 MG IV SOLR,3492.0,3492.0,3.89,3492.0,119 HCPCS,J0490,BELIMUMAB 120 MG IV SOLR,2241.0,2241.0,54.91,2241.0,119 HCPCS,J0490,BELIMUMAB 400 MG IV SOLR,7468.0,7468.0,54.91,7468.0,119 HCPCS,J0491,ANIFROLUMABFNIA 300 MG/2ML IV SOLN,18826.0,18826.0,17.76,18826.0,119 HCPCS,J0500,DICYCLOMINE HCL 10 MG/ML IM SOLN,141.0,141.0,11.33,303.0,1120 HCPCS,J0515,BENZTROPINE MESYLATE 1 MG/ML INJECTION SOLN,187.5,187.5,13.81,225.0,784 HCPCS,J0517,BENRALIZUMAB 30 MG/ML SC SOSY,20437.0,20437.0,163.96,20437.0,119 HCPCS,J0517,HC MAPS INJ BENRALIZUMAB 1MG,501.0,501.0,67.64,501.0,111 HCPCS,J0558,PENICILLIN G BENZATHINE PROC 1200000 UNIT/2ML IM,876.0,876.0,17.37,876.0,119 HCPCS,J0561,PENICILLIN G BENZATHINE 1200000 UNIT/2ML IM SUSY,1098.0,1098.0,26.82,1098.0,238 HCPCS,J0561,PENICILLIN G BENZATHINE 2400000 UNIT/4ML IM SUSY,2250.0,2250.0,26.82,2250.0,238 HCPCS,J0561,PENICILLIN G BENZATHINE 600000 UNIT/ML IM SUSY,634.0,634.0,26.82,634.0,238 HCPCS,J0565,BEZLOTOXUMAB 1000 MG/40ML IV SOLN,13680.0,13680.0,39.82,13680.0,119 HCPCS,J0583,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,441.0,441.0,0.16,3510.0,2016 HCPCS,J0583,BIVALIRUDIN TRIFLUOROACETATE 250 MG/50ML IV SOLN,258.0,258.0,0.16,258.0,224 HCPCS,J0584,BUROSUMABTWZA 10 MG/ML SC SOLN,16026.0,16026.0,469.73,16026.0,119 HCPCS,J0584,BUROSUMABTWZA 20 MG/ML SC SOLN,32051.0,32051.0,469.73,32051.0,119 HCPCS,J0584,BUROSUMABTWZA 30 MG/ML SC SOLN,48076.0,48076.0,469.73,48076.0,119 HCPCS,J0585,BOTOX 200 UNITS INJECTION SOLR,4652.0,4652.0,6.26,4652.0,119 HCPCS,J0585,BOTOX COSMETIC 50 UNITS IM SOLR,1304.0,1304.0,6.26,1304.0,119 HCPCS,J0585,HC MAPS BOTULINUM TOXN TYPE APER U,15.0,15.0,2.03,19.58,119 HCPCS,J0585,ONABOTULINUMTOXINA (COSMETIC) 100 UNITS IM SOLR,2362.0,2362.0,6.26,2362.0,119 HCPCS,J0585,ONABOTULINUMTOXINA 100 UNITS INJECTION SOLR,2326.0,2326.0,6.26,2326.0,119 HCPCS,J0585,ONABOTULINUMTOXINA 25 UNITS/1ML INJECTION SOLR OR,2085.0,2085.0,6.26,2085.0,119 HCPCS,J0585,ONABOTULINUMTOXINA 50 UNITS/1ML INJECTION SOLR OR,2085.0,2085.0,6.26,2085.0,119 HCPCS,J0586,HC MAPS ABOBOTULINUMTOXINA,22.0,22.0,2.97,26.47,119 HCPCS,J0588,HC MAPS INCOBOTULINUMTOXIN A,10.0,10.0,1.35,15.81,119 HCPCS,J0588,INCOBOTULINUMTOXINA 100 UNITS IM SOLR,1840.0,1840.0,5.25,1840.0,119 HCPCS,J0588,INCOBOTULINUMTOXINA 50 UNITS IM SOLR,965.0,965.0,5.25,965.0,119 HCPCS,J0592,BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLN,47.5,47.5,4.13,50.0,336 HCPCS,J0594,BUSULFAN 6 MG/ML IV SOLN,1611.5,1611.5,0.89,7453.0,952 HCPCS,J0595,BUTORPHANOL TARTRATE 1 MG/ML INJECTION SOLN,27.0,27.0,3.65,27.0,224 HCPCS,J0595,BUTORPHANOL TARTRATE 2 MG/ML INJECTION SOLN,33.0,33.0,4.46,33.0,112 HCPCS,J0597,C1 ESTERASE INHIBITOR (HUMAN) 500 UNITS IV KIT,14646.0,14646.0,72.46,14646.0,119 HCPCS,J0612,CALCIUM GLUCONATE 10 IV SOLN,98.0,98.0,0.03,195.0,1008 HCPCS,J0612,CALCIUM GLUCONATENACL 10.675 GM/50ML IV SOLN,72.0,72.0,0.03,72.0,448 HCPCS,J0612,CALCIUM GLUCONATENACL 20.675 GM/100ML IV SOLN,143.0,143.0,0.03,143.0,560 HCPCS,J0613,CALCIUM GLUCONATENACL 10.675 GM/50ML IV SOLN,72.0,72.0,0.08,72.0,224 HCPCS,J0613,CALCIUM GLUCONATENACL 20.675 GM/100ML IV SOLN,143.0,143.0,0.08,143.0,224 HCPCS,J0630,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLN,11272.0,11272.0,816.0,11276.0,555 HCPCS,J0636,CALCITRIOL 1 MCG/ML IV SOLN,36.0,36.0,0.99,36.0,222 HCPCS,J0637,CASPOFUNGIN ACETATE 50 MG IV SOLR,353.0,353.0,2.27,1216.0,784 HCPCS,J0637,CASPOFUNGIN ACETATE 70 MG IV SOLR,372.0,372.0,2.27,1264.0,784 HCPCS,J0637,CASPOFUNGIN IVPB 50 MG/100 ML NSS (CNR),1216.0,1216.0,2.27,1216.0,112 HCPCS,J0637,CASPOFUNGIN IVPB 50MG/250ML NSS (CNR),1216.0,1216.0,2.27,1216.0,224 HCPCS,J0638,CANAKINUMAB 150 MG/ML SC SOLN,69998.0,69998.0,135.88,69998.0,119 HCPCS,J0640,LEUCOVORIN CALCIUM 100 MG INJECTION SOLR,65.0,65.0,3.84,72.0,448 HCPCS,J0640,LEUCOVORIN CALCIUM 100 MG/10ML INJECTION SOLN,87.0,87.0,3.84,87.0,112 HCPCS,J0640,LEUCOVORIN CALCIUM 200 MG INJECTION SOLR,84.0,84.0,3.84,144.0,784 HCPCS,J0640,LEUCOVORIN CALCIUM 350 MG INJECTION SOLR,173.0,173.0,3.84,252.0,448 HCPCS,J0640,LEUCOVORIN CALCIUM 50 MG INJECTION SOLR,36.0,36.0,3.84,36.0,336 HCPCS,J0640,LEUCOVORIN CALCIUM 500 MG INJECTION SOLR,335.5,335.5,3.84,360.0,336 HCPCS,J0640,LEUCOVORIN CALCIUM 500 MG/50ML INJECTION SOLN,426.0,426.0,3.84,426.0,112 HCPCS,J0650,LEVOTHYROXINE SODIUM 100 MCG IV SOLR,381.0,381.0,5.39,381.0,448 HCPCS,J0650,LEVOTHYROXINE SODIUM 200 MCG IV SOLR,723.5,723.5,5.39,761.0,336 HCPCS,J0650,LEVOTHYROXINE SODIUM 500 MCG IV SOLR,1901.0,1901.0,5.39,1901.0,112 HCPCS,J0651,LEVOTHYROXINE SODIUM 100 MCG/5ML IV SOLN,320.0,320.0,3.82,320.0,119 HCPCS,J0652,LEVOTHYROXINE SODIUM 100 MCG/ML IV SOLN,270.0,270.0,5.14,270.0,112 HCPCS,J0665,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,13.0,13.0,0.01,28.0,2800 HCPCS,J0665,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,18.0,18.0,0.01,27.0,2240 HCPCS,J0665,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,17.5,17.5,0.01,28.0,2240 HCPCS,J0665,BUPIVACAINE HCL 0.25 INJECTION SOLN,26.0,26.0,0.01,42.0,896 HCPCS,J0665,BUPIVACAINE HCL 0.5 INJECTION SOLN,23.0,23.0,0.01,47.0,896 HCPCS,J0665,BUPIVACAINE IN DEXTROSE 0.758.25 INTRATHECAL SOL,18.0,18.0,0.01,20.0,1008 HCPCS,J0665,HB MAPS INJ BUPIVIACAINENOS0.5MG,0.06,0.06,0.01,0.06,104 HCPCS,J0666,BUPIVACAINE LIPOSOME 1.3 INJECTION SUSP,820.0,820.0,1.44,1355.0,784 HCPCS,J0670,MEPIVACAINE HCL (PF) 1 INJECTION SOLN,36.0,36.0,3.55,36.0,224 HCPCS,J0670,MEPIVACAINE HCL (PF) 1.5 INJECTION SOLN,48.0,48.0,3.55,48.0,224 HCPCS,J0670,MEPIVACAINE HCL (PF) 2 INJECTION SOLN,29.0,29.0,2.57,39.0,336 HCPCS,J0670,MEPIVACAINE HCL 2 INJECTION SOLN,51.0,51.0,3.55,51.0,112 HCPCS,J0688,CEFAZOLIN SODIUM 3 G IV SOLR,32.0,32.0,0.88,32.0,224 HCPCS,J0689,CEFAZOLIN SODIUMDEXTROSE 14 GM/50ML IV SOLN,19.0,19.0,1.01,19.0,112 HCPCS,J0689,CEFAZOLIN SODIUMDEXTROSE 24 GM/100ML IV SOLN,34.0,34.0,1.01,34.0,112 HCPCS,J0690,AMPICILLIN IV SYRINGE 1G/10ML (CNR),26.0,26.0,0.81,26.0,112 HCPCS,J0690,AMPICILLIN IV SYRINGE 2G/20ML (CNR),101.0,101.0,0.81,101.0,112 HCPCS,J0690,CEFAZOLIN 1 G IV (WRAPPER),10.0,10.0,0.81,10.0,112 HCPCS,J0690,CEFAZOLIN 100 MG/ML (ANESTHESIA),2.0,2.0,0.27,2.0,112 HCPCS,J0690,CEFAZOLIN FORTE 25 MG/ML OPHTHALMIC SOLUTION,35.0,35.0,0.81,35.0,112 HCPCS,J0690,CEFAZOLIN FORTE 50 MG/ML OPHTH SOLN ORD,89.0,89.0,0.81,89.0,112 HCPCS,J0690,CEFAZOLIN IV SYRINGE 3G/30ML (CNR),12.0,12.0,0.81,12.0,112 HCPCS,J0690,CEFAZOLIN IV SYRINGE 500MG/5ML (CNR),10.0,10.0,0.81,10.0,112 HCPCS,J0690,CEFAZOLIN IVPB 1G/50ML NSS (CNR),27.0,27.0,0.81,27.0,112 HCPCS,J0690,CEFAZOLIN IVPB 2G/100ML D5W (CNR),48.0,48.0,0.81,48.0,112 HCPCS,J0690,CEFAZOLIN IVPB 2G/50ML NSS (CNR),45.0,45.0,0.81,45.0,112 HCPCS,J0690,CEFAZOLIN IVPB 500MG/50ML D5W (CNR),18.0,18.0,0.81,18.0,112 HCPCS,J0690,CEFAZOLIN IVPB 500MG/50ML NSS (CNR),18.0,18.0,0.81,18.0,112 HCPCS,J0690,CEFAZOLIN SODIUM 1 G INJECTION SOLR,6.5,6.5,0.54,23.0,1344 HCPCS,J0690,CEFAZOLIN SODIUM 1 G IV SOLR,10.0,10.0,0.81,10.0,112 HCPCS,J0690,CEFAZOLIN SODIUM 1 GM/10ML IV SOSY,24.0,24.0,0.81,28.0,224 HCPCS,J0690,CEFAZOLIN SODIUM 10 G INJECTION SOLR,45.0,45.0,0.81,180.0,1120 HCPCS,J0690,CEFAZOLIN SODIUM 100 G INJECTION SOLR,540.0,540.0,0.81,540.0,112 HCPCS,J0690,CEFAZOLIN SODIUM 2 G INJECTION SOLR,22.0,22.0,0.81,22.0,224 HCPCS,J0690,CEFAZOLIN SODIUM 2 GM/20ML IV SOSY,23.0,23.0,0.81,49.0,336 HCPCS,J0690,CEFAZOLIN SODIUM 300 G INJECTION SOLR,1425.0,1425.0,0.81,1425.0,112 HCPCS,J0690,CEFAZOLIN SODIUM 500 MG INJECTION SOLR,10.0,10.0,0.81,30.0,672 HCPCS,J0690,CEFAZOLIN SODIUMDEXTROSE 14 GM (50ML) IV SOLR,48.0,48.0,0.81,48.0,112 HCPCS,J0690,CEFAZOLIN SODIUMDEXTROSE 23 GM (50ML) IV SOLR,54.0,54.0,0.81,54.0,112 HCPCS,J0692,CEFEPIME HCL 1 G INJECTION SOLR,23.0,23.0,0.87,62.0,1680 HCPCS,J0692,CEFEPIME HCL 100 G IV SOLR,36.0,36.0,0.87,36.0,112 HCPCS,J0692,CEFEPIME HCL 2 G IV SOLR,40.0,40.0,0.87,243.0,1344 HCPCS,J0692,CEFEPIME IV SYRINGE 1G/10ML (CNR),14.0,14.0,0.87,14.0,112 HCPCS,J0692,CEFEPIME IV SYRINGE 2G/20ML (CNR),34.5,34.5,0.87,41.0,224 HCPCS,J0692,CEFEPIME IVPB 1G/50ML NSS (CNR),21.0,21.0,0.87,21.0,112 HCPCS,J0692,CEFEPIME IVPB 2G/50ML NSS (CNR),45.0,45.0,0.87,45.0,112 HCPCS,J0692,CEFEPIME IVPB 500MG/50ML NSS (CNR),19.0,19.0,0.87,19.0,112 HCPCS,J0694,CEFOXITIN SODIUM 1 G IV SOLR,22.5,22.5,1.49,36.0,560 HCPCS,J0694,CEFOXITIN SODIUM 10 G IV SOLR,180.0,180.0,4.45,180.0,112 HCPCS,J0694,CEFOXITIN SODIUM 2 G IV SOLR,35.0,35.0,2.97,72.0,784 HCPCS,J0694,CEFOXITIN SODIUMDEXTROSE 14 GM (50ML) IV SOLR,68.0,68.0,4.45,68.0,112 HCPCS,J0694,CEFOXITIN SODIUMDEXTROSE 22.2 GM (50ML) IV SOLR,121.0,121.0,4.45,121.0,104 HCPCS,J0695,CEFTOLOZANETAZOBACTAM 1.5 (10.5) G IV SOLR,572.0,572.0,8.15,572.0,119 HCPCS,J0696,CEFTRIAXONE IV SYRINGE 1G/10ML (CNR),62.0,62.0,0.45,62.0,112 HCPCS,J0696,CEFTRIAXONE IV SYRINGE 2G/20ML (CNR),62.0,62.0,0.45,62.0,112 HCPCS,J0696,CEFTRIAXONE IVPB 1G/50ML NSS (CNR),15.0,15.0,0.45,15.0,112 HCPCS,J0696,CEFTRIAXONE IVPB 2G/50ML NSS (CNR),16.0,16.0,0.45,16.0,112 HCPCS,J0696,CEFTRIAXONE SODIUM 1 G INJECTION SOLR,11.0,11.0,0.45,138.0,1792 HCPCS,J0696,CEFTRIAXONE SODIUM 1 G IV SOLR,15.5,15.5,0.45,16.0,336 HCPCS,J0696,CEFTRIAXONE SODIUM 10 G IV SOLR,101.0,101.0,0.45,1346.0,672 HCPCS,J0696,CEFTRIAXONE SODIUM 100 G INJECTION SOLR,855.0,855.0,0.45,855.0,112 HCPCS,J0696,CEFTRIAXONE SODIUM 2 G INJECTION SOLR,19.0,19.0,0.45,275.0,1456 HCPCS,J0696,CEFTRIAXONE SODIUM 2 G IV SOLR,29.0,29.0,0.45,29.0,224 HCPCS,J0696,CEFTRIAXONE SODIUM 250 MG INJECTION SOLR,6.0,6.0,0.41,48.0,1120 HCPCS,J0696,CEFTRIAXONE SODIUM 500 MG INJECTION SOLR,43.0,43.0,0.45,84.0,1120 HCPCS,J0696,CEFTRIAXONE SODIUM IN DEXTROSE 20 MG/ML IV SOLN,52.0,52.0,0.45,52.0,112 HCPCS,J0696,CEFTRIAXONE SODIUM IN DEXTROSE 40 MG/ML IV SOLN,122.0,122.0,0.45,122.0,112 HCPCS,J0696,CEFTRIAXONE SODIUMDEXTROSE 13.74 GM (50ML) IV SOLR,71.0,71.0,0.45,71.0,112 HCPCS,J0696,CEFTRIAXONE SODIUMDEXTROSE 22.22 GM (50ML) IV SOLR,95.0,95.0,0.45,95.0,112 HCPCS,J0697,CEFUROXIME FOR BONE CEMENT,22.0,22.0,1.89,22.0,112 HCPCS,J0697,CEFUROXIME SODIUM 1.5 G IV SOLR,20.0,20.0,1.89,22.0,448 HCPCS,J0697,CEFUROXIME SODIUM 750 MG INJECTION SOLR,10.0,10.0,1.22,11.0,336 HCPCS,J0699,CEFIDEROCOL SULFATE TOSYLATE 1 G IV SOLR,791.0,791.0,2.28,791.0,238 HCPCS,J0702,BETAMETHASONE SOD PHOS ACET 6 (33) MG/ML INJECTI,144.5,144.5,6.48,199.0,672 HCPCS,J0702,HC MAPS BETAMETHASONE ACET SOD PHOS,40.0,40.0,5.4,40.0,112 HCPCS,J0703,CEFEPIMEDEXTROSE 15 GM (50ML) IV SOLR,71.0,71.0,1.55,71.0,112 HCPCS,J0703,CEFEPIMEDEXTROSE 25 GM (50ML) IV SOLR,108.0,108.0,1.55,108.0,112 HCPCS,J0706,CAFFEINE CITRATE 60 MG/3ML IV SOLN,68.0,68.0,1.02,120.0,1221 HCPCS,J0712,CEFTAROLINE FOSAMIL 400 MG IV SOLR,883.0,883.0,3.95,883.0,238 HCPCS,J0712,CEFTAROLINE FOSAMIL 600 MG IV SOLR,883.0,883.0,3.95,883.0,238 HCPCS,J0713,CEFTAZIDIME 1 G INJECTION SOLR,17.0,17.0,1.47,19.0,448 HCPCS,J0713,CEFTAZIDIME 1 G IV SOLR,22.0,22.0,1.47,22.0,112 HCPCS,J0713,CEFTAZIDIME 2 G IV SOLR,38.0,38.0,1.47,44.0,672 HCPCS,J0713,CEFTAZIDIME 2.25 MG/0.1ML INTRAVITREAL INJ ORD,19.0,19.0,1.47,19.0,224 HCPCS,J0713,CEFTAZIDIME 50 MG/ML OPHTH SOLN ORD,183.0,183.0,1.47,183.0,112 HCPCS,J0713,CEFTAZIDIME 6 G INJECTION SOLR,99.0,99.0,1.47,111.0,224 HCPCS,J0714,CEFTAZIDIMEAVIBACTAM 2.5 (20.5) G IV SOLR,1425.0,1425.0,100.73,1425.0,238 HCPCS,J0717,CERTOLIZUMAB PEGOL 2 X 200 MG SC KIT,19474.5,19474.5,3.87,20590.0,238 HCPCS,J0717,CERTOLIZUMAB PEGOL 200 MG/ML SC PSKT,20590.0,20590.0,3.87,20590.0,119 HCPCS,J0720,CHLORAMPHENICOL SOD SUCCINATE 1 G IV SOLR,176.0,176.0,23.76,176.0,119 HCPCS,J0725,CHORIONIC GONADOTROPIN 10000 UNITS IM SOLR,419.0,419.0,15.4,419.0,112 HCPCS,J0735,CLONIDINE HCL (ANALGESIA) 100 MCG/ML EPIDURAL SOLN,152.0,152.0,12.69,159.0,336 HCPCS,J0736,CLINDAMYCIN 1 MG/0.1ML INTRAVITREAL INJ ORD,12.0,12.0,1.62,12.0,224 HCPCS,J0736,CLINDAMYCIN PHOSPHATE 300 MG/2ML INJECTION SOLN,9.0,9.0,1.22,9.0,224 HCPCS,J0736,CLINDAMYCIN PHOSPHATE 600 MG/4ML INJECTION SOLN,11.0,11.0,1.49,11.0,448 HCPCS,J0736,CLINDAMYCIN PHOSPHATE 9 GM/60ML INJECTION SOLN,85.0,85.0,1.67,85.0,224 HCPCS,J0736,CLINDAMYCIN PHOSPHATE 900 MG/6ML INJECTION SOLN,17.0,17.0,1.67,18.0,336 HCPCS,J0736,CLINDAMYCIN PHOSPHATE IN D5W 300 MG/50ML IV SOLN,28.0,28.0,1.67,30.0,448 HCPCS,J0736,CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN,42.0,42.0,1.67,45.0,672 HCPCS,J0736,CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN,51.0,51.0,1.67,55.0,672 HCPCS,J0737,CLINDAMYCIN PHOSPHATE IN NACL 3000.9 MG/50ML IV S,26.0,26.0,1.72,26.0,224 HCPCS,J0737,CLINDAMYCIN PHOSPHATE IN NACL 6000.9 MG/50ML IV S,39.0,39.0,1.72,39.0,224 HCPCS,J0737,CLINDAMYCIN PHOSPHATE IN NACL 9000.9 MG/50ML IV S,47.0,47.0,1.72,47.0,224 HCPCS,J0739,CABOTEGRAVIR ER 600 MG/3ML IM SUER,14138.0,14138.0,6.89,14138.0,238 HCPCS,J0740,CIDOFOVIR 15 MG/ML IV SOLN,533.0,533.0,71.95,1577.85,119 HCPCS,J0740,CIDOFOVIR 75 MG/ML IV SOLN,3112.0,3112.0,301.1,3560.0,238 HCPCS,J0741,CABOTEGRAVIR RILPIVIRINE ER 400 MG/2ML 600 MG/,15897.0,15897.0,23.17,15897.0,119 HCPCS,J0741,CABOTEGRAVIR RILPIVIRINE ER 600 MG/3ML 900 MG/,23846.0,23846.0,23.17,23846.0,119 HCPCS,J0742,IMIPENEMCILASTATINRELEBACTAM 1.25 G IV SOLR,1105.0,1105.0,2.5,1105.0,224 HCPCS,J0743,IMIPENEMCILASTATIN 250 MG IV SOLR,39.0,39.0,3.24,54.0,336 HCPCS,J0743,IMIPENEMCILASTATIN 500 MG IV SOLR,103.5,103.5,6.08,118.0,784 HCPCS,J0744,CIPROFLOXACIN IN D5W 400 MG/200ML IV SOLN,14.0,14.0,0.83,14.0,112 HCPCS,J0750,EMTRICITABINETENOFOVIR DF 200300 MG PO TABS,211.0,211.0,1.08,222.0,833 HCPCS,J0770,COLISTIMETHATE 7.5 MG/ML OPHTH SOLN ORD,1.0,1.0,0.14,28.99,112 HCPCS,J0770,COLISTIMETHATE SODIUM (CBA) 150 MG INJECTION SOLR,103.0,103.0,11.39,105.0,784 HCPCS,J0780,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,24.5,24.5,2.29,67.0,2912 HCPCS,J0791,CRIZANLIZUMABTMCA 100 MG/10ML IV SOLN,8831.0,8831.0,128.68,8831.0,119 HCPCS,J0834,COSYNTROPIN 0.25 MG INJECTION SOLR,336.5,336.5,20.65,384.0,336 HCPCS,J0840,CROTALIDAE POLYVAL IMMUNE FAB IV SOLR,11513.0,11513.0,1554.26,11513.0,238 HCPCS,J0841,CROTALIDAE IMMUNE FAB (EQUINE) IV SOLR,4752.0,4752.0,641.52,14816.85,238 HCPCS,J0872,DAPTOMYCIN 350 MG IV SOLR,144.0,144.0,0.04,144.0,112 HCPCS,J0875,DALBAVANCIN HCL 500 MG IV SOLR,6405.0,6405.0,15.55,6405.0,119 HCPCS,J0877,DAPTOMYCIN 350 MG IV SOLR,180.0,180.0,0.04,180.0,112 HCPCS,J0877,DAPTOMYCIN 500 MG IV SOLR,285.0,285.0,0.04,285.0,112 HCPCS,J0878,DAPTOMYCIN 350 MG IV SOLR,193.0,193.0,0.03,998.0,896 HCPCS,J0878,DAPTOMYCIN 500 MG IV SOLR,123.0,123.0,0.03,1604.0,1680 HCPCS,J0881,DARBEPOETIN ALFA 100 MCG/0.5ML INJECTION SOSY,2787.0,2787.0,2.94,2787.0,238 HCPCS,J0881,DARBEPOETIN ALFA 100 MCG/ML INJECTION SOLN,2787.0,2787.0,2.94,2787.0,238 HCPCS,J0881,DARBEPOETIN ALFA 150 MCG/0.3ML INJECTION SOSY,4180.0,4180.0,2.94,4180.0,238 HCPCS,J0881,DARBEPOETIN ALFA 200 MCG/0.4ML INJECTION SOSY,5573.0,5573.0,2.94,5573.0,119 HCPCS,J0881,DARBEPOETIN ALFA 200 MCG/ML INJECTION SOLN,5573.0,5573.0,2.94,5573.0,119 HCPCS,J0881,DARBEPOETIN ALFA 25 MCG/0.42ML INJECTION SOSY,697.0,697.0,2.94,697.0,238 HCPCS,J0881,DARBEPOETIN ALFA 25 MCG/ML INJECTION SOLN,697.0,697.0,2.94,697.0,238 HCPCS,J0881,DARBEPOETIN ALFA 300 MCG/0.6ML INJECTION SOSY,8360.0,8360.0,2.94,8360.0,119 HCPCS,J0881,DARBEPOETIN ALFA 40 MCG/0.4ML INJECTION SOSY,1115.0,1115.0,2.94,1115.0,238 HCPCS,J0881,DARBEPOETIN ALFA 40 MCG/ML INJECTION SOLN,1115.0,1115.0,2.94,1115.0,238 HCPCS,J0881,DARBEPOETIN ALFA 500 MCG/ML INJECTION SOSY,13932.0,13932.0,2.94,13932.0,119 HCPCS,J0881,DARBEPOETIN ALFA 60 MCG/0.3ML INJECTION SOSY,1672.0,1672.0,2.94,1672.0,238 HCPCS,J0881,DARBEPOETIN ALFA 60 MCG/ML INJECTION SOLN,1672.0,1672.0,2.94,1672.0,238 HCPCS,J0883,ARGATROBAN 250 MG/2.5ML IV SOLN,1481.5,1481.5,0.61,1836.0,595 HCPCS,J0883,ARGATROBAN 50 MG/50ML IV SOLN (WRAPPER),630.0,630.0,0.61,713.0,357 HCPCS,J0885,EPOETIN ALFA 10000 UNIT/ML INJECTION SOLN,963.0,963.0,6.46,1925.0,714 HCPCS,J0885,EPOETIN ALFA 2000 UNIT/ML INJECTION SOLN,156.5,156.5,6.46,193.0,476 HCPCS,J0885,EPOETIN ALFA 20000 UNIT/ML INJECTION SOLN,1559.5,1559.5,6.46,1925.0,476 HCPCS,J0885,EPOETIN ALFA 3000 UNIT/ML INJECTION SOLN,234.5,234.5,6.46,289.0,476 HCPCS,J0885,EPOETIN ALFA 4000 UNIT/ML INJECTION SOLN,312.0,312.0,6.46,385.0,476 HCPCS,J0885,EPOETIN ALFA 40000 UNIT/ML INJECTION SOLN,3849.0,3849.0,6.46,3849.0,238 HCPCS,J0893,DECITABINE 50 MG IV SOLR,5538.0,5538.0,0.78,5538.0,112 HCPCS,J0894,DECITABINE 50 MG IV SOLR,2790.0,2790.0,0.65,5853.0,1120 HCPCS,J0895,DEFEROXAMINE MESYLATE 2 G INJECTION SOLR,138.0,138.0,8.47,149.0,560 HCPCS,J0895,DEFEROXAMINE MESYLATE 500 MG INJECTION SOLR,273.5,273.5,6.35,500.0,784 HCPCS,J0896,LUSPATERCEPTAAMT 25 MG SC SOLR,14233.0,14233.0,41.28,14233.0,119 HCPCS,J0896,LUSPATERCEPTAAMT 75 MG SC SOLR,42697.0,42697.0,41.28,42697.0,119 HCPCS,J0897,DENOSUMAB 120 MG/1.7ML SC SOLN,11828.0,11828.0,27.66,11828.0,119 HCPCS,J0897,DENOSUMAB 60 MG/ML SC SOSY,6431.0,6431.0,27.66,6431.0,238 HCPCS,J0898,ARGATROBAN 50 MG/50ML IV SOLN (WRAPPER),878.0,878.0,1.01,878.0,224 HCPCS,J1010,HC MAPS INJ METHYLPRED ACETATE 1MG,0.3,0.3,0.04,0.3,104 HCPCS,J1010,METHYLPREDNISOLONE ACETATE 40 MG/ML INJECTION SUSP,109.5,109.5,0.12,258.0,896 HCPCS,J1010,METHYLPREDNISOLONE ACETATE 80 MG/ML INJECTION SUSP,71.5,71.5,0.12,356.0,560 HCPCS,J1020,HC MAPS METHYLPREDNISOLONE 20MG INJ,14.0,14.0,1.89,14.0,111 HCPCS,J1030,HC MAPS METHYLPREDNISOLONE 40MG INJ,11.0,11.0,1.49,11.0,111 HCPCS,J1040,HC MAPS INJ.METHYLPREDNIS.ACE.80MG,20.0,20.0,2.7,20.0,111 HCPCS,J1050,HC MAPS INJMEDROXYPROGEST1MG,1.0,1.0,0.14,1.22,111 HCPCS,J1050,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP,162.0,162.0,0.35,294.0,1221 HCPCS,J1050,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSY,272.0,272.0,0.35,346.0,333 HCPCS,J1071,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN,80.0,80.0,0.03,498.0,896 HCPCS,J1080,HC MAPS TESTOSTERONE CYPIONAT 200MG,16.0,16.0,2.16,16.0,111 HCPCS,J1094,HC MAPS INJDEXAMTH ACETATE1MG,1.0,1.0,0.14,1.0,111 HCPCS,J1097,PHENYLEPHRINEKETOROLAC 10.3 INTRAOCULAR SOLN,1700.0,1700.0,98.07,1700.0,224 HCPCS,J1100,DEXAMETHASONE 2 MG/0.5 ML SYRINGE,2.0,2.0,0.11,2.0,112 HCPCS,J1100,DEXAMETHASONE IVPB 10MG/50ML NSS (CNR),23.0,23.0,0.11,23.0,112 HCPCS,J1100,DEXAMETHASONE IVPB 12MG/50ML NSS (CNR),24.0,24.0,0.11,24.0,112 HCPCS,J1100,DEXAMETHASONE IVPB 20MG/50ML NSS (CNR),28.0,28.0,0.11,28.0,112 HCPCS,J1100,DEXAMETHASONE IVPB 8MG/50ML NSS (CNR),22.0,22.0,0.11,22.0,112 HCPCS,J1100,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML INJECTION,17.5,17.5,0.11,27.0,784 HCPCS,J1100,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION,5.5,5.5,0.11,6.0,448 HCPCS,J1100,DEXAMETHASONE SODIUM PHOSPHATE 100 MG/10ML INJECTI,35.0,35.0,0.11,56.0,1008 HCPCS,J1100,DEXAMETHASONE SODIUM PHOSPHATE 120 MG/30ML INJECTI,56.0,56.0,0.11,147.0,336 HCPCS,J1100,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML INJECTION,8.0,8.0,0.11,25.0,1008 HCPCS,J1100,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION S,5.0,5.0,0.11,11.0,1344 HCPCS,J1100,HC MAPS DEXAMETHASONE SODIUM PHOS1,5.0,5.0,0.11,5.0,112 HCPCS,J1110,DIHYDROERGOTAMINE MESYLATE 1 MG/ML INJECTION SOLN,450.0,450.0,33.62,539.0,784 HCPCS,J1120,ACETAZOLAMIDE SODIUM 500 MG INJECTION SOLR,143.5,143.5,16.07,159.0,560 HCPCS,J1160,DIGOXIN 0.1 MG/ML INJECTION SOLN,506.0,506.0,4.0,516.0,224 HCPCS,J1160,DIGOXIN 0.25 MG/ML INJECTION SOLN,23.0,23.0,2.7,516.0,784 HCPCS,J1162,DIGOXIN IMMUNE FAB 40 MG IV SOLR,16569.5,16569.5,2149.2,17219.0,238 HCPCS,J1165,PHENYTOIN SODIUM 50 MG/ML INJECTION SOLN,7.0,7.0,0.47,18.0,784 HCPCS,J1171,HIGH DOSE HYDROMORPHONE CADD PUMP 10 MG/ML (CNR),234.0,234.0,0.09,234.0,224 HCPCS,J1171,HYDROMORPHONE 1 MG/5 ML IV SYRINGE ORD,1.0,1.0,0.09,1.0,112 HCPCS,J1171,HYDROMORPHONE HCL 0.1 MG/ML IV SOLN,18.0,18.0,0.09,18.0,112 HCPCS,J1171,HYDROMORPHONE HCL 0.2 MG/ML,18.0,18.0,0.09,18.0,112 HCPCS,J1171,HYDROMORPHONE HCL 0.2 MG/ML INJECTION SOLN,10.5,10.5,0.09,11.0,448 HCPCS,J1171,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,12.0,12.0,0.09,18.0,2464 HCPCS,J1171,HYDROMORPHONE HCL 1 MG/ML IV SOLN,70.0,70.0,0.09,70.0,112 HCPCS,J1171,HYDROMORPHONE HCL 2 MG/ML INJECTION SOLN,12.0,12.0,0.09,78.0,1456 HCPCS,J1171,HYDROMORPHONE HCL 4 MG/ML INJECTION SOLN,12.0,12.0,0.09,12.0,224 HCPCS,J1171,HYDROMORPHONE HCL PF 1 MG/ML INJECTION SOLN,16.0,16.0,0.09,16.0,224 HCPCS,J1171,HYDROMORPHONE HCL PF 10 MG/ML INJECTION SOLN,17.0,17.0,0.09,613.0,896 HCPCS,J1171,HYDROMORPHONE HCL PF 2 MG/ML INJECTION SOLN,16.0,16.0,0.09,16.0,224 HCPCS,J1171,HYDROMORPHONE HCL PF 4 MG/ML INJECTION SOLN,17.0,17.0,0.09,17.0,224 HCPCS,J1171,HYDROMORPHONE HCL PF 50 MG/5ML INJECTION SOLN,40.0,40.0,0.09,40.0,112 HCPCS,J1171,HYDROMORPHONE HCL PF 500 MG/50ML INJECTION SOLN,383.0,383.0,0.09,441.0,336 HCPCS,J1171,HYDROMORPHONE HCLNACL 1 MG/1ML IV SOSY (WRAPPER),48.0,48.0,0.09,49.0,336 HCPCS,J1171,HYDROMORPHONE PCA HIGH CONCENTRATION 150 MG/30ML,204.0,204.0,0.09,204.0,112 HCPCS,J1171,HYDROMORPHONE PCA 1 MG/ML STOCK SOLUTION NDC,2295.0,2295.0,0.09,2295.0,112 HCPCS,J1171,HYDROMORPHONE PCA 30 MG/30 ML PCA (OR),138.0,138.0,0.09,138.0,112 HCPCS,J1171,LOW DOSE HYDROMORPHONE CADD PUMP 2 MG/ML (CNR),234.0,234.0,0.09,234.0,112 HCPCS,J1190,DEXRAZOXANE HCL 250 MG IV SOLR,909.0,909.0,32.09,988.0,357 HCPCS,J1190,DEXRAZOXANE HCL 500 MG IV SOLR,1544.0,1544.0,32.09,1975.0,714 HCPCS,J1200,DIPHENHYDRAMINE HCL 50 MG/ML INJECTION SOLN,8.0,8.0,0.41,44.0,1456 HCPCS,J1200,DIPHENHYDRAMINE IVPB 25MG/50ML NSS (CNR),10.0,10.0,0.71,10.0,112 HCPCS,J1200,DIPHENHYDRAMINE IVPB 50MG/50ML NSS (CNR),19.0,19.0,0.71,19.0,112 HCPCS,J1203,CIPAGLUCOSIDASE ALFAATGA 105 MG IV SOLR,6560.0,6560.0,89.38,6560.0,119 HCPCS,J1205,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR,216.0,216.0,15.53,1072.0,784 HCPCS,J1212,DIMETHYL SULFOXIDE 50 INTRAVESICAL SOLN,2502.0,2502.0,337.77,2502.0,119 HCPCS,J1230,METHADONE HCL 10 MG/ML INJECTION SOLN,840.0,840.0,17.7,1539.0,224 HCPCS,J1230,METHADONE HCL 10 MG/ML PO CONC,106.5,106.5,0.14,315.0,1456 HCPCS,J1245,DIPYRIDAMOLE 5 MG/ML IV SOLN,72.0,72.0,3.86,72.0,224 HCPCS,J1245,HC INJECTION DIPYRIDAMOLE 10MG,8.0,8.0,1.08,18.67,112 HCPCS,J1245,HC MAPS INJECTION DIPYRIDAMOLE 10MG,12.0,12.0,1.62,18.67,112 HCPCS,J1250,DEXMEDETOMIDINE IV SYRINGE 4 MCG/ML NSS (NEO)(30ML,54.0,54.0,7.29,54.0,112 HCPCS,J1250,DOBUTAMINE HCL 12.5 MG/ML IV SOLN,28.0,28.0,3.78,28.0,224 HCPCS,J1250,DOBUTAMINE HCL 250 MG/20ML IV SOLN,25.0,25.0,3.24,27.0,784 HCPCS,J1250,DOBUTAMINE IV SYRINGE 1MG/ML D5W (NEO) 30ML (1MG/M,24.5,24.5,1.49,38.0,224 HCPCS,J1250,DOBUTAMINE IV SYRINGE 2MG/ML D5W (NEO) 30ML (2MG/M,18.0,18.0,2.43,18.0,112 HCPCS,J1250,DOBUTAMINE IV SYRINGE 4MG/ML D5W (NEO) 30ML (4MG/M,14.0,14.0,1.89,15.72,112 HCPCS,J1250,DOBUTAMINE IV SYRINGE 4MG/ML D5W (PED) 50ML PREMIX,22.0,22.0,2.97,22.0,112 HCPCS,J1250,DOBUTAMINEDEXTROSE 25 MG/ML IV SOLN,104.0,104.0,7.39,150.0,224 HCPCS,J1250,DOBUTAMINEDEXTROSE 45 MG/ML IV SOLN,93.0,93.0,7.39,110.0,336 HCPCS,J1250,HC INJ DOBUTAMINE HCL 250MG,144.0,144.0,7.39,144.0,112 HCPCS,J1265,DOPAMINE 24 MG/30 ML D5W (0.8 MG/ML) INFUSION (NEO,6.0,6.0,0.66,6.0,112 HCPCS,J1265,DOPAMINE HCL 40 MG/ML IV SOLN,13.5,13.5,0.66,22.0,896 HCPCS,J1265,DOPAMINE INFUSION 1.6MG/ML D5W (PED) 50ML PREMIX,11.0,11.0,0.66,11.0,112 HCPCS,J1265,DOPAMINE IV SYRINGE 1.6MG/ML D5W (NEO) 30ML PREMIX,7.0,7.0,0.66,7.0,112 HCPCS,J1265,DOPAMINEDEXTROSE 0.85 MG/ML IV SOLN,44.0,44.0,0.66,44.0,112 HCPCS,J1265,DOPAMINEDEXTROSE 1.65 MG/ML IV SOLN,53.0,53.0,0.66,54.0,336 HCPCS,J1265,DOPAMINEDEXTROSE 3.25 MG/ML IV SOLN,76.5,76.5,0.66,78.0,336 HCPCS,J1300,ECULIZUMAB 300 MG/30ML IV SOLN,23483.0,23483.0,224.16,23483.0,111 HCPCS,J1301,EDARAVONE 30 MG/100ML IV SOLN,2291.0,2291.0,17.47,2291.0,238 HCPCS,J1302,SUTIMLIMABJOME 1100 MG/22ML IV SOLN,6904.0,6904.0,18.11,6904.0,119 HCPCS,J1303,RAVULIZUMABCWVZ 1100 MG/11ML IV SOLN,84533.0,84533.0,220.59,84533.0,119 HCPCS,J1303,RAVULIZUMABCWVZ 300 MG/3ML IV SOLN,23055.0,23055.0,220.59,23055.0,119 HCPCS,J1304,TOFERSEN 100 MG/15ML INTRATHECAL SOLN,52765.0,52765.0,155.34,52765.0,119 HCPCS,J1305,EVINACUMABDGNB 1200 MG/8ML IV SOLN,151857.0,151857.0,186.31,151857.0,119 HCPCS,J1305,EVINACUMABDGNB 345 MG/2.3ML IV SOLN,43659.0,43659.0,186.31,43659.0,119 HCPCS,J1306,INCLISIRAN SODIUM 284 MG/1.5ML SC SOSY,12297.0,12297.0,12.28,12297.0,119 HCPCS,J1322,ELOSULFASE ALFA 5 MG/5ML IV SOLN,5116.0,5116.0,293.92,5116.0,119 HCPCS,J1324,ENFUVIRTIDE 90 MG SC SOLR,216.0,216.0,0.66,216.0,111 HCPCS,J1325,EPOPROSTENOL (FLOLAN) 1.5 MG IN 50 ML INHALATION S,170.0,170.0,15.65,170.0,224 HCPCS,J1325,EPOPROSTENOL (FLOLAN) INHALATION 1.5MG/50ML (CNR),276.0,276.0,15.65,276.0,112 HCPCS,J1325,EPOPROSTENOL (VELETRI) INHALATION 1.5MG/50ML (CNR),188.0,188.0,15.65,188.0,112 HCPCS,J1325,EPOPROSTENOL SODIUM (FLOLAN) 1.5 MG IV SOLR,169.0,169.0,15.65,188.0,336 HCPCS,J1325,EPOPROSTENOL SODIUM (VELETRI) 0.5 MG IV SOLR,81.0,81.0,9.18,94.0,224 HCPCS,J1335,ERTAPENEM SODIUM 1 G INJECTION SOLR,342.0,342.0,9.02,500.0,1904 HCPCS,J1364,ERYTHROMYCIN LACTOBIONATE 500 MG IV SOLR,328.0,328.0,20.16,720.0,672 HCPCS,J1380,ESTRADIOL VALERATE 10 MG/ML IM OIL,478.0,478.0,7.45,478.0,112 HCPCS,J1380,ESTRADIOL VALERATE 20 MG/ML IM OIL,674.0,674.0,7.45,674.0,112 HCPCS,J1380,HC MAPS ESTRADIOL VALERATE 10 MG INJ,30.0,30.0,4.05,30.0,112 HCPCS,J1410,ESTROGENS CONJUGATED 25 MG INJECTION SOLR,1325.0,1325.0,178.88,1325.0,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 10 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 11 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 12 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 13 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 14 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 15 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 16 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 17 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 18 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 19 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 20 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 21 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 22 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 23 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 24 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 25 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 26 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 27 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 28 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 29 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 30 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 31 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 32 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 33 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 34 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 35 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 36 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 37 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 38 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 39 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 40 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 41 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 42 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 43 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 44 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 45 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 46 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 47 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1411,ETRANACOGENE DEZAPARVOVECDRLB 48 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 HCPCS,J1428,ETEPLIRSEN 100 MG/2ML IV SOLN,5760.0,5760.0,125.52,5760.0,119 HCPCS,J1428,ETEPLIRSEN 500 MG/10ML IV SOLN,28800.0,28800.0,125.52,28800.0,119 HCPCS,J1430,ETHANOLAMINE OLEATE 5 IV SOLN,1658.0,1658.0,214.11,1730.0,238 HCPCS,J1437,FERRIC DERISOMALTOSE(ONE DOSE) 1000 MG/10ML IV SOL,11689.0,11689.0,18.95,11689.0,119 HCPCS,J1438,ETANERCEPT 25 MG/0.5ML SC SOLN,3331.0,3331.0,449.69,3331.0,222 HCPCS,J1438,ETANERCEPT 25 MG/0.5ML SC SOSY,3331.0,3331.0,449.69,3331.0,222 HCPCS,J1439,FERRIC CARBOXYMALTOSE 750 MG/15ML IV SOLN,5362.0,5362.0,1.11,5362.0,119 HCPCS,J1442,FILGRASTIM 300 MCG/0.5ML INJECTION SOSY,1202.0,1202.0,0.98,1202.0,357 HCPCS,J1442,FILGRASTIM 300 MCG/ML INJECTION SOLN,1134.0,1134.0,0.98,1134.0,238 HCPCS,J1442,FILGRASTIM 480 MCG/0.8ML INJECTION SOSY,1914.0,1914.0,0.98,1914.0,357 HCPCS,J1442,FILGRASTIM 480 MCG/1.6ML INJECTION SOLN,1805.0,1805.0,0.98,1805.0,238 HCPCS,J1447,TBOFILGRASTIM 300 MCG/0.5ML SC SOSY,989.5,989.5,0.25,1079.0,357 HCPCS,J1447,TBOFILGRASTIM 300 MCG/ML SC SOLN,900.0,900.0,0.25,900.0,238 HCPCS,J1447,TBOFILGRASTIM 480 MCG/0.8ML SC SOSY,1440.0,1440.0,0.25,1440.0,238 HCPCS,J1447,TBOFILGRASTIM 480 MCG/1.6ML SC SOLN,1440.0,1440.0,0.25,1440.0,119 HCPCS,J1450,FLUCONAZOLE (DIFLUCAN) IVPB 2 MG/ML NSS (REPACKAGE,14.0,14.0,0.95,53.0,336 HCPCS,J1450,FLUCONAZOLE (DIFLUCAN) IVPB 600 MG/300 ML NSS,139.0,139.0,2.39,252.0,224 HCPCS,J1450,FLUCONAZOLE 2 MG/ML OPHTHALMIC SOLN ORD,1.0,1.0,0.14,5.02,112 HCPCS,J1450,FLUCONAZOLE 40 MG/ML PO SUSR,239.5,239.5,2.03,392.0,672 HCPCS,J1450,FLUCONAZOLE IN SODIUM CHLORIDE 1000.9 MG/50ML IV,18.0,18.0,2.39,18.0,112 HCPCS,J1450,FLUCONAZOLE IN SODIUM CHLORIDE 2000.9 MG/100ML IV,22.0,22.0,1.89,68.0,896 HCPCS,J1450,FLUCONAZOLE IN SODIUM CHLORIDE 4000.9 MG/200ML IV,38.5,38.5,2.16,75.0,784 HCPCS,J1450,KETAMINE INFUSION 500 MG/50ML (10 MG/ML VIAL),181.0,181.0,2.39,181.0,112 HCPCS,J1451,FOMEPIZOLE 1 GM/ML IV SOLN,6234.0,6234.0,6.03,6234.0,119 HCPCS,J1451,FOMEPIZOLE 1.5 GM/1.5ML IV SOLN,3697.0,3697.0,6.03,5400.0,357 HCPCS,J1453,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR,869.0,869.0,0.11,1205.0,1232 HCPCS,J1455,FOSCARNET SODIUM 6000 MG/250ML IV SOLN,1773.0,1773.0,6.71,1800.0,672 HCPCS,J1456,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR,1085.0,1085.0,0.13,1085.0,119 HCPCS,J1459,IMMUNE GLOBULIN (HUMAN) 5 GM/50ML IV SOLN,3259.0,3259.0,49.28,3259.0,119 HCPCS,J1459,PRIVIGEN 1 G/10 ML IV SOLN (WRAPPER),13035.0,13035.0,49.28,26070.0,476 HCPCS,J1459,PRIVIGEN 10 GM/100ML IV SOLN,6518.0,6518.0,49.28,6518.0,119 HCPCS,J1559,IMMUNE GLOBULIN (HUMAN) 10 GM/50ML SC SOLN,8187.0,8187.0,13.64,8187.0,119 HCPCS,J1561,GAMUNEXC 1 G/10 ML IV SOLN (WRAPPER),5103.0,5103.0,48.03,20412.0,952 HCPCS,J1561,IMMUNE GLOBULIN (HUMAN) 1 GM/10ML INJECTION SOLN,511.0,511.0,48.03,511.0,238 HCPCS,J1566,GAMMAGARD S/D LESS IGA 1 G/10 ML IV SOLN (WRAPPER),6055.5,6055.5,78.89,8074.0,238 HCPCS,J1568,OCTAGAM 1 G/10 ML IV SOLN (WRAPPER),5245.0,5245.0,47.38,13986.0,476 HCPCS,J1568,OCTAGAM 1 G/20 ML IV SOLN (WRAPPER),2623.0,2623.0,47.38,6993.0,476 HCPCS,J1569,GAMMAGARD 1 G/10 ML IV SOLN (WRAPPER),6866.0,6866.0,46.46,18308.0,833 HCPCS,J1569,IMMUNE GLOBULIN (HUMAN) 10 GM/100ML INJECTION SOLN,6103.0,6103.0,46.46,6103.0,119 HCPCS,J1569,IMMUNE GLOBULIN (HUMAN) 20 GM/200ML INJECTION SOLN,12206.0,12206.0,46.46,12206.0,119 HCPCS,J1569,IMMUNE GLOBULIN (HUMAN) 5 GM/50ML INJECTION SOLN,3052.0,3052.0,46.46,3052.0,119 HCPCS,J1570,GANCICLOVIR SODIUM 500 MG IV SOLR,282.5,282.5,28.74,351.0,896 HCPCS,J1570,GANCICLOVIR SODIUM 500 MG/10ML IV SOLN,216.0,216.0,28.74,216.0,112 HCPCS,J1572,FLEBOGAMMA DIF 10 GM/200ML IV SOLN,3812.0,3812.0,52.73,3812.0,112 HCPCS,J1572,FLEBOGAMMA DIF 20 GM/400ML IV SOLN,7624.0,7624.0,52.73,7624.0,112 HCPCS,J1572,FLEBOGAMMA DIF 5 GM/100ML IV SOLN,1906.0,1906.0,52.73,1906.0,112 HCPCS,J1572,IMMUNE GLOBULIN (HUMAN) 10 GM/200ML IV SOLN,3812.0,3812.0,52.73,3812.0,112 HCPCS,J1572,IMMUNE GLOBULIN (HUMAN) 20 GM/400ML IV SOLN,7624.0,7624.0,52.73,7624.0,112 HCPCS,J1572,IMMUNE GLOBULIN (HUMAN) 5 GM/100ML IV SOLN,1906.0,1906.0,52.73,1906.0,112 HCPCS,J1580,GENTAMICIN 15 MG/ML (1.5 ) OPHTHALMIC SOLN,188.0,188.0,2.17,188.0,112 HCPCS,J1580,GENTAMICIN IN SALINE 0.8 MG/ML IV SOLN,15.0,15.0,2.03,15.0,112 HCPCS,J1580,GENTAMICIN IN SALINE 1.60.9 MG/ML IV SOLN,15.0,15.0,2.03,15.0,112 HCPCS,J1580,GENTAMICIN IN SALINE 10.9 MG/ML IV SOLN,16.0,16.0,2.16,16.0,112 HCPCS,J1580,GENTAMICIN IN SALINE 20.9 MG/ML IV SOLN,15.0,15.0,2.03,15.0,112 HCPCS,J1580,GENTAMICIN SULFATE 10 MG/ML INJECTION SOLN,10.5,10.5,0.95,23.0,560 HCPCS,J1580,GENTAMICIN SULFATE 10 MG/ML INJECTION SOLN (FOR IM,23.0,23.0,2.17,23.0,112 HCPCS,J1580,GENTAMICIN SULFATE 40 MG/ML INJECTION SOLN,15.0,15.0,0.54,120.0,1120 HCPCS,J1580,HC MAPS GARAMYCN/GENTAMCN INJUPTO8,7.0,7.0,0.95,7.0,112 HCPCS,J1596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),43.5,43.5,0.38,144.0,4704 HCPCS,J1596,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLN,18.5,18.5,0.38,30.0,1232 HCPCS,J1596,GLYCOPYRROLATE 0.4 MG/2ML INJECTION SOLN,21.0,21.0,0.38,87.0,336 HCPCS,J1596,GLYCOPYRROLATE 1 MG/5ML INJECTION SOLN,36.0,36.0,0.38,36.0,112 HCPCS,J1596,GLYCOPYRROLATE 4 MG/20ML INJECTION SOLN,150.0,150.0,0.38,480.0,672 HCPCS,J1598,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),55.0,55.0,0.55,108.0,896 HCPCS,J1598,GLYCOPYRROLATE 0.4 MG/2ML INJECTION SOLN,41.0,41.0,0.55,41.0,112 HCPCS,J1602,GOLIMUMAB 50 MG/4ML IV SOLN,7198.0,7198.0,10.54,7198.0,119 HCPCS,J1610,GLUCAGON HCL (RDNA) 1 MG INJECTION SOLR (WRAPPER),1058.0,1058.0,136.08,1108.0,238 HCPCS,J1611,GLUCAGON HCL (DIAGNOSTIC) 1 MG INJECTION SOLR,910.0,910.0,111.91,910.0,238 HCPCS,J1611,GLUCAGON HCL (RDNA) 1 MG INJECTION SOLR (WRAPPER),798.0,798.0,78.84,1008.0,714 HCPCS,J1626,GRANISETRON HCL 1 MG/ML IV SOLN,72.0,72.0,0.15,72.0,112 HCPCS,J1626,GRANISETRON HCL 4 MG/4ML IV SOLN,90.0,90.0,0.15,90.0,112 HCPCS,J1628,GUSELKUMAB 100 MG/ML SC SOAJ,49943.0,49943.0,72.94,49943.0,119 HCPCS,J1628,GUSELKUMAB 100 MG/ML SC SOSY,49943.0,49943.0,72.94,49943.0,119 HCPCS,J1628,GUSELKUMAB 200 MG/20ML IV SOLN,49943.0,49943.0,72.94,49943.0,119 HCPCS,J1630,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLN,16.5,16.5,0.68,207.0,1008 HCPCS,J1631,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN,159.0,159.0,3.94,186.0,784 HCPCS,J1631,HALOPERIDOL DECANOATE 50 MG/ML IM SOLN,87.5,87.5,3.94,314.0,1456 HCPCS,J1640,HEMIN 350 MG IV SOLR,38501.0,38501.0,33.12,38501.0,238 HCPCS,J1642,HEPARIN (PORCINE) IN NACL 20.45 UNIT/ML INJECTION,17.0,17.0,0.02,17.0,112 HCPCS,J1642,HEPARIN NA (PORK) LOCK FLSH PF 1 UNIT/ML IV SOLN,10.0,10.0,0.02,10.0,112 HCPCS,J1642,HEPARIN SOD (PORK) LOCK FLUSH 10 UNIT/ML IV SOLN (,16.5,16.5,0.02,22.0,224 HCPCS,J1642,HEPARIN SOD (PORK) LOCK FLUSH 100 UNIT/ML IV SOLN,6.0,6.0,0.02,12.0,896 HCPCS,J1643,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,28.0,28.0,0.27,44.0,448 HCPCS,J1644,HEPARIN (PORCINE) IN NACL 1000.45 UNIT/ML INJECTI,45.0,45.0,0.18,54.0,672 HCPCS,J1644,HEPARIN (PORCINE) IN NACL 10000.9 UT/500ML IV SOL,18.0,18.0,0.18,23.0,896 HCPCS,J1644,HEPARIN (PORCINE) IN NACL 20000.9 UNIT/L IV SOLN,25.5,25.5,0.18,30.0,784 HCPCS,J1644,HEPARIN (PORCINE) IN NACL 250000.45 UT/500ML IV S,26.0,26.0,0.18,26.0,112 HCPCS,J1644,HEPARIN (PORCINE) IN NACL 50000.9 UT/500ML IV SOL,45.0,45.0,0.18,45.0,112 HCPCS,J1644,HEPARIN 10000 UNITS/500ML NSS (PREMIX) (CNR),29.0,29.0,0.18,29.0,112 HCPCS,J1644,HEPARIN 5000 UNITS/ML (OR),90.0,90.0,0.18,90.0,112 HCPCS,J1644,HEPARIN INHALATION SOLUTION (5000 UNITS/3ML),46.0,46.0,0.18,46.0,112 HCPCS,J1644,HEPARIN SOD (PORCINE) IN D5W 100 UNIT/ML IV SOLN,40.0,40.0,0.18,58.0,560 HCPCS,J1644,HEPARIN SODIUM (PORCINE) 10 UNITS/ML NSS (10000 UN,49.0,49.0,0.18,49.0,112 HCPCS,J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,21.5,21.5,0.14,50.0,4480 HCPCS,J1644,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,17.0,17.0,0.18,93.0,2240 HCPCS,J1644,HEPARIN SODIUM (PORCINE) 20000 UNIT/ML INJECTION S,61.0,61.0,0.18,63.0,448 HCPCS,J1644,HEPARIN SODIUM (PORCINE) 25 UNITS/ML (2500 UNITS/1,11.0,11.0,0.18,11.0,112 HCPCS,J1644,HEPARIN SODIUM (PORCINE) 5 UNITS/ML (5000 UNITS/ 1,5.0,5.0,0.18,5.0,112 HCPCS,J1644,HEPARIN SODIUM (PORCINE) 50 UNITS/ML (5000 UNITS/1,12.0,12.0,0.18,12.0,112 HCPCS,J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,15.0,15.0,0.18,63.0,3920 HCPCS,J1644,HEPARIN SODIUM (PORCINE) 5000 UNITS/100ML PLASMALY,12.0,12.0,0.18,12.0,112 HCPCS,J1644,HEPARIN SODIUM (PORCINE) INFUSION 100 UNIT/ML NSS,31.0,31.0,0.18,31.0,112 HCPCS,J1644,HEPARIN SODIUM (PORCINE) PF 5000 UNIT/0.5ML INJECT,18.0,18.0,0.18,22.0,1120 HCPCS,J1644,HEPARIN SODIUM 5000 UNIT/ML (60 UNITS/KG) INJECTIO,42.0,42.0,0.18,42.0,112 HCPCS,J1645,DALTEPARIN SODIUM 5000 UNIT/0.2ML SC SOSY,218.0,218.0,13.86,218.0,112 HCPCS,J1650,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,71.5,71.5,0.53,299.0,2464 HCPCS,J1650,ENOXAPARIN SODIUM 120 MG/0.8ML INJECTION SOSY,86.5,86.5,0.53,358.0,1344 HCPCS,J1650,ENOXAPARIN SODIUM 150 MG/ML INJECTION SOSY,107.0,107.0,0.53,135.0,1456 HCPCS,J1650,ENOXAPARIN SODIUM 30 MG/0.3ML INJECTION SOSY,21.5,21.5,0.53,27.0,1904 HCPCS,J1650,ENOXAPARIN SODIUM 300 MG/3ML INJECTION SOLN,231.0,231.0,0.53,268.0,448 HCPCS,J1650,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,30.0,30.0,0.53,98.0,2464 HCPCS,J1650,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,47.0,47.0,0.53,179.0,2352 HCPCS,J1650,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,60.0,60.0,0.53,239.0,2688 HCPCS,J1652,FONDAPARINUX SODIUM 10 MG/0.8ML SC SOLN,397.0,397.0,0.67,472.0,672 HCPCS,J1652,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN,130.0,130.0,0.67,201.0,1344 HCPCS,J1652,FONDAPARINUX SODIUM 5 MG/0.4ML SC SOLN,324.0,324.0,0.67,408.0,1344 HCPCS,J1652,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN,309.0,309.0,0.67,408.0,1568 HCPCS,J1670,TETANUS IMMUNE GLOBULIN 250 UNIT/ML IM SOSY,2337.0,2337.0,315.5,2337.0,238 HCPCS,J1720,HC MAPS -HYDROCORISONE SODIUM SUCC I,10.0,10.0,1.35,47.31,112 HCPCS,J1720,HYDROCORTISONE NA SUCCINATE PF 1 MG/ML INJECTION (,11.0,11.0,1.49,47.31,112 HCPCS,J1720,HYDROCORTISONE SOD SUC (PF) 100 MG INJECTION SOLR,68.0,68.0,7.83,78.0,336 HCPCS,J1720,HYDROCORTISONE SOD SUC (PF) 1000 MG INJECTION SOLR,571.0,571.0,20.94,571.0,112 HCPCS,J1720,HYDROCORTISONE SOD SUC (PF) 500 MG INJECTION SOLR,286.0,286.0,20.94,286.0,112 HCPCS,J1740,IBANDRONATE SODIUM 3 MG/3ML IV SOLN,1516.0,1516.0,13.14,1516.0,112 HCPCS,J1742,IBUTILIDE FUMARATE 1 MG/10ML IV SOLN,1547.5,1547.5,151.06,1976.0,476 HCPCS,J1745,INFLIXIMAB 100 MG IV SOLR,2957.5,2957.5,30.53,4205.0,238 HCPCS,J1746,IBALIZUMABUIYK 200 MG/1.33ML IV SOLN,7423.0,7423.0,77.13,7423.0,119 HCPCS,J1747,SPESOLIMABSBZO 450 MG/7.5ML IV SOLN,187761.0,187761.0,61.43,187761.0,119 HCPCS,J1750,IRON DEXTRAN 50 MG/ML INJECTION SOLN,128.0,128.0,17.28,128.0,238 HCPCS,J1756,IRON SUCROSE 20 MG/ML IV SOLN,200.5,200.5,0.22,441.0,784 HCPCS,J1786,IMIGLUCERASE 400 UNITS IV SOLR,6182.0,6182.0,43.23,6182.0,119 HCPCS,J1790,DROPERIDOL 2.5 MG/ML INJECTION SOLN,26.0,26.0,0.68,35.0,784 HCPCS,J1800,PROPRANOLOL HCL 1 MG/ML IV SOLN,35.5,35.5,3.92,42.0,444 HCPCS,J1805,ESMOLOL HCL 100 MG/10ML IV SOLN,44.0,44.0,0.21,57.0,672 HCPCS,J1805,ESMOLOL HCLSODIUM CHLORIDE 2000 MG/100ML IV SOLN,575.5,575.5,0.21,1815.0,896 HCPCS,J1805,ESMOLOL HCLSODIUM CHLORIDE 2500 MG/250ML IV SOLN,544.0,544.0,0.21,1577.0,448 HCPCS,J1806,ESMOLOL HCL 2000 MG/100ML IV SOLN,467.0,467.0,0.27,467.0,112 HCPCS,J1806,ESMOLOL HCL 2500 MG/250ML IV SOLN,449.0,449.0,0.27,449.0,112 HCPCS,J1806,ESMOLOL HCLSODIUM CHLORIDE 2000 MG/100ML IV SOLN,297.0,297.0,0.27,297.0,224 HCPCS,J1815,INSULIN ISOPHANE REGULAR (7030) 100 UNIT/ML SC,174.0,174.0,0.22,174.0,111 HCPCS,J1815,INSULIN ASPART 100 UNIT/ML SC SOCT,97.0,97.0,0.22,97.0,111 HCPCS,J1815,INSULIN ASPART PROT ASPART (7030) 100 UNIT/ML SC,261.0,261.0,0.22,261.0,222 HCPCS,J1815,INSULIN ASPART VIAL FOR SUBQ INFUSION PUMP 100 UNI,261.0,261.0,0.22,261.0,222 HCPCS,J1815,INSULIN NPH (HUMAN) (ISOPHANE) 100 UNIT/ML SC SUSP,167.5,167.5,0.22,174.0,222 HCPCS,J1815,INSULIN REGULAR(HUMAN) IN NACL 1000.9 UT/100ML IV,93.0,93.0,0.22,126.0,222 HCPCS,J1836,METRONIDAZOLE 500 MG/100ML IV SOLN,9.5,9.5,0.03,18.0,896 HCPCS,J1836,METRONIDAZOLE IV SYRINGE 5MG/ML NSS (NEO/PED) (WRA,11.0,11.0,0.03,11.0,224 HCPCS,J1885,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,6.0,6.0,0.33,14.0,2016 HCPCS,J1885,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,10.0,10.0,0.33,24.0,2576 HCPCS,J1885,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN,12.0,12.0,0.33,30.0,784 HCPCS,J1920,LABETALOL HCL 5 MG/ML IV SOLN,22.0,22.0,0.27,94.0,3136 HCPCS,J1930,LANREOTIDE ACETATE 60 MG/0.2ML SC SOLN,21917.0,21917.0,35.39,21917.0,119 HCPCS,J1930,LANREOTIDE ACETATE 90 MG/0.3ML SC SOLN,29189.0,29189.0,35.39,29189.0,119 HCPCS,J1930,SOMATULINE DEPOT 120 MG/0.5ML SC SOLN,34424.0,34424.0,35.39,34424.0,119 HCPCS,J1932,LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN,28055.5,28055.5,24.45,32014.0,238 HCPCS,J1939,BUMETANIDE 0.25 MG/ML INJECTION SOLN,11.5,11.5,0.36,16.0,2016 HCPCS,J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN,12.0,12.0,0.39,21.0,4440 HCPCS,J1940,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),11.5,11.5,0.39,89.0,2220 HCPCS,J1943,ARIPIPRAZOLE LAUROXIL ER 675 MG/2.4ML IM PRSY,8512.0,8512.0,3.13,8512.0,119 HCPCS,J1944,ARIPIPRAZOLE LAUROXIL ER 1064 MG/3.9ML IM PRSY,13417.0,13417.0,3.23,13417.0,119 HCPCS,J1944,ARIPIPRAZOLE LAUROXIL ER 662 MG/2.4ML IM PRSY,8348.0,8348.0,3.23,8348.0,119 HCPCS,J1944,ARIPIPRAZOLE LAUROXIL ER 882 MG/3.2ML IM PRSY,11122.0,11122.0,3.23,11122.0,119 HCPCS,J1950,HC MAPS LEUPROLIDE ACETATE /3.75 MG,3101.0,3101.0,418.64,5306.42,119 HCPCS,J1950,LEUPROLIDE ACETATE (3 MONTH) 11.25 MG IM KIT,18526.0,18526.0,1666.78,18526.0,119 HCPCS,J1950,LEUPROLIDE ACETATE (PED) 11.25 MG IM KIT,13487.0,13487.0,1666.78,13487.0,119 HCPCS,J1950,LEUPROLIDE ACETATE (PED) 15 MG IM KIT,14855.0,14855.0,1666.78,14855.0,119 HCPCS,J1950,LEUPROLIDE ACETATE (PED) 7.5 MG IM KIT,7429.0,7429.0,1002.92,7429.0,119 HCPCS,J1950,LEUPROLIDE ACETATE 3.75 MG IM KIT,6176.0,6176.0,833.76,6176.0,119 HCPCS,J1953,LEVETIRACETAM 500 MG/5ML IV SOLN,17.0,17.0,0.04,240.0,2464 HCPCS,J1953,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN,93.0,93.0,0.04,162.0,1232 HCPCS,J1953,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN,123.5,123.5,0.04,216.0,1232 HCPCS,J1953,LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN,59.0,59.0,0.04,100.0,1120 HCPCS,J1955,LEVOCARNITINE 200 MG/ML IV SOLN,133.0,133.0,17.42,137.0,560 HCPCS,J1956,LEVOFLOXACIN IN D5W 250 MG/50ML IV SOLN,22.0,22.0,0.81,28.0,1008 HCPCS,J1956,LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN,39.0,39.0,1.08,46.0,896 HCPCS,J1956,LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN,23.0,23.0,1.22,47.0,1120 HCPCS,J1961,LENACAPAVIR SODIUM 463.5 MG/1.5ML SC SOLN,70200.0,70200.0,21.98,70200.0,119 HCPCS,J1980,HYOSCYAMINE SULFATE 0.5 MG/ML INJECTION SOLN,389.0,389.0,33.32,389.0,222 HCPCS,J2001,HC MAPS LIDOCAINE,4.0,4.0,0.03,4.0,111 HCPCS,J2002,LIDOCAINE IN D5W 45 MG/ML IV SOLN,24.0,24.0,0.01,24.0,107 HCPCS,J2002,LIDOCAINE IN D5W 85 MG/ML IV SOLN,31.0,31.0,0.01,33.0,214 HCPCS,J2003,LIDOCAINE HCL (CARDIAC) 100 MG/5ML IV SOSY (WRAPPE,22.5,22.5,0.01,72.0,999 HCPCS,J2003,LIDOCAINE HCL (CARDIAC) 50 MG/5ML IV SOSY,65.0,65.0,0.01,65.0,111 HCPCS,J2003,LIDOCAINE HCL (PF) 1 INJECTION SOLN,11.0,11.0,0.01,43.0,3885 HCPCS,J2003,LIDOCAINE HCL (PF) 1.5 INJECTION SOLN,32.5,32.5,0.01,50.0,555 HCPCS,J2003,LIDOCAINE HCL (PF) 2 INJECTION SOLN,11.0,11.0,0.01,16.0,888 HCPCS,J2003,LIDOCAINE HCL (PF) 2 INJECTION SOLN (WRAPPER),10.5,10.5,0.01,31.0,1998 HCPCS,J2003,LIDOCAINE HCL (PF) 4 INJECTION SOLN,18.0,18.0,0.01,18.0,222 HCPCS,J2003,LIDOCAINE HCL 0.5 INJECTION SOLN,19.0,19.0,0.01,20.0,222 HCPCS,J2003,LIDOCAINE HCL 1 INJECTION SOLN,12.0,12.0,0.01,23.0,2109 HCPCS,J2003,LIDOCAINE IV SYRINGE 8MG/ML DRIP(10ML)(NEO/PED),22.0,22.0,0.01,22.0,111 HCPCS,J2003,LIDOCAINE IV SYRINGE 8MG/ML DRIP(5ML)(NEO/PED),11.0,11.0,0.01,11.0,111 HCPCS,J2004,LIDOCAINE 0.45 EPINEPHRINE 0.9 200000SODIUM BICARB,1.0,1.0,0.01,1.0,111 HCPCS,J2004,LIDOCAINE 0.9 EPINEPHRINE 0.9 100000SODIUM BICARBO,1.0,1.0,0.01,1.0,111 HCPCS,J2004,LIDOCAINEEPINEPHRINE (PF) 1 1 200000 INJECTION SO,42.0,42.0,0.01,49.0,333 HCPCS,J2004,LIDOCAINEEPINEPHRINE (PF) 1.5 1 200000 INJECTION,20.0,20.0,0.01,65.0,1110 HCPCS,J2004,LIDOCAINEEPINEPHRINE (PF) 2 1 200000 INJECTION SO,37.0,37.0,0.01,75.0,555 HCPCS,J2004,LIDOCAINEEPINEPHRINE 0.5 1 200000 INJECTION SOLN,20.0,20.0,0.01,26.0,333 HCPCS,J2004,LIDOCAINEEPINEPHRINE 1 1 100000 INJECTION SOLN,15.0,15.0,0.01,42.0,1554 HCPCS,J2004,LIDOCAINEEPINEPHRINE 2 1 100000 INJECTION SOLN,15.0,15.0,0.01,34.0,1110 HCPCS,J2020,LINEZOLID 600 MG/300ML IV SOLN,144.0,144.0,2.74,331.0,1904 HCPCS,J2060,LORAZEPAM 2 MG/ML INJECTION SOLN,13.0,13.0,0.68,39.0,1792 HCPCS,J2060,LORAZEPAM 4 MG/ML INJECTION SOLN,34.0,34.0,1.32,53.0,560 HCPCS,J2060,LORAZEPAM INFUSION 100MG/50ML (CNR),123.0,123.0,1.32,123.0,112 HCPCS,J2150,MANNITOL 25 IV SOLN,16.5,16.5,1.49,22.0,444 HCPCS,J2175,MEPERIDINE HCL 100 MG/ML INJECTION SOLN,17.5,17.5,1.49,34.83,336 HCPCS,J2175,MEPERIDINE HCL 25 MG/ML INJECTION SOLN,16.0,16.0,1.35,34.83,448 HCPCS,J2175,MEPERIDINE HCL 50 MG/ML INJECTION SOLN,28.0,28.0,1.35,39.0,672 HCPCS,J2175,MEPERIDINE HCL 75 MG/ML INJECTION SOLN,24.0,24.0,3.24,34.83,112 HCPCS,J2182,MEPOLIZUMAB 100 MG SC SOLR,12467.0,12467.0,30.69,12467.0,119 HCPCS,J2182,MEPOLIZUMAB 100 MG/ML SC SOSY,13280.0,13280.0,30.69,13280.0,119 HCPCS,J2184,MEROPENEMSODIUM CHLORIDE 1 GM/50ML IV SOLR,108.0,108.0,0.54,108.0,112 HCPCS,J2184,MEROPENEMSODIUM CHLORIDE 500 MG/50ML IV SOLR,74.0,74.0,0.54,74.0,112 HCPCS,J2185,MEROPENEM 1 G IV SOLR,40.0,40.0,0.38,110.0,1904 HCPCS,J2185,MEROPENEM 500 MG IV SOLR,30.0,30.0,0.38,55.0,1568 HCPCS,J2185,MEROPENEM IVPB 2G/100ML NSS (CNR),228.0,228.0,0.38,228.0,112 HCPCS,J2186,MEROPENEMVABORBACTAM 2 (11) G IV SOLR,778.0,778.0,2.11,778.0,238 HCPCS,J2210,HC MAPS METHYLERGONOVIN MALEATE INJ,18.0,18.0,2.43,46.0,112 HCPCS,J2210,METHYLERGONOVINE MALEATE 0.2 MG/ML INJECTION SOLN,91.0,91.0,9.72,110.0,448 HCPCS,J2248,MICAFUNGIN SODIUM 100 MG IV SOLR,674.0,674.0,0.25,674.0,336 HCPCS,J2248,MICAFUNGIN SODIUM 50 MG IV SOLR,337.0,337.0,0.25,337.0,112 HCPCS,J2250,MIDAZOLAM HCL (PF) 10 MG/2ML INJECTION SOLN,5.0,5.0,0.13,5.0,448 HCPCS,J2250,MIDAZOLAM HCL (PF) 2 MG/2ML INJECTION SOLN,8.0,8.0,0.13,12.0,448 HCPCS,J2250,MIDAZOLAM HCL (PF) 5 MG/5ML INJECTION SOLN,4.5,4.5,0.13,5.0,336 HCPCS,J2250,MIDAZOLAM HCL (PF) 5 MG/ML INJECTION SOLN,5.0,5.0,0.13,5.0,336 HCPCS,J2250,MIDAZOLAM HCL 10 MG/10ML INJECTION SOLN,8.5,8.5,0.13,9.0,448 HCPCS,J2250,MIDAZOLAM HCL 10 MG/2ML INJECTION SOLN,14.5,14.5,0.13,24.0,224 HCPCS,J2250,MIDAZOLAM HCL 2 MG/2ML INJECTION SOLN,4.0,4.0,0.13,5.0,1120 HCPCS,J2250,MIDAZOLAM HCL 25 MG/5ML INJECTION SOLN,18.0,18.0,0.13,18.0,112 HCPCS,J2250,MIDAZOLAM HCL 5 MG/5ML INJECTION SOLN,6.0,6.0,0.13,12.0,560 HCPCS,J2250,MIDAZOLAM HCL 5 MG/ML INJECTION SOLN,5.0,5.0,0.13,5.0,336 HCPCS,J2250,MIDAZOLAM HCL 50 MG/10ML INJECTION SOLN,25.0,25.0,0.13,34.0,896 HCPCS,J2251,MIDAZOLAM HCLSODIUM CHLORIDE 1000.9 MG/100ML IV S,108.0,108.0,0.17,134.0,1008 HCPCS,J2251,MIDAZOLAM IV SYRINGE 1MG/ML NSS (NEO)(30ML)(PREMIX,22.0,22.0,0.17,22.0,112 HCPCS,J2260,MILRINONE IV SYRINGE 200 MCG/ML (NEO)(30ML)(PREMIX,18.0,18.0,1.31,18.0,112 HCPCS,J2260,MILRINONE IV SYRINGE(NEO/PED)(50ML)(200MCG/ML),29.0,29.0,1.31,29.0,112 HCPCS,J2260,MILRINONE LACTATE 10 MG/10ML IV SOLN,23.0,23.0,1.31,23.0,112 HCPCS,J2260,MILRINONE LACTATE 20 MG/20ML IV SOLN,37.5,37.5,1.31,62.0,784 HCPCS,J2260,MILRINONE LACTATE 50 MG/50ML IV SOLN,126.5,126.5,1.31,144.0,224 HCPCS,J2260,MILRINONE LACTATE IN DEXTROSE 205 MG/100ML IV SOL,88.5,88.5,1.31,122.0,336 HCPCS,J2260,MILRINONE LACTATE IN DEXTROSE 405 MG/200ML IV SOL,115.5,115.5,1.31,247.0,896 HCPCS,J2265,MINOCYCLINE HCL 100 MG IV SOLR,904.0,904.0,2.5,904.0,238 HCPCS,J2267,MIRIKIZUMABMRKZ 300 MG/15ML IV SOLN,34536.0,34536.0,41.92,34536.0,119 HCPCS,J2270,MORPHINE INFUSION 100 MG/100ML NSS (CNR),18.0,18.0,2.43,18.0,112 HCPCS,J2270,MORPHINE INFUSION 100MG/100ML D5W (CNR),18.0,18.0,2.43,18.0,112 HCPCS,J2270,MORPHINE INFUSION 250MG/250ML D5W (CNR),81.0,81.0,2.78,81.0,112 HCPCS,J2270,MORPHINE SULFATE (PF) 10 MG/ML IV SOLN (WRAPPER),14.0,14.0,1.22,19.0,336 HCPCS,J2270,MORPHINE SULFATE (PF) 2 MG/ML IV SOLN,8.0,8.0,0.14,16.0,560 HCPCS,J2270,MORPHINE SULFATE (PF) 4 MG/ML IV SOLN,12.0,12.0,1.08,16.0,448 HCPCS,J2270,MORPHINE SULFATE (PF) 8 MG/ML IV SOLN,9.0,9.0,1.22,9.0,224 HCPCS,J2270,MORPHINE SULFATE 1 MG/ML IV SOLN (WRAPPER),44.0,44.0,2.78,61.0,784 HCPCS,J2270,MORPHINE SULFATE 10 MG/ML IV SOLN,10.0,10.0,1.35,10.0,224 HCPCS,J2270,MORPHINE SULFATE 4 MG/ML IV SOLN,8.5,8.5,1.08,9.0,448 HCPCS,J2270,MORPHINE SULFATE 50 MG/ML IV SOLN,93.5,93.5,2.78,119.0,224 HCPCS,J2272,MORPHINE SULFATE (PF) 10 MG/ML IV SOLN (WRAPPER),11.0,11.0,1.49,19.43,224 HCPCS,J2272,MORPHINE SULFATE (PF) 2 MG/ML INJECTION SOLN,11.0,11.0,1.49,19.43,224 HCPCS,J2272,MORPHINE SULFATE (PF) 4 MG/ML INJECTION SOLN,11.0,11.0,1.49,19.43,224 HCPCS,J2272,MORPHINE SULFATE 2 MG/ML INJECTION SOLN,11.0,11.0,1.49,19.43,336 HCPCS,J2272,MORPHINE SULFATE 4 MG/ML INJECTION SOLN,11.0,11.0,1.49,19.43,336 HCPCS,J2274,MORPHINE SULF MICROINFUSION PF 500 MG/20ML (25 MG/,1274.0,1274.0,10.79,1274.0,112 HCPCS,J2274,MORPHINE SULFATE (PF) 0.5 MG/ML INJECTION SOLN,5.0,5.0,0.27,105.0,896 HCPCS,J2274,MORPHINE SULFATE (PF) 1 MG/ML INJECTION SOLN,10.0,10.0,0.68,33.0,336 HCPCS,J2274,MORPHINE SULFATE (PF) 1 MG/ML INTRATHECAL SOLN (OR,69.0,69.0,4.46,105.0,336 HCPCS,J2277,MOTIXAFORTIDE ACETATE 62 MG SC SOLR,21240.0,21240.0,25.22,21240.0,119 HCPCS,J2280,MOXIFLOXACIN HCL IN NACL 400 MG/250ML IV SOLN,173.0,173.0,8.65,173.0,112 HCPCS,J2300,HC MAPS INJ NALMUPHINE HYDROCHLORIDE,29.0,29.0,3.43,29.0,104 HCPCS,J2300,NALBUPHINE HCL 10 MG/ML INJECTION SOLN,20.5,20.5,2.16,142.0,784 HCPCS,J2300,NALBUPHINE HCL 20 MG/ML INJECTION SOLN,41.0,41.0,3.43,210.0,672 HCPCS,J2305,NITROGLYCERIN 20 MCG/ML IV SOLN,11.0,11.0,1.41,11.0,112 HCPCS,J2305,NITROGLYCERIN 5 MG/ML IV SOLN,65.5,65.5,1.41,75.0,336 HCPCS,J2305,NITROGLYCERIN IN D5W 1005 MCG/ML IV SOLN,77.0,77.0,1.41,77.0,112 HCPCS,J2305,NITROGLYCERIN IN D5W 2005 MCG/ML IV SOLN,85.0,85.0,1.41,85.0,112 HCPCS,J2305,NITROGLYCERIN IN D5W 4005 MCG/ML IV SOLN,93.0,93.0,1.41,93.0,112 HCPCS,J2310,NALOXONE HCL 0.4 MG/ML INJECTION SOCT,56.0,56.0,7.56,56.0,222 HCPCS,J2310,NALOXONE HCL 0.4 MG/ML INJECTION SOLN,41.5,41.5,2.43,72.0,1554 HCPCS,J2310,NALOXONE HCL 2 MG/2ML INJECTION SOSY,114.0,114.0,8.7,119.0,888 HCPCS,J2310,NALOXONE HCL 4 MG/10ML INJECTION SOLN,428.0,428.0,8.7,428.0,111 HCPCS,J2315,NALTREXONE 380 MG IM SUSR,5908.0,5908.0,4.12,5908.0,119 HCPCS,J2323,NATALIZUMAB 300 MG/15ML IV CONC,29554.0,29554.0,23.88,29554.0,119 HCPCS,J2326,NUSINERSEN 12 MG/5ML INTRATHECAL SOLN,450000.0,450000.0,1178.92,450000.0,119 HCPCS,J2327,RISANKIZUMABRZAA 600 MG/10ML IV SOLN,36431.0,36431.0,14.84,36431.0,119 HCPCS,J2329,UBLITUXIMABXIIY 150 MG/6ML IV SOLN,37701.0,37701.0,69.03,37701.0,119 HCPCS,J2350,OCRELIZUMAB 300 MG/10ML IV SOLN,70972.0,70972.0,58.77,70972.0,119 HCPCS,J2353,OCTREOTIDE ACETATE 10 MG IM KIT,12685.0,12685.0,199.17,12685.0,238 HCPCS,J2353,OCTREOTIDE ACETATE 20 MG IM KIT,16619.0,16619.0,199.17,16619.0,238 HCPCS,J2353,OCTREOTIDE ACETATE 30 MG IM KIT,24886.0,24886.0,199.17,24886.0,238 HCPCS,J2354,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLN,24.0,24.0,0.61,99.0,1008 HCPCS,J2354,OCTREOTIDE ACETATE 100 MCG/ML SC SOSY,29.0,29.0,0.61,29.0,224 HCPCS,J2354,OCTREOTIDE ACETATE 1000 MCG/ML INJECTION SOLN,864.0,864.0,0.61,864.0,112 HCPCS,J2354,OCTREOTIDE ACETATE 200 MCG/ML INJECTION SOLN,358.0,358.0,0.61,358.0,112 HCPCS,J2354,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLN,17.0,17.0,0.61,51.0,784 HCPCS,J2354,OCTREOTIDE ACETATE 50 MCG/ML SC SOSY,15.0,15.0,0.61,15.0,224 HCPCS,J2354,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLN,132.0,132.0,0.61,476.0,1120 HCPCS,J2354,OCTREOTIDE ACETATE 500 MCG/ML SC SOSY,143.0,143.0,0.61,143.0,224 HCPCS,J2356,TEZEPELUMABEKKO 210 MG/1.91ML SC SOSY,14980.0,14980.0,17.82,14980.0,119 HCPCS,J2357,OMALIZUMAB 150 MG SC SOLR,4986.0,4986.0,37.76,4986.0,119 HCPCS,J2357,OMALIZUMAB 150 MG/ML SC SOSY,4986.0,4986.0,37.76,4986.0,119 HCPCS,J2357,OMALIZUMAB 75 MG/0.5ML SC SOSY,2493.0,2493.0,37.76,2493.0,119 HCPCS,J2359,OLANZAPINE 10 MG IM SOLR,135.5,135.5,0.75,181.0,672 HCPCS,J2360,ORPHENADRINE CITRATE 30 MG/ML INJECTION SOLN,57.0,57.0,6.39,57.0,112 HCPCS,J2371,PHENYLEPHRINE 100 MCG/ML BOLUS INJECTION 10ML (WRA,17.0,17.0,0.01,52.0,864 HCPCS,J2371,PHENYLEPHRINE 100 MCG/ML INFUSION (50ML)(WRAPPER),9.0,9.0,0.01,9.0,216 HCPCS,J2371,PHENYLEPHRINE HCL (PRESSORS) 0.4 MG/10ML IV SOSY,24.0,24.0,0.01,37.0,432 HCPCS,J2371,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,73.0,73.0,0.01,156.0,2808 HCPCS,J2371,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),72.5,72.5,0.01,864.0,2808 HCPCS,J2401,CHLOROPROCAINE HCL (PF) 2 INJECTION SOLN,77.0,77.0,0.03,77.0,448 HCPCS,J2401,CHLOROPROCAINE HCL (PF) 3 INJECTION SOLN,81.0,81.0,0.03,81.0,448 HCPCS,J2401,CHLOROPROCAINE HCL 1 INJECTION SOLN,65.0,65.0,0.03,65.0,224 HCPCS,J2402,CHLOROPROCAINE HCL 50 MG/5ML INTRATHECAL SOLN,1106.0,1106.0,0.31,1106.0,222 HCPCS,J2404,NICARDIPINE 0.1 MG/ML BOLUS SYRINGE,10.0,10.0,0.07,18.0,224 HCPCS,J2404,NICARDIPINE 40MG/200ML PREMIX (HUP IR ONLY),732.0,732.0,0.07,732.0,112 HCPCS,J2404,NICARDIPINE HCL 2.5 MG/ML IV SOLN,80.5,80.5,0.07,759.0,1792 HCPCS,J2404,NICARDIPINE HCL IN NACL 200.86 MG/200ML IV SOLN (,366.0,366.0,0.07,366.0,112 HCPCS,J2404,NICARDIPINE HCL IN NACL 40 MG/200ML IV SOLN (WRAPP,329.0,329.0,0.07,586.0,448 HCPCS,J2405,ONDANSETRON 16MG DEXAMETH 12MG IVPB 100ML NSS (C,71.0,71.0,0.09,71.0,112 HCPCS,J2405,ONDANSETRON 16MG DEXAMETH 20MG IVPB 100ML NSS (C,74.0,74.0,0.09,74.0,112 HCPCS,J2405,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,5.0,5.0,0.09,9.0,2128 HCPCS,J2405,ONDANSETRON HCL 40 MG/20ML INJECTION SOLN,29.0,29.0,0.09,75.0,896 HCPCS,J2405,ONDANSETRON IVPB 16MG/100ML NSS (CNR),63.0,63.0,0.09,63.0,112 HCPCS,J2407,ORITAVANCIN DIPHOSPHATE 400 MG IV SOLR,4179.0,4179.0,28.47,4179.0,238 HCPCS,J2425,PALIFERMIN 5.16 MG IV SOLR,11929.0,11929.0,33.99,11929.0,119 HCPCS,J2426,PALIPERIDONE PALMITATE ER 156 MG/ML IM SUSY,8350.0,8350.0,14.73,8350.0,119 HCPCS,J2426,PALIPERIDONE PALMITATE ER 234 MG/1.5ML IM SUSY,12524.0,12524.0,14.73,12524.0,119 HCPCS,J2426,PALIPERIDONE PALMITATE ER 78 MG/0.5ML IM SUSY,4175.0,4175.0,14.73,4175.0,119 HCPCS,J2430,PAMIDRONATE DISODIUM 30 MG/10ML IV SOLN,74.5,74.5,6.89,98.0,224 HCPCS,J2430,PAMIDRONATE DISODIUM 6 MG/ML IV SOLN,149.0,149.0,11.16,149.0,112 HCPCS,J2430,PAMIDRONATE DISODIUM 90 MG/10ML IV SOLN,234.5,234.5,11.16,337.0,224 HCPCS,J2440,PAPAVERINE HCL 30 MG/ML INJECTION SOLN,126.0,126.0,11.21,150.0,777 HCPCS,J2469,PALONOSETRON 0.25MG DEXAMETH 10MG IVPB 50ML NSS,1042.0,1042.0,0.34,1042.0,112 HCPCS,J2469,PALONOSETRON 0.25MG DEXAMETH 12MG IVPB 50ML NSS,1043.0,1043.0,0.34,1043.0,112 HCPCS,J2469,PALONOSETRON 0.25MG DEXAMETH 20MG IVPB 50ML NSS,1047.0,1047.0,0.34,1047.0,112 HCPCS,J2469,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,144.0,144.0,0.34,1121.0,1456 HCPCS,J2469,PALONOSETRON HCL 0.25 MG/5ML IV SOSY,180.0,180.0,0.34,180.0,224 HCPCS,J2469,PALONOSETRON IVPB 0.25MG/50ML NSS (CNR),1038.0,1038.0,0.34,1038.0,112 HCPCS,J2470,PANTOPRAZOLE SODIUM 40 MG IV SOLR,19.0,19.0,1.49,638.0,3552 HCPCS,J2501,PARICALCITOL 2 MCG/ML IV SOLN,16.0,16.0,0.67,22.0,448 HCPCS,J2501,PARICALCITOL 5 MCG/ML IV SOLN,76.0,76.0,0.67,437.0,784 HCPCS,J2506,PEGFILGRASTIM 6 MG/0.6ML SC PSKT,23105.0,23105.0,19.98,23105.0,121 HCPCS,J2506,PEGFILGRASTIM 6 MG/0.6ML SC SOSY,23105.0,23105.0,19.98,23105.0,121 HCPCS,J2507,PEGLOTICASE 8 MG/ML IV SOLN,66900.0,66900.0,3550.05,66900.0,238 HCPCS,J2515,PENTOBARBITAL INFUSION 2000MG/40ML,6826.0,6826.0,36.26,6826.0,119 HCPCS,J2515,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLN,6570.0,6570.0,36.26,8126.0,476 HCPCS,J2540,PENICILLIN G K IVPB 1MU/100ML NSS (CNR),15.0,15.0,0.75,15.0,112 HCPCS,J2540,PENICILLIN G K IVPB 2MU/100ML NSS (CNR),24.0,24.0,0.75,24.0,112 HCPCS,J2540,PENICILLIN G K IVPB 3MU/100ML NSS (CNR),45.0,45.0,0.75,45.0,112 HCPCS,J2540,PENICILLIN G K IVPB 4MU/100ML NSS (CNR),44.0,44.0,0.75,44.0,112 HCPCS,J2540,PENICILLIN G K IVPB 5MU/100ML NSS (CNR),44.0,44.0,0.75,44.0,112 HCPCS,J2540,PENICILLIN G POT IN DEXTROSE 60000 UNIT/ML IV SOLN,39.0,39.0,0.75,39.0,112 HCPCS,J2540,PENICILLIN G POTASSIUM 100000 UNITS/ML OPHTHALMIC,1.0,1.0,0.14,1.75,112 HCPCS,J2540,PENICILLIN G POTASSIUM 20000000 UNITS INJECTION SO,306.0,306.0,0.75,481.0,560 HCPCS,J2540,PENICILLIN G POTASSIUM 333000 UNITS/ML OPHTHALMIC,1.0,1.0,0.14,1.75,112 HCPCS,J2540,PENICILLIN G POTASSIUM 5000000 UNITS INJECTION SOL,99.0,99.0,0.75,127.0,784 HCPCS,J2543,PIPERACILLIN SODTAZOBACTAM SO 2.25 (20.25) G IV SO,33.5,33.5,1.09,44.0,1456 HCPCS,J2543,PIPERACILLIN SODTAZOBACTAM SO 3.375 (30.375) G IV,44.0,44.0,1.09,66.0,1232 HCPCS,J2543,PIPERACILLIN SODTAZOBACTAM SO 4.5 (40.5) G IV SOLR,54.0,54.0,1.09,83.0,1904 HCPCS,J2543,PIPERACILLIN SODTAZOBACTAM SO 40.5 (364.5) G IV SO,429.0,429.0,1.09,529.0,448 HCPCS,J2543,PIPERACILLINTAZOBACTAM IN DEX 20.25 GM/50ML IV SOL,55.0,55.0,1.09,55.0,224 HCPCS,J2543,PIPERACILLINTAZOBACTAM IN DEX 40.5 GM/100ML IV SOL,92.0,92.0,1.09,92.0,448 HCPCS,J2545,PENTAMIDINE ISETHIONATE 300 MG INHALATION SOLR,542.0,542.0,45.63,601.0,444 HCPCS,J2560,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLN,201.0,201.0,17.55,247.0,1120 HCPCS,J2560,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLN,79.0,79.0,10.13,95.0,784 HCPCS,J2561,PHENOBARBITAL SODIUM 100 MG IV SOLR,481.0,481.0,1.06,481.0,119 HCPCS,J2562,PLERIXAFOR 24 MG/1.2ML SC SOLN,18843.0,18843.0,30.66,35886.0,238 HCPCS,J2590,OXYTOCIN 10 UNIT/ML INJECTION SOLN,37.0,37.0,0.81,195.0,1221 HCPCS,J2590,OXYTOCIN INFUSION 20 UNITS/1000ML NSS (ADS),29.5,29.5,0.86,30.0,333 HCPCS,J2590,OXYTOCIN INFUSION 30 UNITS/500ML LR (CNR),36.0,36.0,0.86,36.0,111 HCPCS,J2590,OXYTOCIN INFUSION 30 UNITS/500ML NSS (WRAPPER)(CNR,35.0,35.0,0.86,75.0,555 HCPCS,J2590,OXYTOCIN INFUSION 40 UNITS/1000ML NSS (HUP),33.0,33.0,0.86,33.0,111 HCPCS,J2590,OXYTOCINSODIUM CHLORIDE 300.9 UT/500ML IV SOLN,54.0,54.0,0.86,75.0,222 HCPCS,J2597,DESMOPRESSIN ACETATE 4 MCG/ML INJECTION SOLN,1649.0,1649.0,3.41,2958.0,672 HCPCS,J2597,DESMOPRESSIN ACETATE PF 4 MCG/ML INJECTION SOLN,184.0,184.0,3.41,293.0,896 HCPCS,J2598,VASOPRESSIN 20 UNIT/ML IV SOLN,281.0,281.0,0.53,2916.0,1792 HCPCS,J2598,VASOPRESSINDEXTROSE 405 UT/100ML IV SOLN,1530.0,1530.0,0.53,1530.0,224 HCPCS,J2599,VASOPRESSIN 20 UNIT/ML IV SOLN,180.0,180.0,0.48,180.0,224 HCPCS,J2675,PROGESTERONE 50 MG/ML IM OIL,117.0,117.0,0.63,151.0,560 HCPCS,J2679,FLUPHENAZINE HCL 2.5 MG/ML INJECTION SOLN,692.0,692.0,7.39,692.0,112 HCPCS,J2680,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLN,488.0,488.0,6.2,558.0,560 HCPCS,J2690,PROCAINAMIDE HCL 100 MG/ML INJECTION SOLN,332.0,332.0,41.31,2160.0,476 HCPCS,J2690,PROCAINAMIDE HCL 500 MG/ML INJECTION SOLN,2160.0,2160.0,183.03,2160.0,238 HCPCS,J2700,OXACILLIN SODIUM 1 G INJECTION SOLR,43.0,43.0,0.57,44.0,672 HCPCS,J2700,OXACILLIN SODIUM 2 G INJECTION SOLR,85.0,85.0,0.57,87.0,336 HCPCS,J2704,PROPOFOL 100 MG/10ML IV EMUL,11.0,11.0,0.08,11.0,112 HCPCS,J2704,PROPOFOL 1000 MG/100ML IV EMUL,102.0,102.0,0.08,113.0,1792 HCPCS,J2704,PROPOFOL 200 MG/20ML IV EMUL,17.5,17.5,0.08,22.0,2128 HCPCS,J2704,PROPOFOL 500 MG/50ML IV EMUL,52.0,52.0,0.08,57.0,1344 HCPCS,J2710,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,65.0,65.0,0.71,101.0,2442 HCPCS,J2710,NEOSTIGMINE METHYLSULFATE 2 MG/2ML IV SOSY,44.0,44.0,0.71,67.0,222 HCPCS,J2710,NEOSTIGMINE METHYLSULFATE 5 MG/5ML IV SOSY,74.0,74.0,0.71,108.0,333 HCPCS,J2720,PROTAMINE SULFATE 10 MG/ML IV SOLN,56.0,56.0,1.14,191.0,896 HCPCS,J2724,PROTEIN C CONCENTRATE (HUMAN) 500 UNITS IV SOLR,2700.0,2700.0,15.01,2700.0,119 HCPCS,J2730,PRALIDOXIME CHLORIDE 1 G IV SOLR,1873.0,1873.0,86.35,1873.0,222 HCPCS,J2760,PHENTOLAMINE MESYLATE 5 MG INJECTION SOLR,1634.5,1634.5,203.18,1764.0,357 HCPCS,J2765,METOCLOPRAMIDE HCL 5 MG/ML INJECTION SOLN,8.0,8.0,0.54,13.0,1568 HCPCS,J2778,RANIBIZUMAB 0.3 MG/0.05ML INTRAVITREAL SOSY,4212.0,4212.0,65.44,4212.0,119 HCPCS,J2778,RANIBIZUMAB 0.5 MG/0.05ML INTRAVITREAL SOSY,7020.0,7020.0,65.44,7020.0,119 HCPCS,J2783,RASBURICASE 1.5 MG IV SOLR,3869.0,3869.0,369.97,3869.0,238 HCPCS,J2783,RASBURICASE 7.5 MG IV SOLR,19342.0,19342.0,369.97,19342.0,119 HCPCS,J2785,HC MAPS INJECTIONREGADENOSON0.1 MG,105.0,105.0,2.68,105.0,112 HCPCS,J2785,REGADENOSON 0.4 MG/5ML IV SOLN,423.0,423.0,2.68,928.0,1008 HCPCS,J2786,RESLIZUMAB 100 MG/10ML IV SOLN,3856.0,3856.0,10.32,3856.0,119 HCPCS,J2787,RIBOFLAV5 RIBOFLAV5DEXTRAN 0.146 0.14620 OPHT,16416.0,16416.0,2216.16,16416.0,222 HCPCS,J2788,RHO D IMMUNE GLOBULIN 250 UNITS IM SOSY,200.0,200.0,22.93,200.0,112 HCPCS,J2790,HC MAPS INJRHO D IMM GLB300MICROG,259.0,259.0,34.97,259.0,112 HCPCS,J2791,HC RHOPHYLACIM OR IV100IU,36.0,36.0,4.83,36.0,112 HCPCS,J2791,RHO D IMMUNE GLOBULIN 1500 UNIT/2ML INJECTION SOSY,568.0,568.0,4.83,595.0,336 HCPCS,J2794,RISPERIDONE MICROSPHERES ER 12.5 MG IM SRER,1107.0,1107.0,10.94,1107.0,119 HCPCS,J2794,RISPERIDONE MICROSPHERES ER 25 MG IM SRER,2213.0,2213.0,10.94,2213.0,238 HCPCS,J2794,RISPERIDONE MICROSPHERES ER 37.5 MG IM SRER,3319.0,3319.0,10.94,3319.0,238 HCPCS,J2794,RISPERIDONE MICROSPHERES ER 50 MG IM SRER,4315.0,4315.0,10.94,4426.0,357 HCPCS,J2795,ROPIVACAINE 0.2 100ML,143.5,143.5,0.05,147.0,224 HCPCS,J2795,ROPIVACAINE 0.2 200ML,286.0,286.0,0.05,293.0,224 HCPCS,J2795,ROPIVACAINE 0.2 500ML,732.0,732.0,0.05,732.0,112 HCPCS,J2795,ROPIVACAINE 0.2 800ML,1172.0,1172.0,0.05,1172.0,112 HCPCS,J2795,ROPIVACAINE HCL 10 MG/ML INJECTION SOLN,71.0,71.0,0.05,82.0,336 HCPCS,J2795,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,69.5,69.5,0.05,293.0,4368 HCPCS,J2795,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,60.0,60.0,0.05,114.0,2576 HCPCS,J2800,METHOCARBAMOL 1000 MG/10ML INJECTION SOLN,101.0,101.0,4.53,101.0,112 HCPCS,J2802,ROMIPLOSTIM 125 MCG SC SOLR,4720.0,4720.0,10.54,4720.0,119 HCPCS,J2802,ROMIPLOSTIM 500 MCG SC SOLR,18878.0,18878.0,10.54,18878.0,119 HCPCS,J2802,ROMIPLOSTIM SUBCUTANEOUS INJECTION,9439.0,9439.0,10.54,9439.0,119 HCPCS,J2805,SINCALIDE 5 MCG INJECTION SOLR,470.0,470.0,60.35,492.0,560 HCPCS,J2820,SARGRAMOSTIM 250 MCG INJECTION SOLR,1111.0,1111.0,56.09,1111.0,238 HCPCS,J2840,SEBELIPASE ALFA 20 MG/10ML IV SOLN,36756.0,36756.0,508.46,36756.0,119 HCPCS,J2850,SECRETIN ACETATE (HUMAN) 16 MCG IV SOLR,2268.0,2268.0,30.33,2268.0,119 HCPCS,J2850,SECRETIN ACETATE 16 MCG IV SOLR,30.0,30.0,4.05,121.66,119 HCPCS,J2860,SILTUXIMAB 100 MG IV SOLR,5406.0,5406.0,155.97,5406.0,119 HCPCS,J2860,SILTUXIMAB 400 MG IV SOLR,21621.0,21621.0,155.97,21621.0,119 HCPCS,J2916,NA FERRIC GLUC CPLX IN SUCROSE 12.5 MG/ML IV SOLN,72.5,72.5,1.99,115.0,672 HCPCS,J2919,METHYLPREDNISOLONE SODIUM SUCC 1000 MG INJECTION S,151.0,151.0,0.26,249.0,560 HCPCS,J2919,METHYLPREDNISOLONE SODIUM SUCC 125 MG INJECTION SO,33.0,33.0,0.26,42.0,1008 HCPCS,J2919,METHYLPREDNISOLONE SODIUM SUCC 2000 MG INJECTION S,392.0,392.0,0.26,392.0,112 HCPCS,J2919,METHYLPREDNISOLONE SODIUM SUCC 40 MG INJECTION SOL,22.0,22.0,0.26,25.0,1008 HCPCS,J2919,METHYLPREDNISOLONE SODIUM SUCC 500 MG INJECTION SO,88.0,88.0,0.26,171.0,336 HCPCS,J2997,ALTEPLASE (TPA) 0.1 MG/ML IN SWFI SYRINGE,318.0,318.0,42.93,318.0,119 HCPCS,J2997,ALTEPLASE (TPA) 1 MG/ML SYRINGE EVD CLEARANCE,255.0,255.0,34.43,282.28,119 HCPCS,J2997,ALTEPLASE (TPA) INJECTION 1MG/ML ORD,616.0,616.0,41.58,3076.0,357 HCPCS,J2997,ALTEPLASE (TPA) INJECTION 5MG/5ML ORD,1455.0,1455.0,91.48,1538.0,238 HCPCS,J2997,ALTEPLASE 100 MG IV SOLR,31682.0,31682.0,91.48,31682.0,119 HCPCS,J2997,ALTEPLASE 12.5 MCG/0.1ML NSS INTRAVITREAL INJ,318.0,318.0,0.14,635.0,238 HCPCS,J2997,ALTEPLASE 2 MG INJECTION SOLR,635.0,635.0,85.73,635.0,238 HCPCS,J2997,ALTEPLASE 50 MG IV SOLR,15841.0,15841.0,91.48,15841.0,119 HCPCS,J3000,STREPTOMYCIN SULFATE 1 G IM SOLR,282.0,282.0,28.26,282.0,112 HCPCS,J3010,FENTANYL 250 MCG/25 ML SYRINGE INJECTION SOLN ORD,27.0,27.0,0.85,27.0,224 HCPCS,J3010,FENTANYL CITRATE (PF) 100 MCG/2ML INJECTION SOLN,7.0,7.0,0.41,9.0,1008 HCPCS,J3010,FENTANYL CITRATE (PF) 1000 MCG/20ML INJECTION SOLN,29.5,29.5,0.85,40.0,672 HCPCS,J3010,FENTANYL CITRATE (PF) 250 MCG/5ML INJECTION SOLN,10.0,10.0,0.85,11.0,672 HCPCS,J3010,FENTANYL CITRATE (PF) 2500 MCG/50ML INJECTION SOLN,84.5,84.5,0.85,90.0,448 HCPCS,J3010,FENTANYL CITRATE (PF) 50 MCG/ML INJECTION SOLN (WR,8.0,8.0,0.85,8.0,672 HCPCS,J3010,FENTANYL CITRATE (PF) 500 MCG/10ML INJECTION SOLN,14.0,14.0,0.85,14.0,224 HCPCS,J3010,FENTANYL CITRATE 0.05 MG/ML INJECTION SOLN EPIDURA,1.0,1.0,0.14,2.44,112 HCPCS,J3010,FENTANYL CITRATE 0.05 MG/ML INJECTION SOLN INTRATH,1.0,1.0,0.14,2.44,112 HCPCS,J3010,FENTANYL CITRATE 10 MCG/ML IV SOSY (WRAPPER),26.0,26.0,0.85,26.0,112 HCPCS,J3010,FENTANYL CITRATE 100 MCG/2ML INJECTION SOSY,36.0,36.0,0.85,36.0,112 HCPCS,J3010,FENTANYL CITRATE PF 5 MCG/ML (NEO),1.0,1.0,0.14,2.44,112 HCPCS,J3010,FENTANYL CITRATENACL 10.9 MG/100ML IV SOLN,126.0,126.0,0.85,126.0,224 HCPCS,J3010,FENTANYL CITRATENACL 100.9 MCG/ML IV SOSY,12.0,12.0,0.27,13.0,336 HCPCS,J3010,FENTANYL INFUSION 1600MCG/100ML D5W (CNR),4398.0,4398.0,0.85,4398.0,112 HCPCS,J3010,FENTANYL INFUSION 1600MCG/100ML NSS WRAPPER (CNR),55.0,55.0,0.85,66.0,224 HCPCS,J3010,FENTANYL INFUSION 4000MCG/250ML NSS (CNR),312.0,312.0,0.85,312.0,112 HCPCS,J3010,FENTANYL IV SYRINGE 300MCG/30ML (NEO) (CAPS),57.0,57.0,0.85,57.0,112 HCPCS,J3010,FENTANYL PCA 1500 MCG/30ML (CNR) (WRAPPER),10.0,10.0,0.85,10.0,112 HCPCS,J3010,FENTANYL PCA 250 MCG/25ML (CNR),544.5,544.5,0.85,1080.0,224 HCPCS,J3010,HIGH DOSE FENTANYL CADD PUMP 50 MCG/ML (CNR),63.0,63.0,0.85,63.0,112 HCPCS,J3030,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOAJ,338.0,338.0,25.5,338.0,333 HCPCS,J3030,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOLN,114.0,114.0,5.4,255.0,777 HCPCS,J3031,FREMANEZUMABVFRM 225 MG/1.5ML SC SOAJ,2640.0,2640.0,3.25,2640.0,111 HCPCS,J3031,FREMANEZUMABVFRM 225 MG/1.5ML SC SOSY,2640.0,2640.0,3.25,2640.0,111 HCPCS,J3032,EPTINEZUMABJJMR 100 MG/ML IV SOLN,6581.0,6581.0,19.32,6581.0,119 HCPCS,J3055,TALQUETAMABTGVS 3 MG/1.5ML SC SOLN,2901.0,2901.0,69.97,2901.0,119 HCPCS,J3055,TALQUETAMABTGVS 40 MG/ML SC SOLN,38676.0,38676.0,69.97,38676.0,119 HCPCS,J3090,TEDIZOLID PHOSPHATE 200 MG IV SOLR,1234.5,1234.5,1.81,1259.0,357 HCPCS,J3101,TENECTEPLASE 50 MG IV KIT,28180.0,28180.0,162.43,28180.0,238 HCPCS,J3105,TERBUTALINE SULFATE 1 MG/ML INJECTION SOLN,15.0,15.0,0.68,71.0,560 HCPCS,J3110,TERIPARATIDE 600 MCG/2.4ML SC SOPN,15444.0,15444.0,47.34,15444.0,111 HCPCS,J3111,ROMOSOZUMABAQQG 105 MG/1.17ML SC SOSY,4507.0,4507.0,11.49,4507.0,476 HCPCS,J3121,HC MAPS INJ TESTOSTERO ENANTHATE 1MG,15.0,15.0,0.05,15.0,112 HCPCS,J3121,TESTOSTERONE ENANTHATE 200 MG/ML IM SOLN,178.0,178.0,0.05,296.0,224 HCPCS,J3230,CHLORPROMAZINE HCL 25 MG/ML INJECTION SOLN,104.0,104.0,12.15,105.0,672 HCPCS,J3230,CHLORPROMAZINE HCL 50 MG PO TABS,32.0,32.0,3.92,56.1,1008 HCPCS,J3230,CHLORPROMAZINE HCL 50 MG/2ML INJECTION SOLN,111.5,111.5,13.91,120.0,672 HCPCS,J3240,HC THYROGEN 0.9MG 1 VIAL,12153.0,12153.0,1640.66,12153.0,115 HCPCS,J3240,THYROTROPIN ALFA 0.9 MG IM SOLR,7119.0,7119.0,961.07,7119.0,238 HCPCS,J3241,TEPROTUMUMABTRBW 500 MG IV SOLR,58976.0,58976.0,347.1,58976.0,119 HCPCS,J3245,TILDRAKIZUMABASMN 100 MG/ML SC SOSY,62055.0,62055.0,123.78,62055.0,238 HCPCS,J3246,TIROFIBAN HCL IN NACL 12.50.9 MG/250ML IV SOLN,852.0,852.0,3.43,897.0,560 HCPCS,J3246,TIROFIBAN HCL IN NACL 50.9 MG/100ML IV SOLN,323.5,323.5,3.43,332.0,224 HCPCS,J3247,SECUKINUMAB 125 MG/5ML IV SOLN,7691.0,7691.0,17.72,7691.0,119 HCPCS,J3250,TRIMETHOBENZAMIDE HCL 100 MG/ML IM SOLN,190.0,190.0,25.65,190.0,112 HCPCS,J3260,TOBRAMYCIN FORTE 15 MG/ML OPHTH SOLN ORD,114.0,114.0,1.97,114.0,112 HCPCS,J3260,TOBRAMYCIN SULFATE 1.2 G INJECTION SOLR,292.0,292.0,1.97,1664.0,1456 HCPCS,J3260,TOBRAMYCIN SULFATE 1.2 GM/30ML INJECTION SOLN,79.0,79.0,1.97,80.0,448 HCPCS,J3260,TOBRAMYCIN SULFATE 2 GM/50ML INJECTION SOLN,189.0,189.0,1.97,189.0,112 HCPCS,J3260,TOBRAMYCIN SULFATE 80 MG/2ML INJECTION SOLN,10.0,10.0,1.08,13.0,784 HCPCS,J3262,TOCILIZUMAB 162 MG/0.9ML SC SOAJ,4230.0,4230.0,5.61,4230.0,119 HCPCS,J3262,TOCILIZUMAB 162 MG/0.9ML SC SOSY,4230.0,4230.0,5.61,4230.0,119 HCPCS,J3262,TOCILIZUMAB 200 MG/10ML IV SOLN,4781.0,4781.0,5.61,4781.0,119 HCPCS,J3262,TOCILIZUMAB 400 MG/20ML IV SOLN,9561.0,9561.0,5.61,9561.0,119 HCPCS,J3262,TOCILIZUMAB 80 MG/4ML IV SOLN,1913.0,1913.0,5.61,1913.0,119 HCPCS,J3263,TORIPALIMABTPZI 240 MG/6ML IV SOLN,32652.0,32652.0,39.32,32652.0,119 HCPCS,J3285,TREPROSTINIL 100 MG/20ML INJECTION SOLN,21631.0,21631.0,54.48,22920.0,595 HCPCS,J3285,TREPROSTINIL 20 MG/20ML INJECTION SOLN,4298.0,4298.0,54.48,4584.0,714 HCPCS,J3285,TREPROSTINIL 200 MG/20ML INJECTION SOLN,43261.5,43261.5,54.48,45840.0,476 HCPCS,J3285,TREPROSTINIL 50 MG/20ML INJECTION SOLN,10744.0,10744.0,54.48,11460.0,714 HCPCS,J3285,TREPROSTINIL SODIUM 10 MG/ML INJECTION SOLN (SC IN,41256.0,41256.0,54.48,41256.0,119 HCPCS,J3300,TRIAMCINOLONE ACETONIDE 40 MG/ML INTRAOCULAR SUSP,3399.0,3399.0,23.51,3399.0,119 HCPCS,J3301,HC MAPS INJ-TRIAMCINOLONE ACETONIDE 10MG,21.0,21.0,0.74,21.0,112 HCPCS,J3301,TRIAMCINOLONE ACETONIDE 10 MG/ML INJECTION SUSP,44.0,44.0,0.74,44.0,112 HCPCS,J3301,TRIAMCINOLONE ACETONIDE 40 MG/ML INJECTION SUSP,148.0,148.0,0.74,172.0,1680 HCPCS,J3315,TRIPTORELIN PAMOATE 11.25 MG IM SUSR,9310.0,9310.0,463.19,9310.0,238 HCPCS,J3315,TRIPTORELIN PAMOATE 22.5 MG IM SUSR,18620.0,18620.0,463.19,18620.0,238 HCPCS,J3315,TRIPTORELIN PAMOATE 3.75 MG IM SUSR,3104.0,3104.0,419.04,3104.0,238 HCPCS,J3357,USTEKINUMAB 45 MG/0.5ML SC SOLN,50118.0,50118.0,97.04,50118.0,111 HCPCS,J3357,USTEKINUMAB 45 MG/0.5ML SC SOSY,50118.0,50118.0,97.04,50118.0,111 HCPCS,J3357,USTEKINUMAB 90 MG/ML SC SOSY,100235.0,100235.0,97.04,100235.0,111 HCPCS,J3358,USTEKINUMAB 130 MG/26ML IV SOLN,7289.0,7289.0,12.49,7289.0,119 HCPCS,J3360,DIAZEPAM 5 MG/ML INJECTION SOLN,122.0,122.0,6.17,181.0,1568 HCPCS,J3370,CEFEPIME IM SYRINGE 280 MG/ML SWFI (NEO/PED)(CNR),21.0,21.0,1.86,21.0,111 HCPCS,J3370,VANCOMYCIN 1 MG/0.1ML INTRAVITREAL INJECTION ORD,29.0,29.0,1.86,29.0,222 HCPCS,J3370,VANCOMYCIN 14 MG/ML EYE DROPS ORD,267.0,267.0,1.86,267.0,111 HCPCS,J3370,VANCOMYCIN 25 MG/ML EYE DROPS ORD,405.0,405.0,1.86,540.0,222 HCPCS,J3370,VANCOMYCIN 50 MG/ML EYE DROPS ORD,27.0,27.0,1.86,27.0,111 HCPCS,J3370,VANCOMYCIN HCL 1 G IV SOLR,28.5,28.5,1.76,93.0,2442 HCPCS,J3370,VANCOMYCIN HCL 1.5 G IV SOLR,88.0,88.0,1.86,88.0,222 HCPCS,J3370,VANCOMYCIN HCL 10 G IV SOLR,360.0,360.0,1.86,783.0,1221 HCPCS,J3370,VANCOMYCIN HCL 100 G IV SOLR,1800.0,1800.0,1.86,1800.0,111 HCPCS,J3370,VANCOMYCIN HCL 5 G IV SOLR,255.0,255.0,1.86,330.0,888 HCPCS,J3370,VANCOMYCIN HCL 500 MG IV SOLR,20.0,20.0,1.49,30.0,1443 HCPCS,J3370,VANCOMYCIN HCL 750 MG IV SOLR,29.5,29.5,0.14,36.0,777 HCPCS,J3370,VANCOMYCIN HCL IN DEXTROSE 1.255 GM/250ML IV SOLN,165.0,165.0,1.86,165.0,111 HCPCS,J3370,VANCOMYCIN HCL IN DEXTROSE 1.55 GM/300ML IV SOLN,169.0,169.0,1.86,169.0,111 HCPCS,J3370,VANCOMYCIN HCL IN DEXTROSE 15 GM/200ML IV SOLN,98.0,98.0,1.86,98.0,111 HCPCS,J3370,VANCOMYCIN HCL IN NACL 20.9 GM/500ML IV SOLN,149.0,149.0,1.86,175.0,222 HCPCS,J3370,VANCOMYCIN IVPB 1.25G/250ML D5W (CNR),69.0,69.0,1.86,69.0,111 HCPCS,J3370,VANCOMYCIN IVPB 1.25G/250ML NSS (CNR),117.0,117.0,1.86,117.0,111 HCPCS,J3370,VANCOMYCIN IVPB 1.5G/250ML NSS (CNR),69.0,69.0,1.86,69.0,111 HCPCS,J3370,VANCOMYCIN IVPB 1.5G/500ML D5W (CNR),136.0,136.0,1.86,136.0,111 HCPCS,J3370,VANCOMYCIN IVPB 1.5G/500ML NSS (CNR),136.0,136.0,1.86,136.0,111 HCPCS,J3370,VANCOMYCIN IVPB 1.75G/250ML NSS (CNR),69.0,69.0,1.86,69.0,111 HCPCS,J3370,VANCOMYCIN IVPB 1.75G/500ML D5W (CNR),156.0,156.0,1.86,156.0,111 HCPCS,J3370,VANCOMYCIN IVPB 1.75G/500ML NSS (CNR),156.0,156.0,1.86,156.0,111 HCPCS,J3370,VANCOMYCIN IVPB 1G/100ML NSS (CNR),28.0,28.0,1.86,28.0,111 HCPCS,J3370,VANCOMYCIN IVPB 1G/250ML D5W (CNR),99.0,99.0,1.86,99.0,111 HCPCS,J3370,VANCOMYCIN IVPB 1G/250ML NSS (CNR),99.0,99.0,1.86,99.0,111 HCPCS,J3370,VANCOMYCIN IVPB 2.25G/500ML D5W (CNR),1.0,1.0,0.14,1.0,111 HCPCS,J3370,VANCOMYCIN IVPB 2.25G/500ML NSS (CNR),794.0,794.0,1.86,794.0,111 HCPCS,J3370,VANCOMYCIN IVPB 2.5G/500ML D5W (CNR),1.0,1.0,0.14,1.0,111 HCPCS,J3370,VANCOMYCIN IVPB 2.5G/500ML NSS (CNR),794.0,794.0,1.86,794.0,111 HCPCS,J3370,VANCOMYCIN IVPB 2G/250ML NSS (CNR),69.0,69.0,1.86,69.0,111 HCPCS,J3370,VANCOMYCIN IVPB 2G/500ML D5W (CNR),175.0,175.0,1.86,175.0,111 HCPCS,J3370,VANCOMYCIN IVPB 500MG/100ML D5W (CNR),135.0,135.0,1.86,135.0,111 HCPCS,J3370,VANCOMYCIN IVPB 500MG/100ML NSS (CNR),135.0,135.0,1.86,135.0,111 HCPCS,J3370,VANCOMYCIN IVPB 750MG/100ML NSS (CNR),28.0,28.0,1.86,28.0,111 HCPCS,J3370,VANCOMYCIN IVPB 750MG/250ML D5W (CNR),78.0,78.0,1.86,78.0,111 HCPCS,J3370,VANCOMYCIN IVPB 750MG/250ML NSS (CNR),78.0,78.0,1.86,78.0,111 HCPCS,J3371,VANCOMYCIN HCL 1.25 G IV SOLR,73.0,73.0,6.43,73.0,111 HCPCS,J3371,VANCOMYCIN HCL 1.5 G IV SOLR,87.0,87.0,6.43,87.0,111 HCPCS,J3371,VANCOMYCIN HCL 750 MG IV SOLR,36.0,36.0,4.86,36.0,222 HCPCS,J3372,VANCOMYCIN HCL 750 MG/150ML IV SOLN,44.0,44.0,5.94,44.0,111 HCPCS,J3380,VEDOLIZUMAB 300 MG IV SOLR,31200.0,31200.0,21.37,31200.0,119 HCPCS,J3385,VELAGLUCERASE ALFA 400 UNITS IV SOLR,5260.0,5260.0,374.02,5260.0,119 HCPCS,J3398,VORETIGENE NEPARVOVECRZYL 5000000000000 VG/ML INTR,467500.0,467500.0,3026.8,467500.0,228 HCPCS,J3410,HYDROXYZINE HCL 25 MG/ML IM SOLN,97.0,97.0,12.31,97.0,224 HCPCS,J3410,HYDROXYZINE HCL 50 MG/ML IM SOLN,127.0,127.0,12.31,147.0,224 HCPCS,J3411,THIAMINE HCL 100 MG/ML INJECTION SOLN,33.0,33.0,1.76,36.0,1792 HCPCS,J3415,PYRIDOXINE HCL 100 MG/ML INJECTION SOLN,79.0,79.0,7.7,79.0,224 HCPCS,J3420,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,14.0,14.0,0.64,27.0,2128 HCPCS,J3430,PHYTONADIONE 1 MG/0.5ML INJECTION SOLN,56.0,56.0,2.21,90.0,336 HCPCS,J3430,PHYTONADIONE 10 MG/ML INJECTION SOLN,154.0,154.0,2.21,154.0,448 HCPCS,J3430,VITAMIN K1 1 MG/0.5ML INJECTION SOLN,17.0,17.0,2.16,18.0,336 HCPCS,J3430,VITAMIN K1 10 MG/ML INJECTION SOLN,173.0,173.0,2.21,177.0,560 HCPCS,J3465,VORICONAZOLE 10 MG/ML (1 ) OPHTHALMIC SOLN ORD,218.0,218.0,0.75,218.0,112 HCPCS,J3465,VORICONAZOLE 100 MCG/0.1ML OPTHALMIC INJ ORD,1.5,1.5,0.14,2.0,224 HCPCS,J3465,VORICONAZOLE 200 MG IV SOLR,218.0,218.0,0.75,458.0,672 HCPCS,J3470,HYALURONIDASE BOVINE 150 UNIT/ML INJECTION SOLN,201.0,201.0,27.14,201.0,112 HCPCS,J3473,HYALURONIDASE HUMAN 150 UNIT/ML INJECTION SOLN,201.0,201.0,0.36,201.0,336 HCPCS,J3475,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,46.0,46.0,0.41,61.0,2128 HCPCS,J3475,MAGNESIUM SULFATE 20 GM/500ML IV SOLN,134.0,134.0,0.41,245.0,560 HCPCS,J3475,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,23.5,23.5,0.41,33.0,1568 HCPCS,J3475,MAGNESIUM SULFATE 4 GM/50ML IV SOLN,20.0,20.0,0.41,23.0,224 HCPCS,J3475,MAGNESIUM SULFATE 50 INJECTION SOLN,18.0,18.0,0.41,33.0,1344 HCPCS,J3475,MAGNESIUM SULFATE IN D5W 15 GM/100ML IV SOLN,18.0,18.0,0.41,30.0,1120 HCPCS,J3480,KCL (POTASSIUM CHLORIDE) IN NACL 200.9 MEQ/L IV S,30.0,30.0,0.1,36.0,336 HCPCS,J3480,POTASSIUM CHLORIDE 10 MEQ/100ML IV SOLN,18.0,18.0,0.1,144.0,448 HCPCS,J3480,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,13.5,13.5,0.1,76.0,1680 HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/100ML IV SOLN,16.5,16.5,0.1,18.0,224 HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/50ML IV SOLN,17.5,17.5,0.1,90.0,560 HCPCS,J3480,POTASSIUM CHLORIDE 40 MEQ/100ML IV SOLN,17.0,17.0,0.1,28.0,560 HCPCS,J3480,POTASSIUM CHLORIDE IN NACL 200.45 MEQ/L IV SOLN (,25.5,25.5,0.1,27.0,224 HCPCS,J3480,POTASSIUM CHLORIDE IN NACL 400.9 MEQ/L IV SOLN,30.0,30.0,0.1,39.0,336 HCPCS,J3480,POTASSIUM CHLORIDE IVPB 20MEQ/250ML NSS (CNR),9.0,9.0,0.1,9.0,112 HCPCS,J3480,POTASSIUM CHLORIDE IVPB 40MEQ/100ML D5W (CNR),18.0,18.0,0.1,18.0,112 HCPCS,J3480,POTASSIUM CHLORIDE IVPB 40MEQ/500ML NSS (CNR),15.0,15.0,0.1,15.0,112 HCPCS,J3480,POTASSIUM CHLORIDE IVPB 60MEQ/500ML NSS (CNR),30.0,30.0,0.1,30.0,112 HCPCS,J3480,POTASSIUM CL IN DEXTROSE 5 20 MEQ/L IV SOLN,31.5,31.5,0.1,36.0,224 HCPCS,J3485,ZIDOVUDINE 10 MG/ML IV SOLN,106.0,106.0,1.51,106.0,238 HCPCS,J3486,ZIPRASIDONE MESYLATE 20 MG IM SOLR,144.5,144.5,3.14,232.0,1120 HCPCS,J3489,ZOLEDRONIC ACID 4 MG/100ML IV SOLN,432.0,432.0,5.08,648.0,224 HCPCS,J3489,ZOLEDRONIC ACID 4 MG/5ML IV CONC,289.5,289.5,5.08,2515.0,1232 HCPCS,J3489,ZOLEDRONIC ACID 5 MG/100ML IV SOLN,963.0,963.0,5.08,1260.0,672 HCPCS,J3490,BENZYLPENICILLOYL POLYLYSINE 0.25 ML INTRADERMAL S,609.0,609.0,82.22,609.0,111 HCPCS,J3490,CUPRIC CHLORIDE 0.4 MG/ML IV SOLN,105.0,105.0,12.83,115.0,444 HCPCS,J3490,DARUNCOBICEMTRICITTENOFAF 80015020010 MG PO TABS,567.0,567.0,76.55,567.0,111 HCPCS,J3490,DEOXYCHOLIC ACID 20 MG/2ML SC SOLN,792.0,792.0,106.92,792.0,222 HCPCS,J3490,DEXTROMETHORPHAN HBR 15 MG PO CAPS,1.0,1.0,0.14,1.0,111 HCPCS,J3490,DEXTROMETHORPHAN HBR 15 MG PO TABS,3.0,3.0,0.41,3.0,111 HCPCS,J3490,DOXYCYCLINE HYCLATE 100 MG IV SOLR,65.5,65.5,5.94,91.0,1887 HCPCS,J3490,EPHEDRINE SULFATE (PRESSORS) 5 MG/ML IV SOLN,105.0,105.0,14.18,105.0,111 HCPCS,J3490,GLYCOPYRROLATE 0.6 MG/3ML IV SOSY,36.0,36.0,4.86,36.0,112 HCPCS,J3490,HC MAPS TESTOSTERONE PELLETS,190.0,190.0,25.65,190.0,111 HCPCS,J3490,HC MAPS THER INSULIN,190.0,190.0,25.65,190.0,111 HCPCS,J3490,HC NITRIC OXIDE (PER HOUR),879.0,879.0,118.67,879.0,111 HCPCS,J3490,HC NITRIC OXIDE(PER HR) -NEONATE,879.0,879.0,118.67,879.0,111 HCPCS,J3490,INVESTIGATIONAL LIDOCAINE HCL (OBS) 1 IJ SOLN,1.0,1.0,0.14,1.0,111 HCPCS,J3490,INVESTIGATIONAL LIDOCAINE HCL (UPCC 08216) 1 IJ,1.0,1.0,0.14,1.0,111 HCPCS,J3490,LIDOCAINE HCL (CARDIAC) PF 100 MG/5ML IV SOLN,13.0,13.0,1.76,13.0,222 HCPCS,J3490,LIDOCAINE HCL (CARDIAC) PF 50 MG/5ML IV SOSY,45.0,45.0,6.08,45.0,111 HCPCS,J3490,LIDOCAINE HCL (PF) 0.5 INJECTION SOLN,34.5,34.5,2.16,53.0,333 HCPCS,J3490,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),10.0,10.0,0.68,43.0,2220 HCPCS,J3490,LIDOCAINE HCL 2 INJECTION SOLN,11.5,11.5,0.27,29.0,2220 HCPCS,J3490,OLANZAPINE 10 MG IM SOLR,127.0,127.0,17.14,127.0,111 HCPCS,J3490,REMIMAZOLAM BESYLATE 20 MG IV SOLR,149.0,149.0,20.12,149.0,222 HCPCS,J3490,RSV PREFUSION F A B VAC RCMB 120 MCG/0.5ML IM SOLR,3186.0,3186.0,143.37,5310.0,333 HCPCS,J3490,SODIUM CHLORIDE (CONCENTRATED) 4 MEQ/ML IV SOLN (I,25.0,25.0,3.38,25.0,222 HCPCS,J3490,SODIUM ZIRCONIUM CYCLOSILICATE 10 G PO PACK,99.0,99.0,13.37,99.0,333 HCPCS,J3490,SULBACTAM 1 GRAM VIAL (XACDURO KIT INGREDIENT),570.0,570.0,76.95,570.0,111 HCPCS,J3490,SULBACTAM SODDURLOBACTAM SOD 11 G IV SOLR,570.0,570.0,76.95,570.0,111 HCPCS,J3490,TERLIPRESSIN ACETATE 0.85 MG IV SOLR,3420.0,3420.0,461.7,3420.0,111 HCPCS,J7030,SODIUM CHLORIDE 0.9 IV SOLN,16.5,16.5,1.22,24.0,224 HCPCS,J7030,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),16.0,16.0,0.14,85.0,2800 HCPCS,J7030,SODIUM CHLORIDE 0.9 LARGE VOLUME FLUSH (NONINTERO,13.5,13.5,1.22,18.0,336 HCPCS,J7040,SODIUM CHLORIDE (NSS) 0.9 FLUSH FOR TAGRAXOFUSPEZ,21.0,21.0,1.25,21.0,112 HCPCS,J7040,SODIUM CHLORIDE 0.9 IV SOLN,22.0,22.0,1.25,29.0,224 HCPCS,J7040,SODIUM CHLORIDE 0.9 LARGE VOLUME FLUSH (NONINTERO,15.0,15.0,1.25,20.0,336 HCPCS,J7042,DEXTROSESODIUM CHLORIDE 50.9 IV SOLN,19.0,19.0,1.18,101.0,672 HCPCS,J7050,SODIUM CHLORIDE 0.9 IV SOLN,18.0,18.0,0.14,85.0,3920 HCPCS,J7060,DEXTROSE 5 IV SOLN,19.5,19.5,1.08,57.0,2240 HCPCS,J7060,DEXTROSE 5 IV SOLN (INGREDIENT),28.0,28.0,1.75,28.0,112 HCPCS,J7060,DEXTROSE 5 KVO FLUSH (INPATIENT),15.0,15.0,1.22,21.0,1120 HCPCS,J7070,DEXTROSE 5 IV SOLN,15.0,15.0,2.03,15.0,224 HCPCS,J7070,DEXTROSE 5 IV SOLN (INGREDIENT),24.0,24.0,2.94,24.0,112 HCPCS,J7070,DEXTROSE 5 IV SOLN BOLUS,39.0,39.0,2.94,39.0,112 HCPCS,J7070,DEXTROSE 5 LARGE VOLUME FLUSH (INTEROP),16.5,16.5,2.03,18.0,224 HCPCS,J7100,DEXTRAN 40 IN D5W 10 IV SOLN,141.0,141.0,19.04,150.72,222 HCPCS,J7110,DEXTRAN 40 IN SALINE 100.9 IV SOLN,144.0,144.0,14.52,144.0,111 HCPCS,J7120,LACTATED RINGERS IRRIGATION SOLN,37.5,37.5,2.38,105.0,448 HCPCS,J7120,LACTATED RINGERS IV SOLN,19.0,19.0,2.38,20.0,224 HCPCS,J7120,LACTATED RINGERS IV SOLN BOLUS,14.0,14.0,1.89,14.0,112 HCPCS,J7120,LACTATED RINGERS IV SOLN FLUSH (NONINTEROP),17.0,17.0,0.95,20.0,672 HCPCS,J7168,PROTHROMBIN COMPLEX CONC HUMAN 1000 UNITS IV KIT,10977.0,10977.0,2.09,10977.0,238 HCPCS,J7168,PROTHROMBIN COMPLEX CONC HUMAN 500 UNITS IV KIT,6165.0,6165.0,2.09,6165.0,238 HCPCS,J7169,COAG FACT XA INACTIVATEDZHZO 200 MG IV SOLR,9000.0,9000.0,124.5,9000.0,357 HCPCS,J7170,EMICIZUMABKXWH 105 MG/0.7ML SC SOLN,42317.0,42317.0,52.02,42317.0,121 HCPCS,J7170,EMICIZUMABKXWH 150 MG/ML SC SOLN,60453.0,60453.0,52.02,60453.0,121 HCPCS,J7170,EMICIZUMABKXWH 30 MG/ML SC SOLN,12091.0,12091.0,52.02,12091.0,121 HCPCS,J7170,EMICIZUMABKXWH 60 MG/0.4ML SC SOLN,24181.0,24181.0,52.02,24181.0,121 HCPCS,J7175,COAGULATION FACTOR X (HUMAN) 500 UNITS IV SOLR,13875.0,13875.0,9.53,13875.0,117 HCPCS,J7177,FIBRINOGEN CONCENTRATE (HUMAN) IV SOLR,3960.0,3960.0,1.11,3960.0,238 HCPCS,J7178,FIBRINOGEN CONCENTRATE (HUMAN) IV SOLR,4650.0,4650.0,1.48,4650.0,121 HCPCS,J7178,RIASTAP IV SOLR,4920.0,4920.0,1.48,4920.0,121 HCPCS,J7183,ANTIHEMOPHILIC FACTORVWF 500500 UNITS IV KIT,2894.0,2894.0,1.27,2894.0,114 HCPCS,J7185,ANTIHEM FACT (BDDRFVIIIMOR) 1000 UNITS IV KIT,5421.0,5421.0,1.5,5421.0,116 HCPCS,J7185,ANTIHEM FACT (BDDRFVIIIMOR) 2000 UNITS IV KIT,12558.0,12558.0,1.5,12558.0,117 HCPCS,J7185,ANTIHEM FACT (BDDRFVIIIMOR) 250 UNITS IV KIT,1559.5,1559.5,1.5,1694.0,226 HCPCS,J7185,ANTIHEM FACT (BDDRFVIIIMOR) 500 UNITS IV KIT,2850.0,2850.0,1.5,3237.0,344 HCPCS,J7186,ANTIHEMOPHILIC FACTORVWF 1000 UNITS IV SOLR (ALPHA,4560.0,4560.0,1.2,4560.0,116 HCPCS,J7186,ANTIHEMOPHILIC FACTORVWF 1500 UNITS IV SOLR (ALPHA,6840.0,6840.0,1.2,6840.0,117 HCPCS,J7186,ANTIHEMOPHILIC FACTORVWF 2000 UNITS IV SOLR (ALPHA,10674.0,10674.0,1.2,10674.0,117 HCPCS,J7186,ANTIHEMOPHILIC FACTORVWF 250 UNITS IV SOLR (ALPHAN,1140.0,1140.0,1.2,1140.0,113 HCPCS,J7186,ANTIHEMOPHILIC FACTORVWF 500 UNITS IV SOLR (ALPHAN,2280.0,2280.0,1.2,2280.0,113 HCPCS,J7187,ANTIHEMOPHILIC FACTORVWF 10002400 UNITS IV SOLR (H,9556099.5,9556099.5,1.45,19104192.0,234 HCPCS,J7187,ANTIHEMOPHILIC FACTORVWF 250600 UNITS IV SOLR (HUM,635097.0,635097.0,1.45,1268064.0,230 HCPCS,J7187,ANTIHEMOPHILIC FACTORVWF 5001200 UNITS IV SOLR (HU,4259.0,4259.0,1.45,4259.0,116 HCPCS,J7188,ANTIHEMOPHILIC FACTOR RPFVIII 500 UNITS IV SOLR,5310.0,5310.0,3.23,5310.0,116 HCPCS,J7189,COAGULATION FACTOR VIIA RECOMB 1 MG IV SOLR,8070.0,8070.0,2.55,8070.0,117 HCPCS,J7189,COAGULATION FACTOR VIIA RECOMB 2 MG IV SOLR,16140.0,16140.0,2.55,16140.0,117 HCPCS,J7189,COAGULATION FACTOR VIIA RECOMB 5 MG IV SOLR,40350.0,40350.0,2.55,40350.0,117 HCPCS,J7189,COAGULATION FACTOR VIIA RECOMB 8 MG IV SOLR,62160.0,62160.0,2.55,62160.0,234 HCPCS,J7192,ANTIHEM FACTOR RECOMB (RFVIII) 1000 UNITS IV KIT,8043.0,8043.0,1.54,8043.0,117 HCPCS,J7192,ANTIHEM FACTOR RECOMB (RFVIII) 12411800 UNITS IV S,8890.5,8890.5,1.54,9481.0,234 HCPCS,J7192,ANTIHEM FACTOR RECOMB (RFVIII) 18012400 UNITS IV S,14705.0,14705.0,1.54,14705.0,117 HCPCS,J7192,ANTIHEM FACTOR RECOMB (RFVIII) 220400 UNITS IV SOL,1646.0,1646.0,1.54,1646.0,113 HCPCS,J7192,ANTIHEM FACTOR RECOMB (RFVIII) 401800 UNITS IV SOL,3084.0,3084.0,1.54,3084.0,116 HCPCS,J7192,ANTIHEM FACTOR RECOMB (RFVIII) 8011240 UNITS IV SO,6515.0,6515.0,1.54,6515.0,116 HCPCS,J7192,ANTIHEMOPHIL FACTOR (RAHFPFM) 1000 UNITS IV SOLR,6978.0,6978.0,1.54,6978.0,117 HCPCS,J7192,ANTIHEMOPHIL FACTOR (RAHFPFM) 2000 UNITS IV SOLR,13128.0,13128.0,1.54,13128.0,117 HCPCS,J7192,ANTIHEMOPHIL FACTOR (RAHFPFM) 250 UNITS IV SOLR,1425.0,1425.0,1.54,1425.0,226 HCPCS,J7192,ANTIHEMOPHIL FACTOR (RAHFPFM) 500 UNITS IV SOLR,3377.5,3377.5,1.54,3420.0,232 HCPCS,J7193,COAGULATION FACTOR IX 1000 UNITS IV SOLR,5010.0,5010.0,1.34,5010.0,116 HCPCS,J7194,FACTOR IX COMPLEX 1000 UNITS IV SOLR,4710.0,4710.0,1.66,4710.0,116 HCPCS,J7194,FACTOR IX COMPLEX 500 UNITS IV SOLR,3044.0,3044.0,1.66,3044.0,116 HCPCS,J7195,COAGULATION FACTOR IX (RECOMB) 1000 UNITS IV KIT,6243.0,6243.0,1.83,6243.0,116 HCPCS,J7195,COAGULATION FACTOR IX (RECOMB) 2000 UNITS IV KIT,13278.0,13278.0,1.83,13278.0,117 HCPCS,J7195,COAGULATION FACTOR IX (RECOMB) 250 UNITS IV KIT,1598.0,1598.0,1.83,1598.0,113 HCPCS,J7195,COAGULATION FACTOR IX (RECOMB) 3000 UNITS IV KIT,18054.0,18054.0,1.83,18054.0,117 HCPCS,J7195,COAGULATION FACTOR IX (RECOMB) 500 UNITS IV KIT,3269.0,3269.0,1.83,3269.0,116 HCPCS,J7197,ANTITHROMBIN III (HUMAN) 500 UNITS IV SOLR,8795.5,8795.5,3.96,9095.0,238 HCPCS,J7198,ANTIINHIBITOR COAGULANT CMPLX 2500 UNITS IV SOLR,21113.0,21113.0,2.36,21113.0,117 HCPCS,J7198,ANTIINHIBITOR COAGULANT CMPLX 500 UNITS IV SOLR,4809.0,4809.0,2.36,4809.0,116 HCPCS,J7209,ANTIHEM FACTOR RECOMB (RFVIII) 1000 UNITS IV KIT,6600.0,6600.0,1.13,6600.0,116 HCPCS,J7211,ANTIHEMOPHIL FACTOR (RAHFPFM) 1000 UNITS IV SOLR,3657426.0,3657426.0,1.48,7306260.0,234 HCPCS,J7211,ANTIHEMOPHIL FACTOR (RAHFPFM) 2000 UNITS IV SOLR,15057.0,15057.0,1.48,16854.0,234 HCPCS,J7211,ANTIHEMOPHIL FACTOR (RAHFPFM) 500 UNITS IV SOLR,3135.0,3135.0,1.48,3135.0,232 HCPCS,J7296,HC MAPS KYLEENA,2723.0,2723.0,367.61,2723.0,108 HCPCS,J7296,HC MAPS KYLEENA 19.5MG,2723.0,2723.0,367.61,2723.0,108 HCPCS,J7296,LEVONORGESTREL 19.5 MG INTRAUTERINE IUD,4165.0,4165.0,562.28,4165.0,115 HCPCS,J7297,HC MAPS LILETTA 52MG,2303.0,2303.0,310.91,2303.0,107 HCPCS,J7297,LEVONORGESTREL 20.1 MCG/DAY INTRAUTERINE IUD,3195.0,3195.0,431.33,3195.0,115 HCPCS,J7298,HC MAPS MIRENA 52MG,2723.0,2723.0,367.61,2723.0,108 HCPCS,J7298,LEVONORGESTREL 21 MCG/DAY INTRAUTERINE IUD,4165.0,4165.0,562.28,4165.0,115 HCPCS,J7300,HC MAPS INTRAUTERINE COPPER CONTRAC,2410.0,2410.0,325.35,2635.14,115 HCPCS,J7300,PARAGARD INTRAUTERINE COPPER INTRAUTERINE IUD,3906.0,3906.0,527.31,3906.0,115 HCPCS,J7301,HC MAPS SKYLA 13.5MG,2267.0,2267.0,306.05,2267.0,107 HCPCS,J7301,LEVONORGESTREL 13.5 MG INTRAUTERINE IUD,3468.0,3468.0,468.18,3468.0,115 HCPCS,J7307,ETONOGESTREL 68 MG SC IMPL,4373.0,4373.0,590.36,4373.0,115 HCPCS,J7307,HC MAPS ETONOGESTRL(CONTRCPT)IMPLNT,2675.0,2675.0,361.13,2831.3,115 HCPCS,J7311,FLUOCINOLONE ACETONIDE 0.59 MG INTRAVITREAL IMPL,68490.0,68490.0,333.23,68490.0,119 HCPCS,J7312,DEXAMETHASONE 0.7 MG INTRAVITREAL IMPL,4943.0,4943.0,204.54,4943.0,119 HCPCS,J7315,MITOMYCIN 0.2 MG/ML INTRAVITREAL INJ ORD,33.0,33.0,4.46,973.69,111 HCPCS,J7315,MITOMYCIN 0.3 MG/ML INTRAVITREAL INJ ORD,50.0,50.0,6.75,973.69,111 HCPCS,J7315,MITOMYCIN 0.4 MG/ML INTRAVITREAL INJ ORD,66.0,66.0,8.91,973.69,111 HCPCS,J7318,HC MAPS INJ DUROLANE 1MG,59.0,59.0,6.52,59.0,111 HCPCS,J7321,HC MAPS HYALGAN/SUPARTZINTRA-ARTX,210.0,210.0,28.35,210.0,112 HCPCS,J7321,SODIUM HYALURONATE (VISCOSUP) 20 MG/2ML INTRAARTIC,684.0,684.0,72.96,684.0,112 HCPCS,J7323,HC MAPS EUFLEXXA INTRA-ARTICLR INJ,352.0,352.0,47.52,352.0,119 HCPCS,J7323,SODIUM HYALURONATE (VISCOSUP) 20 MG/2ML INTRAARTIC,1299.0,1299.0,105.46,1299.0,119 HCPCS,J7324,HC MAPS ORTHOVISCINTRA-ARTICULR IN,210.0,210.0,28.35,334.71,119 HCPCS,J7325,HC MAPS SYNVISC/SYNVISC-1IA INJ1M,30.0,30.0,4.05,30.0,119 HCPCS,J7325,HYLAN GF 20 16 MG/2ML INTRAARTIC SOSY,1644.0,1644.0,7.56,1644.0,120 HCPCS,J7325,HYLAN GF 20 48 MG/6ML INTRAARTIC SOSY,4931.0,4931.0,7.56,4931.0,119 HCPCS,J7327,HC MAPS MONOVISC INJ PER DOSE,2890.0,2890.0,390.15,2890.0,112 HCPCS,J7345,AMINOLEVULINIC ACID HCL 10 EX GEL,1307.0,1307.0,1.72,1307.0,119 HCPCS,J7500,AZATHIOPRINE 50 MG PO TABS,7.0,7.0,0.06,21.0,560 HCPCS,J7500,AZATHIOPRINE 75 MG PO TABS,75.0,75.0,0.06,75.0,112 HCPCS,J7501,AZATHIOPRINE SODIUM 100 MG INJECTION SOLR,900.0,900.0,121.5,900.0,119 HCPCS,J7502,CYCLOSPORINE MODIFIED 100 MG PO CAPS,26.0,26.0,1.81,39.0,1120 HCPCS,J7502,CYCLOSPORINE MODIFIED 100 MG/ML PO SOLN,25.0,25.0,0.68,2100.0,896 HCPCS,J7503,TACROLIMUS ER 0.75 MG PO TB24,19.0,19.0,1.8,19.0,224 HCPCS,J7503,TACROLIMUS ER 1 MG PO TB24,25.0,25.0,1.8,25.0,224 HCPCS,J7503,TACROLIMUS ER 4 MG PO TB24,99.0,99.0,1.8,99.0,224 HCPCS,J7504,LYMPHOCYTEANTITHYMO IMM GLOB 50 MG/ML IV SOLN,16222.0,16222.0,2037.15,17354.0,238 HCPCS,J7507,TACROLIMUS 0.5 MG PO CAPS,7.0,7.0,0.15,13.0,1120 HCPCS,J7507,TACROLIMUS 1 MG PO CAPS,17.5,17.5,0.15,26.0,1568 HCPCS,J7507,TACROLIMUS 5 MG PO CAPS,67.0,67.0,0.15,130.0,1120 HCPCS,J7509,METHYLPREDNISOLONE 16 MG PO TABS,10.5,10.5,0.13,11.0,448 HCPCS,J7509,METHYLPREDNISOLONE 2 MG PO TABS,6.0,6.0,0.13,6.0,112 HCPCS,J7509,METHYLPREDNISOLONE 32 MG PO TABS,15.0,15.0,0.13,16.0,224 HCPCS,J7509,METHYLPREDNISOLONE 4 MG PO TABS,5.0,5.0,0.13,7.0,1008 HCPCS,J7509,METHYLPREDNISOLONE 4 MG PO TBPK,5.0,5.0,0.13,5.0,336 HCPCS,J7510,PREDNISOLONE 15 MG/5ML PO SOLN (WRAPPER),219.0,219.0,0.27,348.0,1120 HCPCS,J7510,PREDNISOLONE ANHYDROUS POWD,3922.0,3922.0,0.27,3922.0,112 HCPCS,J7510,PREDNISOLONE SODIUM PHOSPHATE 6.7 (5 BASE) MG/5ML,295.0,295.0,0.27,295.0,112 HCPCS,J7511,ANTITHYMOCYTE GLOB (RABBIT) 25 MG IV SOLR,3839.0,3839.0,518.26,3839.0,119 HCPCS,J7512,PREDNISONE 1 MG PO TABS,1.5,1.5,0.01,2.0,896 HCPCS,J7512,PREDNISONE 1.25 MG PO SPLIT TABLET,1.0,1.0,0.01,1.0,112 HCPCS,J7512,PREDNISONE 10 MG PO TABS,2.0,2.0,0.01,3.0,1344 HCPCS,J7512,PREDNISONE 2.5 MG PO TABS,1.0,1.0,0.01,1.0,560 HCPCS,J7512,PREDNISONE 20 MG PO TABS,2.0,2.0,0.01,5.0,1568 HCPCS,J7512,PREDNISONE 5 MG PO TABS,2.0,2.0,0.01,3.0,1344 HCPCS,J7512,PREDNISONE 5 MG/5ML PO SOLN,702.0,702.0,0.01,1116.0,224 HCPCS,J7512,PREDNISONE 5 MG/ML PO CONC,468.0,468.0,0.01,468.0,112 HCPCS,J7512,PREDNISONE 50 MG PO TABS,2.0,2.0,0.01,2.0,560 HCPCS,J7515,CYCLOSPORINE MODIFIED 25 MG PO CAPS,7.0,7.0,0.53,10.0,1120 HCPCS,J7516,CYCLOSPORINE 0.5 MG/ML (0.05 ) OPHTHALMIC SOL ORD,158.0,158.0,21.33,161.13,112 HCPCS,J7516,CYCLOSPORINE 10 MG/ML (1 ) OPHTHALMIC SOLN ORD,1.0,1.0,0.14,161.13,112 HCPCS,J7516,CYCLOSPORINE 20 MG/ML (2 ) OPHTHALMIC SOLN ORD,1.0,1.0,0.14,161.13,112 HCPCS,J7516,CYCLOSPORINE 50 MG/ML IV SOLN,247.0,247.0,33.34,247.0,224 HCPCS,J7517,MYCOPHENOLATE MOFETIL 200 MG/ML PO SUSR,100.0,100.0,0.15,4972.0,1008 HCPCS,J7517,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,12.0,12.0,0.15,33.0,1904 HCPCS,J7517,MYCOPHENOLATE MOFETIL 500 MG PO TABS,14.5,14.5,0.15,65.0,1680 HCPCS,J7518,MYCOPHENOLATE SODIUM 180 MG PO TBEC,15.0,15.0,0.32,25.0,784 HCPCS,J7518,MYCOPHENOLATE SODIUM 360 MG PO TBEC,30.0,30.0,0.32,49.0,784 HCPCS,J7519,MYCOPHENOLATE MOFETIL HCL 500 MG IV SOLR,325.0,325.0,0.37,389.0,896 HCPCS,J7520,SIROLIMUS 0.5 MG PO TABS,42.0,42.0,0.96,58.0,560 HCPCS,J7520,SIROLIMUS 1 MG PO TABS,52.0,52.0,0.96,124.0,1232 HCPCS,J7520,SIROLIMUS 1 MG/ML PO SOLN,3137.5,3137.5,0.96,7072.0,1232 HCPCS,J7520,SIROLIMUS 2 MG PO TABS,95.0,95.0,0.96,95.0,112 HCPCS,J7525,TACROLIMUS 5 MG/ML IV SOLN,892.0,892.0,120.42,892.0,119 HCPCS,J7527,EVEROLIMUS 0.25 MG PO TABS,32.0,32.0,1.18,38.0,672 HCPCS,J7527,EVEROLIMUS 0.5 MG PO TABS,64.0,64.0,1.18,76.0,672 HCPCS,J7527,EVEROLIMUS 0.75 MG PO TABS,96.0,96.0,1.18,114.0,784 HCPCS,J7606,FORMOTEROL FUMARATE 20 MCG/2ML INHALATION NEBU,71.0,71.0,1.89,71.0,112 HCPCS,J7608,ACETYLCYSTEINE 10 INHALATION SOLN,46.0,46.0,4.86,52.0,336 HCPCS,J7608,ACETYLCYSTEINE 20 INHALATION SOLN,53.0,53.0,2.97,94.0,1008 HCPCS,J7608,ACETYLCYSTEINE 20 ORAL SOLN,23.0,23.0,1.62,34.0,336 HCPCS,J7611,ALBUTEROL SULFATE (5 MG/ML) 0.5 INHALATION NEBU,19.5,19.5,0.16,36.0,224 HCPCS,J7612,LEVALBUTEROL HCL 0.31 MG/3ML INHALATION NEBU,14.0,14.0,0.27,21.0,448 HCPCS,J7612,LEVALBUTEROL HCL 1.25 MG/3ML INHALATION NEBU,20.0,20.0,0.27,21.0,896 HCPCS,J7613,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,3.5,3.5,0.07,5.0,2352 HCPCS,J7613,ALBUTEROL SULFATE 1.25 MG/3ML INHALATION NEBU,5.0,5.0,0.07,5.0,112 HCPCS,J7613,HC MAPS ALBUTEROL NON-COMP,1.15,1.15,0.07,1.15,104 HCPCS,J7614,LEVALBUTEROL HCL 0.63 MG/3ML INHALATION NEBU,20.0,20.0,0.08,21.0,896 HCPCS,J7620,IPRATROPIUMALBUTEROL 0.52.5 (3) MG/3ML INHALATION,5.0,5.0,0.19,7.0,1008 HCPCS,J7626,BUDESONIDE 0.25 MG/2ML INHALATION SUSP,18.0,18.0,1.05,32.0,1904 HCPCS,J7626,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,19.0,19.0,1.05,37.0,2128 HCPCS,J7626,BUDESONIDE 1 MG/2ML INHALATION SUSP,70.0,70.0,1.05,74.0,1008 HCPCS,J7631,CROMOLYN SODIUM 20 MG/2ML INHALATION NEBU,21.0,21.0,0.21,66.0,448 HCPCS,J7639,DORNASE ALFA 2.5 MG/2.5ML INHALATION SOLN,468.0,468.0,53.59,468.0,224 HCPCS,J7644,IPRATROPIUM BROMIDE 0.02 INHALATION SOLN,5.0,5.0,0.27,7.0,1680 HCPCS,J7674,METHACHOLINE CHLORIDE 100 MG INHALATION SOLR,299.0,299.0,1.61,299.0,224 HCPCS,J7674,METHACHOLINE CHLORIDE INHALATION KIT,486.0,486.0,1.61,486.0,336 HCPCS,J7674,METHACHOLINE CHLORIDE INHALATION SOLN KIT 0.0625 M,486.0,486.0,1.61,486.0,224 HCPCS,J7682,TOBRAMYCIN 300 MG/5ML INHALATION NEBU,387.0,387.0,8.78,425.0,1456 HCPCS,J7685,TOBRAMYCIN 40 MG/ML INHALATION NEBU UPHS COMPOUNDE,398.5,398.5,21.6,637.0,222 HCPCS,J7686,TREPROSTINIL 0.6 MG/ML INHALATION SOLN,2301.5,2301.5,258.53,2688.0,224 HCPCS,J7999,BEVACIZUMAB 1.25 MG/0.05ML INTRAVITREAL INJ ORD,36.0,36.0,4.86,36.0,111 HCPCS,J8499,AMINOLEVULINIC ACID HCL 1.5 G PO SOLR,10773.5,10773.5,29.55,11506.0,210 HCPCS,J8499,CLONAZEPAM 0.25 MG PO TBDP,4.0,4.0,0.54,4.0,630 HCPCS,J8499,CLONAZEPAM 0.5 MG PO TBDP,4.0,4.0,0.54,4.0,735 HCPCS,J8499,CLONAZEPAM 1 MG PO TBDP,5.0,5.0,0.68,5.0,630 HCPCS,J8499,DAPAGLIFLOZIN PROPANEDIOL 10 MG PO TABS,68.5,68.5,9.04,70.0,315 HCPCS,J8499,DOLUTEGRAVIRLAMIVUDINE 50300 MG PO TABS,358.0,358.0,29.55,358.0,105 HCPCS,J8499,DULOXETINE HCL 20 MG PO CSDR,25.0,25.0,3.38,25.0,105 HCPCS,J8499,DULOXETINE HCL 30 MG PO CSDR,25.0,25.0,3.38,25.0,105 HCPCS,J8499,DULOXETINE HCL 40 MG PO CSDR,25.0,25.0,3.38,25.0,105 HCPCS,J8499,DULOXETINE HCL 60 MG PO CSDR,25.0,25.0,3.38,25.0,105 HCPCS,J8499,EFAVIRENZ 600 MG/5ML ORAL SUSPENSION ORD,23.0,23.0,3.11,23.0,105 HCPCS,J8499,ENTECAVIR 0.05 MG/ML PO SOLN,1812.0,1812.0,22.28,3459.0,210 HCPCS,J8499,FOSTEMSAVIR TROMETHAMINE ER 600 MG PO TB12,541.0,541.0,29.55,541.0,105 HCPCS,J8499,GLYCEROL PHENYLBUTYRATE 1.1 GM/ML PO LIQD,20492.0,20492.0,29.55,20492.0,105 HCPCS,J8499,TEDIZOLID PHOSPHATE 200 MG PO TABS,1549.5,1549.5,29.55,1580.0,420 HCPCS,J8501,APREPITANT 125 MG PO CAPS,956.0,956.0,2.72,956.0,448 HCPCS,J8501,APREPITANT 40 MG PO CAPS,377.5,377.5,2.72,425.0,896 HCPCS,J8501,APREPITANT 80 MG PO CAPS,717.0,717.0,2.72,788.0,1120 HCPCS,J8521,CAPECITABINE 500 MG PO TABS,140.5,140.5,15.93,163.0,222 HCPCS,J8522,CAPECITABINE 150 MG PO TABS,42.5,42.5,0.04,49.0,238 HCPCS,J8530,CYCLOPHOSPHAMIDE 25 MG PO CAPS,27.0,27.0,0.84,29.0,336 HCPCS,J8530,CYCLOPHOSPHAMIDE 50 MG PO CAPS,51.0,51.0,0.84,54.0,448 HCPCS,J8530,CYCLOPHOSPHAMIDE 50 MG PO TABS,16.0,16.0,0.84,16.0,112 HCPCS,J8540,DEXAMETHASONE 0.25 MG PO SPLIT TABLET,1.0,1.0,0.01,1.0,112 HCPCS,J8540,DEXAMETHASONE 0.5 MG PO TABS,1.0,1.0,0.01,1.0,336 HCPCS,J8540,DEXAMETHASONE 0.5 MG/5ML PO ELIX,77.0,77.0,0.01,189.0,448 HCPCS,J8540,DEXAMETHASONE 0.75 MG PO TABS,1.0,1.0,0.01,1.0,224 HCPCS,J8540,DEXAMETHASONE 1 MG PO TABS,1.5,1.5,0.01,2.0,448 HCPCS,J8540,DEXAMETHASONE 1.5 MG PO TABS,2.0,2.0,0.01,2.0,448 HCPCS,J8540,DEXAMETHASONE 2 MG PO TABS,2.5,2.5,0.01,3.0,336 HCPCS,J8540,DEXAMETHASONE 4 MG PO TABS,4.0,4.0,0.01,4.0,1232 HCPCS,J8540,DEXAMETHASONE 6 MG PO TABS,6.0,6.0,0.01,6.0,448 HCPCS,J8560,ETOPOSIDE 50 MG PO CAPS,302.0,302.0,40.77,302.0,119 HCPCS,J8610,METHOTREXATE SODIUM 10 MG PO TABS,152.0,152.0,0.15,152.0,112 HCPCS,J8610,METHOTREXATE SODIUM 2.5 MG PO TABS,13.0,13.0,0.15,19.0,784 HCPCS,J8700,TEMOZOLOMIDE 100 MG PO CAPS,841.5,841.5,0.27,864.0,896 HCPCS,J8700,TEMOZOLOMIDE 180 MG PO CAPS,1363.0,1363.0,0.27,1363.0,112 HCPCS,J8700,TEMOZOLOMIDE 20 MG PO CAPS,171.0,171.0,0.27,173.0,1120 HCPCS,J8700,TEMOZOLOMIDE 250 MG PO CAPS,2157.0,2157.0,0.27,2159.0,448 HCPCS,J8700,TEMOZOLOMIDE 5 MG PO CAPS,43.0,43.0,0.27,44.0,784 HCPCS,J9000,DOXORUBICIN HCL 2 MG/ML IV SOLN,108.0,108.0,2.72,504.0,1792 HCPCS,J9000,DOXORUBICIN HCL 50 MG IV SOLR,912.5,912.5,2.72,947.0,224 HCPCS,J9000,DOXORUBICIN HCL 50 MG IV SOLR (NO VOL),947.0,947.0,2.72,947.0,112 HCPCS,J9017,ARSENIC TRIOXIDE 10 MG/10ML IV SOLN,2139.0,2139.0,4.68,2444.0,448 HCPCS,J9017,ARSENIC TRIOXIDE 12 MG/6ML IV SOLN,1892.0,1892.0,4.68,4200.0,1120 HCPCS,J9021,ASPARAGINASE ERWINIA CHRYRYWN 10 MG/0.5ML IM SOLN,18468.0,18468.0,54.14,18468.0,119 HCPCS,J9022,ATEZOLIZUMAB 1200 MG/20ML IV SOLN,39327.0,39327.0,88.22,39327.0,119 HCPCS,J9022,ATEZOLIZUMAB 840 MG/14ML IV SOLN,25694.0,25694.0,88.22,25694.0,119 HCPCS,J9023,AVELUMAB 200 MG/10ML IV SOLN,6970.0,6970.0,96.95,6970.0,119 HCPCS,J9025,AZACITIDINE 100 MG INJECTION SUSR,576.0,576.0,0.21,2107.0,1568 HCPCS,J9026,TARLATAMABDLLE 1 MG IV SOLR,5400.0,5400.0,729.0,5400.0,119 HCPCS,J9026,TARLATAMABDLLE 10 MG IV SOLR,54000.0,54000.0,1494.0,54000.0,119 HCPCS,J9027,CLOFARABINE 1 MG/ML IV SOLN,5220.0,5220.0,5.33,10566.0,595 HCPCS,J9030,HC MAPS BCG LIVE INTRAVESICAL 1MG,8.5,8.5,1.15,9.86,111 HCPCS,J9031,HC MAPS BCG (INTRAVESCL)PER INSTILLATION,250.0,250.0,33.75,250.0,111 HCPCS,J9032,BELINOSTAT 500 MG IV SOLR,8647.0,8647.0,50.28,8647.0,119 HCPCS,J9033,BENDAMUSTINE HCL 100 MG IV SOLR,10699.0,10699.0,1.8,10699.0,119 HCPCS,J9033,BENDAMUSTINE HCL 25 MG IV SOLR,2675.0,2675.0,1.8,2675.0,119 HCPCS,J9034,BENDAMUSTINE HCL 100 MG/4ML IV SOLN,8906.0,8906.0,12.83,8906.0,119 HCPCS,J9035,BEVACIZUMAB 100 MG/4ML IV SOLN,2869.0,2869.0,73.05,2869.0,119 HCPCS,J9035,BEVACIZUMAB 100 MG/4ML OPHTHALMIC SOLN,92.0,92.0,12.42,221.51,119 HCPCS,J9035,BEVACIZUMAB 400 MG/16ML IV SOLN,12242.0,12242.0,73.05,12242.0,119 HCPCS,J9036,BELRAPZO 100 MG/4ML IV SOLN,8906.0,8906.0,11.99,8906.0,119 HCPCS,J9036,BENDAMUSTINE HCL 100 MG/4ML IV SOLN,9360.0,9360.0,11.99,9360.0,119 HCPCS,J9039,BLINATUMOMAB 35 MCG IV SOLR,18523.0,18523.0,152.51,18523.0,119 HCPCS,J9040,BLEOMYCIN SULFATE 15 UNITS INJECTION SOLR,142.0,142.0,14.99,206.0,672 HCPCS,J9040,BLEOMYCIN SULFATE 30 UNITS INJECTION SOLR,275.0,275.0,20.9,338.0,336 HCPCS,J9041,BORTEZOMIB 1 MG/ML IV SOLR (WRAPPER),462.0,462.0,1.59,5771.0,1344 HCPCS,J9042,BRENTUXIMAB VEDOTIN 50 MG IV SOLR,42272.0,42272.0,248.93,42272.0,119 HCPCS,J9043,CABAZITAXEL 60 MG IV SOLN,46140.0,46140.0,224.09,46140.0,119 HCPCS,J9045,CARBOPLATIN 150 MG/15ML IV SOLN,84.0,84.0,2.11,98.0,336 HCPCS,J9045,CARBOPLATIN 450 MG/45ML IV SOLN,202.0,202.0,2.11,728.0,784 HCPCS,J9045,CARBOPLATIN 50 MG/5ML IV SOLN,47.0,47.0,2.11,49.0,336 HCPCS,J9045,CARBOPLATIN 600 MG/60ML IV SOLN,259.0,259.0,2.11,389.0,784 HCPCS,J9047,CARFILZOMIB 10 MG IV SOLR,1966.0,1966.0,51.97,1966.0,119 HCPCS,J9047,CARFILZOMIB 30 MG IV SOLR,5896.0,5896.0,51.97,5896.0,119 HCPCS,J9047,CARFILZOMIB 60 MG IV SOLR,11791.0,11791.0,51.97,11791.0,119 HCPCS,J9048,BORTEZOMIB 1 MG/ML IV SOLR (WRAPPER),1080.0,1080.0,3.4,1080.0,119 HCPCS,J9050,CARMUSTINE 100 MG IV SOLR,1944.0,1944.0,170.64,2700.0,952 HCPCS,J9055,CETUXIMAB 100 MG/50ML IV SOLN,2895.0,2895.0,77.1,2895.0,119 HCPCS,J9055,CETUXIMAB 200 MG/100ML IV SOLN,5790.0,5790.0,77.1,5790.0,119 HCPCS,J9056,BENDAMUSTINE HCL 100 MG/4ML IV SOLN,11786.0,11786.0,28.06,11786.0,119 HCPCS,J9057,COPANLISIB HCL 60 MG IV SOLR,18913.0,18913.0,87.21,18913.0,111 HCPCS,J9058,BENDAMUSTINE HCL 100 MG/4ML IV SOLN,11555.0,11555.0,15.22,11555.0,111 HCPCS,J9059,BENDAMUSTINE HCL 100 MG/4ML IV SOLN,8424.0,8424.0,15.22,8424.0,111 HCPCS,J9060,CISPLATIN 100 MG/100ML IV SOLN,144.0,144.0,1.95,149.0,672 HCPCS,J9060,CISPLATIN 200 MG/200ML IV SOLN,346.5,346.5,1.95,396.0,224 HCPCS,J9060,CISPLATIN 50 MG IV SOLR (WITH VOLUME),1800.0,1800.0,1.95,1800.0,112 HCPCS,J9060,CISPLATIN 50 MG/50ML IV SOLN,75.0,75.0,1.95,108.0,784 HCPCS,J9061,AMIVANTAMABVMJW 350 MG/7ML IV SOLN,13127.0,13127.0,21.56,13127.0,238 HCPCS,J9063,MIRVETUXIMAB SORAVTANSINEGYNX 100 MG/20ML IV SOLN,23354.0,23354.0,68.11,23354.0,119 HCPCS,J9065,CLADRIBINE 10 MG/10ML IV SOLN,1413.0,1413.0,7.42,1566.0,357 HCPCS,J9071,CYCLOPHOSPHAMIDE 1 GM/5ML IV SOLN,900.0,900.0,0.61,900.0,119 HCPCS,J9071,CYCLOPHOSPHAMIDE 2 GM/10ML IV SOLN,1800.0,1800.0,0.61,1800.0,119 HCPCS,J9071,CYCLOPHOSPHAMIDE 500 MG/2.5ML IV SOLN,540.0,540.0,0.61,540.0,119 HCPCS,J9073,CYCLOPHOSPHAMIDE 1 GM/5ML IV SOLN,2164.0,2164.0,0.7,2637.0,238 HCPCS,J9073,CYCLOPHOSPHAMIDE 2 GM/10ML IV SOLN,5274.0,5274.0,0.7,5274.0,238 HCPCS,J9073,CYCLOPHOSPHAMIDE 500 MG/2.5ML IV SOLN,1319.0,1319.0,0.7,1319.0,238 HCPCS,J9074,CYCLOPHOSPHAMIDE 1 G INJECTION SOLR,2473.0,2473.0,3.84,2473.0,119 HCPCS,J9074,CYCLOPHOSPHAMIDE 500 MG INJECTION SOLR,1237.0,1237.0,3.84,1237.0,119 HCPCS,J9075,CYCLOPHOSPHAMIDE 1 G INJECTION SOLR,1691.0,1691.0,0.58,2477.0,714 HCPCS,J9075,CYCLOPHOSPHAMIDE 2 G INJECTION SOLR,4747.0,4747.0,0.58,5274.0,476 HCPCS,J9075,CYCLOPHOSPHAMIDE 500 MG INJECTION SOLR,792.0,792.0,0.58,1319.0,952 HCPCS,J9100,CYTARABINE (PF) 100 MG/ML INJECTION SOLN,74.0,74.0,0.79,76.0,448 HCPCS,J9100,CYTARABINE (PF) 20 MG/ML INJECTION SOLN,36.0,36.0,0.79,102.0,448 HCPCS,J9100,CYTARABINE 20 MG/ML INJECTION SOLN,58.0,58.0,0.79,58.0,112 HCPCS,J9118,CALASPARGASE PEGOLMKNL 3750 UNIT/5ML IV SOLN,104531.0,104531.0,76.53,104531.0,119 HCPCS,J9119,CEMIPLIMABRWLC 350 MG/7ML IV SOLN,37073.0,37073.0,28.21,37073.0,119 HCPCS,J9120,DACTINOMYCIN 0.5 MG IV SOLR,2283.0,2283.0,243.0,2766.0,476 HCPCS,J9130,DACARBAZINE 100 MG IV SOLR,45.0,45.0,3.82,45.0,112 HCPCS,J9130,DACARBAZINE 200 MG IV SOLR,44.0,44.0,3.82,44.0,448 HCPCS,J9144,DARATUMUMABHYALURONIDASEFIHJ 180030000 MGUT/15ML S,34896.0,34896.0,51.39,34896.0,119 HCPCS,J9150,DAUNORUBICIN HCL 20 MG/4ML IV SOLN,483.0,483.0,19.76,483.0,448 HCPCS,J9150,DAUNORUBICIN HCL 50 MG/10ML IV SOLN,1208.0,1208.0,19.76,1208.0,112 HCPCS,J9153,DAUNORUBICINCYTARABINE LIPO 44100 MG IV SUSR,37638.0,37638.0,248.41,37638.0,238 HCPCS,J9155,DEGARELIX ACETATE 80 MG SC SOLR,1759.0,1759.0,4.28,1759.0,119 HCPCS,J9155,DEGARELIX ACETATE(240 MG DOSE) 120 MG/VIAL SC SOLR,2744.0,2744.0,4.28,2744.0,119 HCPCS,J9171,DOCETAXEL 160 MG/16ML IV SOLN,1934.0,1934.0,0.38,9717.0,784 HCPCS,J9171,DOCETAXEL 160 MG/8ML IV CONC,8764.0,8764.0,0.38,8764.0,112 HCPCS,J9171,DOCETAXEL 20 MG/2ML IV SOLN,250.0,250.0,0.38,1139.0,448 HCPCS,J9171,DOCETAXEL 20 MG/ML IV CONC,261.0,261.0,0.38,1096.0,896 HCPCS,J9171,DOCETAXEL 80 MG/4ML IV CONC,1042.5,1042.5,0.38,4382.0,672 HCPCS,J9171,DOCETAXEL 80 MG/8ML IV SOLN,949.0,949.0,0.38,4555.0,672 HCPCS,J9171,HC MAPS DOCETAXEL INJECTION,9.0,9.0,0.38,9.0,112 HCPCS,J9173,DURVALUMAB 120 MG/2.4ML IV SOLN,3567.0,3567.0,83.88,3567.0,119 HCPCS,J9173,DURVALUMAB 500 MG/10ML IV SOLN,14861.0,14861.0,83.88,14861.0,119 HCPCS,J9176,ELOTUZUMAB 300 MG IV SOLR,8032.0,8032.0,7.72,8032.0,119 HCPCS,J9176,ELOTUZUMAB 400 MG IV SOLR,10709.0,10709.0,7.72,10709.0,119 HCPCS,J9177,ENFORTUMAB VEDOTINEJFV 20 MG IV SOLR,10113.0,10113.0,36.65,10113.0,119 HCPCS,J9177,ENFORTUMAB VEDOTINEJFV 30 MG IV SOLR,15169.0,15169.0,36.65,15169.0,119 HCPCS,J9178,EPIRUBICIN HCL 200 MG/100ML IV SOLN,819.0,819.0,1.59,819.0,112 HCPCS,J9178,EPIRUBICIN HCL 50 MG/25ML IV SOLN,169.0,169.0,1.59,169.0,112 HCPCS,J9179,ERIBULIN MESYLATE 1 MG/2ML IV SOLN,5076.0,5076.0,72.61,5076.0,119 HCPCS,J9181,ETOPOSIDE 1 GM/50ML IV SOLN,342.0,342.0,0.98,448.0,448 HCPCS,J9181,ETOPOSIDE 100 MG/5ML IV SOLN,35.0,35.0,0.98,45.0,560 HCPCS,J9181,ETOPOSIDE 500 MG/25ML IV SOLN,171.0,171.0,0.98,224.0,560 HCPCS,J9181,ETOPOSIDE PHOSPHATE 100 MG IV SOLR,614.0,614.0,0.98,614.0,112 HCPCS,J9185,FLUDARABINE PHOSPHATE 50 MG IV SOLR,341.0,341.0,46.04,341.0,112 HCPCS,J9185,FLUDARABINE PHOSPHATE 50 MG IV SOLR (WRAPPER),5316.5,5316.5,71.65,9850.0,224 HCPCS,J9185,FLUDARABINE PHOSPHATE 50 MG/2ML IV SOLN,979.0,979.0,71.65,979.0,112 HCPCS,J9190,FLUOROURACIL 1 GM/20ML IV SOLN,25.0,25.0,1.72,87.0,784 HCPCS,J9190,FLUOROURACIL 2.5 GM/50ML IV SOLN,99.0,99.0,1.72,104.0,560 HCPCS,J9190,FLUOROURACIL 5 GM/100ML IV SOLN,156.5,156.5,1.72,207.0,224 HCPCS,J9190,FLUOROURACIL 500 MG/10ML IV SOLN,13.0,13.0,1.35,48.0,784 HCPCS,J9196,GEMCITABINE HCL 1 GM/10ML IV SOLN,238.0,238.0,3.82,238.0,112 HCPCS,J9196,GEMCITABINE HCL 1.5 GM/15ML IV SOLN,297.0,297.0,3.82,297.0,112 HCPCS,J9196,GEMCITABINE HCL 2 GM/20ML IV SOLN,423.0,423.0,3.82,423.0,112 HCPCS,J9196,GEMCITABINE HCL 200 MG/2ML IV SOLN,159.0,159.0,3.82,159.0,112 HCPCS,J9200,FLOXURIDINE 0.5 G INJECTION SOLR,13565.0,13565.0,1831.28,13565.0,119 HCPCS,J9201,GEMCITABINE HCL 1 G IV SOLR,179.5,179.5,2.87,183.0,448 HCPCS,J9201,GEMCITABINE HCL 1 GM/26.3ML IV SOLN,127.0,127.0,2.87,143.0,448 HCPCS,J9201,GEMCITABINE HCL 2 G IV SOLR,409.0,409.0,2.87,409.0,112 HCPCS,J9201,GEMCITABINE HCL 2 GM/52.6ML IV SOLN,327.0,327.0,2.87,328.0,336 HCPCS,J9201,GEMCITABINE HCL 200 MG IV SOLR,42.5,42.5,2.87,44.0,224 HCPCS,J9201,GEMCITABINE HCL 200 MG/5.26ML IV SOLN,29.0,29.0,2.57,34.0,448 HCPCS,J9202,GOSERELIN ACETATE 10.8 MG SC IMPL,10022.0,10022.0,703.06,10022.0,119 HCPCS,J9202,GOSERELIN ACETATE 3.6 MG SC IMPL,3044.5,3044.5,339.39,3575.0,238 HCPCS,J9203,GEMTUZUMAB OZOGAMICIN 4.5 MG IV SOLR,35628.0,35628.0,233.12,35628.0,119 HCPCS,J9204,MOGAMULIZUMABKPKC 20 MG/5ML IV SOLN,16549.0,16549.0,243.32,16549.0,119 HCPCS,J9205,IRINOTECAN HCL LIPOSOME 43 MG/10ML IV INJ,10206.0,10206.0,64.22,10206.0,119 HCPCS,J9206,IRINOTECAN HCL 100 MG/5ML IV SOLN,111.0,111.0,1.4,225.0,1232 HCPCS,J9206,IRINOTECAN HCL 300 MG/15ML IV SOLN,385.0,385.0,1.4,410.0,224 HCPCS,J9206,IRINOTECAN HCL 40 MG/2ML IV SOLN,62.0,62.0,1.4,118.0,896 HCPCS,J9207,IXABEPILONE 15 MG IV SOLR,7111.0,7111.0,136.43,7111.0,119 HCPCS,J9207,IXABEPILONE 45 MG IV SOLR,21331.0,21331.0,136.43,21331.0,238 HCPCS,J9208,IFOSFAMIDE 1 G IV SOLR,133.0,133.0,17.14,209.0,560 HCPCS,J9208,IFOSFAMIDE 1 GM/20ML IV SOLN,133.0,133.0,17.96,133.0,112 HCPCS,J9208,IFOSFAMIDE 3 G IV SOLR,382.5,382.5,23.5,388.0,336 HCPCS,J9208,IFOSFAMIDE 3 GM/60ML IV SOLN,388.0,388.0,23.5,388.0,112 HCPCS,J9209,MESNA 100 MG/ML IV SOLN,90.0,90.0,1.33,239.0,896 HCPCS,J9211,IDARUBICIN HCL 5 MG/5ML IV SOLN,279.0,279.0,37.05,279.0,112 HCPCS,J9216,INTERFERON GAMMA1B 100 MCG/0.5ML SC SOLN,19542.0,19542.0,2638.17,19542.0,222 HCPCS,J9217,HC MAPS LEUPROLIDE ACETATE DEPOT 7.5 MG,1522.0,1522.0,155.42,1522.0,119 HCPCS,J9217,LEUPROLIDE ACETATE (3 MONTH) 22.5 MG IM KIT,22077.0,22077.0,155.42,22077.0,119 HCPCS,J9217,LEUPROLIDE ACETATE (3 MONTH) 22.5 MG SC KIT,4879.0,4879.0,155.42,4879.0,238 HCPCS,J9217,LEUPROLIDE ACETATE (4 MONTH) 30 MG IM KIT,29435.0,29435.0,155.42,29435.0,119 HCPCS,J9217,LEUPROLIDE ACETATE (4 MONTH) 30 MG SC KIT,6505.0,6505.0,155.42,6505.0,119 HCPCS,J9217,LEUPROLIDE ACETATE (6 MONTH) 45 MG IM KIT,44154.0,44154.0,155.42,44154.0,119 HCPCS,J9217,LEUPROLIDE ACETATE (6 MONTH) 45 MG SC KIT,9757.0,9757.0,155.42,9757.0,119 HCPCS,J9217,LEUPROLIDE ACETATE 7.5 MG IM KIT,7359.0,7359.0,155.42,7359.0,119 HCPCS,J9217,LEUPROLIDE ACETATE 7.5 MG SC KIT,1627.0,1627.0,155.42,1627.0,238 HCPCS,J9218,HC MAPS CONIZATION OF CERVIX W/WO FULGURATION,1845.0,1845.0,8.91,1845.0,111 HCPCS,J9218,LEUPROLIDE ACETATE 1 MG/0.2ML INJECTION KIT,2673.0,2673.0,8.91,2673.0,111 HCPCS,J9223,LURBINECTEDIN 4 MG IV SOLR,28908.0,28908.0,204.9,28908.0,119 HCPCS,J9225,HC MAPS HISTRELIN IMPLANT(VANTAS)5,6000.0,6000.0,810.0,11036.37,111 HCPCS,J9227,ISATUXIMABIRFC 100 MG/5ML IV SOLN,2850.0,2850.0,79.35,2850.0,119 HCPCS,J9227,ISATUXIMABIRFC 500 MG/25ML IV SOLN,14247.0,14247.0,79.35,14247.0,119 HCPCS,J9228,IPILIMUMAB 200 MG/40ML IV SOLN,125325.0,125325.0,180.05,125325.0,119 HCPCS,J9228,IPILIMUMAB 50 MG/10ML IV SOLN,31332.0,31332.0,180.05,31332.0,119 HCPCS,J9229,INOTUZUMAB OZOGAMICIN 0.9 MG IV SOLR,83370.0,83370.0,2658.13,83370.0,119 HCPCS,J9245,MELPHALAN HCL 50 MG IV SOLR,918.0,918.0,86.94,9023.0,1309 HCPCS,J9260,METHOTREXATE SODIUM (PF) 1 GM/40ML INJECTION SOLN,124.0,124.0,2.26,133.0,336 HCPCS,J9260,METHOTREXATE SODIUM (PF) 250 MG/10ML INJECTION SOL,33.0,33.0,2.26,33.0,112 HCPCS,J9260,METHOTREXATE SODIUM (PF) 50 MG/2ML INJECTION SOLN,14.5,14.5,1.76,38.0,560 HCPCS,J9260,METHOTREXATE SODIUM 1 G INJECTION SOLR,195.5,195.5,2.26,229.0,336 HCPCS,J9260,METHOTREXATE SODIUM 250 MG/10ML INJECTION SOLN,121.0,121.0,2.26,121.0,112 HCPCS,J9260,METHOTREXATE SODIUM 50 MG/2ML INJECTION SOLN,27.0,27.0,2.26,27.0,448 HCPCS,J9261,NELARABINE 5 MG/ML IV SOLN,2380.0,2380.0,63.38,2910.0,833 HCPCS,J9263,OXALIPLATIN 100 MG/20ML IV SOLN,504.0,504.0,0.05,1274.0,1232 HCPCS,J9263,OXALIPLATIN 50 MG IV SOLR,3488.0,3488.0,0.05,3488.0,112 HCPCS,J9263,OXALIPLATIN 50 MG/10ML IV SOLN,176.5,176.5,0.05,637.0,1120 HCPCS,J9264,PACLITAXEL PROTEINBOUND PART 100 MG IV SUSR,5546.5,5546.5,8.18,5901.0,476 HCPCS,J9266,PEGASPARGASE 750 UNIT/ML IM SOLN,96535.0,96535.0,13032.23,96535.0,119 HCPCS,J9267,PACLITAXEL 100 MG/16.7ML IV CONC,114.5,114.5,0.1,156.0,448 HCPCS,J9267,PACLITAXEL 300 MG/50ML IV CONC,330.0,330.0,0.1,466.0,784 HCPCS,J9268,PENTOSTATIN 10 MG IV SOLR,10625.0,10625.0,1434.38,10625.0,119 HCPCS,J9269,TAGRAXOFUSPERZS 1000 MCG/ML IV SOLN,115738.0,115738.0,338.89,115738.0,119 HCPCS,J9271,PEMBROLIZUMAB 100 MG/4ML IV SOLN,20408.0,20408.0,57.6,20408.0,238 HCPCS,J9272,DOSTARLIMABGXLY 500 MG/10ML IV SOLN,41628.0,41628.0,240.06,41628.0,119 HCPCS,J9273,TISOTUMAB VEDOTINTFTV 40 MG IV SOLR,24682.0,24682.0,181.87,24682.0,119 HCPCS,J9280,HC MAPS INJECTIONMITOMYCIN5 MG,175.0,175.0,23.63,175.0,119 HCPCS,J9280,MITOMYCIN 20 MG IV SOLR,2124.0,2124.0,25.94,2276.0,595 HCPCS,J9280,MITOMYCIN 40 MG IV SOLR,4399.0,4399.0,25.94,4551.0,238 HCPCS,J9280,MITOMYCIN 5 MG IV SOLR,847.0,847.0,25.94,1272.0,833 HCPCS,J9281,MITOMYCIN 80 (2 X 40) MG UL SOLR,88128.0,88128.0,311.36,88128.0,119 HCPCS,J9286,GLOFITAMABGXBM 10 MG/10ML IV SOLN,37892.0,37892.0,2770.57,37892.0,119 HCPCS,J9286,GLOFITAMABGXBM 2.5 MG/2.5ML IV SOLN,9473.0,9473.0,1278.86,9473.0,119 HCPCS,J9293,MITOXANTRONE HCL 20 MG/10ML IV CONC,1045.0,1045.0,29.6,1468.0,238 HCPCS,J9293,MITOXANTRONE HCL 25 MG/12.5ML IV CONC,777.0,777.0,29.6,777.0,119 HCPCS,J9293,MITOXANTRONE HCL 30 MG/15ML IV CONC,932.0,932.0,29.6,932.0,119 HCPCS,J9294,PEMETREXED DISODIUM 1 GM/40ML IV SOLN,3240.0,3240.0,2.57,3240.0,119 HCPCS,J9294,PEMETREXED DISODIUM 100 MG/4ML IV SOLN,396.0,396.0,2.57,396.0,119 HCPCS,J9294,PEMETREXED DISODIUM 500 MG/20ML IV SOLN,1793.0,1793.0,2.57,1793.0,119 HCPCS,J9296,PEMETREXED DISODIUM 100 MG IV SOLR,364.0,364.0,5.31,364.0,119 HCPCS,J9296,PEMETREXED DISODIUM 500 MG IV SOLR,1640.0,1640.0,5.31,1640.0,119 HCPCS,J9298,NIVOLUMABRELATLIMABRMBW 24080 MG/20ML IV SOLN,53364.0,53364.0,193.86,53364.0,119 HCPCS,J9299,NIVOLUMAB 100 MG/10ML IV SOLN,11452.0,11452.0,32.3,11452.0,119 HCPCS,J9299,NIVOLUMAB 120 MG/12ML IV SOLN,13743.0,13743.0,32.3,13743.0,119 HCPCS,J9299,NIVOLUMAB 240 MG/24ML IV SOLN,27485.0,27485.0,32.3,27485.0,119 HCPCS,J9299,NIVOLUMAB 40 MG/4ML IV SOLN,4581.0,4581.0,32.3,4581.0,119 HCPCS,J9301,OBINUTUZUMAB 1000 MG/40ML IV SOLN,29671.0,29671.0,74.83,29671.0,119 HCPCS,J9302,OFATUMUMAB 100 MG/5ML IV CONC,2110.5,2110.5,60.09,2173.0,238 HCPCS,J9302,OFATUMUMAB 1000 MG/50ML IV CONC,21722.0,21722.0,60.09,21722.0,119 HCPCS,J9303,PANITUMUMAB 100 MG/5ML IV SOLN,6212.0,6212.0,165.71,6212.0,119 HCPCS,J9303,PANITUMUMAB 400 MG/20ML IV SOLN,24846.0,24846.0,165.71,24846.0,119 HCPCS,J9305,PEMETREXED DISODIUM 100 MG IV SOLR,573.0,573.0,3.59,2911.0,714 HCPCS,J9305,PEMETREXED DISODIUM 500 MG IV SOLR,2855.0,2855.0,3.59,14555.0,714 HCPCS,J9305,PEMETREXED DISODIUM 750 MG IV SOLR,19264.0,19264.0,3.59,19264.0,119 HCPCS,J9306,PERTUZUMAB 420 MG/14ML IV SOLN,21931.0,21931.0,16.19,21931.0,119 HCPCS,J9307,PRALATREXATE 20 MG/ML IV SOLN,26412.0,26412.0,373.77,26412.0,119 HCPCS,J9307,PRALATREXATE 40 MG/2ML IV SOLN,52823.0,52823.0,373.77,52823.0,119 HCPCS,J9308,RAMUCIRUMAB 100 MG/10ML IV SOLN,5245.0,5245.0,72.91,5245.0,119 HCPCS,J9308,RAMUCIRUMAB 500 MG/50ML IV SOLN,26223.0,26223.0,72.91,26223.0,119 HCPCS,J9309,POLATUZUMAB VEDOTINPIIQ 140 MG IV SOLR,67002.0,67002.0,132.92,67002.0,119 HCPCS,J9309,POLATUZUMAB VEDOTINPIIQ 30 MG IV SOLR,14358.0,14358.0,132.92,14358.0,119 HCPCS,J9311,RITUXIMABHYALURONIDASE HUMAN 140023400 MG UT/11.7M,23676.0,23676.0,36.58,23676.0,119 HCPCS,J9311,RITUXIMABHYALURONIDASE HUMAN 160026800 MG UT/13.4M,27058.0,27058.0,36.58,27058.0,119 HCPCS,J9312,RITUXIMAB 1 MG/0.1ML INTRAVITREAL INJ ORD,1.0,1.0,0.14,224.92,238 HCPCS,J9312,RITUXIMAB 100 MG/10ML IV SOLN,3383.0,3383.0,74.76,3383.0,119 HCPCS,J9312,RITUXIMAB 500 MG/50ML IV SOLN,16912.0,16912.0,74.76,16912.0,119 HCPCS,J9316,PERTUZTRASTUZHYALURONZZXF 60602000 MGMGU/ML SC SOL,31961.0,31961.0,60.96,31961.0,119 HCPCS,J9316,PERTUZTRASTUZHYALURONZZXF 80402000 MGMGU/ML SC SOL,47943.0,47943.0,60.96,47943.0,119 HCPCS,J9317,SACITUZUMAB GOVITECANHZIY 180 MG IV SOLR,8871.0,8871.0,35.44,8871.0,119 HCPCS,J9319,ROMIDEPSIN 10 MG IV SOLR,11516.0,11516.0,30.39,11516.0,238 HCPCS,J9321,EPCORITAMABBYSP (EPKINLY) SC INJ 0.16 MG/1ML NSS (,1830.0,1830.0,5.31,1830.0,119 HCPCS,J9321,EPCORITAMABBYSP (EPKINLY) SC INJ 0.8 MG/1ML NSS (D,4569.0,4569.0,5.31,4569.0,119 HCPCS,J9321,EPCORITAMABBYSP 4 MG/0.8ML SC SOLN,4753.0,4753.0,5.31,4753.0,119 HCPCS,J9321,EPCORITAMABBYSP 48 MG/0.8ML SC SOLN,57026.0,57026.0,5.31,57026.0,119 HCPCS,J9325,TALIMOGENE LAHERPAREPVEC 1000000 UNIT/ML INTRALESI,240.0,240.0,32.4,240.0,119 HCPCS,J9325,TALIMOGENE LAHERPAREPVEC 100000000 UNIT/ML INTRALE,23952.0,23952.0,70.37,23952.0,119 HCPCS,J9328,TEMOZOLOMIDE 100 MG IV SOLR,3612.0,3612.0,10.39,3612.0,119 HCPCS,J9330,TEMSIROLIMUS 25 MG/ML IV SOLN,6052.0,6052.0,20.32,11610.0,476 HCPCS,J9331,SIROLIMUS PROTEINBOUND PART 100 MG IV SUSR,27486.0,27486.0,84.53,27486.0,119 HCPCS,J9332,EFGARTIGIMOD ALFAFCAB 400 MG/20ML IV SOLN,22286.0,22286.0,32.22,22286.0,119 HCPCS,J9340,THIOTEPA 100 MG INJECTION SOLR,8460.0,8460.0,221.75,8460.0,111 HCPCS,J9340,THIOTEPA 15 MG INJECTION SOLR,1710.0,1710.0,97.2,2700.0,222 HCPCS,J9347,TREMELIMUMABACTL 25 MG/1.25ML IV SOLN,11934.0,11934.0,138.43,11934.0,119 HCPCS,J9347,TREMELIMUMABACTL 300 MG/15ML IV SOLN,143208.0,143208.0,138.43,143208.0,119 HCPCS,J9349,TAFASITAMABCXIX 200 MG IV SOLR,4854.0,4854.0,13.97,4854.0,119 HCPCS,J9350,MOSUNETUZUMABAXGB 1 MG/ML IV SOLN,2204.0,2204.0,297.54,2204.0,119 HCPCS,J9350,MOSUNETUZUMABAXGB 30 MG/30ML IV SOLN,66098.0,66098.0,641.07,66098.0,119 HCPCS,J9351,TOPOTECAN HCL 4 MG IV SOLR,960.5,960.5,1.25,4580.0,448 HCPCS,J9351,TOPOTECAN HCL 4 MG/4ML IV SOLN,904.0,904.0,1.25,1558.0,224 HCPCS,J9352,TRABECTEDIN 1 MG IV SOLR,12413.0,12413.0,362.75,12413.0,119 HCPCS,J9353,MARGETUXIMABCMKB 250 MG/10ML IV SOLN,8504.0,8504.0,49.4,8504.0,357 HCPCS,J9354,ADOTRASTUZUMAB EMTANSINE 100 MG IV SOLR,14151.0,14151.0,40.97,14151.0,119 HCPCS,J9354,ADOTRASTUZUMAB EMTANSINE 160 MG IV SOLR,22641.0,22641.0,40.97,22641.0,119 HCPCS,J9355,TRASTUZUMAB 150 MG IV SOLR,5611.0,5611.0,73.48,5611.0,119 HCPCS,J9356,TRASTUZUMABHYALURONIDASEOYSK 60010000 MGUNT/5ML SC,16831.0,16831.0,61.07,16831.0,119 HCPCS,J9357,VALRUBICIN 40 MG/ML INTRAVESICAL SOLN,8224.0,8224.0,1110.24,8224.0,119 HCPCS,J9358,FAMTRASTUZUMAB DERUXTECNXKI 100 MG IV SOLR,10111.0,10111.0,28.81,10111.0,119 HCPCS,J9359,LONCASTUXIMAB TESIRINELPYL 10 MG IV SOLR,97284.0,97284.0,212.12,97284.0,119 HCPCS,J9360,VINBLASTINE SULFATE 1 MG/ML IV SOLN,194.0,194.0,4.83,194.0,112 HCPCS,J9370,VINCRISTINE SULFATE 1 MG/ML IV SOLN,62.0,62.0,7.56,64.0,448 HCPCS,J9380,TECLISTAMABCQYV 153 MG/1.7ML SC SOLN,34976.0,34976.0,32.55,34976.0,119 HCPCS,J9380,TECLISTAMABCQYV 30 MG/3ML SC SOLN,6858.0,6858.0,32.55,6858.0,119 HCPCS,J9390,VINORELBINE TARTRATE 10 MG/ML IV SOLN,77.5,77.5,1.96,90.0,224 HCPCS,J9390,VINORELBINE TARTRATE 50 MG/5ML IV SOLN,324.0,324.0,1.96,324.0,224 HCPCS,J9394,FULVESTRANT 250 MG/5ML IM SOSY,1800.0,1800.0,3.32,1800.0,238 HCPCS,J9395,FULVESTRANT 250 MG/5ML IM SOSY,2172.0,2172.0,5.72,3491.0,1680 HCPCS,J9600,PORFIMER SODIUM 75 MG IV SOLR,83963.0,83963.0,11335.01,83963.0,119 HCPCS,L3260,HC MAPS AMBULATORY SURGICAL BOOT EAC,60.0,60.0,8.1,60.0,98 HCPCS,L3908,HC MAPS WHO COCK-UP NONMOLDE PRE OTS,10.0,10.0,1.69,31.72,108 HCPCS,L8603,HC MAPS COLLAGEN IMP URINARY 2.5 ML,730.0,730.0,98.55,730.0,97 HCPCS,L8606,HC MAPS SYNTHETIC IMPLNT URINARY 1ML,482.0,482.0,65.07,482.0,97 HCPCS,M0220,HC TIXAGEV AND CILGAV INJ,416.0,416.0,56.16,416.0,109 HCPCS,P9012,HC CRYOPRECIPITATE EACH UNIT,495.0,495.0,49.58,495.0,121 HCPCS,P9016,HC LEUKOCYTE POOR RBC,1134.0,1134.0,119.12,1134.0,121 HCPCS,P9017,HC FRESH FROZEN PLASMA,483.0,483.0,30.0,483.0,124 HCPCS,P9019,HC PLATELETS EACH UNIT,1193.0,1193.0,30.0,1193.0,124 HCPCS,P9021,HC RED BLOOD CELLS UNIT,1443.0,1443.0,30.0,1443.0,124 HCPCS,P9031,HC PLATELETS LEUKOCYTES REDUCED,1551.0,1551.0,78.5,1551.0,121 HCPCS,P9033,HC PLATELETS LEUKOREDUCED IRRAD,1233.0,1233.0,83.84,1233.0,121 HCPCS,P9035,HC PLATELET PHERES LEUKOREDUCED,3372.0,3372.0,322.69,3372.0,121 HCPCS,P9037,HC PLATE PHERES LEUKOREDU IRRAD,2879.0,2879.0,414.29,2879.0,121 HCPCS,P9040,HC RBC LEUKOREDUCED IRRADIATED,1502.0,1502.0,156.44,1502.0,121 HCPCS,P9044,HC CRYOPRECIPITATEREDUCEDPLASMA,1519.0,1519.0,44.54,1519.0,121 HCPCS,P9045,ALBUMIN HUMAN 5 IV SOLN,298.0,298.0,23.63,648.0,2261 HCPCS,P9047,ALBUMIN HUMAN 25 IV SOLN,324.0,324.0,14.18,648.0,1785 HCPCS,P9047,ALBUMIN HUMAN 5 IV SOLN (CNR),18.0,18.0,2.43,159.68,119 HCPCS,P9054,HC BLOOD L/R FROZ/DEGLY/WASH,3672.0,3672.0,30.0,3672.0,124 HCPCS,P9059,HC PLASMA FRZ BETWEEN 8-24HOUR,1519.0,1519.0,30.0,1519.0,124 HCPCS,P9073,HC PLATELETS PATHOGEN REDUCED,3125.0,3125.0,397.17,3125.0,121 HCPCS,P9100,HC PATHOGEN TEST FOR PLATELETS,204.0,204.0,16.22,204.0,121 HCPCS,Q0091,HC MAPS SCREEN PAP SMEAR TO LAB,65.0,65.0,5.49,95.94,122 HCPCS,Q0138,FERUMOXYTOL (FERAHEME) 510 MG/100 ML NSS (CNR),3268.0,3268.0,0.31,3268.0,119 HCPCS,Q0138,FERUMOXYTOL 510 MG/17ML IV SOLN,3779.0,3779.0,0.31,4298.0,238 HCPCS,Q0161,CHLORPROMAZINE HCL 10 MG PO TABS,14.5,14.5,0.33,16.0,999 HCPCS,Q0161,CHLORPROMAZINE HCL 100 MG PO TABS,49.0,49.0,0.33,67.0,1332 HCPCS,Q0161,CHLORPROMAZINE HCL 200 MG PO TABS,68.0,68.0,0.33,81.0,999 HCPCS,Q0161,CHLORPROMAZINE HCL 25 MG PO TABS,22.0,22.0,0.33,23.0,999 HCPCS,Q0162,ONDANSETRON 4 MG PO TBDP,68.0,68.0,0.01,70.0,1344 HCPCS,Q0162,ONDANSETRON 8 MG PO TBDP,112.5,112.5,0.01,116.0,1120 HCPCS,Q0162,ONDANSETRON HCL 4 MG PO TABS,73.0,73.0,0.01,75.0,1344 HCPCS,Q0162,ONDANSETRON HCL 4 MG/5ML PO SOLN,72.0,72.0,0.01,720.0,672 HCPCS,Q0162,ONDANSETRON HCL 8 MG PO TABS,117.0,117.0,0.01,125.0,1680 HCPCS,Q0163,DIPHENHYDRAMINE HCL 50 MG PO CAPS,1.0,1.0,0.02,1.0,444 HCPCS,Q0164,PROCHLORPERAZINE MALEATE 10 MG PO TABS,4.5,4.5,0.35,6.0,555 HCPCS,Q0164,PROCHLORPERAZINE MALEATE 5 MG PO TABS,3.5,3.5,0.27,5.0,555 HCPCS,Q0166,GRANISETRON HCL 1 MG PO TABS,178.0,178.0,3.06,178.0,111 HCPCS,Q0167,DRONABINOL 2.5 MG PO CAPS,19.0,19.0,1.08,26.0,560 HCPCS,Q0167,DRONABINOL 5 MG PO CAPS,26.5,26.5,1.35,41.0,224 HCPCS,Q0169,PROMETHAZINE HCL 12.5 MG PO TABS,2.0,2.0,0.09,2.0,777 HCPCS,Q0169,PROMETHAZINE HCL 25 MG PO TABS,1.5,1.5,0.09,2.0,777 HCPCS,Q0175,PERPHENAZINE 16 MG PO TABS,10.0,10.0,0.48,12.0,444 HCPCS,Q0175,PERPHENAZINE 4 MG PO TABS,6.5,6.5,0.48,8.0,999 HCPCS,Q0175,PERPHENAZINE 8 MG PO TABS,8.0,8.0,0.48,9.0,777 HCPCS,Q0224,PEMIVIBART 500 MG/4ML IV SOLN,2310.0,2310.0,390.39,7962.9,121 HCPCS,Q0243,CASIRIVIMAB IMDEVIMAB 1332 1332 MG/11.1ML INJE,1.0,1.0,0.02,1.0,111 HCPCS,Q0244,CASIRIVIMABIMDEVIMAB (REGENCOV) (EUA) IVPB 600MG/1,7.0,7.0,0.01,7.0,111 HCPCS,Q2009,FOSPHENYTOIN SODIUM 100 MG PE/2ML INJECTION SOLN,76.5,76.5,1.01,146.0,1190 HCPCS,Q2009,FOSPHENYTOIN SODIUM 500 MG PE/10ML INJECTION SOLN,233.0,233.0,1.01,437.0,1190 HCPCS,Q2042,HC CAR T PROTOCOL,1.0,1.0,0.14,1704352.77,120 HCPCS,Q2042,HC KYMRIAH UP TO 600M CAR POST CELLS,2500000.0,2500000.0,337500.0,2500000.0,117 HCPCS,Q2050,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP,3994.5,3994.5,104.01,8722.0,1428 HCPCS,Q2054,HC BREYANZI CAR T,2500000.0,2500000.0,337500.0,2500000.0,117 HCPCS,Q2055,HC ABECMA CAR T,2500000.0,2500000.0,337500.0,2500000.0,117 HCPCS,Q2056,HC CARVYKTI,2500000.0,2500000.0,337500.0,2500000.0,117 HCPCS,Q3014,HC MAPS TELEHEALTH ORIGINATING SITE FACILITY FEE,125.0,125.0,19.11,125.0,122 HCPCS,Q4010,HC MAPS CAST SUP SHT ARM ADULT FBRGL,88.0,88.0,11.88,88.0,111 HCPCS,Q4012,HC MAPS CAST SUP SHT ARM PED FBRGLAS,59.0,59.0,7.97,59.0,111 HCPCS,Q4014,HC MAPS CAST SUP GAUNTLET FIBERGLASS,40.0,40.0,5.4,40.0,111 HCPCS,Q4022,HC MAPS CAST SUP SHT ARM SPLINT FBRG,59.0,59.0,7.97,59.0,111 HCPCS,Q4024,HC MAPS CAST SUP SHT ARM SPLNT PED F,35.0,35.0,4.73,35.0,111 HCPCS,Q4033,HC MAPS CAST SUP LNG LEG CYLINDER PL,40.0,40.0,5.4,40.0,111 HCPCS,Q4038,HC MAPS CAST SUP SHRT LEG FIBERGLASS,60.0,60.0,8.1,60.0,111 HCPCS,Q4040,HC MAPS CAST SUP SHRT LEG PED FBRGLS,59.0,59.0,7.97,59.0,111 HCPCS,Q4046,HC MAPS CAST SUP SHT LEG SPLNT FBRGL,59.0,59.0,7.97,59.0,111 HCPCS,Q4049,HC MAPS FINGER SPLINT STATIC,10.0,10.0,1.35,10.0,111 HCPCS,Q4074,ILOPROST 20 MCG/ML INHALATION SOLN,424.0,424.0,57.24,424.0,224 HCPCS,Q4133,HC MAPS GRAFIX STRAVIX PRIME PL SQCM,345.0,345.0,58.3,412.8,112 HCPCS,Q5101,FILGRASTIMSNDZ 300 MCG/0.5ML INJECTION SOSY,988.0,988.0,0.35,988.0,357 HCPCS,Q5101,FILGRASTIMSNDZ 480 MCG/0.8ML INJECTION SOSY,1581.0,1581.0,0.35,1581.0,357 HCPCS,Q5103,INFLIXIMABDYYB 100 MG IV SOLR,3407.0,3407.0,11.55,3407.0,119 HCPCS,Q5104,INFLIXIMABABDA 100 MG IV SOLR,2713.0,2713.0,25.05,2713.0,119 HCPCS,Q5106,EPOETIN ALFAEPBX 10000 UNIT/ML INJECTION SOLN,398.0,398.0,7.47,398.0,238 HCPCS,Q5106,EPOETIN ALFAEPBX 2000 UNIT/ML INJECTION SOLN,80.0,80.0,7.47,80.0,238 HCPCS,Q5106,EPOETIN ALFAEPBX 20000 UNIT/ML INJECTION SOLN,795.0,795.0,7.47,795.0,238 HCPCS,Q5106,EPOETIN ALFAEPBX 3000 UNIT/ML INJECTION SOLN,120.0,120.0,7.47,120.0,238 HCPCS,Q5106,EPOETIN ALFAEPBX 4000 UNIT/ML INJECTION SOLN,159.0,159.0,7.47,159.0,238 HCPCS,Q5106,EPOETIN ALFAEPBX 40000 UNIT/ML INJECTION SOLN,1589.0,1589.0,7.47,1589.0,238 HCPCS,Q5107,BEVACIZUMABAWWB 100 MG/4ML IV SOLN,2512.0,2512.0,23.84,2512.0,119 HCPCS,Q5107,BEVACIZUMABAWWB 400 MG/16ML IV SOLN,10718.0,10718.0,23.84,10718.0,119 HCPCS,Q5108,PEGFILGRASTIMJMDB 6 MG/0.6ML SC SOSY,7515.0,7515.0,98.87,7515.0,238 HCPCS,Q5110,FILGRASTIMAAFI 300 MCG/0.5ML INJECTION SOSY,789.0,789.0,0.28,789.0,119 HCPCS,Q5110,FILGRASTIMAAFI 300 MCG/ML INJECTION SOLN,789.0,789.0,0.28,789.0,238 HCPCS,Q5110,FILGRASTIMAAFI 480 MCG/0.8ML INJECTION SOSY,1262.0,1262.0,0.28,1262.0,119 HCPCS,Q5110,FILGRASTIMAAFI 480 MCG/1.6ML INJECTION SOLN,1262.0,1262.0,0.28,1262.0,119 HCPCS,Q5111,PEGFILGRASTIMCBQV (INF DEV) 6 MG/0.6ML SC SOSY,15030.0,15030.0,130.91,15030.0,119 HCPCS,Q5111,PEGFILGRASTIMCBQV 6 MG/0.6ML SC SOSY,15030.0,15030.0,130.91,15030.0,119 HCPCS,Q5112,TRASTUZUMABDTTB 420 MG IV SOLR,13353.0,13353.0,18.02,13353.0,238 HCPCS,Q5113,TRASTUZUMABPKRB 150 MG IV SOLR,5049.0,5049.0,55.43,5049.0,119 HCPCS,Q5113,TRASTUZUMABPKRB 420 MG IV SOLR,14138.0,14138.0,55.43,14138.0,238 HCPCS,Q5114,TRASTUZUMABDKST 150 MG IV SOLR,4769.0,4769.0,37.71,4769.0,119 HCPCS,Q5114,TRASTUZUMABDKST 420 MG IV SOLR,11381.0,11381.0,37.71,13311.0,476 HCPCS,Q5115,RITUXIMABABBS 100 MG/10ML IV SOLN,3044.0,3044.0,30.14,3044.0,119 HCPCS,Q5115,RITUXIMABABBS 500 MG/50ML IV SOLN,15220.0,15220.0,30.14,15220.0,119 HCPCS,Q5116,TRASTUZUMABQYYP 150 MG IV SOLR,4360.0,4360.0,8.2,4360.0,119 HCPCS,Q5116,TRASTUZUMABQYYP 420 MG IV SOLR,12208.0,12208.0,8.2,12208.0,238 HCPCS,Q5117,TRASTUZUMABANNS 150 MG IV SOLR,4897.0,4897.0,34.69,4897.0,119 HCPCS,Q5117,TRASTUZUMABANNS 420 MG IV SOLR,13710.0,13710.0,34.69,13710.0,238 HCPCS,Q5118,BEVACIZUMABBVZR 100 MG/4ML IV SOLN,2209.0,2209.0,23.0,2209.0,119 HCPCS,Q5118,BEVACIZUMABBVZR 400 MG/16ML IV SOLN,9422.0,9422.0,23.0,9422.0,119 HCPCS,Q5119,RITUXIMABPVVR 100 MG/10ML IV SOLN,2581.0,2581.0,13.27,2581.0,119 HCPCS,Q5119,RITUXIMABPVVR 500 MG/50ML IV SOLN,12903.0,12903.0,13.27,12903.0,119 HCPCS,Q5120,PEGFILGRASTIMBMEZ 6 MG/0.6ML SC SOSY,14132.0,14132.0,24.71,14132.0,119 HCPCS,Q5121,INFLIXIMABAXXQ 100 MG IV SOLR,1800.0,1800.0,19.83,1800.0,119 HCPCS,Q5122,PEGFILGRASTIMAPGF 6 MG/0.6ML SC SOSY,14130.0,14130.0,117.01,14130.0,119 HCPCS,Q5123,RITUXIMABARRX 100 MG/10ML IV SOLN,2581.0,2581.0,20.9,2581.0,119 HCPCS,Q5123,RITUXIMABARRX 500 MG/50ML IV SOLN,12903.0,12903.0,20.9,12903.0,119 HCPCS,Q5124,RANIBIZUMABNUNA 0.5 MG/0.05ML INTRAVITREAL SOLN,4191.0,4191.0,60.22,4191.0,238 HCPCS,Q5125,FILGRASTIMAYOW 300 MCG/0.5ML SC SOSY,573.0,573.0,0.34,573.0,119 HCPCS,Q5125,FILGRASTIMAYOW 480 MCG/0.8ML SC SOSY,916.0,916.0,0.34,916.0,238 HCPCS,Q5126,BEVACIZUMABMALY 100 MG/4ML IV SOLN,2587.0,2587.0,33.01,2587.0,238 HCPCS,Q5126,BEVACIZUMABMALY 400 MG/16ML IV SOLN,10693.0,10693.0,33.01,11038.0,238 HCPCS,Q5127,PEGFILGRASTIMFPGK 6 MG/0.6ML SC SOSY,15481.0,15481.0,147.24,15481.0,119 HCPCS,Q5128,RANIBIZUMABEQRN 0.3 MG/0.05ML INTRAVITREAL SOLN,2938.0,2938.0,83.34,2938.0,119 HCPCS,Q5128,RANIBIZUMABEQRN 0.5 MG/0.05ML INTRAVITREAL SOLN,4896.0,4896.0,83.34,4896.0,119 HCPCS,Q5129,BEVACIZUMABADCD 100 MG/4ML IV SOLN,2439.0,2439.0,38.16,2439.0,119 HCPCS,Q5129,BEVACIZUMABADCD 400 MG/16ML IV SOLN,10405.0,10405.0,38.16,10405.0,119 HCPCS,Q5130,PEGFILGRASTIMPBBK 6 MG/0.6ML SC SOSY,9000.0,9000.0,127.23,9000.0,119 HCPCS,Q9950,SULFUR HEXAFLUORIDE MICROSPH 60.725 MG INJECTION S,517.0,517.0,18.17,522.0,224 HCPCS,Q9956,PERFLUTREN PROTEIN A MICROSPH IV SUSP,506.0,506.0,40.21,506.0,321 HCPCS,Q9957,HC MAPS INJ PERFLUTREN LIP MICROSM,183.0,183.0,24.71,183.0,104 HCPCS,Q9957,PERFLUTREN LIPID MICROSPHERE 6.52 MG/ML IV SUSP,812.0,812.0,40.21,1286.0,312 HCPCS,Q9958,DIATRIZOATE MEGLUMINE 30 URETHRAL SOLN,155.0,155.0,0.07,199.0,208 HCPCS,Q9958,IOTHALAMATE MEGLUMINE 17.2 URETHRAL SOLN,113.0,113.0,0.07,113.0,104 HCPCS,Q9961,IOTHALAMATE MEGLUMINE 60 INJECTION SOLN,50.0,50.0,0.26,56.0,208 HCPCS,Q9963,DIATRIZOATE MEGLUMINE SODIUM 6610 ENEMA MCP,251.0,251.0,0.22,251.0,104 HCPCS,Q9965,IOHEXOL 180 MG/ML INJECTION SOLN,145.0,145.0,1.04,145.0,104 HCPCS,Q9966,IOHEXOL 240 MG/ML INJECTION SOLN,161.5,161.5,0.4,273.0,416 HCPCS,Q9966,IOPAMIDOL 41 INJECTION SOLN,233.0,233.0,0.4,233.0,104 HCPCS,Q9966,IOPAMIDOL 41 IV SOLN,441.0,441.0,0.4,441.0,104 HCPCS,Q9966,IOPAMIDOL 51 IV SOLN,144.0,144.0,0.4,144.0,104 HCPCS,Q9967,HC LOCM 300-399MG/ML IODIN PER ML,5.0,5.0,0.15,5.0,104 HCPCS,Q9967,IODIXANOL 320 MG/ML IV SOLN,382.0,382.0,0.15,649.0,936 HCPCS,Q9967,IOHEXOL 300 MG/ML INJECTION SOLN,158.5,158.5,0.15,327.0,416 HCPCS,Q9967,IOHEXOL 350 MG/ML IV SOLN,433.0,433.0,0.15,1545.0,416 HCPCS,Q9967,IOPAMIDOL 61 INJECTION SOLN,279.0,279.0,0.15,310.0,312 HCPCS,Q9967,IOPAMIDOL 61 IV SOLN,125.0,125.0,0.15,241.0,416 HCPCS,Q9967,IOPAMIDOL 76 IV SOLN,204.5,204.5,0.15,254.0,416 HCPCS,Q9967,IOPROMIDE 62 INJECTION SOLN,76.0,76.0,0.15,76.0,104 HCPCS,Q9968,ISOSULFAN BLUE 1 SC SOLN,3675.0,3675.0,1.67,4372.0,476 HCPCS,Q9991,BUPRENORPHINE ER 100 MG/0.5ML SC SOSY,7260.0,7260.0,980.1,7260.0,238 HCPCS,Q9992,BUPRENORPHINE ER 300 MG/1.5ML SC SOSY,7260.0,7260.0,980.1,7260.0,238 HCPCS,S0017,AMINOCAPROIC ACID 250 MG/ML IV SOLN,33.0,33.0,3.65,34.0,555 HCPCS,S0028,FAMOTIDINE (PEPCID) IV SYRINGE 0.4MG/ML NSS (NEO/P,41.0,41.0,0.9,41.0,111 HCPCS,S0028,FAMOTIDINE (PF) 20 MG/2ML IV SOLN,4.0,4.0,0.54,4.0,777 HCPCS,S0028,FAMOTIDINE 200 MG/20ML IV SOLN,32.5,32.5,0.9,33.0,555 HCPCS,S0028,FAMOTIDINE 40 MG/4ML IV SOLN,8.0,8.0,0.9,9.0,444 HCPCS,S0032,NAFCILLIN SODIUM IN DEXTROSE 2 GM/100ML IV SOLN,88.0,88.0,11.88,88.0,111 HCPCS,S0080,PENTAMIDINE ISETHIONATE 300 MG INJECTION SOLR,447.0,447.0,45.63,601.0,777 HCPCS,S0126,FOLLITROPIN ALFA 900 UNIT/1.5ML SC SOPN,10434.0,10434.0,246.34,10434.0,112 HCPCS,S0176,HYDROXYUREA 500 MG PO CAPS,4.0,4.0,0.41,5.0,666 HCPCS,S0190,HC MAPS MIFEPRISTONEORAL200MG,285.0,285.0,35.69,285.0,111 HCPCS,S0190,MIFEPRISTONE 200 MG PO TABS,129.0,129.0,17.42,129.0,111 HCPCS,S0191,HC MAPS MISOPROSTOLORAL200MCG,5.0,5.0,0.68,5.0,111 HCPCS,S0199,HC MAPS MED ABORTION INC ALL EX DRU,1108.0,1108.0,149.58,1108.0,116 HCPCS,S9443,HC LACTATION CLASS,355.0,355.0,47.93,355.0,113 HCPCS,T1016,HC CASE MANAGEMENT,94.16,94.16,14.78,999.0,112 HCPCS,T1017,HC BCM (BLENDED CASE MANAGEMENT),68.0,68.0,9.18,68.0,110 HCPCS,T1017,HC BCM (BLENDED CASE MANAGEMENT)- CHILD,52.66,52.66,7.11,52.66,110 HCPCS,T1017,HC ICM ACCESS,81.0,81.0,10.94,81.0,110 HCPCS,T1017,HC RC PAR (PREVENTION RECOVERY SERVICES),68.0,68.0,9.18,68.0,110 HCPCS,T1017,HC SPECIALIZED CASE MANAGEMENT-RC,30.0,30.0,4.05,30.0,110 ICD,0BYC0Z0,Lung Trans (Single),,,579111.87,579111.87,1 ICD,0BYC0Z1,Lung Trans (Single),,,579111.87,579111.87,1 ICD,0BYC0Z2,Lung Trans (Single),,,579111.87,579111.87,1 ICD,0BYD0Z0,Lung Trans (Single),,,579111.87,579111.87,1 ICD,0BYD0Z1,Lung Trans (Single),,,579111.87,579111.87,1 ICD,0BYD0Z2,Lung Trans (Single),,,579111.87,579111.87,1 ICD,0BYF0Z0,Lung Trans (Single),,,579111.87,579111.87,1 ICD,0BYF0Z1,Lung Trans (Single),,,579111.87,579111.87,1 ICD,0BYF0Z2,Lung Trans (Single),,,579111.87,579111.87,1 ICD,0BYG0Z0,Lung Trans (Single),,,579111.87,579111.87,1 ICD,0BYG0Z1,Lung Trans (Single),,,579111.87,579111.87,1 ICD,0BYG0Z2,Lung Trans (Single),,,579111.87,579111.87,1 ICD,0BYH0Z0,Lung Trans (Single),,,579111.87,579111.87,1 ICD,0BYH0Z1,Lung Trans (Single),,,579111.87,579111.87,1 ICD,0BYH0Z2,Lung Trans (Single),,,579111.87,579111.87,1 ICD,0BYJ0Z0,Lung Trans (Single),,,579111.87,579111.87,1 ICD,0BYJ0Z1,Lung Trans (Single),,,579111.87,579111.87,1 ICD,0BYJ0Z2,Lung Trans (Single),,,579111.87,579111.87,1 ICD,0BYK0Z0,Lung Trans (Single),,,579111.87,579111.87,1 ICD,0BYK0Z1,Lung Trans (Single),,,579111.87,579111.87,1 ICD,0BYK0Z2,Lung Trans (Single),,,579111.87,579111.87,1 ICD,0BYL0Z0,Lung Trans (Single),,,579111.87,579111.87,1 ICD,0BYL0Z1,Lung Trans (Single),,,579111.87,579111.87,1 ICD,0BYL0Z2,Lung Trans (Single),,,579111.87,579111.87,1 ICD,30230AZ,BMT Allogeneic,,,210867.0,265174.0,4 ICD,30230AZ,BMT Allogeneic Related,,,340756.79,413418.76,2 ICD,30230G2,BMT Allogeneic,,,210867.0,265174.0,4 ICD,30230G2,BMT Allogeneic Related,,,340756.79,413418.76,2 ICD,30230G3,BMT Allogeneic Unrelated,,,210867.0,413418.76,6 ICD,30230G4,BMT Allogeneic,,,210867.0,265174.0,4 ICD,30230G4,BMT Allogeneic Related,,,340756.79,413418.76,2 ICD,30230X2,BMT Allogeneic,,,210867.0,265174.0,4 ICD,30230X2,BMT Allogeneic Related,,,340756.79,413418.76,2 ICD,30230X3,BMT Allogeneic Unrelated,,,210867.0,413418.76,6 ICD,30230X4,BMT Allogeneic,,,210867.0,265174.0,4 ICD,30230X4,BMT Allogeneic Related,,,340756.79,413418.76,2 ICD,30230Y2,BMT Allogeneic,,,210867.0,265174.0,4 ICD,30230Y2,BMT Allogeneic Related,,,340756.79,413418.76,2 ICD,30230Y3,BMT Allogeneic Unrelated,,,210867.0,413418.76,6 ICD,30230Y4,BMT Allogeneic,,,210867.0,265174.0,4 ICD,30230Y4,BMT Allogeneic Related,,,340756.79,413418.76,2 ICD,30233G2,BMT Allogeneic,,,210867.0,265174.0,4 ICD,30233G2,BMT Allogeneic Related,,,340756.79,413418.76,2 ICD,30233G3,BMT Allogeneic Unrelated,,,210867.0,413418.76,6 ICD,30233G4,BMT Allogeneic,,,210867.0,265174.0,4 ICD,30233G4,BMT Allogeneic Related,,,340756.79,413418.76,2 ICD,30233X2,BMT Allogeneic,,,210867.0,265174.0,4 ICD,30233X2,BMT Allogeneic Related,,,340756.79,413418.76,2 ICD,30233X3,BMT Allogeneic Unrelated,,,210867.0,413418.76,6 ICD,30233X4,BMT Allogeneic,,,210867.0,265174.0,4 ICD,30233X4,BMT Allogeneic Related,,,340756.79,413418.76,2 ICD,30233Y2,BMT Allogeneic,,,210867.0,265174.0,4 ICD,30233Y2,BMT Allogeneic Related,,,340756.79,413418.76,2 ICD,30233Y3,BMT Allogeneic Unrelated,,,210867.0,413418.76,6 ICD,30233Y4,BMT Allogeneic,,,210867.0,265174.0,4 ICD,30233Y4,BMT Allogeneic Related,,,340756.79,413418.76,2 ICD,30240G2,BMT Allogeneic,,,210867.0,265174.0,4 ICD,30240G2,BMT Allogeneic Related,,,340756.79,413418.76,2 ICD,30240G3,BMT Allogeneic Unrelated,,,210867.0,413418.76,6 ICD,30240G4,BMT Allogeneic,,,210867.0,265174.0,4 ICD,30240G4,BMT Allogeneic Related,,,340756.79,413418.76,2 ICD,30240X2,BMT Allogeneic,,,210867.0,265174.0,4 ICD,30240X2,BMT Allogeneic Related,,,340756.79,413418.76,2 ICD,30240X3,BMT Allogeneic Unrelated,,,210867.0,413418.76,6 ICD,30240X4,BMT Allogeneic,,,210867.0,265174.0,4 ICD,30240X4,BMT Allogeneic Related,,,340756.79,413418.76,2 ICD,30240Y2,BMT Allogeneic,,,210867.0,265174.0,4 ICD,30240Y2,BMT Allogeneic Related,,,340756.79,413418.76,2 ICD,30240Y3,BMT Allogeneic Unrelated,,,210867.0,413418.76,6 ICD,30240Y4,BMT Allogeneic,,,210867.0,265174.0,4 ICD,30240Y4,BMT Allogeneic Related,,,340756.79,413418.76,2 ICD,30243G2,BMT Allogeneic,,,210867.0,265174.0,4 ICD,30243G2,BMT Allogeneic Related,,,340756.79,413418.76,2 ICD,30243G3,BMT Allogeneic Unrelated,,,210867.0,413418.76,6 ICD,30243G4,BMT Allogeneic,,,210867.0,265174.0,4 ICD,30243G4,BMT Allogeneic Related,,,340756.79,413418.76,2 ICD,30243X2,BMT Allogeneic,,,210867.0,265174.0,4 ICD,30243X2,BMT Allogeneic Related,,,340756.79,413418.76,2 ICD,30243X3,BMT Allogeneic Unrelated,,,210867.0,413418.76,6 ICD,30243X4,BMT Allogeneic,,,210867.0,265174.0,4 ICD,30243X4,BMT Allogeneic Related,,,340756.79,413418.76,2 ICD,30243Y2,BMT Allogeneic,,,210867.0,265174.0,4 ICD,30243Y2,BMT Allogeneic Related,,,340756.79,413418.76,2 ICD,30243Y3,BMT Allogeneic Unrelated,,,210867.0,413418.76,6 ICD,30243Y4,BMT Allogeneic,,,210867.0,265174.0,4 ICD,30243Y4,BMT Allogeneic Related,,,340756.79,413418.76,2 ICD,30250G1,BMT Allogeneic,,,210867.0,265174.0,4 ICD,30250G1,BMT Allogeneic Related,,,340756.79,413418.76,2 ICD,30250X1,BMT Allogeneic,,,210867.0,265174.0,4 ICD,30250X1,BMT Allogeneic Related,,,340756.79,413418.76,2 ICD,30250Y1,BMT Allogeneic,,,210867.0,265174.0,4 ICD,30250Y1,BMT Allogeneic Related,,,340756.79,413418.76,2 ICD,30253G1,BMT Allogeneic,,,210867.0,265174.0,4 ICD,30253G1,BMT Allogeneic Related,,,340756.79,413418.76,2 ICD,30253X1,BMT Allogeneic,,,210867.0,265174.0,4 ICD,30253X1,BMT Allogeneic Related,,,340756.79,413418.76,2 ICD,30253Y1,BMT Allogeneic,,,210867.0,265174.0,4 ICD,30253Y1,BMT Allogeneic Related,,,340756.79,413418.76,2 ICD,30260G1,BMT Allogeneic,,,210867.0,265174.0,4 ICD,30260G1,BMT Allogeneic Related,,,340756.79,413418.76,2 ICD,30260X1,BMT Allogeneic,,,210867.0,265174.0,4 ICD,30260X1,BMT Allogeneic Related,,,340756.79,413418.76,2 ICD,30260Y1,BMT Allogeneic,,,210867.0,265174.0,4 ICD,30260Y1,BMT Allogeneic Related,,,340756.79,413418.76,2 ICD,30263G1,BMT Allogeneic,,,210867.0,265174.0,4 ICD,30263G1,BMT Allogeneic Related,,,340756.79,413418.76,2 ICD,30263X1,BMT Allogeneic,,,210867.0,265174.0,4 ICD,30263X1,BMT Allogeneic Related,,,340756.79,413418.76,2 ICD,30263Y1,BMT Allogeneic,,,210867.0,265174.0,4 ICD,30263Y1,BMT Allogeneic Related,,,340756.79,413418.76,2 ICD,D020DZZ,Gamma Knife IP,,,36587.0,60195.0,3 ICD,D020DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D020HZZ,Gamma Knife IP,,,36587.0,60195.0,3 ICD,D020HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D020JZZ,Gamma Knife IP,,,36587.0,60195.0,3 ICD,D020JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D021DZZ,Gamma Knife IP,,,36587.0,60195.0,3 ICD,D021DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D021HZZ,Gamma Knife IP,,,36587.0,60195.0,3 ICD,D021HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D021JZZ,Gamma Knife IP,,,36587.0,60195.0,3 ICD,D021JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D026DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D026DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D026HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D026HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D026JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D026JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D027DZZ,Gamma Knife IP,,,36587.0,60195.0,3 ICD,D027DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D027HZZ,Gamma Knife IP,,,36587.0,60195.0,3 ICD,D027HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D027JZZ,Gamma Knife IP,,,36587.0,60195.0,3 ICD,D027JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D720DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D720DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D720HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D720HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D720JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D720JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D721DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D721DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D721HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D721HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D721JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D721JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D722DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D722DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D722HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D722HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D722JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D722JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D723DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D723DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D723HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D723HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D723JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D723JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D724DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D724DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D724HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D724HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D724JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D724JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D725DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D725DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D725HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D725HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D725JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D725JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D726DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D726DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D726HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D726HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D726JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D726JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D727DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D727DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D727HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D727HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D727JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D727JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D728DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D728DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D728HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D728HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D728JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D728JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D820DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D820DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D820HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D820HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D820JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D820JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D920DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D920DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D920HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D920HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D920JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D920JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D921DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D921DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D921HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D921HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D921JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D921JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D924DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D924DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D924HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D924HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D924JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D924JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D925DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D925DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D925HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D925HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D925JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D925JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D926DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D926DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D926HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D926HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D926JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D926JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D927DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D927DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D927HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D927HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D927JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D927JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D928DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D928DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D928HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D928HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D928JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D928JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D929DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D929DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D929HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D929HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D929JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D929JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D92BDZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D92BDZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D92BHZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D92BHZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D92BJZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D92BJZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D92CDZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D92CDZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D92CHZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D92CHZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D92CJZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D92CJZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D92DDZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D92DDZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D92DHZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D92DHZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,D92DJZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,D92DJZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DB20DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DB20DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DB20HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DB20HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DB20JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DB20JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DB21DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DB21DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DB21HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DB21HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DB21JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DB21JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DB22DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DB22DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DB22HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DB22HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DB22JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DB22JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DB25DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DB25DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DB25HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DB25HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DB25JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DB25JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DB26DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DB26DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DB26HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DB26HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DB26JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DB26JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DB27DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DB27DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DB27HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DB27HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DB27JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DB27JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DB28DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DB28DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DB28HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DB28HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DB28JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DB28JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DD20DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DD20DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DD20HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DD20HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DD20JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DD20JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DD21DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DD21DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DD21HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DD21HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DD21JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DD21JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DD22DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DD22DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DD22HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DD22HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DD22JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DD22JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DD23DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DD23DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DD23HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DD23HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DD23JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DD23JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DD24DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DD24DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DD24HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DD24HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DD24JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DD24JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DD25DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DD25DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DD25HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DD25HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DD25JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DD25JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DD27DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DD27DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DD27HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DD27HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DD27JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DD27JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DF20DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DF20DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DF20HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DF20HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DF20JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DF20JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DF21DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DF21DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DF21HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DF21HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DF21JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DF21JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DF22DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DF22DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DF22HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DF22HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DF22JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DF22JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DF23DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DF23DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DF23HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DF23HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DF23JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DF23JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DG20DZZ,Gamma Knife IP,,,36587.0,60195.0,3 ICD,DG20DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DG20HZZ,Gamma Knife IP,,,36587.0,60195.0,3 ICD,DG20HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DG20JZZ,Gamma Knife IP,,,36587.0,60195.0,3 ICD,DG20JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DG21DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DG21DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DG21HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DG21HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DG21JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DG21JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DG22DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DG22DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DG22HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DG22HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DG22JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DG22JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DG24DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DG24DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DG24HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DG24HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DG24JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DG24JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DG25DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DG25DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DG25HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DG25HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DG25JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DG25JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DM20DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DM20DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DM20HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DM20HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DM20JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DM20JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DM21DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DM21DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DM21HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DM21HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DM21JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DM21JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DT20DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DT20DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DT20HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DT20HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DT20JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DT20JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DT21DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DT21DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DT21HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DT21HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DT21JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DT21JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DT22DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DT22DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DT22HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DT22HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DT22JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DT22JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DT23DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DT23DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DT23HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DT23HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DT23JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DT23JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DU20DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DU20DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DU20HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DU20HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DU20JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DU20JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DU21DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DU21DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DU21HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DU21HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DU21JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DU21JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DU22DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DU22DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DU22HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DU22HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DU22JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DU22JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DV20DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DV20DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DV20HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DV20HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DV20JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DV20JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DV21DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DV21DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DV21HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DV21HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DV21JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DV21JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DW21DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DW21DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DW21HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DW21HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DW21JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DW21JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DW22DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DW22DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DW22HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DW22HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DW22JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DW22JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DW23DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DW23DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DW23HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DW23HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DW23JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DW23JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DW26DZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DW26DZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DW26HZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DW26HZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,DW26JZZ,Gamma Knife IP,,,44675.0,60195.0,2 ICD,DW26JZZ,Stereo Radiosurgery,,,48241.0,50160.0,3 ICD,F01.50,CD Detox/Substance Abuse OP,,,,,0 ICD,F01.51,CD Detox/Substance Abuse OP,,,,,0 ICD,F02.80,CD Detox/Substance Abuse OP,,,,,0 ICD,F02.81,CD Detox/Substance Abuse OP,,,,,0 ICD,F03.90,CD Detox/Substance Abuse OP,,,,,0 ICD,F04,CD Detox/Substance Abuse OP,,,,,0 ICD,F05,CD Detox/Substance Abuse OP,,,,,0 ICD,F06.0,CD Detox/Substance Abuse OP,,,,,0 ICD,F06.1,CD Detox/Substance Abuse OP,,,,,0 ICD,F06.2,CD Detox/Substance Abuse OP,,,,,0 ICD,F06.30,CD Detox/Substance Abuse OP,,,,,0 ICD,F06.4,CD Detox/Substance Abuse OP,,,,,0 ICD,F06.8,CD Detox/Substance Abuse OP,,,,,0 ICD,F07.0,CD Detox/Substance Abuse OP,,,,,0 ICD,F07.81,CD Detox/Substance Abuse OP,,,,,0 ICD,F09,CD Detox/Substance Abuse OP,,,,,0 ICD,F10.10,CD Detox/Substance Abuse OP,,,,,0 ICD,F10.159,CD Detox/Substance Abuse OP,,,,,0 ICD,F10.180,CD Detox/Substance Abuse OP,,,,,0 ICD,F10.181,CD Detox/Substance Abuse OP,,,,,0 ICD,F10.188,CD Detox/Substance Abuse OP,,,,,0 ICD,F10.20,CD Detox/Substance Abuse OP,,,,,0 ICD,F10.231,CD Detox/Substance Abuse OP,,,,,0 ICD,F10.239,CD Detox/Substance Abuse OP,,,,,0 ICD,F10.259,CD Detox/Substance Abuse OP,,,,,0 ICD,F10.27,CD Detox/Substance Abuse OP,,,,,0 ICD,F10.280,CD Detox/Substance Abuse OP,,,,,0 ICD,F10.281,CD Detox/Substance Abuse OP,,,,,0 ICD,F10.288,CD Detox/Substance Abuse OP,,,,,0 ICD,F10.929,CD Detox/Substance Abuse OP,,,,,0 ICD,F10.950,CD Detox/Substance Abuse OP,,,,,0 ICD,F10.951,CD Detox/Substance Abuse OP,,,,,0 ICD,F10.959,CD Detox/Substance Abuse OP,,,,,0 ICD,F10.96,CD Detox/Substance Abuse OP,,,,,0 ICD,F10.980,CD Detox/Substance Abuse OP,,,,,0 ICD,F10.99,CD Detox/Substance Abuse OP,,,,,0 ICD,F11.10,CD Detox/Substance Abuse OP,,,,,0 ICD,F11.159,CD Detox/Substance Abuse OP,,,,,0 ICD,F11.181,CD Detox/Substance Abuse OP,,,,,0 ICD,F11.188,CD Detox/Substance Abuse OP,,,,,0 ICD,F11.20,CD Detox/Substance Abuse OP,,,,,0 ICD,F11.21,CD Detox/Substance Abuse OP,,,,,0 ICD,F11.222,CD Detox/Substance Abuse OP,,,,,0 ICD,F11.259,CD Detox/Substance Abuse OP,,,,,0 ICD,F11.281,CD Detox/Substance Abuse OP,,,,,0 ICD,F11.288,CD Detox/Substance Abuse OP,,,,,0 ICD,F11.922,CD Detox/Substance Abuse OP,,,,,0 ICD,F11.959,CD Detox/Substance Abuse OP,,,,,0 ICD,F11.981,CD Detox/Substance Abuse OP,,,,,0 ICD,F11.988,CD Detox/Substance Abuse OP,,,,,0 ICD,F12.10,CD Detox/Substance Abuse OP,,,,,0 ICD,F12.122,CD Detox/Substance Abuse OP,,,,,0 ICD,F12.159,CD Detox/Substance Abuse OP,,,,,0 ICD,F12.180,CD Detox/Substance Abuse OP,,,,,0 ICD,F12.188,CD Detox/Substance Abuse OP,,,,,0 ICD,F12.20,CD Detox/Substance Abuse OP,,,,,0 ICD,F12.21,CD Detox/Substance Abuse OP,,,,,0 ICD,F12.222,CD Detox/Substance Abuse OP,,,,,0 ICD,F12.259,CD Detox/Substance Abuse OP,,,,,0 ICD,F12.280,CD Detox/Substance Abuse OP,,,,,0 ICD,F12.288,CD Detox/Substance Abuse OP,,,,,0 ICD,F12.90,CD Detox/Substance Abuse OP,,,,,0 ICD,F12.922,CD Detox/Substance Abuse OP,,,,,0 ICD,F12.959,CD Detox/Substance Abuse OP,,,,,0 ICD,F12.980,CD Detox/Substance Abuse OP,,,,,0 ICD,F12.988,CD Detox/Substance Abuse OP,,,,,0 ICD,F13.10,CD Detox/Substance Abuse OP,,,,,0 ICD,F13.159,CD Detox/Substance Abuse OP,,,,,0 ICD,F13.180,CD Detox/Substance Abuse OP,,,,,0 ICD,F13.181,CD Detox/Substance Abuse OP,,,,,0 ICD,F13.188,CD Detox/Substance Abuse OP,,,,,0 ICD,F13.20,CD Detox/Substance Abuse OP,,,,,0 ICD,F13.21,CD Detox/Substance Abuse OP,,,,,0 ICD,F13.259,CD Detox/Substance Abuse OP,,,,,0 ICD,F13.280,CD Detox/Substance Abuse OP,,,,,0 ICD,F13.281,CD Detox/Substance Abuse OP,,,,,0 ICD,F13.288,CD Detox/Substance Abuse OP,,,,,0 ICD,F13.959,CD Detox/Substance Abuse OP,,,,,0 ICD,F13.980,CD Detox/Substance Abuse OP,,,,,0 ICD,F13.981,CD Detox/Substance Abuse OP,,,,,0 ICD,F13.988,CD Detox/Substance Abuse OP,,,,,0 ICD,F14.10,CD Detox/Substance Abuse OP,,,,,0 ICD,F14.122,CD Detox/Substance Abuse OP,,,,,0 ICD,F14.159,CD Detox/Substance Abuse OP,,,,,0 ICD,F14.180,CD Detox/Substance Abuse OP,,,,,0 ICD,F14.181,CD Detox/Substance Abuse OP,,,,,0 ICD,F14.188,CD Detox/Substance Abuse OP,,,,,0 ICD,F14.20,CD Detox/Substance Abuse OP,,,,,0 ICD,F14.21,CD Detox/Substance Abuse OP,,,,,0 ICD,F14.222,CD Detox/Substance Abuse OP,,,,,0 ICD,F14.259,CD Detox/Substance Abuse OP,,,,,0 ICD,F14.280,CD Detox/Substance Abuse OP,,,,,0 ICD,F14.281,CD Detox/Substance Abuse OP,,,,,0 ICD,F14.288,CD Detox/Substance Abuse OP,,,,,0 ICD,F14.922,CD Detox/Substance Abuse OP,,,,,0 ICD,F14.959,CD Detox/Substance Abuse OP,,,,,0 ICD,F14.980,CD Detox/Substance Abuse OP,,,,,0 ICD,F14.981,CD Detox/Substance Abuse OP,,,,,0 ICD,F14.988,CD Detox/Substance Abuse OP,,,,,0 ICD,F15.10,CD Detox/Substance Abuse OP,,,,,0 ICD,F15.122,CD Detox/Substance Abuse OP,,,,,0 ICD,F15.159,CD Detox/Substance Abuse OP,,,,,0 ICD,F15.180,CD Detox/Substance Abuse OP,,,,,0 ICD,F15.181,CD Detox/Substance Abuse OP,,,,,0 ICD,F15.188,CD Detox/Substance Abuse OP,,,,,0 ICD,F15.20,CD Detox/Substance Abuse OP,,,,,0 ICD,F15.21,CD Detox/Substance Abuse OP,,,,,0 ICD,F15.222,CD Detox/Substance Abuse OP,,,,,0 ICD,F15.259,CD Detox/Substance Abuse OP,,,,,0 ICD,F15.280,CD Detox/Substance Abuse OP,,,,,0 ICD,F15.281,CD Detox/Substance Abuse OP,,,,,0 ICD,F15.288,CD Detox/Substance Abuse OP,,,,,0 ICD,F15.920,CD Detox/Substance Abuse OP,,,,,0 ICD,F15.922,CD Detox/Substance Abuse OP,,,,,0 ICD,F15.959,CD Detox/Substance Abuse OP,,,,,0 ICD,F15.980,CD Detox/Substance Abuse OP,,,,,0 ICD,F15.981,CD Detox/Substance Abuse OP,,,,,0 ICD,F15.988,CD Detox/Substance Abuse OP,,,,,0 ICD,F16.10,CD Detox/Substance Abuse OP,,,,,0 ICD,F16.122,CD Detox/Substance Abuse OP,,,,,0 ICD,F16.159,CD Detox/Substance Abuse OP,,,,,0 ICD,F16.180,CD Detox/Substance Abuse OP,,,,,0 ICD,F16.183,CD Detox/Substance Abuse OP,,,,,0 ICD,F16.188,CD Detox/Substance Abuse OP,,,,,0 ICD,F16.20,CD Detox/Substance Abuse OP,,,,,0 ICD,F16.21,CD Detox/Substance Abuse OP,,,,,0 ICD,F16.259,CD Detox/Substance Abuse OP,,,,,0 ICD,F16.280,CD Detox/Substance Abuse OP,,,,,0 ICD,F16.283,CD Detox/Substance Abuse OP,,,,,0 ICD,F16.288,CD Detox/Substance Abuse OP,,,,,0 ICD,F16.959,CD Detox/Substance Abuse OP,,,,,0 ICD,F16.980,CD Detox/Substance Abuse OP,,,,,0 ICD,F16.983,CD Detox/Substance Abuse OP,,,,,0 ICD,F16.988,CD Detox/Substance Abuse OP,,,,,0 ICD,F17.200,CD Detox/Substance Abuse OP,,,,,0 ICD,F17.208,CD Detox/Substance Abuse OP,,,,,0 ICD,F17.218,CD Detox/Substance Abuse OP,,,,,0 ICD,F17.228,CD Detox/Substance Abuse OP,,,,,0 ICD,F17.298,CD Detox/Substance Abuse OP,,,,,0 ICD,F18.159,CD Detox/Substance Abuse OP,,,,,0 ICD,F18.180,CD Detox/Substance Abuse OP,,,,,0 ICD,F18.188,CD Detox/Substance Abuse OP,,,,,0 ICD,F18.259,CD Detox/Substance Abuse OP,,,,,0 ICD,F18.280,CD Detox/Substance Abuse OP,,,,,0 ICD,F18.288,CD Detox/Substance Abuse OP,,,,,0 ICD,F18.959,CD Detox/Substance Abuse OP,,,,,0 ICD,F18.980,CD Detox/Substance Abuse OP,,,,,0 ICD,F18.988,CD Detox/Substance Abuse OP,,,,,0 ICD,F19.10,CD Detox/Substance Abuse OP,,,,,0 ICD,F19.122,CD Detox/Substance Abuse OP,,,,,0 ICD,F19.159,CD Detox/Substance Abuse OP,,,,,0 ICD,F19.180,CD Detox/Substance Abuse OP,,,,,0 ICD,F19.181,CD Detox/Substance Abuse OP,,,,,0 ICD,F19.188,CD Detox/Substance Abuse OP,,,,,0 ICD,F19.20,CD Detox/Substance Abuse OP,,,,,0 ICD,F19.21,CD Detox/Substance Abuse OP,,,,,0 ICD,F19.222,CD Detox/Substance Abuse OP,,,,,0 ICD,F19.259,CD Detox/Substance Abuse OP,,,,,0 ICD,F19.280,CD Detox/Substance Abuse OP,,,,,0 ICD,F19.281,CD Detox/Substance Abuse OP,,,,,0 ICD,F19.288,CD Detox/Substance Abuse OP,,,,,0 ICD,F19.921,CD Detox/Substance Abuse OP,,,,,0 ICD,F19.922,CD Detox/Substance Abuse OP,,,,,0 ICD,F19.939,CD Detox/Substance Abuse OP,,,,,0 ICD,F19.94,CD Detox/Substance Abuse OP,,,,,0 ICD,F19.950,CD Detox/Substance Abuse OP,,,,,0 ICD,F19.951,CD Detox/Substance Abuse OP,,,,,0 ICD,F19.959,CD Detox/Substance Abuse OP,,,,,0 ICD,F19.96,CD Detox/Substance Abuse OP,,,,,0 ICD,F19.97,CD Detox/Substance Abuse OP,,,,,0 ICD,F19.980,CD Detox/Substance Abuse OP,,,,,0 ICD,F19.981,CD Detox/Substance Abuse OP,,,,,0 ICD,F19.988,CD Detox/Substance Abuse OP,,,,,0 ICD,F19.99,CD Detox/Substance Abuse OP,,,,,0 ICD,F20.0,CD Detox/Substance Abuse OP,,,,,0 ICD,F20.1,CD Detox/Substance Abuse OP,,,,,0 ICD,F20.2,CD Detox/Substance Abuse OP,,,,,0 ICD,F20.5,CD Detox/Substance Abuse OP,,,,,0 ICD,F20.81,CD Detox/Substance Abuse OP,,,,,0 ICD,F20.89,CD Detox/Substance Abuse OP,,,,,0 ICD,F20.9,CD Detox/Substance Abuse OP,,,,,0 ICD,F21,CD Detox/Substance Abuse OP,,,,,0 ICD,F22,CD Detox/Substance Abuse OP,,,,,0 ICD,F23,CD Detox/Substance Abuse OP,,,,,0 ICD,F24,CD Detox/Substance Abuse OP,,,,,0 ICD,F25.9,CD Detox/Substance Abuse OP,,,,,0 ICD,F28,CD Detox/Substance Abuse OP,,,,,0 ICD,F29,CD Detox/Substance Abuse OP,,,,,0 ICD,F30.11,CD Detox/Substance Abuse OP,,,,,0 ICD,F30.12,CD Detox/Substance Abuse OP,,,,,0 ICD,F30.13,CD Detox/Substance Abuse OP,,,,,0 ICD,F30.2,CD Detox/Substance Abuse OP,,,,,0 ICD,F30.3,CD Detox/Substance Abuse OP,,,,,0 ICD,F30.4,CD Detox/Substance Abuse OP,,,,,0 ICD,F30.8,CD Detox/Substance Abuse OP,,,,,0 ICD,F31.11,CD Detox/Substance Abuse OP,,,,,0 ICD,F31.12,CD Detox/Substance Abuse OP,,,,,0 ICD,F31.13,CD Detox/Substance Abuse OP,,,,,0 ICD,F31.2,CD Detox/Substance Abuse OP,,,,,0 ICD,F31.30,CD Detox/Substance Abuse OP,,,,,0 ICD,F31.31,CD Detox/Substance Abuse OP,,,,,0 ICD,F31.32,CD Detox/Substance Abuse OP,,,,,0 ICD,F31.4,CD Detox/Substance Abuse OP,,,,,0 ICD,F31.5,CD Detox/Substance Abuse OP,,,,,0 ICD,F31.60,CD Detox/Substance Abuse OP,,,,,0 ICD,F31.61,CD Detox/Substance Abuse OP,,,,,0 ICD,F31.62,CD Detox/Substance Abuse OP,,,,,0 ICD,F31.63,CD Detox/Substance Abuse OP,,,,,0 ICD,F31.64,CD Detox/Substance Abuse OP,,,,,0 ICD,F31.73,CD Detox/Substance Abuse OP,,,,,0 ICD,F31.74,CD Detox/Substance Abuse OP,,,,,0 ICD,F31.75,CD Detox/Substance Abuse OP,,,,,0 ICD,F31.76,CD Detox/Substance Abuse OP,,,,,0 ICD,F31.77,CD Detox/Substance Abuse OP,,,,,0 ICD,F31.78,CD Detox/Substance Abuse OP,,,,,0 ICD,F31.81,CD Detox/Substance Abuse OP,,,,,0 ICD,F31.9,CD Detox/Substance Abuse OP,,,,,0 ICD,F32.0,CD Detox/Substance Abuse OP,,,,,0 ICD,F32.1,CD Detox/Substance Abuse OP,,,,,0 ICD,F32.2,CD Detox/Substance Abuse OP,,,,,0 ICD,F32.3,CD Detox/Substance Abuse OP,,,,,0 ICD,F32.4,CD Detox/Substance Abuse OP,,,,,0 ICD,F32.5,CD Detox/Substance Abuse OP,,,,,0 ICD,F32.8,CD Detox/Substance Abuse OP,,,,,0 ICD,F32.9,CD Detox/Substance Abuse OP,,,,,0 ICD,F33.0,CD Detox/Substance Abuse OP,,,,,0 ICD,F33.1,CD Detox/Substance Abuse OP,,,,,0 ICD,F33.2,CD Detox/Substance Abuse OP,,,,,0 ICD,F33.3,CD Detox/Substance Abuse OP,,,,,0 ICD,F33.41,CD Detox/Substance Abuse OP,,,,,0 ICD,F33.42,CD Detox/Substance Abuse OP,,,,,0 ICD,F33.9,CD Detox/Substance Abuse OP,,,,,0 ICD,F34.0,CD Detox/Substance Abuse OP,,,,,0 ICD,F34.1,CD Detox/Substance Abuse OP,,,,,0 ICD,F34.8,CD Detox/Substance Abuse OP,,,,,0 ICD,F39,CD Detox/Substance Abuse OP,,,,,0 ICD,F40.01,CD Detox/Substance Abuse OP,,,,,0 ICD,F40.02,CD Detox/Substance Abuse OP,,,,,0 ICD,F40.10,CD Detox/Substance Abuse OP,,,,,0 ICD,F40.218,CD Detox/Substance Abuse OP,,,,,0 ICD,F40.240,CD Detox/Substance Abuse OP,,,,,0 ICD,F40.241,CD Detox/Substance Abuse OP,,,,,0 ICD,F40.8,CD Detox/Substance Abuse OP,,,,,0 ICD,F40.9,CD Detox/Substance Abuse OP,,,,,0 ICD,F41.0,CD Detox/Substance Abuse OP,,,,,0 ICD,F41.1,CD Detox/Substance Abuse OP,,,,,0 ICD,F41.8,CD Detox/Substance Abuse OP,,,,,0 ICD,F41.9,CD Detox/Substance Abuse OP,,,,,0 ICD,F42,CD Detox/Substance Abuse OP,,,,,0 ICD,F43.0,CD Detox/Substance Abuse OP,,,,,0 ICD,F43.10,CD Detox/Substance Abuse OP,,,,,0 ICD,F43.12,CD Detox/Substance Abuse OP,,,,,0 ICD,F43.20,CD Detox/Substance Abuse OP,,,,,0 ICD,F43.21,CD Detox/Substance Abuse OP,,,,,0 ICD,F43.22,CD Detox/Substance Abuse OP,,,,,0 ICD,F43.23,CD Detox/Substance Abuse OP,,,,,0 ICD,F43.24,CD Detox/Substance Abuse OP,,,,,0 ICD,F43.25,CD Detox/Substance Abuse OP,,,,,0 ICD,F43.29,CD Detox/Substance Abuse OP,,,,,0 ICD,F43.8,CD Detox/Substance Abuse OP,,,,,0 ICD,F44.0,CD Detox/Substance Abuse OP,,,,,0 ICD,F44.1,CD Detox/Substance Abuse OP,,,,,0 ICD,F44.4,CD Detox/Substance Abuse OP,,,,,0 ICD,F44.6,CD Detox/Substance Abuse OP,,,,,0 ICD,F44.81,CD Detox/Substance Abuse OP,,,,,0 ICD,F44.89,CD Detox/Substance Abuse OP,,,,,0 ICD,F44.9,CD Detox/Substance Abuse OP,,,,,0 ICD,F45.0,CD Detox/Substance Abuse OP,,,,,0 ICD,F45.1,CD Detox/Substance Abuse OP,,,,,0 ICD,F45.21,CD Detox/Substance Abuse OP,,,,,0 ICD,F45.22,CD Detox/Substance Abuse OP,,,,,0 ICD,F45.41,CD Detox/Substance Abuse OP,,,,,0 ICD,F45.42,CD Detox/Substance Abuse OP,,,,,0 ICD,F45.8,CD Detox/Substance Abuse OP,,,,,0 ICD,F45.9,CD Detox/Substance Abuse OP,,,,,0 ICD,F48.1,CD Detox/Substance Abuse OP,,,,,0 ICD,F48.8,CD Detox/Substance Abuse OP,,,,,0 ICD,F48.9,CD Detox/Substance Abuse OP,,,,,0 ICD,F50.00,CD Detox/Substance Abuse OP,,,,,0 ICD,F50.2,CD Detox/Substance Abuse OP,,,,,0 ICD,F50.8,CD Detox/Substance Abuse OP,,,,,0 ICD,F50.9,CD Detox/Substance Abuse OP,,,,,0 ICD,F51.01,CD Detox/Substance Abuse OP,,,,,0 ICD,F51.02,CD Detox/Substance Abuse OP,,,,,0 ICD,F51.03,CD Detox/Substance Abuse OP,,,,,0 ICD,F51.09,CD Detox/Substance Abuse OP,,,,,0 ICD,F51.11,CD Detox/Substance Abuse OP,,,,,0 ICD,F51.12,CD Detox/Substance Abuse OP,,,,,0 ICD,F51.19,CD Detox/Substance Abuse OP,,,,,0 ICD,F51.3,CD Detox/Substance Abuse OP,,,,,0 ICD,F51.8,CD Detox/Substance Abuse OP,,,,,0 ICD,F51.9,CD Detox/Substance Abuse OP,,,,,0 ICD,F52.0,CD Detox/Substance Abuse OP,,,,,0 ICD,F52.1,CD Detox/Substance Abuse OP,,,,,0 ICD,F52.21,CD Detox/Substance Abuse OP,,,,,0 ICD,F52.31,CD Detox/Substance Abuse OP,,,,,0 ICD,F52.32,CD Detox/Substance Abuse OP,,,,,0 ICD,F52.4,CD Detox/Substance Abuse OP,,,,,0 ICD,F52.5,CD Detox/Substance Abuse OP,,,,,0 ICD,F52.6,CD Detox/Substance Abuse OP,,,,,0 ICD,F52.8,CD Detox/Substance Abuse OP,,,,,0 ICD,F53,CD Detox/Substance Abuse OP,,,,,0 ICD,F54,CD Detox/Substance Abuse OP,,,,,0 ICD,F59,CD Detox/Substance Abuse OP,,,,,0 ICD,F60.0,CD Detox/Substance Abuse OP,,,,,0 ICD,F60.1,CD Detox/Substance Abuse OP,,,,,0 ICD,F60.2,CD Detox/Substance Abuse OP,,,,,0 ICD,F60.3,CD Detox/Substance Abuse OP,,,,,0 ICD,F60.4,CD Detox/Substance Abuse OP,,,,,0 ICD,F60.5,CD Detox/Substance Abuse OP,,,,,0 ICD,F60.6,CD Detox/Substance Abuse OP,,,,,0 ICD,F60.7,CD Detox/Substance Abuse OP,,,,,0 ICD,F60.81,CD Detox/Substance Abuse OP,,,,,0 ICD,F60.89,CD Detox/Substance Abuse OP,,,,,0 ICD,F60.9,CD Detox/Substance Abuse OP,,,,,0 ICD,F63.0,CD Detox/Substance Abuse OP,,,,,0 ICD,F63.1,CD Detox/Substance Abuse OP,,,,,0 ICD,F63.2,CD Detox/Substance Abuse OP,,,,,0 ICD,F63.3,CD Detox/Substance Abuse OP,,,,,0 ICD,F63.81,CD Detox/Substance Abuse OP,,,,,0 ICD,F63.89,CD Detox/Substance Abuse OP,,,,,0 ICD,F64.1,CD Detox/Substance Abuse OP,,,,,0 ICD,F64.2,CD Detox/Substance Abuse OP,,,,,0 ICD,F65.0,CD Detox/Substance Abuse OP,,,,,0 ICD,F65.1,CD Detox/Substance Abuse OP,,,,,0 ICD,F65.2,CD Detox/Substance Abuse OP,,,,,0 ICD,F65.3,CD Detox/Substance Abuse OP,,,,,0 ICD,F65.4,CD Detox/Substance Abuse OP,,,,,0 ICD,F65.51,CD Detox/Substance Abuse OP,,,,,0 ICD,F65.52,CD Detox/Substance Abuse OP,,,,,0 ICD,F65.81,CD Detox/Substance Abuse OP,,,,,0 ICD,F65.89,CD Detox/Substance Abuse OP,,,,,0 ICD,F65.9,CD Detox/Substance Abuse OP,,,,,0 ICD,F66,CD Detox/Substance Abuse OP,,,,,0 ICD,F68.11,CD Detox/Substance Abuse OP,,,,,0 ICD,F68.12,CD Detox/Substance Abuse OP,,,,,0 ICD,F68.8,CD Detox/Substance Abuse OP,,,,,0 ICD,F70,CD Detox/Substance Abuse OP,,,,,0 ICD,F71,CD Detox/Substance Abuse OP,,,,,0 ICD,F72,CD Detox/Substance Abuse OP,,,,,0 ICD,F73,CD Detox/Substance Abuse OP,,,,,0 ICD,F79,CD Detox/Substance Abuse OP,,,,,0 ICD,F80.0,CD Detox/Substance Abuse OP,,,,,0 ICD,F80.1,CD Detox/Substance Abuse OP,,,,,0 ICD,F80.2,CD Detox/Substance Abuse OP,,,,,0 ICD,F80.89,CD Detox/Substance Abuse OP,,,,,0 ICD,F81.0,CD Detox/Substance Abuse OP,,,,,0 ICD,F81.2,CD Detox/Substance Abuse OP,,,,,0 ICD,F81.81,CD Detox/Substance Abuse OP,,,,,0 ICD,F81.89,CD Detox/Substance Abuse OP,,,,,0 ICD,F81.9,CD Detox/Substance Abuse OP,,,,,0 ICD,F82,CD Detox/Substance Abuse OP,,,,,0 ICD,F84.0,CD Detox/Substance Abuse OP,,,,,0 ICD,F84.3,CD Detox/Substance Abuse OP,,,,,0 ICD,F84.5,CD Detox/Substance Abuse OP,,,,,0 ICD,F84.8,CD Detox/Substance Abuse OP,,,,,0 ICD,F84.9,CD Detox/Substance Abuse OP,,,,,0 ICD,F88,CD Detox/Substance Abuse OP,,,,,0 ICD,F89,CD Detox/Substance Abuse OP,,,,,0 ICD,F90.0,CD Detox/Substance Abuse OP,,,,,0 ICD,F90.1,CD Detox/Substance Abuse OP,,,,,0 ICD,F90.2,CD Detox/Substance Abuse OP,,,,,0 ICD,F90.8,CD Detox/Substance Abuse OP,,,,,0 ICD,F90.9,CD Detox/Substance Abuse OP,,,,,0 ICD,F91.1,CD Detox/Substance Abuse OP,,,,,0 ICD,F91.2,CD Detox/Substance Abuse OP,,,,,0 ICD,F91.3,CD Detox/Substance Abuse OP,,,,,0 ICD,F91.8,CD Detox/Substance Abuse OP,,,,,0 ICD,F91.9,CD Detox/Substance Abuse OP,,,,,0 ICD,F93.0,CD Detox/Substance Abuse OP,,,,,0 ICD,F93.8,CD Detox/Substance Abuse OP,,,,,0 ICD,F93.9,CD Detox/Substance Abuse OP,,,,,0 ICD,F94.0,CD Detox/Substance Abuse OP,,,,,0 ICD,F94.1,CD Detox/Substance Abuse OP,,,,,0 ICD,F94.8,CD Detox/Substance Abuse OP,,,,,0 ICD,F95.0,CD Detox/Substance Abuse OP,,,,,0 ICD,F95.1,CD Detox/Substance Abuse OP,,,,,0 ICD,F95.2,CD Detox/Substance Abuse OP,,,,,0 ICD,F95.9,CD Detox/Substance Abuse OP,,,,,0 ICD,F98.0,CD Detox/Substance Abuse OP,,,,,0 ICD,F98.1,CD Detox/Substance Abuse OP,,,,,0 ICD,F98.21,CD Detox/Substance Abuse OP,,,,,0 ICD,F98.29,CD Detox/Substance Abuse OP,,,,,0 ICD,F98.3,CD Detox/Substance Abuse OP,,,,,0 ICD,F98.4,CD Detox/Substance Abuse OP,,,,,0 ICD,F98.5,CD Detox/Substance Abuse OP,,,,,0 ICD,F98.8,CD Detox/Substance Abuse OP,,,,,0 ICD,F98.9,CD Detox/Substance Abuse OP,,,,,0 ICD,F99,CD Detox/Substance Abuse OP,,,,,0 ICD,G44.209,CD Detox/Substance Abuse OP,,,,,0 ICD,H93.25,CD Detox/Substance Abuse OP,,,,,0 ICD,R45.1,CD Detox/Substance Abuse OP,,,,,0 ICD,R45.7,CD Detox/Substance Abuse OP,,,,,0 ICD,R48.0,CD Detox/Substance Abuse OP,,,,,0 ICD,Z87.890,CD Detox/Substance Abuse OP,,,,,0 MS-DRG,1,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC,,,544.94,686005.21,52 MS-DRG,10,PANCREAS TRANSPLANT,,,544.94,254735.84,50 MS-DRG,100,SEIZURES WITH MCC,,,544.94,58383.81,53 MS-DRG,101,SEIZURES WITHOUT MCC,,,544.94,54818.0,53 MS-DRG,102,HEADACHES WITH MCC,,,544.94,45863.82,53 MS-DRG,103,HEADACHES WITHOUT MCC,,,544.94,25209.82,53 MS-DRG,11,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC",,,544.94,164410.95,53 MS-DRG,113,ORBITAL PROCEDURES WITH CC/MCC,,,544.94,70872.66,53 MS-DRG,114,ORBITAL PROCEDURES WITHOUT CC/MCC,,,544.94,95155.8,53 MS-DRG,115,EXTRAOCULAR PROCEDURES EXCEPT ORBIT,,,544.94,46268.75,53 MS-DRG,116,INTRAOCULAR PROCEDURES WITH CC/MCC,,,544.94,63459.68,53 MS-DRG,117,INTRAOCULAR PROCEDURES WITHOUT CC/MCC,,,544.94,32703.74,53 MS-DRG,12,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC",,,544.94,127089.09,53 MS-DRG,121,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC,,,544.94,35067.06,53 MS-DRG,122,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC,,,544.94,23687.52,53 MS-DRG,123,NEUROLOGICAL EYE DISORDERS,,,544.94,24073.37,53 MS-DRG,124,OTHER DISORDERS OF THE EYE WITH MCC,,,544.94,41999.34,53 MS-DRG,125,OTHER DISORDERS OF THE EYE WITHOUT MCC,,,544.94,23144.92,53 MS-DRG,13,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC",,,544.94,90405.97,53 MS-DRG,135,SINUS AND MASTOID PROCEDURES WITH CC/MCC,,,544.94,65413.5,53 MS-DRG,136,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC,,,544.94,46921.03,53 MS-DRG,137,MOUTH PROCEDURES WITH CC/MCC,,,544.94,45011.72,53 MS-DRG,138,MOUTH PROCEDURES WITHOUT CC/MCC,,,544.94,26714.03,53 MS-DRG,139,SALIVARY GLAND PROCEDURES,,,544.94,37249.52,53 MS-DRG,14,ALLOGENEIC BONE MARROW TRANSPLANT,,,544.94,421653.0,58 MS-DRG,140,MAJOR HEAD AND NECK PROCEDURES WITH MCC,,,544.94,184620.42,52 MS-DRG,141,MAJOR HEAD AND NECK PROCEDURES WITH CC,,,544.94,70160.27,52 MS-DRG,142,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC,,,544.94,55594.76,52 MS-DRG,143,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC",,,544.94,121135.93,52 MS-DRG,144,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC",,,544.94,52237.35,52 MS-DRG,145,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC",,,544.94,73916.87,52 MS-DRG,146,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC",,,544.94,63827.9,53 MS-DRG,147,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC",,,544.94,38328.69,53 MS-DRG,148,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC",,,544.94,50284.81,53 MS-DRG,149,DYSEQUILIBRIUM,,,544.94,22656.58,53 MS-DRG,150,EPISTAXIS WITH MCC,,,544.94,40137.36,53 MS-DRG,151,EPISTAXIS WITHOUT MCC,,,544.94,22126.04,53 MS-DRG,152,OTITIS MEDIA AND URI WITH MCC,,,544.94,35636.79,53 MS-DRG,153,OTITIS MEDIA AND URI WITHOUT MCC,,,544.94,22252.65,53 MS-DRG,154,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC",,,544.94,57331.51,53 MS-DRG,155,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC",,,544.94,27627.41,53 MS-DRG,156,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC",,,544.94,20832.84,53 MS-DRG,157,DENTAL AND ORAL DISEASES WITH MCC,,,544.94,51752.03,53 MS-DRG,158,DENTAL AND ORAL DISEASES WITH CC,,,544.94,27425.44,53 MS-DRG,159,DENTAL AND ORAL DISEASES WITHOUT CC/MCC,,,544.94,21357.36,53 MS-DRG,16,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC,,,544.94,289270.03,59 MS-DRG,163,MAJOR CHEST PROCEDURES WITH MCC,,,544.94,322003.03,53 MS-DRG,164,MAJOR CHEST PROCEDURES WITH CC,,,544.94,113793.0,53 MS-DRG,165,MAJOR CHEST PROCEDURES WITHOUT CC/MCC,,,544.94,92897.0,53 MS-DRG,166,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC,,,544.94,112670.99,53 MS-DRG,167,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC,,,544.94,54362.54,53 MS-DRG,168,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,544.94,41189.4,53 MS-DRG,17,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC,,,544.94,289270.03,59 MS-DRG,173,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM,,,544.94,89722.0,50 MS-DRG,175,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE,,,544.94,49658.05,53 MS-DRG,176,PULMONARY EMBOLISM WITHOUT MCC,,,544.94,24266.3,53 MS-DRG,177,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC,,,544.94,71324.43,53 MS-DRG,178,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC,,,544.94,64710.84,53 MS-DRG,179,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC,,,544.94,24186.0,53 MS-DRG,18,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,,,544.94,2860061.0,52 MS-DRG,180,RESPIRATORY NEOPLASMS WITH MCC,,,544.94,53235.13,53 MS-DRG,181,RESPIRATORY NEOPLASMS WITH CC,,,544.94,32284.73,53 MS-DRG,182,RESPIRATORY NEOPLASMS WITHOUT CC/MCC,,,544.94,22789.86,53 MS-DRG,183,MAJOR CHEST TRAUMA WITH MCC,,,544.94,46118.02,53 MS-DRG,184,MAJOR CHEST TRAUMA WITH CC,,,544.94,32076.73,53 MS-DRG,185,MAJOR CHEST TRAUMA WITHOUT CC/MCC,,,544.94,23708.63,53 MS-DRG,186,PLEURAL EFFUSION WITH MCC,,,544.94,46980.16,53 MS-DRG,187,PLEURAL EFFUSION WITH CC,,,544.94,29815.9,53 MS-DRG,188,PLEURAL EFFUSION WITHOUT CC/MCC,,,544.94,21619.61,53 MS-DRG,189,PULMONARY EDEMA AND RESPIRATORY FAILURE,,,544.94,40341.74,53 MS-DRG,19,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS,,,544.94,215068.74,50 MS-DRG,190,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC,,,544.94,39023.28,53 MS-DRG,191,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC,,,544.94,25411.79,53 MS-DRG,192,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC,,,544.94,19352.75,53 MS-DRG,193,SIMPLE PNEUMONIA AND PLEURISY WITH MCC,,,544.94,39621.89,53 MS-DRG,194,SIMPLE PNEUMONIA AND PLEURISY WITH CC,,,544.94,24293.43,53 MS-DRG,195,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC,,,544.94,18945.8,53 MS-DRG,196,INTERSTITIAL LUNG DISEASE WITH MCC,,,544.94,56888.64,53 MS-DRG,197,INTERSTITIAL LUNG DISEASE WITH CC,,,544.94,207316.84,53 MS-DRG,198,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC,,,544.94,104210.4,53 MS-DRG,199,PNEUMOTHORAX WITH MCC,,,544.94,73608.86,53 MS-DRG,2,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC,,,544.94,608356.0,52 MS-DRG,20,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC,,,544.94,271028.61,53 MS-DRG,200,PNEUMOTHORAX WITH CC,,,544.94,34351.7,53 MS-DRG,201,PNEUMOTHORAX WITHOUT CC/MCC,,,544.94,50930.81,53 MS-DRG,202,BRONCHITIS AND ASTHMA WITH CC/MCC,,,544.94,29276.31,53 MS-DRG,203,BRONCHITIS AND ASTHMA WITHOUT CC/MCC,,,544.94,20196.79,53 MS-DRG,204,RESPIRATORY SIGNS AND SYMPTOMS,,,544.94,24338.65,53 MS-DRG,205,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC,,,544.94,55194.52,53 MS-DRG,206,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC,,,544.94,28368.96,53 MS-DRG,207,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS,,,544.94,362687.16,53 MS-DRG,208,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS,,,544.94,82858.1,53 MS-DRG,21,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC,,,544.94,258611.36,53 MS-DRG,212,HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17,,,544.94,327793.98,50 MS-DRG,215,OTHER HEART ASSIST SYSTEM IMPLANT,,,544.94,397472.0,53 MS-DRG,216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC,,,544.94,294897.32,53 MS-DRG,217,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC,,,544.94,198208.93,53 MS-DRG,218,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC,,,544.94,198208.93,53 MS-DRG,219,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC,,,544.94,231458.28,53 MS-DRG,22,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC,,,544.94,250322.55,53 MS-DRG,220,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC,,,544.94,160754.43,53 MS-DRG,221,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC,,,544.94,151934.16,53 MS-DRG,228,OTHER CARDIOTHORACIC PROCEDURES WITH MCC,,,544.94,174055.0,53 MS-DRG,229,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC,,,544.94,114153.0,53 MS-DRG,23,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR,,,544.94,200839.49,53 MS-DRG,231,CORONARY BYPASS WITH PTCA WITH MCC,,,544.94,254114.87,53 MS-DRG,232,CORONARY BYPASS WITH PTCA WITHOUT MCC,,,544.94,182753.86,53 MS-DRG,233,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC,,,544.94,230460.5,53 MS-DRG,234,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC,,,544.94,164670.2,53 MS-DRG,235,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC,,,544.94,176905.84,53 MS-DRG,236,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC,,,544.94,126269.16,53 MS-DRG,239,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC,,,544.94,148362.04,53 MS-DRG,24,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC,,,544.94,117922.15,53 MS-DRG,240,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC,,,544.94,85926.81,53 MS-DRG,241,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC,,,544.94,47807.25,53 MS-DRG,242,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC,,,544.94,115773.48,53 MS-DRG,243,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC,,,544.94,66214.0,53 MS-DRG,244,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC,,,544.94,54486.13,53 MS-DRG,245,AICD GENERATOR PROCEDURES,,,544.94,137531.13,53 MS-DRG,25,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC,,,544.94,137057.86,53 MS-DRG,250,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC,,,544.94,86999.39,53 MS-DRG,251,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC,,,544.94,64455.02,53 MS-DRG,252,OTHER VASCULAR PROCEDURES WITH MCC,,,544.94,105152.95,53 MS-DRG,253,OTHER VASCULAR PROCEDURES WITH CC,,,544.94,82776.22,53 MS-DRG,254,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC,,,544.94,53708.4,53 MS-DRG,255,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC,,,544.94,81311.69,53 MS-DRG,256,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC,,,544.94,51182.3,53 MS-DRG,257,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC,,,544.94,32923.79,53 MS-DRG,258,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC,,,544.94,94716.94,53 MS-DRG,259,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC,,,544.94,60955.13,53 MS-DRG,26,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC,,,544.94,93725.19,53 MS-DRG,260,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC,,,544.94,98053.93,53 MS-DRG,261,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC,,,544.94,56988.12,53 MS-DRG,262,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC,,,544.94,49132.47,53 MS-DRG,263,VEIN LIGATION AND STRIPPING,,,544.94,92163.7,53 MS-DRG,264,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,,,544.94,100700.62,53 MS-DRG,265,AICD LEAD PROCEDURES,,,544.94,109068.72,53 MS-DRG,266,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC,,,544.94,215305.0,53 MS-DRG,267,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC,,,544.94,164197.0,53 MS-DRG,268,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC,,,544.94,351490.2,53 MS-DRG,269,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC,,,544.94,146312.79,53 MS-DRG,27,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC,,,544.94,86722.0,53 MS-DRG,270,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC,,,544.94,159051.27,53 MS-DRG,271,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC,,,544.94,107202.78,53 MS-DRG,272,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC,,,544.94,76958.83,53 MS-DRG,273,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC,,,544.94,124361.01,53 MS-DRG,274,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC,,,544.94,99226.55,53 MS-DRG,275,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC,,,544.94,214942.13,50 MS-DRG,276,NON-MALIGANT BREAST DISORDERS,,,544.94,181065.77,50 MS-DRG,277,CELLULITIS AGE >17 W CC,,,544.94,232912.0,50 MS-DRG,278,CELLULITIS AGE >17 W/O CC,,,544.94,167790.15,50 MS-DRG,279,CELLULITIS AGE 0-17,,,544.94,108713.02,50 MS-DRG,28,SPINAL PROCEDURES WITH MCC,,,544.94,181117.02,53 MS-DRG,280,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC",,,544.94,48354.74,53 MS-DRG,281,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC",,,544.94,27705.78,53 MS-DRG,282,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC",,,544.94,21797.47,53 MS-DRG,283,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC",,,544.94,59710.17,53 MS-DRG,284,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC",,,544.94,27955.0,53 MS-DRG,285,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC",,,544.94,27955.0,53 MS-DRG,286,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC",,,544.94,66703.68,53 MS-DRG,287,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC",,,544.94,33014.62,53 MS-DRG,288,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC,,,544.94,131406.51,53 MS-DRG,289,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC,,,544.94,51453.6,53 MS-DRG,29,SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS,,,544.94,102840.87,53 MS-DRG,290,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC,,,544.94,45419.0,53 MS-DRG,291,HEART FAILURE AND SHOCK WITH MCC,,,544.94,38699.47,53 MS-DRG,292,HEART FAILURE AND SHOCK WITH CC,,,544.94,41745.76,53 MS-DRG,293,HEART FAILURE AND SHOCK WITHOUT CC/MCC,,,544.94,27010.2,53 MS-DRG,294,DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC,,,544.94,31825.08,50 MS-DRG,295,DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC,,,544.94,21127.11,50 MS-DRG,296,"CARDIAC ARREST, UNEXPLAINED WITH MCC",,,544.94,47082.65,53 MS-DRG,297,"CARDIAC ARREST, UNEXPLAINED WITH CC",,,544.94,30254.61,53 MS-DRG,298,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC",,,544.94,53251.37,53 MS-DRG,299,PERIPHERAL VASCULAR DISORDERS WITH MCC,,,544.94,49216.88,53 MS-DRG,3,"ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES",,,544.94,639822.4,53 MS-DRG,30,SPINAL PROCEDURES WITHOUT CC/MCC,,,544.94,66173.14,53 MS-DRG,300,PERIPHERAL VASCULAR DISORDERS WITH CC,,,544.94,32179.22,53 MS-DRG,301,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC,,,544.94,21694.98,53 MS-DRG,302,ATHEROSCLEROSIS WITH MCC,,,544.94,36070.87,53 MS-DRG,303,ATHEROSCLEROSIS WITHOUT MCC,,,544.94,58950.84,53 MS-DRG,304,HYPERTENSION WITH MCC,,,544.94,35871.92,53 MS-DRG,305,HYPERTENSION WITHOUT MCC,,,544.94,22762.09,53 MS-DRG,306,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC,,,544.94,47501.66,53 MS-DRG,307,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC,,,544.94,27527.93,53 MS-DRG,308,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC,,,544.94,36293.94,53 MS-DRG,309,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC,,,544.94,22177.29,53 MS-DRG,31,VENTRICULAR SHUNT PROCEDURES WITH MCC,,,544.94,135062.3,53 MS-DRG,310,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC,,,544.94,17064.78,53 MS-DRG,311,ANGINA PECTORIS,,,544.94,21158.4,53 MS-DRG,312,SYNCOPE AND COLLAPSE,,,544.94,26273.92,53 MS-DRG,313,CHEST PAIN,,,544.94,21704.02,53 MS-DRG,314,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC,,,544.94,136860.18,53 MS-DRG,315,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC,,,544.94,29038.17,53 MS-DRG,316,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC,,,544.94,21402.86,53 MS-DRG,319,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC,,,544.94,134531.76,50 MS-DRG,32,VENTRICULAR SHUNT PROCEDURES WITH CC,,,544.94,64237.87,53 MS-DRG,320,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC,,,544.94,72506.49,50 MS-DRG,321,KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC,,,544.94,82017.07,50 MS-DRG,322,KIDNEY & URINARY TRACT INFECTIONS AGE 0-17,,,544.94,53144.7,50 MS-DRG,323,"URINARY STONES W CC, &/OR ESW LITHOTRIPSY",,,544.94,130447.18,50 MS-DRG,324,URINARY STONES W/O CC,,,544.94,94985.22,50 MS-DRG,325,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE,,,544.94,96775.81,50 MS-DRG,326,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC",,,544.94,266757.65,53 MS-DRG,327,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC",,,544.94,150783.72,53 MS-DRG,328,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC",,,544.94,48300.48,53 MS-DRG,329,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,,,544.94,138559.06,53 MS-DRG,33,VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC,,,544.94,50127.24,53 MS-DRG,330,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,,,544.94,72262.32,53 MS-DRG,331,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,,,544.94,50730.13,53 MS-DRG,332,RECTAL RESECTION WITH MCC,,,544.94,114105.0,53 MS-DRG,333,RECTAL RESECTION WITH CC,,,544.94,151645.27,53 MS-DRG,334,RECTAL RESECTION WITHOUT CC/MCC,,,544.94,49373.63,53 MS-DRG,335,PERITONEAL ADHESIOLYSIS WITH MCC,,,544.94,107642.89,53 MS-DRG,336,PERITONEAL ADHESIOLYSIS WITH CC,,,544.94,63565.64,53 MS-DRG,337,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC,,,544.94,46271.76,53 MS-DRG,34,CAROTID ARTERY STENT PROCEDURES WITH MCC,,,544.94,116680.2,53 MS-DRG,344,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,,,544.94,77857.14,53 MS-DRG,345,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,,,544.94,45358.38,53 MS-DRG,346,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,,,544.94,44346.15,53 MS-DRG,347,ANAL AND STOMAL PROCEDURES WITH MCC,,,544.94,206495.26,53 MS-DRG,348,ANAL AND STOMAL PROCEDURES WITH CC,,,544.94,39453.08,53 MS-DRG,349,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC,,,544.94,26243.78,53 MS-DRG,35,CAROTID ARTERY STENT PROCEDURES WITH CC,,,544.94,72060.36,53 MS-DRG,350,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC,,,544.94,75117.0,53 MS-DRG,351,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC,,,544.94,45955.24,53 MS-DRG,352,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC,,,544.94,35202.71,53 MS-DRG,353,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC,,,544.94,87479.25,53 MS-DRG,354,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC,,,544.94,50715.06,53 MS-DRG,355,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC,,,544.94,40544.31,53 MS-DRG,356,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC,,,544.94,231237.69,53 MS-DRG,357,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC,,,544.94,71815.04,53 MS-DRG,358,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,544.94,42138.95,53 MS-DRG,36,CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC,,,544.94,58564.68,53 MS-DRG,368,MAJOR ESOPHAGEAL DISORDERS WITH MCC,,,544.94,47986.98,53 MS-DRG,369,MAJOR ESOPHAGEAL DISORDERS WITH CC,,,544.94,30150.5,53 MS-DRG,37,EXTRACRANIAL PROCEDURES WITH MCC,,,544.94,99238.61,53 MS-DRG,370,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC,,,544.94,21125.24,53 MS-DRG,371,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC,,,544.94,53449.16,53 MS-DRG,372,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC,,,544.94,30777.5,53 MS-DRG,373,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC,,,544.94,21927.09,53 MS-DRG,374,DIGESTIVE MALIGNANCY WITH MCC,,,544.94,64469.98,53 MS-DRG,375,DIGESTIVE MALIGNANCY WITH CC,,,544.94,36462.75,53 MS-DRG,376,DIGESTIVE MALIGNANCY WITHOUT CC/MCC,,,544.94,27862.53,53 MS-DRG,377,GASTROINTESTINAL HEMORRHAGE WITH MCC,,,544.94,55104.09,53 MS-DRG,378,GASTROINTESTINAL HEMORRHAGE WITH CC,,,544.94,29562.68,53 MS-DRG,379,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC,,,544.94,19003.07,53 MS-DRG,38,EXTRACRANIAL PROCEDURES WITH CC,,,544.94,57364.9,53 MS-DRG,380,COMPLICATED PEPTIC ULCER WITH MCC,,,544.94,59149.48,53 MS-DRG,381,COMPLICATED PEPTIC ULCER WITH CC,,,544.94,32661.53,53 MS-DRG,382,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC,,,544.94,24133.66,53 MS-DRG,383,UNCOMPLICATED PEPTIC ULCER WITH MCC,,,544.94,48647.41,53 MS-DRG,384,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC,,,544.94,25767.49,53 MS-DRG,385,INFLAMMATORY BOWEL DISEASE WITH MCC,,,544.94,91495.25,53 MS-DRG,386,INFLAMMATORY BOWEL DISEASE WITH CC,,,544.94,54282.82,53 MS-DRG,387,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC,,,544.94,22343.51,53 MS-DRG,388,GASTROINTESTINAL OBSTRUCTION WITH MCC,,,544.94,44517.35,53 MS-DRG,389,GASTROINTESTINAL OBSTRUCTION WITH CC,,,544.94,25088.15,53 MS-DRG,39,EXTRACRANIAL PROCEDURES WITHOUT CC/MCC,,,544.94,35434.82,53 MS-DRG,390,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC,,,544.94,16398.59,53 MS-DRG,391,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC",,,544.94,38232.23,53 MS-DRG,392,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC",,,544.94,29380.11,53 MS-DRG,393,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC,,,544.94,48210.05,53 MS-DRG,394,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC,,,544.94,43252.44,53 MS-DRG,395,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,,,544.94,19563.76,53 MS-DRG,397,COAGULATION DISORDERS,,,544.94,72192.99,50 MS-DRG,398,RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC,,,544.94,82456.32,50 MS-DRG,399,RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC,,,544.94,180382.64,50 MS-DRG,4,"TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES",,,544.94,616987.33,53 MS-DRG,40,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC",,,544.94,146255.02,53 MS-DRG,405,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC",,,544.94,164905.32,53 MS-DRG,406,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC",,,544.94,147679.0,53 MS-DRG,407,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC",,,544.94,69598.28,53 MS-DRG,408,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC,,,544.94,107483.12,53 MS-DRG,409,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC,,,544.94,65633.55,53 MS-DRG,41,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR",,,544.94,66278.65,53 MS-DRG,410,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC,,,544.94,47860.38,53 MS-DRG,411,CHOLECYSTECTOMY WITH C.D.E. WITH MCC,,,544.94,99576.23,53 MS-DRG,412,CHOLECYSTECTOMY WITH C.D.E. WITH CC,,,544.94,64154.86,53 MS-DRG,413,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC,,,544.94,52801.39,53 MS-DRG,414,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC,,,544.94,107392.69,53 MS-DRG,415,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC,,,544.94,62299.58,53 MS-DRG,416,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC,,,544.94,69574.43,53 MS-DRG,417,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC,,,544.94,71936.76,53 MS-DRG,418,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC,,,544.94,50992.39,53 MS-DRG,419,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC,,,544.94,41171.32,53 MS-DRG,42,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC",,,544.94,72249.54,53 MS-DRG,420,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC,,,544.94,102705.22,53 MS-DRG,421,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC,,,544.94,60775.51,53 MS-DRG,422,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC,,,544.94,42187.19,53 MS-DRG,423,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC,,,544.94,125189.98,53 MS-DRG,424,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC,,,544.94,91900.19,53 MS-DRG,425,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC,,,544.94,45225.75,53 MS-DRG,432,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC,,,544.94,167818.36,53 MS-DRG,433,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC,,,544.94,31838.59,53 MS-DRG,434,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC,,,544.94,21477.93,53 MS-DRG,435,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC,,,544.94,55366.35,53 MS-DRG,436,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC,,,544.94,36216.71,53 MS-DRG,437,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC,,,544.94,25722.28,53 MS-DRG,438,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC,,,544.94,49867.71,53 MS-DRG,439,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC,,,544.94,25357.53,53 MS-DRG,440,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC,,,544.94,18731.77,53 MS-DRG,441,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC",,,544.94,54100.28,53 MS-DRG,442,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC",,,544.94,29098.46,53 MS-DRG,443,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC",,,544.94,21092.09,53 MS-DRG,444,DISORDERS OF THE BILIARY TRACT WITH MCC,,,544.94,70167.27,53 MS-DRG,445,DISORDERS OF THE BILIARY TRACT WITH CC,,,544.94,32990.11,53 MS-DRG,446,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC,,,544.94,24938.52,53 MS-DRG,453,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC,,,544.94,286212.0,51 MS-DRG,454,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC,,,544.94,202064.0,51 MS-DRG,455,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC,,,544.94,155080.0,51 MS-DRG,456,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC",,,544.94,253316.04,53 MS-DRG,457,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC",,,544.94,179754.49,53 MS-DRG,458,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC",,,544.94,132674.0,53 MS-DRG,459,SPINAL FUSION EXCEPT CERVICAL WITH MCC,,,544.94,176973.88,51 MS-DRG,460,SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,,,544.94,99449.0,51 MS-DRG,461,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC,,,544.94,261786.99,53 MS-DRG,462,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC,,,544.94,85086.0,53 MS-DRG,463,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC,,,544.94,171808.41,53 MS-DRG,464,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC,,,544.94,93890.98,53 MS-DRG,465,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,544.94,54974.47,53 MS-DRG,466,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC,,,544.94,156914.02,53 MS-DRG,467,REVISION OF HIP OR KNEE REPLACEMENT WITH CC,,,544.94,106307.49,53 MS-DRG,468,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC,,,544.94,82837.0,53 MS-DRG,469,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT,,,544.94,91434.21,53 MS-DRG,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC,,,544.94,58145.67,53 MS-DRG,471,CERVICAL SPINAL FUSION WITH MCC,,,544.94,272535.86,53 MS-DRG,472,CERVICAL SPINAL FUSION WITH CC,,,544.94,88808.62,53 MS-DRG,473,CERVICAL SPINAL FUSION WITHOUT CC/MCC,,,544.94,73591.69,53 MS-DRG,474,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC,,,544.94,129407.2,53 MS-DRG,475,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC,,,544.94,68599.77,53 MS-DRG,476,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,544.94,53491.81,53 MS-DRG,477,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,,,544.94,104137.09,53 MS-DRG,478,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC,,,544.94,74131.28,53 MS-DRG,479,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC,,,544.94,58152.04,53 MS-DRG,480,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC,,,544.94,87789.74,53 MS-DRG,481,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC,,,544.94,85845.69,53 MS-DRG,482,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC,,,544.94,49165.63,53 MS-DRG,483,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES,,,544.94,83557.46,53 MS-DRG,485,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC,,,544.94,163722.78,53 MS-DRG,486,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC,,,544.94,70710.76,53 MS-DRG,487,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,,,544.94,47212.27,53 MS-DRG,488,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC,,,544.94,61441.57,53 MS-DRG,489,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,,,544.94,33665.34,53 MS-DRG,492,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC",,,544.94,110678.44,53 MS-DRG,493,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC",,,544.94,76449.39,53 MS-DRG,494,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC",,,544.94,60484.88,53 MS-DRG,495,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC,,,544.94,127136.41,53 MS-DRG,496,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC,,,544.94,64906.39,53 MS-DRG,497,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC,,,544.94,36423.56,53 MS-DRG,498,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC,,,544.94,90939.84,53 MS-DRG,499,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC,,,544.94,91645.13,53 MS-DRG,5,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT,,,544.94,553558.0,50 MS-DRG,500,SOFT TISSUE PROCEDURES WITH MCC,,,544.94,123857.64,53 MS-DRG,501,SOFT TISSUE PROCEDURES WITH CC,,,544.94,52695.55,53 MS-DRG,502,SOFT TISSUE PROCEDURES WITHOUT CC/MCC,,,544.94,40571.44,53 MS-DRG,503,FOOT PROCEDURES WITH MCC,,,544.94,142931.21,53 MS-DRG,504,FOOT PROCEDURES WITH CC,,,544.94,56346.04,53 MS-DRG,505,FOOT PROCEDURES WITHOUT CC/MCC,,,544.94,54043.01,53 MS-DRG,506,MAJOR THUMB OR JOINT PROCEDURES,,,544.94,40670.92,53 MS-DRG,507,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC,,,544.94,54452.97,53 MS-DRG,508,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC,,,544.94,45650.79,53 MS-DRG,509,ARTHROSCOPY,,,544.94,136252.68,50 MS-DRG,510,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC",,,544.94,91051.37,53 MS-DRG,511,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC",,,544.94,62682.41,53 MS-DRG,512,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC",,,544.94,49901.16,53 MS-DRG,513,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC",,,544.94,47456.44,53 MS-DRG,514,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC",,,544.94,33195.87,53 MS-DRG,515,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC,,,544.94,96067.41,53 MS-DRG,516,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC,,,544.94,62643.22,53 MS-DRG,517,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC,,,544.94,46323.01,53 MS-DRG,518,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR,,,544.94,112658.93,53 MS-DRG,519,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC,,,544.94,60294.97,53 MS-DRG,52,SPINAL DISORDERS AND INJURIES WITH CC/MCC,,,544.94,71824.34,53 MS-DRG,520,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC,,,544.94,45032.82,53 MS-DRG,521,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC,,,544.94,86520.66,52 MS-DRG,522,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC,,,544.94,78575.38,52 MS-DRG,53,SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC,,,544.94,29517.47,53 MS-DRG,533,FRACTURES OF FEMUR WITH MCC,,,544.94,47257.49,53 MS-DRG,534,FRACTURES OF FEMUR WITHOUT MCC,,,544.94,24299.46,53 MS-DRG,535,FRACTURES OF HIP AND PELVIS WITH MCC,,,544.94,38645.21,53 MS-DRG,536,FRACTURES OF HIP AND PELVIS WITHOUT MCC,,,544.94,24344.67,53 MS-DRG,537,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC",,,544.94,28766.87,53 MS-DRG,538,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC",,,544.94,21713.06,53 MS-DRG,539,OSTEOMYELITIS WITH MCC,,,544.94,59375.56,53 MS-DRG,54,NERVOUS SYSTEM NEOPLASMS WITH MCC,,,544.94,46027.59,53 MS-DRG,540,OSTEOMYELITIS WITH CC,,,544.94,39076.28,53 MS-DRG,541,OSTEOMYELITIS WITHOUT CC/MCC,,,544.94,47911.0,53 MS-DRG,542,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC,,,544.94,53250.21,53 MS-DRG,543,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC,,,544.94,30988.52,53 MS-DRG,544,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC,,,544.94,22747.02,53 MS-DRG,545,CONNECTIVE TISSUE DISORDERS WITH MCC,,,544.94,74809.53,53 MS-DRG,546,CONNECTIVE TISSUE DISORDERS WITH CC,,,544.94,36212.64,53 MS-DRG,547,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,544.94,25206.81,53 MS-DRG,548,SEPTIC ARTHRITIS WITH MCC,,,544.94,58205.96,53 MS-DRG,549,SEPTIC ARTHRITIS WITH CC,,,544.94,36390.4,53 MS-DRG,55,NERVOUS SYSTEM NEOPLASMS WITHOUT MCC,,,544.94,30735.3,53 MS-DRG,550,SEPTIC ARTHRITIS WITHOUT CC/MCC,,,544.94,26349.28,53 MS-DRG,551,MEDICAL BACK PROBLEMS WITH MCC,,,544.94,50525.15,53 MS-DRG,552,MEDICAL BACK PROBLEMS WITHOUT MCC,,,544.94,28977.88,53 MS-DRG,553,BONE DISEASES AND ARTHROPATHIES WITH MCC,,,544.94,39076.28,53 MS-DRG,554,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC,,,544.94,25022.92,53 MS-DRG,555,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,,,544.94,53803.01,53 MS-DRG,556,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC,,,544.94,25038.0,53 MS-DRG,557,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC",,,544.94,44821.81,53 MS-DRG,558,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC",,,544.94,26925.04,53 MS-DRG,559,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC",,,544.94,56216.42,53 MS-DRG,56,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC,,,544.94,70028.62,53 MS-DRG,560,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC",,,544.94,39064.66,53 MS-DRG,561,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC",,,544.94,24233.14,53 MS-DRG,562,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC",,,544.94,42949.84,53 MS-DRG,563,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC",,,544.94,26994.37,53 MS-DRG,564,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC,,,544.94,46531.0,53 MS-DRG,565,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC,,,544.94,55643.04,53 MS-DRG,566,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC,,,544.94,22587.25,53 MS-DRG,57,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC,,,544.94,53078.34,53 MS-DRG,570,SKIN DEBRIDEMENT WITH MCC,,,544.94,365149.78,53 MS-DRG,571,SKIN DEBRIDEMENT WITH CC,,,544.94,50929.08,53 MS-DRG,572,SKIN DEBRIDEMENT WITHOUT CC/MCC,,,544.94,34554.61,53 MS-DRG,573,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC,,,544.94,197488.48,53 MS-DRG,574,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC,,,544.94,104643.51,53 MS-DRG,575,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,,,544.94,54169.61,53 MS-DRG,576,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC,,,544.94,147744.08,53 MS-DRG,577,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC,,,544.94,79903.95,53 MS-DRG,578,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,,,544.94,55798.47,53 MS-DRG,579,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC",,,544.94,97622.87,53 MS-DRG,58,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC,,,544.94,51531.97,53 MS-DRG,580,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC",,,544.94,52089.64,53 MS-DRG,581,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC",,,544.94,53483.95,53 MS-DRG,582,MASTECTOMY FOR MALIGNANCY WITH CC/MCC,,,544.94,58076.34,53 MS-DRG,583,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC,,,544.94,51981.12,53 MS-DRG,584,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC",,,544.94,172521.0,53 MS-DRG,585,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC",,,544.94,58151.7,53 MS-DRG,59,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC,,,544.94,37406.27,53 MS-DRG,592,SKIN ULCERS WITH MCC,,,544.94,58338.59,53 MS-DRG,593,SKIN ULCERS WITH CC,,,544.94,35760.38,53 MS-DRG,594,SKIN ULCERS WITHOUT CC/MCC,,,544.94,36354.5,53 MS-DRG,595,MAJOR SKIN DISORDERS WITH MCC,,,544.94,63927.38,53 MS-DRG,596,MAJOR SKIN DISORDERS WITHOUT MCC,,,544.94,32631.39,53 MS-DRG,597,MALIGNANT BREAST DISORDERS WITH MCC,,,544.94,50253.85,53 MS-DRG,598,MALIGNANT BREAST DISORDERS WITH CC,,,544.94,126767.9,53 MS-DRG,599,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,,,544.94,77456.58,53 MS-DRG,6,LIVER TRANSPLANT WITHOUT MCC,,,544.94,553558.0,50 MS-DRG,60,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC,,,544.94,27726.88,53 MS-DRG,600,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC,,,544.94,31398.48,53 MS-DRG,601,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,,,544.94,18237.4,53 MS-DRG,602,CELLULITIS WITH MCC,,,544.94,42844.34,53 MS-DRG,603,CELLULITIS WITHOUT MCC,,,544.94,26252.82,53 MS-DRG,604,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC",,,544.94,44375.67,53 MS-DRG,605,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC",,,544.94,45882.03,53 MS-DRG,606,MINOR SKIN DISORDERS WITH MCC,,,544.94,45614.61,53 MS-DRG,607,MINOR SKIN DISORDERS WITHOUT MCC,,,544.94,27322.95,53 MS-DRG,61,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC",,,544.94,83111.32,53 MS-DRG,614,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC,,,544.94,66070.65,53 MS-DRG,615,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC,,,544.94,42181.16,53 MS-DRG,616,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",,,544.94,105125.82,53 MS-DRG,617,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",,,544.94,56379.2,53 MS-DRG,618,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC",,,544.94,85314.77,53 MS-DRG,619,O.R. PROCEDURES FOR OBESITY WITH MCC,,,544.94,87039.14,53 MS-DRG,62,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC",,,544.94,52969.86,53 MS-DRG,620,O.R. PROCEDURES FOR OBESITY WITH CC,,,544.94,61909.0,53 MS-DRG,621,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC,,,544.94,65411.0,53 MS-DRG,622,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",,,544.94,107290.2,53 MS-DRG,623,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",,,544.94,54076.16,53 MS-DRG,624,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC",,,544.94,78585.0,53 MS-DRG,625,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC",,,544.94,91039.31,53 MS-DRG,626,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC",,,544.94,45198.62,53 MS-DRG,627,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC",,,544.94,40040.9,53 MS-DRG,628,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC",,,544.94,112342.41,53 MS-DRG,629,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC",,,544.94,65678.77,53 MS-DRG,63,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC",,,544.94,42316.81,53 MS-DRG,630,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC",,,544.94,103671.19,53 MS-DRG,637,DIABETES WITH MCC,,,544.94,43308.56,53 MS-DRG,638,DIABETES WITH CC,,,544.94,27707.4,53 MS-DRG,639,DIABETES WITHOUT CC/MCC,,,544.94,18725.74,53 MS-DRG,64,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC,,,544.94,60620.53,53 MS-DRG,640,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC",,,544.94,40260.95,53 MS-DRG,641,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC",,,544.94,23458.43,53 MS-DRG,642,INBORN AND OTHER DISORDERS OF METABOLISM,,,544.94,42868.45,53 MS-DRG,643,ENDOCRINE DISORDERS WITH MCC,,,544.94,49620.81,53 MS-DRG,644,ENDOCRINE DISORDERS WITH CC,,,544.94,30898.08,53 MS-DRG,645,ENDOCRINE DISORDERS WITHOUT CC/MCC,,,544.94,23160.0,53 MS-DRG,65,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS,,,544.94,30454.96,53 MS-DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC,,,544.94,236647.5,49 MS-DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC,,,544.94,219147.25,49 MS-DRG,652,KIDNEY TRANSPLANT,,,544.94,258588.0,50 MS-DRG,653,MAJOR BLADDER PROCEDURES WITH MCC,,,544.94,302839.44,53 MS-DRG,654,MAJOR BLADDER PROCEDURES WITH CC,,,544.94,84383.41,53 MS-DRG,655,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC,,,544.94,63803.79,53 MS-DRG,656,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC,,,544.94,95973.96,53 MS-DRG,657,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC,,,544.94,55164.38,53 MS-DRG,658,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC,,,544.94,53271.45,53 MS-DRG,659,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC,,,544.94,87258.0,53 MS-DRG,66,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC,,,544.94,20630.88,53 MS-DRG,660,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC,,,544.94,47650.0,53 MS-DRG,661,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC,,,544.94,35008.0,53 MS-DRG,662,MINOR BLADDER PROCEDURES WITH MCC,,,544.94,92287.29,53 MS-DRG,663,MINOR BLADDER PROCEDURES WITH CC,,,544.94,45825.62,53 MS-DRG,664,MINOR BLADDER PROCEDURES WITHOUT CC/MCC,,,544.94,62994.25,53 MS-DRG,665,PROSTATECTOMY WITH MCC,,,544.94,94086.92,53 MS-DRG,666,PROSTATECTOMY WITH CC,,,544.94,52731.72,53 MS-DRG,667,PROSTATECTOMY WITHOUT CC/MCC,,,544.94,33345.81,53 MS-DRG,668,TRANSURETHRAL PROCEDURES WITH MCC,,,544.94,89177.49,53 MS-DRG,669,TRANSURETHRAL PROCEDURES WITH CC,,,544.94,48439.12,53 MS-DRG,67,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC,,,544.94,44273.18,53 MS-DRG,670,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC,,,544.94,29460.19,53 MS-DRG,671,URETHRAL PROCEDURES WITH CC/MCC,,,544.94,54109.32,53 MS-DRG,672,URETHRAL PROCEDURES WITHOUT CC/MCC,,,544.94,58610.17,53 MS-DRG,673,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC,,,544.94,126655.01,53 MS-DRG,674,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC,,,544.94,70495.86,53 MS-DRG,675,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC,,,544.94,95392.64,53 MS-DRG,68,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC,,,544.94,26056.88,53 MS-DRG,682,RENAL FAILURE WITH MCC,,,544.94,78310.01,53 MS-DRG,683,RENAL FAILURE WITH CC,,,544.94,26400.53,53 MS-DRG,684,RENAL FAILURE WITHOUT CC/MCC,,,544.94,18095.73,53 MS-DRG,686,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC,,,544.94,54371.58,53 MS-DRG,687,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC,,,544.94,31585.38,53 MS-DRG,688,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC,,,544.94,60292.75,53 MS-DRG,689,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC,,,544.94,34976.63,53 MS-DRG,69,TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC,,,544.94,24079.4,53 MS-DRG,690,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC,,,544.94,24401.95,53 MS-DRG,693,URINARY STONES WITH MCC,,,544.94,40529.24,53 MS-DRG,694,URINARY STONES WITHOUT MCC,,,544.94,23563.93,53 MS-DRG,695,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC,,,544.94,34479.24,53 MS-DRG,696,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC,,,544.94,20769.54,53 MS-DRG,697,URETHRAL STRICTURE,,,544.94,32489.71,53 MS-DRG,698,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC,,,544.94,49871.01,53 MS-DRG,699,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC,,,544.94,30596.64,53 MS-DRG,7,LUNG TRANSPLANT,,,544.94,1405850.68,50 MS-DRG,70,NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC,,,544.94,121322.37,53 MS-DRG,700,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC,,,544.94,20796.67,53 MS-DRG,707,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC,,,544.94,60297.98,53 MS-DRG,708,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC,,,544.94,46247.65,53 MS-DRG,709,PENIS PROCEDURES WITH CC/MCC,,,544.94,70149.2,53 MS-DRG,71,NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC,,,544.94,48432.69,53 MS-DRG,710,PENIS PROCEDURES WITHOUT CC/MCC,,,544.94,42238.43,53 MS-DRG,711,TESTES PROCEDURES WITH CC/MCC,,,544.94,62815.05,53 MS-DRG,712,TESTES PROCEDURES WITHOUT CC/MCC,,,544.94,33149.87,53 MS-DRG,713,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC,,,544.94,45319.2,53 MS-DRG,714,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC,,,544.94,31874.76,53 MS-DRG,715,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC,,,544.94,67442.22,53 MS-DRG,716,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC,,,544.94,44342.52,53 MS-DRG,717,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC,,,544.94,56988.12,53 MS-DRG,718,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC,,,544.94,40487.04,53 MS-DRG,72,NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC,,,544.94,22795.25,53 MS-DRG,722,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC",,,544.94,61035.4,53 MS-DRG,723,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC",,,544.94,34446.09,53 MS-DRG,724,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,544.94,55330.35,53 MS-DRG,725,BENIGN PROSTATIC HYPERTROPHY WITH MCC,,,544.94,35275.06,53 MS-DRG,726,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC,,,544.94,21764.31,53 MS-DRG,727,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC,,,544.94,44701.23,53 MS-DRG,728,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC,,,544.94,24453.19,53 MS-DRG,729,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC,,,544.94,31913.95,53 MS-DRG,73,CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC,,,544.94,48360.77,53 MS-DRG,730,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,,,544.94,20257.08,53 MS-DRG,734,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC",,,544.94,64207.72,53 MS-DRG,735,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC",,,544.94,40559.38,53 MS-DRG,736,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC,,,544.94,108386.0,53 MS-DRG,737,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC,,,544.94,62115.69,53 MS-DRG,738,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC,,,544.94,44267.15,53 MS-DRG,739,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC,,,544.94,108001.61,53 MS-DRG,74,CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC,,,544.94,31072.92,53 MS-DRG,740,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC,,,544.94,60344.56,53 MS-DRG,741,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC,,,544.94,102324.04,53 MS-DRG,742,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC,,,544.94,55309.07,53 MS-DRG,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC,,,544.94,37400.24,53 MS-DRG,744,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC",,,544.94,61769.03,53 MS-DRG,745,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC",,,544.94,170264.01,53 MS-DRG,746,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC",,,544.94,52363.96,53 MS-DRG,747,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC",,,544.94,25915.2,53 MS-DRG,748,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,544.94,41819.42,53 MS-DRG,749,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC,,,544.94,77398.94,53 MS-DRG,75,VIRAL MENINGITIS WITH CC/MCC,,,544.94,57802.02,53 MS-DRG,750,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,544.94,45509.1,53 MS-DRG,754,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC",,,544.94,55517.07,53 MS-DRG,755,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC",,,544.94,32791.15,53 MS-DRG,756,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,544.94,28953.76,53 MS-DRG,757,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC",,,544.94,52845.29,53 MS-DRG,758,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC",,,544.94,29511.44,53 MS-DRG,759,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,544.94,20003.87,53 MS-DRG,76,VIRAL MENINGITIS WITHOUT CC/MCC,,,544.94,31172.63,53 MS-DRG,760,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC,,,544.94,30370.55,53 MS-DRG,761,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC,,,544.94,35250.32,53 MS-DRG,768,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C,,,544.94,28006.84,53 MS-DRG,769,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES,,,544.94,64957.56,53 MS-DRG,77,HYPERTENSIVE ENCEPHALOPATHY WITH MCC,,,544.94,39595.9,50 MS-DRG,770,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,544.94,30225.86,53 MS-DRG,776,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES,,,544.94,19735.58,53 MS-DRG,779,ABORTION WITHOUT D&C,,,544.94,26912.04,53 MS-DRG,78,HYPERTENSIVE ENCEPHALOPATHY WITH CC,,,544.94,26207.57,50 MS-DRG,783,CESAREAN SECTION WITH STERILIZATION WITH MCC,,,544.94,130406.67,53 MS-DRG,784,CESAREAN SECTION WITH STERILIZATION WITH CC,,,544.94,27726.06,53 MS-DRG,785,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC,,,544.94,25228.58,53 MS-DRG,786,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC,,,544.94,85844.35,53 MS-DRG,787,CESAREAN SECTION WITHOUT STERILIZATION WITH CC,,,544.94,29110.3,53 MS-DRG,788,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC,,,544.94,25253.0,53 MS-DRG,789,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY",,,234.0,45843.33,53 MS-DRG,79,HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC,,,544.94,18121.84,50 MS-DRG,790,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE",,,234.0,146946.66,53 MS-DRG,791,PREMATURITY WITH MAJOR PROBLEMS,,,234.0,100939.58,53 MS-DRG,792,PREMATURITY WITHOUT MAJOR PROBLEMS,,,234.0,61638.79,53 MS-DRG,793,FULL TERM NEONATE WITH MAJOR PROBLEMS,,,234.0,103639.67,53 MS-DRG,794,NEONATE WITH OTHER SIGNIFICANT PROBLEMS,,,234.0,37877.18,53 MS-DRG,795,NORMAL NEWBORN,,,234.0,6723.19,53 MS-DRG,796,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC,,,544.94,30335.91,53 MS-DRG,797,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC,,,544.94,26268.62,53 MS-DRG,798,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC,,,544.94,25211.52,53 MS-DRG,799,SPLENECTOMY WITH MCC,,,544.94,136521.29,53 MS-DRG,8,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT,,,544.94,477817.0,50 MS-DRG,80,NONTRAUMATIC STUPOR AND COMA WITH MCC,,,544.94,54561.49,53 MS-DRG,800,SPLENECTOMY WITH CC,,,544.94,100270.03,53 MS-DRG,801,SPLENECTOMY WITHOUT CC/MCC,,,544.94,57542.78,53 MS-DRG,802,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC,,,544.94,161104.36,53 MS-DRG,803,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC,,,544.94,56035.56,53 MS-DRG,804,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC,,,544.94,40875.9,53 MS-DRG,805,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC,,,544.94,28709.76,53 MS-DRG,806,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC,,,544.94,24323.15,53 MS-DRG,807,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC,,,544.94,24323.15,53 MS-DRG,808,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC,,,544.94,66555.98,53 MS-DRG,809,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC,,,544.94,100011.17,53 MS-DRG,81,NONTRAUMATIC STUPOR AND COMA WITHOUT MCC,,,544.94,29300.98,53 MS-DRG,810,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC,,,544.94,31549.2,53 MS-DRG,811,RED BLOOD CELL DISORDERS WITH MCC,,,544.94,42331.88,53 MS-DRG,812,RED BLOOD CELL DISORDERS WITHOUT MCC,,,544.94,27678.65,53 MS-DRG,813,COAGULATION DISORDERS,,,544.94,45979.36,53 MS-DRG,814,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC,,,544.94,64108.24,53 MS-DRG,815,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC,,,544.94,30566.49,53 MS-DRG,816,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC,,,544.94,19051.31,53 MS-DRG,817,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC,,,544.94,68777.62,52 MS-DRG,818,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC,,,544.94,34943.47,52 MS-DRG,819,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC,,,544.94,25921.23,52 MS-DRG,82,TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC,,,544.94,80013.53,53 MS-DRG,820,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC,,,544.94,176791.29,53 MS-DRG,821,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC,,,544.94,67481.41,53 MS-DRG,822,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,,,544.94,36293.94,53 MS-DRG,823,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC,,,544.94,138206.37,53 MS-DRG,824,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC,,,544.94,68295.31,53 MS-DRG,825,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC,,,544.94,40676.95,53 MS-DRG,826,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC,,,544.94,141009.8,53 MS-DRG,827,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC,,,544.94,69669.9,53 MS-DRG,828,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,,,544.94,51360.15,53 MS-DRG,829,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC,,,544.94,95256.53,53 MS-DRG,83,TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC,,,544.94,42075.65,53 MS-DRG,830,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC,,,544.94,79316.3,53 MS-DRG,831,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC,,,544.94,36248.73,52 MS-DRG,832,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC,,,544.94,21752.25,52 MS-DRG,833,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC,,,544.94,15762.54,52 MS-DRG,834,ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC,,,544.94,165490.13,53 MS-DRG,835,ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC,,,544.94,158508.0,53 MS-DRG,836,ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC,,,544.94,36761.18,53 MS-DRG,837,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC,,,544.94,327818.67,53 MS-DRG,838,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT,,,544.94,69377.0,53 MS-DRG,839,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC,,,544.94,43525.6,53 MS-DRG,84,TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC,,,544.94,31976.2,53 MS-DRG,840,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC,,,544.94,97514.35,53 MS-DRG,841,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC,,,544.94,138959.14,53 MS-DRG,842,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC,,,544.94,30457.97,53 MS-DRG,843,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC,,,544.94,60132.19,53 MS-DRG,844,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC,,,544.94,36697.88,53 MS-DRG,845,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC,,,544.94,25671.03,53 MS-DRG,846,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC,,,544.94,78149.54,53 MS-DRG,847,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC,,,544.94,39435.0,53 MS-DRG,848,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC,,,544.94,25604.71,53 MS-DRG,849,RADIOTHERAPY,,,544.94,186275.6,53 MS-DRG,85,TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC,,,544.94,68485.22,53 MS-DRG,853,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC,,,544.94,148871.48,53 MS-DRG,854,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC,,,544.94,60231.67,53 MS-DRG,855,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC,,,544.94,45132.3,53 MS-DRG,856,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC,,,544.94,137118.15,53 MS-DRG,857,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC,,,544.94,64554.38,53 MS-DRG,858,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC,,,544.94,41988.23,53 MS-DRG,86,TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC,,,544.94,39269.2,53 MS-DRG,862,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC,,,544.94,54974.47,53 MS-DRG,863,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC,,,544.94,30081.17,53 MS-DRG,864,FEVER AND INFLAMMATORY CONDITIONS,,,544.94,26759.25,53 MS-DRG,865,VIRAL ILLNESS WITH MCC,,,544.94,45165.46,53 MS-DRG,866,VIRAL ILLNESS WITHOUT MCC,,,544.94,26213.63,53 MS-DRG,867,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC,,,544.94,115030.04,53 MS-DRG,868,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC,,,544.94,31081.96,53 MS-DRG,869,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC,,,544.94,21996.42,53 MS-DRG,87,TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC,,,544.94,27573.15,53 MS-DRG,870,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS,,,544.94,208352.55,53 MS-DRG,871,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC,,,544.94,58555.63,53 MS-DRG,872,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC,,,544.94,30846.84,53 MS-DRG,876,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS,,,544.94,85058.72,53 MS-DRG,88,CONCUSSION WITH MCC,,,544.94,40749.29,53 MS-DRG,880,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION,,,544.94,43359.23,55 MS-DRG,881,DEPRESSIVE NEUROSES,,,544.94,42982.42,55 MS-DRG,882,NEUROSES EXCEPT DEPRESSIVE,,,544.94,23632.19,55 MS-DRG,883,DISORDERS OF PERSONALITY AND IMPULSE CONTROL,,,544.94,43274.33,55 MS-DRG,884,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY,,,544.94,35408.67,55 MS-DRG,885,PSYCHOSES,,,544.94,30740.77,55 MS-DRG,886,BEHAVIORAL AND DEVELOPMENTAL DISORDERS,,,544.94,58007.84,55 MS-DRG,887,OTHER MENTAL DISORDER DIAGNOSES,,,544.94,25730.48,55 MS-DRG,89,CONCUSSION WITH CC,,,544.94,33116.71,53 MS-DRG,894,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA",,,544.94,18596.12,53 MS-DRG,895,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY",,,544.94,172079.0,55 MS-DRG,896,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC",,,544.94,123094.02,55 MS-DRG,897,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC",,,544.94,39341.12,55 MS-DRG,90,CONCUSSION WITHOUT CC/MCC,,,544.94,24814.93,53 MS-DRG,901,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC,,,544.94,126504.28,53 MS-DRG,902,WOUND DEBRIDEMENTS FOR INJURIES WITH CC,,,544.94,57711.59,53 MS-DRG,903,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC,,,544.94,35256.97,53 MS-DRG,904,SKIN GRAFTS FOR INJURIES WITH CC/MCC,,,544.94,110723.65,53 MS-DRG,905,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC,,,544.94,84068.5,53 MS-DRG,906,HAND PROCEDURES FOR INJURIES,,,544.94,59212.78,53 MS-DRG,907,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC,,,544.94,115733.66,53 MS-DRG,908,OTHER O.R. PROCEDURES FOR INJURIES WITH CC,,,544.94,139314.21,53 MS-DRG,909,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC,,,544.94,39570.65,53 MS-DRG,91,OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC,,,544.94,52939.72,53 MS-DRG,913,TRAUMATIC INJURY WITH MCC,,,544.94,49274.15,53 MS-DRG,914,TRAUMATIC INJURY WITHOUT MCC,,,544.94,26692.93,53 MS-DRG,915,ALLERGIC REACTIONS WITH MCC,,,544.94,66003.48,53 MS-DRG,916,ALLERGIC REACTIONS WITHOUT MCC,,,544.94,20085.26,53 MS-DRG,917,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC,,,544.94,47278.59,53 MS-DRG,918,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC,,,544.94,25836.83,53 MS-DRG,919,COMPLICATIONS OF TREATMENT WITH MCC,,,544.94,55188.5,53 MS-DRG,92,OTHER DISORDERS OF NERVOUS SYSTEM WITH CC,,,544.94,48973.27,53 MS-DRG,920,COMPLICATIONS OF TREATMENT WITH CC,,,544.94,30213.8,53 MS-DRG,921,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC,,,544.94,20751.45,53 MS-DRG,922,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC",,,544.94,52734.74,53 MS-DRG,923,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC",,,544.94,30678.03,53 MS-DRG,927,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT,,,544.94,643599.51,53 MS-DRG,928,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC,,,544.94,216217.24,53 MS-DRG,929,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC,,,544.94,113407.27,53 MS-DRG,93,OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC,,,544.94,24004.04,53 MS-DRG,933,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT,,,544.94,117388.6,53 MS-DRG,934,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY,,,544.94,66637.37,53 MS-DRG,935,NON-EXTENSIVE BURNS,,,544.94,62097.61,53 MS-DRG,939,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC,,,544.94,109379.21,53 MS-DRG,94,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC,,,544.94,106090.45,53 MS-DRG,940,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC,,,544.94,70444.61,53 MS-DRG,941,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC,,,544.94,61123.94,53 MS-DRG,945,REHABILITATION WITH CC/MCC,,,544.94,51664.9,52 MS-DRG,946,REHABILITATION WITHOUT CC/MCC,,,544.94,30850.57,52 MS-DRG,947,SIGNS AND SYMPTOMS WITH MCC,,,544.94,38265.39,53 MS-DRG,948,SIGNS AND SYMPTOMS WITHOUT MCC,,,544.94,27584.11,53 MS-DRG,949,AFTERCARE WITH CC/MCC,,,544.94,35862.88,53 MS-DRG,95,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC,,,544.94,77748.62,53 MS-DRG,950,AFTERCARE WITHOUT CC/MCC,,,544.94,75784.1,53 MS-DRG,951,OTHER FACTORS INFLUENCING HEALTH STATUS,,,544.94,24752.0,53 MS-DRG,955,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,544.94,202905.44,53 MS-DRG,956,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA",,,544.94,113433.64,53 MS-DRG,957,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC,,,544.94,229697.85,53 MS-DRG,958,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC,,,544.94,127025.78,53 MS-DRG,959,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC,,,544.94,137958.6,53 MS-DRG,96,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC,,,544.94,77748.62,53 MS-DRG,963,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC,,,544.94,88106.58,53 MS-DRG,964,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC,,,544.94,46199.41,53 MS-DRG,965,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC,,,544.94,28350.87,53 MS-DRG,969,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC,,,544.94,481575.67,53 MS-DRG,97,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC,,,544.94,108875.8,53 MS-DRG,970,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC,,,544.94,203224.77,53 MS-DRG,974,HIV WITH MAJOR RELATED CONDITION WITH MCC,,,544.94,86996.94,53 MS-DRG,975,HIV WITH MAJOR RELATED CONDITION WITH CC,,,544.94,39037.09,53 MS-DRG,976,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC,,,544.94,62377.0,53 MS-DRG,977,HIV WITH OR WITHOUT OTHER RELATED CONDITION,,,544.94,39118.48,53 MS-DRG,98,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC,,,544.94,69178.54,53 MS-DRG,981,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,,,544.94,141431.82,53 MS-DRG,982,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,,,544.94,80225.06,53 MS-DRG,983,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,,,544.94,57265.64,53 MS-DRG,987,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,,,544.94,103347.3,53 MS-DRG,988,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,,,544.94,49545.45,53 MS-DRG,989,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,,,544.94,36149.25,53 MS-DRG,99,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC,,,544.94,76278.3,53 MS-DRG,998,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS,,,544.94,11377.96,32 MS-DRG,999,UNGROUPABLE,,,544.94,21765.36,32 NDC,1000917,PREDNISONE 1.25 MG PO SPLIT TABLET,1.0,1.0,0.01,1.0,112 NDC,10019005561,ESMOLOL HCLSODIUM CHLORIDE 2500 MG/250ML IV SOLN,486.0,486.0,0.21,486.0,112 NDC,10019007587,ESMOLOL HCLSODIUM CHLORIDE 2000 MG/100ML IV SOLN,1815.0,1815.0,0.21,1815.0,112 NDC,10019007901,BENDAMUSTINE HCL 100 MG/4ML IV SOLN,8424.0,8424.0,15.22,8424.0,111 NDC,10019012001,ESMOLOL HCL 100 MG/10ML IV SOLN,44.0,44.0,0.21,44.0,112 NDC,10019012039,ESMOLOL HCL 100 MG/10ML IV SOLN,44.0,44.0,0.21,44.0,112 NDC,10019066610,ESMOLOL HCLSODIUM CHLORIDE 2000 MG/100ML IV SOLN,576.0,576.0,0.21,576.0,112 NDC,10019067210,ESMOLOL HCLSODIUM CHLORIDE 2500 MG/250ML IV SOLN,563.0,563.0,0.21,563.0,112 NDC,10019092501,IFOSFAMIDE 1 G IV SOLR,133.0,133.0,17.96,133.0,112 NDC,10019092582,IFOSFAMIDE 1 G IV SOLR,133.0,133.0,17.96,133.0,112 NDC,10019092602,IFOSFAMIDE 3 G IV SOLR,388.0,388.0,23.5,388.0,112 NDC,10019092616,IFOSFAMIDE 3 G IV SOLR,388.0,388.0,23.5,388.0,112 NDC,10019093525,CYCLOPHOSPHAMIDE 500 MG INJECTION SOLR,792.0,792.0,0.58,792.0,119 NDC,10019093801,CYCLOPHOSPHAMIDE 500 MG INJECTION SOLR,666.0,666.0,0.58,666.0,119 NDC,10019093825,CYCLOPHOSPHAMIDE 500 MG INJECTION SOLR,666.0,666.0,0.58,666.0,119 NDC,10019093901,CYCLOPHOSPHAMIDE 1 G INJECTION SOLR,1332.0,1332.0,0.58,1332.0,119 NDC,10019094201,CYCLOPHOSPHAMIDE 2 G INJECTION SOLR,2664.0,2664.0,0.58,2664.0,119 NDC,10019094325,CYCLOPHOSPHAMIDE 500 MG INJECTION SOLR,1319.0,1319.0,0.58,1319.0,119 NDC,10019095301,MESNA 100 MG/ML IV SOLN,90.0,90.0,1.33,90.0,112 NDC,10019095362,MESNA 100 MG/ML IV SOLN,90.0,90.0,1.33,90.0,112 NDC,10019095501,CYCLOPHOSPHAMIDE 500 MG INJECTION SOLR,1319.0,1319.0,0.58,1319.0,119 NDC,10019095550,CYCLOPHOSPHAMIDE 500 MG INJECTION SOLR,1319.0,1319.0,0.58,1319.0,119 NDC,10019095601,CYCLOPHOSPHAMIDE 1 G INJECTION SOLR,1691.0,1691.0,0.58,1691.0,119 NDC,10019095616,CYCLOPHOSPHAMIDE 1 G INJECTION SOLR,1691.0,1691.0,0.58,1691.0,119 NDC,10019095701,CYCLOPHOSPHAMIDE 2 G INJECTION SOLR,5274.0,5274.0,0.58,5274.0,119 NDC,10019095711,CYCLOPHOSPHAMIDE 2 G INJECTION SOLR,5274.0,5274.0,0.58,5274.0,119 NDC,10019098401,CYCLOPHOSPHAMIDE 50 MG PO TABS,16.0,16.0,0.84,16.0,112 NDC,10019099101,BORTEZOMIB 1 MG/ML IV SOLR (WRAPPER),228.0,228.0,1.59,228.0,112 NDC,1004304,INVESTIGATIONAL LIDOCAINE HCL (UPCC 08216) 1 IJ,1.0,1.0,0.14,1.0,111 NDC,1004405,EFAVIRENZ 600 MG/5ML ORAL SUSPENSION ORD,23.0,23.0,3.11,23.0,105 NDC,100449,CIDOFOVIR 15 MG/ML IV SOLN,533.0,533.0,71.95,1577.85,119 NDC,1004616,HEPARIN SODIUM (PORCINE) 50 UNITS/ML (5000 UNITS/1,12.0,12.0,0.18,12.0,112 NDC,1004793,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML INJECTION,3.0,3.0,0.11,3.0,112 NDC,1004969,LIDOCAINE 0.9 EPINEPHRINE 0.9 100000SODIUM BICARBO,1.0,1.0,0.01,1.0,111 NDC,1004973,MILRINONE IV SYRINGE 200 MCG/ML (NEO)(30ML)(PREMIX,18.0,18.0,1.31,18.0,112 NDC,1005080,METHADONE HCL 10 MG/ML PO CONC,1.0,1.0,0.14,42.91,112 NDC,1005103,CASIRIVIMABIMDEVIMAB (REGENCOV) (EUA) IVPB 600MG/1,7.0,7.0,0.01,7.0,111 NDC,1005104,LIDOCAINE 0.45 EPINEPHRINE 0.9 200000SODIUM BICARB,1.0,1.0,0.01,1.0,111 NDC,1005116,ROPIVACAINE 0.2 800ML,1172.0,1172.0,0.05,1172.0,112 NDC,1005118,METHADONE HCL 10 MG/ML PO CONC,2.0,2.0,0.27,42.91,112 NDC,1005125,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,36.0,36.0,0.05,36.0,112 NDC,1005164,MORPHINE SULFATE (PF) 0.5 MG/ML INJECTION SOLN,2.0,2.0,0.27,26.77,112 NDC,1005172,METHADONE HCL 10 MG/ML PO CONC,2.0,2.0,0.27,42.91,112 NDC,1005196,ALTEPLASE 12.5 MCG/0.1ML NSS INTRAVITREAL INJ,1.0,1.0,0.14,282.28,119 NDC,1005200,CEFTAZIDIME 2.25 MG/0.1ML INTRAVITREAL INJ ORD,19.0,19.0,1.47,19.0,112 NDC,1005205,VANCOMYCIN 1 MG/0.1ML INTRAVITREAL INJECTION ORD,29.0,29.0,1.86,29.0,111 NDC,1005206,RITUXIMAB 1 MG/0.1ML INTRAVITREAL INJ ORD,1.0,1.0,0.14,224.92,119 NDC,1005207,BEVACIZUMAB 1.25 MG/0.05ML INTRAVITREAL INJ ORD,36.0,36.0,4.86,36.0,111 NDC,1005226,AMIKACIN 400 MCG/0.1ML INTRAVITREAL INJ ORD,14.0,14.0,0.54,14.0,112 NDC,1005228,CLINDAMYCIN 1 MG/0.1ML INTRAVITREAL INJ ORD,12.0,12.0,1.62,12.0,112 NDC,1005232,MITOMYCIN 0.4 MG/ML INTRAVITREAL INJ ORD,66.0,66.0,8.91,973.69,111 NDC,1005233,MITOMYCIN 0.3 MG/ML INTRAVITREAL INJ ORD,50.0,50.0,6.75,973.69,111 NDC,1005234,MITOMYCIN 0.2 MG/ML INTRAVITREAL INJ ORD,33.0,33.0,4.46,973.69,111 NDC,1005260,VORICONAZOLE 100 MCG/0.1ML OPTHALMIC INJ ORD,2.0,2.0,0.27,2.0,112 NDC,1005261,VORICONAZOLE 100 MCG/0.1ML OPTHALMIC INJ ORD,1.0,1.0,0.14,1.71,112 NDC,1005277,FENTANYL CITRATENACL 100.9 MCG/ML IV SOSY,12.0,12.0,0.85,12.0,112 NDC,1005285,DOPAMINE IV SYRINGE 1.6MG/ML D5W (NEO) 30ML PREMIX,7.0,7.0,0.66,7.0,112 NDC,1005286,DOPAMINE INFUSION 1.6MG/ML D5W (PED) 50ML PREMIX,11.0,11.0,0.66,11.0,112 NDC,1005288,HEPARIN SODIUM (PORCINE) INFUSION 100 UNIT/ML NSS,31.0,31.0,0.18,31.0,112 NDC,1005380,MORPHINE SULFATE 1 MG/ML IV SOLN (WRAPPER),44.0,44.0,2.78,44.0,112 NDC,1005381,MIDAZOLAM HCLSODIUM CHLORIDE 1000.9 MG/100ML IV S,73.0,73.0,0.17,73.0,112 NDC,1005423,DOBUTAMINE IV SYRINGE 1MG/ML D5W (NEO) 30ML (1MG/M,11.0,11.0,1.49,15.72,112 NDC,1005424,DOBUTAMINE IV SYRINGE 2MG/ML D5W (NEO) 30ML (2MG/M,18.0,18.0,2.43,18.0,112 NDC,1005425,DOBUTAMINE IV SYRINGE 4MG/ML D5W (NEO) 30ML (4MG/M,14.0,14.0,1.89,15.72,112 NDC,1005426,DOBUTAMINE IV SYRINGE 4MG/ML D5W (PED) 50ML PREMIX,22.0,22.0,2.97,22.0,112 NDC,1005458,HEPARIN (PORCINE) IN NACL 50000.9 UT/500ML IV SOL,45.0,45.0,0.18,45.0,112 NDC,1005565,PHENYLEPHRINE HCL (PRESSORS) 0.4 MG/10ML IV SOSY,16.0,16.0,0.01,16.0,108 NDC,1005590,DIAZEPAM 5 MG/ML INJECTION SOLN,68.0,68.0,6.17,68.0,112 NDC,1006017,VANCOMYCIN IVPB 500MG/100ML D5W (CNR),135.0,135.0,1.86,135.0,111 NDC,1006018,VANCOMYCIN IVPB 750MG/250ML D5W (CNR),78.0,78.0,1.86,78.0,111 NDC,1006019,VANCOMYCIN IVPB 1G/250ML D5W (CNR),99.0,99.0,1.86,99.0,111 NDC,1006020,VANCOMYCIN IVPB 1.25G/250ML D5W (CNR),69.0,69.0,1.86,69.0,111 NDC,1006021,VANCOMYCIN IVPB 2.25G/500ML D5W (CNR),1.0,1.0,0.14,1.0,111 NDC,1006022,VANCOMYCIN IVPB 2.5G/500ML D5W (CNR),1.0,1.0,0.14,1.0,111 NDC,1006245,EPCORITAMABBYSP (EPKINLY) SC INJ 0.8 MG/1ML NSS (D,4569.0,4569.0,5.31,4569.0,119 NDC,1006255,EPCORITAMABBYSP (EPKINLY) SC INJ 0.16 MG/1ML NSS (,1830.0,1830.0,5.31,1830.0,119 NDC,1006636,NITROGLYCERIN 20 MCG/ML IV SOLN,11.0,11.0,1.41,11.0,112 NDC,1006638,HYDROMORPHONE HCL 0.1 MG/ML IV SOLN,18.0,18.0,0.09,18.0,112 NDC,1006639,HYDROMORPHONE HCL 0.2 MG/ML,18.0,18.0,0.09,18.0,112 NDC,1006821,AMPICILLINSULBACTAM IVPB 1.5G/50ML NSS (CNR),29.0,29.0,1.33,29.0,112 NDC,1006843,EPINEPHRINENACL 80.9 MG/250ML IV SOLN,256.0,256.0,0.76,256.0,111 NDC,1008730,DEXAMETHASONE 0.25 MG PO SPLIT TABLET,1.0,1.0,0.01,1.0,112 NDC,1009007,ONDANSETRON 16MG DEXAMETH 12MG IVPB 100ML NSS (C,71.0,71.0,0.09,71.0,112 NDC,1009009,ONDANSETRON 16MG DEXAMETH 20MG IVPB 100ML NSS (C,74.0,74.0,0.09,74.0,112 NDC,1009011,PALONOSETRON IVPB 0.25MG/50ML NSS (CNR),1038.0,1038.0,0.34,1038.0,112 NDC,1009012,PALONOSETRON 0.25MG DEXAMETH 20MG IVPB 50ML NSS,1047.0,1047.0,0.34,1047.0,112 NDC,1009013,PALONOSETRON 0.25MG DEXAMETH 12MG IVPB 50ML NSS,1043.0,1043.0,0.34,1043.0,112 NDC,1009069,PALONOSETRON 0.25MG DEXAMETH 10MG IVPB 50ML NSS,1042.0,1042.0,0.34,1042.0,112 NDC,1009195,HEPARIN SODIUM (PORCINE) 5000 UNITS/100ML PLASMALY,12.0,12.0,0.18,12.0,112 NDC,1009214,EPINEPHRINE HCLNACL 40.9 MG/250ML IV SOLN,41.0,41.0,0.76,41.0,111 NDC,1009217,HEPARIN 10000 UNITS/500ML NSS (PREMIX) (CNR),29.0,29.0,0.18,29.0,112 NDC,1009218,VANCOMYCIN IVPB 750MG/100ML NSS (CNR),28.0,28.0,1.86,28.0,111 NDC,1009219,VANCOMYCIN IVPB 1G/100ML NSS (CNR),28.0,28.0,1.86,28.0,111 NDC,1009221,VANCOMYCIN IVPB 1.5G/250ML NSS (CNR),69.0,69.0,1.86,69.0,111 NDC,1009222,VANCOMYCIN IVPB 1.75G/250ML NSS (CNR),69.0,69.0,1.86,69.0,111 NDC,1009223,VANCOMYCIN IVPB 2G/250ML NSS (CNR),69.0,69.0,1.86,69.0,111 NDC,10122031310,NICARDIPINE HCL IN NACL 200.86 MG/200ML IV SOLN (,366.0,366.0,0.07,366.0,112 NDC,10122032501,NICARDIPINE 40MG/200ML PREMIX (HUP IR ONLY),732.0,732.0,0.07,732.0,112 NDC,10122062001,CANGRELOR TETRASODIUM 50 MG IV SOLR,3436.0,3436.0,18.71,3436.0,119 NDC,10122062010,CANGRELOR TETRASODIUM 50 MG IV SOLR,3436.0,3436.0,18.71,3436.0,119 NDC,101310,FLUCONAZOLE (DIFLUCAN) IVPB 2 MG/ML NSS (REPACKAGE,14.0,14.0,1.89,14.0,112 NDC,101311,PENTOBARBITAL INFUSION 2000MG/40ML,6826.0,6826.0,36.26,6826.0,119 NDC,101332,AMPHOTERICIN B 100 MCG/ML NASAL IRRIGATION ORD,28.0,28.0,3.78,96.37,112 NDC,101336,ROPIVACAINE 0.2 200ML,293.0,293.0,0.05,293.0,112 NDC,10135077501,PREDNISONE 2.5 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,10135077901,PREDNISONE 50 MG PO TABS,2.0,2.0,0.01,2.0,112 NDC,101398,FENTANYL PCA 1500 MCG/30ML (CNR) (WRAPPER),10.0,10.0,0.85,10.0,112 NDC,1014000,AMPICILLIN IVPB 1G/50ML NSS (CNR),31.0,31.0,0.49,31.0,112 NDC,1014040,AMPICILLIN IVPB 2G/100ML NSS (CNR),56.0,56.0,0.49,56.0,112 NDC,101405,MORPHINE SULFATE 1 MG/ML IV SOLN (WRAPPER),44.0,44.0,2.78,44.0,112 NDC,10147092103,HALOPERIDOL DECANOATE 50 MG/ML IM SOLN,94.0,94.0,3.94,94.0,112 NDC,10147092205,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN,178.0,178.0,3.94,178.0,112 NDC,101657,TOBRAMYCIN FORTE 15 MG/ML OPHTH SOLN ORD,114.0,114.0,1.97,114.0,112 NDC,101662,VANCOMYCIN 50 MG/ML EYE DROPS ORD,27.0,27.0,1.86,27.0,111 NDC,101663,VANCOMYCIN 25 MG/ML EYE DROPS ORD,540.0,540.0,1.86,540.0,111 NDC,101701,CEFTAZIDIME 50 MG/ML OPHTH SOLN ORD,183.0,183.0,1.47,183.0,112 NDC,101702,CEFAZOLIN FORTE 50 MG/ML OPHTH SOLN ORD,89.0,89.0,0.81,89.0,112 NDC,101748,ALTEPLASE (TPA) 1 MG/ML SYRINGE EVD CLEARANCE,255.0,255.0,34.43,282.28,119 NDC,101767,FLUCONAZOLE IN SODIUM CHLORIDE 2000.9 MG/100ML IV,14.0,14.0,1.89,14.0,112 NDC,101769,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,1.0,1.0,0.14,1.0,112 NDC,101848,TREPROSTINIL 20 MG/20ML INJECTION SOLN,664.0,664.0,54.48,664.0,119 NDC,101849,TREPROSTINIL 200 MG/20ML INJECTION SOLN,6632.0,6632.0,54.48,6632.0,119 NDC,101850,TREPROSTINIL 50 MG/20ML INJECTION SOLN,1658.0,1658.0,54.48,1658.0,119 NDC,101851,TREPROSTINIL 100 MG/20ML INJECTION SOLN,3316.0,3316.0,54.48,3316.0,119 NDC,1018560,ALTEPLASE (TPA) INJECTION 1MG/ML ORD,308.0,308.0,41.58,308.0,119 NDC,101857,ALTEPLASE (TPA) INJECTION 5MG/5ML ORD,1372.0,1372.0,91.48,1372.0,119 NDC,1019002,LIDOCAINE HCL (CARDIAC) 100 MG/5ML IV SOSY (WRAPPE,22.0,22.0,0.01,22.0,111 NDC,1019006,LIDOCAINE IV SYRINGE 8MG/ML DRIP(10ML)(NEO/PED),22.0,22.0,0.01,22.0,111 NDC,1019007,LIDOCAINE IV SYRINGE 8MG/ML DRIP(5ML)(NEO/PED),11.0,11.0,0.01,11.0,111 NDC,102011,FENTANYL CITRATE 0.05 MG/ML INJECTION SOLN EPIDURA,1.0,1.0,0.14,2.44,112 NDC,102012,FENTANYL CITRATE 0.05 MG/ML INJECTION SOLN INTRATH,1.0,1.0,0.14,2.44,112 NDC,102015,HYDROMORPHONE PCA 30 MG/30 ML PCA (OR),138.0,138.0,0.09,138.0,112 NDC,102016,CEFAZOLIN 100 MG/ML (ANESTHESIA),2.0,2.0,0.27,2.0,112 NDC,102043,EPOPROSTENOL (FLOLAN) 1.5 MG IN 50 ML INHALATION S,170.0,170.0,15.65,170.0,112 NDC,102044,EPOPROSTENOL (FLOLAN) 1.5 MG IN 50 ML INHALATION S,170.0,170.0,15.65,170.0,112 NDC,102071,MORPHINE SULFATE (PF) 0.5 MG/ML INJECTION SOLN,3.0,3.0,0.41,26.77,112 NDC,102072,HEPARIN 5000 UNITS/ML (OR),90.0,90.0,0.18,90.0,112 NDC,102086,ATROPINE SULFATE 0.4 MG/ML INJECTION SOLN (WRAPPER,32.0,32.0,0.07,32.0,112 NDC,102089,SUCCINYLCHOLINE CHLORIDE 100 MG/5ML IV SOSY (WRAPP,49.0,49.0,0.81,49.0,111 NDC,102094,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),83.0,83.0,0.38,83.0,112 NDC,102095,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,53.0,53.0,0.05,53.0,112 NDC,102097,LIDOCAINE HCL (PF) 1.5 INJECTION SOLN,24.0,24.0,0.01,24.0,111 NDC,102098,CEFAZOLIN SODIUM 1 G INJECTION SOLR,23.0,23.0,0.81,23.0,112 NDC,102099,ONABOTULINUMTOXINA 25 UNITS/1ML INJECTION SOLR OR,2085.0,2085.0,6.26,2085.0,119 NDC,102100,ONABOTULINUMTOXINA 50 UNITS/1ML INJECTION SOLR OR,2085.0,2085.0,6.26,2085.0,119 NDC,102101,BETAMETHASONE SOD PHOS ACET 6 (33) MG/ML INJECTI,48.0,48.0,6.48,48.0,112 NDC,102143,HEPARIN SOD (PORK) LOCK FLUSH 10 UNIT/ML IV SOLN (,22.0,22.0,0.02,22.0,112 NDC,102144,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),864.0,864.0,0.01,864.0,108 NDC,102145,EPINEPHRINE (ANAPHYLAXIS) 1 MG/ML INJECTION SOLN,450.0,450.0,0.76,450.0,111 NDC,102147,NITROGLYCERIN 5 MG/ML IV SOLN,75.0,75.0,1.41,75.0,112 NDC,102162,PHENYLEPHRINE 100 MCG/ML BOLUS INJECTION 10ML (WRA,2.0,2.0,0.01,2.0,108 NDC,102166,FENTANYL 250 MCG/25 ML SYRINGE INJECTION SOLN ORD,27.0,27.0,0.85,27.0,112 NDC,102170,FENTANYL PCA 250 MCG/25ML (CNR),1080.0,1080.0,0.85,1080.0,112 NDC,1021760,PENICILLIN G K IVPB 3MU/100ML NSS (CNR),45.0,45.0,0.75,45.0,112 NDC,1021770,PENICILLIN G K IVPB 5MU/100ML NSS (CNR),44.0,44.0,0.75,44.0,112 NDC,102184,HYDROMORPHONE PCA HIGH CONCENTRATION 150 MG/30ML,204.0,204.0,0.09,204.0,112 NDC,1021970,HEPARIN SODIUM (PORCINE) 5 UNITS/ML (5000 UNITS/ 1,5.0,5.0,0.18,5.0,112 NDC,102217,MORPHINE SULFATE (PF) 0.5 MG/ML INJECTION SOLN,5.0,5.0,0.68,26.77,112 NDC,102799,DEXAMETHASONE IVPB 8MG/50ML NSS (CNR),22.0,22.0,0.11,22.0,112 NDC,102800,DEXAMETHASONE IVPB 10MG/50ML NSS (CNR),23.0,23.0,0.11,23.0,112 NDC,102801,DEXAMETHASONE IVPB 12MG/50ML NSS (CNR),24.0,24.0,0.11,24.0,112 NDC,102802,DEXAMETHASONE IVPB 20MG/50ML NSS (CNR),28.0,28.0,0.11,28.0,112 NDC,103000,HIGH DOSE FENTANYL CADD PUMP 50 MCG/ML (CNR),63.0,63.0,0.85,63.0,112 NDC,103001,HIGH DOSE HYDROMORPHONE CADD PUMP 10 MG/ML (CNR),234.0,234.0,0.09,234.0,112 NDC,103004,LOW DOSE HYDROMORPHONE CADD PUMP 2 MG/ML (CNR),234.0,234.0,0.09,234.0,112 NDC,1030090,VANCOMYCIN IVPB 1G/250ML NSS (CNR),99.0,99.0,1.86,99.0,111 NDC,1030100,VANCOMYCIN IVPB 500MG/100ML NSS (CNR),135.0,135.0,1.86,135.0,111 NDC,1030110,VANCOMYCIN IVPB 750MG/250ML NSS (CNR),78.0,78.0,1.86,78.0,111 NDC,1030120,VANCOMYCIN IVPB 1.25G/250ML NSS (CNR),117.0,117.0,1.86,117.0,111 NDC,1030130,VANCOMYCIN IVPB 1.5G/500ML NSS (CNR),136.0,136.0,1.86,136.0,111 NDC,1030140,VANCOMYCIN IVPB 1.75G/500ML NSS (CNR),156.0,156.0,1.86,156.0,111 NDC,1030150,VANCOMYCIN HCL IN NACL 20.9 GM/500ML IV SOLN,175.0,175.0,1.86,175.0,111 NDC,1030160,VANCOMYCIN IVPB 2.5G/500ML NSS (CNR),794.0,794.0,1.86,794.0,111 NDC,1030170,VANCOMYCIN IVPB 2.25G/500ML NSS (CNR),794.0,794.0,1.86,794.0,111 NDC,1030410,CEFAZOLIN SODIUM 2 GM/20ML IV SOSY,9.0,9.0,0.81,9.0,112 NDC,103042,CYCLOSPORINE MODIFIED 100 MG/ML PO SOLN,18.0,18.0,1.81,18.0,112 NDC,1030440,CEFAZOLIN SODIUM 1 GM/10ML IV SOSY,28.0,28.0,0.81,28.0,112 NDC,103056,MYCOPHENOLATE MOFETIL 200 MG/ML PO SUSR,133.0,133.0,0.15,133.0,112 NDC,103057,MYCOPHENOLATE MOFETIL 200 MG/ML PO SUSR,67.0,67.0,0.15,67.0,112 NDC,1030700,HEPARIN SODIUM (PORCINE) 10 UNITS/ML NSS (10000 UN,49.0,49.0,0.18,49.0,112 NDC,1030710,AMPICILLINSULBACTAM IVPB 1.5G/100ML NSS (CNR),19.0,19.0,1.33,19.0,112 NDC,1030720,AMPICILLINSULBACTAM IVPB 3G/100ML NSS (CNR),59.0,59.0,1.33,59.0,112 NDC,1030730,CEFTRIAXONE IVPB 2G/50ML NSS (CNR),16.0,16.0,0.45,16.0,112 NDC,1030740,CEFTRIAXONE IVPB 1G/50ML NSS (CNR),15.0,15.0,0.45,15.0,112 NDC,1030770,CEFAZOLIN IVPB 2G/100ML D5W (CNR),48.0,48.0,0.81,48.0,112 NDC,1030780,CEFEPIME IVPB 2G/50ML NSS (CNR),45.0,45.0,0.87,45.0,112 NDC,1030790,AZTREONAM IVPB 1G/50ML NSS (CNR),119.0,119.0,2.07,119.0,112 NDC,1030810,BUPIVACAINE LIPOSOME 1.3 INJECTION SUSP,410.0,410.0,1.44,410.0,112 NDC,1030820,PENICILLIN G K IVPB 2MU/100ML NSS (CNR),24.0,24.0,0.75,24.0,112 NDC,1030830,PENICILLIN G K IVPB 4MU/100ML NSS (CNR),44.0,44.0,0.75,44.0,112 NDC,1030840,CEFAZOLIN IVPB 500MG/50ML NSS (CNR),18.0,18.0,0.81,18.0,112 NDC,1030850,CEFAZOLIN IVPB 1G/50ML NSS (CNR),27.0,27.0,0.81,27.0,112 NDC,1030860,CEFAZOLIN IVPB 2G/50ML NSS (CNR),45.0,45.0,0.81,45.0,112 NDC,1030870,CEFEPIME IVPB 500MG/50ML NSS (CNR),19.0,19.0,0.87,19.0,112 NDC,1030880,CASPOFUNGIN IVPB 50MG/250ML NSS (CNR),1216.0,1216.0,2.27,1216.0,112 NDC,1030910,CEFTRIAXONE IV SYRINGE 1G/10ML (CNR),62.0,62.0,0.45,62.0,112 NDC,1030930,CEFAZOLIN IV SYRINGE 500MG/5ML (CNR),10.0,10.0,0.81,10.0,112 NDC,1030950,CEFEPIME IVPB 1G/50ML NSS (CNR),21.0,21.0,0.87,21.0,112 NDC,103096,CEFTRIAXONE IV SYRINGE 2G/20ML (CNR),62.0,62.0,0.45,62.0,112 NDC,103097,CEFAZOLIN IVPB 500MG/50ML D5W (CNR),18.0,18.0,0.81,18.0,112 NDC,103106,CYCLOSPORINE MODIFIED 100 MG/ML PO SOLN,5.0,5.0,0.68,5.0,112 NDC,103178,SUCCINYLCHOLINE CHLORIDE 100 MG/5ML IV SOSY (WRAPP,29.0,29.0,0.81,29.0,111 NDC,103180,FENTANYL CITRATE PF 5 MCG/ML (NEO),1.0,1.0,0.14,2.44,112 NDC,103186,NICARDIPINE 0.1 MG/ML BOLUS SYRINGE,2.0,2.0,0.07,2.0,112 NDC,103194,DEXAMETHASONE 2 MG/0.5 ML SYRINGE,2.0,2.0,0.11,2.0,112 NDC,103233,VANCOMYCIN 25 MG/ML EYE DROPS ORD,270.0,270.0,1.86,270.0,111 NDC,103247,AMIKACIN 20MG/ML OPHTHALMIC SOLUTION ORD,236.0,236.0,0.54,236.0,112 NDC,103290,BEVACIZUMAB 100 MG/4ML OPHTHALMIC SOLN,92.0,92.0,12.42,221.51,119 NDC,103300,MYCOPHENOLATE MOFETIL 200 MG/ML PO SUSR,34.0,34.0,0.15,34.0,112 NDC,103305,FENTANYL PCA 250 MCG/25ML (CNR),9.0,9.0,0.85,9.0,112 NDC,103307,EPOPROSTENOL (FLOLAN) INHALATION 1.5MG/50ML (CNR),276.0,276.0,15.65,276.0,112 NDC,103309,HIGH DOSE HYDROMORPHONE CADD PUMP 10 MG/ML (CNR),234.0,234.0,0.09,234.0,112 NDC,103311,LIDOCAINE HCL 2 INJECTION SOLN,2.0,2.0,0.27,2.0,111 NDC,103312,INSULIN REGULAR(HUMAN) IN NACL 1000.9 UT/100ML IV,60.0,60.0,0.22,60.0,111 NDC,103315,MORPHINE INFUSION 100MG/100ML D5W (CNR),18.0,18.0,2.43,18.0,112 NDC,103316,MORPHINE INFUSION 250MG/250ML D5W (CNR),81.0,81.0,2.78,81.0,112 NDC,103321,POTASSIUM CHLORIDE IVPB 20MEQ/250ML NSS (CNR),9.0,9.0,0.1,9.0,112 NDC,103322,POTASSIUM CHLORIDE IVPB 40MEQ/500ML NSS (CNR),15.0,15.0,0.1,15.0,112 NDC,103324,POTASSIUM CHLORIDE IVPB 60MEQ/500ML NSS (CNR),30.0,30.0,0.1,30.0,112 NDC,103352,DEXAMETHASONE 0.5 MG/5ML PO ELIX,4.0,4.0,0.01,4.0,112 NDC,103368,ONDANSETRON IVPB 16MG/100ML NSS (CNR),63.0,63.0,0.09,63.0,112 NDC,103370,DIPHENHYDRAMINE IVPB 25MG/50ML NSS (CNR),10.0,10.0,0.71,10.0,112 NDC,103371,DIPHENHYDRAMINE IVPB 50MG/50ML NSS (CNR),19.0,19.0,0.71,19.0,112 NDC,103385,PENICILLIN G K IVPB 1MU/100ML NSS (CNR),15.0,15.0,0.75,15.0,112 NDC,103387,LIDOCAINE HCL 2 INJECTION SOLN,3.0,3.0,0.41,3.0,111 NDC,103388,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,18.0,18.0,0.05,18.0,112 NDC,103411,MORPHINE INFUSION 100 MG/100ML NSS (CNR),18.0,18.0,2.43,18.0,112 NDC,103432,MYCOPHENOLATE MOFETIL 200 MG/ML PO SUSR,27.0,27.0,0.15,27.0,112 NDC,103451,CYCLOSPORINE MODIFIED 100 MG/ML PO SOLN,14.0,14.0,1.81,14.0,112 NDC,103456,METHADONE HCL 10 MG/ML PO CONC,1.0,1.0,0.14,42.91,112 NDC,103457,METHADONE HCL 10 MG/ML PO CONC,2.0,2.0,0.27,42.91,112 NDC,103475,MILRINONE IV SYRINGE(NEO/PED)(50ML)(200MCG/ML),29.0,29.0,1.31,29.0,112 NDC,103492,SIROLIMUS 1 MG/ML PO SOLN,59.0,59.0,0.96,59.0,112 NDC,103493,SIROLIMUS 1 MG/ML PO SOLN,118.0,118.0,0.96,118.0,112 NDC,103494,SIROLIMUS 1 MG/ML PO SOLN,590.0,590.0,0.96,590.0,112 NDC,103551,POTASSIUM CHLORIDE 20 MEQ/50ML IV SOLN,17.0,17.0,0.1,17.0,112 NDC,103552,ROPIVACAINE 0.2 500ML,732.0,732.0,0.05,732.0,112 NDC,103553,FENTANYL INFUSION 1600MCG/100ML NSS WRAPPER (CNR),44.0,44.0,0.85,44.0,112 NDC,103554,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,87.0,87.0,0.71,87.0,111 NDC,103558,EPINEPHRINE 0.3 MG/0.3ML INJECTION SOAJ,45.0,45.0,0.76,45.0,111 NDC,103559,HEPARIN (PORCINE) IN NACL 10000.9 UT/500ML IV SOL,17.0,17.0,0.18,17.0,112 NDC,103560,POTASSIUM CHLORIDE 40 MEQ/100ML IV SOLN,28.0,28.0,0.1,28.0,112 NDC,103561,HEPARIN (PORCINE) IN NACL 20.45 UNIT/ML INJECTION,17.0,17.0,0.02,17.0,112 NDC,103562,CEFAZOLIN IV SYRINGE 3G/30ML (CNR),12.0,12.0,0.81,12.0,112 NDC,103564,MORPHINE SULFATE (PF) 2 MG/ML IV SOLN,1.0,1.0,0.14,4.84,112 NDC,103565,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,1.0,1.0,0.09,1.0,112 NDC,103566,VANCOMYCIN IVPB 1.5G/500ML D5W (CNR),136.0,136.0,1.86,136.0,111 NDC,103567,VANCOMYCIN IVPB 1.75G/500ML D5W (CNR),156.0,156.0,1.86,156.0,111 NDC,103568,VANCOMYCIN IVPB 2G/500ML D5W (CNR),175.0,175.0,1.86,175.0,111 NDC,103570,FENTANYL INFUSION 1600MCG/100ML D5W (CNR),4398.0,4398.0,0.85,4398.0,112 NDC,103572,AMPICILLIN IV SYRINGE 1G/10ML (CNR),26.0,26.0,0.81,26.0,112 NDC,103573,AMPICILLIN IV SYRINGE 2G/20ML (CNR),101.0,101.0,0.81,101.0,112 NDC,103576,CEFEPIME IV SYRINGE 1G/10ML (CNR),14.0,14.0,0.87,14.0,112 NDC,103577,CEFEPIME IV SYRINGE 2G/20ML (CNR),28.0,28.0,0.87,28.0,112 NDC,103584,HYDROMORPHONE 1 MG/5 ML IV SYRINGE ORD,1.0,1.0,0.09,1.0,112 NDC,103585,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,1.0,1.0,0.09,1.0,112 NDC,103589,MORPHINE SULFATE (PF) 1 MG/ML INJECTION SOLN,5.0,5.0,0.68,26.77,112 NDC,103590,MORPHINE SULFATE (PF) 1 MG/ML INJECTION SOLN,10.0,10.0,1.35,26.77,112 NDC,103616,ROPIVACAINE 0.2 100ML,140.0,140.0,0.05,140.0,112 NDC,103621,POTASSIUM CHLORIDE IVPB 40MEQ/100ML D5W (CNR),18.0,18.0,0.1,18.0,112 NDC,103624,FENTANYL CITRATE (PF) 100 MCG/2ML INJECTION SOLN,3.0,3.0,0.41,3.0,112 NDC,103630,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,2.0,2.0,0.09,2.0,112 NDC,103631,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,3.0,3.0,0.09,3.0,112 NDC,1036420,ALTEPLASE (TPA) INJECTION 1MG/ML ORD,616.0,616.0,83.16,616.0,119 NDC,1036430,ALTEPLASE (TPA) INJECTION 5MG/5ML ORD,1538.0,1538.0,91.48,1538.0,119 NDC,1036440,ALTEPLASE (TPA) INJECTION 1MG/ML ORD,3076.0,3076.0,91.48,3076.0,119 NDC,103656,PHENYLEPHRINE 100 MCG/ML INFUSION (50ML)(WRAPPER),9.0,9.0,0.01,9.0,108 NDC,103660,ACETYLCYSTEINE 20 ORAL SOLN,12.0,12.0,1.62,19.23,112 NDC,103661,ACETYLCYSTEINE 20 ORAL SOLN,23.0,23.0,3.11,23.0,112 NDC,103662,ACETYLCYSTEINE 20 ORAL SOLN,34.0,34.0,4.59,34.0,112 NDC,103684,NEOSTIGMINE METHYLSULFATE 2 MG/2ML IV SOSY,21.0,21.0,0.71,21.0,111 NDC,103701,HYDROMORPHONE PCA 1 MG/ML STOCK SOLUTION NDC,2295.0,2295.0,0.09,2295.0,112 NDC,103706,EPINEPHRINE PF 1 MG/ML INJECTION SOLN,8.0,8.0,0.76,8.0,111 NDC,103707,NALOXONE HCL 0.4 MG/ML INJECTION SOLN,57.0,57.0,7.7,57.0,111 NDC,103708,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,53.0,53.0,0.41,53.0,112 NDC,103711,CEFEPIME IV SYRINGE 2G/20ML (CNR),41.0,41.0,0.87,41.0,112 NDC,103713,MORPHINE SULFATE (PF) 0.5 MG/ML INJECTION SOLN,2.0,2.0,0.27,26.77,112 NDC,103728,LABETALOL HCL 5 MG/ML IV SOLN,2.0,2.0,0.27,2.0,112 NDC,103730,MAGNESIUM SULFATE 20 GM/500ML IV SOLN,245.0,245.0,0.41,245.0,112 NDC,103735,TOBRAMYCIN 40 MG/ML INHALATION NEBU UPHS COMPOUNDE,160.0,160.0,21.6,160.0,111 NDC,103784,ONDANSETRON HCL 4 MG/5ML PO SOLN,72.0,72.0,0.01,72.0,112 NDC,10380,VANCOMYCIN 14 MG/ML EYE DROPS ORD,267.0,267.0,1.86,267.0,111 NDC,103824,ALTEPLASE (TPA) 0.1 MG/ML IN SWFI SYRINGE,318.0,318.0,42.93,318.0,119 NDC,103961,INVESTIGATIONAL LIDOCAINE HCL (OBS) 1 IJ SOLN,1.0,1.0,0.14,1.0,111 NDC,104148,CYCLOSPORINE MODIFIED 100 MG/ML PO SOLN,23.0,23.0,1.81,23.0,112 NDC,104149,CYCLOSPORINE MODIFIED 100 MG/ML PO SOLN,27.0,27.0,1.81,27.0,112 NDC,104183,DEXAMETHASONE SODIUM PHOSPHATE 100 MG/10ML INJECTI,1.0,1.0,0.11,1.0,112 NDC,104187,EPOPROSTENOL (VELETRI) INHALATION 1.5MG/50ML (CNR),188.0,188.0,15.65,188.0,112 NDC,104208,AZTREONAM IVPB 2G/100ML NSS (CNR),108.0,108.0,2.07,108.0,112 NDC,104211,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,6.0,6.0,0.01,6.0,112 NDC,104217,METHADONE HCL 10 MG/ML INJECTION SOLN,141.0,141.0,17.7,141.0,112 NDC,104232,FENTANYL INFUSION 4000MCG/250ML NSS (CNR),312.0,312.0,0.85,312.0,112 NDC,104298,OXYTOCIN INFUSION 30 UNITS/500ML NSS (WRAPPER)(CNR,26.0,26.0,0.86,26.0,111 NDC,104682,HYDROCORTISONE NA SUCCINATE PF 1 MG/ML INJECTION (,11.0,11.0,1.49,47.31,112 NDC,104689,AMPICILLIN SODIUM 30 MG/ML INJECTION (NEO) (CNR),7.0,7.0,0.49,7.0,112 NDC,104769,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,79.0,79.0,0.05,79.0,112 NDC,104929,HEPARIN INHALATION SOLUTION (5000 UNITS/3ML),46.0,46.0,0.18,46.0,112 NDC,104945,FLUCONAZOLE 40 MG/ML PO SUSR,15.0,15.0,2.03,15.0,112 NDC,104946,FLUCONAZOLE 40 MG/ML PO SUSR,29.0,29.0,2.39,29.0,112 NDC,10511300102,HEXAMINOLEVULINATE HCL 100 MG INTRAVESICAL SOLR,4706.0,4706.0,635.31,4706.0,112 NDC,105208,AMPHOTERICIN B OPHTHALMIC SOLUTION 0.5 MG/ML ORD,1.0,1.0,0.14,96.37,112 NDC,105210,AMPHOTERICIN B OPHTHALMIC SOLUTION 0.15,180.0,180.0,24.3,180.0,112 NDC,105211,AMPHOTERICIN B OPHTHALMIC SOLUTION 2 MG/ML ORD,1.0,1.0,0.14,96.37,112 NDC,105212,AMPHOTERICIN B OPHTHALMIC SOLUTION 5 MG/ML ORD,1.0,1.0,0.14,96.37,112 NDC,105214,CEFAZOLIN FORTE 25 MG/ML OPHTHALMIC SOLUTION,35.0,35.0,0.81,35.0,112 NDC,105215,COLISTIMETHATE 7.5 MG/ML OPHTH SOLN ORD,1.0,1.0,0.14,28.99,112 NDC,105216,CYCLOSPORINE 0.5 MG/ML (0.05 ) OPHTHALMIC SOL ORD,158.0,158.0,21.33,161.13,112 NDC,105217,CYCLOSPORINE 10 MG/ML (1 ) OPHTHALMIC SOLN ORD,1.0,1.0,0.14,161.13,112 NDC,105218,CYCLOSPORINE 20 MG/ML (2 ) OPHTHALMIC SOLN ORD,1.0,1.0,0.14,161.13,112 NDC,105219,FLUCONAZOLE 2 MG/ML OPHTHALMIC SOLN ORD,1.0,1.0,0.14,5.02,112 NDC,105221,GENTAMICIN 15 MG/ML (1.5 ) OPHTHALMIC SOLN,188.0,188.0,2.17,188.0,112 NDC,105223,PENICILLIN G POTASSIUM 100000 UNITS/ML OPHTHALMIC,1.0,1.0,0.14,1.75,112 NDC,105224,PENICILLIN G POTASSIUM 333000 UNITS/ML OPHTHALMIC,1.0,1.0,0.14,1.75,112 NDC,105225,AMPHOTERICIN B 5 MCG/0.1ML OPHTHALMIC SOLUTION,1.0,1.0,0.14,96.37,112 NDC,105227,VORICONAZOLE 10 MG/ML (1 ) OPHTHALMIC SOLN ORD,218.0,218.0,0.75,218.0,112 NDC,105235,DROPERIDOL 2.5 MG/ML INJECTION SOLN,5.0,5.0,0.68,16.94,112 NDC,105236,ALTEPLASE 12.5 MCG/0.1ML NSS INTRAVITREAL INJ,635.0,635.0,85.73,635.0,119 NDC,105240,CEFTAZIDIME 2.25 MG/0.1ML INTRAVITREAL INJ ORD,19.0,19.0,1.47,19.0,112 NDC,105245,VANCOMYCIN 1 MG/0.1ML INTRAVITREAL INJECTION ORD,29.0,29.0,1.86,29.0,111 NDC,105246,RITUXIMAB 1 MG/0.1ML INTRAVITREAL INJ ORD,1.0,1.0,0.14,224.92,119 NDC,105247,AMIKACIN 400 MCG/0.1ML INTRAVITREAL INJ ORD,14.0,14.0,0.54,14.0,112 NDC,105248,CLINDAMYCIN 1 MG/0.1ML INTRAVITREAL INJ ORD,12.0,12.0,1.62,12.0,112 NDC,105255,ENTECAVIR 0.05 MG/ML PO SOLN,165.0,165.0,22.28,165.0,105 NDC,105322,DOPAMINE 24 MG/30 ML D5W (0.8 MG/ML) INFUSION (NEO,6.0,6.0,0.66,6.0,112 NDC,105559,PREDNISOLONE 15 MG/5ML PO SOLN (WRAPPER),8.0,8.0,0.27,8.0,112 NDC,105598,LORAZEPAM 2 MG/ML INJECTION SOLN,7.0,7.0,0.95,7.0,112 NDC,105651,FENTANYL CITRATENACL 10.9 MG/100ML IV SOLN,126.0,126.0,0.85,126.0,112 NDC,105695,CASPOFUNGIN IVPB 50MG/250ML NSS (CNR),1216.0,1216.0,2.27,1216.0,112 NDC,105752,FERUMOXYTOL (FERAHEME) 510 MG/100 ML NSS (CNR),3268.0,3268.0,0.31,3268.0,119 NDC,105770,ALBUMIN HUMAN 5 IV SOLN (CNR),18.0,18.0,2.43,159.68,119 NDC,105842,TESTOSTERONE ENANTHATE 200 MG/ML IM SOLN,60.0,60.0,0.05,60.0,112 NDC,105967,DEXMEDETOMIDINE IV SYRINGE 4 MCG/ML NSS (NEO)(30ML,54.0,54.0,7.29,54.0,112 NDC,1060560,CEFEPIME IM SYRINGE 280 MG/ML SWFI (NEO/PED)(CNR),21.0,21.0,1.86,21.0,111 NDC,106198,MIDAZOLAM IV SYRINGE 1MG/ML NSS (NEO)(30ML)(PREMIX,22.0,22.0,0.17,22.0,112 NDC,106250,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,2.0,2.0,0.18,2.0,112 NDC,106251,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,6.0,6.0,0.18,6.0,112 NDC,106301,KETAMINE INFUSION 500 MG/50ML (10 MG/ML VIAL),181.0,181.0,2.39,181.0,112 NDC,106548,SULBACTAM 1 GRAM VIAL (XACDURO KIT INGREDIENT),570.0,570.0,76.95,570.0,111 NDC,106587,NICARDIPINE 0.1 MG/ML BOLUS SYRINGE,18.0,18.0,0.07,18.0,112 NDC,106706,MEROPENEM IVPB 2G/100ML NSS (CNR),228.0,228.0,0.38,228.0,112 NDC,1068200,CASPOFUNGIN IVPB 50 MG/100 ML NSS (CNR),1216.0,1216.0,2.27,1216.0,112 NDC,1069040,LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN,9.0,9.0,1.22,9.0,112 NDC,10702000201,PROMETHAZINE HCL 12.5 MG PO TABS,2.0,2.0,0.09,2.0,111 NDC,10702000301,PROMETHAZINE HCL 25 MG PO TABS,2.0,2.0,0.09,2.0,111 NDC,115168774,BUDESONIDE 0.25 MG/2ML INHALATION SUSP,29.0,29.0,1.05,29.0,112 NDC,115168974,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,34.0,34.0,1.05,34.0,112 NDC,115168976,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,34.0,34.0,1.05,34.0,112 NDC,115169449,EPINEPHRINE 0.3 MG/0.3ML INJECTION SOAJ,742.0,742.0,0.76,742.0,111 NDC,115993176,LEVALBUTEROL HCL 0.63 MG/3ML INHALATION NEBU,20.0,20.0,0.08,20.0,112 NDC,115993178,LEVALBUTEROL HCL 0.63 MG/3ML INHALATION NEBU,20.0,20.0,0.08,20.0,112 NDC,11994001101,PERFLUTREN LIPID MICROSPHERE 6.52 MG/ML IV SUSP,338.0,338.0,40.21,338.0,104 NDC,11994001104,PERFLUTREN LIPID MICROSPHERE 6.52 MG/ML IV SUSP,338.0,338.0,40.21,338.0,104 NDC,11994001116,PERFLUTREN LIPID MICROSPHERE 6.52 MG/ML IV SUSP,1286.0,1286.0,40.21,1286.0,104 NDC,121075908,PREDNISOLONE 15 MG/5ML PO SOLN (WRAPPER),219.0,219.0,0.27,219.0,112 NDC,121075910,PREDNISOLONE 15 MG/5ML PO SOLN (WRAPPER),10.0,10.0,0.27,10.0,112 NDC,12496010001,BUPRENORPHINE ER 100 MG/0.5ML SC SOSY,7260.0,7260.0,980.1,7260.0,119 NDC,12496010005,BUPRENORPHINE ER 100 MG/0.5ML SC SOSY,7260.0,7260.0,980.1,7260.0,119 NDC,12496030001,BUPRENORPHINE ER 300 MG/1.5ML SC SOSY,7260.0,7260.0,980.1,7260.0,119 NDC,12496030005,BUPRENORPHINE ER 300 MG/1.5ML SC SOSY,7260.0,7260.0,980.1,7260.0,119 NDC,13533013100,TETANUSDIPHTHERIA TOXOIDS TD 22 LF/0.5ML IM SUSP,101.0,101.0,10.0,101.0,115 NDC,13533013101,TETANUSDIPHTHERIA TOXOIDS TD 22 LF/0.5ML IM SUSP,101.0,101.0,10.0,101.0,115 NDC,13533031801,RABIES IMMUNE GLOBULIN 300 UNIT/ML INJECTION SOLN,2414.0,2414.0,10.0,2414.0,122 NDC,13533031803,RABIES IMMUNE GLOBULIN 900 UNIT/3ML INJECTION SOLN,7350.0,7350.0,10.0,7350.0,122 NDC,13533031805,RABIES IMMUNE GLOBULIN 1500 UNIT/5ML INJECTION SOL,12068.0,12068.0,10.0,12068.0,122 NDC,13533031810,RABIES IMMUNE GLOBULIN 300 UNIT/ML INJECTION SOLN,2450.0,2450.0,10.0,2450.0,122 NDC,13533031850,RABIES IMMUNE GLOBULIN 1500 UNIT/5ML INJECTION SOL,12249.0,12249.0,10.0,12249.0,122 NDC,13533060250,ANTITHROMBIN III (HUMAN) 500 UNITS IV SOLR,8496.0,8496.0,3.96,8496.0,119 NDC,13533060612,ANTITHROMBIN III (HUMAN) 500 UNITS IV SOLR,9095.0,9095.0,3.96,9095.0,119 NDC,13533063402,TETANUS IMMUNE GLOBULIN 250 UNIT/ML IM SOSY,2337.0,2337.0,315.5,2337.0,119 NDC,13533063420,TETANUS IMMUNE GLOBULIN 250 UNIT/ML IM SOSY,2337.0,2337.0,315.5,2337.0,119 NDC,13533063601,HEPATITIS B IMMUNE GLOBULIN 220 UNIT/ML IM SOLN,601.0,601.0,10.0,601.0,122 NDC,13533063603,HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5ML IM SOSY,319.0,319.0,10.0,414.64,122 NDC,13533063605,HEPATITIS B IMMUNE GLOBULIN 220 UNIT/ML IM SOLN,2881.0,2881.0,10.0,2881.0,122 NDC,13533063650,HEPATITIS B IMMUNE GLOBULIN 220 UNIT/ML IM SOLN,2881.0,2881.0,10.0,2881.0,122 NDC,13533080012,IMMUNE GLOBULIN (HUMAN) 1 GM/10ML INJECTION SOLN,511.0,511.0,48.03,511.0,119 NDC,13533080013,IMMUNE GLOBULIN (HUMAN) 1 GM/10ML INJECTION SOLN,511.0,511.0,48.03,511.0,119 NDC,13533080015,GAMUNEXC 1 G/10 ML IV SOLN (WRAPPER),1276.0,1276.0,48.03,1276.0,119 NDC,13533080020,GAMUNEXC 1 G/10 ML IV SOLN (WRAPPER),2552.0,2552.0,48.03,2552.0,119 NDC,13533080021,GAMUNEXC 1 G/10 ML IV SOLN (WRAPPER),2552.0,2552.0,48.03,2552.0,119 NDC,13533080024,GAMUNEXC 1 G/10 ML IV SOLN (WRAPPER),10206.0,10206.0,48.03,10206.0,119 NDC,13533080025,GAMUNEXC 1 G/10 ML IV SOLN (WRAPPER),10206.0,10206.0,48.03,10206.0,119 NDC,13533080040,GAMUNEXC 1 G/10 ML IV SOLN (WRAPPER),20412.0,20412.0,48.03,20412.0,119 NDC,13533080071,GAMUNEXC 1 G/10 ML IV SOLN (WRAPPER),5103.0,5103.0,48.03,5103.0,119 NDC,13533080072,GAMUNEXC 1 G/10 ML IV SOLN (WRAPPER),5103.0,5103.0,48.03,5103.0,119 NDC,13668059180,APREPITANT 40 MG PO CAPS,330.0,330.0,2.72,330.0,112 NDC,13668059181,APREPITANT 40 MG PO CAPS,330.0,330.0,2.72,330.0,112 NDC,13668059182,APREPITANT 40 MG PO CAPS,330.0,330.0,2.72,330.0,112 NDC,13668059283,APREPITANT 80 MG PO CAPS,612.0,612.0,2.72,612.0,112 NDC,13668059284,APREPITANT 80 MG PO CAPS,612.0,612.0,2.72,612.0,112 NDC,13668059285,APREPITANT 80 MG PO CAPS,612.0,612.0,2.72,612.0,112 NDC,13668059286,APREPITANT 80 MG PO CAPS,612.0,612.0,2.72,612.0,112 NDC,13668059386,APREPITANT 125 MG PO CAPS,956.0,956.0,2.72,956.0,112 NDC,13925016604,PREDNISOLONE SODIUM PHOSPHATE 6.7 (5 BASE) MG/5ML,295.0,295.0,0.27,295.0,112 NDC,13925051510,PENTAMIDINE ISETHIONATE 300 MG INJECTION SOLR,542.0,542.0,73.17,542.0,111 NDC,13925052201,PENTAMIDINE ISETHIONATE 300 MG INHALATION SOLR,542.0,542.0,69.73,542.0,111 NDC,143900601,ACETAZOLAMIDE SODIUM 500 MG INJECTION SOLR,119.0,119.0,16.07,119.0,112 NDC,143902201,FULVESTRANT 250 MG/5ML IM SOSY,270.0,270.0,5.72,270.0,112 NDC,143902202,FULVESTRANT 250 MG/5ML IM SOSY,270.0,270.0,5.72,270.0,112 NDC,143908601,DOXORUBICIN HCL 2 MG/ML IV SOLN,126.0,126.0,2.72,126.0,112 NDC,143908701,DOXORUBICIN HCL 2 MG/ML IV SOLN,504.0,504.0,2.72,504.0,112 NDC,143908901,DOXORUBICIN HCL 2 MG/ML IV SOLN,40.0,40.0,2.72,40.0,112 NDC,143909001,DOXORUBICIN HCL 2 MG/ML IV SOLN,47.0,47.0,2.72,47.0,112 NDC,143909101,DOXORUBICIN HCL 2 MG/ML IV SOLN,108.0,108.0,2.72,108.0,112 NDC,143909301,DOXORUBICIN HCL 50 MG IV SOLR (NO VOL),947.0,947.0,2.72,947.0,112 NDC,143909801,BORTEZOMIB 1 MG/ML IV SOLR (WRAPPER),126.0,126.0,1.59,126.0,112 NDC,143914001,CEFAZOLIN SODIUM 3 G IV SOLR,32.0,32.0,0.88,32.0,112 NDC,143914025,CEFAZOLIN SODIUM 3 G IV SOLR,32.0,32.0,0.88,32.0,112 NDC,143914101,DOBUTAMINE HCL 12.5 MG/ML IV SOLN,28.0,28.0,3.78,28.0,112 NDC,143914110,DOBUTAMINE HCL 12.5 MG/ML IV SOLN,28.0,28.0,3.78,28.0,112 NDC,143915601,FUROSEMIDE 10 MG/ML INJECTION SOLN,5.0,5.0,0.39,5.0,111 NDC,143915610,FUROSEMIDE 10 MG/ML INJECTION SOLN,5.0,5.0,0.39,5.0,111 NDC,143916201,VANCOMYCIN HCL 1 G IV SOLR,21.0,21.0,1.86,21.0,111 NDC,143916210,VANCOMYCIN HCL 1 G IV SOLR,21.0,21.0,1.86,21.0,111 NDC,143916301,VANCOMYCIN HCL 5 G IV SOLR,150.0,150.0,1.86,150.0,111 NDC,143916401,VANCOMYCIN HCL 10 G IV SOLR,300.0,300.0,1.86,300.0,111 NDC,143918001,CALCIUM GLUCONATE 10 IV SOLN,37.0,37.0,0.03,37.0,112 NDC,143918025,CALCIUM GLUCONATE 10 IV SOLN,37.0,37.0,0.03,37.0,112 NDC,143920401,DOCETAXEL 20 MG/ML IV CONC,234.0,234.0,0.38,234.0,112 NDC,143920901,CHLOROPROCAINE HCL (PF) 2 INJECTION SOLN,77.0,77.0,0.03,77.0,112 NDC,143920910,CHLOROPROCAINE HCL (PF) 2 INJECTION SOLN,77.0,77.0,0.03,77.0,112 NDC,143921001,CHLOROPROCAINE HCL (PF) 3 INJECTION SOLN,81.0,81.0,0.03,81.0,112 NDC,143921010,CHLOROPROCAINE HCL (PF) 3 INJECTION SOLN,81.0,81.0,0.03,81.0,112 NDC,143921701,IDARUBICIN HCL 5 MG/5ML IV SOLN,279.0,279.0,37.05,279.0,112 NDC,143923301,BENZTROPINE MESYLATE 1 MG/ML INJECTION SOLN,162.0,162.0,13.81,162.0,112 NDC,143923305,BENZTROPINE MESYLATE 1 MG/ML INJECTION SOLN,162.0,162.0,13.81,162.0,112 NDC,143924001,BLEOMYCIN SULFATE 15 UNITS INJECTION SOLR,206.0,206.0,20.9,206.0,112 NDC,143924501,DACARBAZINE 200 MG IV SOLR,44.0,44.0,3.82,44.0,112 NDC,143924510,DACARBAZINE 200 MG IV SOLR,44.0,44.0,3.82,44.0,112 NDC,143924801,DEXRAZOXANE HCL 500 MG IV SOLR,1975.0,1975.0,32.09,1975.0,119 NDC,143925201,DOPAMINE HCL 40 MG/ML IV SOLN,11.0,11.0,0.66,11.0,112 NDC,143925225,DOPAMINE HCL 40 MG/ML IV SOLN,11.0,11.0,0.66,11.0,112 NDC,143925401,DOPAMINE HCL 40 MG/ML IV SOLN,22.0,22.0,0.66,22.0,112 NDC,143925425,DOPAMINE HCL 40 MG/ML IV SOLN,22.0,22.0,0.66,22.0,112 NDC,143926001,MESNA 100 MG/ML IV SOLN,90.0,90.0,1.33,90.0,112 NDC,143926101,CEFAZOLIN SODIUM 10 G INJECTION SOLR,31.0,31.0,0.81,31.0,112 NDC,143926110,CEFAZOLIN SODIUM 10 G INJECTION SOLR,31.0,31.0,0.81,31.0,112 NDC,143926201,CEFAZOLIN SODIUM 1 G INJECTION SOLR,4.0,4.0,0.54,4.0,112 NDC,143926225,CEFAZOLIN SODIUM 1 G INJECTION SOLR,4.0,4.0,0.54,4.0,112 NDC,143926301,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,32.0,32.0,0.05,32.0,112 NDC,143926310,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,32.0,32.0,0.05,32.0,112 NDC,143927301,DIHYDROERGOTAMINE MESYLATE 1 MG/ML INJECTION SOLN,539.0,539.0,41.04,539.0,112 NDC,143927310,DIHYDROERGOTAMINE MESYLATE 1 MG/ML INJECTION SOLN,539.0,539.0,41.04,539.0,112 NDC,143927701,DOXORUBICIN HCL 50 MG IV SOLR,947.0,947.0,2.72,947.0,112 NDC,143927901,MITOMYCIN 20 MG IV SOLR,2276.0,2276.0,25.94,2276.0,119 NDC,143928001,MITOMYCIN 40 MG IV SOLR,4551.0,4551.0,25.94,4551.0,119 NDC,143928401,PANTOPRAZOLE SODIUM 40 MG IV SOLR,24.0,24.0,1.93,24.0,111 NDC,143928410,PANTOPRAZOLE SODIUM 40 MG IV SOLR,24.0,24.0,1.93,24.0,111 NDC,143929501,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN,133.0,133.0,3.94,133.0,112 NDC,143929801,NA FERRIC GLUC CPLX IN SUCROSE 12.5 MG/ML IV SOLN,30.0,30.0,1.99,30.0,112 NDC,143929810,NA FERRIC GLUC CPLX IN SUCROSE 12.5 MG/ML IV SOLN,30.0,30.0,1.99,30.0,112 NDC,143929901,GANCICLOVIR SODIUM 500 MG IV SOLR,247.0,247.0,28.74,247.0,112 NDC,143929910,GANCICLOVIR SODIUM 500 MG IV SOLR,247.0,247.0,28.74,247.0,112 NDC,143930001,PANTOPRAZOLE SODIUM 40 MG IV SOLR,11.0,11.0,1.49,11.0,111 NDC,143930010,PANTOPRAZOLE SODIUM 40 MG IV SOLR,11.0,11.0,1.49,11.0,111 NDC,143931501,LEVOFLOXACIN IN D5W 250 MG/50ML IV SOLN,6.0,6.0,0.81,6.0,112 NDC,143931524,LEVOFLOXACIN IN D5W 250 MG/50ML IV SOLN,6.0,6.0,0.81,6.0,112 NDC,143931601,LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN,8.0,8.0,1.08,8.0,112 NDC,143931624,LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN,8.0,8.0,1.08,8.0,112 NDC,143931701,LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN,9.0,9.0,1.22,9.0,112 NDC,143931724,LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN,9.0,9.0,1.22,9.0,112 NDC,143932001,LABETALOL HCL 5 MG/ML IV SOLN,11.0,11.0,0.29,11.0,112 NDC,143932801,BUPIVACAINE HCL 0.25 INJECTION SOLN,36.0,36.0,0.01,36.0,112 NDC,143932810,BUPIVACAINE HCL 0.25 INJECTION SOLN,36.0,36.0,0.01,36.0,112 NDC,143932901,BUPIVACAINE HCL 0.5 INJECTION SOLN,40.0,40.0,0.01,40.0,112 NDC,143932910,BUPIVACAINE HCL 0.5 INJECTION SOLN,40.0,40.0,0.01,40.0,112 NDC,143933001,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,8.0,8.0,0.01,8.0,112 NDC,143933010,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,8.0,8.0,0.01,8.0,112 NDC,143933101,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,9.0,9.0,0.01,9.0,112 NDC,143933110,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,9.0,9.0,0.01,9.0,112 NDC,143933201,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,9.0,9.0,0.01,9.0,112 NDC,143933210,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,9.0,9.0,0.01,9.0,112 NDC,143933301,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,11.0,11.0,0.01,11.0,112 NDC,143933310,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,11.0,11.0,0.01,11.0,112 NDC,143933401,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,11.0,11.0,0.01,11.0,112 NDC,143933410,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,11.0,11.0,0.01,11.0,112 NDC,143933501,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,17.0,17.0,0.01,17.0,112 NDC,143933510,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,17.0,17.0,0.01,17.0,112 NDC,143933801,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,42.0,42.0,0.81,42.0,111 NDC,143933825,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,42.0,42.0,0.81,42.0,111 NDC,143935501,VANCOMYCIN HCL 750 MG IV SOLR,36.0,36.0,1.86,36.0,111 NDC,143935510,VANCOMYCIN HCL 750 MG IV SOLR,36.0,36.0,1.86,36.0,111 NDC,143935701,VANCOMYCIN HCL 1 G IV SOLR,58.0,58.0,1.86,58.0,111 NDC,143935710,VANCOMYCIN HCL 1 G IV SOLR,58.0,58.0,1.86,58.0,111 NDC,143935901,VANCOMYCIN HCL 10 G IV SOLR,78.0,78.0,1.86,78.0,111 NDC,143936701,METHOTREXATE SODIUM 1 G INJECTION SOLR,162.0,162.0,2.26,162.0,112 NDC,143936801,LEUCOVORIN CALCIUM 200 MG INJECTION SOLR,36.0,36.0,3.84,36.0,112 NDC,143937501,TERBUTALINE SULFATE 1 MG/ML INJECTION SOLN,5.0,5.0,0.68,16.41,112 NDC,143937510,TERBUTALINE SULFATE 1 MG/ML INJECTION SOLN,5.0,5.0,0.68,16.41,112 NDC,143937801,DAPTOMYCIN 500 MG IV SOLR,126.0,126.0,0.03,126.0,112 NDC,143938001,MIDAZOLAM HCLSODIUM CHLORIDE 1000.9 MG/100ML IV S,108.0,108.0,0.17,108.0,112 NDC,143938010,MIDAZOLAM HCLSODIUM CHLORIDE 1000.9 MG/100ML IV S,108.0,108.0,0.17,108.0,112 NDC,143938110,DOXYCYCLINE HYCLATE 100 MG IV SOLR,76.0,76.0,10.26,76.0,111 NDC,143938401,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR,234.0,234.0,0.11,234.0,112 NDC,143938501,DECITABINE 50 MG IV SOLR,360.0,360.0,0.65,360.0,112 NDC,143938601,ACETAMINOPHEN 10 MG/ML IV SOLN,44.0,44.0,0.05,44.0,112 NDC,143938610,ACETAMINOPHEN 10 MG/ML IV SOLN,44.0,44.0,0.05,44.0,112 NDC,143939401,GEMCITABINE HCL 200 MG IV SOLR,44.0,44.0,2.87,44.0,112 NDC,143939801,ERTAPENEM SODIUM 1 G INJECTION SOLR,324.0,324.0,9.02,324.0,112 NDC,143939810,ERTAPENEM SODIUM 1 G INJECTION SOLR,324.0,324.0,9.02,324.0,112 NDC,143950101,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLN,6.0,6.0,0.73,6.0,112 NDC,143950125,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLN,6.0,6.0,0.73,6.0,112 NDC,143950301,ACETAZOLAMIDE SODIUM 500 MG INJECTION SOLR,159.0,159.0,17.23,159.0,112 NDC,143950401,CISPLATIN 50 MG/50ML IV SOLN,56.0,56.0,1.95,56.0,112 NDC,143950501,CISPLATIN 100 MG/100ML IV SOLN,111.0,111.0,1.95,111.0,112 NDC,143951001,ETOPOSIDE 100 MG/5ML IV SOLN,34.0,34.0,0.98,34.0,112 NDC,143951101,ETOPOSIDE 500 MG/25ML IV SOLN,137.0,137.0,0.98,137.0,112 NDC,143951201,ETOPOSIDE 1 GM/50ML IV SOLN,274.0,274.0,0.98,274.0,112 NDC,143951401,DROPERIDOL 2.5 MG/ML INJECTION SOLN,35.0,35.0,4.73,35.0,112 NDC,143951425,DROPERIDOL 2.5 MG/ML INJECTION SOLN,35.0,35.0,4.73,35.0,112 NDC,143951501,DROPERIDOL 2.5 MG/ML INJECTION SOLN,18.0,18.0,2.43,18.0,112 NDC,143951525,DROPERIDOL 2.5 MG/ML INJECTION SOLN,18.0,18.0,2.43,18.0,112 NDC,143951901,METHOTREXATE SODIUM (PF) 50 MG/2ML INJECTION SOLN,13.0,13.0,1.76,13.0,112 NDC,143951910,METHOTREXATE SODIUM (PF) 50 MG/2ML INJECTION SOLN,13.0,13.0,1.76,13.0,112 NDC,143952901,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLN,436.0,436.0,6.2,436.0,112 NDC,143953001,IFOSFAMIDE 3 GM/60ML IV SOLN,388.0,388.0,23.5,388.0,112 NDC,143953101,IFOSFAMIDE 1 GM/20ML IV SOLN,133.0,133.0,17.96,133.0,112 NDC,143953401,LINEZOLID 600 MG/300ML IV SOLN,51.0,51.0,2.74,51.0,112 NDC,143953410,LINEZOLID 600 MG/300ML IV SOLN,51.0,51.0,2.74,51.0,112 NDC,143954201,NICARDIPINE HCL 2.5 MG/ML IV SOLN,73.0,73.0,0.07,73.0,112 NDC,143954210,NICARDIPINE HCL 2.5 MG/ML IV SOLN,73.0,73.0,0.07,73.0,112 NDC,143955001,DAUNORUBICIN HCL 50 MG/10ML IV SOLN,1208.0,1208.0,19.76,1208.0,112 NDC,143955101,DAUNORUBICIN HCL 20 MG/4ML IV SOLN,483.0,483.0,19.76,483.0,112 NDC,143955110,DAUNORUBICIN HCL 20 MG/4ML IV SOLN,483.0,483.0,19.76,483.0,112 NDC,143955201,LEUCOVORIN CALCIUM 350 MG INJECTION SOLR,94.0,94.0,3.84,94.0,112 NDC,143955301,LEUCOVORIN CALCIUM 200 MG INJECTION SOLR,87.0,87.0,3.84,87.0,112 NDC,143955401,LEUCOVORIN CALCIUM 100 MG INJECTION SOLR,58.0,58.0,3.84,58.0,112 NDC,143955501,LEUCOVORIN CALCIUM 50 MG INJECTION SOLR,36.0,36.0,3.84,36.0,112 NDC,143955901,ARGATROBAN 50 MG/50ML IV SOLN (WRAPPER),713.0,713.0,0.61,713.0,119 NDC,143956401,PHENTOLAMINE MESYLATE 5 MG INJECTION SOLR,1764.0,1764.0,238.14,1764.0,119 NDC,143956410,PHENTOLAMINE MESYLATE 5 MG INJECTION SOLR,1764.0,1764.0,238.14,1764.0,119 NDC,143956501,THIOTEPA 15 MG INJECTION SOLR,2700.0,2700.0,221.75,2700.0,111 NDC,143956601,AZATHIOPRINE SODIUM 100 MG INJECTION SOLR,900.0,900.0,121.5,900.0,119 NDC,143956701,CEFUROXIME SODIUM 1.5 G IV SOLR,17.0,17.0,1.89,17.0,112 NDC,143956725,CEFUROXIME SODIUM 1.5 G IV SOLR,17.0,17.0,1.89,17.0,112 NDC,143956801,CEFUROXIME SODIUM 750 MG INJECTION SOLR,9.0,9.0,1.22,9.0,112 NDC,143957001,NA FERRIC GLUC CPLX IN SUCROSE 12.5 MG/ML IV SOLN,115.0,115.0,1.99,115.0,112 NDC,143957010,NA FERRIC GLUC CPLX IN SUCROSE 12.5 MG/ML IV SOLN,115.0,115.0,1.99,115.0,112 NDC,143957425,LEVETIRACETAM 500 MG/5ML IV SOLN,5.0,5.0,0.04,5.0,112 NDC,143957501,LIDOCAINE HCL 2 INJECTION SOLN,14.0,14.0,1.89,14.0,111 NDC,143957510,LIDOCAINE HCL 2 INJECTION SOLN,14.0,14.0,1.89,14.0,111 NDC,143957701,LIDOCAINE HCL 1 INJECTION SOLN,11.0,11.0,0.01,11.0,111 NDC,143957710,LIDOCAINE HCL 1 INJECTION SOLN,11.0,11.0,0.01,11.0,111 NDC,143958401,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),144.0,144.0,0.38,144.0,112 NDC,143958410,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),144.0,144.0,0.38,144.0,112 NDC,143958601,GLYCOPYRROLATE 0.4 MG/2ML INJECTION SOLN,21.0,21.0,0.38,21.0,112 NDC,143958701,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLN,11.0,11.0,0.38,11.0,112 NDC,143958725,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLN,11.0,11.0,0.38,11.0,112 NDC,143959401,LIDOCAINE HCL (PF) 2 INJECTION SOLN,8.0,8.0,0.01,8.0,111 NDC,143959425,LIDOCAINE HCL (PF) 2 INJECTION SOLN,8.0,8.0,0.01,8.0,111 NDC,143959501,LIDOCAINE HCL (PF) 1 INJECTION SOLN,9.0,9.0,0.01,9.0,111 NDC,143959501,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),9.0,9.0,1.22,9.0,111 NDC,143959525,LIDOCAINE HCL (PF) 1 INJECTION SOLN,9.0,9.0,0.01,9.0,111 NDC,143959525,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),9.0,9.0,1.22,9.0,111 NDC,143960601,AZACITIDINE 100 MG INJECTION SUSR,360.0,360.0,0.21,360.0,112 NDC,143962101,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,25.0,25.0,0.64,25.0,112 NDC,143962125,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,25.0,25.0,0.64,25.0,112 NDC,143962201,LABETALOL HCL 5 MG/ML IV SOLN,26.0,26.0,0.29,26.0,112 NDC,143962301,LABETALOL HCL 5 MG/ML IV SOLN,51.0,51.0,0.29,51.0,112 NDC,143963301,NICARDIPINE HCL IN NACL 40 MG/200ML IV SOLN (WRAPP,586.0,586.0,0.07,586.0,112 NDC,143963310,NICARDIPINE HCL IN NACL 40 MG/200ML IV SOLN (WRAPP,586.0,586.0,0.07,586.0,112 NDC,143963801,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOLN,44.0,44.0,5.94,83.78,111 NDC,143963805,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOLN,44.0,44.0,5.94,83.78,111 NDC,143965901,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN,65.0,65.0,0.03,65.0,112 NDC,143967301,LEVETIRACETAM 500 MG/5ML IV SOLN,15.0,15.0,0.04,15.0,112 NDC,143967325,LEVETIRACETAM 500 MG/5ML IV SOLN,15.0,15.0,0.04,15.0,112 NDC,143967401,ARGATROBAN 250 MG/2.5ML IV SOLN,1800.0,1800.0,0.61,1800.0,119 NDC,143967801,CEFTRIAXONE SODIUM 10 G IV SOLR,72.0,72.0,0.45,72.0,112 NDC,143967901,GLYCOPYRROLATE 4 MG/20ML INJECTION SOLN,144.0,144.0,0.38,144.0,112 NDC,143967910,GLYCOPYRROLATE 4 MG/20ML INJECTION SOLN,144.0,144.0,0.38,144.0,112 NDC,143968001,GLYCOPYRROLATE 1 MG/5ML INJECTION SOLN,36.0,36.0,0.38,36.0,112 NDC,143968101,GLYCOPYRROLATE 0.4 MG/2ML INJECTION SOLN,19.0,19.0,0.38,19.0,112 NDC,143968125,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),19.0,19.0,0.38,19.0,112 NDC,143968201,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),10.0,10.0,0.38,10.0,112 NDC,143968225,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLN,10.0,10.0,0.38,10.0,112 NDC,143968901,NICARDIPINE HCL 2.5 MG/ML IV SOLN,92.0,92.0,0.07,92.0,112 NDC,143968910,NICARDIPINE HCL 2.5 MG/ML IV SOLN,92.0,92.0,0.07,92.0,112 NDC,143970101,IRINOTECAN HCL 100 MG/5ML IV SOLN,225.0,225.0,1.4,225.0,112 NDC,143970201,IRINOTECAN HCL 40 MG/2ML IV SOLN,90.0,90.0,1.4,90.0,112 NDC,143970801,MILRINONE LACTATE 50 MG/50ML IV SOLN,144.0,144.0,1.31,144.0,112 NDC,143970901,MILRINONE LACTATE 20 MG/20ML IV SOLN,34.0,34.0,1.31,34.0,112 NDC,143970910,MILRINONE LACTATE 20 MG/20ML IV SOLN,34.0,34.0,1.31,34.0,112 NDC,143971010,MILRINONE LACTATE 10 MG/10ML IV SOLN,23.0,23.0,1.31,23.0,112 NDC,143971801,MILRINONE LACTATE IN DEXTROSE 405 MG/200ML IV SOL,115.0,115.0,1.31,115.0,112 NDC,143971810,MILRINONE LACTATE IN DEXTROSE 405 MG/200ML IV SOL,115.0,115.0,1.31,115.0,112 NDC,143971901,MILRINONE LACTATE IN DEXTROSE 205 MG/100ML IV SOL,55.0,55.0,1.31,55.0,112 NDC,143971910,MILRINONE LACTATE IN DEXTROSE 205 MG/100ML IV SOL,55.0,55.0,1.31,55.0,112 NDC,143972001,LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN,23.0,23.0,1.89,23.0,112 NDC,143972024,LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN,23.0,23.0,1.89,23.0,112 NDC,143972101,LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN,22.0,22.0,1.89,22.0,112 NDC,143972124,LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN,22.0,22.0,1.89,22.0,112 NDC,143972201,LEVOFLOXACIN IN D5W 250 MG/50ML IV SOLN,22.0,22.0,1.89,22.0,112 NDC,143972224,LEVOFLOXACIN IN D5W 250 MG/50ML IV SOLN,22.0,22.0,1.89,22.0,112 NDC,143972401,CLONIDINE HCL (ANALGESIA) 100 MCG/ML EPIDURAL SOLN,152.0,152.0,16.74,152.0,112 NDC,143972501,PROGESTERONE 50 MG/ML IM OIL,123.0,123.0,0.63,123.0,112 NDC,143972601,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN,339.0,339.0,0.03,339.0,112 NDC,143972901,BENZTROPINE MESYLATE 1 MG/ML INJECTION SOLN,225.0,225.0,13.81,225.0,112 NDC,143972905,BENZTROPINE MESYLATE 1 MG/ML INJECTION SOLN,225.0,225.0,13.81,225.0,112 NDC,143974601,TERBUTALINE SULFATE 1 MG/ML INJECTION SOLN,15.0,15.0,2.03,16.41,112 NDC,143974610,TERBUTALINE SULFATE 1 MG/ML INJECTION SOLN,15.0,15.0,2.03,16.41,112 NDC,143975001,TESTOSTERONE ENANTHATE 200 MG/ML IM SOLN,296.0,296.0,0.05,296.0,112 NDC,143975301,METHYLPREDNISOLONE SODIUM SUCC 40 MG INJECTION SOL,15.0,15.0,0.26,15.0,112 NDC,143975325,METHYLPREDNISOLONE SODIUM SUCC 40 MG INJECTION SOL,15.0,15.0,0.26,15.0,112 NDC,143975401,METHYLPREDNISOLONE SODIUM SUCC 125 MG INJECTION SO,24.0,24.0,0.26,24.0,112 NDC,143975425,METHYLPREDNISOLONE SODIUM SUCC 125 MG INJECTION SO,24.0,24.0,0.26,24.0,112 NDC,143983001,METHOTREXATE SODIUM 1 G INJECTION SOLR,229.0,229.0,2.26,229.0,112 NDC,143985101,METHYLPREDNISOLONE SODIUM SUCC 1000 MG INJECTION S,151.0,151.0,0.26,151.0,112 NDC,143985201,LEVOCARNITINE 200 MG/ML IV SOLN,129.0,129.0,17.42,129.0,112 NDC,143985210,LEVOCARNITINE 200 MG/ML IV SOLN,129.0,129.0,17.42,129.0,112 NDC,143985601,CEFTRIAXONE SODIUM 2 G INJECTION SOLR,11.0,11.0,0.45,11.0,112 NDC,143985625,CEFTRIAXONE SODIUM 2 G INJECTION SOLR,11.0,11.0,0.45,11.0,112 NDC,143985701,CEFTRIAXONE SODIUM 1 G INJECTION SOLR,8.0,8.0,0.45,8.0,112 NDC,143985725,CEFTRIAXONE SODIUM 1 G INJECTION SOLR,8.0,8.0,0.45,8.0,112 NDC,143985801,CEFTRIAXONE SODIUM 500 MG INJECTION SOLR,5.0,5.0,0.45,5.0,112 NDC,143985825,CEFTRIAXONE SODIUM 500 MG INJECTION SOLR,5.0,5.0,0.45,5.0,112 NDC,143985901,CEFTRIAXONE SODIUM 250 MG INJECTION SOLR,4.0,4.0,0.45,4.0,112 NDC,143985925,CEFTRIAXONE SODIUM 250 MG INJECTION SOLR,4.0,4.0,0.45,4.0,112 NDC,143987101,CLADRIBINE 10 MG/10ML IV SOLN,1260.0,1260.0,7.42,1260.0,119 NDC,143987201,PROPRANOLOL HCL 1 MG/ML IV SOLN,29.0,29.0,3.92,29.0,111 NDC,143987210,PROPRANOLOL HCL 1 MG/ML IV SOLN,29.0,29.0,3.92,29.0,111 NDC,143987501,AMIODARONE HCL 150 MG/3ML IV SOLN,8.0,8.0,0.39,8.0,112 NDC,143987510,AMIODARONE HCL 150 MG/3ML IV SOLN,8.0,8.0,0.39,8.0,112 NDC,143987525,AMIODARONE HCL 150 MG/3ML IV SOLN,8.0,8.0,0.39,8.0,112 NDC,143987701,CEFOXITIN SODIUM 2 G IV SOLR,72.0,72.0,4.45,72.0,112 NDC,143987725,CEFOXITIN SODIUM 2 G IV SOLR,72.0,72.0,4.45,72.0,112 NDC,143987825,CEFOXITIN SODIUM 1 G IV SOLR,36.0,36.0,4.45,36.0,112 NDC,143989001,ONDANSETRON HCL 40 MG/20ML INJECTION SOLN,29.0,29.0,0.09,29.0,112 NDC,143989010,ONDANSETRON HCL 40 MG/20ML INJECTION SOLN,29.0,29.0,0.09,29.0,112 NDC,143992390,CEFAZOLIN SODIUM 500 MG INJECTION SOLR,8.0,8.0,0.81,8.0,112 NDC,143992490,CEFAZOLIN SODIUM 1 G INJECTION SOLR,5.0,5.0,0.68,5.0,112 NDC,143997722,CEFUROXIME FOR BONE CEMENT,22.0,22.0,1.89,22.0,112 NDC,143997790,CEFUROXIME SODIUM 1.5 G IV SOLR,22.0,22.0,1.89,22.0,112 NDC,143997922,CEFUROXIME SODIUM 750 MG INJECTION SOLR,11.0,11.0,1.49,11.0,112 NDC,143997990,CEFUROXIME SODIUM 750 MG INJECTION SOLR,11.0,11.0,1.49,11.0,112 NDC,143998303,CEFAZOLIN SODIUM 10 G INJECTION SOLR,40.0,40.0,0.81,40.0,112 NDC,143998391,CEFAZOLIN SODIUM 10 G INJECTION SOLR,40.0,40.0,0.81,40.0,112 NDC,14789010205,TIROFIBAN HCL IN NACL 12.50.9 MG/250ML IV SOLN,600.0,600.0,3.43,600.0,112 NDC,14789010210,TIROFIBAN HCL IN NACL 12.50.9 MG/250ML IV SOLN,600.0,600.0,3.43,600.0,112 NDC,14789010705,POTASSIUM CHLORIDE 20 MEQ/50ML IV SOLN,90.0,90.0,0.1,90.0,112 NDC,14789010708,POTASSIUM CHLORIDE 20 MEQ/50ML IV SOLN,90.0,90.0,0.1,90.0,112 NDC,14789010910,POTASSIUM CHLORIDE 10 MEQ/100ML IV SOLN,144.0,144.0,0.1,144.0,112 NDC,14789010916,POTASSIUM CHLORIDE 10 MEQ/100ML IV SOLN,144.0,144.0,0.1,144.0,112 NDC,14789011008,LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN,51.0,51.0,0.04,51.0,112 NDC,14789011605,ERYTHROMYCIN LACTOBIONATE 500 MG IV SOLR,720.0,720.0,20.16,720.0,112 NDC,14789011607,ERYTHROMYCIN LACTOBIONATE 500 MG IV SOLR,720.0,720.0,20.16,720.0,112 NDC,14789012105,PAPAVERINE HCL 30 MG/ML INJECTION SOLN,135.0,135.0,18.23,135.0,111 NDC,14789012107,PAPAVERINE HCL 30 MG/ML INJECTION SOLN,135.0,135.0,18.23,135.0,111 NDC,14789013705,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,76.0,76.0,0.1,76.0,112 NDC,14789013707,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,76.0,76.0,0.1,76.0,112 NDC,14789022008,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN,78.0,78.0,0.04,78.0,112 NDC,14789022010,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN,78.0,78.0,0.04,78.0,112 NDC,14789033008,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN,103.0,103.0,0.04,103.0,112 NDC,14789033015,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN,103.0,103.0,0.04,103.0,112 NDC,14789070002,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,65.0,65.0,2.31,65.0,112 NDC,14789090002,PROCAINAMIDE HCL 500 MG/ML INJECTION SOLN,2160.0,2160.0,183.03,2160.0,119 NDC,14789090007,PROCAINAMIDE HCL 500 MG/ML INJECTION SOLN,2160.0,2160.0,183.03,2160.0,119 NDC,14789090107,PROCAINAMIDE HCL 100 MG/ML INJECTION SOLN,2160.0,2160.0,183.03,2160.0,119 NDC,15054004301,IRINOTECAN HCL LIPOSOME 43 MG/10ML IV INJ,10206.0,10206.0,64.22,10206.0,119 NDC,15054106004,LANREOTIDE ACETATE 60 MG/0.2ML SC SOLN,21917.0,21917.0,35.39,21917.0,119 NDC,15054109004,LANREOTIDE ACETATE 90 MG/0.3ML SC SOLN,29189.0,29189.0,35.39,29189.0,119 NDC,15054112004,SOMATULINE DEPOT 120 MG/0.5ML SC SOLN,34424.0,34424.0,35.39,34424.0,119 NDC,16571081641,TEMOZOLOMIDE 5 MG PO CAPS,44.0,44.0,0.27,44.0,112 NDC,16571081741,TEMOZOLOMIDE 20 MG PO CAPS,173.0,173.0,0.27,173.0,112 NDC,16714000601,ENOXAPARIN SODIUM 30 MG/0.3ML INJECTION SOSY,21.0,21.0,0.53,21.0,112 NDC,16714000610,ENOXAPARIN SODIUM 30 MG/0.3ML INJECTION SOSY,21.0,21.0,0.53,21.0,112 NDC,16714001601,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,29.0,29.0,0.53,29.0,112 NDC,16714001610,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,29.0,29.0,0.53,29.0,112 NDC,16714001805,BUDESONIDE 0.25 MG/2ML INHALATION SUSP,29.0,29.0,1.05,29.0,112 NDC,16714001830,BUDESONIDE 0.25 MG/2ML INHALATION SUSP,29.0,29.0,1.05,29.0,112 NDC,16714001905,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,34.0,34.0,1.05,34.0,112 NDC,16714001930,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,34.0,34.0,1.05,34.0,112 NDC,16714002601,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,43.0,43.0,0.53,43.0,112 NDC,16714002610,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,43.0,43.0,0.53,43.0,112 NDC,16714002701,IRINOTECAN HCL 40 MG/2ML IV SOLN,118.0,118.0,1.4,118.0,112 NDC,16714003601,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,58.0,58.0,0.53,58.0,112 NDC,16714003610,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,58.0,58.0,0.53,58.0,112 NDC,16714004001,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOAJ,338.0,338.0,25.5,338.0,111 NDC,16714004601,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,71.0,71.0,0.53,71.0,112 NDC,16714004610,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,71.0,71.0,0.53,71.0,112 NDC,16714004701,CHLORPROMAZINE HCL 10 MG PO TABS,13.0,13.0,0.33,13.0,111 NDC,16714004801,CHLORPROMAZINE HCL 25 MG PO TABS,23.0,23.0,0.33,23.0,111 NDC,16714004901,CHLORPROMAZINE HCL 50 MG PO TABS,31.0,31.0,4.19,56.1,112 NDC,16714005001,CHLORPROMAZINE HCL 100 MG PO TABS,44.0,44.0,0.33,44.0,111 NDC,16714005101,CHLORPROMAZINE HCL 200 MG PO TABS,68.0,68.0,0.33,68.0,111 NDC,16714005601,ENOXAPARIN SODIUM 120 MG/0.8ML INJECTION SOSY,87.0,87.0,0.53,87.0,112 NDC,16714005610,ENOXAPARIN SODIUM 120 MG/0.8ML INJECTION SOSY,87.0,87.0,0.53,87.0,112 NDC,16714006601,ENOXAPARIN SODIUM 150 MG/ML INJECTION SOSY,106.0,106.0,0.53,106.0,112 NDC,16714006610,ENOXAPARIN SODIUM 150 MG/ML INJECTION SOSY,106.0,106.0,0.53,106.0,112 NDC,16714007001,FULVESTRANT 250 MG/5ML IM SOSY,2994.0,2994.0,5.72,2994.0,112 NDC,16714007002,FULVESTRANT 250 MG/5ML IM SOSY,2994.0,2994.0,5.72,2994.0,112 NDC,16714009801,TACROLIMUS 0.5 MG PO CAPS,7.0,7.0,0.15,7.0,112 NDC,16714009901,TACROLIMUS 1 MG PO CAPS,14.0,14.0,0.15,14.0,112 NDC,16714011902,TOBRAMYCIN 300 MG/5ML INHALATION NEBU,403.0,403.0,12.47,403.0,112 NDC,16714011903,TOBRAMYCIN 300 MG/5ML INHALATION NEBU,403.0,403.0,12.47,403.0,112 NDC,16714013001,TRIAMCINOLONE ACETONIDE 40 MG/ML INJECTION SUSP,31.0,31.0,0.74,31.0,112 NDC,16714013025,TRIAMCINOLONE ACETONIDE 40 MG/ML INJECTION SUSP,31.0,31.0,0.74,31.0,112 NDC,16714013101,IRINOTECAN HCL 100 MG/5ML IV SOLN,183.0,183.0,1.4,183.0,112 NDC,16714013701,PACLITAXEL 300 MG/50ML IV CONC,330.0,330.0,0.1,330.0,112 NDC,16714014001,TRIAMCINOLONE ACETONIDE 40 MG/ML INJECTION SUSP,164.0,164.0,0.74,164.0,112 NDC,16714015901,ONDANSETRON HCL 4 MG PO TABS,73.0,73.0,0.01,73.0,112 NDC,16714016001,ONDANSETRON HCL 8 MG PO TABS,117.0,117.0,0.01,117.0,112 NDC,16714018701,SIROLIMUS 0.5 MG PO TABS,26.0,26.0,0.96,26.0,112 NDC,16714018801,SIROLIMUS 1 MG PO TABS,51.0,51.0,0.96,51.0,112 NDC,16714020010,ONDANSETRON 4 MG PO TBDP,68.0,68.0,0.01,68.0,112 NDC,16714020030,ONDANSETRON 4 MG PO TBDP,68.0,68.0,0.01,68.0,112 NDC,16714020110,ONDANSETRON 8 MG PO TBDP,116.0,116.0,0.01,116.0,112 NDC,16714020130,ONDANSETRON 8 MG PO TBDP,113.0,113.0,0.01,113.0,112 NDC,16714024701,VANCOMYCIN HCL 500 MG IV SOLR,19.0,19.0,1.86,19.0,111 NDC,16714024710,VANCOMYCIN HCL 500 MG IV SOLR,19.0,19.0,1.86,19.0,111 NDC,16714024801,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR,1017.0,1017.0,0.11,1017.0,112 NDC,16714030901,VANCOMYCIN HCL 1 G IV SOLR,58.0,58.0,1.86,58.0,111 NDC,16714030910,VANCOMYCIN HCL 1 G IV SOLR,58.0,58.0,1.86,58.0,111 NDC,16714052801,PROPOFOL 200 MG/20ML IV EMUL,19.0,19.0,0.08,19.0,112 NDC,16714052810,PROPOFOL 200 MG/20ML IV EMUL,19.0,19.0,0.08,19.0,112 NDC,16714052820,PROPOFOL 200 MG/20ML IV EMUL,10.0,10.0,0.08,10.0,112 NDC,16714053401,EMTRICITABINETENOFOVIR DF 200300 MG PO TABS,211.0,211.0,1.34,211.0,119 NDC,16714053601,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),11.0,11.0,0.38,11.0,112 NDC,16714053625,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),11.0,11.0,0.38,11.0,112 NDC,16714055601,ADENOSINE 3 MG/ML IV SOLN (CATH LAB INFUSION),378.0,378.0,0.32,378.0,112 NDC,16714064401,DOXYCYCLINE HYCLATE 100 MG IV SOLR,84.0,84.0,11.34,84.0,111 NDC,16714064410,DOXYCYCLINE HYCLATE 100 MG IV SOLR,84.0,84.0,11.34,84.0,111 NDC,16714067102,ONDANSETRON HCL 4 MG/5ML PO SOLN,719.0,719.0,0.01,719.0,112 NDC,16714069001,PROPOFOL 1000 MG/100ML IV EMUL,78.0,78.0,0.08,78.0,112 NDC,16714069010,PROPOFOL 1000 MG/100ML IV EMUL,78.0,78.0,0.08,78.0,112 NDC,16714069601,FLUCONAZOLE 40 MG/ML PO SUSR,389.0,389.0,2.39,389.0,112 NDC,16714081501,ZOLEDRONIC ACID 4 MG/5ML IV CONC,1763.0,1763.0,5.08,1763.0,112 NDC,16714083401,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,1121.0,1121.0,0.34,1121.0,112 NDC,16714085701,CYCLOPHOSPHAMIDE 1 G INJECTION SOLR,2477.0,2477.0,0.58,2477.0,119 NDC,16714088601,BLEOMYCIN SULFATE 15 UNITS INJECTION SOLR,142.0,142.0,19.17,142.0,112 NDC,16714088901,ERTAPENEM SODIUM 1 G INJECTION SOLR,438.0,438.0,9.02,438.0,112 NDC,16714088910,ERTAPENEM SODIUM 1 G INJECTION SOLR,438.0,438.0,9.02,438.0,112 NDC,16714089201,DAPTOMYCIN 500 MG IV SOLR,1487.0,1487.0,0.03,1487.0,112 NDC,16714093001,GEMCITABINE HCL 1 G IV SOLR,180.0,180.0,2.87,180.0,112 NDC,16714097701,PROPOFOL 500 MG/50ML IV EMUL,39.0,39.0,0.08,39.0,112 NDC,16714097720,PROPOFOL 500 MG/50ML IV EMUL,39.0,39.0,0.08,39.0,112 NDC,16714099701,ADENOSINE 3 MG/ML IV SOLN (CATH LAB INFUSION),613.0,613.0,0.32,613.0,112 NDC,16729001901,MYCOPHENOLATE MOFETIL 500 MG PO TABS,24.0,24.0,0.15,24.0,112 NDC,16729001916,MYCOPHENOLATE MOFETIL 500 MG PO TABS,24.0,24.0,0.15,24.0,112 NDC,16729004101,TACROLIMUS 0.5 MG PO CAPS,7.0,7.0,0.15,7.0,112 NDC,16729004201,TACROLIMUS 1 MG PO CAPS,14.0,14.0,0.15,14.0,112 NDC,16729004301,TACROLIMUS 5 MG PO CAPS,67.0,67.0,0.15,67.0,112 NDC,16729004854,TEMOZOLOMIDE 5 MG PO CAPS,44.0,44.0,0.27,44.0,112 NDC,16729004953,TEMOZOLOMIDE 20 MG PO CAPS,173.0,173.0,0.27,173.0,112 NDC,16729004954,TEMOZOLOMIDE 20 MG PO CAPS,173.0,173.0,0.27,173.0,112 NDC,16729005053,TEMOZOLOMIDE 100 MG PO CAPS,864.0,864.0,0.27,864.0,112 NDC,16729005054,TEMOZOLOMIDE 100 MG PO CAPS,864.0,864.0,0.27,864.0,112 NDC,16729005153,TEMOZOLOMIDE 250 MG PO CAPS,2159.0,2159.0,0.27,2159.0,112 NDC,16729009401,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,12.0,12.0,0.15,12.0,112 NDC,16729009416,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,12.0,12.0,0.15,12.0,112 NDC,16729010811,MITOMYCIN 20 MG IV SOLR,2124.0,2124.0,25.94,2124.0,119 NDC,16729011408,ETOPOSIDE 500 MG/25ML IV SOLN,171.0,171.0,0.98,171.0,112 NDC,16729011411,ETOPOSIDE 1 GM/50ML IV SOLN,342.0,342.0,0.98,342.0,112 NDC,16729011431,ETOPOSIDE 100 MG/5ML IV SOLN,35.0,35.0,0.98,35.0,112 NDC,16729011505,MITOMYCIN 5 MG IV SOLR,818.0,818.0,25.94,818.0,119 NDC,16729011638,MITOMYCIN 40 MG IV SOLR,4247.0,4247.0,25.94,4247.0,119 NDC,16729015131,TOPOTECAN HCL 4 MG IV SOLR,1075.0,1075.0,1.25,1075.0,112 NDC,16729018929,MYCOPHENOLATE SODIUM 360 MG PO TBEC,28.0,28.0,0.32,28.0,112 NDC,16729022361,TEMSIROLIMUS 25 MG/ML IV SOLN,5733.0,5733.0,20.32,5733.0,119 NDC,16729022405,DECITABINE 50 MG IV SOLR,5852.0,5852.0,0.65,5852.0,112 NDC,16729022903,PEMETREXED DISODIUM 100 MG IV SOLR,364.0,364.0,5.31,364.0,119 NDC,16729023011,PEMETREXED DISODIUM 500 MG IV SOLR,1640.0,1640.0,5.31,1640.0,119 NDC,16729024231,ZOLEDRONIC ACID 4 MG/5ML IV CONC,2515.0,2515.0,5.08,2515.0,112 NDC,16729024331,TOPOTECAN HCL 4 MG/4ML IV SOLN,1558.0,1558.0,1.25,1558.0,112 NDC,16729026129,MYCOPHENOLATE SODIUM 180 MG PO TBEC,14.0,14.0,0.32,14.0,112 NDC,16729026763,DOCETAXEL 20 MG/ML IV CONC,1096.0,1096.0,0.38,1096.0,112 NDC,16729026764,DOCETAXEL 80 MG/4ML IV CONC,4382.0,4382.0,0.38,4382.0,112 NDC,16729027503,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,3412.0,3412.0,0.16,3412.0,112 NDC,16729027567,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,3412.0,3412.0,0.16,3412.0,112 NDC,16729027603,FLUOROURACIL 500 MG/10ML IV SOLN,48.0,48.0,1.72,48.0,112 NDC,16729027605,FLUOROURACIL 1 GM/20ML IV SOLN,87.0,87.0,1.72,87.0,112 NDC,16729027611,FLUOROURACIL 2.5 GM/50ML IV SOLN,104.0,104.0,1.72,104.0,112 NDC,16729027638,FLUOROURACIL 5 GM/100ML IV SOLN,207.0,207.0,1.72,207.0,112 NDC,16729027667,FLUOROURACIL 1 GM/20ML IV SOLN,87.0,87.0,1.72,87.0,112 NDC,16729027668,FLUOROURACIL 500 MG/10ML IV SOLN,48.0,48.0,1.72,48.0,112 NDC,16729027730,METHOTREXATE SODIUM (PF) 50 MG/2ML INJECTION SOLN,15.0,15.0,2.03,15.0,112 NDC,16729027735,METHOTREXATE SODIUM (PF) 1 GM/40ML INJECTION SOLN,124.0,124.0,2.26,124.0,112 NDC,16729028811,CISPLATIN 50 MG/50ML IV SOLN,68.0,68.0,1.95,68.0,112 NDC,16729028838,CISPLATIN 100 MG/100ML IV SOLN,130.0,130.0,1.95,130.0,112 NDC,16729029512,CARBOPLATIN 600 MG/60ML IV SOLN,259.0,259.0,2.11,259.0,112 NDC,16729029534,CARBOPLATIN 450 MG/45ML IV SOLN,234.0,234.0,2.11,234.0,112 NDC,16729029805,ONDANSETRON HCL 40 MG/20ML INJECTION SOLN,29.0,29.0,0.09,29.0,112 NDC,16729030610,AZACITIDINE 100 MG INJECTION SUSR,1853.0,1853.0,0.21,1853.0,112 NDC,16729031008,PARICALCITOL 2 MCG/ML IV SOLN,16.0,16.0,0.67,16.0,112 NDC,16729031063,PARICALCITOL 2 MCG/ML IV SOLN,16.0,16.0,0.67,16.0,112 NDC,16729031108,PARICALCITOL 5 MCG/ML IV SOLN,38.0,38.0,0.67,38.0,112 NDC,16729031130,PARICALCITOL 5 MCG/ML IV SOLN,76.0,76.0,0.67,76.0,112 NDC,16729031163,PARICALCITOL 5 MCG/ML IV SOLN,38.0,38.0,0.67,38.0,112 NDC,16729031193,PARICALCITOL 5 MCG/ML IV SOLN,76.0,76.0,0.67,76.0,112 NDC,16729039130,GEMCITABINE HCL 200 MG/2ML IV SOLN,159.0,159.0,3.82,159.0,112 NDC,16729041903,GEMCITABINE HCL 1 GM/10ML IV SOLN,238.0,238.0,3.82,238.0,112 NDC,16729042333,GEMCITABINE HCL 1.5 GM/15ML IV SOLN,297.0,297.0,3.82,297.0,112 NDC,16729042605,GEMCITABINE HCL 2 GM/20ML IV SOLN,423.0,423.0,3.82,423.0,112 NDC,16729043405,DAPTOMYCIN 350 MG IV SOLR,998.0,998.0,0.03,998.0,112 NDC,16729043445,DAPTOMYCIN 350 MG IV SOLR,998.0,998.0,0.03,998.0,112 NDC,16729043505,DAPTOMYCIN 500 MG IV SOLR,1604.0,1604.0,0.03,1604.0,112 NDC,16729047331,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),97.0,97.0,0.38,97.0,112 NDC,16729047731,REGADENOSON 0.4 MG/5ML IV SOLN,901.0,901.0,2.68,901.0,112 NDC,16729048403,ATROPINE SULFATE 1 MG/10ML INJECTION SOSY,38.0,38.0,0.07,38.0,112 NDC,16729048445,ATROPINE SULFATE 1 MG/10ML INJECTION SOSY,38.0,38.0,0.07,38.0,112 NDC,16729048601,METHOTREXATE SODIUM 2.5 MG PO TABS,13.0,13.0,0.15,13.0,112 NDC,16729050008,FUROSEMIDE 10 MG/ML INJECTION SOLN,9.0,9.0,0.39,9.0,111 NDC,16729050030,FUROSEMIDE 10 MG/ML INJECTION SOLN,9.0,9.0,0.39,9.0,111 NDC,16729050143,FUROSEMIDE 10 MG/ML INJECTION SOLN,12.0,12.0,0.39,12.0,111 NDC,16729050164,FUROSEMIDE 10 MG/ML INJECTION SOLN,12.0,12.0,0.39,12.0,111 NDC,16729050203,FUROSEMIDE 10 MG/ML INJECTION SOLN,13.0,13.0,0.39,13.0,111 NDC,16729050243,FUROSEMIDE 10 MG/ML INJECTION SOLN,13.0,13.0,0.39,13.0,111 NDC,16729051205,ATROPINE SULFATE 8 MG/20ML INJECTION SOLN,252.0,252.0,0.07,252.0,112 NDC,16729051243,ATROPINE SULFATE 8 MG/20ML INJECTION SOLN,252.0,252.0,0.07,252.0,112 NDC,16729052508,ATROPINE SULFATE 0.4 MG/ML INJECTION SOLN (WRAPPER,44.0,44.0,0.07,44.0,112 NDC,16729052563,ATROPINE SULFATE 0.4 MG/ML INJECTION SOLN (WRAPPER,44.0,44.0,0.07,44.0,112 NDC,16729052608,ATROPINE SULFATE 1 MG/ML IV SOLN,68.0,68.0,0.07,68.0,112 NDC,16729052663,ATROPINE SULFATE 1 MG/ML IV SOLN,68.0,68.0,0.07,68.0,112 NDC,16729053308,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,26.0,26.0,0.64,26.0,112 NDC,16729053363,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,26.0,26.0,0.64,26.0,112 NDC,169183411,INSULIN NPH (HUMAN) (ISOPHANE) 100 UNIT/ML SC SUSP,174.0,174.0,0.22,174.0,111 NDC,169183711,INSULIN ISOPHANE REGULAR (7030) 100 UNIT/ML SC,174.0,174.0,0.22,174.0,111 NDC,169330312,INSULIN ASPART 100 UNIT/ML SC SOCT,97.0,97.0,0.22,97.0,111 NDC,169368512,INSULIN ASPART PROT ASPART (7030) 100 UNIT/ML SC,261.0,261.0,0.22,261.0,111 NDC,169706515,GLUCAGON HCL (RDNA) 1 MG INJECTION SOLR (WRAPPER),1108.0,1108.0,149.58,1108.0,119 NDC,169720101,COAGULATION FACTOR VIIA RECOMB 1 MG IV SOLR,8070.0,8070.0,2.55,8070.0,117 NDC,169720201,COAGULATION FACTOR VIIA RECOMB 2 MG IV SOLR,16140.0,16140.0,2.55,16140.0,117 NDC,169720501,COAGULATION FACTOR VIIA RECOMB 5 MG IV SOLR,40350.0,40350.0,2.55,40350.0,117 NDC,169720801,COAGULATION FACTOR VIIA RECOMB 8 MG IV SOLR,62160.0,62160.0,2.55,62160.0,117 NDC,169721811,COAGULATION FACTOR VIIA RECOMB 8 MG IV SOLR,62160.0,62160.0,2.55,62160.0,117 NDC,169750111,INSULIN ASPART VIAL FOR SUBQ INFUSION PUMP 100 UNI,261.0,261.0,0.22,261.0,111 NDC,172640649,CROMOLYN SODIUM 20 MG/2ML INHALATION NEBU,21.0,21.0,0.21,21.0,112 NDC,17271070102,SODIUM CHLORIDE 0.9 IV SOLN,1.0,1.0,0.14,1.44,112 NDC,17271070102,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),1.0,1.0,0.14,4.33,112 NDC,17271070103,SODIUM CHLORIDE 0.9 IV SOLN,25.0,25.0,0.63,25.0,112 NDC,17271070105,SODIUM CHLORIDE 0.9 IV SOLN,29.0,29.0,0.63,29.0,112 NDC,17271070106,SODIUM CHLORIDE 0.9 IV SOLN,29.0,29.0,1.25,29.0,112 NDC,17271072003,DEXTROSE 5 IV SOLN (INGREDIENT),28.0,28.0,1.75,28.0,112 NDC,17271072006,DEXTROSE 5 IV SOLN,35.0,35.0,1.75,35.0,112 NDC,172731320,CYCLOSPORINE MODIFIED 100 MG/ML PO SOLN,899.0,899.0,1.81,899.0,112 NDC,173051700,EPOPROSTENOL SODIUM (VELETRI) 0.5 MG IV SOLR,68.0,68.0,9.18,68.0,112 NDC,173051900,EPOPROSTENOL SODIUM (FLOLAN) 1.5 MG IV SOLR,163.0,163.0,15.65,163.0,112 NDC,173088101,MEPOLIZUMAB 100 MG SC SOLR,12467.0,12467.0,30.69,12467.0,119 NDC,173089242,MEPOLIZUMAB 100 MG/ML SC SOSY,13280.0,13280.0,30.69,13280.0,119 NDC,173089803,DOSTARLIMABGXLY 500 MG/10ML IV SOLN,41628.0,41628.0,240.06,41628.0,119 NDC,17478042020,LABETALOL HCL 5 MG/ML IV SOLN,94.0,94.0,0.29,94.0,112 NDC,17478054050,HYDROMORPHONE HCL PF 500 MG/50ML INJECTION SOLN,383.0,383.0,0.09,383.0,112 NDC,17856075905,PREDNISOLONE 15 MG/5ML PO SOLN (WRAPPER),8.0,8.0,0.27,8.0,112 NDC,185064910,DIPHENHYDRAMINE HCL 50 MG PO CAPS,1.0,1.0,0.02,1.0,111 NDC,186198804,BUDESONIDE 0.25 MG/2ML INHALATION SUSP,32.0,32.0,1.05,32.0,112 NDC,186198904,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,37.0,37.0,1.05,37.0,112 NDC,186199004,BUDESONIDE 1 MG/2ML INHALATION SUSP,74.0,74.0,1.05,74.0,112 NDC,18657011701,HYALURONIDASE HUMAN 150 UNIT/ML INJECTION SOLN,201.0,201.0,0.36,201.0,112 NDC,18657011702,HYALURONIDASE HUMAN 150 UNIT/ML INJECTION SOLN,201.0,201.0,0.36,201.0,112 NDC,18657011704,HYALURONIDASE HUMAN 150 UNIT/ML INJECTION SOLN,201.0,201.0,0.36,201.0,112 NDC,19086250,IOTHALAMATE MEGLUMINE 17.2 URETHRAL SOLN,113.0,113.0,0.07,113.0,104 NDC,19095305,IOTHALAMATE MEGLUMINE 60 INJECTION SOLN,56.0,56.0,0.26,56.0,104 NDC,19095323,IOTHALAMATE MEGLUMINE 60 INJECTION SOLN,44.0,44.0,0.26,44.0,104 NDC,19515080841,FLULAVAL QUADRIVALENT 0.5 ML IM SUSY,68.0,68.0,10.0,75.48,124 NDC,19515081041,INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY,71.0,71.0,10.0,78.81,124 NDC,19515081052,INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY,71.0,71.0,10.0,78.81,124 NDC,200001,FENTANYL 250 MCG/25 ML SYRINGE INJECTION SOLN ORD,27.0,27.0,0.85,27.0,112 NDC,206886201,PIPERACILLINTAZOBACTAM IN DEX 40.5 GM/100ML IV SOL,92.0,92.0,1.09,92.0,112 NDC,206886202,PIPERACILLINTAZOBACTAM IN DEX 40.5 GM/100ML IV SOL,92.0,92.0,1.09,92.0,112 NDC,23114501,ONABOTULINUMTOXINA 100 UNITS INJECTION SOLR,2326.0,2326.0,6.26,2326.0,119 NDC,23155019331,COLISTIMETHATE SODIUM (CBA) 150 MG INJECTION SOLR,101.0,101.0,11.39,101.0,112 NDC,23155019341,COLISTIMETHATE SODIUM (CBA) 150 MG INJECTION SOLR,101.0,101.0,11.39,101.0,112 NDC,23155021631,CIDOFOVIR 75 MG/ML IV SOLN,2664.0,2664.0,301.1,2664.0,119 NDC,23155024031,METOCLOPRAMIDE HCL 5 MG/ML INJECTION SOLN,8.0,8.0,1.0,8.0,112 NDC,23155024041,METOCLOPRAMIDE HCL 5 MG/ML INJECTION SOLN,8.0,8.0,1.0,8.0,112 NDC,23155025831,ADENOSINE 3 MG/ML IV SOLN (CATH LAB INFUSION),401.0,401.0,0.32,401.0,112 NDC,23155029031,AMIKACIN SULFATE 500 MG/2ML INJECTION SOLN,27.0,27.0,0.54,27.0,112 NDC,23155029032,AMIKACIN SULFATE 1 GM/4ML INJECTION SOLN,52.0,52.0,0.54,52.0,112 NDC,23155029041,AMIKACIN SULFATE 500 MG/2ML INJECTION SOLN,27.0,27.0,0.54,27.0,112 NDC,23155029042,AMIKACIN SULFATE 1 GM/4ML INJECTION SOLN,52.0,52.0,0.54,52.0,112 NDC,23155029431,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,67.0,67.0,2.31,67.0,112 NDC,23155029441,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,20.0,20.0,2.31,20.0,112 NDC,23155029442,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,21.0,21.0,2.31,21.0,112 NDC,23155031331,ACETAZOLAMIDE SODIUM 500 MG INJECTION SOLR,143.0,143.0,17.23,143.0,112 NDC,23155032631,IBUTILIDE FUMARATE 1 MG/10ML IV SOLN,1119.0,1119.0,151.06,1119.0,119 NDC,23155034533,PROPOFOL 1000 MG/100ML IV EMUL,59.0,59.0,0.08,59.0,112 NDC,23155034543,PROPOFOL 1000 MG/100ML IV EMUL,59.0,59.0,0.08,59.0,112 NDC,23155047331,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),10.0,10.0,0.39,10.0,111 NDC,23155047332,FUROSEMIDE 10 MG/ML INJECTION SOLN,13.0,13.0,0.39,13.0,111 NDC,23155047333,FUROSEMIDE 10 MG/ML INJECTION SOLN,15.0,15.0,0.39,15.0,111 NDC,23155047341,FUROSEMIDE 10 MG/ML INJECTION SOLN,10.0,10.0,0.39,10.0,111 NDC,23155047342,FUROSEMIDE 10 MG/ML INJECTION SOLN,13.0,13.0,0.39,13.0,111 NDC,23155047344,FUROSEMIDE 10 MG/ML INJECTION SOLN,15.0,15.0,0.39,15.0,111 NDC,23155049731,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,33.0,33.0,2.31,33.0,112 NDC,23155049742,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,33.0,33.0,2.31,33.0,112 NDC,23155052331,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,67.0,67.0,2.31,67.0,112 NDC,23155054731,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,2.0,2.0,0.09,2.0,112 NDC,23155054742,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,2.0,2.0,0.09,2.0,112 NDC,23155054831,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,4.0,4.0,0.09,4.0,112 NDC,23155054842,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,4.0,4.0,0.09,4.0,112 NDC,23155054931,ONDANSETRON HCL 40 MG/20ML INJECTION SOLN,32.0,32.0,0.09,32.0,112 NDC,23155055031,ONDANSETRON HCL 40 MG/20ML INJECTION SOLN,19.0,19.0,0.09,19.0,112 NDC,23155060031,MIDAZOLAM HCL 2 MG/2ML INJECTION SOLN,4.0,4.0,0.13,4.0,112 NDC,23155060041,MIDAZOLAM HCL 2 MG/2ML INJECTION SOLN,4.0,4.0,0.13,4.0,112 NDC,23155060132,MIDAZOLAM HCL 50 MG/10ML INJECTION SOLN,34.0,34.0,0.13,34.0,112 NDC,23155064941,CARMUSTINE 100 MG IV SOLR,1944.0,1944.0,173.64,1944.0,119 NDC,23155068731,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLN,11.0,11.0,0.61,11.0,112 NDC,23155068741,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLN,11.0,11.0,0.61,11.0,112 NDC,23155068831,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLN,15.0,15.0,0.61,15.0,112 NDC,23155068841,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLN,15.0,15.0,0.61,15.0,112 NDC,23155068931,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLN,71.0,71.0,0.61,71.0,112 NDC,23155068941,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLN,71.0,71.0,0.61,71.0,112 NDC,23155074831,PENTAMIDINE ISETHIONATE 300 MG INJECTION SOLR,352.0,352.0,47.52,352.0,111 NDC,23155074841,PENTAMIDINE ISETHIONATE 300 MG INJECTION SOLR,352.0,352.0,47.52,352.0,111 NDC,23155078531,AMIKACIN SULFATE 500 MG/2ML INJECTION SOLN,20.0,20.0,0.54,20.0,112 NDC,23155078541,AMIKACIN SULFATE 500 MG/2ML INJECTION SOLN,20.0,20.0,0.54,20.0,112 NDC,23155078641,AMIKACIN SULFATE 1 GM/4ML INJECTION SOLN,40.0,40.0,0.54,40.0,112 NDC,23155079041,CARMUSTINE 100 MG IV SOLR,1264.0,1264.0,170.64,1264.0,119 NDC,23155080001,PERPHENAZINE 4 MG PO TABS,8.0,8.0,0.48,8.0,111 NDC,23155080101,PERPHENAZINE 8 MG PO TABS,9.0,9.0,0.48,9.0,111 NDC,23155083711,CYCLOSPORINE MODIFIED 25 MG PO CAPS,5.0,5.0,0.53,5.0,112 NDC,23155083730,CYCLOSPORINE MODIFIED 25 MG PO CAPS,5.0,5.0,0.53,5.0,112 NDC,23155083911,CYCLOSPORINE MODIFIED 100 MG PO CAPS,17.0,17.0,1.81,17.0,112 NDC,23155083930,CYCLOSPORINE MODIFIED 100 MG PO CAPS,17.0,17.0,1.81,17.0,112 NDC,23155084851,MYCOPHENOLATE MOFETIL 200 MG/ML PO SUSR,4349.0,4349.0,0.15,4349.0,112 NDC,23155087031,ARSENIC TRIOXIDE 12 MG/6ML IV SOLN,575.0,575.0,4.68,575.0,112 NDC,23155087041,ARSENIC TRIOXIDE 12 MG/6ML IV SOLN,575.0,575.0,4.68,575.0,112 NDC,23334807,DEXAMETHASONE 0.7 MG INTRAVITREAL IMPL,4943.0,4943.0,204.54,4943.0,119 NDC,23391950,BOTOX COSMETIC 50 UNITS IM SOLR,1304.0,1304.0,6.26,1304.0,119 NDC,23392102,BOTOX 200 UNITS INJECTION SOLR,4652.0,4652.0,6.26,4652.0,119 NDC,23585801,LEVONORGESTREL 20.1 MCG/DAY INTRAUTERINE IUD,3195.0,3195.0,431.33,3195.0,115 NDC,23608201,IRON DEXTRAN 50 MG/ML INJECTION SOLN,128.0,128.0,17.28,128.0,119 NDC,23608210,IRON DEXTRAN 50 MG/ML INJECTION SOLN,128.0,128.0,17.28,128.0,119 NDC,23923201,ONABOTULINUMTOXINA (COSMETIC) 100 UNITS IM SOLR,2362.0,2362.0,6.26,2362.0,119 NDC,24065401,ISATUXIMABIRFC 100 MG/5ML IV SOLN,2850.0,2850.0,79.35,2850.0,119 NDC,24065601,ISATUXIMABIRFC 500 MG/25ML IV SOLN,14247.0,14247.0,79.35,14247.0,119 NDC,24201000201,LEVOTHYROXINE SODIUM 100 MCG/ML IV SOLN,270.0,270.0,5.14,270.0,112 NDC,24201001020,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLN,4357.0,4357.0,36.26,4357.0,119 NDC,24201001050,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLN,8126.0,8126.0,36.26,8126.0,119 NDC,24201010001,ACETAMINOPHEN 10 MG/ML IV SOLN,39.0,39.0,0.05,39.0,112 NDC,24201010024,ACETAMINOPHEN 10 MG/ML IV SOLN,39.0,39.0,0.05,39.0,112 NDC,24201011001,ACETAMINOPHEN 10 MG/ML IV SOLN,30.0,30.0,0.05,30.0,112 NDC,24201011024,ACETAMINOPHEN 10 MG/ML IV SOLN,30.0,30.0,0.05,30.0,112 NDC,24201040002,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLN,11272.0,11272.0,816.0,11272.0,111 NDC,24208041601,FLUOCINOLONE ACETONIDE 0.59 MG INTRAVITREAL IMPL,68490.0,68490.0,333.23,68490.0,119 NDC,24279201,NA FERRIC GLUC CPLX IN SUCROSE 12.5 MG/ML IV SOLN,115.0,115.0,1.99,115.0,112 NDC,24279210,NA FERRIC GLUC CPLX IN SUCROSE 12.5 MG/ML IV SOLN,115.0,115.0,1.99,115.0,112 NDC,24515010,RASBURICASE 1.5 MG IV SOLR,3869.0,3869.0,369.97,3869.0,119 NDC,24515175,RASBURICASE 7.5 MG IV SOLR,19342.0,19342.0,369.97,19342.0,119 NDC,24515411,RASBURICASE 1.5 MG IV SOLR,3869.0,3869.0,369.97,3869.0,119 NDC,24582411,CABAZITAXEL 60 MG IV SOLN,46140.0,46140.0,224.09,46140.0,119 NDC,24586201,PLERIXAFOR 24 MG/1.2ML SC SOLN,35886.0,35886.0,30.66,35886.0,119 NDC,25021010010,CEFAZOLIN SODIUM 500 MG INJECTION SOLR,6.0,6.0,0.81,6.0,112 NDC,25021010110,CEFAZOLIN SODIUM 1 G INJECTION SOLR,6.0,6.0,0.81,6.0,112 NDC,25021010299,CEFAZOLIN SODIUM 10 G INJECTION SOLR,44.0,44.0,0.81,44.0,112 NDC,25021010610,CEFTRIAXONE SODIUM 1 G INJECTION SOLR,9.0,9.0,0.45,9.0,112 NDC,25021010720,CEFTRIAXONE SODIUM 2 G INJECTION SOLR,16.0,16.0,0.45,16.0,112 NDC,25021010910,CEFOXITIN SODIUM 1 G IV SOLR,22.0,22.0,2.97,22.0,112 NDC,25021011020,CEFOXITIN SODIUM 2 G IV SOLR,72.0,72.0,4.45,72.0,112 NDC,25021011506,CLINDAMYCIN PHOSPHATE 900 MG/6ML INJECTION SOLN,18.0,18.0,1.67,18.0,112 NDC,25021011920,CEFUROXIME SODIUM 1.5 G IV SOLR,20.0,20.0,1.89,20.0,112 NDC,25021012120,CEFEPIME HCL 1 G INJECTION SOLR,22.0,22.0,0.87,22.0,112 NDC,25021012166,CEFEPIME HCL 1 G INJECTION SOLR,61.0,61.0,0.87,61.0,112 NDC,25021012250,CEFEPIME HCL 2 G IV SOLR,36.0,36.0,0.87,36.0,112 NDC,25021012720,CEFTAZIDIME 1 G INJECTION SOLR,19.0,19.0,1.47,19.0,112 NDC,25021012850,CEFTAZIDIME 2 G IV SOLR,40.0,40.0,1.47,40.0,112 NDC,25021013182,METRONIDAZOLE 500 MG/100ML IV SOLN,9.0,9.0,0.03,9.0,112 NDC,25021013281,LEVOFLOXACIN IN D5W 250 MG/50ML IV SOLN,26.0,26.0,1.89,26.0,112 NDC,25021013282,LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN,40.0,40.0,1.89,40.0,112 NDC,25021013283,LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN,40.0,40.0,1.89,40.0,112 NDC,25021013610,AMPICILLIN SODIUM 1 G INJECTION SOLR,18.0,18.0,0.49,18.0,112 NDC,25021013720,AMPICILLIN SODIUM 2 G INJECTION SOLR,27.0,27.0,0.49,27.0,112 NDC,25021014220,AMPICILLINSULBACTAM SODIUM 1.5 (10.5) G INJECTION,20.0,20.0,1.33,20.0,112 NDC,25021014330,AMPICILLINSULBACTAM SODIUM 3 (21) G INJECTION SOLR,33.0,33.0,1.33,33.0,112 NDC,25021014499,AMPICILLINSULBACTAM SODIUM 15 (105) G IV SOLR,202.0,202.0,1.33,202.0,112 NDC,25021014610,OXACILLIN SODIUM 1 G INJECTION SOLR,41.0,41.0,0.57,41.0,112 NDC,25021015010,VANCOMYCIN HCL 500 MG IV SOLR,11.0,11.0,1.49,11.0,111 NDC,25021015120,VANCOMYCIN HCL 1 G IV SOLR,19.0,19.0,1.86,19.0,111 NDC,25021015799,VANCOMYCIN HCL 5 G IV SOLR,180.0,180.0,1.86,180.0,111 NDC,25021015899,VANCOMYCIN HCL 10 G IV SOLR,360.0,360.0,1.86,360.0,111 NDC,25021016224,OXACILLIN SODIUM 2 G INJECTION SOLR,81.0,81.0,0.57,81.0,112 NDC,25021017302,AMIKACIN SULFATE 500 MG/2ML INJECTION SOLN,28.0,28.0,0.54,28.0,112 NDC,25021017304,AMIKACIN SULFATE 1 GM/4ML INJECTION SOLN,56.0,56.0,0.54,56.0,112 NDC,25021017415,DAPTOMYCIN 500 MG IV SOLR,87.0,87.0,0.03,87.0,112 NDC,25021017915,DAPTOMYCIN 350 MG IV SOLR,234.0,234.0,0.03,234.0,112 NDC,25021017966,DAPTOMYCIN 350 MG IV SOLR,193.0,193.0,0.03,193.0,112 NDC,25021017967,DAPTOMYCIN 350 MG IV SOLR,193.0,193.0,0.03,193.0,112 NDC,25021018199,PIPERACILLIN SODTAZOBACTAM SO 40.5 (364.5) G IV SO,314.0,314.0,1.09,314.0,112 NDC,25021018466,FLUCONAZOLE IN SODIUM CHLORIDE 2000.9 MG/100ML IV,15.0,15.0,2.03,15.0,112 NDC,25021018467,FLUCONAZOLE IN SODIUM CHLORIDE 4000.9 MG/200ML IV,16.0,16.0,2.16,16.0,112 NDC,25021018482,FLUCONAZOLE IN SODIUM CHLORIDE 2000.9 MG/100ML IV,33.0,33.0,2.39,33.0,112 NDC,25021018487,FLUCONAZOLE IN SODIUM CHLORIDE 4000.9 MG/200ML IV,51.0,51.0,2.39,51.0,112 NDC,25021018510,GANCICLOVIR SODIUM 500 MG/10ML IV SOLN,216.0,216.0,28.74,216.0,112 NDC,25021018984,FOSCARNET SODIUM 6000 MG/250ML IV SOLN,1773.0,1773.0,6.71,1773.0,112 NDC,25021019110,MICAFUNGIN SODIUM 100 MG IV SOLR,674.0,674.0,0.25,674.0,112 NDC,25021019111,MICAFUNGIN SODIUM 100 MG IV SOLR,674.0,674.0,0.25,674.0,112 NDC,25021019410,CASPOFUNGIN ACETATE 50 MG IV SOLR,249.0,249.0,2.27,249.0,112 NDC,25021019510,CASPOFUNGIN ACETATE 70 MG IV SOLR,285.0,285.0,2.27,285.0,112 NDC,25021020110,MESNA 100 MG/ML IV SOLN,72.0,72.0,1.33,72.0,112 NDC,25021020111,MESNA 100 MG/ML IV SOLN,72.0,72.0,1.33,72.0,112 NDC,25021020401,VINORELBINE TARTRATE 10 MG/ML IV SOLN,90.0,90.0,1.96,90.0,112 NDC,25021020405,VINORELBINE TARTRATE 50 MG/5ML IV SOLN,324.0,324.0,1.96,324.0,112 NDC,25021020725,DOXORUBICIN HCL 2 MG/ML IV SOLN,89.0,89.0,2.72,89.0,112 NDC,25021020751,DOXORUBICIN HCL 2 MG/ML IV SOLN,479.0,479.0,2.72,479.0,112 NDC,25021021598,FLUOROURACIL 2.5 GM/50ML IV SOLN,99.0,99.0,1.72,99.0,112 NDC,25021021920,DECITABINE 50 MG IV SOLR,360.0,360.0,0.65,360.0,112 NDC,25021022320,CYTARABINE (PF) 100 MG/ML INJECTION SOLN,74.0,74.0,0.79,74.0,112 NDC,25021022905,CYTARABINE (PF) 20 MG/ML INJECTION SOLN,36.0,36.0,0.79,36.0,112 NDC,25021023002,IRINOTECAN HCL 40 MG/2ML IV SOLN,62.0,62.0,1.4,62.0,112 NDC,25021023005,IRINOTECAN HCL 100 MG/5ML IV SOLN,111.0,111.0,1.4,111.0,112 NDC,25021023310,OXALIPLATIN 50 MG/10ML IV SOLN,90.0,90.0,0.05,90.0,112 NDC,25021023320,OXALIPLATIN 100 MG/20ML IV SOLN,180.0,180.0,0.05,180.0,112 NDC,25021023550,GEMCITABINE HCL 1 G IV SOLR,179.0,179.0,2.87,179.0,112 NDC,25021024110,BUSULFAN 6 MG/ML IV SOLN,1800.0,1800.0,0.89,1800.0,119 NDC,25021024202,FLUDARABINE PHOSPHATE 50 MG IV SOLR (WRAPPER),783.0,783.0,71.65,783.0,112 NDC,25021024410,BORTEZOMIB 1 MG/ML IV SOLR (WRAPPER),252.0,252.0,1.59,252.0,112 NDC,25021024501,DOCETAXEL 20 MG/ML IV CONC,90.0,90.0,0.38,90.0,112 NDC,25021024504,DOCETAXEL 80 MG/4ML IV CONC,306.0,306.0,0.38,306.0,112 NDC,25021025020,MITOMYCIN 5 MG IV SOLR,876.0,876.0,25.94,876.0,119 NDC,25021025150,MITOMYCIN 20 MG IV SOLR,2276.0,2276.0,25.94,2276.0,119 NDC,25021025350,CISPLATIN 50 MG/50ML IV SOLN,101.0,101.0,1.95,101.0,112 NDC,25021025351,CISPLATIN 100 MG/100ML IV SOLN,144.0,144.0,1.95,144.0,112 NDC,25021025416,DOCETAXEL 160 MG/16ML IV SOLN,1229.0,1229.0,0.38,1229.0,112 NDC,25021025517,PACLITAXEL 100 MG/16.7ML IV CONC,109.0,109.0,0.1,109.0,112 NDC,25021025550,PACLITAXEL 300 MG/50ML IV CONC,216.0,216.0,0.1,216.0,112 NDC,25021025861,MELPHALAN HCL 50 MG IV SOLR,720.0,720.0,86.94,720.0,119 NDC,25021030167,ADENOSINE 6 MG/2ML IV SOLN,58.0,58.0,0.32,58.0,112 NDC,25021030168,ADENOSINE 12 MG/4ML IV SOLN,94.0,94.0,0.32,94.0,112 NDC,25021030520,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR,216.0,216.0,29.16,216.0,112 NDC,25021030566,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR,115.0,115.0,15.53,115.0,112 NDC,25021030982,ESMOLOL HCLSODIUM CHLORIDE 2000 MG/100ML IV SOLN,540.0,540.0,0.21,540.0,112 NDC,25021031102,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),8.0,8.0,0.39,8.0,111 NDC,25021031104,FUROSEMIDE 10 MG/ML INJECTION SOLN,11.0,11.0,0.39,11.0,111 NDC,25021031110,FUROSEMIDE 10 MG/ML INJECTION SOLN,12.0,12.0,0.39,12.0,111 NDC,25021031387,MILRINONE LACTATE IN DEXTROSE 405 MG/200ML IV SOL,115.0,115.0,1.31,115.0,112 NDC,25021031501,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,8.0,8.0,0.01,8.0,108 NDC,25021031598,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,71.0,71.0,0.01,71.0,108 NDC,25021031599,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),36.0,36.0,0.01,36.0,108 NDC,25021031720,LABETALOL HCL 5 MG/ML IV SOLN,13.0,13.0,0.29,13.0,112 NDC,25021031740,LABETALOL HCL 5 MG/ML IV SOLN,29.0,29.0,0.29,29.0,112 NDC,25021031802,ADENOSINE 6 MG/2ML IV SOLN,22.0,22.0,0.32,22.0,112 NDC,25021032104,BUMETANIDE 0.25 MG/ML INJECTION SOLN,9.0,9.0,0.36,9.0,112 NDC,25021032110,BUMETANIDE 0.25 MG/ML INJECTION SOLN,10.0,10.0,0.36,10.0,112 NDC,25021040001,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,9.0,9.0,0.18,9.0,112 NDC,25021040010,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,13.0,13.0,0.18,13.0,112 NDC,25021040030,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,25.0,25.0,0.18,25.0,112 NDC,25021040067,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,9.0,9.0,0.18,9.0,112 NDC,25021040201,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,6.0,6.0,0.18,6.0,112 NDC,25021040210,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,31.0,31.0,0.18,31.0,112 NDC,25021040266,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,10.0,10.0,0.18,10.0,112 NDC,25021040301,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,9.0,9.0,0.18,9.0,112 NDC,25021040304,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,28.0,28.0,0.18,28.0,112 NDC,25021040401,HEPARIN SODIUM (PORCINE) 20000 UNIT/ML INJECTION S,36.0,36.0,0.18,36.0,112 NDC,25021041070,ENOXAPARIN SODIUM 30 MG/0.3ML INJECTION SOSY,10.0,10.0,0.53,10.0,112 NDC,25021041071,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,32.0,32.0,0.53,32.0,112 NDC,25021041076,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,14.0,14.0,0.53,14.0,112 NDC,25021041077,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,22.0,22.0,0.53,22.0,112 NDC,25021041078,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,29.0,29.0,0.53,29.0,112 NDC,25021041170,ENOXAPARIN SODIUM 120 MG/0.8ML INJECTION SOSY,44.0,44.0,0.53,44.0,112 NDC,25021041171,ENOXAPARIN SODIUM 150 MG/ML INJECTION SOSY,48.0,48.0,0.53,48.0,112 NDC,25021041450,ARGATROBAN 50 MG/50ML IV SOLN (WRAPPER),630.0,630.0,0.61,630.0,119 NDC,25021041601,PLERIXAFOR 24 MG/1.2ML SC SOLN,1800.0,1800.0,30.66,1800.0,119 NDC,25021046001,DESMOPRESSIN ACETATE PF 4 MCG/ML INJECTION SOLN,184.0,184.0,3.41,184.0,112 NDC,25021046301,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLN,17.0,17.0,0.61,17.0,112 NDC,25021046810,LEVOTHYROXINE SODIUM 100 MCG IV SOLR,381.0,381.0,5.39,381.0,112 NDC,25021046910,LEVOTHYROXINE SODIUM 200 MCG IV SOLR,686.0,686.0,5.39,686.0,112 NDC,25021050002,THIAMINE HCL 100 MG/ML INJECTION SOLN,36.0,36.0,1.76,36.0,112 NDC,25021050201,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,10.0,10.0,0.64,10.0,112 NDC,25021060103,CAFFEINE CITRATE 60 MG/3ML IV SOLN,72.0,72.0,1.02,72.0,111 NDC,25021060820,PROPOFOL 200 MG/20ML IV EMUL,21.0,21.0,0.08,21.0,112 NDC,25021060850,PROPOFOL 500 MG/50ML IV EMUL,53.0,53.0,0.08,53.0,112 NDC,25021060851,PROPOFOL 1000 MG/100ML IV EMUL,106.0,106.0,0.08,106.0,112 NDC,25021061110,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,31.0,31.0,0.71,31.0,111 NDC,25021061281,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,61.0,61.0,0.41,61.0,112 NDC,25021061282,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,33.0,33.0,0.41,33.0,112 NDC,25021065502,MIDAZOLAM HCL 2 MG/2ML INJECTION SOLN,3.0,3.0,0.13,3.0,112 NDC,25021066110,MIDAZOLAM HCL 50 MG/10ML INJECTION SOLN,14.0,14.0,0.13,14.0,112 NDC,25021067166,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,90.0,90.0,0.05,90.0,112 NDC,25021067167,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,153.0,153.0,0.05,153.0,112 NDC,25021067182,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,140.0,140.0,0.05,140.0,112 NDC,25021067187,ROPIVACAINE 0.2 200ML,279.0,279.0,0.05,279.0,112 NDC,25021067620,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLN,5040.0,5040.0,36.26,5040.0,119 NDC,25021067650,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLN,8100.0,8100.0,36.26,8100.0,119 NDC,25021068171,BACLOFEN 50 MCG/ML INTRATHECAL SOSY,159.0,159.0,21.46,159.0,112 NDC,25021070001,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,14.0,14.0,0.33,14.0,112 NDC,25021070101,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,18.0,18.0,0.33,18.0,112 NDC,25021075110,PANTOPRAZOLE SODIUM 40 MG IV SOLR,13.0,13.0,1.76,13.0,111 NDC,25021075111,PANTOPRAZOLE SODIUM 40 MG IV SOLR,13.0,13.0,1.76,13.0,111 NDC,25021077702,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,7.0,7.0,0.09,7.0,112 NDC,25021078005,LEVETIRACETAM 500 MG/5ML IV SOLN,29.0,29.0,0.04,29.0,112 NDC,25021078305,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,65.0,65.0,0.34,65.0,112 NDC,25021079002,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,20.0,20.0,2.31,20.0,112 NDC,25021079003,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,20.0,20.0,2.31,20.0,112 NDC,25021080601,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLN,18.0,18.0,0.73,18.0,112 NDC,25021081230,ACETYLCYSTEINE 200 MG/ML IV SOLN,360.0,360.0,0.37,360.0,112 NDC,25021081310,LEUCOVORIN CALCIUM 50 MG INJECTION SOLR,36.0,36.0,3.84,36.0,112 NDC,25021081430,LEUCOVORIN CALCIUM 100 MG INJECTION SOLR,72.0,72.0,3.84,72.0,112 NDC,25021081530,LEUCOVORIN CALCIUM 200 MG INJECTION SOLR,144.0,144.0,3.84,144.0,112 NDC,25021081630,LEUCOVORIN CALCIUM 350 MG INJECTION SOLR,252.0,252.0,3.84,252.0,112 NDC,25021082010,METHYLPREDNISOLONE ACETATE 40 MG/ML INJECTION SUSP,258.0,258.0,0.12,258.0,112 NDC,25021082667,ZOLEDRONIC ACID 4 MG/100ML IV SOLN,216.0,216.0,5.08,216.0,112 NDC,25021082682,ZOLEDRONIC ACID 4 MG/100ML IV SOLN,648.0,648.0,5.08,648.0,112 NDC,25021082850,LEUCOVORIN CALCIUM 500 MG INJECTION SOLR,360.0,360.0,3.84,360.0,112 NDC,25021082902,FOMEPIZOLE 1.5 GM/1.5ML IV SOLN,3546.0,3546.0,6.03,3546.0,119 NDC,25021083082,ZOLEDRONIC ACID 5 MG/100ML IV SOLN,1260.0,1260.0,5.08,1260.0,112 NDC,25021083301,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN,144.0,144.0,3.94,144.0,112 NDC,25208000201,TIROFIBAN HCL IN NACL 50.9 MG/100ML IV SOLN,332.0,332.0,3.43,332.0,112 NDC,25208000202,TIROFIBAN HCL IN NACL 12.50.9 MG/250ML IV SOLN,897.0,897.0,3.43,897.0,112 NDC,25208090202,TIROFIBAN HCL IN NACL 12.50.9 MG/250ML IV SOLN,897.0,897.0,3.43,897.0,112 NDC,25357002501,RIBOFLAV5 RIBOFLAV5DEXTRAN 0.146 0.14620 OPHT,16416.0,16416.0,2216.16,16416.0,111 NDC,25357002503,RIBOFLAV5 RIBOFLAV5DEXTRAN 0.146 0.14620 OPHT,16416.0,16416.0,2216.16,16416.0,111 NDC,25682000101,ECULIZUMAB 300 MG/30ML IV SOLN,23483.0,23483.0,224.16,23483.0,111 NDC,25682000701,SEBELIPASE ALFA 20 MG/10ML IV SOLN,36756.0,36756.0,508.46,36756.0,119 NDC,25682002501,RAVULIZUMABCWVZ 300 MG/3ML IV SOLN,23055.0,23055.0,220.59,23055.0,119 NDC,25682002801,RAVULIZUMABCWVZ 1100 MG/11ML IV SOLN,84533.0,84533.0,220.59,84533.0,119 NDC,259160501,INCOBOTULINUMTOXINA 50 UNITS IM SOLR,965.0,965.0,5.25,965.0,119 NDC,259161001,INCOBOTULINUMTOXINA 100 UNITS IM SOLR,1840.0,1840.0,5.25,1840.0,119 NDC,26378555,ANTIHEM FACTOR RECOMB (RFVIII) 1000 UNITS IV KIT,8043.0,8043.0,1.54,8043.0,117 NDC,26382225,ANTIHEMOPHIL FACTOR (RAHFPFM) 500 UNITS IV SOLR,3135.0,3135.0,1.48,3135.0,116 NDC,26382425,ANTIHEMOPHIL FACTOR (RAHFPFM) 1000 UNITS IV SOLR,7306260.0,7306260.0,1.48,7306260.0,117 NDC,26382650,ANTIHEMOPHIL FACTOR (RAHFPFM) 2000 UNITS IV SOLR,13260.0,13260.0,1.48,13260.0,117 NDC,264151031,DEXTROSE 5 KVO FLUSH (INPATIENT),9.0,9.0,1.22,9.0,112 NDC,264151032,DEXTROSE 5 KVO FLUSH (INPATIENT),9.0,9.0,1.22,9.0,112 NDC,264180031,SODIUM CHLORIDE 0.9 IV SOLN,10.0,10.0,0.63,10.0,112 NDC,264180031,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),10.0,10.0,1.35,10.0,112 NDC,264180032,SODIUM CHLORIDE 0.9 IV SOLN,10.0,10.0,0.63,10.0,112 NDC,264180032,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),10.0,10.0,1.35,10.0,112 NDC,264180036,SODIUM CHLORIDE 0.9 IV SOLN,10.0,10.0,0.63,10.0,112 NDC,264180036,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),10.0,10.0,1.35,10.0,112 NDC,264220300,LACTATED RINGERS IRRIGATION SOLN,21.0,21.0,2.38,21.0,112 NDC,264310311,CEFAZOLIN SODIUMDEXTROSE 14 GM (50ML) IV SOLR,48.0,48.0,0.81,48.0,112 NDC,264310511,CEFAZOLIN SODIUMDEXTROSE 23 GM (50ML) IV SOLR,54.0,54.0,0.81,54.0,112 NDC,264312311,CEFOXITIN SODIUMDEXTROSE 14 GM (50ML) IV SOLR,68.0,68.0,4.45,68.0,112 NDC,264312511,CEFOXITIN SODIUMDEXTROSE 22.2 GM (50ML) IV SOLR,121.0,121.0,4.45,121.0,104 NDC,264315311,CEFTRIAXONE SODIUMDEXTROSE 13.74 GM (50ML) IV SOLR,71.0,71.0,0.45,71.0,112 NDC,264315511,CEFTRIAXONE SODIUMDEXTROSE 22.22 GM (50ML) IV SOLR,95.0,95.0,0.45,95.0,112 NDC,264318311,MEROPENEMSODIUM CHLORIDE 500 MG/50ML IV SOLR,74.0,74.0,0.54,74.0,112 NDC,264318511,MEROPENEMSODIUM CHLORIDE 1 GM/50ML IV SOLR,108.0,108.0,0.54,108.0,112 NDC,264319311,CEFEPIMEDEXTROSE 15 GM (50ML) IV SOLR,71.0,71.0,1.55,71.0,112 NDC,264319511,CEFEPIMEDEXTROSE 25 GM (50ML) IV SOLR,108.0,108.0,1.55,108.0,112 NDC,264405080,ACETAMINOPHEN 10 MG/ML IV SOLN,23.0,23.0,0.05,23.0,112 NDC,264410090,ACETAMINOPHEN 10 MG/ML IV SOLN,30.0,30.0,0.05,30.0,112 NDC,264420452,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,16.0,16.0,0.41,16.0,112 NDC,264420654,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,13.0,13.0,0.41,13.0,112 NDC,264440054,MAGNESIUM SULFATE IN D5W 15 GM/100ML IV SOLN,11.0,11.0,0.41,11.0,112 NDC,264553532,METRONIDAZOLE 500 MG/100ML IV SOLN,12.0,12.0,0.03,12.0,112 NDC,264705505,CHLOROPROCAINE HCL 50 MG/5ML INTRATHECAL SOLN,1106.0,1106.0,0.31,1106.0,111 NDC,264705510,CHLOROPROCAINE HCL 50 MG/5ML INTRATHECAL SOLN,1106.0,1106.0,0.31,1106.0,111 NDC,264751000,DEXTROSE 5 LARGE VOLUME FLUSH (INTEROP),15.0,15.0,2.03,15.0,112 NDC,264751010,DEXTROSE 5 KVO FLUSH (INPATIENT),14.0,14.0,1.75,14.0,112 NDC,264751020,DEXTROSE 5 KVO FLUSH (INPATIENT),13.0,13.0,1.75,13.0,112 NDC,264761000,DEXTROSESODIUM CHLORIDE 50.9 IV SOLN,15.0,15.0,1.18,15.0,112 NDC,264761010,DEXTROSESODIUM CHLORIDE 50.9 IV SOLN,15.0,15.0,1.18,15.0,112 NDC,264775000,LACTATED RINGERS IV SOLN FLUSH (NONINTEROP),12.0,12.0,1.62,12.0,112 NDC,264775010,LACTATED RINGERS IV SOLN BOLUS,14.0,14.0,1.89,14.0,112 NDC,264775020,LACTATED RINGERS IV SOLN FLUSH (NONINTEROP),7.0,7.0,0.95,7.0,112 NDC,264780000,SODIUM CHLORIDE 0.9 LARGE VOLUME FLUSH (NONINTERO,9.0,9.0,1.22,9.0,112 NDC,264780009,SODIUM CHLORIDE 0.9 IV SOLN,9.0,9.0,1.22,9.0,112 NDC,264780010,SODIUM CHLORIDE 0.9 LARGE VOLUME FLUSH (NONINTERO,12.0,12.0,1.25,12.0,112 NDC,264780020,SODIUM CHLORIDE 0.9 IV SOLN,11.0,11.0,0.63,11.0,112 NDC,264780020,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),11.0,11.0,1.49,11.0,112 NDC,264785000,STERILE WATER FOR INJECTION SOLN,15.0,15.0,0.71,15.0,111 NDC,264786500,KCL (POTASSIUM CHLORIDE) IN NACL 200.9 MEQ/L IV S,24.0,24.0,0.1,24.0,112 NDC,26482201,ANTIHEMOPHIL FACTOR (RAHFPFM) 500 UNITS IV SOLR,3135.0,3135.0,1.48,3135.0,116 NDC,26482401,ANTIHEMOPHIL FACTOR (RAHFPFM) 1000 UNITS IV SOLR,8592.0,8592.0,1.48,8592.0,117 NDC,26482601,ANTIHEMOPHIL FACTOR (RAHFPFM) 2000 UNITS IV SOLR,16854.0,16854.0,1.48,16854.0,117 NDC,264937988,BUPIVACAINE IN DEXTROSE 0.758.25 INTRATHECAL SOL,17.0,17.0,0.01,17.0,112 NDC,264958720,HEPARIN SOD (PORCINE) IN D5W 100 UNIT/ML IV SOLN,58.0,58.0,0.18,58.0,112 NDC,264959820,LIDOCAINE IN D5W 85 MG/ML IV SOLN,29.0,29.0,0.01,29.0,107 NDC,264987200,HEPARIN (PORCINE) IN NACL 20000.9 UNIT/L IV SOLN,21.0,21.0,0.18,21.0,112 NDC,264987210,HEPARIN (PORCINE) IN NACL 10000.9 UT/500ML IV SOL,15.0,15.0,0.18,15.0,112 NDC,270014957,DIATRIZOATE MEGLUMINE 30 URETHRAL SOLN,199.0,199.0,0.07,199.0,104 NDC,270014960,DIATRIZOATE MEGLUMINE 30 URETHRAL SOLN,111.0,111.0,0.07,111.0,104 NDC,270044540,DIATRIZOATE MEGLUMINE SODIUM 6610 ENEMA MCP,251.0,251.0,0.22,251.0,104 NDC,270055615,SINCALIDE 5 MCG INJECTION SOLR,470.0,470.0,63.45,470.0,112 NDC,270111101,GADOTERIDOL 279.3 MG/ML IV SOLN,210.0,210.0,1.46,210.0,104 NDC,270111102,GADOTERIDOL 279.3 MG/ML IV SOLN,307.0,307.0,1.46,307.0,104 NDC,270111103,GADOTERIDOL 279.3 MG/ML IV SOLN,379.0,379.0,1.46,379.0,104 NDC,270111104,GADOTERIDOL 279.3 MG/ML IV SOLN,107.0,107.0,1.46,107.0,104 NDC,270111170,GADOTERIDOL 279.3 MG/ML IV SOLN,995.0,995.0,1.41,995.0,104 NDC,270131415,IOPAMIDOL 41 IV SOLN,441.0,441.0,0.4,441.0,104 NDC,270131525,IOPAMIDOL 61 IV SOLN,80.0,80.0,0.15,80.0,104 NDC,270131530,IOPAMIDOL 61 IV SOLN,85.0,85.0,0.15,85.0,104 NDC,270131535,IOPAMIDOL 61 IV SOLN,165.0,165.0,0.15,165.0,104 NDC,270131550,IOPAMIDOL 61 IV SOLN,241.0,241.0,0.15,241.0,104 NDC,270131604,IOPAMIDOL 76 IV SOLN,226.0,226.0,0.15,226.0,104 NDC,270131630,IOPAMIDOL 76 IV SOLN,180.0,180.0,0.15,180.0,104 NDC,270131635,IOPAMIDOL 76 IV SOLN,183.0,183.0,0.15,183.0,104 NDC,270131637,IOPAMIDOL 76 IV SOLN,254.0,254.0,0.15,254.0,104 NDC,270131702,IOPAMIDOL 51 IV SOLN,144.0,144.0,0.4,144.0,104 NDC,270141111,IOPAMIDOL 41 INJECTION SOLN,233.0,233.0,0.4,233.0,104 NDC,270141215,IOPAMIDOL 61 INJECTION SOLN,310.0,310.0,0.15,310.0,104 NDC,270516412,GADOBENATE DIMEGLUMINE 529 MG/ML IV SOLN,107.0,107.0,1.74,107.0,104 NDC,270516413,GADOBENATE DIMEGLUMINE 529 MG/ML IV SOLN,210.0,210.0,1.74,210.0,104 NDC,270516414,GADOBENATE DIMEGLUMINE 529 MG/ML IV SOLN,307.0,307.0,1.74,307.0,104 NDC,270516415,GADOBENATE DIMEGLUMINE 529 MG/ML IV SOLN,379.0,379.0,1.74,379.0,104 NDC,270709916,SULFUR HEXAFLUORIDE MICROSPH 60.725 MG INJECTION S,512.0,512.0,18.17,512.0,112 NDC,270709973,SULFUR HEXAFLUORIDE MICROSPH 60.725 MG INJECTION S,522.0,522.0,18.17,522.0,112 NDC,2757501,MIRIKIZUMABMRKZ 300 MG/15ML IV SOLN,34536.0,34536.0,41.92,34536.0,119 NDC,2759701,OLANZAPINE 10 MG IM SOLR,181.0,181.0,0.75,181.0,112 NDC,2762301,PEMETREXED DISODIUM 500 MG IV SOLR,14555.0,14555.0,3.59,14555.0,119 NDC,2764001,PEMETREXED DISODIUM 100 MG IV SOLR,2911.0,2911.0,3.59,2911.0,119 NDC,2766901,RAMUCIRUMAB 100 MG/10ML IV SOLN,5245.0,5245.0,72.91,5245.0,119 NDC,2767801,RAMUCIRUMAB 500 MG/50ML IV SOLN,26223.0,26223.0,72.91,26223.0,119 NDC,2831501,INSULIN NPH (HUMAN) (ISOPHANE) 100 UNIT/ML SC SUSP,161.0,161.0,0.22,161.0,111 NDC,2840001,TERIPARATIDE 600 MCG/2.4ML SC SOPN,15444.0,15444.0,47.34,15444.0,111 NDC,2940101,DONANEMABAZBT 350 MG/20ML IV SOLN,2505.0,2505.0,4.09,2505.0,119 NDC,3029305,TRIAMCINOLONE ACETONIDE 40 MG/ML INJECTION SUSP,34.0,34.0,0.74,34.0,112 NDC,3029320,TRIAMCINOLONE ACETONIDE 40 MG/ML INJECTION SUSP,172.0,172.0,0.74,172.0,112 NDC,3037113,BELATACEPT 250 MG IV SOLR,3492.0,3492.0,3.89,3492.0,119 NDC,3049420,TRIAMCINOLONE ACETONIDE 10 MG/ML INJECTION SUSP,44.0,44.0,0.74,44.0,112 NDC,3083050,HYDROXYUREA 500 MG PO CAPS,5.0,5.0,0.41,5.0,111 NDC,310072010,FULVESTRANT 250 MG/5ML IM SOSY,3491.0,3491.0,5.72,3491.0,112 NDC,310111001,SODIUM ZIRCONIUM CYCLOSILICATE 10 G PO PACK,99.0,99.0,13.37,99.0,111 NDC,310111030,SODIUM ZIRCONIUM CYCLOSILICATE 10 G PO PACK,99.0,99.0,13.37,99.0,111 NDC,310111039,SODIUM ZIRCONIUM CYCLOSILICATE 10 G PO PACK,99.0,99.0,13.37,99.0,111 NDC,310173030,BENRALIZUMAB 30 MG/ML SC SOSY,20437.0,20437.0,163.96,20437.0,119 NDC,310304000,ANIFROLUMABFNIA 300 MG/2ML IV SOLN,18826.0,18826.0,17.76,18826.0,119 NDC,310320001,COAG FACT XA INACTIVATEDZHZO 200 MG IV SOLR,9000.0,9000.0,124.5,9000.0,119 NDC,310320004,COAG FACT XA INACTIVATEDZHZO 200 MG IV SOLR,9000.0,9000.0,124.5,9000.0,119 NDC,310320005,COAG FACT XA INACTIVATEDZHZO 200 MG IV SOLR,9000.0,9000.0,124.5,9000.0,119 NDC,310450012,DURVALUMAB 120 MG/2.4ML IV SOLN,3567.0,3567.0,83.88,3567.0,119 NDC,310450525,TREMELIMUMABACTL 25 MG/1.25ML IV SOLN,11934.0,11934.0,138.43,11934.0,119 NDC,310453530,TREMELIMUMABACTL 300 MG/15ML IV SOLN,143208.0,143208.0,138.43,143208.0,119 NDC,310461150,DURVALUMAB 500 MG/10ML IV SOLN,14861.0,14861.0,83.88,14861.0,119 NDC,310621039,DAPAGLIFLOZIN PROPANEDIOL 10 MG PO TABS,70.0,70.0,9.45,70.0,105 NDC,310621095,DAPAGLIFLOZIN PROPANEDIOL 10 MG PO TABS,70.0,70.0,9.45,70.0,105 NDC,3161412,ENTECAVIR 0.05 MG/ML PO SOLN,3459.0,3459.0,29.55,3459.0,105 NDC,31722020410,PANTOPRAZOLE SODIUM 40 MG IV SOLR,17.0,17.0,1.93,17.0,111 NDC,31722020431,PANTOPRAZOLE SODIUM 40 MG IV SOLR,17.0,17.0,1.93,17.0,111 NDC,31722030801,OLANZAPINE 10 MG IM SOLR,128.0,128.0,0.75,128.0,112 NDC,31722099510,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,94.0,94.0,0.71,94.0,111 NDC,31722099531,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,94.0,94.0,0.71,94.0,111 NDC,3218713,ABATACEPT 250 MG IV SOLR,5265.0,5265.0,43.8,5265.0,119 NDC,3218811,ABATACEPT 125 MG/ML SC SOSY,5126.0,5126.0,43.8,5126.0,119 NDC,3229111,ELOTUZUMAB 300 MG IV SOLR,8032.0,8032.0,7.72,8032.0,119 NDC,3232711,IPILIMUMAB 50 MG/10ML IV SOLN,31332.0,31332.0,180.05,31332.0,119 NDC,3232822,IPILIMUMAB 200 MG/40ML IV SOLN,125325.0,125325.0,180.05,125325.0,119 NDC,3256016,AZTREONAM 1 G INJECTION SOLR,108.0,108.0,2.07,108.0,112 NDC,3257016,AZTREONAM 2 G INJECTION SOLR,215.0,215.0,2.07,215.0,112 NDC,33342010607,EMTRICITABINETENOFOVIR DF 200300 MG PO TABS,211.0,211.0,1.34,211.0,119 NDC,3373413,NIVOLUMAB 240 MG/24ML IV SOLN,27485.0,27485.0,32.3,27485.0,119 NDC,3375614,NIVOLUMAB 120 MG/12ML IV SOLN,13743.0,13743.0,32.3,13743.0,119 NDC,3377211,NIVOLUMAB 40 MG/4ML IV SOLN,4581.0,4581.0,32.3,4581.0,119 NDC,3377412,NIVOLUMAB 100 MG/10ML IV SOLN,11452.0,11452.0,32.3,11452.0,119 NDC,338000801,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR,108.0,108.0,0.11,108.0,112 NDC,338001702,DEXTROSE 5 KVO FLUSH (INPATIENT),15.0,15.0,1.75,15.0,112 NDC,338001703,DEXTROSE 5 KVO FLUSH (INPATIENT),15.0,15.0,1.75,15.0,112 NDC,338001704,DEXTROSE 5 LARGE VOLUME FLUSH (INTEROP),18.0,18.0,2.43,18.0,112 NDC,338001710,DEXTROSE 5 IV SOLN,10.0,10.0,1.35,10.0,112 NDC,338001711,DEXTROSE 5 IV SOLN,10.0,10.0,1.35,10.0,112 NDC,338001718,DEXTROSE 5 IV SOLN,9.0,9.0,1.22,9.0,112 NDC,338001731,DEXTROSE 5 IV SOLN,9.0,9.0,1.22,9.0,112 NDC,338001738,DEXTROSE 5 IV SOLN,9.0,9.0,1.22,9.0,112 NDC,338001741,DEXTROSE 5 IV SOLN,10.0,10.0,1.35,10.0,112 NDC,338001748,DEXTROSE 5 IV SOLN,10.0,10.0,1.35,10.0,112 NDC,338004902,SODIUM CHLORIDE 0.9 IV SOLN,15.0,15.0,0.63,15.0,112 NDC,338004902,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),15.0,15.0,1.99,15.0,112 NDC,338004903,SODIUM CHLORIDE 0.9 LARGE VOLUME FLUSH (NONINTERO,15.0,15.0,1.25,15.0,112 NDC,338004904,SODIUM CHLORIDE 0.9 LARGE VOLUME FLUSH (NONINTERO,18.0,18.0,1.99,18.0,112 NDC,338004911,SODIUM CHLORIDE 0.9 IV SOLN,9.0,9.0,0.63,9.0,112 NDC,338004911,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),9.0,9.0,1.22,9.0,112 NDC,338004918,SODIUM CHLORIDE 0.9 IV SOLN,9.0,9.0,0.63,9.0,112 NDC,338004918,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),9.0,9.0,1.22,9.0,112 NDC,338004931,SODIUM CHLORIDE 0.9 IV SOLN,9.0,9.0,0.63,9.0,112 NDC,338004931,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),9.0,9.0,1.22,9.0,112 NDC,338004938,SODIUM CHLORIDE 0.9 IV SOLN,9.0,9.0,0.63,9.0,112 NDC,338004938,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),9.0,9.0,1.22,9.0,112 NDC,338004941,SODIUM CHLORIDE 0.9 IV SOLN,9.0,9.0,0.63,9.0,112 NDC,338004941,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),9.0,9.0,1.22,9.0,112 NDC,338004948,SODIUM CHLORIDE 0.9 IV SOLN,9.0,9.0,0.63,9.0,112 NDC,338006230,DEXTROSE 5 KVO FLUSH (INPATIENT),20.0,20.0,1.75,20.0,112 NDC,338006301,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP,1153.0,1153.0,104.01,1153.0,119 NDC,338006620,DEXTROSE 5 KVO FLUSH (INPATIENT),21.0,21.0,1.75,21.0,112 NDC,338006701,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP,6063.0,6063.0,104.01,6063.0,119 NDC,338006910,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,5.0,5.0,0.33,5.0,112 NDC,338007010,DEXTROSE 5 IV SOLN (INGREDIENT),24.0,24.0,2.94,24.0,112 NDC,338007225,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,7.0,7.0,0.33,7.0,112 NDC,338008903,DEXTROSESODIUM CHLORIDE 50.9 IV SOLN,101.0,101.0,1.18,101.0,112 NDC,338008904,DEXTROSESODIUM CHLORIDE 50.9 IV SOLN,18.0,18.0,1.18,18.0,112 NDC,338011404,LACTATED RINGERS IRRIGATION SOLN,30.0,30.0,2.38,30.0,112 NDC,338011703,LACTATED RINGERS IV SOLN FLUSH (NONINTEROP),17.0,17.0,2.29,17.0,112 NDC,338011704,LACTATED RINGERS IV SOLN FLUSH (NONINTEROP),18.0,18.0,2.38,18.0,112 NDC,338012204,VANCOMYCIN HCL IN DEXTROSE 1.255 GM/250ML IV SOLN,165.0,165.0,1.86,165.0,111 NDC,338012404,VANCOMYCIN HCL IN DEXTROSE 1.55 GM/300ML IV SOLN,169.0,169.0,1.86,169.0,111 NDC,338012612,INSULIN REGULAR(HUMAN) IN NACL 1000.9 UT/100ML IV,126.0,126.0,0.22,126.0,111 NDC,338013729,LACTATED RINGERS IRRIGATION SOLN,105.0,105.0,2.38,105.0,112 NDC,338040903,LIDOCAINE IN D5W 45 MG/ML IV SOLN,24.0,24.0,0.01,24.0,107 NDC,338041102,LIDOCAINE IN D5W 85 MG/ML IV SOLN,33.0,33.0,0.01,33.0,107 NDC,338042418,HEPARIN (PORCINE) IN NACL 10000.9 UT/500ML IV SOL,18.0,18.0,0.18,18.0,112 NDC,338043304,HEPARIN (PORCINE) IN NACL 20000.9 UNIT/L IV SOLN,27.0,27.0,0.18,27.0,112 NDC,338050348,GENTAMICIN IN SALINE 0.8 MG/ML IV SOLN,15.0,15.0,2.03,15.0,112 NDC,338050548,GENTAMICIN IN SALINE 10.9 MG/ML IV SOLN,16.0,16.0,2.16,16.0,112 NDC,338050941,GENTAMICIN IN SALINE 1.60.9 MG/ML IV SOLN,15.0,15.0,2.03,15.0,112 NDC,338051141,GENTAMICIN IN SALINE 20.9 MG/ML IV SOLN,15.0,15.0,2.03,15.0,112 NDC,338055111,DEXTROSE 5 IV SOLN,21.0,21.0,1.75,21.0,112 NDC,338055118,DEXTROSE 5 IV SOLN,21.0,21.0,1.75,21.0,112 NDC,338055311,SODIUM CHLORIDE 0.9 IV SOLN,21.0,21.0,0.63,21.0,112 NDC,338055311,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),21.0,21.0,1.99,21.0,112 NDC,338055318,SODIUM CHLORIDE 0.9 IV SOLN,21.0,21.0,0.63,21.0,112 NDC,338055318,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),21.0,21.0,1.99,21.0,112 NDC,338068304,POTASSIUM CL IN DEXTROSE 5 20 MEQ/L IV SOLN,36.0,36.0,0.1,36.0,112 NDC,338069104,KCL (POTASSIUM CHLORIDE) IN NACL 200.9 MEQ/L IV S,36.0,36.0,0.1,36.0,112 NDC,338069504,POTASSIUM CHLORIDE IN NACL 400.9 MEQ/L IV SOLN,39.0,39.0,0.1,39.0,112 NDC,338070341,POTASSIUM CHLORIDE 20 MEQ/50ML IV SOLN,14.0,14.0,0.1,14.0,112 NDC,338070348,POTASSIUM CHLORIDE 40 MEQ/100ML IV SOLN,15.0,15.0,0.1,15.0,112 NDC,338070434,POTASSIUM CHLORIDE IN NACL 200.45 MEQ/L IV SOLN (,27.0,27.0,0.1,27.0,112 NDC,338070548,POTASSIUM CHLORIDE 20 MEQ/100ML IV SOLN,15.0,15.0,0.1,15.0,112 NDC,338070948,POTASSIUM CHLORIDE 10 MEQ/100ML IV SOLN,15.0,15.0,0.1,15.0,112 NDC,338100502,DOPAMINEDEXTROSE 0.85 MG/ML IV SOLN,44.0,44.0,0.66,44.0,112 NDC,338100702,DOPAMINEDEXTROSE 1.65 MG/ML IV SOLN,54.0,54.0,0.66,54.0,112 NDC,338100902,DOPAMINEDEXTROSE 3.25 MG/ML IV SOLN,75.0,75.0,0.66,75.0,112 NDC,338101948,NAFCILLIN SODIUM IN DEXTROSE 2 GM/100ML IV SOLN,88.0,88.0,11.88,88.0,111 NDC,338102541,PENICILLIN G POT IN DEXTROSE 60000 UNIT/ML IV SOLN,39.0,39.0,0.75,39.0,112 NDC,338104702,NITROGLYCERIN IN D5W 1005 MCG/ML IV SOLN,77.0,77.0,1.41,77.0,112 NDC,338104902,NITROGLYCERIN IN D5W 2005 MCG/ML IV SOLN,85.0,85.0,1.41,85.0,112 NDC,338105102,NITROGLYCERIN IN D5W 4005 MCG/ML IV SOLN,93.0,93.0,1.41,93.0,112 NDC,338105548,METRONIDAZOLE 500 MG/100ML IV SOLN,9.0,9.0,0.03,9.0,112 NDC,338107502,DOBUTAMINEDEXTROSE 25 MG/ML IV SOLN,150.0,150.0,7.39,150.0,112 NDC,338107702,DOBUTAMINEDEXTROSE 45 MG/ML IV SOLN,110.0,110.0,7.39,110.0,112 NDC,338130501,MESNA 100 MG/ML IV SOLN,90.0,90.0,1.33,90.0,112 NDC,338170840,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,46.0,46.0,0.41,46.0,112 NDC,338170940,MAGNESIUM SULFATE IN D5W 15 GM/100ML IV SOLN,24.0,24.0,0.41,24.0,112 NDC,338171540,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,23.0,23.0,0.41,23.0,112 NDC,338171940,MAGNESIUM SULFATE 4 GM/50ML IV SOLN,23.0,23.0,0.41,23.0,112 NDC,338341024,CLINDAMYCIN PHOSPHATE IN D5W 300 MG/50ML IV SOLN,26.0,26.0,1.67,26.0,112 NDC,338341050,CLINDAMYCIN PHOSPHATE IN D5W 300 MG/50ML IV SOLN,26.0,26.0,1.67,26.0,112 NDC,338350341,CEFAZOLIN SODIUMDEXTROSE 14 GM/50ML IV SOLN,19.0,19.0,1.01,19.0,112 NDC,338350841,CEFAZOLIN SODIUMDEXTROSE 24 GM/100ML IV SOLN,34.0,34.0,1.01,34.0,112 NDC,338355248,VANCOMYCIN HCL IN DEXTROSE 15 GM/200ML IV SOLN,98.0,98.0,1.86,98.0,111 NDC,338361224,CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN,39.0,39.0,1.67,39.0,112 NDC,338361250,CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN,39.0,39.0,1.67,39.0,112 NDC,338361624,CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN,39.0,39.0,1.67,39.0,112 NDC,338381424,CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN,47.0,47.0,1.67,47.0,112 NDC,338381450,CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN,47.0,47.0,1.67,47.0,112 NDC,338399101,IFOSFAMIDE 1 G IV SOLR,133.0,133.0,17.96,133.0,112 NDC,338399301,IFOSFAMIDE 3 G IV SOLR,377.0,377.0,23.5,377.0,112 NDC,338411424,CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN,47.0,47.0,1.67,47.0,112 NDC,338500241,CEFTRIAXONE SODIUM IN DEXTROSE 20 MG/ML IV SOLN,52.0,52.0,0.45,52.0,112 NDC,338500341,CEFTRIAXONE SODIUM IN DEXTROSE 40 MG/ML IV SOLN,122.0,122.0,0.45,122.0,112 NDC,338519741,FAMOTIDINE (PEPCID) IV SYRINGE 0.4MG/ML NSS (NEO/P,41.0,41.0,0.9,41.0,111 NDC,338601048,MILRINONE LACTATE IN DEXTROSE 205 MG/100ML IV SOL,122.0,122.0,1.31,122.0,112 NDC,338601137,MILRINONE LACTATE IN DEXTROSE 405 MG/200ML IV SOL,247.0,247.0,1.31,247.0,112 NDC,338604537,FLUCONAZOLE IN SODIUM CHLORIDE 4000.9 MG/200ML IV,75.0,75.0,2.39,75.0,112 NDC,338604648,FLUCONAZOLE IN SODIUM CHLORIDE 2000.9 MG/100ML IV,68.0,68.0,2.39,68.0,112 NDC,338915130,SODIUM CHLORIDE 0.9 IV SOLN,23.0,23.0,0.63,23.0,112 NDC,338915930,SODIUM CHLORIDE 0.9 IV SOLN,23.0,23.0,0.63,23.0,112 NDC,338954124,METRONIDAZOLE 500 MG/100ML IV SOLN,5.0,5.0,0.03,5.0,112 NDC,338954302,SODIUM CHLORIDE 0.9 IV SOLN,20.0,20.0,0.63,20.0,112 NDC,338954304,SODIUM CHLORIDE (NSS) 0.9 FLUSH FOR TAGRAXOFUSPEZ,21.0,21.0,1.25,21.0,112 NDC,338954306,SODIUM CHLORIDE 0.9 IV SOLN,24.0,24.0,1.99,24.0,112 NDC,338954524,CLINDAMYCIN PHOSPHATE IN NACL 3000.9 MG/50ML IV S,26.0,26.0,1.72,26.0,112 NDC,338954550,CLINDAMYCIN PHOSPHATE IN NACL 3000.9 MG/50ML IV S,26.0,26.0,1.72,26.0,112 NDC,338954924,CLINDAMYCIN PHOSPHATE IN NACL 6000.9 MG/50ML IV S,39.0,39.0,1.72,39.0,112 NDC,338954950,CLINDAMYCIN PHOSPHATE IN NACL 6000.9 MG/50ML IV S,39.0,39.0,1.72,39.0,112 NDC,338955324,CLINDAMYCIN PHOSPHATE IN NACL 9000.9 MG/50ML IV S,47.0,47.0,1.72,47.0,112 NDC,338955350,CLINDAMYCIN PHOSPHATE IN NACL 9000.9 MG/50ML IV S,47.0,47.0,1.72,47.0,112 NDC,338963201,PIPERACILLINTAZOBACTAM IN DEX 20.25 GM/50ML IV SOL,55.0,55.0,1.09,55.0,112 NDC,338963224,PIPERACILLINTAZOBACTAM IN DEX 20.25 GM/50ML IV SOL,55.0,55.0,1.09,55.0,112 NDC,338963801,PIPERACILLINTAZOBACTAM IN DEX 40.5 GM/100ML IV SOL,92.0,92.0,1.09,92.0,112 NDC,338963812,PIPERACILLINTAZOBACTAM IN DEX 40.5 GM/100ML IV SOL,92.0,92.0,1.09,92.0,112 NDC,3452211,ELOTUZUMAB 400 MG IV SOLR,10709.0,10709.0,7.72,10709.0,119 NDC,35573044425,LEVALBUTEROL HCL 0.63 MG/3ML INHALATION NEBU,20.0,20.0,0.08,20.0,112 NDC,35573044525,LEVALBUTEROL HCL 1.25 MG/3ML INHALATION NEBU,20.0,20.0,0.27,20.0,112 NDC,36000001225,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,4.0,4.0,0.09,4.0,112 NDC,36000024201,TOBRAMYCIN SULFATE 1.2 GM/30ML INJECTION SOLN,78.0,78.0,1.97,78.0,112 NDC,36000024401,TOBRAMYCIN SULFATE 80 MG/2ML INJECTION SOLN,9.0,9.0,1.22,9.0,112 NDC,36000024425,TOBRAMYCIN SULFATE 80 MG/2ML INJECTION SOLN,9.0,9.0,1.22,9.0,112 NDC,36000028225,FUROSEMIDE 10 MG/ML INJECTION SOLN,4.0,4.0,0.39,4.0,111 NDC,36000028325,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),5.0,5.0,0.39,5.0,111 NDC,36000028425,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),7.0,7.0,0.39,7.0,111 NDC,36000030660,ACETAMINOPHEN 10 MG/ML IV SOLN,35.0,35.0,0.05,35.0,112 NDC,36000030801,NALOXONE HCL 0.4 MG/ML INJECTION SOLN,18.0,18.0,2.43,18.0,111 NDC,36000030810,NALOXONE HCL 0.4 MG/ML INJECTION SOLN,18.0,18.0,2.43,18.0,111 NDC,36000032001,LABETALOL HCL 5 MG/ML IV SOLN,16.0,16.0,0.29,16.0,112 NDC,36000032010,LABETALOL HCL 5 MG/ML IV SOLN,16.0,16.0,0.29,16.0,112 NDC,36000032201,LABETALOL HCL 5 MG/ML IV SOLN,8.0,8.0,0.29,8.0,112 NDC,36000032202,LABETALOL HCL 5 MG/ML IV SOLN,8.0,8.0,0.29,8.0,112 NDC,36000032401,LABETALOL HCL 5 MG/ML IV SOLN,18.0,18.0,0.29,18.0,112 NDC,36000032402,LABETALOL HCL 5 MG/ML IV SOLN,18.0,18.0,0.29,18.0,112 NDC,36000032601,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,22.0,22.0,0.34,22.0,112 NDC,36000032602,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,22.0,22.0,0.34,22.0,112 NDC,362109560,LIDOCAINEEPINEPHRINE 2 1 100000 INJECTION SOLN,5.0,5.0,0.01,5.0,111 NDC,3712511,NIVOLUMABRELATLIMABRMBW 24080 MG/20ML IV SOLN,53364.0,53364.0,193.86,53364.0,119 NDC,378001401,METHOTREXATE SODIUM 2.5 MG PO TABS,19.0,19.0,0.15,19.0,112 NDC,378204501,TACROLIMUS 0.5 MG PO CAPS,7.0,7.0,0.15,7.0,112 NDC,378204601,TACROLIMUS 1 MG PO CAPS,14.0,14.0,0.15,14.0,112 NDC,378204701,TACROLIMUS 5 MG PO CAPS,67.0,67.0,0.15,67.0,112 NDC,378326694,ETOPOSIDE 50 MG PO CAPS,302.0,302.0,40.77,302.0,119 NDC,378447205,MYCOPHENOLATE MOFETIL 500 MG PO TABS,24.0,24.0,0.15,24.0,112 NDC,378773293,ONDANSETRON 4 MG PO TBDP,67.0,67.0,0.01,67.0,112 NDC,378773493,ONDANSETRON 8 MG PO TBDP,112.0,112.0,0.01,112.0,112 NDC,378797031,IPRATROPIUM BROMIDE 0.02 INHALATION SOLN,7.0,7.0,0.37,7.0,112 NDC,378797052,IPRATROPIUM BROMIDE 0.02 INHALATION SOLN,6.0,6.0,0.37,6.0,112 NDC,378797055,IPRATROPIUM BROMIDE 0.02 INHALATION SOLN,7.0,7.0,0.37,7.0,112 NDC,378797064,IPRATROPIUM BROMIDE 0.02 INHALATION SOLN,6.0,6.0,0.37,6.0,112 NDC,378797091,IPRATROPIUM BROMIDE 0.02 INHALATION SOLN,6.0,6.0,0.37,6.0,112 NDC,378797093,IPRATROPIUM BROMIDE 0.02 INHALATION SOLN,6.0,6.0,0.37,6.0,112 NDC,378827031,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,5.0,5.0,0.07,5.0,112 NDC,378827052,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,5.0,5.0,0.07,5.0,112 NDC,378827055,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,5.0,5.0,0.07,5.0,112 NDC,378827064,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,4.0,4.0,0.07,4.0,112 NDC,378827091,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,4.0,4.0,0.07,4.0,112 NDC,378827093,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,4.0,4.0,0.07,4.0,112 NDC,378969052,LEVALBUTEROL HCL 0.31 MG/3ML INHALATION NEBU,21.0,21.0,0.27,21.0,112 NDC,378969152,LEVALBUTEROL HCL 0.63 MG/3ML INHALATION NEBU,21.0,21.0,0.08,21.0,112 NDC,39822019001,ACETAZOLAMIDE SODIUM 500 MG INJECTION SOLR,119.0,119.0,16.07,119.0,112 NDC,39822041201,TOBRAMYCIN SULFATE 1.2 G INJECTION SOLR,300.0,300.0,1.97,300.0,112 NDC,39822041206,TOBRAMYCIN SULFATE 1.2 G INJECTION SOLR,282.0,282.0,1.97,282.0,112 NDC,39822061501,COLISTIMETHATE SODIUM (CBA) 150 MG INJECTION SOLR,105.0,105.0,11.39,105.0,112 NDC,39822061502,COLISTIMETHATE SODIUM (CBA) 150 MG INJECTION SOLR,105.0,105.0,11.39,105.0,112 NDC,39822070602,STREPTOMYCIN SULFATE 1 G IM SOLR,282.0,282.0,28.26,282.0,112 NDC,39822105505,AMPHOTERICIN B 50 MG IV SOLR,180.0,180.0,24.3,180.0,112 NDC,39822200001,CLONIDINE HCL (ANALGESIA) 100 MCG/ML EPIDURAL SOLN,94.0,94.0,12.69,94.0,112 NDC,39822210001,DACTINOMYCIN 0.5 MG IV SOLR,2766.0,2766.0,302.92,2766.0,119 NDC,39822210002,DACTINOMYCIN 0.5 MG IV SOLR,2766.0,2766.0,302.92,2766.0,119 NDC,39822303001,PENTAMIDINE ISETHIONATE 300 MG INHALATION SOLR,338.0,338.0,45.63,338.0,111 NDC,39822303002,PENTAMIDINE ISETHIONATE 300 MG INHALATION SOLR,338.0,338.0,45.63,338.0,111 NDC,39822305001,PENTAMIDINE ISETHIONATE 300 MG INJECTION SOLR,338.0,338.0,45.63,338.0,111 NDC,39822305002,PENTAMIDINE ISETHIONATE 300 MG INJECTION SOLR,338.0,338.0,45.63,338.0,111 NDC,39822625001,DESMOPRESSIN ACETATE 4 MCG/ML INJECTION SOLN,600.0,600.0,3.41,600.0,112 NDC,4025901,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,33.0,33.0,0.15,33.0,112 NDC,4026001,MYCOPHENOLATE MOFETIL 500 MG PO TABS,65.0,65.0,0.15,65.0,112 NDC,4026129,MYCOPHENOLATE MOFETIL 200 MG/ML PO SUSR,4972.0,4972.0,0.15,4972.0,112 NDC,4029809,MYCOPHENOLATE MOFETIL HCL 500 MG IV SOLR,389.0,389.0,0.37,389.0,112 NDC,4038140,ENFUVIRTIDE 90 MG SC SOLR,216.0,216.0,0.66,216.0,111 NDC,406052710,METHADONE HCL 10 MG/ML PO CONC,315.0,315.0,17.7,315.0,112 NDC,406872510,METHADONE HCL 10 MG/ML PO CONC,315.0,315.0,17.7,315.0,112 NDC,407069010,GADODIAMIDE 287 MG/ML IV SOLN,205.0,205.0,1.46,205.0,104 NDC,407069015,GADODIAMIDE 287 MG/ML IV SOLN,300.0,300.0,1.46,300.0,104 NDC,407069020,GADODIAMIDE 287 MG/ML IV SOLN,371.0,371.0,1.46,371.0,104 NDC,407141110,IOHEXOL 180 MG/ML INJECTION SOLN,145.0,145.0,1.04,145.0,104 NDC,407141210,IOHEXOL 240 MG/ML INJECTION SOLN,157.0,157.0,0.4,157.0,104 NDC,407141220,IOHEXOL 240 MG/ML INJECTION SOLN,166.0,166.0,0.4,166.0,104 NDC,407141230,IOHEXOL 240 MG/ML INJECTION SOLN,141.0,141.0,0.4,141.0,104 NDC,407141233,IOHEXOL 240 MG/ML INJECTION SOLN,273.0,273.0,0.4,273.0,104 NDC,407141310,IOHEXOL 300 MG/ML INJECTION SOLN,145.0,145.0,0.15,145.0,104 NDC,407141359,IOHEXOL 300 MG/ML INJECTION SOLN,150.0,150.0,0.15,150.0,104 NDC,407141361,IOHEXOL 300 MG/ML INJECTION SOLN,167.0,167.0,0.15,167.0,104 NDC,407141363,IOHEXOL 300 MG/ML INJECTION SOLN,327.0,327.0,0.15,327.0,104 NDC,407141472,IOHEXOL 350 MG/ML IV SOLN,1545.0,1545.0,0.15,1545.0,104 NDC,407141489,IOHEXOL 350 MG/ML IV SOLN,182.0,182.0,0.15,182.0,104 NDC,407141491,IOHEXOL 350 MG/ML IV SOLN,364.0,364.0,0.15,364.0,104 NDC,407141493,IOHEXOL 350 MG/ML IV SOLN,502.0,502.0,0.15,502.0,104 NDC,407222302,IODIXANOL 320 MG/ML IV SOLN,401.0,401.0,0.15,401.0,104 NDC,407222316,IODIXANOL 320 MG/ML IV SOLN,191.0,191.0,0.15,191.0,104 NDC,407222317,IODIXANOL 320 MG/ML IV SOLN,382.0,382.0,0.15,382.0,104 NDC,407222319,IODIXANOL 320 MG/ML IV SOLN,538.0,538.0,0.15,538.0,104 NDC,407222321,IODIXANOL 320 MG/ML IV SOLN,649.0,649.0,0.15,649.0,104 NDC,407222362,IODIXANOL 320 MG/ML IV SOLN,191.0,191.0,0.15,191.0,104 NDC,407270701,PERFLUTREN PROTEIN A MICROSPH IV SUSP,506.0,506.0,40.21,506.0,107 NDC,407270703,PERFLUTREN PROTEIN A MICROSPH IV SUSP,506.0,506.0,40.21,506.0,107 NDC,407270718,PERFLUTREN PROTEIN A MICROSPH IV SUSP,506.0,506.0,40.21,506.0,107 NDC,409000701,LIDOCAINEEPINEPHRINE 1 1 100000 INJECTION SOLN,9.0,9.0,0.01,9.0,111 NDC,409000710,LIDOCAINEEPINEPHRINE 1 1 100000 INJECTION SOLN,9.0,9.0,0.01,9.0,111 NDC,409012001,DAPTOMYCIN 350 MG IV SOLR,180.0,180.0,0.04,180.0,112 NDC,409012201,DAPTOMYCIN 500 MG IV SOLR,285.0,285.0,0.04,285.0,112 NDC,409012501,LABETALOL HCL 5 MG/ML IV SOLN,15.0,15.0,0.29,15.0,112 NDC,409012525,LABETALOL HCL 5 MG/ML IV SOLN,15.0,15.0,0.29,15.0,112 NDC,409014411,AZITHROMYCIN 500 MG IV SOLR,37.0,37.0,2.04,37.0,112 NDC,409014421,AZITHROMYCIN 500 MG IV SOLR,37.0,37.0,2.04,37.0,112 NDC,409015201,METRONIDAZOLE 500 MG/100ML IV SOLN,8.0,8.0,0.03,8.0,112 NDC,409015224,METRONIDAZOLE 500 MG/100ML IV SOLN,8.0,8.0,0.03,8.0,112 NDC,409018101,GEMCITABINE HCL 1 GM/26.3ML IV SOLN,143.0,143.0,2.87,143.0,112 NDC,409018125,GEMCITABINE HCL 1 GM/26.3ML IV SOLN,143.0,143.0,2.87,143.0,112 NDC,409018201,GEMCITABINE HCL 2 GM/52.6ML IV SOLN,327.0,327.0,2.87,327.0,112 NDC,409018225,GEMCITABINE HCL 2 GM/52.6ML IV SOLN,328.0,328.0,2.87,328.0,112 NDC,409018301,GEMCITABINE HCL 200 MG/5.26ML IV SOLN,34.0,34.0,2.87,34.0,112 NDC,409018325,GEMCITABINE HCL 200 MG/5.26ML IV SOLN,34.0,34.0,2.87,34.0,112 NDC,409018501,GEMCITABINE HCL 200 MG IV SOLR,41.0,41.0,2.87,41.0,112 NDC,409018601,GEMCITABINE HCL 1 G IV SOLR,183.0,183.0,2.87,183.0,112 NDC,409018701,GEMCITABINE HCL 2 G IV SOLR,409.0,409.0,2.87,409.0,112 NDC,409020102,DOCETAXEL 20 MG/2ML IV SOLN,252.0,252.0,0.38,252.0,112 NDC,409020110,DOCETAXEL 80 MG/8ML IV SOLN,908.0,908.0,0.38,908.0,112 NDC,409020120,DOCETAXEL 160 MG/16ML IV SOLN,1934.0,1934.0,0.38,1934.0,112 NDC,409021202,MILRINONE LACTATE 20 MG/20ML IV SOLN,41.0,41.0,1.31,41.0,112 NDC,409021203,MILRINONE LACTATE 50 MG/50ML IV SOLN,109.0,109.0,1.31,109.0,112 NDC,409021211,MILRINONE LACTATE 20 MG/20ML IV SOLN,41.0,41.0,1.31,41.0,112 NDC,409021801,CEFEPIME HCL 2 G IV SOLR,36.0,36.0,0.87,36.0,112 NDC,409022201,MEROPENEM 500 MG IV SOLR,38.0,38.0,0.38,38.0,112 NDC,409030201,TOPOTECAN HCL 4 MG/4ML IV SOLN,250.0,250.0,1.25,250.0,112 NDC,409033220,BLEOMYCIN SULFATE 15 UNITS INJECTION SOLR,182.0,182.0,20.9,182.0,112 NDC,409036601,DOCETAXEL 20 MG/ML IV CONC,252.0,252.0,0.38,252.0,112 NDC,409036701,DOCETAXEL 80 MG/4ML IV CONC,1005.0,1005.0,0.38,1005.0,112 NDC,409080101,PENTOSTATIN 10 MG IV SOLR,10625.0,10625.0,1434.38,10625.0,119 NDC,409082901,AZTREONAM 1 G INJECTION SOLR,119.0,119.0,2.07,119.0,112 NDC,409082911,AZTREONAM 1 G INJECTION SOLR,119.0,119.0,2.07,119.0,112 NDC,409083001,AZTREONAM 2 G INJECTION SOLR,234.0,234.0,2.07,234.0,112 NDC,409083011,AZTREONAM 2 G INJECTION SOLR,234.0,234.0,2.07,234.0,112 NDC,409100501,HEPARIN (PORCINE) IN NACL 10000.9 UT/500ML IV SOL,23.0,23.0,0.18,23.0,112 NDC,409100520,HEPARIN (PORCINE) IN NACL 10000.9 UT/500ML IV SOL,23.0,23.0,0.18,23.0,112 NDC,409104501,PEMETREXED DISODIUM 100 MG/4ML IV SOLN,396.0,396.0,2.57,396.0,119 NDC,409106720,MEPIVACAINE HCL (PF) 2 INJECTION SOLN,19.0,19.0,2.57,19.0,112 NDC,409111201,BUSULFAN 6 MG/ML IV SOLN,1423.0,1423.0,0.89,1423.0,119 NDC,409111210,BUSULFAN 6 MG/ML IV SOLN,1423.0,1423.0,0.89,1423.0,119 NDC,409113405,MORPHINE SULFATE 50 MG/ML IV SOLN,119.0,119.0,2.78,119.0,112 NDC,409114001,ARGATROBAN 250 MG/2.5ML IV SOLN,979.0,979.0,0.61,979.0,119 NDC,409115901,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,8.0,8.0,0.01,8.0,112 NDC,409115902,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,8.0,8.0,0.01,8.0,112 NDC,409115909,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,7.0,7.0,0.01,7.0,112 NDC,409115910,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,7.0,7.0,0.01,7.0,112 NDC,409115918,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,8.0,8.0,0.01,8.0,112 NDC,409115919,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,8.0,8.0,0.01,8.0,112 NDC,409116001,BUPIVACAINE HCL 0.25 INJECTION SOLN,13.0,13.0,0.01,13.0,112 NDC,409116018,BUPIVACAINE HCL 0.25 INJECTION SOLN,13.0,13.0,0.01,13.0,112 NDC,409116201,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,9.0,9.0,0.01,9.0,112 NDC,409116202,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,9.0,9.0,0.01,9.0,112 NDC,409116218,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,9.0,9.0,0.01,9.0,112 NDC,409116219,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,9.0,9.0,0.01,9.0,112 NDC,409116301,BUPIVACAINE HCL 0.5 INJECTION SOLN,11.0,11.0,0.01,11.0,112 NDC,409116318,BUPIVACAINE HCL 0.5 INJECTION SOLN,11.0,11.0,0.01,11.0,112 NDC,409116501,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,9.0,9.0,0.01,9.0,112 NDC,409116502,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,15.0,15.0,0.01,15.0,112 NDC,409116518,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,9.0,9.0,0.01,9.0,112 NDC,409116519,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,15.0,15.0,0.01,15.0,112 NDC,409117603,MEPERIDINE HCL 25 MG/ML INJECTION SOLN,22.0,22.0,2.97,34.83,112 NDC,409117630,MEPERIDINE HCL 25 MG/ML INJECTION SOLN,22.0,22.0,2.97,34.83,112 NDC,409117803,MEPERIDINE HCL 50 MG/ML INJECTION SOLN,28.0,28.0,3.78,34.83,112 NDC,409117830,MEPERIDINE HCL 50 MG/ML INJECTION SOLN,28.0,28.0,3.78,34.83,112 NDC,409117930,MEPERIDINE HCL 75 MG/ML INJECTION SOLN,24.0,24.0,3.24,34.83,112 NDC,409118069,MEPERIDINE HCL 100 MG/ML INJECTION SOLN,24.0,24.0,3.24,34.83,112 NDC,409120703,GENTAMICIN SULFATE 40 MG/ML INJECTION SOLN,13.0,13.0,1.76,13.0,112 NDC,409120713,GENTAMICIN SULFATE 40 MG/ML INJECTION SOLN,13.0,13.0,1.76,13.0,112 NDC,409120901,LIDOCAINEEPINEPHRINE (PF) 1.5 1 200000 INJECTION,20.0,20.0,0.01,20.0,111 NDC,409120910,LIDOCAINEEPINEPHRINE (PF) 1.5 1 200000 INJECTION,20.0,20.0,0.01,20.0,111 NDC,409120965,LIDOCAINEEPINEPHRINE (PF) 1.5 1 200000 INJECTION,17.0,17.0,0.01,17.0,111 NDC,409120970,LIDOCAINEEPINEPHRINE (PF) 1.5 1 200000 INJECTION,18.0,18.0,0.01,18.0,111 NDC,409121501,NALOXONE HCL 0.4 MG/ML INJECTION SOLN,57.0,57.0,7.7,57.0,111 NDC,409121521,NALOXONE HCL 0.4 MG/ML INJECTION SOLN,57.0,57.0,7.7,57.0,111 NDC,409121901,NALOXONE HCL 4 MG/10ML INJECTION SOLN,428.0,428.0,8.7,428.0,111 NDC,409127303,DIAZEPAM 5 MG/ML INJECTION SOLN,122.0,122.0,6.17,122.0,112 NDC,409127332,DIAZEPAM 5 MG/ML INJECTION SOLN,122.0,122.0,6.17,122.0,112 NDC,409128303,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,10.0,10.0,0.09,10.0,112 NDC,409128304,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,13.0,13.0,0.09,13.0,112 NDC,409128305,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,13.0,13.0,0.09,13.0,112 NDC,409128317,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,18.0,18.0,0.09,18.0,112 NDC,409128331,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,10.0,10.0,0.09,10.0,112 NDC,409128337,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,18.0,18.0,0.09,18.0,112 NDC,409130403,HYDROMORPHONE HCL 4 MG/ML INJECTION SOLN,12.0,12.0,0.09,12.0,112 NDC,409130431,HYDROMORPHONE HCL 4 MG/ML INJECTION SOLN,12.0,12.0,0.09,12.0,112 NDC,409131203,HYDROMORPHONE HCL 2 MG/ML INJECTION SOLN,13.0,13.0,0.09,13.0,112 NDC,409131230,HYDROMORPHONE HCL 2 MG/ML INJECTION SOLN,13.0,13.0,0.09,13.0,112 NDC,409131611,HEPARIN SODIUM (PORCINE) PF 5000 UNIT/0.5ML INJECT,15.0,15.0,0.18,15.0,112 NDC,409131632,HEPARIN SODIUM (PORCINE) PF 5000 UNIT/0.5ML INJECT,15.0,15.0,0.18,15.0,112 NDC,409131901,VANCOMYCIN HCL 10 G IV SOLR,783.0,783.0,1.86,783.0,111 NDC,409132305,LIDOCAINE HCL (CARDIAC) 100 MG/5ML IV SOSY (WRAPPE,22.0,22.0,0.01,22.0,111 NDC,409132315,LIDOCAINE HCL (CARDIAC) 100 MG/5ML IV SOSY (WRAPPE,22.0,22.0,0.01,22.0,111 NDC,409139021,MEROPENEM 500 MG IV SOLR,38.0,38.0,0.38,38.0,112 NDC,409139051,MEROPENEM 500 MG IV SOLR,38.0,38.0,0.38,38.0,112 NDC,409139121,MEROPENEM 1 G IV SOLR,75.0,75.0,0.38,75.0,112 NDC,409139122,MEROPENEM 1 G IV SOLR,75.0,75.0,0.38,75.0,112 NDC,409141801,MEPERIDINE HCL 50 MG/ML INJECTION SOLN,39.0,39.0,5.27,39.0,112 NDC,409141811,MEPERIDINE HCL 50 MG/ML INJECTION SOLN,39.0,39.0,5.27,39.0,112 NDC,409146301,NALBUPHINE HCL 10 MG/ML INJECTION SOLN,17.0,17.0,2.29,17.0,112 NDC,409146349,NALBUPHINE HCL 10 MG/ML INJECTION SOLN,16.0,16.0,2.16,16.0,112 NDC,409146369,NALBUPHINE HCL 10 MG/ML INJECTION SOLN,16.0,16.0,2.16,16.0,112 NDC,409146401,NALBUPHINE HCL 10 MG/ML INJECTION SOLN,142.0,142.0,3.43,142.0,112 NDC,409146461,NALBUPHINE HCL 10 MG/ML INJECTION SOLN,142.0,142.0,3.43,142.0,112 NDC,409146501,NALBUPHINE HCL 20 MG/ML INJECTION SOLN,28.0,28.0,3.43,28.0,112 NDC,409146571,NALBUPHINE HCL 20 MG/ML INJECTION SOLN,28.0,28.0,3.43,28.0,112 NDC,409146701,NALBUPHINE HCL 20 MG/ML INJECTION SOLN,210.0,210.0,3.43,210.0,112 NDC,409146761,NALBUPHINE HCL 20 MG/ML INJECTION SOLN,210.0,210.0,3.43,210.0,112 NDC,409155910,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,15.0,15.0,0.01,15.0,112 NDC,409155918,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,15.0,15.0,0.01,15.0,112 NDC,409155919,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,17.0,17.0,0.01,17.0,112 NDC,409155930,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,17.0,17.0,0.01,17.0,112 NDC,409156010,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,18.0,18.0,0.01,18.0,112 NDC,409156018,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,18.0,18.0,0.01,18.0,112 NDC,409156019,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,18.0,18.0,0.01,18.0,112 NDC,409156029,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,18.0,18.0,0.01,18.0,112 NDC,409158210,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,18.0,18.0,0.01,18.0,112 NDC,409158218,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,18.0,18.0,0.01,18.0,112 NDC,409158219,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,28.0,28.0,0.01,28.0,112 NDC,409158229,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,28.0,28.0,0.01,28.0,112 NDC,409158750,BUPIVACAINE HCL 0.25 INJECTION SOLN,26.0,26.0,0.01,26.0,112 NDC,409161050,BUPIVACAINE HCL 0.5 INJECTION SOLN,23.0,23.0,0.01,23.0,112 NDC,409162301,BUTORPHANOL TARTRATE 1 MG/ML INJECTION SOLN,27.0,27.0,3.65,27.0,112 NDC,409162321,BUTORPHANOL TARTRATE 1 MG/ML INJECTION SOLN,27.0,27.0,3.65,27.0,112 NDC,409162601,BUTORPHANOL TARTRATE 2 MG/ML INJECTION SOLN,33.0,33.0,4.46,33.0,112 NDC,409163010,ATROPINE SULFATE 1 MG/10ML INJECTION SOSY,37.0,37.0,0.07,37.0,112 NDC,409163015,ATROPINE SULFATE 1 MG/10ML INJECTION SOSY,36.0,36.0,0.07,36.0,112 NDC,409163910,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),89.0,89.0,0.39,89.0,111 NDC,409176102,BUPIVACAINE IN DEXTROSE 0.758.25 INTRATHECAL SOL,17.0,17.0,0.01,17.0,112 NDC,409176105,BUPIVACAINE IN DEXTROSE 0.758.25 INTRATHECAL SOL,20.0,20.0,0.01,20.0,112 NDC,409176110,BUPIVACAINE IN DEXTROSE 0.758.25 INTRATHECAL SOL,20.0,20.0,0.01,20.0,112 NDC,409178203,NALOXONE HCL 0.4 MG/ML INJECTION SOCT,56.0,56.0,7.56,56.0,111 NDC,409178269,NALOXONE HCL 0.4 MG/ML INJECTION SOCT,56.0,56.0,7.56,56.0,111 NDC,409188602,LEVETIRACETAM 500 MG/5ML IV SOLN,14.0,14.0,0.04,14.0,112 NDC,409188622,LEVETIRACETAM 500 MG/5ML IV SOLN,14.0,14.0,0.04,14.0,112 NDC,409189001,MORPHINE SULFATE (PF) 2 MG/ML IV SOLN,8.0,8.0,1.08,8.0,112 NDC,409189003,MORPHINE SULFATE (PF) 2 MG/ML IV SOLN,8.0,8.0,1.08,8.0,112 NDC,409189013,MORPHINE SULFATE (PF) 2 MG/ML IV SOLN,16.0,16.0,2.16,16.0,112 NDC,409189023,MORPHINE SULFATE (PF) 2 MG/ML IV SOLN,16.0,16.0,2.16,16.0,112 NDC,409189101,MORPHINE SULFATE (PF) 4 MG/ML IV SOLN,8.0,8.0,1.08,8.0,112 NDC,409189103,MORPHINE SULFATE (PF) 4 MG/ML IV SOLN,8.0,8.0,1.08,8.0,112 NDC,409189113,MORPHINE SULFATE (PF) 4 MG/ML IV SOLN,16.0,16.0,2.16,16.0,112 NDC,409189123,MORPHINE SULFATE (PF) 4 MG/ML IV SOLN,16.0,16.0,2.16,16.0,112 NDC,409189201,MORPHINE SULFATE (PF) 8 MG/ML IV SOLN,9.0,9.0,1.22,9.0,112 NDC,409189203,MORPHINE SULFATE (PF) 8 MG/ML IV SOLN,9.0,9.0,1.22,9.0,112 NDC,409189301,MORPHINE SULFATE (PF) 10 MG/ML IV SOLN (WRAPPER),9.0,9.0,1.22,9.0,112 NDC,409189303,MORPHINE SULFATE (PF) 10 MG/ML IV SOLN (WRAPPER),9.0,9.0,1.22,9.0,112 NDC,409189313,MORPHINE SULFATE (PF) 10 MG/ML IV SOLN (WRAPPER),19.0,19.0,2.57,19.0,112 NDC,409189620,MORPHINE SULFATE 50 MG/ML IV SOLN,68.0,68.0,2.78,68.0,112 NDC,409190201,PROCAINAMIDE HCL 100 MG/ML INJECTION SOLN,332.0,332.0,44.82,1036.48,119 NDC,409190211,PROCAINAMIDE HCL 100 MG/ML INJECTION SOLN,332.0,332.0,44.82,1036.48,119 NDC,409198301,MILRINONE LACTATE IN DEXTROSE 405 MG/200ML IV SOL,116.0,116.0,1.31,116.0,112 NDC,409198310,MILRINONE LACTATE IN DEXTROSE 405 MG/200ML IV SOL,116.0,116.0,1.31,116.0,112 NDC,409198503,LORAZEPAM 2 MG/ML INJECTION SOLN,13.0,13.0,1.32,13.0,112 NDC,409198530,LORAZEPAM 2 MG/ML INJECTION SOLN,13.0,13.0,1.32,13.0,112 NDC,409201105,LEVETIRACETAM 500 MG/5ML IV SOLN,14.0,14.0,0.04,14.0,112 NDC,409201125,LEVETIRACETAM 500 MG/5ML IV SOLN,14.0,14.0,0.04,14.0,112 NDC,409201232,BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLN,45.0,45.0,4.13,45.0,112 NDC,409205001,MAGNESIUM SULFATE 20 GM/500ML IV SOLN,23.0,23.0,0.41,23.0,112 NDC,409205020,MAGNESIUM SULFATE 20 GM/500ML IV SOLN,23.0,23.0,0.41,23.0,112 NDC,409206605,LIDOCAINE HCL (PF) 2 INJECTION SOLN,10.0,10.0,0.01,10.0,111 NDC,409206610,LIDOCAINE HCL (PF) 2 INJECTION SOLN (WRAPPER),10.0,10.0,0.01,10.0,111 NDC,409216817,MAGNESIUM SULFATE 50 INJECTION SOLN,18.0,18.0,0.41,18.0,112 NDC,409216877,MAGNESIUM SULFATE 50 INJECTION SOLN,18.0,18.0,0.41,18.0,112 NDC,409218801,PEMETREXED DISODIUM 500 MG/20ML IV SOLN,1793.0,1793.0,2.57,1793.0,119 NDC,409222001,LEVOFLOXACIN IN D5W 250 MG/50ML IV SOLN,16.0,16.0,1.89,16.0,112 NDC,409222024,LEVOFLOXACIN IN D5W 250 MG/50ML IV SOLN,16.0,16.0,1.89,16.0,112 NDC,409222201,HEPARIN (PORCINE) IN NACL 20000.9 UNIT/L IV SOLN,27.0,27.0,0.18,27.0,112 NDC,409222212,HEPARIN (PORCINE) IN NACL 20000.9 UNIT/L IV SOLN,27.0,27.0,0.18,27.0,112 NDC,409226720,LABETALOL HCL 5 MG/ML IV SOLN,15.0,15.0,0.29,15.0,112 NDC,409226754,LABETALOL HCL 5 MG/ML IV SOLN,38.0,38.0,0.29,38.0,112 NDC,409230504,MIDAZOLAM HCL (PF) 5 MG/5ML INJECTION SOLN,5.0,5.0,0.13,5.0,112 NDC,409230505,MIDAZOLAM HCL 5 MG/5ML INJECTION SOLN,5.0,5.0,0.13,5.0,112 NDC,409230516,MIDAZOLAM HCL (PF) 2 MG/2ML INJECTION SOLN,4.0,4.0,0.13,4.0,112 NDC,409230517,MIDAZOLAM HCL (PF) 2 MG/2ML INJECTION SOLN,4.0,4.0,0.13,4.0,112 NDC,409230550,MIDAZOLAM HCL (PF) 5 MG/5ML INJECTION SOLN,4.0,4.0,0.13,4.0,112 NDC,409230555,MIDAZOLAM HCL (PF) 5 MG/5ML INJECTION SOLN,4.0,4.0,0.13,4.0,112 NDC,409230801,MIDAZOLAM HCL (PF) 5 MG/ML INJECTION SOLN,5.0,5.0,0.13,5.0,112 NDC,409230802,MIDAZOLAM HCL (PF) 10 MG/2ML INJECTION SOLN,5.0,5.0,0.13,5.0,112 NDC,409230821,MIDAZOLAM HCL (PF) 5 MG/ML INJECTION SOLN,5.0,5.0,0.13,5.0,112 NDC,409230822,MIDAZOLAM HCL (PF) 10 MG/2ML INJECTION SOLN,5.0,5.0,0.13,5.0,112 NDC,409230849,MIDAZOLAM HCL 5 MG/ML INJECTION SOLN,5.0,5.0,0.13,5.0,112 NDC,409230850,MIDAZOLAM HCL (PF) 10 MG/2ML INJECTION SOLN,5.0,5.0,0.13,5.0,112 NDC,409230869,MIDAZOLAM HCL (PF) 5 MG/ML INJECTION SOLN,5.0,5.0,0.13,5.0,112 NDC,409230870,MIDAZOLAM HCL (PF) 10 MG/2ML INJECTION SOLN,5.0,5.0,0.13,5.0,112 NDC,409233715,DEFEROXAMINE MESYLATE 2 G INJECTION SOLR,127.0,127.0,8.47,127.0,112 NDC,409233725,DEFEROXAMINE MESYLATE 2 G INJECTION SOLR,127.0,127.0,8.47,127.0,112 NDC,409233924,LABETALOL HCL 5 MG/ML IV SOLN,33.0,33.0,0.29,33.0,112 NDC,409233934,LABETALOL HCL 5 MG/ML IV SOLN,33.0,33.0,0.29,33.0,112 NDC,409234401,DOBUTAMINE HCL 250 MG/20ML IV SOLN,27.0,27.0,3.65,27.0,112 NDC,409234402,DOBUTAMINE HCL 250 MG/20ML IV SOLN,25.0,25.0,3.38,25.0,112 NDC,409234462,DOBUTAMINE HCL 250 MG/20ML IV SOLN,25.0,25.0,3.38,25.0,112 NDC,409234468,DOBUTAMINE HCL 250 MG/20ML IV SOLN,25.0,25.0,3.38,25.0,112 NDC,409234488,DOBUTAMINE HCL 250 MG/20ML IV SOLN,25.0,25.0,3.38,25.0,112 NDC,409234631,DOBUTAMINE IV SYRINGE 1MG/ML D5W (NEO) 30ML (1MG/M,38.0,38.0,5.13,38.0,112 NDC,409234732,DOBUTAMINEDEXTROSE 25 MG/ML IV SOLN,58.0,58.0,7.39,58.0,112 NDC,409255201,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,10.0,10.0,0.09,10.0,112 NDC,409258501,CEFAZOLIN SODIUM 1 G IV SOLR,10.0,10.0,0.81,10.0,112 NDC,409258511,CEFAZOLIN 1 G IV (WRAPPER),10.0,10.0,0.81,10.0,112 NDC,409258704,MIDAZOLAM HCL 10 MG/10ML INJECTION SOLN,9.0,9.0,0.13,9.0,112 NDC,409258705,MIDAZOLAM HCL 10 MG/10ML INJECTION SOLN,9.0,9.0,0.13,9.0,112 NDC,409259603,MIDAZOLAM HCL 25 MG/5ML INJECTION SOLN,18.0,18.0,0.13,18.0,112 NDC,409259605,MIDAZOLAM HCL 50 MG/10ML INJECTION SOLN,28.0,28.0,0.13,28.0,112 NDC,409259615,MIDAZOLAM HCL 50 MG/10ML INJECTION SOLN,28.0,28.0,0.13,28.0,112 NDC,409263401,HYDROMORPHONE HCL PF 10 MG/ML INJECTION SOLN,16.0,16.0,0.09,16.0,112 NDC,409263405,HYDROMORPHONE HCL PF 50 MG/5ML INJECTION SOLN,40.0,40.0,0.09,40.0,112 NDC,409263410,HYDROMORPHONE HCL PF 10 MG/ML INJECTION SOLN,16.0,16.0,0.09,16.0,112 NDC,409263450,HYDROMORPHONE HCL PF 500 MG/50ML INJECTION SOLN,441.0,441.0,0.09,441.0,112 NDC,409268901,AMPICILLINSULBACTAM SODIUM 1.5 (10.5) G IV SOLR,20.0,20.0,1.33,20.0,112 NDC,409272001,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,7.0,7.0,0.18,7.0,112 NDC,409272002,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,13.0,13.0,0.18,13.0,112 NDC,409272030,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,7.0,7.0,0.18,7.0,112 NDC,409272031,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,13.0,13.0,0.18,13.0,112 NDC,409272101,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,12.0,12.0,0.18,12.0,112 NDC,409272130,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,12.0,12.0,0.18,12.0,112 NDC,409272301,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,8.0,8.0,0.18,8.0,112 NDC,409272302,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,42.0,42.0,0.18,42.0,112 NDC,409272330,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,8.0,8.0,0.18,8.0,112 NDC,409298703,AMPICILLINSULBACTAM SODIUM 3 (21) G IV SOLR,34.0,34.0,1.33,34.0,112 NDC,409298723,AMPICILLINSULBACTAM SODIUM 3 (21) G IV SOLR,34.0,34.0,1.33,34.0,112 NDC,409317701,LIDOCAINEEPINEPHRINE 0.5 1 200000 INJECTION SOLN,14.0,14.0,0.01,14.0,111 NDC,409317801,LIDOCAINEEPINEPHRINE 1 1 100000 INJECTION SOLN,9.0,9.0,0.01,9.0,111 NDC,409317802,LIDOCAINEEPINEPHRINE 1 1 100000 INJECTION SOLN,21.0,21.0,0.01,21.0,111 NDC,409317803,LIDOCAINEEPINEPHRINE 1 1 100000 INJECTION SOLN,15.0,15.0,0.01,15.0,111 NDC,409317817,LIDOCAINEEPINEPHRINE 1 1 100000 INJECTION SOLN,21.0,21.0,0.01,21.0,111 NDC,409317818,LIDOCAINEEPINEPHRINE 1 1 100000 INJECTION SOLN,15.0,15.0,0.01,15.0,111 NDC,409318101,LIDOCAINEEPINEPHRINE (PF) 1.5 1 200000 INJECTION,34.0,34.0,0.01,34.0,111 NDC,409318111,LIDOCAINEEPINEPHRINE (PF) 1.5 1 200000 INJECTION,34.0,34.0,0.01,34.0,111 NDC,409318201,LIDOCAINEEPINEPHRINE 2 1 100000 INJECTION SOLN,12.0,12.0,0.01,12.0,111 NDC,409318202,LIDOCAINEEPINEPHRINE 2 1 100000 INJECTION SOLN,19.0,19.0,0.01,19.0,111 NDC,409318203,LIDOCAINEEPINEPHRINE 2 1 100000 INJECTION SOLN,18.0,18.0,0.01,18.0,111 NDC,409318211,LIDOCAINEEPINEPHRINE 2 1 100000 INJECTION SOLN,12.0,12.0,0.01,12.0,111 NDC,409318301,LIDOCAINEEPINEPHRINE (PF) 2 1 200000 INJECTION SO,19.0,19.0,0.01,19.0,111 NDC,409321312,DIAZEPAM 5 MG/ML INJECTION SOLN,181.0,181.0,6.17,181.0,112 NDC,409330001,CIPROFLOXACIN IN D5W 400 MG/200ML IV SOLN,14.0,14.0,0.83,14.0,112 NDC,409330703,ACETYLCYSTEINE 10 INHALATION SOLN,52.0,52.0,7.02,52.0,112 NDC,409330803,ACETYLCYSTEINE 20 INHALATION SOLN,51.0,51.0,6.89,51.0,112 NDC,409330811,ACETYLCYSTEINE 20 INHALATION SOLN,51.0,51.0,6.89,51.0,112 NDC,409335601,HYDROMORPHONE HCL 2 MG/ML INJECTION SOLN,6.0,6.0,0.09,6.0,112 NDC,409336501,HYDROMORPHONE HCL 2 MG/ML INJECTION SOLN,6.0,6.0,0.09,6.0,112 NDC,409336510,HYDROMORPHONE HCL 2 MG/ML INJECTION SOLN,7.0,7.0,0.09,7.0,112 NDC,409336511,HYDROMORPHONE HCL 2 MG/ML INJECTION SOLN,7.0,7.0,0.09,7.0,112 NDC,409337402,PIPERACILLIN SODTAZOBACTAM SO 2.25 (20.25) G IV SO,32.0,32.0,1.09,32.0,112 NDC,409337411,PIPERACILLIN SODTAZOBACTAM SO 2.25 (20.25) G IV SO,32.0,32.0,1.09,32.0,112 NDC,409337813,PIPERACILLIN SODTAZOBACTAM SO 3.375 (30.375) G IV,44.0,44.0,1.09,44.0,112 NDC,409337904,PIPERACILLIN SODTAZOBACTAM SO 4.5 (40.5) G IV SOLR,57.0,57.0,1.09,57.0,112 NDC,409338302,PIPERACILLIN SODTAZOBACTAM SO 2.25 (20.25) G IV SO,26.0,26.0,1.09,26.0,112 NDC,409338513,PIPERACILLIN SODTAZOBACTAM SO 3.375 (30.375) G IV,38.0,38.0,1.09,38.0,112 NDC,409339004,PIPERACILLIN SODTAZOBACTAM SO 4.5 (40.5) G IV SOLR,51.0,51.0,1.09,51.0,112 NDC,409341401,METOCLOPRAMIDE HCL 5 MG/ML INJECTION SOLN,5.0,5.0,0.68,5.0,112 NDC,409341411,METOCLOPRAMIDE HCL 5 MG/ML INJECTION SOLN,5.0,5.0,0.68,5.0,112 NDC,409341418,METOCLOPRAMIDE HCL 5 MG/ML INJECTION SOLN,5.0,5.0,0.68,5.0,112 NDC,409341421,METOCLOPRAMIDE HCL 5 MG/ML INJECTION SOLN,5.0,5.0,0.68,5.0,112 NDC,409351021,ERTAPENEM SODIUM 1 G INJECTION SOLR,324.0,324.0,9.02,324.0,112 NDC,409351022,ERTAPENEM SODIUM 1 G INJECTION SOLR,324.0,324.0,9.02,324.0,112 NDC,409351501,VANCOMYCIN HCL 1.5 G IV SOLR,88.0,88.0,1.86,88.0,111 NDC,409351511,VANCOMYCIN HCL 1.5 G IV SOLR,88.0,88.0,1.86,88.0,111 NDC,409353201,PEMETREXED DISODIUM 1 GM/40ML IV SOLN,3240.0,3240.0,2.57,3240.0,119 NDC,409357801,TOBRAMYCIN SULFATE 80 MG/2ML INJECTION SOLN,11.0,11.0,1.49,11.0,112 NDC,409361301,BUPIVACAINE IN DEXTROSE 0.758.25 INTRATHECAL SOL,11.0,11.0,0.01,11.0,112 NDC,409361311,BUPIVACAINE IN DEXTROSE 0.758.25 INTRATHECAL SOL,11.0,11.0,0.01,11.0,112 NDC,409372001,AMPICILLIN SODIUM 2 G INJECTION SOLR,26.0,26.0,0.49,26.0,112 NDC,409372411,DOBUTAMINEDEXTROSE 45 MG/ML IV SOLN,76.0,76.0,7.39,76.0,112 NDC,409372432,DOBUTAMINEDEXTROSE 45 MG/ML IV SOLN,76.0,76.0,7.39,76.0,112 NDC,409379301,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,11.0,11.0,0.33,11.0,112 NDC,409379319,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,11.0,11.0,0.33,11.0,112 NDC,409379501,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,24.0,24.0,0.33,24.0,112 NDC,409379519,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,24.0,24.0,0.33,24.0,112 NDC,409379601,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN,12.0,12.0,0.33,12.0,112 NDC,409381411,MORPHINE SULFATE (PF) 0.5 MG/ML INJECTION SOLN,30.0,30.0,4.05,30.0,112 NDC,409381412,MORPHINE SULFATE (PF) 0.5 MG/ML INJECTION SOLN,30.0,30.0,4.05,30.0,112 NDC,409381511,MORPHINE SULFATE (PF) 1 MG/ML INJECTION SOLN,33.0,33.0,4.46,33.0,112 NDC,409381512,MORPHINE SULFATE (PF) 1 MG/ML INTRATHECAL SOLN (OR,33.0,33.0,4.46,33.0,112 NDC,409403101,MANNITOL 25 IV SOLN,11.0,11.0,1.49,11.0,111 NDC,409403116,MANNITOL 25 IV SOLN,11.0,11.0,1.49,11.0,111 NDC,409409201,CUPRIC CHLORIDE 0.4 MG/ML IV SOLN,115.0,115.0,15.53,115.0,111 NDC,409409211,CUPRIC CHLORIDE 0.4 MG/ML IV SOLN,115.0,115.0,15.53,115.0,111 NDC,409412101,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,29.0,29.0,0.41,29.0,112 NDC,409412150,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,29.0,29.0,0.41,29.0,112 NDC,409426401,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,12.0,12.0,0.09,12.0,112 NDC,409426411,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,12.0,12.0,0.09,12.0,112 NDC,409427501,LIDOCAINE HCL 0.5 INJECTION SOLN,18.0,18.0,0.01,18.0,111 NDC,409427601,LIDOCAINE HCL 1 INJECTION SOLN,6.0,6.0,0.01,6.0,111 NDC,409427602,LIDOCAINE HCL 1 INJECTION SOLN,12.0,12.0,0.01,12.0,111 NDC,409427616,LIDOCAINE HCL 1 INJECTION SOLN,6.0,6.0,0.01,6.0,111 NDC,409427617,LIDOCAINE HCL 1 INJECTION SOLN,12.0,12.0,0.01,12.0,111 NDC,409427701,LIDOCAINE HCL 2 INJECTION SOLN,9.0,9.0,1.22,9.0,111 NDC,409427702,LIDOCAINE HCL 2 INJECTION SOLN,16.0,16.0,2.16,16.0,111 NDC,409427716,LIDOCAINE HCL 2 INJECTION SOLN,9.0,9.0,1.22,9.0,111 NDC,409427717,LIDOCAINE HCL 2 INJECTION SOLN,16.0,16.0,2.16,16.0,111 NDC,409427801,LIDOCAINE HCL (PF) 0.5 INJECTION SOLN,16.0,16.0,2.16,16.0,111 NDC,409427816,LIDOCAINE HCL (PF) 0.5 INJECTION SOLN,16.0,16.0,2.16,16.0,111 NDC,409427902,LIDOCAINE HCL (PF) 1 INJECTION SOLN,12.0,12.0,0.01,12.0,111 NDC,409427902,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),12.0,12.0,1.62,12.0,111 NDC,409427916,LIDOCAINE HCL (PF) 1 INJECTION SOLN,12.0,12.0,0.01,12.0,111 NDC,409427916,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),12.0,12.0,1.62,12.0,111 NDC,409428201,LIDOCAINE HCL (PF) 2 INJECTION SOLN (WRAPPER),8.0,8.0,0.01,8.0,111 NDC,409428202,LIDOCAINE HCL (PF) 2 INJECTION SOLN,16.0,16.0,0.01,16.0,111 NDC,409428212,LIDOCAINE HCL (PF) 2 INJECTION SOLN,16.0,16.0,0.01,16.0,111 NDC,409428301,LIDOCAINE HCL (PF) 4 INJECTION SOLN,18.0,18.0,0.01,18.0,111 NDC,409428311,LIDOCAINE HCL (PF) 4 INJECTION SOLN,18.0,18.0,0.01,18.0,111 NDC,409433201,VANCOMYCIN HCL 500 MG IV SOLR,30.0,30.0,1.86,30.0,111 NDC,409433211,VANCOMYCIN HCL 500 MG IV SOLR,30.0,30.0,1.86,30.0,111 NDC,409434673,AMINOCAPROIC ACID 250 MG/ML IV SOLN,27.0,27.0,3.65,27.0,111 NDC,409444401,LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN,14.0,14.0,1.89,14.0,112 NDC,409444424,LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN,14.0,14.0,1.89,14.0,112 NDC,409452002,HEPARIN SOD (PORCINE) IN D5W 100 UNIT/ML IV SOLN,40.0,40.0,0.18,40.0,112 NDC,409452030,HEPARIN SOD (PORCINE) IN D5W 100 UNIT/ML IV SOLN,40.0,40.0,0.18,40.0,112 NDC,409468812,FLUCONAZOLE (DIFLUCAN) IVPB 600 MG/300 ML NSS,26.0,26.0,2.39,26.0,112 NDC,409468816,FLUCONAZOLE IN SODIUM CHLORIDE 4000.9 MG/200ML IV,26.0,26.0,2.39,26.0,112 NDC,409468818,FLUCONAZOLE IN SODIUM CHLORIDE 2000.9 MG/100ML IV,27.0,27.0,2.39,27.0,112 NDC,409468822,FLUCONAZOLE IN SODIUM CHLORIDE 2000.9 MG/100ML IV,27.0,27.0,2.39,27.0,112 NDC,409469924,PROPOFOL 1000 MG/100ML IV EMUL,78.0,78.0,0.08,78.0,112 NDC,409469930,PROPOFOL 200 MG/20ML IV EMUL,16.0,16.0,0.08,16.0,112 NDC,409469933,PROPOFOL 500 MG/50ML IV EMUL,39.0,39.0,0.08,39.0,112 NDC,409469953,PROPOFOL 500 MG/50ML IV EMUL,39.0,39.0,0.08,39.0,112 NDC,409469954,PROPOFOL 1000 MG/100ML IV EMUL,78.0,78.0,0.08,78.0,112 NDC,409471302,LIDOCAINE HCL (PF) 1 INJECTION SOLN,7.0,7.0,0.01,7.0,111 NDC,409471302,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),7.0,7.0,0.95,7.0,111 NDC,409471312,LIDOCAINE HCL (PF) 1 INJECTION SOLN,7.0,7.0,0.01,7.0,111 NDC,409471332,LIDOCAINE HCL (PF) 1 INJECTION SOLN,5.0,5.0,0.01,5.0,111 NDC,409471332,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),5.0,5.0,0.68,5.0,111 NDC,409471342,LIDOCAINE HCL (PF) 1 INJECTION SOLN,5.0,5.0,0.01,5.0,111 NDC,409471365,LIDOCAINE HCL (PF) 1 INJECTION SOLN,6.0,6.0,0.01,6.0,111 NDC,409471365,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),6.0,6.0,0.81,6.0,111 NDC,409471375,LIDOCAINE HCL (PF) 1 INJECTION SOLN,8.0,8.0,0.01,8.0,111 NDC,409471375,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),8.0,8.0,1.08,8.0,111 NDC,409475503,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,5.0,5.0,0.09,5.0,112 NDC,409475518,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,5.0,5.0,0.09,5.0,112 NDC,409475901,ONDANSETRON HCL 40 MG/20ML INJECTION SOLN,26.0,26.0,0.09,26.0,112 NDC,409477601,LIDOCAINE HCL (PF) 1.5 INJECTION SOLN,37.0,37.0,0.01,37.0,111 NDC,409488710,STERILE WATER FOR INJECTION SOLN,4.0,4.0,0.54,4.0,111 NDC,409488717,STERILE WATER FOR INJECTION SOLN,4.0,4.0,0.54,4.0,111 NDC,409488720,STERILE WATER FOR INJECTION SOLN,6.0,6.0,0.71,6.0,111 NDC,409488723,STERILE WATER FOR INJECTION SOLN,6.0,6.0,0.71,6.0,111 NDC,409488724,STERILE WATER FOR INJECTION SOLN,10.0,10.0,0.71,10.0,111 NDC,409488725,STERILE WATER FOR INJECTION SOLN,18.0,18.0,0.71,18.0,111 NDC,409488750,STERILE WATER FOR INJECTION SOLN,10.0,10.0,0.71,10.0,111 NDC,409488799,STERILE WATER FOR INJECTION SOLN,18.0,18.0,0.71,18.0,111 NDC,409490311,LIDOCAINE HCL (CARDIAC) 100 MG/5ML IV SOSY (WRAPPE,23.0,23.0,0.01,23.0,111 NDC,409490334,LIDOCAINE HCL (CARDIAC) 100 MG/5ML IV SOSY (WRAPPE,23.0,23.0,0.01,23.0,111 NDC,409490434,LIDOCAINE HCL (CARDIAC) 50 MG/5ML IV SOSY,65.0,65.0,0.01,65.0,111 NDC,409491011,ATROPINE SULFATE 0.5 MG/5ML INJECTION SOSY,59.0,59.0,0.07,59.0,112 NDC,409491034,ATROPINE SULFATE 0.5 MG/5ML INJECTION SOSY,59.0,59.0,0.07,59.0,112 NDC,409491111,ATROPINE SULFATE 1 MG/10ML INJECTION SOSY,67.0,67.0,0.07,67.0,112 NDC,409491134,ATROPINE SULFATE 1 MG/10ML INJECTION SOSY,67.0,67.0,0.07,67.0,112 NDC,409492120,EPINEPHRINE 1 MG/10ML INJECTION SOSY,19.0,19.0,0.76,19.0,111 NDC,409492134,EPINEPHRINE HCL 0.1 MG/ML INJECTION (WRAPPER),19.0,19.0,0.76,19.0,111 NDC,409493301,EPINEPHRINE 1 MG/10ML IV SOSY,34.0,34.0,0.76,34.0,111 NDC,409493311,EPINEPHRINE 1 MG/10ML IV SOSY,34.0,34.0,0.76,34.0,111 NDC,409501701,VANCOMYCIN HCL 10 G IV SOLR,783.0,783.0,1.86,783.0,111 NDC,409508211,CEFTAZIDIME 1 G INJECTION SOLR,16.0,16.0,1.47,16.0,112 NDC,409508216,CEFTAZIDIME 1 G INJECTION SOLR,16.0,16.0,1.47,16.0,112 NDC,409508411,CEFTAZIDIME 2 G IV SOLR,35.0,35.0,1.47,35.0,112 NDC,409508413,CEFTAZIDIME 2 G IV SOLR,35.0,35.0,1.47,35.0,112 NDC,409508611,CEFTAZIDIME 6 G INJECTION SOLR,111.0,111.0,1.47,111.0,112 NDC,409509216,CEFTAZIDIME 1 G IV SOLR,22.0,22.0,1.47,22.0,112 NDC,409509311,CEFTAZIDIME 2 G IV SOLR,44.0,44.0,1.47,44.0,112 NDC,409509314,CEFTAZIDIME 2 G IV SOLR,44.0,44.0,1.47,44.0,112 NDC,409523901,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,59.0,59.0,0.41,59.0,112 NDC,409523960,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,59.0,59.0,0.41,59.0,112 NDC,409582001,DOPAMINE HCL 40 MG/ML IV SOLN,15.0,15.0,0.66,15.0,112 NDC,409582011,DOPAMINE HCL 40 MG/ML IV SOLN,15.0,15.0,0.66,15.0,112 NDC,409592101,AMINOPHYLLINE 25 MG/ML IV SOLN,60.0,60.0,5.17,60.0,112 NDC,409592116,AMINOPHYLLINE 25 MG/ML IV SOLN,60.0,60.0,5.17,60.0,112 NDC,409592201,AMINOPHYLLINE 25 MG/ML IV SOLN,39.0,39.0,5.17,39.0,112 NDC,409592216,AMINOPHYLLINE 25 MG/ML IV SOLN,39.0,39.0,5.17,39.0,112 NDC,409601002,PROPOFOL 200 MG/20ML IV EMUL,16.0,16.0,0.08,16.0,112 NDC,409601025,PROPOFOL 200 MG/20ML IV EMUL,16.0,16.0,0.08,16.0,112 NDC,409610202,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),16.0,16.0,0.39,16.0,111 NDC,409610204,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),11.0,11.0,0.39,11.0,111 NDC,409610210,FUROSEMIDE 10 MG/ML INJECTION SOLN,21.0,21.0,0.39,21.0,111 NDC,409610218,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),11.0,11.0,0.39,11.0,111 NDC,409610219,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),16.0,16.0,0.39,16.0,111 NDC,409610220,FUROSEMIDE 10 MG/ML INJECTION SOLN,21.0,21.0,0.39,21.0,111 NDC,409610225,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),13.0,13.0,0.39,13.0,111 NDC,409610226,FUROSEMIDE 10 MG/ML INJECTION SOLN,11.0,11.0,0.39,11.0,111 NDC,409610227,FUROSEMIDE 10 MG/ML INJECTION SOLN,19.0,19.0,0.39,19.0,111 NDC,409610235,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),13.0,13.0,0.39,13.0,111 NDC,409610236,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),11.0,11.0,0.39,11.0,111 NDC,409610237,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),19.0,19.0,0.39,19.0,111 NDC,409647644,ERYTHROMYCIN LACTOBIONATE 500 MG IV SOLR,305.0,305.0,20.16,305.0,112 NDC,409647654,ERYTHROMYCIN LACTOBIONATE 500 MG IV SOLR,305.0,305.0,20.16,305.0,112 NDC,409648201,ERYTHROMYCIN LACTOBIONATE 500 MG IV SOLR,328.0,328.0,20.16,328.0,112 NDC,409648211,ERYTHROMYCIN LACTOBIONATE 500 MG IV SOLR,328.0,328.0,20.16,328.0,112 NDC,409650901,VANCOMYCIN HCL 5 G IV SOLR,330.0,330.0,1.86,330.0,111 NDC,409650949,VANCOMYCIN HCL 5 G IV SOLR,75.0,75.0,1.86,75.0,111 NDC,409653101,VANCOMYCIN HCL 750 MG IV SOLR,25.0,25.0,1.86,25.0,111 NDC,409653111,VANCOMYCIN HCL 750 MG IV SOLR,25.0,25.0,1.86,25.0,111 NDC,409653112,VANCOMYCIN HCL 750 MG IV SOLR,36.0,36.0,1.86,36.0,111 NDC,409653301,VANCOMYCIN HCL 1 G IV SOLR,57.0,57.0,1.86,57.0,111 NDC,409653311,VANCOMYCIN HCL 1 G IV SOLR,59.0,59.0,1.86,59.0,111 NDC,409653321,VANCOMYCIN HCL 1 G IV SOLR,59.0,59.0,1.86,59.0,111 NDC,409653331,VANCOMYCIN HCL 1 G IV SOLR,14.0,14.0,1.86,14.0,111 NDC,409653359,VANCOMYCIN HCL 1 G IV SOLR,14.0,14.0,1.86,14.0,111 NDC,409653401,VANCOMYCIN HCL 500 MG IV SOLR,20.0,20.0,1.86,20.0,111 NDC,409653411,VANCOMYCIN HCL 500 MG IV SOLR,20.0,20.0,1.86,20.0,111 NDC,409653501,VANCOMYCIN HCL 1 G IV SOLR,30.0,30.0,1.86,30.0,111 NDC,409653511,VANCOMYCIN HCL 1 G IV SOLR,31.0,31.0,1.86,31.0,111 NDC,409656201,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN,80.0,80.0,0.03,80.0,112 NDC,409662902,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,70.0,70.0,0.81,70.0,111 NDC,409662912,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,70.0,70.0,0.81,70.0,111 NDC,409663501,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,18.0,18.0,0.1,18.0,112 NDC,409663518,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,18.0,18.0,0.1,18.0,112 NDC,409665106,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,14.0,14.0,0.1,14.0,112 NDC,409665119,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,14.0,14.0,0.1,14.0,112 NDC,409665305,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,19.0,19.0,0.1,19.0,112 NDC,409665318,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,19.0,19.0,0.1,19.0,112 NDC,409672711,MAGNESIUM SULFATE IN D5W 15 GM/100ML IV SOLN,30.0,30.0,0.41,30.0,112 NDC,409672723,MAGNESIUM SULFATE IN D5W 15 GM/100ML IV SOLN,30.0,30.0,0.41,30.0,112 NDC,409672750,MAGNESIUM SULFATE IN D5W 15 GM/100ML IV SOLN,30.0,30.0,0.41,30.0,112 NDC,409672755,MAGNESIUM SULFATE IN D5W 15 GM/100ML IV SOLN,30.0,30.0,0.41,30.0,112 NDC,409672903,MAGNESIUM SULFATE 20 GM/500ML IV SOLN,245.0,245.0,0.41,245.0,112 NDC,409672911,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,59.0,59.0,0.41,59.0,112 NDC,409672923,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,29.0,29.0,0.41,29.0,112 NDC,409672924,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,59.0,59.0,0.41,59.0,112 NDC,409672941,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,29.0,29.0,0.41,29.0,112 NDC,409677802,LORAZEPAM 2 MG/ML INJECTION SOLN,7.0,7.0,0.95,7.0,112 NDC,409710002,DEXTROSE 5 IV SOLN,22.0,22.0,1.75,22.0,112 NDC,409710066,DEXTROSE 5 KVO FLUSH (INPATIENT),16.0,16.0,1.75,16.0,112 NDC,409710067,DEXTROSE 5 KVO FLUSH (INPATIENT),16.0,16.0,1.75,16.0,112 NDC,409710068,DEXTROSE 5 IV SOLN,16.0,16.0,1.75,16.0,112 NDC,409710102,SODIUM CHLORIDE 0.9 IV SOLN,22.0,22.0,0.63,22.0,112 NDC,409710102,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),22.0,22.0,1.99,22.0,112 NDC,409710104,SODIUM CHLORIDE 0.9 IV SOLN,22.0,22.0,0.63,22.0,112 NDC,409710166,SODIUM CHLORIDE 0.9 IV SOLN,17.0,17.0,0.63,17.0,112 NDC,409710166,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),17.0,17.0,1.99,17.0,112 NDC,409710167,SODIUM CHLORIDE 0.9 IV SOLN,16.0,16.0,0.63,16.0,112 NDC,409710167,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),16.0,16.0,1.99,16.0,112 NDC,409710168,SODIUM CHLORIDE 0.9 IV SOLN,17.0,17.0,0.63,17.0,112 NDC,409710169,SODIUM CHLORIDE 0.9 IV SOLN,16.0,16.0,0.63,16.0,112 NDC,409724101,EPINEPHRINE PF 1 MG/ML INJECTION SOLN,8.0,8.0,0.76,8.0,111 NDC,409733201,CEFTRIAXONE SODIUM 1 G INJECTION SOLR,6.0,6.0,0.45,6.0,112 NDC,409733211,CEFTRIAXONE SODIUM 1 G INJECTION SOLR,6.0,6.0,0.45,6.0,112 NDC,409733220,CEFTRIAXONE SODIUM 1 G INJECTION SOLR,6.0,6.0,0.45,6.0,112 NDC,409733221,CEFTRIAXONE SODIUM 1 G INJECTION SOLR,6.0,6.0,0.45,6.0,112 NDC,409733304,CEFTRIAXONE SODIUM 1 G IV SOLR,15.0,15.0,0.45,15.0,112 NDC,409733311,CEFTRIAXONE SODIUM 1 G IV SOLR,15.0,15.0,0.45,15.0,112 NDC,409733349,CEFTRIAXONE SODIUM 1 G IV SOLR,16.0,16.0,0.45,16.0,112 NDC,409733410,CEFTRIAXONE SODIUM 10 G IV SOLR,63.0,63.0,0.45,63.0,112 NDC,409733420,CEFTRIAXONE SODIUM 10 G IV SOLR,63.0,63.0,0.45,63.0,112 NDC,409733503,CEFTRIAXONE SODIUM 2 G INJECTION SOLR,11.0,11.0,0.45,11.0,112 NDC,409733513,CEFTRIAXONE SODIUM 2 G INJECTION SOLR,11.0,11.0,0.45,11.0,112 NDC,409733520,CEFTRIAXONE SODIUM 2 G INJECTION SOLR,11.0,11.0,0.45,11.0,112 NDC,409733521,CEFTRIAXONE SODIUM 2 G INJECTION SOLR,11.0,11.0,0.45,11.0,112 NDC,409733604,CEFTRIAXONE SODIUM 2 G IV SOLR,29.0,29.0,0.45,29.0,112 NDC,409733611,CEFTRIAXONE SODIUM 2 G IV SOLR,29.0,29.0,0.45,29.0,112 NDC,409733701,CEFTRIAXONE SODIUM 250 MG INJECTION SOLR,3.0,3.0,0.41,3.0,112 NDC,409733711,CEFTRIAXONE SODIUM 250 MG INJECTION SOLR,3.0,3.0,0.41,3.0,112 NDC,409733720,CEFTRIAXONE SODIUM 250 MG INJECTION SOLR,3.0,3.0,0.41,3.0,112 NDC,409733721,CEFTRIAXONE SODIUM 250 MG INJECTION SOLR,3.0,3.0,0.41,3.0,112 NDC,409733801,CEFTRIAXONE SODIUM 500 MG INJECTION SOLR,4.0,4.0,0.45,4.0,112 NDC,409733811,CEFTRIAXONE SODIUM 500 MG INJECTION SOLR,4.0,4.0,0.45,4.0,112 NDC,409733820,CEFTRIAXONE SODIUM 500 MG INJECTION SOLR,4.0,4.0,0.45,4.0,112 NDC,409733821,CEFTRIAXONE SODIUM 500 MG INJECTION SOLR,4.0,4.0,0.45,4.0,112 NDC,409741803,DEXTRAN 40 IN D5W 10 IV SOLN,141.0,141.0,19.04,150.72,111 NDC,409741813,DEXTRAN 40 IN D5W 10 IV SOLN,141.0,141.0,19.04,150.72,111 NDC,409741903,DEXTRAN 40 IN SALINE 100.9 IV SOLN,144.0,144.0,14.52,144.0,111 NDC,409762003,HEPARIN (PORCINE) IN NACL 10000.9 UT/500ML IV SOL,20.0,20.0,0.18,20.0,112 NDC,409762013,HEPARIN (PORCINE) IN NACL 10000.9 UT/500ML IV SOL,20.0,20.0,0.18,20.0,112 NDC,409762049,HEPARIN (PORCINE) IN NACL 20000.9 UNIT/L IV SOLN,24.0,24.0,0.18,24.0,112 NDC,409765005,HEPARIN (PORCINE) IN NACL 1000.45 UNIT/ML INJECTI,54.0,54.0,0.18,54.0,112 NDC,409765030,HEPARIN (PORCINE) IN NACL 1000.45 UNIT/ML INJECTI,54.0,54.0,0.18,54.0,112 NDC,409765052,HEPARIN (PORCINE) IN NACL 1000.45 UNIT/ML INJECTI,54.0,54.0,0.18,54.0,112 NDC,409765062,HEPARIN (PORCINE) IN NACL 1000.45 UNIT/ML INJECTI,54.0,54.0,0.18,54.0,112 NDC,409780911,DOPAMINEDEXTROSE 1.65 MG/ML IV SOLN,52.0,52.0,0.66,52.0,112 NDC,409780922,DOPAMINEDEXTROSE 1.65 MG/ML IV SOLN,52.0,52.0,0.66,52.0,112 NDC,409781011,DOPAMINEDEXTROSE 3.25 MG/ML IV SOLN,78.0,78.0,0.66,78.0,112 NDC,409781022,DOPAMINEDEXTROSE 3.25 MG/ML IV SOLN,78.0,78.0,0.66,78.0,112 NDC,409795309,LACTATED RINGERS IV SOLN FLUSH (NONINTEROP),18.0,18.0,2.38,18.0,112 NDC,409909332,FENTANYL CITRATE (PF) 100 MCG/2ML INJECTION SOLN,7.0,7.0,0.85,7.0,112 NDC,409909338,FENTANYL CITRATE (PF) 1000 MCG/20ML INJECTION SOLN,23.0,23.0,0.85,23.0,112 NDC,409909412,FENTANYL CITRATE (PF) 100 MCG/2ML INJECTION SOLN,6.0,6.0,0.81,6.0,112 NDC,409909416,FENTANYL CITRATE (PF) 1000 MCG/20ML INJECTION SOLN,28.0,28.0,0.85,28.0,112 NDC,409909417,FENTANYL CITRATE (PF) 500 MCG/10ML INJECTION SOLN,14.0,14.0,0.85,14.0,112 NDC,409909418,FENTANYL CITRATE (PF) 250 MCG/5ML INJECTION SOLN,9.0,9.0,0.85,9.0,112 NDC,409909422,FENTANYL CITRATE (PF) 100 MCG/2ML INJECTION SOLN,6.0,6.0,0.81,6.0,112 NDC,409909425,FENTANYL CITRATE (PF) 250 MCG/5ML INJECTION SOLN,9.0,9.0,0.85,9.0,112 NDC,409909428,FENTANYL CITRATE (PF) 500 MCG/10ML INJECTION SOLN,14.0,14.0,0.85,14.0,112 NDC,409909431,FENTANYL CITRATE (PF) 1000 MCG/20ML INJECTION SOLN,28.0,28.0,0.85,28.0,112 NDC,409909441,FENTANYL CITRATE (PF) 2500 MCG/50ML INJECTION SOLN,79.0,79.0,0.85,79.0,112 NDC,409909461,FENTANYL CITRATE (PF) 2500 MCG/50ML INJECTION SOLN,79.0,79.0,0.85,79.0,112 NDC,409910420,DOPAMINE HCL 40 MG/ML IV SOLN,12.0,12.0,0.66,12.0,112 NDC,409910421,DOPAMINE HCL 40 MG/ML IV SOLN,12.0,12.0,0.66,12.0,112 NDC,409913705,LIDOCAINE HCL (CARDIAC) PF 50 MG/5ML IV SOSY,45.0,45.0,6.08,45.0,111 NDC,409915701,VITAMIN K1 1 MG/0.5ML INJECTION SOLN,18.0,18.0,2.21,18.0,112 NDC,409915731,VITAMIN K1 1 MG/0.5ML INJECTION SOLN,18.0,18.0,2.21,18.0,112 NDC,409915750,VITAMIN K1 1 MG/0.5ML INJECTION SOLN,16.0,16.0,2.16,16.0,112 NDC,409915801,VITAMIN K1 10 MG/ML INJECTION SOLN,177.0,177.0,2.21,177.0,112 NDC,409915811,VITAMIN K1 10 MG/ML INJECTION SOLN,173.0,173.0,2.21,173.0,112 NDC,409915825,VITAMIN K1 10 MG/ML INJECTION SOLN,173.0,173.0,2.21,173.0,112 NDC,409915831,VITAMIN K1 10 MG/ML INJECTION SOLN,177.0,177.0,2.21,177.0,112 NDC,409915855,VITAMIN K1 10 MG/ML INJECTION SOLN,172.0,172.0,2.21,172.0,112 NDC,409956601,CEFEPIME HCL 1 G INJECTION SOLR,22.0,22.0,0.87,22.0,112 NDC,409956610,CEFEPIME HCL 1 G INJECTION SOLR,22.0,22.0,0.87,22.0,112 NDC,409963005,ATROPINE SULFATE 0.25 MG/5ML INJECTION SOSY,89.0,89.0,0.07,89.0,112 NDC,409973501,CEFEPIME HCL 2 G IV SOLR,37.0,37.0,0.87,37.0,112 NDC,409973510,CEFEPIME HCL 2 G IV SOLR,37.0,37.0,0.87,37.0,112 NDC,4110020,CAPECITABINE 150 MG PO TABS,49.0,49.0,0.04,49.0,119 NDC,4110150,CAPECITABINE 500 MG PO TABS,163.0,163.0,22.01,163.0,111 NDC,42023010701,COLISTIMETHATE SODIUM (CBA) 150 MG INJECTION SOLR,101.0,101.0,11.39,101.0,112 NDC,42023011001,ESTRADIOL VALERATE 10 MG/ML IM OIL,478.0,478.0,7.45,478.0,112 NDC,42023011101,ESTRADIOL VALERATE 20 MG/ML IM OIL,674.0,674.0,7.45,674.0,112 NDC,42023011602,OXYTOCIN 10 UNIT/ML INJECTION SOLN,51.0,51.0,0.86,51.0,111 NDC,42023011625,OXYTOCIN 10 UNIT/ML INJECTION SOLN,13.0,13.0,0.86,13.0,111 NDC,42023011925,TRIMETHOBENZAMIDE HCL 100 MG/ML IM SOLN,190.0,190.0,25.65,190.0,112 NDC,42023012901,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLN,281.0,281.0,6.2,281.0,112 NDC,42023015901,EPINEPHRINE (ANAPHYLAXIS) 1 MG/ML INJECTION SOLN,54.0,54.0,0.76,54.0,111 NDC,42023015925,EPINEPHRINE (ANAPHYLAXIS) 1 MG/ML INJECTION SOLN,49.0,49.0,0.76,49.0,111 NDC,42023016410,VASOPRESSIN 20 UNIT/ML IV SOLN,292.0,292.0,0.53,292.0,112 NDC,42023016425,VASOPRESSIN 20 UNIT/ML IV SOLN,292.0,292.0,0.53,292.0,112 NDC,42023016801,EPINEPHRINE (ANAPHYLAXIS) 30 MG/30ML INJECTION SOL,903.0,903.0,0.76,903.0,111 NDC,42023016889,EPINEPHRINE 1 MG/ML INJECTION (WRAPPER),903.0,903.0,0.76,903.0,111 NDC,42023016899,EPINEPHRINE (ANAPHYLAXIS) 30 MG/30ML INJECTION SOL,903.0,903.0,0.76,903.0,111 NDC,42023017204,MYCOPHENOLATE MOFETIL HCL 500 MG IV SOLR,261.0,261.0,0.37,261.0,112 NDC,42023017301,GANCICLOVIR SODIUM 500 MG IV SOLR,260.0,260.0,28.74,260.0,112 NDC,42023017325,GANCICLOVIR SODIUM 500 MG IV SOLR,260.0,260.0,28.74,260.0,112 NDC,42023017901,BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLN,50.0,50.0,4.13,50.0,112 NDC,42023017905,BUPRENORPHINE HCL 0.3 MG/ML INJECTION SOLN,50.0,50.0,4.13,50.0,112 NDC,42023018201,ARGATROBAN 250 MG/2.5ML IV SOLN,1836.0,1836.0,0.61,1836.0,119 NDC,42023018901,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,22.0,22.0,0.71,22.0,111 NDC,42023018910,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,22.0,22.0,0.71,22.0,111 NDC,42023019001,VASOPRESSIN 20 UNIT/ML IV SOLN,2916.0,2916.0,0.53,2916.0,112 NDC,42023020101,LEVOTHYROXINE SODIUM 100 MCG IV SOLR,381.0,381.0,5.39,381.0,112 NDC,42023020201,LEVOTHYROXINE SODIUM 200 MCG IV SOLR,761.0,761.0,5.39,761.0,112 NDC,42023020501,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLN,11272.0,11272.0,816.0,11272.0,111 NDC,42023020601,TREPROSTINIL 20 MG/20ML INJECTION SOLN,4355.0,4355.0,54.48,4355.0,119 NDC,42023020701,TREPROSTINIL 50 MG/20ML INJECTION SOLN,10887.0,10887.0,54.48,10887.0,119 NDC,42023020801,TREPROSTINIL 100 MG/20ML INJECTION SOLN,21774.0,21774.0,54.48,21774.0,119 NDC,42023020901,TREPROSTINIL 200 MG/20ML INJECTION SOLN,43548.0,43548.0,54.48,43548.0,119 NDC,42023021401,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,80.0,80.0,0.01,80.0,108 NDC,42023021410,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,80.0,80.0,0.01,80.0,108 NDC,42023021501,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,155.0,155.0,0.01,155.0,108 NDC,42023021901,VASOPRESSINDEXTROSE 405 UT/100ML IV SOLN,1530.0,1530.0,0.53,1530.0,112 NDC,42023021910,VASOPRESSINDEXTROSE 405 UT/100ML IV SOLN,1530.0,1530.0,0.53,1530.0,112 NDC,42023022101,ERTAPENEM SODIUM 1 G INJECTION SOLR,422.0,422.0,9.02,422.0,112 NDC,42023022110,ERTAPENEM SODIUM 1 G INJECTION SOLR,422.0,422.0,9.02,422.0,112 NDC,42023024301,EPHEDRINE SULFATE (PRESSORS) 5 MG/ML IV SOLN,105.0,105.0,14.18,105.0,111 NDC,42023031501,EPINEPHRINE HCLNACL 40.9 MG/250ML IV SOLN (WRAPPE,324.0,324.0,0.76,324.0,111 NDC,42023031510,EPINEPHRINE HCLNACL 40.9 MG/250ML IV SOLN (WRAPPE,324.0,324.0,0.76,324.0,111 NDC,42023062201,BIVALIRUDIN TRIFLUOROACETATE 250 MG/50ML IV SOLN,258.0,258.0,0.16,258.0,112 NDC,42023062210,BIVALIRUDIN TRIFLUOROACETATE 250 MG/50ML IV SOLN,258.0,258.0,0.16,258.0,112 NDC,42192061405,PHENYTOIN SODIUM 50 MG/ML INJECTION SOLN,18.0,18.0,0.47,18.0,112 NDC,42192061430,PHENYTOIN SODIUM 50 MG/ML INJECTION SOLN,18.0,18.0,0.47,18.0,112 NDC,42291050501,METHOTREXATE SODIUM 2.5 MG PO TABS,11.0,11.0,0.15,11.0,112 NDC,42291072710,PREDNISONE 5 MG PO TABS,2.0,2.0,0.01,2.0,112 NDC,42367052125,BENDAMUSTINE HCL 100 MG/4ML IV SOLN,9360.0,9360.0,11.99,9360.0,119 NDC,42385095330,EMTRICITABINETENOFOVIR DF 200300 MG PO TABS,211.0,211.0,1.34,211.0,119 NDC,42494041501,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLN,79.0,79.0,10.67,79.0,112 NDC,42494041503,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLN,79.0,79.0,10.67,79.0,112 NDC,42494041525,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLN,79.0,79.0,10.67,79.0,112 NDC,42494041601,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLN,204.0,204.0,27.36,204.0,112 NDC,42494041603,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLN,204.0,204.0,27.36,204.0,112 NDC,42494041625,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLN,204.0,204.0,27.36,204.0,112 NDC,42494044201,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLN,204.0,204.0,27.36,204.0,112 NDC,42494044225,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLN,204.0,204.0,27.36,204.0,112 NDC,42571024469,CAFFEINE CITRATE 60 MG/3ML IV SOLN,62.0,62.0,1.02,62.0,111 NDC,42571035009,CROMOLYN SODIUM 20 MG/2ML INHALATION NEBU,20.0,20.0,0.21,20.0,112 NDC,42658000801,DACTINOMYCIN 0.5 MG IV SOLR,1800.0,1800.0,243.0,1800.0,119 NDC,42658001001,CLADRIBINE 10 MG/10ML IV SOLN,1260.0,1260.0,7.42,1260.0,119 NDC,42658002101,DAUNORUBICIN HCL 20 MG/4ML IV SOLN,483.0,483.0,19.76,483.0,112 NDC,42658002102,DAUNORUBICIN HCL 20 MG/4ML IV SOLN,483.0,483.0,19.76,483.0,112 NDC,42747010201,BUROSUMABTWZA 10 MG/ML SC SOLN,16026.0,16026.0,469.73,16026.0,119 NDC,42747020301,BUROSUMABTWZA 20 MG/ML SC SOLN,32051.0,32051.0,469.73,32051.0,119 NDC,42747030401,BUROSUMABTWZA 30 MG/ML SC SOLN,48076.0,48076.0,469.73,48076.0,119 NDC,42747076101,MOGAMULIZUMABKPKC 20 MG/5ML IV SOLN,16549.0,16549.0,243.32,16549.0,119 NDC,42799081501,PREDNISOLONE 15 MG/5ML PO SOLN (WRAPPER),219.0,219.0,0.27,219.0,112 NDC,42799081510,PREDNISOLONE 15 MG/5ML PO SOLN (WRAPPER),10.0,10.0,0.27,10.0,112 NDC,42806040001,METHYLPREDNISOLONE 4 MG PO TABS,5.0,5.0,0.13,5.0,112 NDC,42806040021,METHYLPREDNISOLONE 4 MG PO TBPK,5.0,5.0,0.13,5.0,112 NDC,42858086706,DRONABINOL 2.5 MG PO CAPS,8.0,8.0,1.08,8.0,112 NDC,42858086806,DRONABINOL 5 MG PO CAPS,12.0,12.0,1.35,12.0,112 NDC,43066000601,DOCETAXEL 80 MG/8ML IV SOLN,591.0,591.0,0.38,591.0,112 NDC,43066001001,DOCETAXEL 160 MG/16ML IV SOLN,1049.0,1049.0,0.38,1049.0,112 NDC,43066001501,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,18.0,18.0,0.05,18.0,112 NDC,43066001510,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,18.0,18.0,0.05,18.0,112 NDC,43066001610,NICARDIPINE HCL IN NACL 40 MG/200ML IV SOLN (WRAPP,288.0,288.0,0.07,288.0,112 NDC,43066001901,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,26.0,26.0,0.05,26.0,112 NDC,43066001910,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,26.0,26.0,0.05,26.0,112 NDC,43066002301,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,29.0,29.0,0.05,29.0,112 NDC,43066002310,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,29.0,29.0,0.05,29.0,112 NDC,43066002410,NICARDIPINE HCL IN NACL 40 MG/200ML IV SOLN (WRAPP,329.0,329.0,0.07,329.0,112 NDC,43066008910,FOSCARNET SODIUM 6000 MG/250ML IV SOLN,1350.0,1350.0,6.71,1350.0,112 NDC,43066009001,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,20.0,20.0,2.31,20.0,112 NDC,43066009025,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,20.0,20.0,2.31,20.0,112 NDC,43066015010,AMIODARONE HCL IN DEXTROSE 1504.21 MG/100ML IV SO,125.0,125.0,2.52,125.0,112 NDC,43066015401,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,216.0,216.0,0.05,216.0,112 NDC,43066015410,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,216.0,216.0,0.05,216.0,112 NDC,43066036020,AMIODARONE HCL IN DEXTROSE 3604.14 MG/200ML IV SO,167.0,167.0,2.52,167.0,112 NDC,43066099324,CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN,39.0,39.0,1.67,39.0,112 NDC,43066099524,CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN,47.0,47.0,1.67,47.0,112 NDC,43528000301,HEPATITIS B VAC RECOMB ADJ 20 MCG/0.5ML IM SOSY,532.0,532.0,10.0,590.53,124 NDC,43528000305,HEPATITIS B VAC RECOMB ADJ 20 MCG/0.5ML IM SOSY,532.0,532.0,10.0,590.53,124 NDC,43547045410,LEVETIRACETAM 500 MG/5ML IV SOLN,17.0,17.0,0.04,17.0,112 NDC,43547045441,LEVETIRACETAM 500 MG/5ML IV SOLN,17.0,17.0,0.04,17.0,112 NDC,43547054301,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLN,10.0,10.0,0.38,10.0,112 NDC,43547054325,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLN,10.0,10.0,0.38,10.0,112 NDC,43547054401,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),20.0,20.0,0.38,20.0,112 NDC,43547054425,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),20.0,20.0,0.38,20.0,112 NDC,43547063901,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),10.0,10.0,0.38,10.0,112 NDC,43547063925,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLN,10.0,10.0,0.38,10.0,112 NDC,43547064001,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),20.0,20.0,0.38,20.0,112 NDC,43547064025,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),20.0,20.0,0.38,20.0,112 NDC,43598005011,THIAMINE HCL 100 MG/ML INJECTION SOLN,33.0,33.0,1.76,33.0,112 NDC,43598005025,THIAMINE HCL 100 MG/ML INJECTION SOLN,33.0,33.0,1.76,33.0,112 NDC,43598005111,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLN,9581.0,9581.0,816.0,9581.0,111 NDC,43598012745,METHYLPREDNISOLONE SODIUM SUCC 40 MG INJECTION SOL,18.0,18.0,0.26,18.0,112 NDC,43598012811,METHYLPREDNISOLONE SODIUM SUCC 500 MG INJECTION SO,80.0,80.0,0.26,80.0,112 NDC,43598012901,METHYLPREDNISOLONE SODIUM SUCC 125 MG INJECTION SO,28.0,28.0,0.26,28.0,112 NDC,43598012925,METHYLPREDNISOLONE SODIUM SUCC 125 MG INJECTION SO,28.0,28.0,0.26,28.0,112 NDC,43598013074,METHYLPREDNISOLONE SODIUM SUCC 1000 MG INJECTION S,117.0,117.0,0.26,117.0,112 NDC,43598014111,CHLORPROMAZINE HCL 50 MG/2ML INJECTION SOLN,103.0,103.0,13.91,103.0,112 NDC,43598014125,CHLORPROMAZINE HCL 50 MG/2ML INJECTION SOLN,103.0,103.0,13.91,103.0,112 NDC,43598014362,AZACITIDINE 100 MG INJECTION SUSR,360.0,360.0,0.21,360.0,112 NDC,43598025811,DOCETAXEL 20 MG/ML IV CONC,270.0,270.0,0.38,270.0,112 NDC,43598025940,DOCETAXEL 80 MG/4ML IV CONC,1080.0,1080.0,0.38,1080.0,112 NDC,43598026223,FULVESTRANT 250 MG/5ML IM SOSY,360.0,360.0,5.72,360.0,112 NDC,43598026520,PROPOFOL 200 MG/20ML IV EMUL,21.0,21.0,0.08,21.0,112 NDC,43598028335,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP,1620.0,1620.0,104.01,1620.0,119 NDC,43598030562,AZACITIDINE 100 MG INJECTION SUSR,720.0,720.0,0.21,720.0,112 NDC,43598030920,CLOFARABINE 1 MG/ML IV SOLN,3600.0,3600.0,5.33,3600.0,119 NDC,43598033011,ZOLEDRONIC ACID 4 MG/5ML IV CONC,162.0,162.0,5.08,162.0,112 NDC,43598033111,ZOLEDRONIC ACID 5 MG/100ML IV SOLN,846.0,846.0,5.08,846.0,112 NDC,43598034837,DECITABINE 50 MG IV SOLR,3420.0,3420.0,0.65,3420.0,112 NDC,43598038662,PEMETREXED DISODIUM 100 MG IV SOLR,573.0,573.0,3.59,573.0,119 NDC,43598038711,PEMETREXED DISODIUM 500 MG IV SOLR,2855.0,2855.0,3.59,2855.0,119 NDC,43598039248,MELPHALAN HCL 50 MG IV SOLR,1617.0,1617.0,86.94,1617.0,119 NDC,43598040511,PHYTONADIONE 10 MG/ML INJECTION SOLN,154.0,154.0,2.21,154.0,112 NDC,43598040516,PHYTONADIONE 10 MG/ML INJECTION SOLN,154.0,154.0,2.21,154.0,112 NDC,43598041311,DAPTOMYCIN 500 MG IV SOLR,360.0,360.0,0.03,360.0,112 NDC,43598042660,BORTEZOMIB 1 MG/ML IV SOLR (WRAPPER),900.0,900.0,1.59,900.0,112 NDC,43598046562,AZACITIDINE 100 MG INJECTION SUSR,1440.0,1440.0,0.21,1440.0,112 NDC,43598047611,DAPTOMYCIN 350 MG IV SOLR,144.0,144.0,0.03,144.0,112 NDC,43598052911,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,65.0,65.0,0.71,65.0,111 NDC,43598052936,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,65.0,65.0,0.71,65.0,111 NDC,43598054125,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP,4500.0,4500.0,104.01,4500.0,119 NDC,43598054821,PROPOFOL 500 MG/50ML IV EMUL,51.0,51.0,0.08,51.0,112 NDC,43598054850,PROPOFOL 500 MG/50ML IV EMUL,51.0,51.0,0.08,51.0,112 NDC,43598054910,PROPOFOL 1000 MG/100ML IV EMUL,101.0,101.0,0.08,101.0,112 NDC,43598054952,PROPOFOL 1000 MG/100ML IV EMUL,101.0,101.0,0.08,101.0,112 NDC,43598056311,PARICALCITOL 2 MCG/ML IV SOLN,15.0,15.0,0.67,15.0,112 NDC,43598056411,PARICALCITOL 5 MCG/ML IV SOLN,36.0,36.0,0.67,36.0,112 NDC,43598060504,TOBRAMYCIN 300 MG/5ML INHALATION NEBU,387.0,387.0,12.47,387.0,112 NDC,43598060511,TOBRAMYCIN 300 MG/5ML INHALATION NEBU,121.0,121.0,12.47,121.0,112 NDC,43598060556,TOBRAMYCIN 300 MG/5ML INHALATION NEBU,387.0,387.0,12.47,387.0,112 NDC,43598060558,TOBRAMYCIN 300 MG/5ML INHALATION NEBU,121.0,121.0,12.47,121.0,112 NDC,43598060710,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN,45.0,45.0,0.67,45.0,112 NDC,43598060802,FONDAPARINUX SODIUM 5 MG/0.4ML SC SOLN,127.0,127.0,0.67,127.0,112 NDC,43598060810,FONDAPARINUX SODIUM 5 MG/0.4ML SC SOLN,127.0,127.0,0.67,127.0,112 NDC,43598060811,FONDAPARINUX SODIUM 5 MG/0.4ML SC SOLN,127.0,127.0,0.67,127.0,112 NDC,43598060902,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN,106.0,106.0,0.67,106.0,112 NDC,43598060911,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN,106.0,106.0,0.67,106.0,112 NDC,43598061040,DOCETAXEL 80 MG/4ML IV CONC,720.0,720.0,0.38,720.0,112 NDC,43598061111,DOCETAXEL 20 MG/ML IV CONC,180.0,180.0,0.38,180.0,112 NDC,43598061611,REGADENOSON 0.4 MG/5ML IV SOLN,306.0,306.0,2.68,306.0,112 NDC,43598062857,CARMUSTINE 100 MG IV SOLR,2700.0,2700.0,173.64,2700.0,119 NDC,43598063510,LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN,67.0,67.0,0.04,67.0,112 NDC,43598063552,LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN,67.0,67.0,0.04,67.0,112 NDC,43598063610,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN,108.0,108.0,0.04,108.0,112 NDC,43598063652,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN,108.0,108.0,0.04,108.0,112 NDC,43598063710,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN,144.0,144.0,0.04,144.0,112 NDC,43598063752,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN,144.0,144.0,0.04,144.0,112 NDC,43598064611,TREPROSTINIL 50 MG/20ML INJECTION SOLN,10314.0,10314.0,54.48,10314.0,119 NDC,43598064811,TREPROSTINIL SODIUM 10 MG/ML INJECTION SOLN (SC IN,41256.0,41256.0,54.48,41256.0,119 NDC,43598064911,TREPROSTINIL 20 MG/20ML INJECTION SOLN,4126.0,4126.0,54.48,4126.0,119 NDC,43598066611,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,29.0,29.0,0.81,29.0,111 NDC,43598067811,AZACITIDINE 100 MG INJECTION SUSR,1440.0,1440.0,0.21,1440.0,112 NDC,43598068235,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP,1620.0,1620.0,104.01,1620.0,119 NDC,43598068325,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP,4500.0,4500.0,104.01,4500.0,119 NDC,43598075011,NALOXONE HCL 2 MG/2ML INJECTION SOSY,113.0,113.0,8.7,113.0,111 NDC,43598075058,NALOXONE HCL 2 MG/2ML INJECTION SOSY,113.0,113.0,8.7,113.0,111 NDC,43598075510,LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN,67.0,67.0,0.04,67.0,112 NDC,43598075552,LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN,67.0,67.0,0.04,67.0,112 NDC,43598075710,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN,108.0,108.0,0.04,108.0,112 NDC,43598075752,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN,108.0,108.0,0.04,108.0,112 NDC,43598075910,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN,144.0,144.0,0.04,144.0,112 NDC,43598075952,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN,144.0,144.0,0.04,144.0,112 NDC,43598084811,ZIPRASIDONE MESYLATE 20 MG IM SOLR,170.0,170.0,3.14,170.0,112 NDC,43598084858,ZIPRASIDONE MESYLATE 20 MG IM SOLR,170.0,170.0,3.14,170.0,112 NDC,43598090111,ERTAPENEM SODIUM 1 G INJECTION SOLR,360.0,360.0,9.02,360.0,112 NDC,43598090158,ERTAPENEM SODIUM 1 G INJECTION SOLR,360.0,360.0,9.02,360.0,112 NDC,43598091406,VASOPRESSIN 20 UNIT/ML IV SOLN,83.0,83.0,0.53,83.0,112 NDC,43598091411,VASOPRESSIN 20 UNIT/ML IV SOLN,83.0,83.0,0.53,83.0,112 NDC,43598091425,VASOPRESSIN 20 UNIT/ML IV SOLN,83.0,83.0,0.53,83.0,112 NDC,43598093109,DESMOPRESSIN ACETATE PF 4 MCG/ML INJECTION SOLN,137.0,137.0,3.41,137.0,112 NDC,43598093111,DESMOPRESSIN ACETATE PF 4 MCG/ML INJECTION SOLN,137.0,137.0,3.41,137.0,112 NDC,43825020001,TERLIPRESSIN ACETATE 0.85 MG IV SOLR,3420.0,3420.0,461.7,3420.0,111 NDC,44087111701,FOLLITROPIN ALFA 900 UNIT/1.5ML SC SOPN,10434.0,10434.0,246.34,10434.0,112 NDC,44087353501,AVELUMAB 200 MG/10ML IV SOLN,6970.0,6970.0,96.95,6970.0,119 NDC,44206025105,ALBUMIN HUMAN 25 IV SOLN,324.0,324.0,43.74,324.0,119 NDC,44206025110,ALBUMIN HUMAN 25 IV SOLN,648.0,648.0,45.9,648.0,119 NDC,44206030001,RHO D IMMUNE GLOBULIN 1500 UNIT/2ML INJECTION SOSY,595.0,595.0,4.83,595.0,112 NDC,44206030010,RHO D IMMUNE GLOBULIN 1500 UNIT/2ML INJECTION SOSY,541.0,541.0,4.83,541.0,112 NDC,44206031025,ALBUMIN HUMAN 5 IV SOLN,338.0,338.0,45.63,338.0,119 NDC,44206031050,ALBUMIN HUMAN 5 IV SOLN,648.0,648.0,47.71,648.0,119 NDC,44206031091,ALBUMIN HUMAN 5 IV SOLN,648.0,648.0,47.71,648.0,119 NDC,44206043605,IMMUNE GLOBULIN (HUMAN) 5 GM/50ML IV SOLN,3259.0,3259.0,49.28,3259.0,119 NDC,44206043710,PRIVIGEN 1 G/10 ML IV SOLN (WRAPPER),6518.0,6518.0,49.28,6518.0,119 NDC,44206043791,PRIVIGEN 10 GM/100ML IV SOLN,6518.0,6518.0,49.28,6518.0,119 NDC,44206043820,PRIVIGEN 1 G/10 ML IV SOLN (WRAPPER),13035.0,13035.0,49.28,13035.0,119 NDC,44206043892,PRIVIGEN 1 G/10 ML IV SOLN (WRAPPER),13035.0,13035.0,49.28,13035.0,119 NDC,44206043940,PRIVIGEN 1 G/10 ML IV SOLN (WRAPPER),26070.0,26070.0,49.28,26070.0,119 NDC,44206045510,IMMUNE GLOBULIN (HUMAN) 10 GM/50ML SC SOLN,8187.0,8187.0,13.64,8187.0,119 NDC,4420630090,RHO D IMMUNE GLOBULIN 1500 UNIT/2ML INJECTION SOSY,595.0,595.0,4.83,595.0,112 NDC,4420630092,OXYTOCIN INFUSION 30 UNITS/500ML LR (CNR),36.0,36.0,0.86,36.0,111 NDC,44567010110,AMPICILLIN SODIUM 500 MG INJECTION SOLR,11.0,11.0,0.49,11.0,112 NDC,44567010210,AMPICILLIN SODIUM 1 G INJECTION SOLR,22.0,22.0,0.49,22.0,112 NDC,44567010310,AMPICILLIN SODIUM 2 G INJECTION SOLR,40.0,40.0,0.49,40.0,112 NDC,44567010401,AMPICILLIN SODIUM 10 G IV SOLR,274.0,274.0,0.49,274.0,112 NDC,44567012025,CEFAZOLIN SODIUM 1 G INJECTION SOLR,4.0,4.0,0.54,4.0,112 NDC,44567021010,AMPICILLINSULBACTAM SODIUM 1.5 (10.5) G INJECTION,29.0,29.0,1.33,29.0,112 NDC,44567021110,AMPICILLINSULBACTAM SODIUM 3 (21) G INJECTION SOLR,58.0,58.0,1.33,58.0,112 NDC,44567021201,AMPICILLINSULBACTAM SODIUM 15 (105) G IV SOLR,270.0,270.0,1.33,270.0,112 NDC,44567023525,CEFTAZIDIME 1 G INJECTION SOLR,17.0,17.0,1.47,17.0,112 NDC,44567023610,CEFTAZIDIME 2 G IV SOLR,36.0,36.0,1.47,36.0,112 NDC,44567023706,CEFTAZIDIME 6 G INJECTION SOLR,87.0,87.0,1.47,87.0,112 NDC,44567024010,CEFEPIME HCL 1 G INJECTION SOLR,21.0,21.0,0.87,21.0,112 NDC,44567024110,CEFEPIME HCL 2 G IV SOLR,36.0,36.0,0.87,36.0,112 NDC,44567024525,CEFOXITIN SODIUM 1 G IV SOLR,36.0,36.0,4.45,36.0,112 NDC,44567024585,CEFOXITIN SODIUM 1 G IV SOLR,11.0,11.0,1.49,11.0,112 NDC,44567024625,CEFOXITIN SODIUM 2 G IV SOLR,72.0,72.0,4.45,72.0,112 NDC,44567024685,CEFOXITIN SODIUM 2 G IV SOLR,22.0,22.0,2.97,22.0,112 NDC,44567024710,CEFOXITIN SODIUM 10 G IV SOLR,180.0,180.0,4.45,180.0,112 NDC,44567031110,PENICILLIN G POTASSIUM 5000000 UNITS INJECTION SOL,99.0,99.0,0.75,99.0,112 NDC,44567031201,PENICILLIN G POTASSIUM 20000000 UNITS INJECTION SO,414.0,414.0,0.75,414.0,112 NDC,44567040101,MEROPENEM 1 G IV SOLR,108.0,108.0,0.38,108.0,112 NDC,44567040110,MEROPENEM 1 G IV SOLR,108.0,108.0,0.38,108.0,112 NDC,44567041024,MAGNESIUM SULFATE IN D5W 15 GM/100ML IV SOLN,12.0,12.0,0.41,12.0,112 NDC,44567042000,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,25.0,25.0,0.41,25.0,112 NDC,44567042024,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,25.0,25.0,0.41,25.0,112 NDC,44567042100,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,14.0,14.0,0.41,14.0,112 NDC,44567042124,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,14.0,14.0,0.41,14.0,112 NDC,44567042424,MAGNESIUM SULFATE 4 GM/50ML IV SOLN,17.0,17.0,0.41,17.0,112 NDC,44567043524,LEVOFLOXACIN IN D5W 250 MG/50ML IV SOLN,26.0,26.0,1.89,26.0,112 NDC,44567043624,LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN,46.0,46.0,1.89,46.0,112 NDC,44567043724,LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN,47.0,47.0,1.89,47.0,112 NDC,44567045101,ESMOLOL HCLSODIUM CHLORIDE 2000 MG/100ML IV SOLN,297.0,297.0,0.27,297.0,112 NDC,44567045110,ESMOLOL HCLSODIUM CHLORIDE 2000 MG/100ML IV SOLN,297.0,297.0,0.27,297.0,112 NDC,44567050101,LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN,30.0,30.0,0.04,30.0,112 NDC,44567050110,LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN,30.0,30.0,0.04,30.0,112 NDC,44567050201,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN,40.0,40.0,0.04,40.0,112 NDC,44567050210,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN,40.0,40.0,0.04,40.0,112 NDC,44567050301,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN,55.0,55.0,0.04,55.0,112 NDC,44567050310,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN,55.0,55.0,0.04,55.0,112 NDC,44567051101,CISPLATIN 200 MG/200ML IV SOLN,396.0,396.0,1.95,396.0,112 NDC,44567053001,CISPLATIN 50 MG IV SOLR (WITH VOLUME),1800.0,1800.0,1.95,1800.0,112 NDC,44567061101,MIDAZOLAM HCLSODIUM CHLORIDE 1000.9 MG/100ML IV S,108.0,108.0,0.17,108.0,112 NDC,44567061110,MIDAZOLAM HCLSODIUM CHLORIDE 1000.9 MG/100ML IV S,108.0,108.0,0.17,108.0,112 NDC,44567062001,CALCIUM GLUCONATENACL 10.675 GM/50ML IV SOLN,72.0,72.0,0.08,72.0,112 NDC,44567062024,CALCIUM GLUCONATENACL 10.675 GM/50ML IV SOLN,72.0,72.0,0.08,72.0,112 NDC,44567062101,CALCIUM GLUCONATENACL 20.675 GM/100ML IV SOLN,143.0,143.0,0.08,143.0,112 NDC,44567062124,CALCIUM GLUCONATENACL 20.675 GM/100ML IV SOLN,143.0,143.0,0.08,143.0,112 NDC,44567070125,CEFTRIAXONE SODIUM 1 G INJECTION SOLR,11.0,11.0,0.45,11.0,112 NDC,44567070225,CEFTRIAXONE SODIUM 2 G INJECTION SOLR,22.0,22.0,0.45,22.0,112 NDC,44567070301,CEFTRIAXONE SODIUM 10 G IV SOLR,101.0,101.0,0.45,101.0,112 NDC,44567070501,IMIPENEMCILASTATIN 500 MG IV SOLR,99.0,99.0,6.97,99.0,112 NDC,44567070510,IMIPENEMCILASTATIN 500 MG IV SOLR,99.0,99.0,6.97,99.0,112 NDC,44567070625,CEFAZOLIN SODIUM 500 MG INJECTION SOLR,6.0,6.0,0.81,6.0,112 NDC,44567070725,CEFAZOLIN SODIUM 1 G INJECTION SOLR,6.0,6.0,0.81,6.0,112 NDC,44567070810,CEFAZOLIN SODIUM 10 G INJECTION SOLR,40.0,40.0,0.81,40.0,112 NDC,44567080110,PIPERACILLIN SODTAZOBACTAM SO 2.25 (20.25) G IV SO,11.0,11.0,1.09,11.0,112 NDC,44567080210,PIPERACILLIN SODTAZOBACTAM SO 3.375 (30.375) G IV,19.0,19.0,1.09,19.0,112 NDC,44567080310,PIPERACILLIN SODTAZOBACTAM SO 4.5 (40.5) G IV SOLR,25.0,25.0,1.09,25.0,112 NDC,44567080401,PIPERACILLIN SODTAZOBACTAM SO 40.5 (364.5) G IV SO,429.0,429.0,1.09,429.0,112 NDC,44567081110,ESMOLOL HCL 2500 MG/250ML IV SOLN,449.0,449.0,0.27,449.0,112 NDC,44567081210,ESMOLOL HCL 2000 MG/100ML IV SOLN,467.0,467.0,0.27,467.0,112 NDC,44567082001,ERTAPENEM SODIUM 1 G INJECTION SOLR,500.0,500.0,9.02,500.0,112 NDC,44567082010,ERTAPENEM SODIUM 1 G INJECTION SOLR,500.0,500.0,9.02,500.0,112 NDC,45567006001,TECHNETIUM TC 99M PYROPHOS IV KIT,231.0,231.0,31.19,231.0,112 NDC,45567006002,TECHNETIUM TC 99M PYROPHOS IV KIT,231.0,231.0,31.19,231.0,112 NDC,456040001,CEFTAROLINE FOSAMIL 400 MG IV SOLR,883.0,883.0,3.95,883.0,119 NDC,456040010,CEFTAROLINE FOSAMIL 400 MG IV SOLR,883.0,883.0,3.95,883.0,119 NDC,456060001,CEFTAROLINE FOSAMIL 600 MG IV SOLR,883.0,883.0,3.95,883.0,119 NDC,456060010,CEFTAROLINE FOSAMIL 600 MG IV SOLR,883.0,883.0,3.95,883.0,119 NDC,456270001,CEFTAZIDIMEAVIBACTAM 2.5 (20.5) G IV SOLR,1425.0,1425.0,100.73,1425.0,119 NDC,456270010,CEFTAZIDIMEAVIBACTAM 2.5 (20.5) G IV SOLR,1425.0,1425.0,100.73,1425.0,119 NDC,45963053930,ONDANSETRON HCL 8 MG PO TABS,125.0,125.0,0.01,125.0,112 NDC,45963060755,VINORELBINE TARTRATE 10 MG/ML IV SOLN,65.0,65.0,1.96,65.0,112 NDC,45963060756,VINORELBINE TARTRATE 50 MG/5ML IV SOLN,324.0,324.0,1.96,324.0,112 NDC,45963060955,FLUDARABINE PHOSPHATE 50 MG IV SOLR,341.0,341.0,46.04,341.0,112 NDC,45963061455,IRINOTECAN HCL 100 MG/5ML IV SOLN,109.0,109.0,1.4,109.0,112 NDC,45963061556,TOPOTECAN HCL 4 MG IV SOLR,504.0,504.0,1.25,504.0,112 NDC,45963068602,MELPHALAN HCL 50 MG IV SOLR,5916.0,5916.0,86.94,5916.0,119 NDC,45963073357,DOXORUBICIN HCL 2 MG/ML IV SOLN,72.0,72.0,2.72,72.0,112 NDC,45963073360,DOXORUBICIN HCL 2 MG/ML IV SOLN,504.0,504.0,2.72,504.0,112 NDC,45963073368,DOXORUBICIN HCL 2 MG/ML IV SOLN,126.0,126.0,2.72,126.0,112 NDC,45963073454,DOCETAXEL 20 MG/ML IV CONC,720.0,720.0,0.38,720.0,112 NDC,46074905,ESTROGENS CONJUGATED 25 MG INJECTION SOLR,1325.0,1325.0,178.88,1325.0,119 NDC,469060773,TACROLIMUS 0.5 MG PO CAPS,13.0,13.0,0.15,13.0,112 NDC,469061773,TACROLIMUS 1 MG PO CAPS,26.0,26.0,0.15,26.0,112 NDC,469065773,TACROLIMUS 5 MG PO CAPS,130.0,130.0,0.15,130.0,112 NDC,469301601,TACROLIMUS 5 MG/ML IV SOLN,892.0,892.0,120.42,892.0,119 NDC,469305130,AMPHOTERICIN B LIPOSOME 50 MG IV SUSR,1113.0,1113.0,20.72,1113.0,119 NDC,469321110,MICAFUNGIN SODIUM 100 MG IV SOLR,674.0,674.0,0.25,674.0,112 NDC,469325010,MICAFUNGIN SODIUM 50 MG IV SOLR,337.0,337.0,0.25,337.0,112 NDC,469342510,ZOLBETUXIMABCLZB 100 MG IV SOLR,5760.0,5760.0,777.6,5760.0,113 NDC,469650189,REGADENOSON 0.4 MG/5ML IV SOLN,928.0,928.0,2.68,928.0,112 NDC,47335003540,ZOLEDRONIC ACID 4 MG/5ML IV CONC,1350.0,1350.0,5.08,1350.0,112 NDC,47335004940,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP,3489.0,3489.0,104.01,3489.0,119 NDC,47335005040,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP,8722.0,8722.0,104.01,8722.0,119 NDC,47335017640,OXALIPLATIN 50 MG IV SOLR,3488.0,3488.0,0.05,3488.0,112 NDC,47335017795,TILDRAKIZUMABASMN 100 MG/ML SC SOSY,62055.0,62055.0,123.78,62055.0,119 NDC,47335017796,TILDRAKIZUMABASMN 100 MG/ML SC SOSY,62055.0,62055.0,123.78,62055.0,119 NDC,47335023583,METHOTREXATE SODIUM 2.5 MG PO TABS,11.0,11.0,0.15,11.0,112 NDC,47335023596,METHOTREXATE SODIUM 2.5 MG PO TABS,13.0,13.0,0.15,13.0,112 NDC,47335028440,CARBOPLATIN 600 MG/60ML IV SOLN,360.0,360.0,2.11,360.0,112 NDC,47335033040,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR,375.0,375.0,40.38,375.0,112 NDC,47335036141,DECITABINE 50 MG IV SOLR,5538.0,5538.0,0.78,5538.0,112 NDC,47335061630,DULOXETINE HCL 20 MG PO CSDR,25.0,25.0,3.38,25.0,105 NDC,47335061730,DULOXETINE HCL 30 MG PO CSDR,25.0,25.0,3.38,25.0,105 NDC,47335061830,DULOXETINE HCL 40 MG PO CSDR,25.0,25.0,3.38,25.0,105 NDC,47335061930,DULOXETINE HCL 60 MG PO CSDR,25.0,25.0,3.38,25.0,105 NDC,47335063148,BUDESONIDE 0.25 MG/2ML INHALATION SUSP,11.0,11.0,1.05,11.0,112 NDC,47335063149,BUDESONIDE 0.25 MG/2ML INHALATION SUSP,11.0,11.0,1.05,11.0,112 NDC,47335063249,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,11.0,11.0,1.05,11.0,112 NDC,47335063348,BUDESONIDE 1 MG/2ML INHALATION SUSP,36.0,36.0,1.05,36.0,112 NDC,47335063349,BUDESONIDE 1 MG/2ML INHALATION SUSP,36.0,36.0,1.05,36.0,112 NDC,47335070348,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,4.0,4.0,0.07,4.0,112 NDC,47335070349,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,4.0,4.0,0.07,4.0,112 NDC,47335070352,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,4.0,4.0,0.07,4.0,112 NDC,47335070354,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,4.0,4.0,0.07,4.0,112 NDC,47335089021,TEMOZOLOMIDE 5 MG PO CAPS,38.0,38.0,0.27,38.0,112 NDC,47335089072,TEMOZOLOMIDE 5 MG PO CAPS,38.0,38.0,0.27,38.0,112 NDC,47335089160,TEMOZOLOMIDE 20 MG PO CAPS,152.0,152.0,0.27,152.0,112 NDC,47335089172,TEMOZOLOMIDE 20 MG PO CAPS,152.0,152.0,0.27,152.0,112 NDC,47335089174,TEMOZOLOMIDE 20 MG PO CAPS,152.0,152.0,0.27,152.0,112 NDC,47335089180,TEMOZOLOMIDE 20 MG PO CAPS,152.0,152.0,0.27,152.0,112 NDC,47335089272,TEMOZOLOMIDE 100 MG PO CAPS,757.0,757.0,0.27,757.0,112 NDC,47335089274,TEMOZOLOMIDE 100 MG PO CAPS,757.0,757.0,0.27,757.0,112 NDC,47335089374,TEMOZOLOMIDE 250 MG PO CAPS,1893.0,1893.0,0.27,1893.0,112 NDC,47335093060,TEMOZOLOMIDE 180 MG PO CAPS,1363.0,1363.0,0.27,1363.0,112 NDC,47335099201,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,48.0,48.0,0.41,48.0,112 NDC,47335099202,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,24.0,24.0,0.41,24.0,112 NDC,47335099301,METRONIDAZOLE 500 MG/100ML IV SOLN,10.0,10.0,0.03,10.0,112 NDC,47335099303,METRONIDAZOLE 500 MG/100ML IV SOLN,18.0,18.0,0.03,18.0,112 NDC,47426020101,APREPITANT 130 MG/18ML IV EMUL,1573.0,1573.0,1.7,1573.0,119 NDC,47781058629,LABETALOL HCL 5 MG/ML IV SOLN,42.0,42.0,0.29,42.0,112 NDC,47781091401,DEXAMETHASONE 4 MG PO TABS,4.0,4.0,0.01,4.0,112 NDC,47781091413,DEXAMETHASONE 4 MG PO TABS,4.0,4.0,0.01,4.0,112 NDC,480145308,RISPERIDONE MICROSPHERES ER 50 MG IM SRER,4204.0,4204.0,10.94,4204.0,119 NDC,487020101,IPRATROPIUMALBUTEROL 0.52.5 (3) MG/3ML INHALATION,7.0,7.0,0.19,7.0,112 NDC,487020160,IPRATROPIUMALBUTEROL 0.52.5 (3) MG/3ML INHALATION,7.0,7.0,0.19,7.0,112 NDC,487610501,STERILE WATER FOR INJECTION SOLN,8.0,8.0,0.71,8.0,111 NDC,487950100,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,3.0,3.0,0.07,3.0,112 NDC,487950101,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,3.0,3.0,0.07,3.0,112 NDC,487950103,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,3.0,3.0,0.07,3.0,112 NDC,487950125,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,3.0,3.0,0.07,3.0,112 NDC,487950160,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,3.0,3.0,0.07,3.0,112 NDC,487960101,BUDESONIDE 0.25 MG/2ML INHALATION SUSP,29.0,29.0,1.05,29.0,112 NDC,487960130,BUDESONIDE 0.25 MG/2ML INHALATION SUSP,18.0,18.0,1.05,18.0,112 NDC,487970101,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,34.0,34.0,1.05,34.0,112 NDC,487970130,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,19.0,19.0,1.05,19.0,112 NDC,487980101,IPRATROPIUM BROMIDE 0.02 INHALATION SOLN,2.0,2.0,0.27,2.0,112 NDC,487980130,IPRATROPIUM BROMIDE 0.02 INHALATION SOLN,4.0,4.0,0.37,4.0,112 NDC,487980160,IPRATROPIUM BROMIDE 0.02 INHALATION SOLN,4.0,4.0,0.37,4.0,112 NDC,487990130,ALBUTEROL SULFATE (5 MG/ML) 0.5 INHALATION NEBU,3.0,3.0,0.16,3.0,112 NDC,487990401,ALBUTEROL SULFATE 1.25 MG/3ML INHALATION NEBU,5.0,5.0,0.07,5.0,112 NDC,49001381,AMPICILLINSULBACTAM SODIUM 1.5 (10.5) G INJECTION,28.0,28.0,1.33,28.0,112 NDC,49001383,AMPICILLINSULBACTAM SODIUM 1.5 (10.5) G INJECTION,28.0,28.0,1.33,28.0,112 NDC,49001481,AMPICILLINSULBACTAM SODIUM 3 (21) G INJECTION SOLR,53.0,53.0,1.33,53.0,112 NDC,49001483,AMPICILLINSULBACTAM SODIUM 3 (21) G INJECTION SOLR,53.0,53.0,1.33,53.0,112 NDC,49002428,AMPICILLINSULBACTAM SODIUM 15 (105) G IV SOLR,263.0,263.0,1.33,263.0,112 NDC,49052022,PENICILLIN G POTASSIUM 5000000 UNITS INJECTION SOL,46.0,46.0,0.75,46.0,112 NDC,49052023,PENICILLIN G POTASSIUM 5000000 UNITS INJECTION SOL,46.0,46.0,0.75,46.0,112 NDC,49052083,PENICILLIN G POTASSIUM 5000000 UNITS INJECTION SOL,46.0,46.0,0.75,46.0,112 NDC,49052084,PENICILLIN G POTASSIUM 5000000 UNITS INJECTION SOL,46.0,46.0,0.75,46.0,112 NDC,49053022,PENICILLIN G POTASSIUM 20000000 UNITS INJECTION SO,183.0,183.0,0.75,183.0,112 NDC,49053028,PENICILLIN G POTASSIUM 20000000 UNITS INJECTION SO,183.0,183.0,0.75,183.0,112 NDC,49281012065,INFLUENZA VAC HIGHDOSE QUAD 0.7 ML IM SUSY,193.0,193.0,10.0,214.23,124 NDC,49281012388,INFLUENZA VAC HIGHDOSE QUAD 0.7 ML IM SUSY,232.0,232.0,10.0,257.53,124 NDC,49281012465,INFLUENZA VAC SPLIT HIGHDOSE (FLUZONE HIGH DOSE) 0,264.0,264.0,10.0,293.05,124 NDC,49281012488,INFLUENZA VAC SPLIT HIGHDOSE (FLUZONE HIGH DOSE) 0,264.0,264.0,10.0,293.05,124 NDC,49281019020,RABIES IMMUNE GLOBULIN 300 UNIT/2ML INJECTION SOLN,3259.0,3259.0,10.0,3259.0,122 NDC,49281028610,DIPHTHACELL PERTUSSISTETANUS 15235 LFMCG/0.5 IM SU,105.0,105.0,10.0,105.0,115 NDC,49281028658,DIPHTHACELL PERTUSSISTETANUS 15235 LFMCG/0.5 IM SU,105.0,105.0,10.0,105.0,115 NDC,49281040010,TETANUSDIPHTHACELL PERTUSSIS 5215.5 LFMCG/0.5 IM S,171.0,171.0,10.0,171.0,115 NDC,49281040020,TETANUSDIPHTHACELL PERTUSSIS 5215.5 LFMCG/0.5 IM S,171.0,171.0,10.0,171.0,115 NDC,49281040058,TETANUSDIPHTHACELL PERTUSSIS 5215.5 LFMCG/0.5 IM S,171.0,171.0,10.0,171.0,115 NDC,49281040089,TETANUSDIPHTHACELL PERTUSSIS 5215.5 LFMCG/0.5 IM S,171.0,171.0,10.0,171.0,115 NDC,49281042288,FLUZONE QUADRIVALENT 0.5 ML IM SUSY,70.0,70.0,10.0,77.7,124 NDC,49281042450,INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY,74.0,74.0,10.0,82.14,124 NDC,49281042488,INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY,74.0,74.0,10.0,82.14,124 NDC,49281054503,HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR,47.0,47.0,6.35,47.0,114 NDC,49281054758,HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR,47.0,47.0,6.35,47.0,114 NDC,49281057500,NIRSEVIMABALIP 50 MG/0.5ML IM SOSY,1872.0,1872.0,10.0,1872.0,114 NDC,49281057515,NIRSEVIMABALIP 50 MG/0.5ML IM SOSY,1872.0,1872.0,10.0,1872.0,114 NDC,49281059005,MENING ACY W135 TETANUS CONJ IM SOLN,601.0,601.0,10.0,601.0,114 NDC,49281059010,MENING ACY W135 TETANUS CONJ IM SOLN,601.0,601.0,10.0,601.0,114 NDC,49281059058,MENING ACY W135 TETANUS CONJ IM SOLN,601.0,601.0,10.0,601.0,114 NDC,49281072410,INFLUENZA VAC RECOMB HA (PF) 0.5 ML IM SOSY,264.0,264.0,10.0,293.05,124 NDC,49281072488,INFLUENZA VAC RECOMB HA (PF) 0.5 ML IM SOSY,264.0,264.0,10.0,293.05,124 NDC,49281079020,TYPHOID VI POLYSACCHARIDE VACC 25 MCG/0.5ML IM SOL,6948.0,6948.0,10.0,6948.0,114 NDC,49281079051,TYPHOID VI POLYSACCHARIDE VACC 25 MCG/0.5ML IM SOS,503.0,503.0,10.0,503.0,114 NDC,49281086010,POLIOVIRUS VACCINE INACTIVATED INJECTION INJ,1531.0,1531.0,10.0,1531.0,114 NDC,49281086078,POLIOVIRUS VACCINE INACTIVATED INJECTION INJ,1531.0,1531.0,10.0,1531.0,114 NDC,49319001,VORICONAZOLE 200 MG IV SOLR,218.0,218.0,0.75,218.0,112 NDC,49319028,VORICONAZOLE 200 MG IV SOLR,218.0,218.0,0.75,218.0,112 NDC,49345019,FLUCONAZOLE 40 MG/ML PO SUSR,102.0,102.0,2.39,102.0,112 NDC,49392001,ZIPRASIDONE MESYLATE 20 MG IM SOLR,232.0,232.0,3.14,232.0,112 NDC,49392010,ZIPRASIDONE MESYLATE 20 MG IM SOLR,232.0,232.0,3.14,232.0,112 NDC,49392020,ZIPRASIDONE MESYLATE 20 MG IM SOLR,232.0,232.0,3.14,232.0,112 NDC,49392083,ZIPRASIDONE MESYLATE 20 MG IM SOLR,232.0,232.0,3.14,232.0,112 NDC,49401008801,BELIMUMAB 200 MG/ML SC SOAJ,4359.0,4359.0,588.47,4359.0,113 NDC,49401008842,BELIMUMAB 200 MG/ML SC SOSY,4359.0,4359.0,588.47,4359.0,113 NDC,49401010101,BELIMUMAB 120 MG IV SOLR,2241.0,2241.0,54.91,2241.0,119 NDC,49401010201,BELIMUMAB 400 MG IV SOLR,7468.0,7468.0,54.91,7468.0,119 NDC,49419001,VORICONAZOLE 200 MG IV SOLR,218.0,218.0,0.75,218.0,112 NDC,49471000105,BENZYLPENICILLOYL POLYLYSINE 0.25 ML INTRADERMAL S,609.0,609.0,82.22,609.0,111 NDC,49502010201,EPINEPHRINE 0.3 MG/0.3ML INJECTION SOAJ,563.0,563.0,0.76,563.0,111 NDC,49502010202,EPINEPHRINE 0.3 MG/0.3ML INJECTION SOAJ,563.0,563.0,0.76,563.0,111 NDC,49502050001,EPINEPHRINE 0.3 MG/0.3ML INJECTION SOAJ,1096.0,1096.0,0.76,1096.0,111 NDC,49502050002,EPINEPHRINE 0.3 MG/0.3ML INJECTION SOAJ,1096.0,1096.0,0.76,1096.0,111 NDC,49502060530,FORMOTEROL FUMARATE 20 MCG/2ML INHALATION NEBU,71.0,71.0,1.89,71.0,112 NDC,49591012611,VARICELLAZOSTER IMMUNE GLOB 125 UNIT/1.2ML IM SOLN,8211.0,8211.0,10.0,8211.0,122 NDC,49591012651,VARICELLAZOSTER IMMUNE GLOB 125 UNIT/1.2ML IM SOLN,8211.0,8211.0,10.0,8211.0,122 NDC,49702021301,ZIDOVUDINE 10 MG/ML IV SOLN,106.0,106.0,1.51,106.0,119 NDC,49702021326,ZIDOVUDINE 10 MG/ML IV SOLN,106.0,106.0,1.51,106.0,119 NDC,49702023803,CABOTEGRAVIR ER 600 MG/3ML IM SUER,14138.0,14138.0,6.89,14138.0,119 NDC,49702024015,CABOTEGRAVIR RILPIVIRINE ER 600 MG/3ML 900 MG/,23846.0,23846.0,23.17,23846.0,119 NDC,49702024613,DOLUTEGRAVIRLAMIVUDINE 50300 MG PO TABS,358.0,358.0,29.55,358.0,105 NDC,49702025018,FOSTEMSAVIR TROMETHAMINE ER 600 MG PO TB12,541.0,541.0,29.55,541.0,105 NDC,49702025315,CABOTEGRAVIR RILPIVIRINE ER 400 MG/2ML 600 MG/,15897.0,15897.0,23.17,15897.0,119 NDC,49702026423,CABOTEGRAVIR ER 600 MG/3ML IM SUER,14138.0,14138.0,6.89,14138.0,119 NDC,49884030702,CLONAZEPAM 0.25 MG PO TBDP,4.0,4.0,0.54,4.0,105 NDC,49884030752,CLONAZEPAM 0.25 MG PO TBDP,4.0,4.0,0.54,4.0,105 NDC,49884030802,CLONAZEPAM 0.5 MG PO TBDP,4.0,4.0,0.54,4.0,105 NDC,49884030852,CLONAZEPAM 0.5 MG PO TBDP,4.0,4.0,0.54,4.0,105 NDC,49884030902,CLONAZEPAM 1 MG PO TBDP,5.0,5.0,0.68,5.0,105 NDC,49884030952,CLONAZEPAM 1 MG PO TBDP,5.0,5.0,0.68,5.0,105 NDC,49884072401,HYDROXYUREA 500 MG PO CAPS,4.0,4.0,0.41,4.0,111 NDC,50090303901,EPINEPHRINE PF 1 MG/ML INJECTION SOLN,53.0,53.0,0.76,53.0,111 NDC,50090303902,EPINEPHRINE PF 1 MG/ML INJECTION SOLN,53.0,53.0,0.76,53.0,111 NDC,50090346600,GOSERELIN ACETATE 3.6 MG SC IMPL,2514.0,2514.0,339.39,2514.0,119 NDC,50242003706,TENECTEPLASE 50 MG IV KIT,28180.0,28180.0,162.43,28180.0,119 NDC,50242004062,OMALIZUMAB 150 MG SC SOLR,4986.0,4986.0,37.76,4986.0,119 NDC,50242004110,ALTEPLASE 2 MG INJECTION SOLR,635.0,635.0,85.73,635.0,119 NDC,50242004164,ALTEPLASE 2 MG INJECTION SOLR,635.0,635.0,85.73,635.0,119 NDC,50242004413,ALTEPLASE 50 MG IV SOLR,15841.0,15841.0,91.48,15841.0,119 NDC,50242005121,RITUXIMAB 100 MG/10ML IV SOLN,3383.0,3383.0,74.76,3383.0,119 NDC,50242005306,RITUXIMAB 500 MG/50ML IV SOLN,16912.0,16912.0,74.76,16912.0,119 NDC,50242006001,BEVACIZUMAB 100 MG/4ML IV SOLN,2869.0,2869.0,73.05,2869.0,119 NDC,50242006101,BEVACIZUMAB 400 MG/16ML IV SOLN,12242.0,12242.0,73.05,12242.0,119 NDC,50242007001,OBINUTUZUMAB 1000 MG/40ML IV SOLN,29671.0,29671.0,74.83,29671.0,119 NDC,50242007701,TRASTUZUMABHYALURONIDASEOYSK 60010000 MGUNT/5ML SC,16831.0,16831.0,61.07,16831.0,119 NDC,50242008003,RANIBIZUMAB 0.5 MG/0.05ML INTRAVITREAL SOSY,7020.0,7020.0,65.44,7020.0,119 NDC,50242008203,RANIBIZUMAB 0.3 MG/0.05ML INTRAVITREAL SOSY,4212.0,4212.0,65.44,4212.0,119 NDC,50242008527,ALTEPLASE 100 MG IV SOLR,31682.0,31682.0,91.48,31682.0,119 NDC,50242008701,ADOTRASTUZUMAB EMTANSINE 160 MG IV SOLR,22641.0,22641.0,40.97,22641.0,119 NDC,50242008801,ADOTRASTUZUMAB EMTANSINE 100 MG IV SOLR,14151.0,14151.0,40.97,14151.0,119 NDC,50242010039,DORNASE ALFA 2.5 MG/2.5ML INHALATION SOLN,468.0,468.0,53.59,468.0,112 NDC,50242010040,DORNASE ALFA 2.5 MG/2.5ML INHALATION SOLN,468.0,468.0,53.59,468.0,112 NDC,50242010301,POLATUZUMAB VEDOTINPIIQ 30 MG IV SOLR,14358.0,14358.0,132.92,14358.0,119 NDC,50242010501,POLATUZUMAB VEDOTINPIIQ 140 MG IV SOLR,67002.0,67002.0,132.92,67002.0,119 NDC,50242010801,RITUXIMABHYALURONIDASE HUMAN 140023400 MG UT/11.7M,23676.0,23676.0,36.58,23676.0,119 NDC,50242010901,RITUXIMABHYALURONIDASE HUMAN 160026800 MG UT/13.4M,27058.0,27058.0,36.58,27058.0,119 NDC,50242012047,TENECTEPLASE 50 MG IV KIT,28180.0,28180.0,162.43,28180.0,119 NDC,50242012501,GLOFITAMABGXBM 2.5 MG/2.5ML IV SOLN,9473.0,9473.0,1278.86,9473.0,119 NDC,50242012701,GLOFITAMABGXBM 10 MG/10ML IV SOLN,37892.0,37892.0,2770.57,37892.0,119 NDC,50242013201,TRASTUZUMAB 150 MG IV SOLR,5611.0,5611.0,73.48,5611.0,119 NDC,50242013501,TOCILIZUMAB 80 MG/4ML IV SOLN,1913.0,1913.0,5.61,1913.0,119 NDC,50242013601,TOCILIZUMAB 200 MG/10ML IV SOLN,4781.0,4781.0,5.61,4781.0,119 NDC,50242013701,TOCILIZUMAB 400 MG/20ML IV SOLN,9561.0,9561.0,5.61,9561.0,119 NDC,50242013801,TOCILIZUMAB 162 MG/0.9ML SC SOSY,4230.0,4230.0,5.61,4230.0,119 NDC,50242014201,MOSUNETUZUMABAXGB 30 MG/30ML IV SOLN,66098.0,66098.0,641.07,66098.0,119 NDC,50242014301,TOCILIZUMAB 162 MG/0.9ML SC SOAJ,4230.0,4230.0,5.61,4230.0,119 NDC,50242014501,PERTUZUMAB 420 MG/14ML IV SOLN,21931.0,21931.0,16.19,21931.0,119 NDC,50242015001,OCRELIZUMAB 300 MG/10ML IV SOLN,70972.0,70972.0,58.77,70972.0,119 NDC,50242015901,MOSUNETUZUMABAXGB 1 MG/ML IV SOLN,2204.0,2204.0,297.54,2204.0,119 NDC,50242021401,OMALIZUMAB 75 MG/0.5ML SC SOSY,2493.0,2493.0,37.76,2493.0,119 NDC,50242021501,OMALIZUMAB 150 MG/ML SC SOSY,4986.0,4986.0,37.76,4986.0,119 NDC,50242024501,PERTUZTRASTUZHYALURONZZXF 80402000 MGMGU/ML SC SOL,47943.0,47943.0,60.96,47943.0,119 NDC,50242026001,PERTUZTRASTUZHYALURONZZXF 60602000 MGMGU/ML SC SOL,31961.0,31961.0,60.96,31961.0,119 NDC,50242055401,OCRELIZUMABHYALURONIDASEOCSQ 92023000 MGUT/23ML SC,141945.0,141945.0,19162.58,141945.0,113 NDC,50242090118,STERILE WATER FOR INJECTION SOLN,14.0,14.0,0.71,14.0,111 NDC,50242090124,STERILE WATER FOR INJECTION SOLN,27.0,27.0,0.71,27.0,111 NDC,50242091701,ATEZOLIZUMAB 1200 MG/20ML IV SOLN,39327.0,39327.0,88.22,39327.0,119 NDC,50242091801,ATEZOLIZUMAB 840 MG/14ML IV SOLN,25694.0,25694.0,88.22,25694.0,119 NDC,50242092001,EMICIZUMABKXWH 30 MG/ML SC SOLN,12091.0,12091.0,52.02,12091.0,121 NDC,50242092101,EMICIZUMABKXWH 60 MG/0.4ML SC SOLN,24181.0,24181.0,52.02,24181.0,121 NDC,50242092201,EMICIZUMABKXWH 105 MG/0.7ML SC SOLN,42317.0,42317.0,52.02,42317.0,121 NDC,50242092301,EMICIZUMABKXWH 150 MG/ML SC SOLN,60453.0,60453.0,52.02,60453.0,121 NDC,50242093301,ATEZOLIZUMABHYALURONIDASTQJS 187530000 MGUT/15ML S,39327.0,39327.0,5309.15,39327.0,113 NDC,50268016211,CHLORPROMAZINE HCL 10 MG PO TABS,16.0,16.0,0.33,16.0,111 NDC,50268016215,CHLORPROMAZINE HCL 10 MG PO TABS,16.0,16.0,0.33,16.0,111 NDC,50268016311,CHLORPROMAZINE HCL 25 MG PO TABS,23.0,23.0,0.33,23.0,111 NDC,50268016315,CHLORPROMAZINE HCL 25 MG PO TABS,23.0,23.0,0.33,23.0,111 NDC,50268016411,CHLORPROMAZINE HCL 50 MG PO TABS,33.0,33.0,4.46,56.1,112 NDC,50268016415,CHLORPROMAZINE HCL 50 MG PO TABS,33.0,33.0,4.46,56.1,112 NDC,50268016511,CHLORPROMAZINE HCL 100 MG PO TABS,53.0,53.0,0.33,53.0,111 NDC,50268016515,CHLORPROMAZINE HCL 100 MG PO TABS,53.0,53.0,0.33,53.0,111 NDC,50268016611,CHLORPROMAZINE HCL 200 MG PO TABS,63.0,63.0,0.33,63.0,111 NDC,50268016612,CHLORPROMAZINE HCL 200 MG PO TABS,63.0,63.0,0.33,63.0,111 NDC,50268062111,ONDANSETRON HCL 4 MG PO TABS,3.0,3.0,0.01,3.0,112 NDC,50268062115,ONDANSETRON HCL 4 MG PO TABS,3.0,3.0,0.01,3.0,112 NDC,50268062211,ONDANSETRON HCL 8 MG PO TABS,3.0,3.0,0.01,3.0,112 NDC,50268062215,ONDANSETRON HCL 8 MG PO TABS,3.0,3.0,0.01,3.0,112 NDC,50268068411,PROCHLORPERAZINE MALEATE 5 MG PO TABS,5.0,5.0,0.35,5.0,111 NDC,50268068415,PROCHLORPERAZINE MALEATE 5 MG PO TABS,5.0,5.0,0.35,5.0,111 NDC,50268068511,PROCHLORPERAZINE MALEATE 10 MG PO TABS,6.0,6.0,0.35,6.0,111 NDC,50268068515,PROCHLORPERAZINE MALEATE 10 MG PO TABS,6.0,6.0,0.35,6.0,111 NDC,50268071811,SIROLIMUS 1 MG PO TABS,106.0,106.0,0.96,106.0,112 NDC,50268071813,SIROLIMUS 1 MG PO TABS,106.0,106.0,0.96,106.0,112 NDC,50383004224,PREDNISOLONE 15 MG/5ML PO SOLN (WRAPPER),348.0,348.0,0.27,348.0,112 NDC,50419032005,GADOXETATE DISODIUM 0.25 MMOL/ML IV SOLN,512.0,512.0,14.7,512.0,104 NDC,50419032015,GADOXETATE DISODIUM 0.25 MMOL/ML IV SOLN,913.0,913.0,14.7,913.0,104 NDC,50419032511,GADOBUTROL 1 MMOL/ML IV SOLN,225.0,225.0,0.26,225.0,104 NDC,50419032528,GADOBUTROL 10 MMOL/10ML IV SOSY,321.0,321.0,0.26,321.0,104 NDC,50419034405,IOPROMIDE 62 INJECTION SOLN,76.0,76.0,0.15,76.0,104 NDC,50419038501,COPANLISIB HCL 60 MG IV SOLR,18913.0,18913.0,87.21,18913.0,111 NDC,50419042201,LEVONORGESTREL 13.5 MG INTRAUTERINE IUD,3468.0,3468.0,468.18,3468.0,115 NDC,50419042301,LEVONORGESTREL 21 MCG/DAY INTRAUTERINE IUD,4165.0,4165.0,562.28,4165.0,115 NDC,50419042401,LEVONORGESTREL 19.5 MG INTRAUTERINE IUD,4165.0,4165.0,562.28,4165.0,115 NDC,50458025303,HALOPERIDOL DECANOATE 50 MG/ML IM SOLN,314.0,314.0,3.94,314.0,112 NDC,50458030601,RISPERIDONE MICROSPHERES ER 25 MG IM SRER,2213.0,2213.0,10.94,2213.0,119 NDC,50458030611,RISPERIDONE MICROSPHERES ER 25 MG IM SRER,2213.0,2213.0,10.94,2213.0,119 NDC,50458030701,RISPERIDONE MICROSPHERES ER 37.5 MG IM SRER,3319.0,3319.0,10.94,3319.0,119 NDC,50458030711,RISPERIDONE MICROSPHERES ER 37.5 MG IM SRER,3319.0,3319.0,10.94,3319.0,119 NDC,50458030801,RISPERIDONE MICROSPHERES ER 50 MG IM SRER,4426.0,4426.0,10.94,4426.0,119 NDC,50458030811,RISPERIDONE MICROSPHERES ER 50 MG IM SRER,4426.0,4426.0,10.94,4426.0,119 NDC,50458030911,RISPERIDONE MICROSPHERES ER 12.5 MG IM SRER,1107.0,1107.0,10.94,1107.0,119 NDC,50458056101,PALIPERIDONE PALMITATE ER 78 MG/0.5ML IM SUSY,4175.0,4175.0,14.73,4175.0,119 NDC,50458056301,PALIPERIDONE PALMITATE ER 156 MG/ML IM SUSY,8350.0,8350.0,14.73,8350.0,119 NDC,50458056401,PALIPERIDONE PALMITATE ER 234 MG/1.5ML IM SUSY,12524.0,12524.0,14.73,12524.0,119 NDC,50474000263,LEVETIRACETAM 500 MG/5ML IV SOLN,240.0,240.0,0.04,240.0,112 NDC,50474070061,CERTOLIZUMAB PEGOL 2 X 200 MG SC KIT,18359.0,18359.0,3.87,18359.0,119 NDC,50474070062,CERTOLIZUMAB PEGOL 2 X 200 MG SC KIT,20590.0,20590.0,3.87,20590.0,119 NDC,50474071079,CERTOLIZUMAB PEGOL 200 MG/ML SC PSKT,20590.0,20590.0,3.87,20590.0,119 NDC,50632001001,RABIES VACCINE PCEC IM SUSR,1491.0,1491.0,10.0,1491.0,122 NDC,50633011011,CROTALIDAE POLYVAL IMMUNE FAB IV SOLR,11513.0,11513.0,1554.26,11513.0,119 NDC,50633011012,CROTALIDAE POLYVAL IMMUNE FAB IV SOLR,11513.0,11513.0,1554.26,11513.0,119 NDC,50633012011,DIGOXIN IMMUNE FAB 40 MG IV SOLR,17219.0,17219.0,2324.57,17219.0,119 NDC,50633012111,DIGOXIN IMMUNE FAB 40 MG IV SOLR,15920.0,15920.0,2149.2,15920.0,119 NDC,50633021011,GLUCARPIDASE 1000 UNITS IV SOLR,148227.0,148227.0,336.52,148227.0,119 NDC,50742040620,OXALIPLATIN 100 MG/20ML IV SOLN,1274.0,1274.0,0.05,1274.0,112 NDC,50742043108,DOCETAXEL 80 MG/8ML IV SOLN,4555.0,4555.0,0.38,4555.0,112 NDC,50742044745,CARBOPLATIN 450 MG/45ML IV SOLN,728.0,728.0,2.11,728.0,112 NDC,50742048401,BORTEZOMIB 1 MG/ML IV SOLR (WRAPPER),1080.0,1080.0,1.59,1080.0,112 NDC,50742051902,CYCLOPHOSPHAMIDE 500 MG/2.5ML IV SOLN,1319.0,1319.0,0.7,1319.0,119 NDC,50742052005,CYCLOPHOSPHAMIDE 1 GM/5ML IV SOLN,1691.0,1691.0,0.7,1691.0,119 NDC,50742052110,CYCLOPHOSPHAMIDE 2 GM/10ML IV SOLN,5274.0,5274.0,0.7,5274.0,119 NDC,51079002801,TACROLIMUS 5 MG PO CAPS,67.0,67.0,0.15,67.0,112 NDC,51079052501,ONDANSETRON HCL 8 MG PO TABS,124.0,124.0,0.01,124.0,112 NDC,51079072101,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,12.0,12.0,0.15,12.0,112 NDC,51079081701,TACROLIMUS 0.5 MG PO CAPS,7.0,7.0,0.15,7.0,112 NDC,51079081801,TACROLIMUS 1 MG PO CAPS,14.0,14.0,0.15,14.0,112 NDC,51079081820,TACROLIMUS 1 MG PO CAPS,14.0,14.0,0.15,14.0,112 NDC,51144000301,TISOTUMAB VEDOTINTFTV 40 MG IV SOLR,24682.0,24682.0,181.87,24682.0,119 NDC,51144002001,ENFORTUMAB VEDOTINEJFV 20 MG IV SOLR,10113.0,10113.0,36.65,10113.0,119 NDC,51144003001,ENFORTUMAB VEDOTINEJFV 30 MG IV SOLR,15169.0,15169.0,36.65,15169.0,119 NDC,51144005001,BRENTUXIMAB VEDOTIN 50 MG IV SOLR,42272.0,42272.0,248.93,42272.0,119 NDC,51224001301,LEVETIRACETAM 500 MG/5ML IV SOLN,21.0,21.0,0.04,21.0,112 NDC,51224001325,LEVETIRACETAM 500 MG/5ML IV SOLN,21.0,21.0,0.04,21.0,112 NDC,51285036801,METHOTREXATE SODIUM 10 MG PO TABS,152.0,152.0,0.15,152.0,112 NDC,51552002605,PREDNISOLONE ANHYDROUS POWD,3922.0,3922.0,0.27,3922.0,112 NDC,51672409103,ONDANSETRON HCL 4 MG/5ML PO SOLN,720.0,720.0,0.01,720.0,112 NDC,517002010,CAFFEINE CITRATE 60 MG/3ML IV SOLN,68.0,68.0,1.02,68.0,111 NDC,517003101,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,27.0,27.0,0.64,27.0,112 NDC,517003125,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,27.0,27.0,0.64,27.0,112 NDC,517065001,FERRIC CARBOXYMALTOSE 750 MG/15ML IV SOLN,5362.0,5362.0,1.11,5362.0,119 NDC,517071001,FOMEPIZOLE 1 GM/ML IV SOLN,6234.0,6234.0,6.03,6234.0,119 NDC,517072001,BETAMETHASONE SOD PHOS ACET 6 (33) MG/ML INJECTI,199.0,199.0,6.89,199.0,112 NDC,517073501,NICARDIPINE HCL 2.5 MG/ML IV SOLN,111.0,111.0,0.07,111.0,112 NDC,517073510,NICARDIPINE HCL 2.5 MG/ML IV SOLN,111.0,111.0,0.07,111.0,112 NDC,517074001,METHYLERGONOVINE MALEATE 0.2 MG/ML INJECTION SOLN,110.0,110.0,14.85,110.0,112 NDC,517074020,METHYLERGONOVINE MALEATE 0.2 MG/ML INJECTION SOLN,110.0,110.0,14.85,110.0,112 NDC,517079101,BETAMETHASONE SOD PHOS ACET 6 (33) MG/ML INJECTI,145.0,145.0,6.89,145.0,112 NDC,517090101,HYDRALAZINE HCL 20 MG/ML INJECTION SOLN,54.0,54.0,4.08,54.0,112 NDC,517090125,HYDRALAZINE HCL 20 MG/ML INJECTION SOLN,54.0,54.0,4.08,54.0,112 NDC,517095501,OLANZAPINE 10 MG IM SOLR,143.0,143.0,0.75,143.0,112 NDC,517100101,ATROPINE SULFATE 1 MG/ML IV SOLN (WRAPPER),62.0,62.0,0.07,62.0,112 NDC,517100125,ATROPINE SULFATE 1 MG/ML IV SOLN (WRAPPER),62.0,62.0,0.07,62.0,112 NDC,517100401,ATROPINE SULFATE 0.4 MG/ML INJECTION SOLN (WRAPPER,41.0,41.0,0.07,41.0,112 NDC,517100425,ATROPINE SULFATE 0.4 MG/ML INJECTION SOLN (WRAPPER,41.0,41.0,0.07,41.0,112 NDC,517101025,ATROPINE SULFATE FOR ENDOTRACHEAL ADMIN ONLY,46.0,46.0,0.07,46.0,112 NDC,517102001,VASOPRESSIN 20 UNIT/ML IV SOLN,180.0,180.0,0.48,180.0,112 NDC,517102025,VASOPRESSIN 20 UNIT/ML IV SOLN,180.0,180.0,0.48,180.0,112 NDC,517104501,LEVOCARNITINE 200 MG/ML IV SOLN,129.0,129.0,17.42,129.0,112 NDC,517104505,LEVOCARNITINE 200 MG/ML IV SOLN,129.0,129.0,17.42,129.0,112 NDC,51715010004,BUPIVACAINE HCL (300 MG DOSE) 3 X 100 MG IMPLANT I,299.0,299.0,0.83,299.0,111 NDC,51715010010,BUPIVACAINE HCL (300 MG DOSE) 3 X 100 MG IMPLANT I,299.0,299.0,0.83,299.0,111 NDC,517182001,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR,600.0,600.0,40.38,600.0,112 NDC,517198001,DICYCLOMINE HCL 10 MG/ML IM SOLN,147.0,147.0,11.33,147.0,112 NDC,517198005,DICYCLOMINE HCL 10 MG/ML IM SOLN,147.0,147.0,11.33,147.0,112 NDC,517231001,IRON SUCROSE 20 MG/ML IV SOLN,441.0,441.0,0.22,441.0,112 NDC,517231005,IRON SUCROSE 20 MG/ML IV SOLN,441.0,441.0,0.22,441.0,112 NDC,517232501,IRON SUCROSE 20 MG/ML IV SOLN,111.0,111.0,0.22,111.0,112 NDC,517232510,IRON SUCROSE 20 MG/ML IV SOLN,111.0,111.0,0.22,111.0,112 NDC,517234010,IRON SUCROSE 20 MG/ML IV SOLN,221.0,221.0,0.22,221.0,112 NDC,517234025,IRON SUCROSE 20 MG/ML IV SOLN,221.0,221.0,0.22,221.0,112 NDC,517234099,IRON SUCROSE 20 MG/ML IV SOLN,180.0,180.0,0.22,180.0,112 NDC,517301001,STERILE WATER FOR INJECTION SOLN,12.0,12.0,0.71,12.0,111 NDC,517301025,STERILE WATER FOR INJECTION SOLN,12.0,12.0,0.71,12.0,111 NDC,517302025,STERILE WATER FOR INJECTION SOLN,13.0,13.0,0.71,13.0,111 NDC,517303001,EPINEPHRINE 1 MG/ML INJECTION (WRAPPER),720.0,720.0,0.76,720.0,111 NDC,517400225,PAPAVERINE HCL 30 MG/ML INJECTION SOLN,150.0,150.0,20.25,150.0,111 NDC,517420101,HYDROXYZINE HCL 25 MG/ML IM SOLN,97.0,97.0,12.31,97.0,112 NDC,517420125,HYDROXYZINE HCL 25 MG/ML IM SOLN,97.0,97.0,12.31,97.0,112 NDC,517430001,PACLITAXEL PROTEINBOUND PART 100 MG IV SUSR,5901.0,5901.0,8.18,5901.0,119 NDC,517460125,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),49.0,49.0,0.38,49.0,112 NDC,517460225,GLYCOPYRROLATE 0.4 MG/2ML INJECTION SOLN,87.0,87.0,0.38,87.0,112 NDC,517462025,GLYCOPYRROLATE 4 MG/20ML INJECTION SOLN,480.0,480.0,0.38,480.0,112 NDC,517481001,NITROGLYCERIN 5 MG/ML IV SOLN,56.0,56.0,1.41,56.0,112 NDC,517481025,NITROGLYCERIN 5 MG/ML IV SOLN,56.0,56.0,1.41,56.0,112 NDC,51754010301,CUPRIC CHLORIDE 0.4 MG/ML IV SOLN,95.0,95.0,12.83,95.0,111 NDC,51754010304,CUPRIC CHLORIDE 0.4 MG/ML IV SOLN,95.0,95.0,12.83,95.0,111 NDC,51754050001,CAFFEINE CITRATE 60 MG/3ML IV SOLN,44.0,44.0,1.02,44.0,111 NDC,51754050201,CAFFEINE CITRATE 60 MG/3ML IV SOLN,87.0,87.0,1.02,87.0,111 NDC,51754100001,MAGNESIUM SULFATE 50 INJECTION SOLN,20.0,20.0,0.41,20.0,112 NDC,51754100004,MAGNESIUM SULFATE 50 INJECTION SOLN,20.0,20.0,0.41,20.0,112 NDC,51754124001,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,67.0,67.0,0.71,67.0,111 NDC,51754400001,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,80.0,80.0,0.01,80.0,108 NDC,51754400003,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),80.0,80.0,0.01,80.0,108 NDC,51754506001,BETAMETHASONE SOD PHOS ACET 6 (33) MG/ML INJECTI,144.0,144.0,6.89,144.0,112 NDC,51754601301,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),36.0,36.0,0.38,36.0,112 NDC,51754601303,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),36.0,36.0,0.38,36.0,112 NDC,51754601501,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),58.0,58.0,0.38,58.0,112 NDC,517560125,HYDROXYZINE HCL 50 MG/ML IM SOLN,107.0,107.0,12.31,107.0,112 NDC,517560225,HYDROXYZINE HCL 50 MG/ML IM SOLN,147.0,147.0,12.31,147.0,112 NDC,51759020210,FREMANEZUMABVFRM 225 MG/1.5ML SC SOAJ,2640.0,2640.0,3.25,2640.0,111 NDC,51759020410,FREMANEZUMABVFRM 225 MG/1.5ML SC SOSY,2640.0,2640.0,3.25,2640.0,111 NDC,517750425,ACETYLCYSTEINE 10 INHALATION SOLN,36.0,36.0,4.86,36.0,112 NDC,517760401,ACETYLCYSTEINE 20 INHALATION SOLN,48.0,48.0,6.48,48.0,112 NDC,517760425,ACETYLCYSTEINE 20 INHALATION SOLN,48.0,48.0,6.48,48.0,112 NDC,517912001,AMINOCAPROIC ACID 250 MG/ML IV SOLN,34.0,34.0,4.59,34.0,111 NDC,517912025,AMINOCAPROIC ACID 250 MG/ML IV SOLN,34.0,34.0,4.59,34.0,111 NDC,517919101,AMINOCAPROIC ACID 250 MG/ML IV SOLN,33.0,33.0,4.46,33.0,111 NDC,517919125,AMINOCAPROIC ACID 250 MG/ML IV SOLN,33.0,33.0,4.46,33.0,111 NDC,517970201,DROPERIDOL 2.5 MG/ML INJECTION SOLN,34.0,34.0,4.59,34.0,112 NDC,517970225,DROPERIDOL 2.5 MG/ML INJECTION SOLN,34.0,34.0,4.59,34.0,112 NDC,51862045801,CYCLOSPORINE MODIFIED 25 MG PO CAPS,5.0,5.0,0.53,5.0,112 NDC,51862045847,CYCLOSPORINE MODIFIED 25 MG PO CAPS,5.0,5.0,0.53,5.0,112 NDC,51862046001,CYCLOSPORINE MODIFIED 100 MG PO CAPS,17.0,17.0,1.81,17.0,112 NDC,51862046047,CYCLOSPORINE MODIFIED 100 MG PO CAPS,17.0,17.0,1.81,17.0,112 NDC,51991014417,METHYLERGONOVINE MALEATE 0.2 MG/ML INJECTION SOLN,72.0,72.0,9.72,72.0,112 NDC,51991014499,METHYLERGONOVINE MALEATE 0.2 MG/ML INJECTION SOLN,72.0,72.0,9.72,72.0,112 NDC,51991037960,EVEROLIMUS 0.25 MG PO TABS,31.0,31.0,1.18,31.0,112 NDC,51991038006,EVEROLIMUS 0.5 MG PO TABS,61.0,61.0,1.18,61.0,112 NDC,51991038060,EVEROLIMUS 0.5 MG PO TABS,61.0,61.0,1.18,61.0,112 NDC,51991038099,EVEROLIMUS 0.5 MG PO TABS,61.0,61.0,1.18,61.0,112 NDC,51991038106,EVEROLIMUS 0.75 MG PO TABS,91.0,91.0,1.18,91.0,112 NDC,51991038160,EVEROLIMUS 0.75 MG PO TABS,91.0,91.0,1.18,91.0,112 NDC,51991073520,GRANISETRON HCL 1 MG PO TABS,178.0,178.0,3.06,178.0,111 NDC,5200001,PNEUMOCOCCAL 20VAL CONJ VACC 0.5 ML IM SUSY,942.0,942.0,10.0,1045.64,124 NDC,5200002,PNEUMOCOCCAL 20VAL CONJ VACC 0.5 ML IM SUSY,971.0,971.0,10.0,1077.83,124 NDC,5200010,PNEUMOCOCCAL 20VAL CONJ VACC 0.5 ML IM SUSY,942.0,942.0,10.0,1045.64,124 NDC,52031510,CHORIONIC GONADOTROPIN 10000 UNITS IM SOLR,419.0,419.0,15.4,419.0,112 NDC,52244001002,ALPROSTADIL (VASODILATOR) 10 MCG INTRACAVER KIT,614.0,614.0,6.54,614.0,111 NDC,52244001006,ALPROSTADIL (VASODILATOR) 10 MCG INTRACAVER KIT,1842.0,1842.0,6.54,1842.0,111 NDC,52244002002,ALPROSTADIL (VASODILATOR) 20 MCG INTRACAVER KIT,794.0,794.0,6.54,794.0,111 NDC,52536016401,PERPHENAZINE 4 MG PO TABS,8.0,8.0,0.48,8.0,111 NDC,52536016801,PERPHENAZINE 8 MG PO TABS,9.0,9.0,0.48,9.0,111 NDC,52536017001,PERPHENAZINE 16 MG PO TABS,12.0,12.0,0.48,12.0,111 NDC,52536062501,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN,70.0,70.0,0.03,70.0,112 NDC,52609450506,DEFEROXAMINE MESYLATE 500 MG INJECTION SOLR,47.0,47.0,6.35,47.0,112 NDC,527145006,DRONABINOL 2.5 MG PO CAPS,18.0,18.0,1.35,18.0,112 NDC,527192736,METHADONE HCL 10 MG/ML PO CONC,77.0,77.0,10.4,77.0,112 NDC,527296137,CHLORPROMAZINE HCL 10 MG PO TABS,13.0,13.0,0.33,13.0,111 NDC,527296237,CHLORPROMAZINE HCL 25 MG PO TABS,23.0,23.0,0.33,23.0,111 NDC,527296337,CHLORPROMAZINE HCL 50 MG PO TABS,32.0,32.0,4.32,56.1,112 NDC,527296437,CHLORPROMAZINE HCL 100 MG PO TABS,45.0,45.0,0.33,45.0,111 NDC,527296537,CHLORPROMAZINE HCL 200 MG PO TABS,69.0,69.0,0.33,69.0,111 NDC,53010010,ETRANACOGENE DEZAPARVOVECDRLB 10 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53011011,ETRANACOGENE DEZAPARVOVECDRLB 11 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53012012,ETRANACOGENE DEZAPARVOVECDRLB 12 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53013013,ETRANACOGENE DEZAPARVOVECDRLB 13 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53014014,ETRANACOGENE DEZAPARVOVECDRLB 14 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53015015,ETRANACOGENE DEZAPARVOVECDRLB 15 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53016016,ETRANACOGENE DEZAPARVOVECDRLB 16 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53017017,ETRANACOGENE DEZAPARVOVECDRLB 17 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53018018,ETRANACOGENE DEZAPARVOVECDRLB 18 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53019019,ETRANACOGENE DEZAPARVOVECDRLB 19 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53020020,ETRANACOGENE DEZAPARVOVECDRLB 20 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53021021,ETRANACOGENE DEZAPARVOVECDRLB 21 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53022022,ETRANACOGENE DEZAPARVOVECDRLB 22 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53023023,ETRANACOGENE DEZAPARVOVECDRLB 23 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53024024,ETRANACOGENE DEZAPARVOVECDRLB 24 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53025025,ETRANACOGENE DEZAPARVOVECDRLB 25 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53026026,ETRANACOGENE DEZAPARVOVECDRLB 26 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53027027,ETRANACOGENE DEZAPARVOVECDRLB 27 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53028028,ETRANACOGENE DEZAPARVOVECDRLB 28 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53029029,ETRANACOGENE DEZAPARVOVECDRLB 29 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53030030,ETRANACOGENE DEZAPARVOVECDRLB 30 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53031031,ETRANACOGENE DEZAPARVOVECDRLB 31 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53032032,ETRANACOGENE DEZAPARVOVECDRLB 32 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53033033,ETRANACOGENE DEZAPARVOVECDRLB 33 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53034034,ETRANACOGENE DEZAPARVOVECDRLB 34 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53035035,ETRANACOGENE DEZAPARVOVECDRLB 35 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53036036,ETRANACOGENE DEZAPARVOVECDRLB 36 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53037037,ETRANACOGENE DEZAPARVOVECDRLB 37 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53038038,ETRANACOGENE DEZAPARVOVECDRLB 38 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53039039,ETRANACOGENE DEZAPARVOVECDRLB 39 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53040040,ETRANACOGENE DEZAPARVOVECDRLB 40 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53041041,ETRANACOGENE DEZAPARVOVECDRLB 41 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53042042,ETRANACOGENE DEZAPARVOVECDRLB 42 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53043043,ETRANACOGENE DEZAPARVOVECDRLB 43 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53044044,ETRANACOGENE DEZAPARVOVECDRLB 44 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53045045,ETRANACOGENE DEZAPARVOVECDRLB 45 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53046046,ETRANACOGENE DEZAPARVOVECDRLB 46 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53047047,ETRANACOGENE DEZAPARVOVECDRLB 47 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,53048048,ETRANACOGENE DEZAPARVOVECDRLB 48 X 10 ML IV SUPK,3500000.0,3500000.0,472500.0,11086756.24,119 NDC,536133434,DEXTROMETHORPHAN HBR 15 MG PO CAPS,1.0,1.0,0.14,1.0,111 NDC,53746074501,PROMETHAZINE HCL 12.5 MG PO TABS,2.0,2.0,0.09,2.0,111 NDC,54001720,PREDNISONE 10 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,54001820,PREDNISONE 20 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,54001825,PREDNISONE 20 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,54001920,PREDNISONE 50 MG PO TABS,2.0,2.0,0.01,2.0,112 NDC,54001925,PREDNISONE 50 MG PO TABS,2.0,2.0,0.01,2.0,112 NDC,54016325,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,12.0,12.0,0.15,12.0,112 NDC,54016329,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,12.0,12.0,0.15,12.0,112 NDC,54016625,MYCOPHENOLATE MOFETIL 500 MG PO TABS,24.0,24.0,0.15,24.0,112 NDC,54016629,MYCOPHENOLATE MOFETIL 500 MG PO TABS,24.0,24.0,0.15,24.0,112 NDC,54038225,CYCLOPHOSPHAMIDE 25 MG PO CAPS,29.0,29.0,0.84,29.0,112 NDC,54038325,CYCLOPHOSPHAMIDE 50 MG PO CAPS,52.0,52.0,0.84,52.0,112 NDC,54039168,METHADONE HCL 10 MG/ML PO CONC,315.0,315.0,17.7,315.0,112 NDC,54039268,METHADONE HCL 10 MG/ML PO CONC,315.0,315.0,17.7,315.0,112 NDC,54047021,EVEROLIMUS 0.25 MG PO TABS,32.0,32.0,1.18,32.0,112 NDC,54047121,EVEROLIMUS 0.5 MG PO TABS,64.0,64.0,1.18,64.0,112 NDC,54047221,EVEROLIMUS 0.75 MG PO TABS,96.0,96.0,1.18,96.0,112 NDC,54092070104,VELAGLUCERASE ALFA 400 UNITS IV SOLR,5260.0,5260.0,374.02,5260.0,119 NDC,54288010001,ZOLEDRONIC ACID 4 MG/5ML IV CONC,135.0,135.0,5.08,135.0,112 NDC,54288010301,EPINEPHRINE PF 1 MG/ML INJECTION SOLN,53.0,53.0,0.76,53.0,111 NDC,54288010310,EPINEPHRINE PF 1 MG/ML INJECTION SOLN,53.0,53.0,0.76,53.0,111 NDC,54288010601,MELPHALAN HCL 50 MG IV SOLR,900.0,900.0,86.94,900.0,119 NDC,54288010902,MELPHALAN HCL 50 MG IV SOLR,900.0,900.0,86.94,900.0,119 NDC,54288011101,HYOSCYAMINE SULFATE 0.5 MG/ML INJECTION SOLN,389.0,389.0,33.32,389.0,111 NDC,54288011105,HYOSCYAMINE SULFATE 0.5 MG/ML INJECTION SOLN,389.0,389.0,33.32,389.0,111 NDC,54288011901,EPINEPHRINE 1 MG/ML INJECTION (WRAPPER),49.0,49.0,0.76,49.0,111 NDC,54288011925,EPINEPHRINE 1 MG/ML INJECTION (WRAPPER),49.0,49.0,0.76,49.0,111 NDC,54288012001,EPINEPHRINE 1 MG/ML INJECTION (WRAPPER),324.0,324.0,0.76,324.0,111 NDC,54288013501,TACROLIMUS 1 MG PO CAPS,21.0,21.0,0.15,21.0,112 NDC,54288013601,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLN,75.0,75.0,10.13,75.0,112 NDC,54288013610,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLN,75.0,75.0,10.13,75.0,112 NDC,54288013701,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLN,198.0,198.0,26.73,198.0,112 NDC,54288013710,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLN,198.0,198.0,26.73,198.0,112 NDC,54288013725,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLN,130.0,130.0,17.55,130.0,112 NDC,54288014101,MYCOPHENOLATE MOFETIL HCL 500 MG IV SOLR,261.0,261.0,0.37,261.0,112 NDC,54288014104,MYCOPHENOLATE MOFETIL HCL 500 MG IV SOLR,261.0,261.0,0.37,261.0,112 NDC,54288014201,PAPAVERINE HCL 30 MG/ML INJECTION SOLN,117.0,117.0,15.8,117.0,111 NDC,54288014210,PAPAVERINE HCL 30 MG/ML INJECTION SOLN,117.0,117.0,15.8,117.0,111 NDC,54288014225,PAPAVERINE HCL 30 MG/ML INJECTION SOLN,83.0,83.0,11.21,84.92,111 NDC,54288016401,CARBOPLATIN 50 MG/5ML IV SOLN,47.0,47.0,2.11,47.0,112 NDC,54288016501,CARBOPLATIN 150 MG/15ML IV SOLN,98.0,98.0,2.11,98.0,112 NDC,54288016701,CARBOPLATIN 600 MG/60ML IV SOLN,362.0,362.0,2.11,362.0,112 NDC,54288060001,EPINEPHRINE 1 MG/ML INJECTION (WRAPPER),270.0,270.0,0.76,270.0,111 NDC,54355344,METHADONE HCL 10 MG/ML PO CONC,77.0,77.0,10.4,77.0,112 NDC,54372144,PREDNISONE 5 MG/ML PO CONC,468.0,468.0,0.01,468.0,112 NDC,54372250,PREDNISONE 5 MG/5ML PO SOLN,288.0,288.0,0.01,288.0,112 NDC,54372263,PREDNISONE 5 MG/5ML PO SOLN,1116.0,1116.0,0.01,1116.0,112 NDC,54417925,DEXAMETHASONE 0.5 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,54418025,DEXAMETHASONE 0.75 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,54418125,DEXAMETHASONE 1 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,54418225,DEXAMETHASONE 1.5 MG PO TABS,2.0,2.0,0.01,2.0,112 NDC,54418325,DEXAMETHASONE 2 MG PO TABS,2.0,2.0,0.01,2.0,112 NDC,54418425,DEXAMETHASONE 4 MG PO TABS,4.0,4.0,0.01,4.0,112 NDC,54418625,DEXAMETHASONE 6 MG PO TABS,6.0,6.0,0.01,6.0,112 NDC,54455015,METHOTREXATE SODIUM 2.5 MG PO TABS,13.0,13.0,0.15,13.0,112 NDC,54472825,PREDNISONE 5 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,54472831,PREDNISONE 5 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,54474125,PREDNISONE 1 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,54474131,PREDNISONE 1 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,54474225,PREDNISONE 2.5 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,54482014701,LEVOCARNITINE 200 MG/ML IV SOLN,137.0,137.0,18.5,137.0,112 NDC,54569638600,TETANUSDIPHTHACELL PERTUSSIS 52.518.5 LFMCG/0.5 IM,64.0,64.0,8.64,64.0,115 NDC,54817425,DEXAMETHASONE 1 MG PO TABS,2.0,2.0,0.01,2.0,112 NDC,54817525,DEXAMETHASONE 4 MG PO TABS,4.0,4.0,0.01,4.0,112 NDC,54817625,DEXAMETHASONE 2 MG PO TABS,3.0,3.0,0.01,3.0,112 NDC,54817925,DEXAMETHASONE 0.5 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,54818025,DEXAMETHASONE 0.75 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,54818125,DEXAMETHASONE 1.5 MG PO TABS,2.0,2.0,0.01,2.0,112 NDC,54818325,DEXAMETHASONE 6 MG PO TABS,6.0,6.0,0.01,6.0,112 NDC,548339000,LIDOCAINE HCL (CARDIAC) 100 MG/5ML IV SOSY (WRAPPE,15.0,15.0,0.01,15.0,111 NDC,548540000,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP,162.0,162.0,0.35,162.0,111 NDC,548540025,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP,190.0,190.0,0.35,190.0,111 NDC,548560100,ENOXAPARIN SODIUM 30 MG/0.3ML INJECTION SOSY,17.0,17.0,0.53,17.0,112 NDC,548560200,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,22.0,22.0,0.53,22.0,112 NDC,548560300,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,33.0,33.0,0.53,33.0,112 NDC,548560400,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,44.0,44.0,0.53,44.0,112 NDC,548560500,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,54.0,54.0,0.53,54.0,112 NDC,548560600,ENOXAPARIN SODIUM 120 MG/0.8ML INJECTION SOSY,65.0,65.0,0.53,65.0,112 NDC,548560700,ENOXAPARIN SODIUM 150 MG/ML INJECTION SOSY,81.0,81.0,0.53,81.0,112 NDC,548560800,ENOXAPARIN SODIUM 300 MG/3ML INJECTION SOLN,116.0,116.0,0.53,116.0,112 NDC,548570100,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSY,198.0,198.0,0.35,198.0,111 NDC,548585000,GLUCAGON HCL (RDNA) 1 MG INJECTION SOLR (WRAPPER),1008.0,1008.0,136.08,1008.0,119 NDC,548590000,COSYNTROPIN 0.25 MG INJECTION SOLR,384.0,384.0,20.65,384.0,112 NDC,54872425,PREDNISONE 5 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,54873925,PREDNISONE 1 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,54874025,PREDNISONE 2.5 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,54879000308,DEXAMETHASONE 0.5 MG/5ML PO ELIX,77.0,77.0,0.01,77.0,112 NDC,54879002101,CYCLOPHOSPHAMIDE 25 MG PO CAPS,11.0,11.0,0.84,11.0,112 NDC,54879002201,CYCLOPHOSPHAMIDE 50 MG PO CAPS,15.0,15.0,0.84,15.0,112 NDC,54879003710,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,19.0,19.0,0.81,19.0,111 NDC,54879003725,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,28.0,28.0,0.81,28.0,111 NDC,548909010,HYALURONIDASE BOVINE 150 UNIT/ML INJECTION SOLN,201.0,201.0,27.14,201.0,112 NDC,548960200,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,65.0,65.0,0.71,65.0,111 NDC,548970100,VASOPRESSIN 20 UNIT/ML IV SOLN,180.0,180.0,0.53,180.0,112 NDC,54981725,PREDNISONE 10 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,54981729,PREDNISONE 10 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,54982831,PREDNISONE 5 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,55111015330,ONDANSETRON HCL 4 MG PO TABS,75.0,75.0,0.01,75.0,112 NDC,55111015430,ONDANSETRON HCL 8 MG PO TABS,124.0,124.0,0.01,124.0,112 NDC,55111052501,TACROLIMUS 0.5 MG PO CAPS,7.0,7.0,0.15,7.0,112 NDC,55111052601,TACROLIMUS 1 MG PO CAPS,14.0,14.0,0.15,14.0,112 NDC,55111052701,TACROLIMUS 5 MG PO CAPS,67.0,67.0,0.15,67.0,112 NDC,55111055610,DECITABINE 50 MG IV SOLR,2160.0,2160.0,0.65,2160.0,112 NDC,55111065207,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,810.0,810.0,0.16,810.0,112 NDC,55111065237,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,810.0,810.0,0.16,810.0,112 NDC,55111065301,SIROLIMUS 1 MG PO TABS,52.0,52.0,0.96,52.0,112 NDC,55111065401,SIROLIMUS 2 MG PO TABS,95.0,95.0,0.96,95.0,112 NDC,55111067802,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN,164.0,164.0,0.67,164.0,112 NDC,55111067810,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN,164.0,164.0,0.67,164.0,112 NDC,55111067811,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN,164.0,164.0,0.67,164.0,112 NDC,55111067902,FONDAPARINUX SODIUM 5 MG/0.4ML SC SOLN,408.0,408.0,0.67,408.0,112 NDC,55111067910,FONDAPARINUX SODIUM 5 MG/0.4ML SC SOLN,386.0,386.0,0.67,386.0,112 NDC,55111068002,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN,408.0,408.0,0.67,408.0,112 NDC,55111068010,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN,386.0,386.0,0.67,386.0,112 NDC,55111068011,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN,386.0,386.0,0.67,386.0,112 NDC,55111068102,FONDAPARINUX SODIUM 10 MG/0.8ML SC SOLN,408.0,408.0,0.67,408.0,112 NDC,55111068507,ZOLEDRONIC ACID 4 MG/5ML IV CONC,270.0,270.0,5.08,270.0,112 NDC,55111068852,ZOLEDRONIC ACID 5 MG/100ML IV SOLN,1080.0,1080.0,5.08,1080.0,112 NDC,55111069407,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,180.0,180.0,0.34,180.0,112 NDC,55135013201,SACITUZUMAB GOVITECANHZIY 180 MG IV SOLR,8871.0,8871.0,35.44,8871.0,119 NDC,55150011210,AMPICILLIN SODIUM 500 MG INJECTION SOLR,13.0,13.0,0.49,13.0,112 NDC,55150011310,AMPICILLIN SODIUM 1 G INJECTION SOLR,25.0,25.0,0.49,25.0,112 NDC,55150011420,AMPICILLIN SODIUM 2 G INJECTION SOLR,48.0,48.0,0.49,48.0,112 NDC,55150011599,AMPICILLIN SODIUM 10 G IV SOLR,234.0,234.0,0.49,234.0,112 NDC,55150011620,AMPICILLINSULBACTAM SODIUM 1.5 (10.5) G INJECTION,24.0,24.0,1.33,24.0,112 NDC,55150011720,AMPICILLINSULBACTAM SODIUM 3 (21) G INJECTION SOLR,44.0,44.0,1.33,44.0,112 NDC,55150011899,AMPICILLINSULBACTAM SODIUM 15 (105) G IV SOLR,214.0,214.0,1.33,214.0,112 NDC,55150011930,PIPERACILLIN SODTAZOBACTAM SO 2.25 (20.25) G IV SO,44.0,44.0,1.09,44.0,112 NDC,55150012030,PIPERACILLIN SODTAZOBACTAM SO 3.375 (30.375) G IV,20.0,20.0,1.09,20.0,112 NDC,55150012150,PIPERACILLIN SODTAZOBACTAM SO 4.5 (40.5) G IV SOLR,83.0,83.0,1.09,83.0,112 NDC,55150012502,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,8.0,8.0,0.09,8.0,112 NDC,55150012620,ONDANSETRON HCL 40 MG/20ML INJECTION SOLN,75.0,75.0,0.09,75.0,112 NDC,55150012715,OXACILLIN SODIUM 1 G INJECTION SOLR,44.0,44.0,0.57,44.0,112 NDC,55150012824,OXACILLIN SODIUM 2 G INJECTION SOLR,85.0,85.0,0.57,85.0,112 NDC,55150015410,ACYCLOVIR SODIUM 50 MG/ML IV SOLN,48.0,48.0,0.03,48.0,112 NDC,55150015520,ACYCLOVIR SODIUM 50 MG/ML IV SOLN,90.0,90.0,0.03,90.0,112 NDC,55150015872,LIDOCAINE HCL (PF) 1 INJECTION SOLN,6.0,6.0,0.01,6.0,111 NDC,55150015974,LIDOCAINE HCL (PF) 1 INJECTION SOLN,9.0,9.0,0.01,9.0,111 NDC,55150015974,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),9.0,9.0,1.22,9.0,111 NDC,55150016102,LIDOCAINE HCL (PF) 1 INJECTION SOLN,10.0,10.0,0.01,10.0,111 NDC,55150016102,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),10.0,10.0,1.35,10.0,111 NDC,55150016205,LIDOCAINE HCL (PF) 1 INJECTION SOLN,13.0,13.0,0.01,13.0,111 NDC,55150016205,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),13.0,13.0,1.76,13.0,111 NDC,55150016330,LIDOCAINE HCL (PF) 1 INJECTION SOLN,14.0,14.0,0.01,14.0,111 NDC,55150016330,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),14.0,14.0,1.89,14.0,111 NDC,55150016402,LIDOCAINE HCL (PF) 2 INJECTION SOLN (WRAPPER),14.0,14.0,0.01,14.0,111 NDC,55150016505,LIDOCAINE HCL (PF) 2 INJECTION SOLN (WRAPPER),11.0,11.0,0.01,11.0,111 NDC,55150016710,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,10.0,10.0,0.01,10.0,112 NDC,55150016830,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,10.0,10.0,0.01,10.0,112 NDC,55150016910,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,11.0,11.0,0.01,11.0,112 NDC,55150017030,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,11.0,11.0,0.01,11.0,112 NDC,55150017110,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,11.0,11.0,0.01,11.0,112 NDC,55150017230,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,19.0,19.0,0.01,19.0,112 NDC,55150017301,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOLN,40.0,40.0,5.4,83.78,111 NDC,55150017305,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOLN,40.0,40.0,5.4,83.78,111 NDC,55150017410,AZITHROMYCIN 500 MG IV SOLR,33.0,33.0,2.04,33.0,112 NDC,55150017705,LEVETIRACETAM 500 MG/5ML IV SOLN,45.0,45.0,0.04,45.0,112 NDC,55150018301,NICARDIPINE HCL 2.5 MG/ML IV SOLN,77.0,77.0,0.07,77.0,112 NDC,55150018302,NICARDIPINE HCL 2.5 MG/ML IV SOLN,69.0,69.0,0.07,69.0,112 NDC,55150018310,NICARDIPINE HCL 2.5 MG/ML IV SOLN,77.0,77.0,0.07,77.0,112 NDC,55150018311,NICARDIPINE HCL 2.5 MG/ML IV SOLN,69.0,69.0,0.07,69.0,112 NDC,55150018605,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,72.0,72.0,0.34,72.0,112 NDC,55150018703,CAFFEINE CITRATE 60 MG/3ML IV SOLN,120.0,120.0,1.02,120.0,111 NDC,55150019201,ADENOSINE (DIAGNOSTIC) 3 MG/ML IV SOLN,432.0,432.0,0.32,432.0,112 NDC,55150019410,ESMOLOL HCL 100 MG/10ML IV SOLN,27.0,27.0,0.21,27.0,112 NDC,55150019520,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,49.0,49.0,0.05,49.0,112 NDC,55150019699,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,216.0,216.0,0.05,216.0,112 NDC,55150019720,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,76.0,76.0,0.05,76.0,112 NDC,55150019830,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,114.0,114.0,0.05,114.0,112 NDC,55150020010,ROPIVACAINE HCL 10 MG/ML INJECTION SOLN,60.0,60.0,0.05,60.0,112 NDC,55150020200,PANTOPRAZOLE SODIUM 40 MG IV SOLR,26.0,26.0,1.93,26.0,111 NDC,55150020210,PANTOPRAZOLE SODIUM 40 MG IV SOLR,26.0,26.0,1.93,26.0,111 NDC,55150020720,MEROPENEM 500 MG IV SOLR,22.0,22.0,0.38,22.0,112 NDC,55150020830,MEROPENEM 1 G IV SOLR,40.0,40.0,0.38,40.0,112 NDC,55150021010,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,360.0,360.0,0.16,360.0,112 NDC,55150023000,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN,108.0,108.0,0.67,108.0,112 NDC,55150023010,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN,108.0,108.0,0.67,108.0,112 NDC,55150023100,FONDAPARINUX SODIUM 5 MG/0.4ML SC SOLN,262.0,262.0,0.67,262.0,112 NDC,55150023110,FONDAPARINUX SODIUM 5 MG/0.4ML SC SOLN,262.0,262.0,0.67,262.0,112 NDC,55150023200,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN,261.0,261.0,0.67,261.0,112 NDC,55150023210,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN,261.0,261.0,0.67,261.0,112 NDC,55150023300,FONDAPARINUX SODIUM 10 MG/0.8ML SC SOLN,262.0,262.0,0.67,262.0,112 NDC,55150023310,FONDAPARINUX SODIUM 10 MG/0.8ML SC SOLN,262.0,262.0,0.67,262.0,112 NDC,55150023701,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION S,5.0,5.0,0.11,5.0,112 NDC,55150023805,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML INJECTION,6.0,6.0,0.11,6.0,112 NDC,55150023930,DEXAMETHASONE SODIUM PHOSPHATE 120 MG/30ML INJECTI,56.0,56.0,0.11,56.0,112 NDC,55150024005,ISOSULFAN BLUE 1 SC SOLN,3675.0,3675.0,1.67,3675.0,119 NDC,55150024101,ARGATROBAN 50 MG/50ML IV SOLN (WRAPPER),878.0,878.0,1.01,878.0,112 NDC,55150024110,ARGATROBAN 50 MG/50ML IV SOLN (WRAPPER),878.0,878.0,1.01,878.0,112 NDC,55150024251,LINEZOLID 600 MG/300ML IV SOLN,331.0,331.0,2.74,331.0,112 NDC,55150024346,LEVOFLOXACIN IN D5W 250 MG/50ML IV SOLN,28.0,28.0,1.89,28.0,112 NDC,55150024447,LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN,38.0,38.0,1.89,38.0,112 NDC,55150024647,LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN,100.0,100.0,0.04,100.0,112 NDC,55150024747,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN,162.0,162.0,0.04,162.0,112 NDC,55150024847,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN,216.0,216.0,0.04,216.0,112 NDC,55150024950,BUPIVACAINE HCL 0.25 INJECTION SOLN,15.0,15.0,0.01,15.0,112 NDC,55150025050,BUPIVACAINE HCL 0.5 INJECTION SOLN,13.0,13.0,0.01,13.0,112 NDC,55150025110,LIDOCAINE HCL 1 INJECTION SOLN,10.0,10.0,0.01,10.0,111 NDC,55150025220,LIDOCAINE HCL 1 INJECTION SOLN,14.0,14.0,0.01,14.0,111 NDC,55150025350,LIDOCAINE HCL 1 INJECTION SOLN,23.0,23.0,0.01,23.0,111 NDC,55150025410,LIDOCAINE HCL 2 INJECTION SOLN,14.0,14.0,1.89,14.0,111 NDC,55150025520,LIDOCAINE HCL 2 INJECTION SOLN,16.0,16.0,2.16,16.0,111 NDC,55150025650,LIDOCAINE HCL 2 INJECTION SOLN,29.0,29.0,3.92,29.0,111 NDC,55150025930,ACETYLCYSTEINE 200 MG/ML IV SOLN,1051.0,1051.0,0.37,1051.0,112 NDC,55150026605,ZOLEDRONIC ACID 4 MG/5ML IV CONC,198.0,198.0,5.08,198.0,112 NDC,55150026705,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLN,540.0,540.0,6.2,540.0,112 NDC,55150027099,CYCLOPHOSPHAMIDE 500 MG/2.5ML IV SOLN,540.0,540.0,0.61,540.0,119 NDC,55150027199,CYCLOPHOSPHAMIDE 1 GM/5ML IV SOLN,900.0,900.0,0.61,900.0,119 NDC,55150027201,CYCLOPHOSPHAMIDE 2 GM/10ML IV SOLN,1800.0,1800.0,0.61,1800.0,119 NDC,55150027301,THIAMINE HCL 100 MG/ML INJECTION SOLN,24.0,24.0,1.76,24.0,112 NDC,55150027325,THIAMINE HCL 100 MG/ML INJECTION SOLN,24.0,24.0,1.76,24.0,112 NDC,55150028209,ERTAPENEM SODIUM 1 G INJECTION SOLR,144.0,144.0,9.02,144.0,112 NDC,55150028220,ERTAPENEM SODIUM 1 G INJECTION SOLR,216.0,216.0,9.02,216.0,112 NDC,55150028801,MILRINONE LACTATE IN DEXTROSE 405 MG/200ML IV SOL,110.0,110.0,1.31,110.0,112 NDC,55150028810,MILRINONE LACTATE IN DEXTROSE 405 MG/200ML IV SOL,110.0,110.0,1.31,110.0,112 NDC,55150029901,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR,234.0,234.0,0.11,234.0,112 NDC,55150030001,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,12.0,12.0,0.01,12.0,108 NDC,55150030025,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),12.0,12.0,0.01,12.0,108 NDC,55150030401,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML INJECTION,16.0,16.0,0.11,16.0,112 NDC,55150030425,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML INJECTION,16.0,16.0,0.11,16.0,112 NDC,55150030501,DEXAMETHASONE SODIUM PHOSPHATE 100 MG/10ML INJECTI,35.0,35.0,0.11,35.0,112 NDC,55150030510,DEXAMETHASONE SODIUM PHOSPHATE 100 MG/10ML INJECTI,35.0,35.0,0.11,35.0,112 NDC,55150030610,PROGESTERONE 50 MG/ML IM OIL,72.0,72.0,0.63,72.0,112 NDC,55150030701,ACETAMINOPHEN 10 MG/ML IV SOLN,72.0,72.0,0.05,72.0,112 NDC,55150030724,ACETAMINOPHEN 10 MG/ML IV SOLN,72.0,72.0,0.05,72.0,112 NDC,55150030801,OLANZAPINE 10 MG IM SOLR,128.0,128.0,0.75,128.0,112 NDC,55150031801,CHLORPROMAZINE HCL 25 MG/ML INJECTION SOLN,105.0,105.0,14.18,105.0,112 NDC,55150031825,CHLORPROMAZINE HCL 25 MG/ML INJECTION SOLN,105.0,105.0,14.18,105.0,112 NDC,55150031901,CHLORPROMAZINE HCL 50 MG/2ML INJECTION SOLN,120.0,120.0,16.2,120.0,112 NDC,55150031925,CHLORPROMAZINE HCL 50 MG/2ML INJECTION SOLN,120.0,120.0,16.2,120.0,112 NDC,55150032201,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),10.0,10.0,0.39,10.0,111 NDC,55150032225,FUROSEMIDE 10 MG/ML INJECTION SOLN,10.0,10.0,0.39,10.0,111 NDC,55150032301,FUROSEMIDE 10 MG/ML INJECTION SOLN,13.0,13.0,0.39,13.0,111 NDC,55150032325,FUROSEMIDE 10 MG/ML INJECTION SOLN,13.0,13.0,0.39,13.0,111 NDC,55150032401,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),15.0,15.0,0.39,15.0,111 NDC,55150032425,FUROSEMIDE 10 MG/ML INJECTION SOLN,15.0,15.0,0.39,15.0,111 NDC,55150032701,NALOXONE HCL 0.4 MG/ML INJECTION SOLN,45.0,45.0,6.08,45.0,111 NDC,55150032710,NALOXONE HCL 0.4 MG/ML INJECTION SOLN,45.0,45.0,6.08,45.0,111 NDC,55150032901,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP,132.0,132.0,0.35,132.0,111 NDC,55150032925,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP,132.0,132.0,0.35,132.0,111 NDC,55150033501,CARBOPLATIN 450 MG/45ML IV SOLN,154.0,154.0,2.11,154.0,112 NDC,55150033701,BORTEZOMIB 1 MG/ML IV SOLR (WRAPPER),270.0,270.0,1.59,270.0,112 NDC,55150034401,DAPTOMYCIN 500 MG IV SOLR,216.0,216.0,0.03,216.0,112 NDC,55150034501,NALOXONE HCL 2 MG/2ML INJECTION SOSY,114.0,114.0,8.7,114.0,111 NDC,55150034510,NALOXONE HCL 2 MG/2ML INJECTION SOSY,114.0,114.0,8.7,114.0,111 NDC,55150035201,IRINOTECAN HCL 40 MG/2ML IV SOLN,53.0,53.0,1.4,53.0,112 NDC,55150035301,IRINOTECAN HCL 100 MG/5ML IV SOLN,103.0,103.0,1.4,103.0,112 NDC,55150035401,IRINOTECAN HCL 300 MG/15ML IV SOLN,360.0,360.0,1.4,360.0,112 NDC,55150036001,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,33.0,33.0,2.31,33.0,112 NDC,55150036025,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,33.0,33.0,2.31,33.0,112 NDC,55150036401,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,13.0,13.0,0.64,13.0,112 NDC,55150036425,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,13.0,13.0,0.64,13.0,112 NDC,55150036501,AMPHOTERICIN B LIPOSOME 50 MG IV SUSR,918.0,918.0,20.72,918.0,119 NDC,55150036601,ARSENIC TRIOXIDE 12 MG/6ML IV SOLN,1892.0,1892.0,4.68,1892.0,112 NDC,55150036610,ARSENIC TRIOXIDE 12 MG/6ML IV SOLN,1892.0,1892.0,4.68,1892.0,112 NDC,55150037000,VASOPRESSIN 20 UNIT/ML IV SOLN,270.0,270.0,0.53,270.0,112 NDC,55150037001,VASOPRESSIN 20 UNIT/ML IV SOLN,270.0,270.0,0.53,270.0,112 NDC,55150037024,VASOPRESSIN 20 UNIT/ML IV SOLN,270.0,270.0,0.53,270.0,112 NDC,55150037025,VASOPRESSIN 20 UNIT/ML IV SOLN,270.0,270.0,0.53,270.0,112 NDC,55150037601,DECITABINE 50 MG IV SOLR,1350.0,1350.0,0.65,1350.0,112 NDC,55150037801,DOCETAXEL 20 MG/2ML IV SOLN,247.0,247.0,0.38,247.0,112 NDC,55150038101,PEMETREXED DISODIUM 100 MG IV SOLR,540.0,540.0,3.59,540.0,119 NDC,55150038201,PEMETREXED DISODIUM 500 MG IV SOLR,1800.0,1800.0,3.59,1800.0,119 NDC,55150038601,CARBOPLATIN 600 MG/60ML IV SOLN,181.0,181.0,2.11,181.0,112 NDC,55150039301,AZACITIDINE 100 MG INJECTION SUSR,360.0,360.0,0.21,360.0,112 NDC,55150040001,HYDRALAZINE HCL 20 MG/ML INJECTION SOLN,39.0,39.0,4.08,39.0,112 NDC,55150040025,HYDRALAZINE HCL 20 MG/ML INJECTION SOLN,39.0,39.0,4.08,39.0,112 NDC,55150040101,GENTAMICIN SULFATE 10 MG/ML INJECTION SOLN,13.0,13.0,1.76,13.0,112 NDC,55150040125,GENTAMICIN SULFATE 10 MG/ML INJECTION SOLN,13.0,13.0,1.76,13.0,112 NDC,55150040201,GENTAMICIN SULFATE 40 MG/ML INJECTION SOLN,10.0,10.0,1.35,10.0,112 NDC,55150040225,GENTAMICIN SULFATE 40 MG/ML INJECTION SOLN,10.0,10.0,1.35,10.0,112 NDC,55150042010,ESMOLOL HCLSODIUM CHLORIDE 2500 MG/250ML IV SOLN,525.0,525.0,0.21,525.0,112 NDC,55150042101,ESMOLOL HCLSODIUM CHLORIDE 2000 MG/100ML IV SOLN,575.0,575.0,0.21,575.0,112 NDC,55150042110,ESMOLOL HCLSODIUM CHLORIDE 2000 MG/100ML IV SOLN,575.0,575.0,0.21,575.0,112 NDC,55150042901,TIROFIBAN HCL IN NACL 50.9 MG/100ML IV SOLN,315.0,315.0,3.43,315.0,112 NDC,55150043001,TIROFIBAN HCL IN NACL 12.50.9 MG/250ML IV SOLN,852.0,852.0,3.43,852.0,112 NDC,55150043201,DEXRAZOXANE HCL 250 MG IV SOLR,988.0,988.0,32.09,988.0,119 NDC,55150043401,DEXRAZOXANE HCL 250 MG IV SOLR,988.0,988.0,32.09,988.0,119 NDC,55150043501,DEXRAZOXANE HCL 500 MG IV SOLR,1975.0,1975.0,32.09,1975.0,119 NDC,55150043701,DEXRAZOXANE HCL 500 MG IV SOLR,1975.0,1975.0,32.09,1975.0,119 NDC,55150044301,REGADENOSON 0.4 MG/5ML IV SOLN,540.0,540.0,2.68,540.0,112 NDC,55150045001,MITOMYCIN 5 MG IV SOLR,540.0,540.0,25.94,540.0,119 NDC,55150047001,TOBRAMYCIN SULFATE 1.2 G INJECTION SOLR,260.0,260.0,1.97,260.0,112 NDC,55150047006,TOBRAMYCIN SULFATE 1.2 G INJECTION SOLR,260.0,260.0,1.97,260.0,112 NDC,55154936305,DIPHENHYDRAMINE HCL 50 MG/ML INJECTION SOLN,10.0,10.0,0.71,10.0,112 NDC,55292070254,HEMIN 350 MG IV SOLR,38501.0,38501.0,33.12,38501.0,119 NDC,55292070255,HEMIN 350 MG IV SOLR,38501.0,38501.0,33.12,38501.0,119 NDC,55390011010,DOXYCYCLINE HYCLATE 100 MG IV SOLR,44.0,44.0,5.94,44.0,111 NDC,555009696,CLONAZEPAM 0.5 MG PO TBDP,4.0,4.0,0.54,4.0,105 NDC,55513000201,DARBEPOETIN ALFA 25 MCG/ML INJECTION SOLN,697.0,697.0,2.94,697.0,119 NDC,55513000204,DARBEPOETIN ALFA 25 MCG/ML INJECTION SOLN,697.0,697.0,2.94,697.0,119 NDC,55513000301,DARBEPOETIN ALFA 40 MCG/ML INJECTION SOLN,1115.0,1115.0,2.94,1115.0,119 NDC,55513000304,DARBEPOETIN ALFA 40 MCG/ML INJECTION SOLN,1115.0,1115.0,2.94,1115.0,119 NDC,55513000401,DARBEPOETIN ALFA 60 MCG/ML INJECTION SOLN,1672.0,1672.0,2.94,1672.0,119 NDC,55513000404,DARBEPOETIN ALFA 60 MCG/ML INJECTION SOLN,1672.0,1672.0,2.94,1672.0,119 NDC,55513000501,DARBEPOETIN ALFA 100 MCG/ML INJECTION SOLN,2787.0,2787.0,2.94,2787.0,119 NDC,55513000504,DARBEPOETIN ALFA 100 MCG/ML INJECTION SOLN,2787.0,2787.0,2.94,2787.0,119 NDC,55513000601,DARBEPOETIN ALFA 200 MCG/ML INJECTION SOLN,5573.0,5573.0,2.94,5573.0,119 NDC,55513002101,DARBEPOETIN ALFA 40 MCG/0.4ML INJECTION SOSY,1115.0,1115.0,2.94,1115.0,119 NDC,55513002104,DARBEPOETIN ALFA 40 MCG/0.4ML INJECTION SOSY,1115.0,1115.0,2.94,1115.0,119 NDC,55513002301,DARBEPOETIN ALFA 60 MCG/0.3ML INJECTION SOSY,1672.0,1672.0,2.94,1672.0,119 NDC,55513002304,DARBEPOETIN ALFA 60 MCG/0.3ML INJECTION SOSY,1672.0,1672.0,2.94,1672.0,119 NDC,55513002501,DARBEPOETIN ALFA 100 MCG/0.5ML INJECTION SOSY,2787.0,2787.0,2.94,2787.0,119 NDC,55513002504,DARBEPOETIN ALFA 100 MCG/0.5ML INJECTION SOSY,2787.0,2787.0,2.94,2787.0,119 NDC,55513002701,DARBEPOETIN ALFA 150 MCG/0.3ML INJECTION SOSY,4180.0,4180.0,2.94,4180.0,119 NDC,55513002704,DARBEPOETIN ALFA 150 MCG/0.3ML INJECTION SOSY,4180.0,4180.0,2.94,4180.0,119 NDC,55513002801,DARBEPOETIN ALFA 200 MCG/0.4ML INJECTION SOSY,5573.0,5573.0,2.94,5573.0,119 NDC,55513003201,DARBEPOETIN ALFA 500 MCG/ML INJECTION SOSY,13932.0,13932.0,2.94,13932.0,119 NDC,55513005701,DARBEPOETIN ALFA 25 MCG/0.42ML INJECTION SOSY,697.0,697.0,2.94,697.0,119 NDC,55513005704,DARBEPOETIN ALFA 25 MCG/0.42ML INJECTION SOSY,697.0,697.0,2.94,697.0,119 NDC,55513005901,TARLATAMABDLLE 1 MG IV SOLR,5400.0,5400.0,729.0,5400.0,119 NDC,55513007701,TARLATAMABDLLE 10 MG IV SOLR,54000.0,54000.0,1494.0,54000.0,119 NDC,55513007801,TALIMOGENE LAHERPAREPVEC 1000000 UNIT/ML INTRALESI,240.0,240.0,32.4,240.0,119 NDC,55513007901,TALIMOGENE LAHERPAREPVEC 100000000 UNIT/ML INTRALE,23952.0,23952.0,70.37,23952.0,119 NDC,55513011101,DARBEPOETIN ALFA 300 MCG/0.6ML INJECTION SOSY,8360.0,8360.0,2.94,8360.0,119 NDC,55513011201,TEZEPELUMABEKKO 210 MG/1.91ML SC SOSY,14980.0,14980.0,17.82,14980.0,119 NDC,55513012601,EPOETIN ALFA 2000 UNIT/ML INJECTION SOLN,120.0,120.0,6.46,120.0,119 NDC,55513012610,EPOETIN ALFA 2000 UNIT/ML INJECTION SOLN,120.0,120.0,6.46,120.0,119 NDC,55513013201,TRASTUZUMABANNS 420 MG IV SOLR,13710.0,13710.0,34.69,13710.0,119 NDC,55513014101,TRASTUZUMABANNS 150 MG IV SOLR,4897.0,4897.0,34.69,4897.0,119 NDC,55513014401,EPOETIN ALFA 10000 UNIT/ML INJECTION SOLN,597.0,597.0,6.46,597.0,119 NDC,55513014410,EPOETIN ALFA 10000 UNIT/ML INJECTION SOLN,597.0,597.0,6.46,597.0,119 NDC,55513014801,EPOETIN ALFA 4000 UNIT/ML INJECTION SOLN,239.0,239.0,6.46,239.0,119 NDC,55513014810,EPOETIN ALFA 4000 UNIT/ML INJECTION SOLN,239.0,239.0,6.46,239.0,119 NDC,55513016001,BLINATUMOMAB 35 MCG IV SOLR,18523.0,18523.0,152.51,18523.0,119 NDC,55513016401,TRASTUZUMABANNS 420 MG IV SOLR,13710.0,13710.0,34.69,13710.0,119 NDC,55513019001,PEGFILGRASTIM 6 MG/0.6ML SC SOSY,23105.0,23105.0,19.98,23105.0,121 NDC,55513019201,PEGFILGRASTIM 6 MG/0.6ML SC PSKT,23105.0,23105.0,19.98,23105.0,121 NDC,55513020601,BEVACIZUMABAWWB 100 MG/4ML IV SOLN,2512.0,2512.0,23.84,2512.0,119 NDC,55513020701,BEVACIZUMABAWWB 400 MG/16ML IV SOLN,10718.0,10718.0,23.84,10718.0,119 NDC,55513020901,FILGRASTIM 480 MCG/0.8ML INJECTION SOSY,1914.0,1914.0,0.98,1914.0,119 NDC,55513020910,FILGRASTIM 480 MCG/0.8ML INJECTION SOSY,1914.0,1914.0,0.98,1914.0,119 NDC,55513020991,FILGRASTIM 480 MCG/0.8ML INJECTION SOSY,1914.0,1914.0,0.98,1914.0,119 NDC,55513022101,ROMIPLOSTIM SUBCUTANEOUS INJECTION,9439.0,9439.0,10.54,9439.0,119 NDC,55513022201,ROMIPLOSTIM 500 MCG SC SOLR,18878.0,18878.0,10.54,18878.0,119 NDC,55513022301,ROMIPLOSTIM 125 MCG SC SOLR,4720.0,4720.0,10.54,4720.0,119 NDC,55513022401,RITUXIMABARRX 100 MG/10ML IV SOLN,2581.0,2581.0,20.9,2581.0,119 NDC,55513026701,EPOETIN ALFA 3000 UNIT/ML INJECTION SOLN,180.0,180.0,6.46,180.0,119 NDC,55513026710,EPOETIN ALFA 3000 UNIT/ML INJECTION SOLN,180.0,180.0,6.46,180.0,119 NDC,55513032601,RITUXIMABARRX 500 MG/50ML IV SOLN,12903.0,12903.0,20.9,12903.0,119 NDC,55513047801,EPOETIN ALFA 20000 UNIT/ML INJECTION SOLN,1194.0,1194.0,6.46,1194.0,119 NDC,55513047810,EPOETIN ALFA 20000 UNIT/ML INJECTION SOLN,1194.0,1194.0,6.46,1194.0,119 NDC,55513053001,FILGRASTIM 300 MCG/ML INJECTION SOLN,1134.0,1134.0,0.98,1134.0,119 NDC,55513053010,FILGRASTIM 300 MCG/ML INJECTION SOLN,1134.0,1134.0,0.98,1134.0,119 NDC,55513054601,FILGRASTIM 480 MCG/1.6ML INJECTION SOLN,1805.0,1805.0,0.98,1805.0,119 NDC,55513054610,FILGRASTIM 480 MCG/1.6ML INJECTION SOLN,1805.0,1805.0,0.98,1805.0,119 NDC,55513067001,INFLIXIMABAXXQ 100 MG IV SOLR,1800.0,1800.0,19.83,1800.0,119 NDC,55513071001,DENOSUMAB 60 MG/ML SC SOSY,6431.0,6431.0,27.66,6431.0,119 NDC,55513071021,DENOSUMAB 60 MG/ML SC SOSY,6431.0,6431.0,27.66,6431.0,119 NDC,55513073001,DENOSUMAB 120 MG/1.7ML SC SOLN,11828.0,11828.0,27.66,11828.0,119 NDC,55513088001,ROMOSOZUMABAQQG 105 MG/1.17ML SC SOSY,4507.0,4507.0,11.49,4507.0,119 NDC,55513088002,ROMOSOZUMABAQQG 105 MG/1.17ML SC SOSY,4507.0,4507.0,11.49,4507.0,119 NDC,55513092401,FILGRASTIM 300 MCG/0.5ML INJECTION SOSY,1202.0,1202.0,0.98,1202.0,119 NDC,55513092410,FILGRASTIM 300 MCG/0.5ML INJECTION SOSY,1202.0,1202.0,0.98,1202.0,119 NDC,55513092491,FILGRASTIM 300 MCG/0.5ML INJECTION SOSY,1202.0,1202.0,0.98,1202.0,119 NDC,55513095401,PANITUMUMAB 100 MG/5ML IV SOLN,6212.0,6212.0,165.71,6212.0,119 NDC,55513095601,PANITUMUMAB 400 MG/20ML IV SOLN,24846.0,24846.0,165.71,24846.0,119 NDC,55513099801,ROMOSOZUMABAQQG 105 MG/1.17ML SC SOSY,4507.0,4507.0,11.49,4507.0,119 NDC,55513099802,ROMOSOZUMABAQQG 105 MG/1.17ML SC SOSY,4507.0,4507.0,11.49,4507.0,119 NDC,55566220000,DESMOPRESSIN ACETATE PF 4 MCG/ML INJECTION SOLN,293.0,293.0,3.41,293.0,112 NDC,55566230000,DESMOPRESSIN ACETATE 4 MCG/ML INJECTION SOLN,2958.0,2958.0,3.41,2958.0,112 NDC,55566410001,SODIUM HYALURONATE (VISCOSUP) 20 MG/2ML INTRAARTIC,1299.0,1299.0,105.46,1299.0,119 NDC,55566830301,DEGARELIX ACETATE 80 MG SC SOLR,1759.0,1759.0,4.28,1759.0,119 NDC,55566840301,DEGARELIX ACETATE(240 MG DOSE) 120 MG/VIAL SC SOLR,2744.0,2744.0,4.28,2744.0,119 NDC,562780601,RHO D IMMUNE GLOBULIN 250 UNITS IM SOSY,200.0,200.0,22.93,200.0,112 NDC,57237007530,ONDANSETRON HCL 4 MG PO TABS,75.0,75.0,0.01,75.0,112 NDC,57237007630,ONDANSETRON HCL 8 MG PO TABS,118.0,118.0,0.01,118.0,112 NDC,57237007710,ONDANSETRON 4 MG PO TBDP,67.0,67.0,0.01,67.0,112 NDC,57237007730,ONDANSETRON 4 MG PO TBDP,67.0,67.0,0.01,67.0,112 NDC,57237007810,ONDANSETRON 8 MG PO TBDP,112.0,112.0,0.01,112.0,112 NDC,57237007830,ONDANSETRON 8 MG PO TBDP,112.0,112.0,0.01,112.0,112 NDC,57237015035,FLUCONAZOLE 40 MG/ML PO SUSR,392.0,392.0,2.39,392.0,112 NDC,574080530,ACETYLCYSTEINE 200 MG/ML IV SOLN,677.0,677.0,0.37,677.0,112 NDC,574082001,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN,70.0,70.0,0.03,70.0,112 NDC,574085005,DIHYDROERGOTAMINE MESYLATE 1 MG/ML INJECTION SOLN,473.0,473.0,41.04,473.0,112 NDC,574085010,DIHYDROERGOTAMINE MESYLATE 1 MG/ML INJECTION SOLN,450.0,450.0,41.04,450.0,112 NDC,57664068331,LINEZOLID 600 MG/300ML IV SOLN,234.0,234.0,2.74,234.0,112 NDC,57664068357,LINEZOLID 600 MG/300ML IV SOLN,234.0,234.0,2.74,234.0,112 NDC,57664078486,CLONAZEPAM 0.25 MG PO TBDP,4.0,4.0,0.54,4.0,105 NDC,57664078586,CLONAZEPAM 0.5 MG PO TBDP,4.0,4.0,0.54,4.0,105 NDC,57664078686,CLONAZEPAM 1 MG PO TBDP,5.0,5.0,0.68,5.0,105 NDC,57665010141,AMPHOTERICIN B LIPID 5 MG/ML IV SUSP,378.0,378.0,10.3,378.0,112 NDC,57894003001,INFLIXIMAB 100 MG IV SOLR,4205.0,4205.0,30.53,4205.0,119 NDC,57894005427,USTEKINUMAB 130 MG/26ML IV SOLN,7289.0,7289.0,12.49,7289.0,119 NDC,57894006002,USTEKINUMAB 45 MG/0.5ML SC SOLN,50118.0,50118.0,97.04,50118.0,111 NDC,57894006003,USTEKINUMAB 45 MG/0.5ML SC SOSY,50118.0,50118.0,97.04,50118.0,111 NDC,57894006103,USTEKINUMAB 90 MG/ML SC SOSY,100235.0,100235.0,97.04,100235.0,111 NDC,57894007001,GOLIMUMAB 50 MG/0.5ML SC SOSY,21968.0,21968.0,2965.68,21968.0,113 NDC,57894007002,GOLIMUMAB 50 MG/0.5ML SC SOAJ,21968.0,21968.0,2965.68,21968.0,113 NDC,57894016001,INFLIXIMAB 100 MG IV SOLR,1710.0,1710.0,30.53,1710.0,119 NDC,57894035001,GOLIMUMAB 50 MG/4ML IV SOLN,7198.0,7198.0,10.54,7198.0,119 NDC,57894044901,TECLISTAMABCQYV 30 MG/3ML SC SOLN,6858.0,6858.0,32.55,6858.0,119 NDC,57894045001,TECLISTAMABCQYV 153 MG/1.7ML SC SOLN,34976.0,34976.0,32.55,34976.0,119 NDC,57894046901,TALQUETAMABTGVS 3 MG/1.5ML SC SOLN,2901.0,2901.0,69.97,2901.0,119 NDC,57894047001,TALQUETAMABTGVS 40 MG/ML SC SOLN,38676.0,38676.0,69.97,38676.0,119 NDC,57894050100,AMIVANTAMABVMJW 350 MG/7ML IV SOLN,13127.0,13127.0,21.56,13127.0,119 NDC,57894050101,AMIVANTAMABVMJW 350 MG/7ML IV SOLN,13127.0,13127.0,21.56,13127.0,119 NDC,57894050301,DARATUMUMABHYALURONIDASEFIHJ 180030000 MGUT/15ML S,34896.0,34896.0,51.39,34896.0,119 NDC,57894064001,GUSELKUMAB 100 MG/ML SC SOSY,49943.0,49943.0,72.94,49943.0,119 NDC,57894064011,GUSELKUMAB 100 MG/ML SC SOAJ,49943.0,49943.0,72.94,49943.0,119 NDC,57894065001,GUSELKUMAB 200 MG/20ML IV SOLN,49943.0,49943.0,72.94,49943.0,119 NDC,57970010001,DALBAVANCIN HCL 500 MG IV SOLR,6405.0,6405.0,15.55,6405.0,119 NDC,58160072615,HAEMOPHILUS B POLYSAC CONJ VAC 10 MCG INJECTION SO,457.0,457.0,10.0,457.0,114 NDC,58160081043,DIPHTHACELL PERTUSSISTETANUS 255810 LFMCG/0.5 IM S,103.0,103.0,10.0,103.0,114 NDC,58160081052,DIPHTHACELL PERTUSSISTETANUS 255810 LFMCG/0.5 IM S,103.0,103.0,10.0,103.0,114 NDC,58160081912,ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSR,713.0,713.0,10.0,713.0,114 NDC,58160082043,HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML INJECTION,102.0,102.0,10.0,113.22,124 NDC,58160082052,HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML INJECTION,102.0,102.0,10.0,113.22,124 NDC,58160082101,HEPATITIS B VAC RECOMBINANT 20 MCG/ML INJECTION (W,250.0,250.0,10.0,277.51,124 NDC,58160082111,HEPATITIS B VAC RECOMBINANT 20 MCG/ML INJECTION (W,250.0,250.0,10.0,277.51,124 NDC,58160082143,HEPATITIS B VAC RECOMBINANT 20 MCG/ML INJECTION (W,250.0,250.0,10.0,277.51,124 NDC,58160082151,HEPATITIS B VAC RECOMBINANT 20 MCG/ML INJECTION (W,189.0,189.0,10.0,209.79,124 NDC,58160082152,HEPATITIS B VAC RECOMBINANT 20 MCG/ML INJECTION (W,250.0,250.0,10.0,277.51,124 NDC,58160082311,ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSR,713.0,713.0,10.0,713.0,114 NDC,58160082643,HEPATITIS A VACCINE 1440 EL U/ML IM SUSP,298.0,298.0,10.0,298.0,115 NDC,58160082652,HEPATITIS A VACCINE 1440 EL U/ML IM SUSP,298.0,298.0,10.0,298.0,115 NDC,58160082803,ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSR,713.0,713.0,10.0,713.0,114 NDC,58160084201,TETANUSDIPHTHACELL PERTUSSIS 52.518.5 LFMCG/0.5 IM,170.0,170.0,10.0,170.0,115 NDC,58160084211,TETANUSDIPHTHACELL PERTUSSIS 52.518.5 LFMCG/0.5 IM,170.0,170.0,10.0,170.0,115 NDC,58160084243,TETANUSDIPHTHACELL PERTUSSIS 52.518.5 LFMCG/0.5 IM,170.0,170.0,10.0,170.0,115 NDC,58160084252,TETANUSDIPHTHACELL PERTUSSIS 52.518.5 LFMCG/0.5 IM,170.0,170.0,10.0,170.0,115 NDC,58160096412,RABIES VACCINE PCEC IM SUSR,1365.0,1365.0,10.0,1365.0,122 NDC,58160097602,MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY,806.0,806.0,10.0,806.0,114 NDC,58160097620,MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY,806.0,806.0,10.0,806.0,114 NDC,58394001201,ANTIHEM FACT (BDDRFVIIIMOR) 250 UNITS IV KIT,1694.0,1694.0,1.5,1694.0,113 NDC,58394001301,ANTIHEM FACT (BDDRFVIIIMOR) 500 UNITS IV KIT,3237.0,3237.0,1.5,3237.0,116 NDC,58394001302,ANTIHEM FACT (BDDRFVIIIMOR) 500 UNITS IV KIT,2850.0,2850.0,1.5,2850.0,114 NDC,58394002203,ANTIHEM FACT (BDDRFVIIIMOR) 250 UNITS IV KIT,1425.0,1425.0,1.5,1425.0,113 NDC,58394002303,ANTIHEM FACT (BDDRFVIIIMOR) 500 UNITS IV KIT,2658.0,2658.0,1.5,2658.0,114 NDC,58394002403,ANTIHEM FACT (BDDRFVIIIMOR) 1000 UNITS IV KIT,5421.0,5421.0,1.5,5421.0,116 NDC,58394002503,ANTIHEM FACT (BDDRFVIIIMOR) 2000 UNITS IV KIT,12558.0,12558.0,1.5,12558.0,117 NDC,58394063303,COAGULATION FACTOR IX (RECOMB) 250 UNITS IV KIT,1598.0,1598.0,1.83,1598.0,113 NDC,58394063403,COAGULATION FACTOR IX (RECOMB) 500 UNITS IV KIT,3269.0,3269.0,1.83,3269.0,116 NDC,58394063503,COAGULATION FACTOR IX (RECOMB) 1000 UNITS IV KIT,6243.0,6243.0,1.83,6243.0,116 NDC,58394063603,COAGULATION FACTOR IX (RECOMB) 2000 UNITS IV KIT,13278.0,13278.0,1.83,13278.0,117 NDC,58394063703,COAGULATION FACTOR IX (RECOMB) 3000 UNITS IV KIT,18054.0,18054.0,1.83,18054.0,117 NDC,58406001001,ETANERCEPT 25 MG/0.5ML SC SOSY,3331.0,3331.0,449.69,3331.0,111 NDC,58406001004,ETANERCEPT 25 MG/0.5ML SC SOSY,3331.0,3331.0,449.69,3331.0,111 NDC,58406005501,ETANERCEPT 25 MG/0.5ML SC SOLN,3331.0,3331.0,449.69,3331.0,111 NDC,58406005504,ETANERCEPT 25 MG/0.5ML SC SOLN,3331.0,3331.0,449.69,3331.0,111 NDC,58468003001,THYROTROPIN ALFA 0.9 MG IM SOLR,7119.0,7119.0,961.07,7119.0,119 NDC,58468003002,THYROTROPIN ALFA 0.9 MG IM SOLR,7119.0,7119.0,961.07,7119.0,119 NDC,58468004001,AGALSIDASE BETA 35 MG IV SOLR,26838.0,26838.0,223.52,26838.0,119 NDC,58468004101,AGALSIDASE BETA 5 MG IV SOLR,3834.0,3834.0,223.52,3834.0,119 NDC,58468008001,ANTITHYMOCYTE GLOB (RABBIT) 25 MG IV SOLR,3839.0,3839.0,518.26,3839.0,119 NDC,58468009001,HYLAN GF 20 16 MG/2ML INTRAARTIC SOSY,1644.0,1644.0,7.56,1644.0,120 NDC,58468009003,HYLAN GF 20 48 MG/6ML INTRAARTIC SOSY,4931.0,4931.0,7.56,4931.0,119 NDC,58468016001,ALGLUCOSIDASE ALFA 50 MG IV SOLR,2262.0,2262.0,201.64,2262.0,119 NDC,58468020001,ALEMTUZUMAB 12 MG/1.2ML IV SOLN,104970.0,104970.0,2413.36,104970.0,119 NDC,58468022501,CAPLACIZUMABYHDP 11 MG INJECTION KIT,29672.0,29672.0,746.28,29672.0,119 NDC,58468042601,AVALGLUCOSIDASE ALFANGPT 100 MG IV SOLR,6677.0,6677.0,77.86,6677.0,119 NDC,58468466301,IMIGLUCERASE 400 UNITS IV SOLR,6182.0,6182.0,43.23,6182.0,119 NDC,58914008052,DICYCLOMINE HCL 10 MG/ML IM SOLN,303.0,303.0,11.33,303.0,112 NDC,591213657,PROPOFOL 1000 MG/100ML IV EMUL,103.0,103.0,0.08,103.0,112 NDC,591213680,PROPOFOL 200 MG/20ML IV EMUL,21.0,21.0,0.08,21.0,112 NDC,591312879,PROGESTERONE 50 MG/ML IM OIL,117.0,117.0,0.63,117.0,112 NDC,59137023101,AMINOLEVULINIC ACID HCL 1.5 G PO SOLR,11506.0,11506.0,29.55,11506.0,105 NDC,59137053001,METHOTREXATE (PF) 20 MG/0.4ML SC SOAJ,490.0,490.0,66.15,490.0,113 NDC,591410201,PERPHENAZINE 4 MG PO TABS,8.0,8.0,0.48,8.0,111 NDC,591410301,PERPHENAZINE 8 MG PO TABS,9.0,9.0,0.48,9.0,111 NDC,591410401,PERPHENAZINE 16 MG PO TABS,12.0,12.0,0.48,12.0,111 NDC,591438579,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR,1085.0,1085.0,0.13,1085.0,119 NDC,59148001971,ARIPIPRAZOLE ER 400 MG IM PRSY (WRAPPER),10152.0,10152.0,7.07,10152.0,119 NDC,59148004580,ARIPIPRAZOLE ER 300 MG IM PRSY,7614.0,7614.0,7.07,7614.0,119 NDC,59148007090,BUSULFAN 6 MG/ML IV SOLN,1800.0,1800.0,0.89,1800.0,119 NDC,59148007091,BUSULFAN 6 MG/ML IV SOLN,1800.0,1800.0,0.89,1800.0,119 NDC,59148007280,ARIPIPRAZOLE ER 400 MG IM PRSY (WRAPPER),10152.0,10152.0,7.07,10152.0,119 NDC,591505201,PREDNISONE 5 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,591530701,PROMETHAZINE HCL 25 MG PO TABS,2.0,2.0,0.09,2.0,111 NDC,591544301,PREDNISONE 20 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,59310061031,RESLIZUMAB 100 MG/10ML IV SOLN,3856.0,3856.0,10.32,3856.0,119 NDC,59338077501,FERUMOXYTOL 510 MG/17ML IV SOLN,4298.0,4298.0,0.31,4298.0,119 NDC,59365512801,PARAGARD INTRAUTERINE COPPER INTRAUTERINE IUD,3906.0,3906.0,527.31,3906.0,115 NDC,59572010201,AZACITIDINE 100 MG INJECTION SUSR,2107.0,2107.0,0.21,2107.0,112 NDC,59572071101,LUSPATERCEPTAAMT 25 MG SC SOLR,14233.0,14233.0,41.28,14233.0,119 NDC,59572077501,LUSPATERCEPTAAMT 75 MG SC SOLR,42697.0,42697.0,41.28,42697.0,119 NDC,59572096210,ROMIDEPSIN 10 MG IV SOLR,11516.0,11516.0,30.39,11516.0,119 NDC,59572098401,ROMIDEPSIN 10 MG IV SOLR,11516.0,11516.0,30.39,11516.0,119 NDC,59630026601,CEFIDEROCOL SULFATE TOSYLATE 1 G IV SOLR,791.0,791.0,2.28,791.0,119 NDC,59630026610,CEFIDEROCOL SULFATE TOSYLATE 1 G IV SOLR,791.0,791.0,2.28,791.0,119 NDC,59651048401,PREDNISONE 1 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,59651048501,PREDNISONE 2.5 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,59651048901,PREDNISONE 50 MG PO TABS,2.0,2.0,0.01,2.0,112 NDC,59676030200,EPOETIN ALFA 2000 UNIT/ML INJECTION SOLN,193.0,193.0,6.46,193.0,119 NDC,59676030201,EPOETIN ALFA 2000 UNIT/ML INJECTION SOLN,193.0,193.0,6.46,193.0,119 NDC,59676030300,EPOETIN ALFA 3000 UNIT/ML INJECTION SOLN,289.0,289.0,6.46,289.0,119 NDC,59676030301,EPOETIN ALFA 3000 UNIT/ML INJECTION SOLN,289.0,289.0,6.46,289.0,119 NDC,59676030400,EPOETIN ALFA 4000 UNIT/ML INJECTION SOLN,385.0,385.0,6.46,385.0,119 NDC,59676030401,EPOETIN ALFA 4000 UNIT/ML INJECTION SOLN,385.0,385.0,6.46,385.0,119 NDC,59676031000,EPOETIN ALFA 10000 UNIT/ML INJECTION SOLN,963.0,963.0,6.46,963.0,119 NDC,59676031001,EPOETIN ALFA 10000 UNIT/ML INJECTION SOLN,963.0,963.0,6.46,963.0,119 NDC,59676031002,EPOETIN ALFA 10000 UNIT/ML INJECTION SOLN,963.0,963.0,6.46,963.0,119 NDC,59676031200,EPOETIN ALFA 10000 UNIT/ML INJECTION SOLN,1925.0,1925.0,6.46,1925.0,119 NDC,59676032000,EPOETIN ALFA 20000 UNIT/ML INJECTION SOLN,1925.0,1925.0,6.46,1925.0,119 NDC,59676032004,EPOETIN ALFA 20000 UNIT/ML INJECTION SOLN,1925.0,1925.0,6.46,1925.0,119 NDC,59676034000,EPOETIN ALFA 40000 UNIT/ML INJECTION SOLN,3849.0,3849.0,6.46,3849.0,119 NDC,59676034001,EPOETIN ALFA 40000 UNIT/ML INJECTION SOLN,3849.0,3849.0,6.46,3849.0,119 NDC,59676061001,TRABECTEDIN 1 MG IV SOLR,12413.0,12413.0,362.75,12413.0,119 NDC,59676080030,DARUNCOBICEMTRICITTENOFAF 80015020010 MG PO TABS,567.0,567.0,76.55,567.0,111 NDC,597003510,SPESOLIMABSBZO 450 MG/7.5ML IV SOLN,187761.0,187761.0,61.43,187761.0,119 NDC,59746000103,METHYLPREDNISOLONE 4 MG PO TBPK,5.0,5.0,0.13,5.0,112 NDC,59746000106,METHYLPREDNISOLONE 4 MG PO TABS,5.0,5.0,0.13,5.0,112 NDC,59746000314,METHYLPREDNISOLONE 16 MG PO TABS,10.0,10.0,0.13,10.0,112 NDC,59746001504,METHYLPREDNISOLONE 32 MG PO TABS,14.0,14.0,0.13,14.0,112 NDC,59746011306,PROCHLORPERAZINE MALEATE 5 MG PO TABS,2.0,2.0,0.27,2.0,111 NDC,59746011506,PROCHLORPERAZINE MALEATE 10 MG PO TABS,3.0,3.0,0.35,3.0,111 NDC,59746017106,PREDNISONE 1 MG PO TABS,2.0,2.0,0.01,2.0,112 NDC,59746017110,PREDNISONE 1 MG PO TABS,2.0,2.0,0.01,2.0,112 NDC,59746017206,PREDNISONE 5 MG PO TABS,3.0,3.0,0.01,3.0,112 NDC,59746017210,PREDNISONE 5 MG PO TABS,2.0,2.0,0.01,2.0,112 NDC,59746017306,PREDNISONE 10 MG PO TABS,3.0,3.0,0.01,3.0,112 NDC,59746017310,PREDNISONE 10 MG PO TABS,3.0,3.0,0.01,3.0,112 NDC,59746017506,PREDNISONE 20 MG PO TABS,5.0,5.0,0.01,5.0,112 NDC,59746017509,PREDNISONE 20 MG PO TABS,5.0,5.0,0.01,5.0,112 NDC,59762005001,METHYLPREDNISOLONE 16 MG PO TABS,11.0,11.0,0.13,11.0,112 NDC,59762005101,METHYLPREDNISOLONE 32 MG PO TABS,16.0,16.0,0.13,16.0,112 NDC,59762100101,SIROLIMUS 0.5 MG PO TABS,26.0,26.0,0.96,26.0,112 NDC,59762100201,SIROLIMUS 1 MG PO TABS,51.0,51.0,0.96,51.0,112 NDC,59762120504,SIROLIMUS 1 MG/ML PO SOLN,5685.0,5685.0,0.96,5685.0,112 NDC,59762444003,METHYLPREDNISOLONE 4 MG PO TABS,5.0,5.0,0.13,5.0,112 NDC,59762503001,FLUCONAZOLE 40 MG/ML PO SUSR,377.0,377.0,2.39,377.0,112 NDC,59923060402,FLUDARABINE PHOSPHATE 50 MG IV SOLR (WRAPPER),9850.0,9850.0,71.65,9850.0,112 NDC,60219107601,AZATHIOPRINE 50 MG PO TABS,21.0,21.0,0.06,21.0,112 NDC,60219170801,PREDNISONE 20 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,60219204301,DEXAMETHASONE 4 MG PO TABS,4.0,4.0,0.01,4.0,112 NDC,60219205601,DEXAMETHASONE 2 MG PO TABS,2.0,2.0,0.01,2.0,112 NDC,603459321,METHYLPREDNISOLONE 4 MG PO TABS,5.0,5.0,0.13,5.0,112 NDC,603506121,PERPHENAZINE 4 MG PO TABS,5.0,5.0,0.48,5.0,111 NDC,603506221,PERPHENAZINE 8 MG PO TABS,6.0,6.0,0.48,6.0,111 NDC,603506321,PERPHENAZINE 16 MG PO TABS,8.0,8.0,0.48,8.0,111 NDC,603533521,PREDNISONE 1 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,603533621,PREDNISONE 2.5 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,603533721,PREDNISONE 5 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,603533732,PREDNISONE 5 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,603533821,PREDNISONE 10 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,603533832,PREDNISONE 10 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,603533921,PREDNISONE 20 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,603533928,PREDNISONE 20 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,603533932,PREDNISONE 20 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,60432021208,PREDNISOLONE 15 MG/5ML PO SOLN (WRAPPER),221.0,221.0,0.27,221.0,112 NDC,60432046608,DEXAMETHASONE 0.5 MG/5ML PO ELIX,189.0,189.0,0.01,189.0,112 NDC,6046102,APREPITANT 80 MG PO CAPS,788.0,788.0,2.72,788.0,112 NDC,6046401,APREPITANT 40 MG PO CAPS,425.0,425.0,2.72,425.0,112 NDC,60505296507,MYCOPHENOLATE SODIUM 180 MG PO TBEC,14.0,14.0,0.32,14.0,112 NDC,60505296607,MYCOPHENOLATE SODIUM 360 MG PO TBEC,28.0,28.0,0.32,28.0,112 NDC,60505463003,CYCLOSPORINE MODIFIED 25 MG PO CAPS,5.0,5.0,0.53,5.0,112 NDC,60505463203,CYCLOSPORINE MODIFIED 100 MG PO CAPS,17.0,17.0,1.81,17.0,112 NDC,60505605004,BORTEZOMIB 1 MG/ML IV SOLR (WRAPPER),5483.0,5483.0,1.59,5483.0,112 NDC,60505606800,PEMETREXED DISODIUM 750 MG IV SOLR,19264.0,19264.0,3.59,19264.0,119 NDC,60505611600,REGADENOSON 0.4 MG/5ML IV SOLN,901.0,901.0,2.68,901.0,112 NDC,60505612800,IRINOTECAN HCL 40 MG/2ML IV SOLN,53.0,53.0,1.4,53.0,112 NDC,60505612801,IRINOTECAN HCL 100 MG/5ML IV SOLN,109.0,109.0,1.4,109.0,112 NDC,60505613000,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,3.0,3.0,0.09,3.0,112 NDC,60505613005,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,3.0,3.0,0.09,3.0,112 NDC,60505613206,OXALIPLATIN 50 MG/10ML IV SOLN,180.0,180.0,0.05,180.0,112 NDC,60505613207,OXALIPLATIN 100 MG/20ML IV SOLN,360.0,360.0,0.05,360.0,112 NDC,60505614200,CEFAZOLIN SODIUM 1 G INJECTION SOLR,8.0,8.0,0.81,8.0,112 NDC,60505614205,CEFAZOLIN SODIUM 1 G INJECTION SOLR,8.0,8.0,0.81,8.0,112 NDC,60505614300,CEFAZOLIN SODIUM 10 G INJECTION SOLR,79.0,79.0,0.81,79.0,112 NDC,60505614400,CEFEPIME HCL 1 G INJECTION SOLR,62.0,62.0,0.87,62.0,112 NDC,60505614404,CEFEPIME HCL 1 G INJECTION SOLR,62.0,62.0,0.87,62.0,112 NDC,60505614500,CEFEPIME HCL 2 G IV SOLR,122.0,122.0,0.87,122.0,112 NDC,60505614504,CEFEPIME HCL 2 G IV SOLR,122.0,122.0,0.87,122.0,112 NDC,60505614600,CEFEPIME HCL 1 G INJECTION SOLR,62.0,62.0,0.87,62.0,112 NDC,60505614604,CEFEPIME HCL 1 G INJECTION SOLR,62.0,62.0,0.87,62.0,112 NDC,60505614700,CEFEPIME HCL 2 G IV SOLR,122.0,122.0,0.87,122.0,112 NDC,60505614704,CEFEPIME HCL 2 G IV SOLR,122.0,122.0,0.87,122.0,112 NDC,60505614800,CEFTRIAXONE SODIUM 1 G INJECTION SOLR,138.0,138.0,0.45,138.0,112 NDC,60505614804,CEFTRIAXONE SODIUM 1 G INJECTION SOLR,138.0,138.0,0.45,138.0,112 NDC,60505614900,CEFTRIAXONE SODIUM 2 G INJECTION SOLR,274.0,274.0,0.45,274.0,112 NDC,60505615005,CEFTRIAXONE SODIUM 10 G IV SOLR,1344.0,1344.0,0.45,1344.0,112 NDC,60505615101,CEFTRIAXONE SODIUM 250 MG INJECTION SOLR,45.0,45.0,0.45,45.0,112 NDC,60505615104,CEFTRIAXONE SODIUM 250 MG INJECTION SOLR,48.0,48.0,0.45,48.0,112 NDC,60505615201,CEFTRIAXONE SODIUM 500 MG INJECTION SOLR,81.0,81.0,0.45,81.0,112 NDC,60505615204,CEFTRIAXONE SODIUM 500 MG INJECTION SOLR,84.0,84.0,0.45,84.0,112 NDC,60505615600,PIPERACILLIN SODTAZOBACTAM SO 2.25 (20.25) G IV SO,35.0,35.0,1.09,35.0,112 NDC,60505615604,PIPERACILLIN SODTAZOBACTAM SO 2.25 (20.25) G IV SO,35.0,35.0,1.09,35.0,112 NDC,60505615900,PIPERACILLIN SODTAZOBACTAM SO 4.5 (40.5) G IV SOLR,66.0,66.0,1.09,66.0,112 NDC,60505615904,PIPERACILLIN SODTAZOBACTAM SO 4.5 (40.5) G IV SOLR,66.0,66.0,1.09,66.0,112 NDC,60505616600,CLOFARABINE 1 MG/ML IV SOLN,6840.0,6840.0,5.33,6840.0,119 NDC,60505617900,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLN,30.0,30.0,0.38,30.0,112 NDC,60505617905,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLN,30.0,30.0,0.38,30.0,112 NDC,60505619301,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,504.0,504.0,0.34,504.0,112 NDC,60505619600,ERTAPENEM SODIUM 1 G INJECTION SOLR,422.0,422.0,9.02,422.0,112 NDC,60505619604,ERTAPENEM SODIUM 1 G INJECTION SOLR,422.0,422.0,9.02,422.0,112 NDC,60505619702,SIROLIMUS 1 MG/ML PO SOLN,5685.0,5685.0,0.96,5685.0,112 NDC,60505622800,BENDAMUSTINE HCL 100 MG/4ML IV SOLN,11555.0,11555.0,15.22,11555.0,111 NDC,60505622904,DAPTOMYCIN 500 MG IV SOLR,1604.0,1604.0,0.03,1604.0,112 NDC,60505623004,PACLITAXEL PROTEINBOUND PART 100 MG IV SUSR,5404.0,5404.0,8.18,5404.0,119 NDC,60505623100,CEFAZOLIN SODIUM 2 G INJECTION SOLR,22.0,22.0,0.81,22.0,112 NDC,60505623105,CEFAZOLIN SODIUM 2 G INJECTION SOLR,22.0,22.0,0.81,22.0,112 NDC,60505623600,DEFEROXAMINE MESYLATE 500 MG INJECTION SOLR,47.0,47.0,6.35,47.0,112 NDC,60505623606,DEFEROXAMINE MESYLATE 500 MG INJECTION SOLR,47.0,47.0,6.35,47.0,112 NDC,60505623700,DEFEROXAMINE MESYLATE 2 G INJECTION SOLR,149.0,149.0,8.47,149.0,112 NDC,60505623706,DEFEROXAMINE MESYLATE 2 G INJECTION SOLR,149.0,149.0,8.47,149.0,112 NDC,60505623800,DEFEROXAMINE MESYLATE 500 MG INJECTION SOLR,47.0,47.0,6.35,47.0,112 NDC,60505625101,DEXAMETHASONE 1 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,60505627201,IRINOTECAN HCL 100 MG/5ML IV SOLN,109.0,109.0,1.4,109.0,112 NDC,60505627700,CISPLATIN 50 MG/50ML IV SOLN,108.0,108.0,1.95,108.0,112 NDC,60687012201,PREDNISONE 5 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,60687012211,PREDNISONE 5 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,60687013401,PREDNISONE 10 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,60687013411,PREDNISONE 10 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,60687014501,PREDNISONE 20 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,60687014511,PREDNISONE 20 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,60687025240,ONDANSETRON HCL 4 MG/5ML PO SOLN,50.0,50.0,0.01,50.0,112 NDC,60687037511,DRONABINOL 2.5 MG PO CAPS,26.0,26.0,1.35,26.0,112 NDC,60687037521,DRONABINOL 2.5 MG PO CAPS,26.0,26.0,1.35,26.0,112 NDC,60687039479,IPRATROPIUM BROMIDE 0.02 INHALATION SOLN,2.0,2.0,0.27,2.0,112 NDC,60687039483,IPRATROPIUM BROMIDE 0.02 INHALATION SOLN,2.0,2.0,0.27,2.0,112 NDC,60687039579,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,2.0,2.0,0.07,2.0,112 NDC,60687039583,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,2.0,2.0,0.07,2.0,112 NDC,60687040579,IPRATROPIUMALBUTEROL 0.52.5 (3) MG/3ML INHALATION,3.0,3.0,0.19,3.0,112 NDC,60687040583,IPRATROPIUMALBUTEROL 0.52.5 (3) MG/3ML INHALATION,3.0,3.0,0.19,3.0,112 NDC,60687041911,CHLORPROMAZINE HCL 10 MG PO TABS,16.0,16.0,0.33,16.0,111 NDC,60687043001,CHLORPROMAZINE HCL 25 MG PO TABS,22.0,22.0,0.33,22.0,111 NDC,60687043801,MYCOPHENOLATE MOFETIL 500 MG PO TABS,5.0,5.0,0.15,5.0,112 NDC,60687043811,MYCOPHENOLATE MOFETIL 500 MG PO TABS,5.0,5.0,0.15,5.0,112 NDC,60687046301,CHLORPROMAZINE HCL 200 MG PO TABS,19.0,19.0,0.33,19.0,111 NDC,60687046311,CHLORPROMAZINE HCL 200 MG PO TABS,19.0,19.0,0.33,19.0,111 NDC,60687049401,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,3.0,3.0,0.15,3.0,112 NDC,60687049411,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,3.0,3.0,0.15,3.0,112 NDC,60687052479,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,34.0,34.0,1.05,34.0,112 NDC,60687052483,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,34.0,34.0,1.05,34.0,112 NDC,60687066001,PROMETHAZINE HCL 12.5 MG PO TABS,2.0,2.0,0.09,2.0,111 NDC,60687066011,PROMETHAZINE HCL 12.5 MG PO TABS,2.0,2.0,0.09,2.0,111 NDC,60687071801,DEXAMETHASONE 4 MG PO TABS,4.0,4.0,0.01,4.0,112 NDC,60687071811,DEXAMETHASONE 4 MG PO TABS,4.0,4.0,0.01,4.0,112 NDC,60687072901,DEXAMETHASONE 6 MG PO TABS,6.0,6.0,0.01,6.0,112 NDC,60687072911,DEXAMETHASONE 6 MG PO TABS,6.0,6.0,0.01,6.0,112 NDC,60687073179,TOBRAMYCIN 300 MG/5ML INHALATION NEBU,65.0,65.0,8.78,65.0,112 NDC,60687073183,TOBRAMYCIN 300 MG/5ML INHALATION NEBU,65.0,65.0,8.78,65.0,112 NDC,60793060002,PENICILLIN G BENZATHINE PROC 1200000 UNIT/2ML IM,876.0,876.0,17.37,876.0,119 NDC,60793070001,PENICILLIN G BENZATHINE 600000 UNIT/ML IM SUSY,634.0,634.0,26.82,634.0,119 NDC,60793070010,PENICILLIN G BENZATHINE 600000 UNIT/ML IM SUSY,634.0,634.0,26.82,634.0,119 NDC,60793070102,PENICILLIN G BENZATHINE 1200000 UNIT/2ML IM SUSY,1098.0,1098.0,26.82,1098.0,119 NDC,60793070110,PENICILLIN G BENZATHINE 1200000 UNIT/2ML IM SUSY,1098.0,1098.0,26.82,1098.0,119 NDC,60793070204,PENICILLIN G BENZATHINE 2400000 UNIT/4ML IM SUSY,2250.0,2250.0,26.82,2250.0,119 NDC,60793070210,PENICILLIN G BENZATHINE 2400000 UNIT/4ML IM SUSY,2250.0,2250.0,26.82,2250.0,119 NDC,60809080101,PEGLOTICASE 8 MG/ML IV SOLN,66900.0,66900.0,3550.05,66900.0,119 NDC,60923022702,CASIMERSEN 100 MG/2ML IV SOLN,5760.0,5760.0,777.6,5760.0,113 NDC,60923028410,ETEPLIRSEN 500 MG/10ML IV SOLN,28800.0,28800.0,125.52,28800.0,119 NDC,60923036302,ETEPLIRSEN 100 MG/2ML IV SOLN,5760.0,5760.0,125.52,5760.0,119 NDC,60977014101,PRALIDOXIME CHLORIDE 1 G IV SOLR,1873.0,1873.0,86.35,1873.0,111 NDC,60977014127,PRALIDOXIME CHLORIDE 1 G IV SOLR,1873.0,1873.0,86.35,1873.0,111 NDC,61168010101,DEOXYCHOLIC ACID 20 MG/2ML SC SOLN,792.0,792.0,106.92,792.0,111 NDC,61168010104,DEOXYCHOLIC ACID 20 MG/2ML SC SOLN,792.0,792.0,106.92,792.0,111 NDC,61269041020,ETOPOSIDE PHOSPHATE 100 MG IV SOLR,614.0,614.0,0.98,614.0,112 NDC,61314031801,FILGRASTIMSNDZ 300 MCG/0.5ML INJECTION SOSY,988.0,988.0,0.35,988.0,119 NDC,61314031805,FILGRASTIMSNDZ 300 MCG/0.5ML INJECTION SOSY,988.0,988.0,0.35,988.0,119 NDC,61314031810,FILGRASTIMSNDZ 300 MCG/0.5ML INJECTION SOSY,988.0,988.0,0.35,988.0,119 NDC,61314032601,FILGRASTIMSNDZ 480 MCG/0.8ML INJECTION SOSY,1581.0,1581.0,0.35,1581.0,119 NDC,61314032605,FILGRASTIMSNDZ 480 MCG/0.8ML INJECTION SOSY,1581.0,1581.0,0.35,1581.0,119 NDC,61314032610,FILGRASTIMSNDZ 480 MCG/0.8ML INJECTION SOSY,1581.0,1581.0,0.35,1581.0,119 NDC,61314086601,PEGFILGRASTIMBMEZ 6 MG/0.6ML SC SOSY,14132.0,14132.0,24.71,14132.0,119 NDC,61332604458,CASIRIVIMAB IMDEVIMAB 1332 1332 MG/11.1ML INJE,1.0,1.0,0.02,1.0,111 NDC,61703026205,CARBOPLATIN 450 MG/45ML IV SOLN,170.0,170.0,2.11,170.0,112 NDC,61703030346,CYTARABINE (PF) 20 MG/ML INJECTION SOLN,102.0,102.0,0.79,102.0,112 NDC,61703030436,CYTARABINE 20 MG/ML INJECTION SOLN,58.0,58.0,0.79,58.0,112 NDC,61703030538,CYTARABINE (PF) 20 MG/ML INJECTION SOLN,23.0,23.0,0.79,23.0,112 NDC,61703030558,CYTARABINE (PF) 20 MG/ML INJECTION SOLN,23.0,23.0,0.79,23.0,112 NDC,61703030906,VINCRISTINE SULFATE 1 MG/ML IV SOLN,64.0,64.0,7.86,64.0,112 NDC,61703030916,VINCRISTINE SULFATE 1 MG/ML IV SOLN,56.0,56.0,7.56,56.0,112 NDC,61703030925,VINCRISTINE SULFATE 1 MG/ML IV SOLN,62.0,62.0,7.86,62.0,112 NDC,61703030926,VINCRISTINE SULFATE 1 MG/ML IV SOLN,56.0,56.0,7.56,56.0,112 NDC,61703031922,CYTARABINE (PF) 100 MG/ML INJECTION SOLN,74.0,74.0,0.79,74.0,112 NDC,61703032322,BLEOMYCIN SULFATE 30 UNITS INJECTION SOLR,338.0,338.0,20.9,338.0,112 NDC,61703032418,PAMIDRONATE DISODIUM 30 MG/10ML IV SOLN,51.0,51.0,6.89,51.0,112 NDC,61703032518,PAMIDRONATE DISODIUM 6 MG/ML IV SOLN,149.0,149.0,11.16,149.0,112 NDC,61703032618,PAMIDRONATE DISODIUM 90 MG/10ML IV SOLN,132.0,132.0,11.16,132.0,112 NDC,61703033218,BLEOMYCIN SULFATE 15 UNITS INJECTION SOLR,182.0,182.0,20.9,182.0,112 NDC,61703033918,CARBOPLATIN 50 MG/5ML IV SOLN,49.0,49.0,2.11,49.0,112 NDC,61703033922,CARBOPLATIN 150 MG/15ML IV SOLN,84.0,84.0,2.11,84.0,112 NDC,61703033950,CARBOPLATIN 450 MG/45ML IV SOLN,170.0,170.0,2.11,170.0,112 NDC,61703033956,CARBOPLATIN 600 MG/60ML IV SOLN,213.0,213.0,2.11,213.0,112 NDC,61703034222,PACLITAXEL 100 MG/16.7ML IV CONC,102.0,102.0,0.1,102.0,112 NDC,61703034250,PACLITAXEL 300 MG/50ML IV CONC,257.0,257.0,0.1,257.0,112 NDC,61703034318,MITOXANTRONE HCL 20 MG/10ML IV CONC,622.0,622.0,29.6,622.0,119 NDC,61703034365,MITOXANTRONE HCL 25 MG/12.5ML IV CONC,777.0,777.0,29.6,777.0,119 NDC,61703034366,MITOXANTRONE HCL 30 MG/15ML IV CONC,932.0,932.0,29.6,932.0,119 NDC,61703034909,IRINOTECAN HCL 100 MG/5ML IV SOLN,80.0,80.0,1.4,80.0,112 NDC,61703034916,IRINOTECAN HCL 40 MG/2ML IV SOLN,52.0,52.0,1.4,52.0,112 NDC,61703035009,METHOTREXATE SODIUM 50 MG/2ML INJECTION SOLN,27.0,27.0,2.26,27.0,112 NDC,61703035010,METHOTREXATE SODIUM 50 MG/2ML INJECTION SOLN,27.0,27.0,2.26,27.0,112 NDC,61703035037,METHOTREXATE SODIUM 50 MG/2ML INJECTION SOLN,27.0,27.0,2.26,27.0,112 NDC,61703035038,METHOTREXATE SODIUM 50 MG/2ML INJECTION SOLN,27.0,27.0,2.26,27.0,112 NDC,61703036318,OXALIPLATIN 50 MG/10ML IV SOLN,173.0,173.0,0.05,173.0,112 NDC,61703036322,OXALIPLATIN 100 MG/20ML IV SOLN,346.0,346.0,0.05,346.0,112 NDC,61703040841,METHOTREXATE SODIUM (PF) 1 GM/40ML INJECTION SOLN,133.0,133.0,2.26,133.0,112 NDC,61755000501,AFLIBERCEPT 2 MG/0.05ML INTRAVITREAL SOSY,6660.0,6660.0,763.9,6660.0,119 NDC,61755000502,AFLIBERCEPT 2 MG/0.05ML INTRAVITREAL SOLN,6660.0,6660.0,763.9,6660.0,119 NDC,61755000801,CEMIPLIMABRWLC 350 MG/7ML IV SOLN,37073.0,37073.0,28.21,37073.0,119 NDC,61755001001,EVINACUMABDGNB 1200 MG/8ML IV SOLN,151857.0,151857.0,186.31,151857.0,119 NDC,61755001301,EVINACUMABDGNB 345 MG/2.3ML IV SOLN,43659.0,43659.0,186.31,43659.0,119 NDC,61755005001,AFLIBERCEPT 8 MG/0.07ML INTRAVITREAL SOLN,9450.0,9450.0,306.98,9450.0,119 NDC,61953000400,FLEBOGAMMA DIF 20 GM/400ML IV SOLN,7624.0,7624.0,52.73,7624.0,112 NDC,61953000403,IMMUNE GLOBULIN (HUMAN) 5 GM/100ML IV SOLN,1906.0,1906.0,52.73,1906.0,112 NDC,61953000404,IMMUNE GLOBULIN (HUMAN) 10 GM/200ML IV SOLN,3812.0,3812.0,52.73,3812.0,112 NDC,61953000405,IMMUNE GLOBULIN (HUMAN) 20 GM/400ML IV SOLN,7624.0,7624.0,52.73,7624.0,112 NDC,61953000408,FLEBOGAMMA DIF 5 GM/100ML IV SOLN,1906.0,1906.0,52.73,1906.0,112 NDC,61953000409,FLEBOGAMMA DIF 10 GM/200ML IV SOLN,3812.0,3812.0,52.73,3812.0,112 NDC,61958070101,EMTRICITABINETENOFOVIR DF 200300 MG PO TABS,222.0,222.0,1.34,222.0,119 NDC,61958290101,REMDESIVIR 100 MG IV SOLR,1872.0,1872.0,6.35,1872.0,119 NDC,61958290102,REMDESIVIR 100 MG IV SOLR,2159.0,2159.0,6.35,2159.0,119 NDC,61958300201,LENACAPAVIR SODIUM 463.5 MG/1.5ML SC SOLN,70200.0,70200.0,21.98,70200.0,119 NDC,61990021301,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),155.0,155.0,0.01,155.0,108 NDC,61990041100,DIHYDROERGOTAMINE MESYLATE 1 MG/ML INJECTION SOLN,539.0,539.0,41.04,539.0,112 NDC,62064012201,IBALIZUMABUIYK 200 MG/1.33ML IV SOLN,7423.0,7423.0,77.13,7423.0,119 NDC,62135035105,ONDANSETRON HCL 8 MG PO TABS,124.0,124.0,0.01,124.0,112 NDC,62175038137,TACROLIMUS 1 MG PO CAPS,14.0,14.0,0.15,14.0,112 NDC,62225060000,PHENYLEPHRINEKETOROLAC 10.3 INTRAOCULAR SOLN,1700.0,1700.0,98.07,1700.0,112 NDC,62225060004,PHENYLEPHRINEKETOROLAC 10.3 INTRAOCULAR SOLN,1700.0,1700.0,98.07,1700.0,112 NDC,62332036506,CLONAZEPAM 0.25 MG PO TBDP,4.0,4.0,0.54,4.0,105 NDC,62332036606,CLONAZEPAM 0.5 MG PO TBDP,4.0,4.0,0.54,4.0,105 NDC,62332036706,CLONAZEPAM 1 MG PO TBDP,5.0,5.0,0.68,5.0,105 NDC,62332059901,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,7.0,7.0,0.33,7.0,112 NDC,62332059925,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,7.0,7.0,0.33,7.0,112 NDC,62332060001,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,7.0,7.0,0.33,7.0,112 NDC,62332060025,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,7.0,7.0,0.33,7.0,112 NDC,62332061831,CYCLOPHOSPHAMIDE 25 MG PO CAPS,27.0,27.0,0.84,27.0,112 NDC,62332061931,CYCLOPHOSPHAMIDE 50 MG PO CAPS,50.0,50.0,0.84,50.0,112 NDC,62332067808,DOCETAXEL 80 MG/8ML IV SOLN,4555.0,4555.0,0.38,4555.0,112 NDC,62332067816,DOCETAXEL 160 MG/16ML IV SOLN,9717.0,9717.0,0.38,9717.0,112 NDC,62332073631,CHLORPROMAZINE HCL 25 MG PO TABS,23.0,23.0,0.33,23.0,111 NDC,62332073731,CHLORPROMAZINE HCL 50 MG PO TABS,32.0,32.0,4.32,56.1,112 NDC,62332073831,CHLORPROMAZINE HCL 100 MG PO TABS,45.0,45.0,0.33,45.0,111 NDC,62332075150,FLUOROURACIL 2.5 GM/50ML IV SOLN,104.0,104.0,1.72,104.0,112 NDC,62756006040,EPOPROSTENOL SODIUM (FLOLAN) 1.5 MG IV SOLR,169.0,169.0,15.65,169.0,112 NDC,62756012940,PANTOPRAZOLE SODIUM 40 MG IV SOLR,255.0,255.0,1.93,255.0,111 NDC,62756012944,PANTOPRAZOLE SODIUM 40 MG IV SOLR,26.0,26.0,1.93,26.0,111 NDC,62756023301,AMPHOTERICIN B LIPOSOME 50 MG IV SUSR,918.0,918.0,20.72,918.0,119 NDC,62756024064,ONDANSETRON 4 MG PO TBDP,67.0,67.0,0.01,67.0,112 NDC,62756030101,PHENOBARBITAL SODIUM 100 MG IV SOLR,481.0,481.0,1.06,481.0,119 NDC,62756035664,ONDANSETRON 8 MG PO TBDP,110.0,110.0,0.01,110.0,112 NDC,62756051240,AZITHROMYCIN 500 MG IV SOLR,22.0,22.0,2.04,22.0,112 NDC,62756052926,DESMOPRESSIN ACETATE 4 MCG/ML INJECTION SOLN,695.0,695.0,3.41,695.0,112 NDC,62756052940,DESMOPRESSIN ACETATE 4 MCG/ML INJECTION SOLN,2140.0,2140.0,3.41,2140.0,112 NDC,62856021201,LECANEMABIRMB 200 MG/2ML IV SOLN,918.0,918.0,1.33,918.0,119 NDC,62856021501,LECANEMABIRMB 500 MG/5ML IV SOLN,2294.0,2294.0,1.33,2294.0,119 NDC,62856038901,ERIBULIN MESYLATE 1 MG/2ML IV SOLN,5076.0,5076.0,72.61,5076.0,119 NDC,62935022305,LEUPROLIDE ACETATE (3 MONTH) 22.5 MG SC KIT,4879.0,4879.0,155.42,4879.0,119 NDC,62935022710,LEUPROLIDE ACETATE (3 MONTH) 22.5 MG SC KIT,4879.0,4879.0,155.42,4879.0,119 NDC,62935030330,LEUPROLIDE ACETATE (4 MONTH) 30 MG SC KIT,6505.0,6505.0,155.42,6505.0,119 NDC,62935045345,LEUPROLIDE ACETATE (6 MONTH) 45 MG SC KIT,9757.0,9757.0,155.42,9757.0,119 NDC,62935075375,LEUPROLIDE ACETATE 7.5 MG SC KIT,1627.0,1627.0,155.42,1627.0,119 NDC,62935075680,LEUPROLIDE ACETATE 7.5 MG SC KIT,1627.0,1627.0,155.42,1627.0,119 NDC,63020004901,BORTEZOMIB 1 MG/ML IV SOLR (WRAPPER),5771.0,5771.0,1.59,5771.0,112 NDC,6302500,BEZLOTOXUMAB 1000 MG/40ML IV SOLN,13680.0,13680.0,39.82,13680.0,119 NDC,6302601,PEMBROLIZUMAB 100 MG/4ML IV SOLN,20408.0,20408.0,57.6,20408.0,119 NDC,6302602,PEMBROLIZUMAB 100 MG/4ML IV SOLN,20408.0,20408.0,57.6,20408.0,119 NDC,63037010005,FENTANYL CITRATENACL 10.9 MG/100ML IV SOLN,126.0,126.0,0.85,126.0,112 NDC,63037017325,PHENYLEPHRINE 100 MCG/ML BOLUS INJECTION 10ML (WRA,17.0,17.0,0.01,17.0,108 NDC,63037019025,FENTANYL CITRATE 100 MCG/2ML INJECTION SOSY,36.0,36.0,0.85,36.0,112 NDC,6306100,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR,1205.0,1205.0,0.11,1205.0,112 NDC,6306101,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR,1205.0,1205.0,0.11,1205.0,112 NDC,6307503,LETERMOVIR 240 MG PO TABS,941.0,941.0,127.04,941.0,113 NDC,6307504,LETERMOVIR 240 MG PO TABS,941.0,941.0,127.04,941.0,113 NDC,6307601,LETERMOVIR 480 MG PO TABS,941.0,941.0,127.04,941.0,113 NDC,6307602,LETERMOVIR 480 MG PO TABS,941.0,941.0,127.04,941.0,113 NDC,6307603,LETERMOVIR 480 MG PO TABS,941.0,941.0,127.04,941.0,113 NDC,6307604,LETERMOVIR 480 MG PO TABS,941.0,941.0,127.04,941.0,113 NDC,63304011401,CHLORPROMAZINE HCL 100 MG PO TABS,45.0,45.0,0.33,45.0,111 NDC,63304011410,CHLORPROMAZINE HCL 100 MG PO TABS,45.0,45.0,0.33,45.0,111 NDC,63304018501,CHLORPROMAZINE HCL 10 MG PO TABS,13.0,13.0,0.33,13.0,111 NDC,63304045830,ONDANSETRON HCL 4 MG PO TABS,75.0,75.0,0.01,75.0,112 NDC,63323001001,GENTAMICIN SULFATE 40 MG/ML INJECTION SOLN,17.0,17.0,2.17,17.0,112 NDC,63323001002,GENTAMICIN SULFATE 40 MG/ML INJECTION SOLN,17.0,17.0,2.17,17.0,112 NDC,63323001003,GENTAMICIN SULFATE 40 MG/ML INJECTION SOLN,120.0,120.0,2.17,120.0,112 NDC,63323001020,GENTAMICIN SULFATE 40 MG/ML INJECTION SOLN,120.0,120.0,2.17,120.0,112 NDC,63323001094,GENTAMICIN SULFATE 40 MG/ML INJECTION SOLN,4.0,4.0,0.54,4.91,112 NDC,63323001096,GENTAMICIN SULFATE 40 MG/ML INJECTION SOLN,66.0,66.0,2.17,66.0,112 NDC,63323001115,CHLORAMPHENICOL SOD SUCCINATE 1 G IV SOLR,176.0,176.0,23.76,176.0,119 NDC,63323001201,OXYTOCIN 10 UNIT/ML INJECTION SOLN,6.0,6.0,0.81,6.0,111 NDC,63323001202,OXYTOCIN 10 UNIT/ML INJECTION SOLN,195.0,195.0,0.86,195.0,111 NDC,63323001203,OXYTOCIN 10 UNIT/ML INJECTION SOLN,13.0,13.0,0.86,13.0,111 NDC,63323001206,OXYTOCIN 10 UNIT/ML INJECTION SOLN,37.0,37.0,0.86,37.0,111 NDC,63323001207,OXYTOCIN 10 UNIT/ML INJECTION SOLN,6.0,6.0,0.81,6.0,111 NDC,63323001210,OXYTOCIN 10 UNIT/ML INJECTION SOLN,37.0,37.0,0.86,37.0,111 NDC,63323001211,OXYTOCIN 10 UNIT/ML INJECTION SOLN,13.0,13.0,0.86,13.0,111 NDC,63323001217,OXYTOCIN 10 UNIT/ML INJECTION SOLN,6.0,6.0,0.81,6.0,111 NDC,63323001230,OXYTOCIN 10 UNIT/ML INJECTION SOLN,195.0,195.0,0.86,195.0,111 NDC,63323001301,THIAMINE HCL 100 MG/ML INJECTION SOLN,36.0,36.0,1.76,36.0,112 NDC,63323001302,THIAMINE HCL 100 MG/ML INJECTION SOLN,25.0,25.0,1.76,25.0,112 NDC,63323001309,THIAMINE HCL 100 MG/ML INJECTION SOLN,25.0,25.0,1.76,25.0,112 NDC,63323001321,THIAMINE HCL 100 MG/ML INJECTION SOLN,25.0,25.0,1.76,25.0,112 NDC,63323001326,THIAMINE HCL 100 MG/ML INJECTION SOLN,25.0,25.0,1.76,25.0,112 NDC,63323002401,MANNITOL 25 IV SOLN,22.0,22.0,2.24,22.0,111 NDC,63323002425,MANNITOL 25 IV SOLN,22.0,22.0,2.24,22.0,111 NDC,63323004400,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,25.0,25.0,0.64,25.0,112 NDC,63323004401,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,25.0,25.0,0.64,25.0,112 NDC,63323004710,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,63.0,63.0,0.18,63.0,112 NDC,63323006401,MAGNESIUM SULFATE 50 INJECTION SOLN,9.0,9.0,0.41,9.0,112 NDC,63323006403,MAGNESIUM SULFATE 50 INJECTION SOLN,9.0,9.0,0.41,9.0,112 NDC,63323006404,MAGNESIUM SULFATE 50 INJECTION SOLN,9.0,9.0,0.41,9.0,112 NDC,63323006411,MAGNESIUM SULFATE 50 INJECTION SOLN,9.0,9.0,0.41,9.0,112 NDC,63323006421,MAGNESIUM SULFATE 50 INJECTION SOLN,5.0,5.0,0.41,5.0,112 NDC,63323006423,MAGNESIUM SULFATE 50 INJECTION SOLN,5.0,5.0,0.41,5.0,112 NDC,63323009301,SODIUM CHLORIDE (CONCENTRATED) 4 MEQ/ML IV SOLN (I,25.0,25.0,3.38,25.0,111 NDC,63323009330,SODIUM CHLORIDE (CONCENTRATED) 4 MEQ/ML IV SOLN (I,25.0,25.0,3.38,25.0,111 NDC,63323010161,DOXORUBICIN HCL 2 MG/ML IV SOLN,480.0,480.0,2.72,480.0,112 NDC,63323010351,CISPLATIN 50 MG/50ML IV SOLN,75.0,75.0,1.95,75.0,112 NDC,63323010364,CISPLATIN 200 MG/200ML IV SOLN,297.0,297.0,1.95,297.0,112 NDC,63323010365,CISPLATIN 100 MG/100ML IV SOLN,149.0,149.0,1.95,149.0,112 NDC,63323010401,ETOPOSIDE 100 MG/5ML IV SOLN,45.0,45.0,0.98,45.0,112 NDC,63323010425,ETOPOSIDE 500 MG/25ML IV SOLN,224.0,224.0,0.98,224.0,112 NDC,63323010450,ETOPOSIDE 1 GM/50ML IV SOLN,448.0,448.0,0.98,448.0,112 NDC,63323010600,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,29.0,29.0,0.41,29.0,112 NDC,63323010601,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,29.0,29.0,0.41,29.0,112 NDC,63323010602,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,47.0,47.0,0.41,47.0,112 NDC,63323010605,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,47.0,47.0,0.41,47.0,112 NDC,63323010615,MAGNESIUM SULFATE 20 GM/500ML IV SOLN,23.0,23.0,0.41,23.0,112 NDC,63323010626,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,36.0,36.0,0.41,36.0,112 NDC,63323010800,MAGNESIUM SULFATE IN D5W 15 GM/100ML IV SOLN,30.0,30.0,0.41,30.0,112 NDC,63323010801,MAGNESIUM SULFATE IN D5W 15 GM/100ML IV SOLN,30.0,30.0,0.41,30.0,112 NDC,63323011301,PENTAMIDINE ISETHIONATE 300 MG INJECTION SOLR,601.0,601.0,81.14,601.0,111 NDC,63323011310,PENTAMIDINE ISETHIONATE 300 MG INJECTION SOLR,601.0,601.0,81.14,601.0,111 NDC,63323011700,FLUOROURACIL 500 MG/10ML IV SOLN,13.0,13.0,1.72,13.0,112 NDC,63323011701,FLUOROURACIL 1 GM/20ML IV SOLN,25.0,25.0,1.72,25.0,112 NDC,63323011710,FLUOROURACIL 500 MG/10ML IV SOLN,13.0,13.0,1.72,13.0,112 NDC,63323011720,FLUOROURACIL 1 GM/20ML IV SOLN,25.0,25.0,1.72,25.0,112 NDC,63323011728,FLUOROURACIL 1 GM/20ML IV SOLN,22.0,22.0,1.72,22.0,112 NDC,63323011731,FLUOROURACIL 500 MG/10ML IV SOLN,10.0,10.0,1.35,10.0,112 NDC,63323011751,FLUOROURACIL 2.5 GM/50ML IV SOLN,53.0,53.0,1.72,53.0,112 NDC,63323011761,FLUOROURACIL 5 GM/100ML IV SOLN,106.0,106.0,1.72,106.0,112 NDC,63323011801,HEPARIN SODIUM (PORCINE) PF 5000 UNIT/0.5ML INJECT,12.0,12.0,0.18,12.0,112 NDC,63323011805,HEPARIN SODIUM (PORCINE) PF 5000 UNIT/0.5ML INJECT,12.0,12.0,0.18,12.0,112 NDC,63323012020,CYTARABINE (PF) 100 MG/ML INJECTION SOLN,76.0,76.0,0.79,76.0,112 NDC,63323012250,METHOTREXATE SODIUM 1 G INJECTION SOLR,229.0,229.0,2.26,229.0,112 NDC,63323012310,METHOTREXATE SODIUM 250 MG/10ML INJECTION SOLN,121.0,121.0,2.26,121.0,112 NDC,63323012553,GEMCITABINE HCL 1 G IV SOLR,177.0,177.0,2.87,177.0,112 NDC,63323012710,DACARBAZINE 100 MG IV SOLR,45.0,45.0,3.82,45.0,112 NDC,63323012800,DACARBAZINE 200 MG IV SOLR,44.0,44.0,3.82,44.0,112 NDC,63323012820,DACARBAZINE 200 MG IV SOLR,44.0,44.0,3.82,44.0,112 NDC,63323013002,DOXYCYCLINE HYCLATE 100 MG IV SOLR,76.0,76.0,10.26,76.0,111 NDC,63323013003,DOXYCYCLINE HYCLATE 100 MG IV SOLR,76.0,76.0,10.26,76.0,111 NDC,63323013011,DOXYCYCLINE HYCLATE 100 MG IV SOLR,76.0,76.0,10.26,76.0,111 NDC,63323013013,DOXYCYCLINE HYCLATE 100 MG IV SOLR,76.0,76.0,10.26,76.0,111 NDC,63323013017,DOXYCYCLINE HYCLATE 100 MG IV SOLR,76.0,76.0,10.26,76.0,111 NDC,63323013210,MITOXANTRONE HCL 20 MG/10ML IV CONC,1468.0,1468.0,29.6,1468.0,119 NDC,63323013610,BLEOMYCIN SULFATE 15 UNITS INJECTION SOLR,125.0,125.0,16.88,125.0,112 NDC,63323013720,BLEOMYCIN SULFATE 30 UNITS INJECTION SOLR,275.0,275.0,20.9,275.0,112 NDC,63323014010,CLADRIBINE 10 MG/10ML IV SOLN,1566.0,1566.0,7.42,1566.0,119 NDC,63323014210,IFOSFAMIDE 1 G IV SOLR,209.0,209.0,23.5,209.0,112 NDC,63323014212,IFOSFAMIDE 1 G IV SOLR,127.0,127.0,17.14,127.0,112 NDC,63323016100,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,14.0,14.0,0.33,14.0,112 NDC,63323016101,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,14.0,14.0,0.33,14.0,112 NDC,63323016112,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,3.0,3.0,0.33,3.0,112 NDC,63323016116,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,14.0,14.0,0.33,14.0,112 NDC,63323016121,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,3.0,3.0,0.33,3.0,112 NDC,63323016200,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,21.0,21.0,0.33,21.0,112 NDC,63323016201,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,21.0,21.0,0.33,21.0,112 NDC,63323016202,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN,30.0,30.0,0.33,30.0,112 NDC,63323016203,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN,30.0,30.0,0.33,30.0,112 NDC,63323016212,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,3.0,3.0,0.33,3.0,112 NDC,63323016214,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN,4.0,4.0,0.33,4.0,112 NDC,63323016216,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,18.0,18.0,0.33,18.0,112 NDC,63323016223,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,3.0,3.0,0.33,3.0,112 NDC,63323016225,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN,4.0,4.0,0.33,4.0,112 NDC,63323016226,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN,4.0,4.0,0.33,4.0,112 NDC,63323016243,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,3.0,3.0,0.33,3.0,112 NDC,63323016245,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN,4.0,4.0,0.33,4.0,112 NDC,63323016501,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION S,11.0,11.0,0.11,11.0,112 NDC,63323016502,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION S,11.0,11.0,0.11,11.0,112 NDC,63323016503,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML INJECTION,25.0,25.0,0.11,25.0,112 NDC,63323016505,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML INJECTION,25.0,25.0,0.11,25.0,112 NDC,63323016516,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION S,8.0,8.0,0.11,8.0,112 NDC,63323016526,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML INJECTION,21.0,21.0,0.11,21.0,112 NDC,63323016530,DEXAMETHASONE SODIUM PHOSPHATE 120 MG/30ML INJECTI,147.0,147.0,0.11,147.0,112 NDC,63323017260,CARBOPLATIN 600 MG/60ML IV SOLN,389.0,389.0,2.11,389.0,112 NDC,63323017301,GENTAMICIN SULFATE 10 MG/ML INJECTION SOLN (FOR IM,23.0,23.0,2.17,23.0,112 NDC,63323017302,GENTAMICIN SULFATE 10 MG/ML INJECTION SOLN,23.0,23.0,2.17,23.0,112 NDC,63323017394,GENTAMICIN SULFATE 10 MG/ML INJECTION SOLN,8.0,8.0,1.08,8.0,112 NDC,63323017395,GENTAMICIN SULFATE 10 MG/ML INJECTION SOLN,7.0,7.0,0.95,7.0,112 NDC,63323018000,PYRIDOXINE HCL 100 MG/ML INJECTION SOLN,79.0,79.0,7.7,79.0,112 NDC,63323018001,PYRIDOXINE HCL 100 MG/ML INJECTION SOLN,79.0,79.0,7.7,79.0,112 NDC,63323018504,STERILE WATER FOR INJECTION SOLN,11.0,11.0,0.71,11.0,111 NDC,63323018505,STERILE WATER FOR INJECTION SOLN,11.0,11.0,0.71,11.0,111 NDC,63323018507,STERILE WATER FOR INJECTION SOLN,16.0,16.0,0.71,16.0,111 NDC,63323018508,STERILE WATER FOR INJECTION SOLN,21.0,21.0,0.71,21.0,111 NDC,63323018509,STERILE WATER FOR INJECTION SOLN,27.0,27.0,0.71,27.0,111 NDC,63323018510,STERILE WATER FOR INJECTION SOLN,16.0,16.0,0.71,16.0,111 NDC,63323018520,STERILE WATER FOR INJECTION SOLN,21.0,21.0,0.71,21.0,111 NDC,63323019202,FLUDARABINE PHOSPHATE 50 MG/2ML IV SOLN,979.0,979.0,71.65,979.0,112 NDC,63323019352,IRINOTECAN HCL 40 MG/2ML IV SOLN,58.0,58.0,1.4,58.0,112 NDC,63323019355,IRINOTECAN HCL 100 MG/5ML IV SOLN,123.0,123.0,1.4,123.0,112 NDC,63323020102,LIDOCAINE HCL 1 INJECTION SOLN,10.0,10.0,0.01,10.0,111 NDC,63323020103,LIDOCAINE HCL 1 INJECTION SOLN,9.0,9.0,0.01,9.0,111 NDC,63323020110,LIDOCAINE HCL 1 INJECTION SOLN,9.0,9.0,0.01,9.0,111 NDC,63323020201,LIDOCAINE HCL 2 INJECTION SOLN,10.0,10.0,1.35,10.0,111 NDC,63323020202,LIDOCAINE HCL 2 INJECTION SOLN,10.0,10.0,1.35,10.0,111 NDC,63323020301,VANCOMYCIN HCL 750 MG IV SOLR,1.0,1.0,0.14,1.0,111 NDC,63323020320,VANCOMYCIN HCL 750 MG IV SOLR,34.0,34.0,1.86,34.0,111 NDC,63323020801,LIDOCAINE HCL (CARDIAC) PF 100 MG/5ML IV SOLN,13.0,13.0,1.76,13.0,111 NDC,63323020805,LIDOCAINE HCL (CARDIAC) PF 100 MG/5ML IV SOLN,13.0,13.0,1.76,13.0,111 NDC,63323022901,PROTAMINE SULFATE 10 MG/ML IV SOLN,56.0,56.0,1.14,56.0,112 NDC,63323022905,PROTAMINE SULFATE 10 MG/ML IV SOLN,56.0,56.0,1.14,56.0,112 NDC,63323022915,PROTAMINE SULFATE 10 MG/ML IV SOLN,41.0,41.0,1.14,41.0,112 NDC,63323022921,PROTAMINE SULFATE 10 MG/ML IV SOLN,41.0,41.0,1.14,41.0,112 NDC,63323022930,PROTAMINE SULFATE 10 MG/ML IV SOLN,191.0,191.0,1.14,191.0,112 NDC,63323022935,PROTAMINE SULFATE 10 MG/ML IV SOLN,119.0,119.0,1.14,119.0,112 NDC,63323022941,PROTAMINE SULFATE 10 MG/ML IV SOLN,33.0,33.0,1.14,33.0,112 NDC,63323022994,PROTAMINE SULFATE 10 MG/ML IV SOLN,33.0,33.0,1.14,33.0,112 NDC,63323023610,CEFAZOLIN SODIUM 500 MG INJECTION SOLR,10.0,10.0,0.81,10.0,112 NDC,63323023710,CEFAZOLIN SODIUM 1 G INJECTION SOLR,7.0,7.0,0.81,7.0,112 NDC,63323023861,CEFAZOLIN SODIUM 10 G INJECTION SOLR,46.0,46.0,0.81,46.0,112 NDC,63323025503,METHYLPREDNISOLONE SODIUM SUCC 40 MG INJECTION SOL,22.0,22.0,0.26,22.0,112 NDC,63323025803,METHYLPREDNISOLONE SODIUM SUCC 125 MG INJECTION SO,42.0,42.0,0.26,42.0,112 NDC,63323026001,MEPIVACAINE HCL (PF) 1 INJECTION SOLN,36.0,36.0,3.55,36.0,112 NDC,63323026037,MEPIVACAINE HCL (PF) 1 INJECTION SOLN,36.0,36.0,3.55,36.0,112 NDC,63323026110,PROGESTERONE 50 MG/ML IM OIL,108.0,108.0,0.63,108.0,112 NDC,63323026201,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,16.0,16.0,0.18,16.0,112 NDC,63323026203,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,15.0,15.0,0.18,15.0,112 NDC,63323026206,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,15.0,15.0,0.18,15.0,112 NDC,63323026209,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,4.0,4.0,0.18,4.0,112 NDC,63323026211,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,4.0,4.0,0.18,4.0,112 NDC,63323026226,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,4.0,4.0,0.18,4.0,112 NDC,63323026530,METHYLPREDNISOLONE SODIUM SUCC 1000 MG INJECTION S,124.0,124.0,0.26,124.0,112 NDC,63323026910,PROPOFOL 100 MG/10ML IV EMUL,11.0,11.0,0.08,11.0,112 NDC,63323026922,PROPOFOL 200 MG/20ML IV EMUL,22.0,22.0,0.08,22.0,112 NDC,63323026925,PROPOFOL 200 MG/20ML IV EMUL,9.0,9.0,0.08,9.0,112 NDC,63323026929,PROPOFOL 200 MG/20ML IV EMUL,22.0,22.0,0.08,22.0,112 NDC,63323026937,PROPOFOL 200 MG/20ML IV EMUL,9.0,9.0,0.08,9.0,112 NDC,63323026950,PROPOFOL 500 MG/50ML IV EMUL,54.0,54.0,0.08,54.0,112 NDC,63323026957,PROPOFOL 500 MG/50ML IV EMUL,22.0,22.0,0.08,22.0,112 NDC,63323026959,PROPOFOL 500 MG/50ML IV EMUL,57.0,57.0,0.08,57.0,112 NDC,63323026965,PROPOFOL 1000 MG/100ML IV EMUL,108.0,108.0,0.08,108.0,112 NDC,63323026967,PROPOFOL 1000 MG/100ML IV EMUL,44.0,44.0,0.08,44.0,112 NDC,63323026969,PROPOFOL 1000 MG/100ML IV EMUL,113.0,113.0,0.08,113.0,112 NDC,63323027205,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLN,558.0,558.0,6.2,558.0,112 NDC,63323027301,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOLN,184.0,184.0,24.84,184.0,111 NDC,63323027601,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,50.0,50.0,0.18,50.0,112 NDC,63323027602,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,50.0,50.0,0.18,50.0,112 NDC,63323027810,VINBLASTINE SULFATE 1 MG/ML IV SOLN,194.0,194.0,4.83,194.0,112 NDC,63323028001,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),8.0,8.0,0.39,8.0,111 NDC,63323028002,FUROSEMIDE 10 MG/ML INJECTION SOLN,8.0,8.0,0.39,8.0,111 NDC,63323028003,FUROSEMIDE 10 MG/ML INJECTION SOLN,11.0,11.0,0.39,11.0,111 NDC,63323028004,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),11.0,11.0,0.39,11.0,111 NDC,63323028005,FUROSEMIDE 10 MG/ML INJECTION SOLN,12.0,12.0,0.39,12.0,111 NDC,63323028010,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),12.0,12.0,0.39,12.0,111 NDC,63323028016,FUROSEMIDE 10 MG/ML INJECTION SOLN,17.0,17.0,0.39,17.0,111 NDC,63323028026,FUROSEMIDE 10 MG/ML INJECTION SOLN,4.0,4.0,0.39,4.0,111 NDC,63323028110,FLUPHENAZINE HCL 2.5 MG/ML INJECTION SOLN,692.0,692.0,7.39,692.0,112 NDC,63323028420,VANCOMYCIN HCL 1 G IV SOLR,57.0,57.0,1.86,57.0,111 NDC,63323028426,VANCOMYCIN HCL 1 G IV SOLR,93.0,93.0,1.86,93.0,111 NDC,63323028501,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,18.0,18.0,0.05,18.0,112 NDC,63323028502,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,140.0,140.0,0.05,140.0,112 NDC,63323028503,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,20.0,20.0,0.05,20.0,112 NDC,63323028504,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,279.0,279.0,0.05,279.0,112 NDC,63323028506,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,35.0,35.0,0.05,35.0,112 NDC,63323028507,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,40.0,40.0,0.05,40.0,112 NDC,63323028510,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,18.0,18.0,0.05,18.0,112 NDC,63323028513,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,20.0,20.0,0.05,20.0,112 NDC,63323028520,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,35.0,35.0,0.05,35.0,112 NDC,63323028523,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,40.0,40.0,0.05,40.0,112 NDC,63323028551,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,147.0,147.0,0.05,147.0,112 NDC,63323028555,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,112.0,112.0,0.05,112.0,112 NDC,63323028561,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,140.0,140.0,0.05,140.0,112 NDC,63323028563,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,279.0,279.0,0.05,279.0,112 NDC,63323028564,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,293.0,293.0,0.05,293.0,112 NDC,63323028565,ROPIVACAINE 0.2 100ML,147.0,147.0,0.05,147.0,112 NDC,63323028567,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,112.0,112.0,0.05,112.0,112 NDC,63323028568,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,139.0,139.0,0.05,139.0,112 NDC,63323028605,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,60.0,60.0,0.05,60.0,112 NDC,63323028611,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,82.0,82.0,0.05,82.0,112 NDC,63323028623,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,60.0,60.0,0.05,60.0,112 NDC,63323028631,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,79.0,79.0,0.05,79.0,112 NDC,63323028635,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,82.0,82.0,0.05,82.0,112 NDC,63323028638,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,76.0,76.0,0.05,76.0,112 NDC,63323028693,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,19.0,19.0,0.05,19.0,112 NDC,63323028695,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,19.0,19.0,0.05,19.0,112 NDC,63323028820,ROPIVACAINE HCL 10 MG/ML INJECTION SOLN,82.0,82.0,0.05,82.0,112 NDC,63323028821,ROPIVACAINE HCL 10 MG/ML INJECTION SOLN,82.0,82.0,0.05,82.0,112 NDC,63323029301,MEPIVACAINE HCL (PF) 1.5 INJECTION SOLN,48.0,48.0,3.55,48.0,112 NDC,63323029337,MEPIVACAINE HCL (PF) 1.5 INJECTION SOLN,48.0,48.0,3.55,48.0,112 NDC,63323029401,MEPIVACAINE HCL (PF) 2 INJECTION SOLN,39.0,39.0,3.55,39.0,112 NDC,63323029427,MEPIVACAINE HCL (PF) 2 INJECTION SOLN,39.0,39.0,3.55,39.0,112 NDC,63323029561,VANCOMYCIN HCL 5 G IV SOLR,285.0,285.0,1.86,285.0,111 NDC,63323029566,VANCOMYCIN HCL 5 G IV SOLR,255.0,255.0,1.86,255.0,111 NDC,63323029657,MEPIVACAINE HCL 2 INJECTION SOLN,51.0,51.0,3.55,51.0,112 NDC,63323030301,TOBRAMYCIN SULFATE 1.2 G INJECTION SOLR,301.0,301.0,1.97,301.0,112 NDC,63323030321,TOBRAMYCIN SULFATE 1.2 G INJECTION SOLR,280.0,280.0,1.97,280.0,112 NDC,63323030351,TOBRAMYCIN SULFATE 1.2 G INJECTION SOLR,301.0,301.0,1.97,301.0,112 NDC,63323030355,TOBRAMYCIN SULFATE 1.2 G INJECTION SOLR,280.0,280.0,1.97,280.0,112 NDC,63323030474,PIPERACILLIN SODTAZOBACTAM SO 40.5 (364.5) G IV SO,529.0,529.0,1.09,529.0,112 NDC,63323030601,TOBRAMYCIN SULFATE 80 MG/2ML INJECTION SOLN,13.0,13.0,1.76,13.0,112 NDC,63323030602,TOBRAMYCIN SULFATE 80 MG/2ML INJECTION SOLN,13.0,13.0,1.76,13.0,112 NDC,63323030630,TOBRAMYCIN SULFATE 1.2 GM/30ML INJECTION SOLN,80.0,80.0,1.97,80.0,112 NDC,63323030751,TOBRAMYCIN SULFATE 2 GM/50ML INJECTION SOLN,189.0,189.0,1.97,189.0,112 NDC,63323030863,FLUCONAZOLE (DIFLUCAN) IVPB 600 MG/300 ML NSS,252.0,252.0,2.39,252.0,112 NDC,63323031461,VANCOMYCIN HCL 10 G IV SOLR,780.0,780.0,1.86,780.0,111 NDC,63323031466,VANCOMYCIN HCL 10 G IV SOLR,149.0,149.0,1.86,149.0,111 NDC,63323031468,VANCOMYCIN HCL 10 G IV SOLR,765.0,765.0,1.86,765.0,111 NDC,63323031501,GANCICLOVIR SODIUM 500 MG IV SOLR,351.0,351.0,28.74,351.0,112 NDC,63323031510,GANCICLOVIR SODIUM 500 MG IV SOLR,351.0,351.0,28.74,351.0,112 NDC,63323031594,GANCICLOVIR SODIUM 500 MG IV SOLR,351.0,351.0,28.74,351.0,112 NDC,63323031801,GRANISETRON HCL 1 MG/ML IV SOLN,72.0,72.0,0.15,72.0,112 NDC,63323032201,IMIPENEMCILASTATIN 500 MG IV SOLR,108.0,108.0,6.97,108.0,112 NDC,63323032221,IMIPENEMCILASTATIN 500 MG IV SOLR,45.0,45.0,6.08,45.0,112 NDC,63323032225,IMIPENEMCILASTATIN 500 MG IV SOLR,108.0,108.0,6.97,108.0,112 NDC,63323032293,IMIPENEMCILASTATIN 500 MG IV SOLR,45.0,45.0,6.08,45.0,112 NDC,63323032503,ACYCLOVIR SODIUM 50 MG/ML IV SOLN,68.0,68.0,0.03,68.0,112 NDC,63323032509,ACYCLOVIR SODIUM 50 MG/ML IV SOLN,126.0,126.0,0.03,126.0,112 NDC,63323032510,ACYCLOVIR SODIUM 50 MG/ML IV SOLN,68.0,68.0,0.03,68.0,112 NDC,63323032514,ACYCLOVIR SODIUM 50 MG/ML IV SOLN,116.0,116.0,0.03,116.0,112 NDC,63323032520,ACYCLOVIR SODIUM 50 MG/ML IV SOLN,126.0,126.0,0.03,126.0,112 NDC,63323032620,CEFEPIME HCL 1 G INJECTION SOLR,23.0,23.0,0.87,23.0,112 NDC,63323032621,CEFEPIME HCL 1 G INJECTION SOLR,23.0,23.0,0.87,23.0,112 NDC,63323034020,CEFEPIME HCL 2 G IV SOLR,40.0,40.0,0.87,40.0,112 NDC,63323034021,CEFEPIME HCL 2 G IV SOLR,40.0,40.0,0.87,40.0,112 NDC,63323034125,CEFOXITIN SODIUM 1 G IV SOLR,23.0,23.0,3.11,23.0,112 NDC,63323034225,CEFOXITIN SODIUM 2 G IV SOLR,46.0,46.0,4.45,46.0,112 NDC,63323034229,CEFOXITIN SODIUM 2 G IV SOLR,24.0,24.0,3.24,24.0,112 NDC,63323034610,CEFTRIAXONE SODIUM 1 G INJECTION SOLR,15.0,15.0,0.45,15.0,112 NDC,63323034901,IMIPENEMCILASTATIN 250 MG IV SOLR,54.0,54.0,6.97,54.0,112 NDC,63323034925,IMIPENEMCILASTATIN 250 MG IV SOLR,54.0,54.0,6.97,54.0,112 NDC,63323034993,IMIPENEMCILASTATIN 250 MG IV SOLR,24.0,24.0,3.24,24.0,112 NDC,63323035560,LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN,47.0,47.0,1.89,47.0,112 NDC,63323035565,LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN,45.0,45.0,1.89,45.0,112 NDC,63323035601,CASPOFUNGIN ACETATE 50 MG IV SOLR,1214.0,1214.0,2.27,1214.0,112 NDC,63323035610,CASPOFUNGIN ACETATE 50 MG IV SOLR,1214.0,1214.0,2.27,1214.0,112 NDC,63323035801,CASPOFUNGIN ACETATE 70 MG IV SOLR,1260.0,1260.0,2.27,1260.0,112 NDC,63323035810,CASPOFUNGIN ACETATE 70 MG IV SOLR,1260.0,1260.0,2.27,1260.0,112 NDC,63323036001,CALCIUM GLUCONATE 10 IV SOLN,37.0,37.0,0.03,37.0,112 NDC,63323036003,CALCIUM GLUCONATE 10 IV SOLN,98.0,98.0,0.03,98.0,112 NDC,63323036019,CALCIUM GLUCONATE 10 IV SOLN,37.0,37.0,0.03,37.0,112 NDC,63323036059,CALCIUM GLUCONATE 10 IV SOLN,98.0,98.0,0.03,98.0,112 NDC,63323036061,CALCIUM GLUCONATE 10 IV SOLN,195.0,195.0,0.03,195.0,112 NDC,63323037110,DAPTOMYCIN 500 MG IV SOLR,1604.0,1604.0,0.03,1604.0,112 NDC,63323037302,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,9.0,9.0,0.09,9.0,112 NDC,63323037600,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLN,36.0,36.0,0.61,36.0,112 NDC,63323037601,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLN,36.0,36.0,0.61,36.0,112 NDC,63323037604,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLN,13.0,13.0,0.61,13.0,112 NDC,63323037700,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLN,179.0,179.0,0.61,179.0,112 NDC,63323037701,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLN,179.0,179.0,0.61,179.0,112 NDC,63323037805,OCTREOTIDE ACETATE 200 MCG/ML INJECTION SOLN,358.0,358.0,0.61,358.0,112 NDC,63323039306,COLISTIMETHATE SODIUM (CBA) 150 MG INJECTION SOLR,101.0,101.0,11.39,101.0,112 NDC,63323039801,AZITHROMYCIN 500 MG IV SOLR,27.0,27.0,2.04,27.0,112 NDC,63323039810,AZITHROMYCIN 500 MG IV SOLR,27.0,27.0,2.04,27.0,112 NDC,63323039812,AZITHROMYCIN 500 MG IV SOLR,11.0,11.0,1.49,11.0,112 NDC,63323040001,LEVETIRACETAM 500 MG/5ML IV SOLN,29.0,29.0,0.04,29.0,112 NDC,63323040005,LEVETIRACETAM 500 MG/5ML IV SOLN,29.0,29.0,0.04,29.0,112 NDC,63323040041,LEVETIRACETAM 500 MG/5ML IV SOLN,7.0,7.0,0.04,7.0,112 NDC,63323040044,LEVETIRACETAM 500 MG/5ML IV SOLN,7.0,7.0,0.04,7.0,112 NDC,63323040101,AZTREONAM 1 G INJECTION SOLR,130.0,130.0,2.07,130.0,112 NDC,63323040120,AZTREONAM 1 G INJECTION SOLR,130.0,130.0,2.07,130.0,112 NDC,63323040121,AZTREONAM 1 G INJECTION SOLR,99.0,99.0,2.07,99.0,112 NDC,63323040124,AZTREONAM 1 G INJECTION SOLR,99.0,99.0,2.07,99.0,112 NDC,63323040126,AZTREONAM 1 G INJECTION SOLR,99.0,99.0,2.07,99.0,112 NDC,63323040201,AZTREONAM 2 G INJECTION SOLR,264.0,264.0,2.07,264.0,112 NDC,63323040203,AZTREONAM 2 G INJECTION SOLR,197.0,197.0,2.07,197.0,112 NDC,63323040220,AZTREONAM 2 G INJECTION SOLR,264.0,264.0,2.07,264.0,112 NDC,63323040224,AZTREONAM 2 G INJECTION SOLR,242.0,242.0,2.07,242.0,112 NDC,63323040230,AZTREONAM 2 G INJECTION SOLR,197.0,197.0,2.07,197.0,112 NDC,63323040241,AZTREONAM 2 G INJECTION SOLR,197.0,197.0,2.07,197.0,112 NDC,63323040301,FOSPHENYTOIN SODIUM 100 MG PE/2ML INJECTION SOLN,18.0,18.0,1.01,18.0,119 NDC,63323040302,FOSPHENYTOIN SODIUM 100 MG PE/2ML INJECTION SOLN,18.0,18.0,1.01,18.0,119 NDC,63323040304,FOSPHENYTOIN SODIUM 500 MG PE/10ML INJECTION SOLN,81.0,81.0,1.01,81.0,119 NDC,63323040310,FOSPHENYTOIN SODIUM 500 MG PE/10ML INJECTION SOLN,81.0,81.0,1.01,81.0,119 NDC,63323040703,CAFFEINE CITRATE 60 MG/3ML IV SOLN,113.0,113.0,1.02,113.0,111 NDC,63323040704,CAFFEINE CITRATE 60 MG/3ML IV SOLN,30.0,30.0,1.02,30.0,111 NDC,63323041112,MIDAZOLAM HCL 2 MG/2ML INJECTION SOLN,5.0,5.0,0.13,5.0,112 NDC,63323041115,MIDAZOLAM HCL 2 MG/2ML INJECTION SOLN,5.0,5.0,0.13,5.0,112 NDC,63323041118,MIDAZOLAM HCL 5 MG/5ML INJECTION SOLN,12.0,12.0,0.13,12.0,112 NDC,63323041125,MIDAZOLAM HCL 5 MG/5ML INJECTION SOLN,12.0,12.0,0.13,12.0,112 NDC,63323041202,MIDAZOLAM HCL 10 MG/2ML INJECTION SOLN,24.0,24.0,0.13,24.0,112 NDC,63323041501,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,101.0,101.0,0.71,101.0,111 NDC,63323041510,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,101.0,101.0,0.71,101.0,111 NDC,63323043441,ACETAMINOPHEN 10 MG/ML IV SOLN,35.0,35.0,0.04,35.0,112 NDC,63323045100,MORPHINE SULFATE (PF) 10 MG/ML IV SOLN (WRAPPER),11.0,11.0,1.49,19.43,112 NDC,63323045101,MORPHINE SULFATE (PF) 10 MG/ML IV SOLN (WRAPPER),11.0,11.0,1.49,19.43,112 NDC,63323045200,MORPHINE SULFATE (PF) 2 MG/ML INJECTION SOLN,11.0,11.0,1.49,19.43,112 NDC,63323045201,MORPHINE SULFATE (PF) 2 MG/ML INJECTION SOLN,11.0,11.0,1.49,19.43,112 NDC,63323045400,MORPHINE SULFATE (PF) 4 MG/ML INJECTION SOLN,11.0,11.0,1.49,19.43,112 NDC,63323045401,MORPHINE SULFATE (PF) 4 MG/ML INJECTION SOLN,11.0,11.0,1.49,19.43,112 NDC,63323046401,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,24.0,24.0,0.01,24.0,112 NDC,63323046402,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,28.0,28.0,0.01,28.0,112 NDC,63323046417,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,24.0,24.0,0.01,24.0,112 NDC,63323046431,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,25.0,25.0,0.01,25.0,112 NDC,63323046437,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,28.0,28.0,0.01,28.0,112 NDC,63323046501,BUPIVACAINE HCL 0.25 INJECTION SOLN,42.0,42.0,0.01,42.0,112 NDC,63323046557,BUPIVACAINE HCL 0.25 INJECTION SOLN,42.0,42.0,0.01,42.0,112 NDC,63323046601,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,27.0,27.0,0.01,27.0,112 NDC,63323046603,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,19.0,19.0,0.01,19.0,112 NDC,63323046617,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,19.0,19.0,0.01,19.0,112 NDC,63323046637,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,27.0,27.0,0.01,27.0,112 NDC,63323046701,BUPIVACAINE HCL 0.5 INJECTION SOLN,47.0,47.0,0.01,47.0,112 NDC,63323046757,BUPIVACAINE HCL 0.5 INJECTION SOLN,47.0,47.0,0.01,47.0,112 NDC,63323046901,HALOPERIDOL DECANOATE 50 MG/ML IM SOLN,102.0,102.0,3.94,102.0,112 NDC,63323047101,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN,186.0,186.0,3.94,186.0,112 NDC,63323047201,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,28.0,28.0,0.01,28.0,112 NDC,63323047203,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,20.0,20.0,0.01,20.0,112 NDC,63323047217,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,20.0,20.0,0.01,20.0,112 NDC,63323047237,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,28.0,28.0,0.01,28.0,112 NDC,63323047400,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLN,22.0,22.0,0.73,22.0,112 NDC,63323047401,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLN,22.0,22.0,0.73,22.0,112 NDC,63323047410,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLN,207.0,207.0,0.73,207.0,112 NDC,63323047501,CHLOROPROCAINE HCL 1 INJECTION SOLN,65.0,65.0,0.03,65.0,112 NDC,63323047537,CHLOROPROCAINE HCL 1 INJECTION SOLN,65.0,65.0,0.03,65.0,112 NDC,63323047701,CHLOROPROCAINE HCL (PF) 2 INJECTION SOLN,77.0,77.0,0.03,77.0,112 NDC,63323047727,CHLOROPROCAINE HCL (PF) 2 INJECTION SOLN,77.0,77.0,0.03,77.0,112 NDC,63323047801,CHLOROPROCAINE HCL (PF) 3 INJECTION SOLN,81.0,81.0,0.03,81.0,112 NDC,63323047827,CHLOROPROCAINE HCL (PF) 3 INJECTION SOLN,81.0,81.0,0.03,81.0,112 NDC,63323048101,LIDOCAINEEPINEPHRINE 0.5 1 200000 INJECTION SOLN,26.0,26.0,0.01,26.0,111 NDC,63323048157,LIDOCAINEEPINEPHRINE 0.5 1 200000 INJECTION SOLN,26.0,26.0,0.01,26.0,111 NDC,63323048201,LIDOCAINEEPINEPHRINE 1 1 100000 INJECTION SOLN,13.0,13.0,0.01,13.0,111 NDC,63323048203,LIDOCAINEEPINEPHRINE 1 1 100000 INJECTION SOLN,18.0,18.0,0.01,18.0,111 NDC,63323048205,LIDOCAINEEPINEPHRINE 1 1 100000 INJECTION SOLN,42.0,42.0,0.01,42.0,111 NDC,63323048217,LIDOCAINEEPINEPHRINE 1 1 100000 INJECTION SOLN,13.0,13.0,0.01,13.0,111 NDC,63323048226,LIDOCAINEEPINEPHRINE 1 1 100000 INJECTION SOLN,14.0,14.0,0.01,14.0,111 NDC,63323048227,LIDOCAINEEPINEPHRINE 1 1 100000 INJECTION SOLN,18.0,18.0,0.01,18.0,111 NDC,63323048257,LIDOCAINEEPINEPHRINE 1 1 100000 INJECTION SOLN,42.0,42.0,0.01,42.0,111 NDC,63323048301,LIDOCAINEEPINEPHRINE 2 1 100000 INJECTION SOLN,34.0,34.0,0.01,34.0,111 NDC,63323048303,LIDOCAINEEPINEPHRINE 2 1 100000 INJECTION SOLN,18.0,18.0,0.01,18.0,111 NDC,63323048327,LIDOCAINEEPINEPHRINE 2 1 100000 INJECTION SOLN,18.0,18.0,0.01,18.0,111 NDC,63323048357,LIDOCAINEEPINEPHRINE 2 1 100000 INJECTION SOLN,34.0,34.0,0.01,34.0,111 NDC,63323048457,LIDOCAINE HCL 0.5 INJECTION SOLN,20.0,20.0,0.01,20.0,111 NDC,63323048501,LIDOCAINE HCL 1 INJECTION SOLN,13.0,13.0,0.01,13.0,111 NDC,63323048503,LIDOCAINE HCL 1 INJECTION SOLN,21.0,21.0,0.01,21.0,111 NDC,63323048526,LIDOCAINE HCL 1 INJECTION SOLN,6.0,6.0,0.01,6.0,111 NDC,63323048527,LIDOCAINE HCL 1 INJECTION SOLN,13.0,13.0,0.01,13.0,111 NDC,63323048557,LIDOCAINE HCL 1 INJECTION SOLN,21.0,21.0,0.01,21.0,111 NDC,63323048601,LIDOCAINE HCL 2 INJECTION SOLN,13.0,13.0,1.76,13.0,111 NDC,63323048602,LIDOCAINE HCL 2 INJECTION SOLN,14.0,14.0,1.89,14.0,111 NDC,63323048605,LIDOCAINE HCL 2 INJECTION SOLN,26.0,26.0,3.51,26.0,111 NDC,63323048617,LIDOCAINE HCL 2 INJECTION SOLN,13.0,13.0,1.76,13.0,111 NDC,63323048626,LIDOCAINE HCL 2 INJECTION SOLN,7.0,7.0,0.95,7.0,111 NDC,63323048627,LIDOCAINE HCL 2 INJECTION SOLN,14.0,14.0,1.89,14.0,111 NDC,63323048657,LIDOCAINE HCL 2 INJECTION SOLN,26.0,26.0,3.51,26.0,111 NDC,63323048707,LIDOCAINEEPINEPHRINE (PF) 1 1 200000 INJECTION SO,49.0,49.0,0.01,49.0,111 NDC,63323048717,LIDOCAINEEPINEPHRINE (PF) 1 1 200000 INJECTION SO,35.0,35.0,0.01,35.0,111 NDC,63323048737,LIDOCAINEEPINEPHRINE (PF) 1 1 200000 INJECTION SO,49.0,49.0,0.01,49.0,111 NDC,63323048807,LIDOCAINEEPINEPHRINE (PF) 1.5 1 200000 INJECTION,65.0,65.0,0.01,65.0,111 NDC,63323048831,LIDOCAINEEPINEPHRINE (PF) 1.5 1 200000 INJECTION,42.0,42.0,0.01,42.0,111 NDC,63323048837,LIDOCAINEEPINEPHRINE (PF) 1.5 1 200000 INJECTION,65.0,65.0,0.01,65.0,111 NDC,63323048889,LIDOCAINEEPINEPHRINE (PF) 1.5 1 200000 INJECTION,9.0,9.0,0.01,9.0,111 NDC,63323048901,LIDOCAINEEPINEPHRINE (PF) 2 1 200000 INJECTION SO,37.0,37.0,0.01,37.0,111 NDC,63323048902,LIDOCAINEEPINEPHRINE (PF) 2 1 200000 INJECTION SO,75.0,75.0,0.01,75.0,111 NDC,63323048917,LIDOCAINEEPINEPHRINE (PF) 2 1 200000 INJECTION SO,37.0,37.0,0.01,37.0,111 NDC,63323048927,LIDOCAINEEPINEPHRINE (PF) 2 1 200000 INJECTION SO,75.0,75.0,0.01,75.0,111 NDC,63323049157,LIDOCAINE HCL (PF) 0.5 INJECTION SOLN,53.0,53.0,7.16,53.0,111 NDC,63323049203,LIDOCAINE HCL (PF) 1 INJECTION SOLN,35.0,35.0,0.01,35.0,111 NDC,63323049204,LIDOCAINE HCL (PF) 1 INJECTION SOLN,9.0,9.0,0.01,9.0,111 NDC,63323049204,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),9.0,9.0,1.22,9.0,111 NDC,63323049207,LIDOCAINE HCL (PF) 1 INJECTION SOLN,43.0,43.0,0.01,43.0,111 NDC,63323049208,LIDOCAINE HCL (PF) 1 INJECTION SOLN,22.0,22.0,0.01,22.0,111 NDC,63323049209,LIDOCAINE HCL (PF) 1 INJECTION SOLN,15.0,15.0,0.01,15.0,111 NDC,63323049226,LIDOCAINE HCL (PF) 1 INJECTION SOLN,10.0,10.0,0.01,10.0,111 NDC,63323049226,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),10.0,10.0,1.35,10.0,111 NDC,63323049227,LIDOCAINE HCL (PF) 1 INJECTION SOLN,9.0,9.0,0.01,9.0,111 NDC,63323049227,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),9.0,9.0,1.22,9.0,111 NDC,63323049237,LIDOCAINE HCL (PF) 1 INJECTION SOLN,43.0,43.0,0.01,43.0,111 NDC,63323049237,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),43.0,43.0,5.81,43.0,111 NDC,63323049241,LIDOCAINE HCL (PF) 1 INJECTION SOLN,4.0,4.0,0.01,4.0,111 NDC,63323049257,LIDOCAINE HCL (PF) 1 INJECTION SOLN,15.0,15.0,0.01,15.0,111 NDC,63323049257,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),15.0,15.0,2.03,15.0,111 NDC,63323049297,LIDOCAINE HCL (PF) 1 INJECTION SOLN,22.0,22.0,0.01,22.0,111 NDC,63323049301,LIDOCAINE HCL (PF) 1.5 INJECTION SOLN,50.0,50.0,0.01,50.0,111 NDC,63323049391,LIDOCAINE HCL (PF) 1.5 INJECTION SOLN,50.0,50.0,0.01,50.0,111 NDC,63323049397,LIDOCAINE HCL (PF) 1.5 INJECTION SOLN,28.0,28.0,0.01,28.0,111 NDC,63323049504,LIDOCAINE HCL (PF) 2 INJECTION SOLN,13.0,13.0,0.01,13.0,111 NDC,63323049507,LIDOCAINE HCL (PF) 2 INJECTION SOLN (WRAPPER),13.0,13.0,0.01,13.0,111 NDC,63323049509,LIDOCAINE HCL (PF) 2 INJECTION SOLN,11.0,11.0,0.01,11.0,111 NDC,63323049526,LIDOCAINE HCL (PF) 2 INJECTION SOLN (WRAPPER),6.0,6.0,0.01,6.0,111 NDC,63323049527,LIDOCAINE HCL (PF) 2 INJECTION SOLN,11.0,11.0,0.01,11.0,111 NDC,63323049603,LIDOCAINE HCL (PF) 2 INJECTION SOLN (WRAPPER),25.0,25.0,0.01,25.0,111 NDC,63323049697,LIDOCAINE HCL (PF) 2 INJECTION SOLN (WRAPPER),25.0,25.0,0.01,25.0,111 NDC,63323050601,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML INJECTION,27.0,27.0,0.11,27.0,112 NDC,63323050616,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML INJECTION,19.0,19.0,0.11,19.0,112 NDC,63323050641,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML INJECTION,7.0,7.0,0.11,7.0,112 NDC,63323050701,MEROPENEM 500 MG IV SOLR,11.0,11.0,0.38,11.0,112 NDC,63323050719,MEROPENEM 500 MG IV SOLR,11.0,11.0,0.38,11.0,112 NDC,63323050720,MEROPENEM 500 MG IV SOLR,11.0,11.0,0.38,11.0,112 NDC,63323050721,MEROPENEM 500 MG IV SOLR,11.0,11.0,0.38,11.0,112 NDC,63323050725,MEROPENEM 500 MG IV SOLR,53.0,53.0,0.38,53.0,112 NDC,63323050801,MEROPENEM 1 G IV SOLR,22.0,22.0,0.38,22.0,112 NDC,63323050821,MEROPENEM 1 G IV SOLR,22.0,22.0,0.38,22.0,112 NDC,63323050830,MEROPENEM 1 G IV SOLR,22.0,22.0,0.38,22.0,112 NDC,63323050831,MEROPENEM 1 G IV SOLR,22.0,22.0,0.38,22.0,112 NDC,63323051610,DEXAMETHASONE SODIUM PHOSPHATE 100 MG/10ML INJECTI,56.0,56.0,0.11,56.0,112 NDC,63323051701,HEPARIN (PORCINE) IN NACL 1000.45 UNIT/ML INJECTI,36.0,36.0,0.18,36.0,112 NDC,63323051774,HEPARIN (PORCINE) IN NACL 1000.45 UNIT/ML INJECTI,36.0,36.0,0.18,36.0,112 NDC,63323051877,HEPARIN (PORCINE) IN NACL 250000.45 UT/500ML IV S,26.0,26.0,0.18,26.0,112 NDC,63323051901,HEPARIN (PORCINE) IN NACL 20000.9 UNIT/L IV SOLN,30.0,30.0,0.18,30.0,112 NDC,63323051902,HEPARIN (PORCINE) IN NACL 10000.9 UT/500ML IV SOL,18.0,18.0,0.18,18.0,112 NDC,63323051910,HEPARIN (PORCINE) IN NACL 20000.9 UNIT/L IV SOLN,30.0,30.0,0.18,30.0,112 NDC,63323052301,HEPARIN SOD (PORCINE) IN D5W 100 UNIT/ML IV SOLN,36.0,36.0,0.18,36.0,112 NDC,63323052374,HEPARIN SOD (PORCINE) IN D5W 100 UNIT/ML IV SOLN,36.0,36.0,0.18,36.0,112 NDC,63323052603,ARGATROBAN 250 MG/2.5ML IV SOLN,1163.0,1163.0,0.61,1163.0,119 NDC,63323053101,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,58.0,58.0,0.53,58.0,112 NDC,63323053108,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,29.0,29.0,0.53,29.0,112 NDC,63323053190,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,58.0,58.0,0.53,58.0,112 NDC,63323053198,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,29.0,29.0,0.53,29.0,112 NDC,63323053301,ENOXAPARIN SODIUM 30 MG/0.3ML INJECTION SOSY,22.0,22.0,0.53,22.0,112 NDC,63323053313,ENOXAPARIN SODIUM 30 MG/0.3ML INJECTION SOSY,11.0,11.0,0.53,11.0,112 NDC,63323053383,ENOXAPARIN SODIUM 30 MG/0.3ML INJECTION SOSY,22.0,22.0,0.53,22.0,112 NDC,63323053393,ENOXAPARIN SODIUM 30 MG/0.3ML INJECTION SOSY,11.0,11.0,0.53,11.0,112 NDC,63323053501,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,29.0,29.0,0.53,29.0,112 NDC,63323053508,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,15.0,15.0,0.53,15.0,112 NDC,63323053598,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,15.0,15.0,0.53,15.0,112 NDC,63323053701,ENOXAPARIN SODIUM 150 MG/ML INJECTION SOSY,108.0,108.0,0.53,108.0,112 NDC,63323053784,ENOXAPARIN SODIUM 150 MG/ML INJECTION SOSY,108.0,108.0,0.53,108.0,112 NDC,63323054001,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,15.0,15.0,0.18,15.0,112 NDC,63323054005,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,27.0,27.0,0.18,27.0,112 NDC,63323054007,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,8.0,8.0,0.18,8.0,112 NDC,63323054011,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,28.0,28.0,0.18,28.0,112 NDC,63323054015,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,27.0,27.0,0.18,27.0,112 NDC,63323054031,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,26.0,26.0,0.18,26.0,112 NDC,63323054033,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,26.0,26.0,0.18,26.0,112 NDC,63323054036,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,26.0,26.0,0.18,26.0,112 NDC,63323054201,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,28.0,28.0,0.18,28.0,112 NDC,63323054204,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,93.0,93.0,0.18,93.0,112 NDC,63323054209,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,28.0,28.0,0.18,28.0,112 NDC,63323054213,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,28.0,28.0,0.18,28.0,112 NDC,63323054214,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,93.0,93.0,0.18,93.0,112 NDC,63323054302,HEPARIN SODIUM (PORCINE) PF 5000 UNIT/0.5ML INJECT,21.0,21.0,0.18,21.0,112 NDC,63323054303,HEPARIN SODIUM (PORCINE) PF 5000 UNIT/0.5ML INJECT,21.0,21.0,0.18,21.0,112 NDC,63323054501,HEPARIN SOD (PORK) LOCK FLUSH 100 UNIT/ML IV SOLN,6.0,6.0,0.02,6.0,112 NDC,63323055921,ENOXAPARIN SODIUM 30 MG/0.3ML INJECTION SOSY,10.0,10.0,0.53,10.0,112 NDC,63323055963,ENOXAPARIN SODIUM 30 MG/0.3ML INJECTION SOSY,10.0,10.0,0.53,10.0,112 NDC,63323055965,ENOXAPARIN SODIUM 30 MG/0.3ML INJECTION SOSY,10.0,10.0,0.53,10.0,112 NDC,63323055993,ENOXAPARIN SODIUM 30 MG/0.3ML INJECTION SOSY,10.0,10.0,0.53,10.0,112 NDC,63323056210,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,522.0,522.0,0.16,522.0,112 NDC,63323056241,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,216.0,216.0,0.16,216.0,112 NDC,63323056421,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,14.0,14.0,0.53,14.0,112 NDC,63323056463,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,14.0,14.0,0.53,14.0,112 NDC,63323056465,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,14.0,14.0,0.53,14.0,112 NDC,63323056497,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,14.0,14.0,0.53,14.0,112 NDC,63323056621,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,20.0,20.0,0.53,20.0,112 NDC,63323056663,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,20.0,20.0,0.53,20.0,112 NDC,63323056665,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,20.0,20.0,0.53,20.0,112 NDC,63323056698,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,20.0,20.0,0.53,20.0,112 NDC,63323057270,CLOFARABINE 1 MG/ML IV SOLN,10566.0,10566.0,5.33,10566.0,119 NDC,63323057803,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),29.0,29.0,0.55,29.0,112 NDC,63323057804,GLYCOPYRROLATE 0.4 MG/2ML INJECTION SOLN,41.0,41.0,0.55,41.0,112 NDC,63323057805,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),108.0,108.0,0.55,108.0,112 NDC,63323057807,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),108.0,108.0,0.55,108.0,112 NDC,63323057901,SINCALIDE 5 MCG INJECTION SOLR,447.0,447.0,60.35,447.0,112 NDC,63323057905,SINCALIDE 5 MCG INJECTION SOLR,447.0,447.0,60.35,447.0,112 NDC,63323058003,ATROPINE SULFATE 8 MG/20ML INJECTION SOLN,252.0,252.0,0.07,252.0,112 NDC,63323058020,ATROPINE SULFATE 8 MG/20ML INJECTION SOLN,252.0,252.0,0.07,252.0,112 NDC,63323058282,GLUCAGON HCL (RDNA) 1 MG INJECTION SOLR (WRAPPER),1008.0,1008.0,111.91,1008.0,119 NDC,63323058421,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,27.0,27.0,0.53,27.0,112 NDC,63323058463,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,27.0,27.0,0.53,27.0,112 NDC,63323058465,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,27.0,27.0,0.53,27.0,112 NDC,63323058499,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,27.0,27.0,0.53,27.0,112 NDC,63323058621,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,34.0,34.0,0.53,34.0,112 NDC,63323058663,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,34.0,34.0,0.53,34.0,112 NDC,63323058665,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,34.0,34.0,0.53,34.0,112 NDC,63323058696,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,34.0,34.0,0.53,34.0,112 NDC,63323058921,ENOXAPARIN SODIUM 150 MG/ML INJECTION SOSY,51.0,51.0,0.53,51.0,112 NDC,63323058994,ENOXAPARIN SODIUM 150 MG/ML INJECTION SOSY,51.0,51.0,0.53,51.0,112 NDC,63323059303,GLUCAGON HCL (DIAGNOSTIC) 1 MG INJECTION SOLR,910.0,910.0,111.91,910.0,119 NDC,63323059403,GLUCAGON HCL (RDNA) 1 MG INJECTION SOLR (WRAPPER),584.0,584.0,78.84,584.0,119 NDC,63323059603,GLUCAGON HCL (DIAGNOSTIC) 1 MG INJECTION SOLR,910.0,910.0,111.91,910.0,119 NDC,63323059606,GLUCAGON HCL (RDNA) 1 MG INJECTION SOLR (WRAPPER),584.0,584.0,78.84,584.0,119 NDC,63323059608,GLUCAGON HCL (RDNA) 1 MG INJECTION SOLR (WRAPPER),584.0,584.0,78.84,584.0,119 NDC,63323059613,GLUCAGON HCL (RDNA) 1 MG INJECTION SOLR (WRAPPER),798.0,798.0,107.73,798.0,119 NDC,63323059616,GLUCAGON HCL (RDNA) 1 MG INJECTION SOLR (WRAPPER),584.0,584.0,78.84,584.0,119 NDC,63323059710,DEFEROXAMINE MESYLATE 500 MG INJECTION SOLR,47.0,47.0,6.35,47.0,112 NDC,63323059930,DEFEROXAMINE MESYLATE 2 G INJECTION SOLR,149.0,149.0,8.47,149.0,112 NDC,63323060400,PROPRANOLOL HCL 1 MG/ML IV SOLN,42.0,42.0,5.67,42.0,111 NDC,63323060401,PROPRANOLOL HCL 1 MG/ML IV SOLN,42.0,42.0,5.67,42.0,111 NDC,63323060501,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,72.0,72.0,0.53,72.0,112 NDC,63323060584,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,72.0,72.0,0.53,72.0,112 NDC,63323060701,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,43.0,43.0,0.53,43.0,112 NDC,63323060788,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,43.0,43.0,0.53,43.0,112 NDC,63323060901,ENOXAPARIN SODIUM 120 MG/0.8ML INJECTION SOSY,86.0,86.0,0.53,86.0,112 NDC,63323061400,HYDRALAZINE HCL 20 MG/ML INJECTION SOLN,52.0,52.0,4.08,52.0,112 NDC,63323061401,HYDRALAZINE HCL 20 MG/ML INJECTION SOLN,52.0,52.0,4.08,52.0,112 NDC,63323061416,HYDRALAZINE HCL 20 MG/ML INJECTION SOLN,44.0,44.0,4.08,44.0,112 NDC,63323061421,HYDRALAZINE HCL 20 MG/ML INJECTION SOLN,13.0,13.0,1.76,13.0,112 NDC,63323061455,HYDRALAZINE HCL 20 MG/ML INJECTION SOLN,13.0,13.0,1.76,13.0,112 NDC,63323061601,AMIODARONE HCL 150 MG/3ML IV SOLN,8.0,8.0,0.39,8.0,112 NDC,63323061602,AMIODARONE HCL 450 MG/9ML IV SOLN,20.0,20.0,0.39,20.0,112 NDC,63323061603,AMIODARONE IV VIAL (CNR WRAPPER),8.0,8.0,0.39,8.0,112 NDC,63323061609,AMIODARONE HCL 450 MG/9ML IV SOLN,20.0,20.0,0.39,20.0,112 NDC,63323061720,MILRINONE LACTATE 20 MG/20ML IV SOLN,62.0,62.0,1.31,62.0,112 NDC,63323062403,DEXTROSE 5 IV SOLN,15.0,15.0,2.03,15.0,112 NDC,63323062410,DEXTROSE 5 IV SOLN,15.0,15.0,2.03,15.0,112 NDC,63323063110,LEUCOVORIN CALCIUM 100 MG/10ML INJECTION SOLN,87.0,87.0,3.84,87.0,112 NDC,63323063150,LEUCOVORIN CALCIUM 500 MG/50ML INJECTION SOLN,426.0,426.0,3.84,426.0,112 NDC,63323063703,ARSENIC TRIOXIDE 10 MG/10ML IV SOLN,2139.0,2139.0,4.68,2139.0,112 NDC,63323063710,ARSENIC TRIOXIDE 10 MG/10ML IV SOLN,2139.0,2139.0,4.68,2139.0,112 NDC,63323064201,MAGNESIUM SULFATE 50 INJECTION SOLN,33.0,33.0,0.41,33.0,112 NDC,63323064220,MAGNESIUM SULFATE 50 INJECTION SOLN,33.0,33.0,0.41,33.0,112 NDC,63323064710,LEVOTHYROXINE SODIUM 200 MCG IV SOLR,761.0,761.0,5.39,761.0,112 NDC,63323064810,LEVOTHYROXINE SODIUM 500 MCG IV SOLR,1901.0,1901.0,5.39,1901.0,112 NDC,63323064907,LEVOTHYROXINE SODIUM 100 MCG IV SOLR,381.0,381.0,5.39,381.0,112 NDC,63323064916,LEVOTHYROXINE SODIUM 100 MCG IV SOLR,381.0,381.0,5.39,381.0,112 NDC,63323065100,ADENOSINE 6 MG/2ML IV SOLN,40.0,40.0,0.32,40.0,112 NDC,63323065102,ADENOSINE 6 MG/2ML IV SOLN,40.0,40.0,0.32,40.0,112 NDC,63323065120,ADENOSINE 3 MG/ML IV SOLN (CATH LAB INFUSION),464.0,464.0,0.32,464.0,112 NDC,63323065121,ADENOSINE 6 MG/2ML IV SOLN,58.0,58.0,0.32,58.0,112 NDC,63323065130,ADENOSINE (DIAGNOSTIC) 3 MG/ML IV SOLN,699.0,699.0,0.32,699.0,112 NDC,63323065189,ADENOSINE 6 MG/2ML IV SOLN,58.0,58.0,0.32,58.0,112 NDC,63323065210,ESMOLOL HCL 100 MG/10ML IV SOLN,57.0,57.0,0.21,57.0,112 NDC,63323065521,ENOXAPARIN SODIUM 120 MG/0.8ML INJECTION SOSY,40.0,40.0,0.53,40.0,112 NDC,63323065599,ENOXAPARIN SODIUM 120 MG/0.8ML INJECTION SOSY,40.0,40.0,0.53,40.0,112 NDC,63323065820,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR,1072.0,1072.0,40.38,1072.0,112 NDC,63323065827,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR,176.0,176.0,23.76,176.0,112 NDC,63323065894,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR,141.0,141.0,19.04,141.0,112 NDC,63323066400,DIPHENHYDRAMINE HCL 50 MG/ML INJECTION SOLN,11.0,11.0,0.71,11.0,112 NDC,63323066401,DIPHENHYDRAMINE HCL 50 MG/ML INJECTION SOLN,11.0,11.0,0.71,11.0,112 NDC,63323066416,DIPHENHYDRAMINE HCL 50 MG/ML INJECTION SOLN,10.0,10.0,0.71,10.0,112 NDC,63323066501,TERBUTALINE SULFATE 1 MG/ML INJECTION SOLN,71.0,71.0,2.14,71.0,112 NDC,63323067305,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,144.0,144.0,0.34,144.0,112 NDC,63323067321,PALONOSETRON HCL 0.25 MG/5ML IV SOSY,180.0,180.0,0.34,180.0,112 NDC,63323067389,PALONOSETRON HCL 0.25 MG/5ML IV SOSY,180.0,180.0,0.34,180.0,112 NDC,63323068801,POTASSIUM CHLORIDE IN NACL 400.9 MEQ/L IV SOLN,21.0,21.0,0.1,21.0,112 NDC,63323068810,POTASSIUM CHLORIDE IN NACL 400.9 MEQ/L IV SOLN,21.0,21.0,0.1,21.0,112 NDC,63323069030,ACETYLCYSTEINE 20 INHALATION SOLN,94.0,94.0,8.15,94.0,112 NDC,63323069210,ACETYLCYSTEINE 20 INHALATION SOLN,55.0,55.0,7.43,55.0,112 NDC,63323069404,ACETYLCYSTEINE 20 INHALATION SOLN,58.0,58.0,7.83,58.0,112 NDC,63323069441,ACETYLCYSTEINE 20 INHALATION SOLN,22.0,22.0,2.97,22.0,112 NDC,63323069444,ACETYLCYSTEINE 20 INHALATION SOLN,22.0,22.0,2.97,22.0,112 NDC,63323069504,ACETYLCYSTEINE 10 INHALATION SOLN,46.0,46.0,6.21,46.0,112 NDC,63323071050,LEUCOVORIN CALCIUM 200 MG INJECTION SOLR,84.0,84.0,3.84,84.0,112 NDC,63323071059,LEUCOVORIN CALCIUM 200 MG INJECTION SOLR,76.0,76.0,3.84,76.0,112 NDC,63323071100,LEUCOVORIN CALCIUM 500 MG INJECTION SOLR,311.0,311.0,3.84,311.0,112 NDC,63323071303,LINEZOLID 600 MG/300ML IV SOLN,144.0,144.0,2.74,144.0,112 NDC,63323071313,LINEZOLID 600 MG/300ML IV SOLN,144.0,144.0,2.74,144.0,112 NDC,63323071501,FULVESTRANT 250 MG/5ML IM SOSY,1800.0,1800.0,3.32,1800.0,119 NDC,63323071505,FULVESTRANT 250 MG/5ML IM SOSY,1800.0,1800.0,3.32,1800.0,119 NDC,63323073310,MESNA 100 MG/ML IV SOLN,239.0,239.0,1.33,239.0,112 NDC,63323073311,MESNA 100 MG/ML IV SOLN,239.0,239.0,1.33,239.0,112 NDC,63323073806,FAMOTIDINE 200 MG/20ML IV SOLN,33.0,33.0,0.9,33.0,111 NDC,63323073809,FAMOTIDINE 40 MG/4ML IV SOLN,7.0,7.0,0.9,7.0,111 NDC,63323073820,FAMOTIDINE 200 MG/20ML IV SOLN,33.0,33.0,0.9,33.0,111 NDC,63323073911,FAMOTIDINE (PF) 20 MG/2ML IV SOLN,4.0,4.0,0.54,4.0,111 NDC,63323073912,FAMOTIDINE (PF) 20 MG/2ML IV SOLN,4.0,4.0,0.54,4.0,111 NDC,63323073916,FAMOTIDINE (PF) 20 MG/2ML IV SOLN,4.0,4.0,0.54,4.0,111 NDC,63323075020,OXALIPLATIN 100 MG/20ML IV SOLN,648.0,648.0,0.05,648.0,112 NDC,63323075100,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,12.0,12.0,0.01,12.0,108 NDC,63323075101,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,12.0,12.0,0.01,12.0,108 NDC,63323075103,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,10.0,10.0,0.01,10.0,108 NDC,63323075105,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,80.0,80.0,0.01,80.0,108 NDC,63323075110,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,156.0,156.0,0.01,156.0,108 NDC,63323075113,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,10.0,10.0,0.01,10.0,108 NDC,63323076020,MELPHALAN HCL 50 MG IV SOLR,720.0,720.0,86.94,720.0,119 NDC,63323076210,TOPOTECAN HCL 4 MG IV SOLR,846.0,846.0,1.25,846.0,112 NDC,63323076316,PACLITAXEL 100 MG/16.7ML IV CONC,156.0,156.0,0.1,156.0,112 NDC,63323076350,PACLITAXEL 300 MG/50ML IV CONC,466.0,466.0,0.1,466.0,112 NDC,63323077139,AZACITIDINE 100 MG INJECTION SUSR,432.0,432.0,0.21,432.0,112 NDC,63323080601,FENTANYL CITRATE (PF) 50 MCG/ML INJECTION SOLN (WR,8.0,8.0,0.85,8.0,112 NDC,63323080602,FENTANYL CITRATE (PF) 100 MCG/2ML INJECTION SOLN,9.0,9.0,0.85,9.0,112 NDC,63323080611,FENTANYL CITRATE (PF) 50 MCG/ML INJECTION SOLN (WR,8.0,8.0,0.85,8.0,112 NDC,63323080612,FENTANYL CITRATE (PF) 100 MCG/2ML INJECTION SOLN,9.0,9.0,0.85,9.0,112 NDC,63323080613,FENTANYL CITRATE (PF) 250 MCG/5ML INJECTION SOLN,11.0,11.0,0.85,11.0,112 NDC,63323080614,FENTANYL CITRATE (PF) 1000 MCG/20ML INJECTION SOLN,31.0,31.0,0.85,31.0,112 NDC,63323080620,FENTANYL CITRATE (PF) 1000 MCG/20ML INJECTION SOLN,31.0,31.0,0.85,31.0,112 NDC,63323080650,FENTANYL CITRATE (PF) 2500 MCG/50ML INJECTION SOLN,90.0,90.0,0.85,90.0,112 NDC,63323080801,FENTANYL CITRATE (PF) 50 MCG/ML INJECTION SOLN (WR,8.0,8.0,0.85,8.0,112 NDC,63323080811,FENTANYL CITRATE (PF) 50 MCG/ML INJECTION SOLN (WR,8.0,8.0,0.85,8.0,112 NDC,63323081301,OXACILLIN SODIUM 1 G INJECTION SOLR,43.0,43.0,0.57,43.0,112 NDC,63323081320,OXACILLIN SODIUM 1 G INJECTION SOLR,43.0,43.0,0.57,43.0,112 NDC,63323081502,AMIKACIN SULFATE 500 MG/2ML INJECTION SOLN,42.0,42.0,0.54,42.0,112 NDC,63323081504,AMIKACIN SULFATE 1 GM/4ML INJECTION SOLN,84.0,84.0,0.54,84.0,112 NDC,63323081521,AMIKACIN SULFATE 500 MG/2ML INJECTION SOLN,42.0,42.0,0.54,42.0,112 NDC,63323082110,BORTEZOMIB 1 MG/ML IV SOLR (WRAPPER),1080.0,1080.0,3.4,1080.0,119 NDC,63323084221,DICYCLOMINE HCL 10 MG/ML IM SOLN,141.0,141.0,11.33,141.0,112 NDC,63323085103,HYDROMORPHONE HCL PF 10 MG/ML INJECTION SOLN,17.0,17.0,0.09,17.0,112 NDC,63323085107,HYDROMORPHONE HCL PF 10 MG/ML INJECTION SOLN,61.0,61.0,0.09,61.0,112 NDC,63323085110,HYDROMORPHONE HCL PF 10 MG/ML INJECTION SOLN,17.0,17.0,0.09,17.0,112 NDC,63323085150,HYDROMORPHONE HCL PF 10 MG/ML INJECTION SOLN,613.0,613.0,0.09,613.0,112 NDC,63323085203,HYDROMORPHONE HCL PF 1 MG/ML INJECTION SOLN,16.0,16.0,0.09,16.0,112 NDC,63323085225,HYDROMORPHONE HCL PF 1 MG/ML INJECTION SOLN,16.0,16.0,0.09,16.0,112 NDC,63323085303,HYDROMORPHONE HCL PF 2 MG/ML INJECTION SOLN,16.0,16.0,0.09,16.0,112 NDC,63323085325,HYDROMORPHONE HCL PF 2 MG/ML INJECTION SOLN,16.0,16.0,0.09,16.0,112 NDC,63323085403,HYDROMORPHONE HCL PF 4 MG/ML INJECTION SOLN,17.0,17.0,0.09,17.0,112 NDC,63323085410,HYDROMORPHONE HCL PF 4 MG/ML INJECTION SOLN,17.0,17.0,0.09,17.0,112 NDC,63323087550,FOSCARNET SODIUM 6000 MG/250ML IV SOLN,1773.0,1773.0,6.71,1773.0,112 NDC,63323087715,PENTAMIDINE ISETHIONATE 300 MG INHALATION SOLR,601.0,601.0,69.73,601.0,111 NDC,63323088305,DOXORUBICIN HCL 2 MG/ML IV SOLN,33.0,33.0,2.72,33.0,112 NDC,63323088330,DOXORUBICIN HCL 2 MG/ML IV SOLN,120.0,120.0,2.72,120.0,112 NDC,63323088510,LEVOTHYROXINE SODIUM 100 MCG/5ML IV SOLN,320.0,320.0,3.82,320.0,119 NDC,63323091501,HEPARIN SODIUM (PORCINE) 20000 UNIT/ML INJECTION S,63.0,63.0,0.18,63.0,112 NDC,63323091503,HEPARIN SODIUM (PORCINE) 20000 UNIT/ML INJECTION S,61.0,61.0,0.18,61.0,112 NDC,63323091513,HEPARIN SODIUM (PORCINE) 20000 UNIT/ML INJECTION S,61.0,61.0,0.18,61.0,112 NDC,63323093000,VASOPRESSIN 20 UNIT/ML IV SOLN,83.0,83.0,0.53,83.0,112 NDC,63323093001,VASOPRESSIN 20 UNIT/ML IV SOLN,83.0,83.0,0.53,83.0,112 NDC,63323094310,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,29.0,29.0,0.81,29.0,111 NDC,63323094321,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,29.0,29.0,0.81,29.0,111 NDC,63323096198,ZOLEDRONIC ACID 4 MG/5ML IV CONC,882.0,882.0,5.08,882.0,112 NDC,63323096321,ACETYLCYSTEINE 200 MG/ML IV SOLN,396.0,396.0,0.37,396.0,112 NDC,63323096330,ACETYLCYSTEINE 200 MG/ML IV SOLN,396.0,396.0,0.37,396.0,112 NDC,63323096501,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,11.0,11.0,0.1,11.0,112 NDC,63323096502,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,9.0,9.0,0.1,9.0,112 NDC,63323096503,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,8.0,8.0,0.1,8.0,112 NDC,63323096510,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,8.0,8.0,0.1,8.0,112 NDC,63323096520,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,9.0,9.0,0.1,9.0,112 NDC,63323096600,ZOLEDRONIC ACID 5 MG/100ML IV SOLN,1080.0,1080.0,5.08,1080.0,112 NDC,63323096701,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,13.0,13.0,0.1,13.0,112 NDC,63323096730,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,13.0,13.0,0.1,13.0,112 NDC,63323097002,BENZTROPINE MESYLATE 1 MG/ML INJECTION SOLN,198.0,198.0,13.81,198.0,112 NDC,63323097210,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR,774.0,774.0,0.11,774.0,112 NDC,63459010310,RITUXIMABABBS 100 MG/10ML IV SOLN,3044.0,3044.0,30.14,3044.0,119 NDC,63459010450,RITUXIMABABBS 500 MG/50ML IV SOLN,15220.0,15220.0,30.14,15220.0,119 NDC,63459030343,TRASTUZUMABPKRB 150 MG IV SOLR,5049.0,5049.0,55.43,5049.0,119 NDC,63459030547,TRASTUZUMABPKRB 420 MG IV SOLR,14138.0,14138.0,55.43,14138.0,119 NDC,63459030741,TRASTUZUMABPKRB 420 MG IV SOLR,14138.0,14138.0,55.43,14138.0,119 NDC,63459034804,BELRAPZO 100 MG/4ML IV SOLN,8906.0,8906.0,11.99,8906.0,119 NDC,63459034804,BENDAMUSTINE HCL 100 MG/4ML IV SOLN,8906.0,8906.0,12.83,8906.0,119 NDC,63459039008,BENDAMUSTINE HCL 25 MG IV SOLR,2675.0,2675.0,1.8,2675.0,119 NDC,63459039120,BENDAMUSTINE HCL 100 MG IV SOLR,10699.0,10699.0,1.8,10699.0,119 NDC,63459060001,ARSENIC TRIOXIDE 10 MG/10ML IV SOLN,2444.0,2444.0,4.68,2444.0,112 NDC,63459060106,ARSENIC TRIOXIDE 12 MG/6ML IV SOLN,4200.0,4200.0,4.68,4200.0,112 NDC,63459060111,ARSENIC TRIOXIDE 12 MG/6ML IV SOLN,4200.0,4200.0,4.68,4200.0,112 NDC,63459091011,TBOFILGRASTIM 300 MCG/0.5ML SC SOSY,900.0,900.0,0.25,900.0,119 NDC,63459091015,TBOFILGRASTIM 300 MCG/0.5ML SC SOSY,900.0,900.0,0.25,900.0,119 NDC,63459091017,TBOFILGRASTIM 300 MCG/0.5ML SC SOSY,1079.0,1079.0,0.25,1079.0,119 NDC,63459091211,TBOFILGRASTIM 480 MCG/0.8ML SC SOSY,1440.0,1440.0,0.25,1440.0,119 NDC,63459091212,TBOFILGRASTIM 480 MCG/0.8ML SC SOSY,1440.0,1440.0,0.25,1440.0,119 NDC,63459091853,TBOFILGRASTIM 300 MCG/ML SC SOLN,900.0,900.0,0.25,900.0,119 NDC,63459091859,TBOFILGRASTIM 300 MCG/ML SC SOLN,900.0,900.0,0.25,900.0,119 NDC,63459092053,TBOFILGRASTIM 480 MCG/1.6ML SC SOLN,1440.0,1440.0,0.25,1440.0,119 NDC,6351659,IMIPENEMCILASTATIN 500 MG IV SOLR,118.0,118.0,6.97,118.0,112 NDC,63629209801,METHADONE HCL 10 MG/ML PO CONC,136.0,136.0,17.7,136.0,112 NDC,63739017013,LIDOCAINE HCL (PF) 1 INJECTION SOLN,9.0,9.0,0.01,9.0,111 NDC,63739017024,LIDOCAINE HCL (PF) 1 INJECTION SOLN,9.0,9.0,0.01,9.0,111 NDC,63739051910,PREDNISONE 10 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,63739058810,PREDNISONE 20 MG PO TABS,2.0,2.0,0.01,2.0,112 NDC,63739090114,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,46.0,46.0,0.18,46.0,112 NDC,63739093114,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,14.0,14.0,0.18,14.0,112 NDC,63739093128,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,14.0,14.0,0.18,14.0,112 NDC,63739095311,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,13.0,13.0,0.18,13.0,112 NDC,63739095325,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,13.0,13.0,0.18,13.0,112 NDC,63739096411,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,20.0,20.0,0.18,20.0,112 NDC,63739096425,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,20.0,20.0,0.18,20.0,112 NDC,6382210,CASPOFUNGIN ACETATE 50 MG IV SOLR,1216.0,1216.0,2.27,1216.0,112 NDC,6382310,CASPOFUNGIN ACETATE 70 MG IV SOLR,1264.0,1264.0,2.27,1264.0,112 NDC,63833038602,PROTHROMBIN COMPLEX CONC HUMAN 500 UNITS IV KIT,6165.0,6165.0,2.09,6165.0,119 NDC,63833038702,PROTHROMBIN COMPLEX CONC HUMAN 1000 UNITS IV KIT,10977.0,10977.0,2.09,10977.0,119 NDC,63833039601,PROTHROMBIN COMPLEX CONC HUMAN 500 UNITS IV KIT,6165.0,6165.0,2.09,6165.0,119 NDC,63833039701,PROTHROMBIN COMPLEX CONC HUMAN 1000 UNITS IV KIT,10977.0,10977.0,2.09,10977.0,119 NDC,63833061502,ANTIHEMOPHILIC FACTORVWF 250600 UNITS IV SOLR (HUM,2130.0,2130.0,1.45,2130.0,113 NDC,63833061602,ANTIHEMOPHILIC FACTORVWF 5001200 UNITS IV SOLR (HU,4259.0,4259.0,1.45,4259.0,116 NDC,63833061702,ANTIHEMOPHILIC FACTORVWF 10002400 UNITS IV SOLR (H,8007.0,8007.0,1.45,8007.0,117 NDC,63833062501,ANTIHEMOPHILIC FACTORVWF 250600 UNITS IV SOLR (HUM,1268064.0,1268064.0,1.45,1268064.0,117 NDC,63833062701,ANTIHEMOPHILIC FACTORVWF 10002400 UNITS IV SOLR (H,19104192.0,19104192.0,1.45,19104192.0,117 NDC,63833076120,STERILE WATER FOR INJECTION SOLN,5.0,5.0,0.68,5.0,111 NDC,63833076140,STERILE WATER FOR INJECTION SOLN,9.0,9.0,0.71,9.0,111 NDC,63833082502,C1 ESTERASE INHIBITOR (HUMAN) 500 UNITS IV KIT,14646.0,14646.0,72.46,14646.0,119 NDC,63833089151,FIBRINOGEN CONCENTRATE (HUMAN) IV SOLR,4650.0,4650.0,1.48,4650.0,121 NDC,63833089190,RIASTAP IV SOLR,4920.0,4920.0,1.48,4920.0,121 NDC,63833765530,STERILE WATER FOR INJECTION SOLN,2.0,2.0,0.27,2.0,111 NDC,63833765547,STERILE WATER FOR INJECTION SOLN,3.0,3.0,0.41,3.0,111 NDC,63833765554,STERILE WATER FOR INJECTION SOLN,4.0,4.0,0.54,4.0,111 NDC,63851050102,RABIES VACCINE PCEC IM SUSR,1179.0,1179.0,10.0,1179.0,122 NDC,6385601,IMIPENEMCILASTATINRELEBACTAM 1.25 G IV SOLR,1105.0,1105.0,2.5,1105.0,112 NDC,6385602,IMIPENEMCILASTATINRELEBACTAM 1.25 G IV SOLR,1105.0,1105.0,2.5,1105.0,112 NDC,6404720,ROTAVIRUS VAC LIVE PENTAVALENT PO SOLN,346.0,346.0,10.0,346.0,114 NDC,6404741,ROTAVIRUS VAC LIVE PENTAVALENT PO SOLN,346.0,346.0,10.0,346.0,114 NDC,6409301,HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML INJECTION,98.0,98.0,10.0,108.78,124 NDC,6409602,HEPATITIS A VACCINE 50 UNIT/ML IM SUSP,284.0,284.0,10.0,284.0,115 NDC,641012121,HYDROMORPHONE HCL 2 MG/ML INJECTION SOLN,6.0,6.0,0.09,6.0,112 NDC,641036721,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION,6.0,6.0,0.11,6.0,112 NDC,641036725,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION,6.0,6.0,0.11,6.0,112 NDC,641037621,DIPHENHYDRAMINE HCL 50 MG/ML INJECTION SOLN,5.0,5.0,0.68,5.0,112 NDC,641037625,DIPHENHYDRAMINE HCL 50 MG/ML INJECTION SOLN,5.0,5.0,0.68,5.0,112 NDC,641039112,HEPARIN SODIUM (PORCINE) 25 UNITS/ML (2500 UNITS/1,11.0,11.0,0.18,11.0,112 NDC,641040012,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,10.0,10.0,0.18,10.0,112 NDC,641040037,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,10.0,10.0,0.18,10.0,112 NDC,641047621,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLN,95.0,95.0,12.83,95.0,112 NDC,641047625,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLN,95.0,95.0,12.83,95.0,112 NDC,641047721,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLN,247.0,247.0,27.36,247.0,112 NDC,641047725,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLN,247.0,247.0,27.36,247.0,112 NDC,641049321,PHENYTOIN SODIUM 50 MG/ML INJECTION SOLN,6.0,6.0,0.47,6.0,112 NDC,641049325,PHENYTOIN SODIUM 50 MG/ML INJECTION SOLN,6.0,6.0,0.47,6.0,112 NDC,641139731,CHLORPROMAZINE HCL 25 MG/ML INJECTION SOLN,104.0,104.0,14.04,104.0,112 NDC,641139735,CHLORPROMAZINE HCL 25 MG/ML INJECTION SOLN,104.0,104.0,14.04,104.0,112 NDC,641139831,CHLORPROMAZINE HCL 50 MG/2ML INJECTION SOLN,120.0,120.0,16.2,120.0,112 NDC,641139835,CHLORPROMAZINE HCL 50 MG/2ML INJECTION SOLN,120.0,120.0,16.2,120.0,112 NDC,641141031,DIGOXIN 0.25 MG/ML INJECTION SOLN,20.0,20.0,2.7,20.09,112 NDC,641141035,DIGOXIN 0.25 MG/ML INJECTION SOLN,20.0,20.0,2.7,20.09,112 NDC,6411901,HPV 9VALENT RECOMB VACCINE IM SUSP,1035.0,1035.0,10.0,1035.0,114 NDC,6412101,HPV 9VALENT RECOMB VACCINE IM SUSY,1035.0,1035.0,10.0,1035.0,114 NDC,6412102,HPV 9VALENT RECOMB VACCINE IM SUSY,1035.0,1035.0,10.0,1035.0,114 NDC,641234139,HYDROMORPHONE HCL 2 MG/ML INJECTION SOLN,78.0,78.0,0.09,78.0,112 NDC,641234141,HYDROMORPHONE HCL 2 MG/ML INJECTION SOLN,78.0,78.0,0.09,78.0,112 NDC,641245030,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,35.0,35.0,0.18,35.0,112 NDC,641245055,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,35.0,35.0,0.18,35.0,112 NDC,641246030,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,43.0,43.0,0.18,43.0,112 NDC,641255510,PHENYTOIN SODIUM 50 MG/ML INJECTION SOLN,8.0,8.0,0.47,8.0,112 NDC,641256941,DIPYRIDAMOLE 5 MG/ML IV SOLN,72.0,72.0,3.86,72.0,112 NDC,641256944,DIPYRIDAMOLE 5 MG/ML IV SOLN,72.0,72.0,3.86,72.0,112 NDC,641600101,LORAZEPAM 2 MG/ML INJECTION SOLN,7.0,7.0,0.95,7.0,112 NDC,641600125,LORAZEPAM 2 MG/ML INJECTION SOLN,7.0,7.0,0.95,7.0,112 NDC,641600701,BUMETANIDE 0.25 MG/ML INJECTION SOLN,12.0,12.0,0.36,12.0,112 NDC,641600710,BUMETANIDE 0.25 MG/ML INJECTION SOLN,12.0,12.0,0.36,12.0,112 NDC,641600801,BUMETANIDE 0.25 MG/ML INJECTION SOLN,11.0,11.0,0.36,11.0,112 NDC,641600810,BUMETANIDE 0.25 MG/ML INJECTION SOLN,11.0,11.0,0.36,11.0,112 NDC,641601901,MORPHINE SULFATE (PF) 1 MG/ML INTRATHECAL SOLN (OR,105.0,105.0,10.79,105.0,112 NDC,641601910,MORPHINE SULFATE (PF) 1 MG/ML INTRATHECAL SOLN (OR,105.0,105.0,10.79,105.0,112 NDC,641602001,MORPHINE SULFATE (PF) 0.5 MG/ML INJECTION SOLN,105.0,105.0,10.79,105.0,112 NDC,641602010,MORPHINE SULFATE (PF) 0.5 MG/ML INJECTION SOLN,105.0,105.0,10.79,105.0,112 NDC,641602101,FAMOTIDINE 200 MG/20ML IV SOLN,32.0,32.0,0.9,32.0,111 NDC,641602201,FAMOTIDINE (PF) 20 MG/2ML IV SOLN,4.0,4.0,0.54,4.0,111 NDC,641602225,FAMOTIDINE (PF) 20 MG/2ML IV SOLN,4.0,4.0,0.54,4.0,111 NDC,641602301,FAMOTIDINE 40 MG/4ML IV SOLN,9.0,9.0,0.9,9.0,111 NDC,641602401,FENTANYL CITRATE (PF) 100 MCG/2ML INJECTION SOLN,6.0,6.0,0.81,6.0,112 NDC,641602501,FENTANYL CITRATE (PF) 250 MCG/5ML INJECTION SOLN,9.0,9.0,0.85,9.0,112 NDC,641602510,FENTANYL CITRATE (PF) 250 MCG/5ML INJECTION SOLN,9.0,9.0,0.85,9.0,112 NDC,641602701,FENTANYL CITRATE (PF) 100 MCG/2ML INJECTION SOLN,8.0,8.0,0.85,8.0,112 NDC,641602725,FENTANYL CITRATE (PF) 100 MCG/2ML INJECTION SOLN,8.0,8.0,0.85,8.0,112 NDC,641602801,FENTANYL CITRATE (PF) 250 MCG/5ML INJECTION SOLN,11.0,11.0,0.85,11.0,112 NDC,641602901,FENTANYL CITRATE (PF) 1000 MCG/20ML INJECTION SOLN,40.0,40.0,0.85,40.0,112 NDC,641603001,FENTANYL CITRATE (PF) 2500 MCG/50ML INJECTION SOLN,90.0,90.0,0.85,90.0,112 NDC,641604001,MORPHINE SULF MICROINFUSION PF 500 MG/20ML (25 MG/,1274.0,1274.0,10.79,1274.0,112 NDC,641604101,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,6.0,6.0,0.33,6.0,112 NDC,641604125,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,6.0,6.0,0.33,6.0,112 NDC,641604201,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,6.0,6.0,0.33,6.0,112 NDC,641604225,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,6.0,6.0,0.33,6.0,112 NDC,641604401,LORAZEPAM 2 MG/ML INJECTION SOLN,5.0,5.0,0.68,5.0,112 NDC,641604425,LORAZEPAM 2 MG/ML INJECTION SOLN,5.0,5.0,0.68,5.0,112 NDC,641604501,LORAZEPAM 4 MG/ML INJECTION SOLN,11.0,11.0,1.32,11.0,112 NDC,641604525,LORAZEPAM 4 MG/ML INJECTION SOLN,11.0,11.0,1.32,11.0,112 NDC,641604601,LORAZEPAM 2 MG/ML INJECTION SOLN,39.0,39.0,1.32,39.0,112 NDC,641604610,LORAZEPAM 2 MG/ML INJECTION SOLN,39.0,39.0,1.32,39.0,112 NDC,641604710,LORAZEPAM 4 MG/ML INJECTION SOLN,53.0,53.0,1.32,53.0,112 NDC,641604801,LORAZEPAM 2 MG/ML INJECTION SOLN,5.0,5.0,0.68,5.0,112 NDC,641604825,LORAZEPAM 2 MG/ML INJECTION SOLN,5.0,5.0,0.68,5.0,112 NDC,641605001,LORAZEPAM 2 MG/ML INJECTION SOLN,39.0,39.0,1.32,39.0,112 NDC,641605010,LORAZEPAM 2 MG/ML INJECTION SOLN,39.0,39.0,1.32,39.0,112 NDC,641605101,LORAZEPAM 4 MG/ML INJECTION SOLN,34.0,34.0,1.32,34.0,112 NDC,641605110,LORAZEPAM 4 MG/ML INJECTION SOLN,34.0,34.0,1.32,34.0,112 NDC,641605201,MEPERIDINE HCL 25 MG/ML INJECTION SOLN,10.0,10.0,1.35,34.83,112 NDC,641605225,MEPERIDINE HCL 25 MG/ML INJECTION SOLN,10.0,10.0,1.35,34.83,112 NDC,641605301,MEPERIDINE HCL 50 MG/ML INJECTION SOLN,10.0,10.0,1.35,34.83,112 NDC,641605325,MEPERIDINE HCL 50 MG/ML INJECTION SOLN,10.0,10.0,1.35,34.83,112 NDC,641605401,MEPERIDINE HCL 100 MG/ML INJECTION SOLN,11.0,11.0,1.49,34.83,112 NDC,641605425,MEPERIDINE HCL 100 MG/ML INJECTION SOLN,11.0,11.0,1.49,34.83,112 NDC,641605601,MIDAZOLAM HCL 10 MG/10ML INJECTION SOLN,8.0,8.0,0.13,8.0,112 NDC,641605610,MIDAZOLAM HCL 10 MG/10ML INJECTION SOLN,8.0,8.0,0.13,8.0,112 NDC,641605701,MIDAZOLAM HCL 2 MG/2ML INJECTION SOLN,3.0,3.0,0.13,3.0,112 NDC,641605710,MIDAZOLAM HCL 2 MG/2ML INJECTION SOLN,3.0,3.0,0.13,3.0,112 NDC,641605725,MIDAZOLAM HCL 2 MG/2ML INJECTION SOLN,3.0,3.0,0.13,3.0,112 NDC,641605901,MIDAZOLAM HCL 5 MG/5ML INJECTION SOLN,6.0,6.0,0.13,6.0,112 NDC,641605910,MIDAZOLAM HCL 5 MG/5ML INJECTION SOLN,6.0,6.0,0.13,6.0,112 NDC,641606001,MIDAZOLAM HCL 50 MG/10ML INJECTION SOLN,25.0,25.0,0.13,25.0,112 NDC,641606010,MIDAZOLAM HCL 50 MG/10ML INJECTION SOLN,25.0,25.0,0.13,25.0,112 NDC,641606101,MIDAZOLAM HCL 5 MG/ML INJECTION SOLN,5.0,5.0,0.13,5.0,112 NDC,641606125,MIDAZOLAM HCL 5 MG/ML INJECTION SOLN,5.0,5.0,0.13,5.0,112 NDC,641606325,MIDAZOLAM HCL 10 MG/2ML INJECTION SOLN,5.0,5.0,0.13,5.0,112 NDC,641607801,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,4.0,4.0,0.09,4.0,112 NDC,641607825,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,4.0,4.0,0.09,4.0,112 NDC,641607901,ONDANSETRON HCL 40 MG/20ML INJECTION SOLN,29.0,29.0,0.09,29.0,112 NDC,641608001,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,3.0,3.0,0.09,3.0,112 NDC,641608025,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,3.0,3.0,0.09,3.0,112 NDC,641610301,METHOCARBAMOL 1000 MG/10ML INJECTION SOLN,101.0,101.0,4.53,101.0,112 NDC,641611601,AMPICILLINSULBACTAM SODIUM 1.5 (10.5) G INJECTION,16.0,16.0,1.33,16.0,112 NDC,641611610,AMPICILLINSULBACTAM SODIUM 1.5 (10.5) G INJECTION,16.0,16.0,1.33,16.0,112 NDC,641611701,AMPICILLINSULBACTAM SODIUM 3 (21) G INJECTION SOLR,28.0,28.0,1.33,28.0,112 NDC,641611710,AMPICILLINSULBACTAM SODIUM 3 (21) G INJECTION SOLR,28.0,28.0,1.33,28.0,112 NDC,641611801,AMPICILLINSULBACTAM SODIUM 15 (105) G IV SOLR,143.0,143.0,1.33,143.0,112 NDC,641612501,MORPHINE SULFATE 4 MG/ML IV SOLN,9.0,9.0,1.22,9.0,112 NDC,641612525,MORPHINE SULFATE 4 MG/ML IV SOLN,9.0,9.0,1.22,9.0,112 NDC,641612701,MORPHINE SULFATE 10 MG/ML IV SOLN,10.0,10.0,1.35,10.0,112 NDC,641612725,MORPHINE SULFATE 10 MG/ML IV SOLN,10.0,10.0,1.35,10.0,112 NDC,641613201,NALOXONE HCL 0.4 MG/ML INJECTION SOLN,22.0,22.0,2.97,22.0,111 NDC,641613225,NALOXONE HCL 0.4 MG/ML INJECTION SOLN,22.0,22.0,2.97,22.0,111 NDC,641613501,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,27.0,27.0,2.31,27.0,112 NDC,641613525,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,27.0,27.0,2.31,27.0,112 NDC,641613601,FOSPHENYTOIN SODIUM 100 MG PE/2ML INJECTION SOLN,54.0,54.0,1.01,54.0,119 NDC,641613625,FOSPHENYTOIN SODIUM 100 MG PE/2ML INJECTION SOLN,54.0,54.0,1.01,54.0,119 NDC,641613701,FOSPHENYTOIN SODIUM 500 MG PE/10ML INJECTION SOLN,171.0,171.0,1.01,171.0,119 NDC,641613710,FOSPHENYTOIN SODIUM 500 MG PE/10ML INJECTION SOLN,171.0,171.0,1.01,171.0,119 NDC,641613801,PHENYTOIN SODIUM 50 MG/ML INJECTION SOLN,5.0,5.0,0.47,5.0,112 NDC,641613825,PHENYTOIN SODIUM 50 MG/ML INJECTION SOLN,5.0,5.0,0.47,5.0,112 NDC,641614201,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),15.0,15.0,0.01,15.0,108 NDC,641614225,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),15.0,15.0,0.01,15.0,108 NDC,641614501,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION S,4.0,4.0,0.11,4.0,112 NDC,641614525,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION S,4.0,4.0,0.11,4.0,112 NDC,641614701,STERILE WATER FOR INJECTION SOLN,12.0,12.0,0.71,12.0,111 NDC,641614710,STERILE WATER FOR INJECTION SOLN,12.0,12.0,0.71,12.0,111 NDC,641614725,STERILE WATER FOR INJECTION SOLN,19.0,19.0,0.71,19.0,111 NDC,641614901,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,33.0,33.0,0.71,33.0,111 NDC,641614910,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,33.0,33.0,0.71,33.0,111 NDC,641615101,HYDROMORPHONE HCL 2 MG/ML INJECTION SOLN,11.0,11.0,0.09,11.0,112 NDC,641615125,HYDROMORPHONE HCL 2 MG/ML INJECTION SOLN,11.0,11.0,0.09,11.0,112 NDC,641616601,AMIKACIN SULFATE 1 GM/4ML INJECTION SOLN,58.0,58.0,0.54,58.0,112 NDC,641616610,AMIKACIN SULFATE 1 GM/4ML INJECTION SOLN,58.0,58.0,0.54,58.0,112 NDC,641616701,AMIKACIN SULFATE 500 MG/2ML INJECTION SOLN,29.0,29.0,0.54,29.0,112 NDC,641616710,AMIKACIN SULFATE 500 MG/2ML INJECTION SOLN,29.0,29.0,0.54,29.0,112 NDC,641616901,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,14.0,14.0,0.09,14.0,112 NDC,641616910,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,14.0,14.0,0.09,14.0,112 NDC,641617301,DICYCLOMINE HCL 10 MG/ML IM SOLN,88.0,88.0,11.33,88.0,112 NDC,641617310,DICYCLOMINE HCL 10 MG/ML IM SOLN,88.0,88.0,11.33,88.0,112 NDC,641617401,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLN,17.0,17.0,0.61,17.0,112 NDC,641617410,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLN,17.0,17.0,0.61,17.0,112 NDC,641617501,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLN,24.0,24.0,0.61,24.0,112 NDC,641617510,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLN,24.0,24.0,0.61,24.0,112 NDC,641617601,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLN,126.0,126.0,0.61,126.0,112 NDC,641617610,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLN,126.0,126.0,0.61,126.0,112 NDC,641617801,OCTREOTIDE ACETATE 1000 MCG/ML INJECTION SOLN,864.0,864.0,0.61,864.0,112 NDC,641618210,ORPHENADRINE CITRATE 30 MG/ML INJECTION SOLN,57.0,57.0,6.39,57.0,112 NDC,641618401,DIGOXIN 0.25 MG/ML INJECTION SOLN,20.0,20.0,2.7,20.09,112 NDC,641618425,DIGOXIN 0.25 MG/ML INJECTION SOLN,20.0,20.0,2.7,20.09,112 NDC,641618801,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,72.0,72.0,0.01,72.0,108 NDC,641618810,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,72.0,72.0,0.01,72.0,108 NDC,641618901,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,144.0,144.0,0.01,144.0,108 NDC,641618910,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),144.0,144.0,0.01,144.0,108 NDC,641619001,MIDAZOLAM HCL 50 MG/10ML INJECTION SOLN,11.0,11.0,0.13,11.0,112 NDC,641619010,MIDAZOLAM HCL 50 MG/10ML INJECTION SOLN,11.0,11.0,0.13,11.0,112 NDC,641619401,PROPOFOL 200 MG/20ML IV EMUL,22.0,22.0,0.08,22.0,112 NDC,641619410,PROPOFOL 200 MG/20ML IV EMUL,22.0,22.0,0.08,22.0,112 NDC,641619501,PROPOFOL 500 MG/50ML IV EMUL,54.0,54.0,0.08,54.0,112 NDC,641619601,PROPOFOL 1000 MG/100ML IV EMUL,108.0,108.0,0.08,108.0,112 NDC,641620401,HEPARIN SODIUM (PORCINE) PF 5000 UNIT/0.5ML INJECT,22.0,22.0,0.18,22.0,112 NDC,641620410,HEPARIN SODIUM (PORCINE) PF 5000 UNIT/0.5ML INJECT,22.0,22.0,0.18,22.0,112 NDC,641620501,NALOXONE HCL 2 MG/2ML INJECTION SOSY,114.0,114.0,8.7,114.0,111 NDC,641620510,NALOXONE HCL 2 MG/2ML INJECTION SOSY,114.0,114.0,8.7,114.0,111 NDC,641620601,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,12.0,12.0,0.09,12.0,112 NDC,641620610,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,12.0,12.0,0.09,12.0,112 NDC,641622801,THIAMINE HCL 100 MG/ML INJECTION SOLN,36.0,36.0,1.76,36.0,112 NDC,641622825,THIAMINE HCL 100 MG/ML INJECTION SOLN,36.0,36.0,1.76,36.0,112 NDC,641623101,HYDRALAZINE HCL 20 MG/ML INJECTION SOLN,54.0,54.0,4.08,54.0,112 NDC,641623125,HYDRALAZINE HCL 20 MG/ML INJECTION SOLN,54.0,54.0,4.08,54.0,112 NDC,641623401,SUCCINYLCHOLINE CHLORIDE 100 MG/5ML IV SOSY (WRAPP,90.0,90.0,0.81,90.0,111 NDC,641624401,DIAZEPAM 5 MG/ML INJECTION SOLN,89.0,89.0,6.17,89.0,112 NDC,641624410,DIAZEPAM 5 MG/ML INJECTION SOLN,89.0,89.0,6.17,89.0,112 NDC,641624701,FENTANYL CITRATE (PF) 50 MCG/ML INJECTION SOLN (WR,8.0,8.0,0.85,8.0,112 NDC,641624725,FENTANYL CITRATE (PF) 50 MCG/ML INJECTION SOLN (WR,8.0,8.0,0.85,8.0,112 NDC,641625301,REGADENOSON 0.4 MG/5ML IV SOLN,108.0,108.0,2.68,108.0,112 NDC,641625901,HYDROMORPHONE HCL 0.2 MG/ML INJECTION SOLN,10.0,10.0,0.09,10.0,112 NDC,641625910,HYDROMORPHONE HCL 0.2 MG/ML INJECTION SOLN,10.0,10.0,0.09,10.0,112 NDC,641626501,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,8.0,8.0,0.71,8.0,111 NDC,641626510,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,8.0,8.0,0.71,8.0,111 NDC,641626701,CAFFEINE CITRATE 60 MG/3ML IV SOLN,36.0,36.0,1.02,36.0,111 NDC,641626710,CAFFEINE CITRATE 60 MG/3ML IV SOLN,36.0,36.0,1.02,36.0,111 NDC,641628201,DIPHENHYDRAMINE HCL 50 MG/ML INJECTION SOLN,5.0,5.0,0.68,5.0,112 NDC,641628225,DIPHENHYDRAMINE HCL 50 MG/ML INJECTION SOLN,3.0,3.0,0.41,3.0,112 NDC,6417588,STERILE WATER FOR INJECTION SOLN,1.0,1.0,0.14,1.0,111 NDC,6417589,STERILE WATER FOR INJECTION SOLN,1.0,1.0,0.14,1.0,111 NDC,64193042502,ANTIINHIBITOR COAGULANT CMPLX 2500 UNITS IV SOLR,21113.0,21113.0,2.36,21113.0,117 NDC,64193042602,ANTIINHIBITOR COAGULANT CMPLX 500 UNITS IV SOLR,4809.0,4809.0,2.36,4809.0,116 NDC,64208775301,COAGULATION FACTOR X (HUMAN) 500 UNITS IV SOLR,13875.0,13875.0,9.53,13875.0,117 NDC,64253011123,NORMAL SALINE FLUSH 0.9 IV SOLN,9.0,9.0,0.71,9.0,111 NDC,64253011130,SODIUM CHLORIDE FLUSH 0.9 IV SOLN,11.0,11.0,0.71,11.0,111 NDC,64253022235,HEPARIN SOD (PORK) LOCK FLUSH 10 UNIT/ML IV SOLN (,11.0,11.0,0.02,11.0,112 NDC,64253033330,HEPARIN SOD (PORK) LOCK FLUSH 100 UNIT/ML IV SOLN,12.0,12.0,0.02,12.0,112 NDC,64253033333,HEPARIN SOD (PORK) LOCK FLUSH 100 UNIT/ML IV SOLN,11.0,11.0,0.02,11.0,112 NDC,64253033335,HEPARIN SOD (PORK) LOCK FLUSH 100 UNIT/ML IV SOLN,12.0,12.0,0.02,12.0,112 NDC,64253040030,ATROPINE SULFATE 1 MG/10ML INJECTION SOSY,36.0,36.0,0.07,36.0,112 NDC,64253040091,ATROPINE SULFATE 1 MG/10ML INJECTION SOSY,36.0,36.0,0.07,36.0,112 NDC,64253044422,HEPARIN NA (PORK) LOCK FLSH PF 1 UNIT/ML IV SOLN,10.0,10.0,0.02,10.0,112 NDC,64281010000,METHACHOLINE CHLORIDE 100 MG INHALATION SOLR,299.0,299.0,1.61,299.0,112 NDC,64281010006,METHACHOLINE CHLORIDE 100 MG INHALATION SOLR,299.0,299.0,1.61,299.0,112 NDC,64281011005,METHACHOLINE CHLORIDE INHALATION KIT,486.0,486.0,1.61,486.0,112 NDC,64281011006,METHACHOLINE CHLORIDE INHALATION KIT,486.0,486.0,1.61,486.0,112 NDC,64281011200,METHACHOLINE CHLORIDE INHALATION SOLN KIT 0.0625 M,486.0,486.0,1.61,486.0,112 NDC,6430900,STERILE WATER FOR INJECTION SOLN,1.0,1.0,0.14,1.0,111 NDC,6430901,STERILE WATER FOR INJECTION SOLN,1.0,1.0,0.14,1.0,111 NDC,64380072106,TACROLIMUS 1 MG PO CAPS,14.0,14.0,0.15,14.0,112 NDC,64380072206,TACROLIMUS 5 MG PO CAPS,67.0,67.0,0.15,67.0,112 NDC,64380072506,MYCOPHENOLATE MOFETIL 500 MG PO TABS,24.0,24.0,0.15,24.0,112 NDC,64380072507,MYCOPHENOLATE MOFETIL 500 MG PO TABS,24.0,24.0,0.15,24.0,112 NDC,64380072606,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,12.0,12.0,0.15,12.0,112 NDC,64380072607,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,12.0,12.0,0.15,12.0,112 NDC,64380078206,PREDNISONE 1 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,64380078507,PREDNISONE 20 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,64380094906,PREDNISONE 50 MG PO TABS,2.0,2.0,0.01,2.0,112 NDC,64406000801,NATALIZUMAB 300 MG/15ML IV CONC,29554.0,29554.0,23.88,29554.0,119 NDC,64406001901,RANIBIZUMABNUNA 0.5 MG/0.05ML INTRAVITREAL SOLN,4191.0,4191.0,60.22,4191.0,119 NDC,64406001907,RANIBIZUMABNUNA 0.5 MG/0.05ML INTRAVITREAL SOLN,4191.0,4191.0,60.22,4191.0,119 NDC,64406005801,NUSINERSEN 12 MG/5ML INTRATHECAL SOLN,450000.0,450000.0,1178.92,450000.0,119 NDC,64406010901,TOFERSEN 100 MG/15ML INTRATHECAL SOLN,52765.0,52765.0,155.34,52765.0,119 NDC,64679001201,PIPERACILLIN SODTAZOBACTAM SO 4.5 (40.5) G IV SOLR,83.0,83.0,1.09,83.0,112 NDC,64679001202,PIPERACILLIN SODTAZOBACTAM SO 4.5 (40.5) G IV SOLR,83.0,83.0,1.09,83.0,112 NDC,64679005601,PIPERACILLIN SODTAZOBACTAM SO 3.375 (30.375) G IV,66.0,66.0,1.09,66.0,112 NDC,64679063102,NICARDIPINE HCL 2.5 MG/ML IV SOLN,71.0,71.0,0.07,71.0,112 NDC,64679069801,OXACILLIN SODIUM 1 G INJECTION SOLR,44.0,44.0,0.57,44.0,112 NDC,64679069802,OXACILLIN SODIUM 1 G INJECTION SOLR,44.0,44.0,0.57,44.0,112 NDC,64679069901,OXACILLIN SODIUM 2 G INJECTION SOLR,87.0,87.0,0.57,87.0,112 NDC,64679072801,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOLN,255.0,255.0,25.5,255.0,111 NDC,64679072808,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOLN,255.0,255.0,25.5,255.0,111 NDC,64679075911,FUROSEMIDE 10 MG/ML INJECTION SOLN,11.0,11.0,0.39,11.0,111 NDC,64679098301,CEFTRIAXONE SODIUM 1 G INJECTION SOLR,134.0,134.0,0.45,134.0,112 NDC,6468100,MEASLES MUMPS RUBELLA VAC INJECTION SOLR,332.0,332.0,10.0,332.0,114 NDC,6468101,MEASLES MUMPS RUBELLA VAC INJECTION SOLR,332.0,332.0,10.0,332.0,114 NDC,64764030020,VEDOLIZUMAB 300 MG IV SOLR,31200.0,31200.0,21.37,31200.0,119 NDC,6482700,VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML INJECT,628.0,628.0,10.0,628.0,114 NDC,6482701,VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML INJECT,628.0,628.0,10.0,628.0,114 NDC,6483701,PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML INJECTION,422.0,422.0,10.0,468.43,123 NDC,6483703,PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML INJECTION,422.0,422.0,10.0,468.43,123 NDC,6484101,HEPATITIS A VACCINE 50 UNIT/ML IM SUSP,284.0,284.0,10.0,284.0,115 NDC,64875000101,MIFEPRISTONE 200 MG PO TABS,129.0,129.0,17.42,129.0,111 NDC,6489700,HAEMOPHILUS B POLYSAC CONJ VAC 7.5 MCG/0.5 ML IM S,107.0,107.0,10.0,107.0,114 NDC,6489701,HAEMOPHILUS B POLYSAC CONJ VAC 7.5 MCG/0.5 ML IM S,107.0,107.0,10.0,107.0,114 NDC,64980029101,PERPHENAZINE 4 MG PO TABS,8.0,8.0,0.48,8.0,111 NDC,64980029201,PERPHENAZINE 8 MG PO TABS,9.0,9.0,0.48,9.0,111 NDC,64980029301,PERPHENAZINE 16 MG PO TABS,12.0,12.0,0.48,12.0,111 NDC,64980050924,DEXAMETHASONE 0.5 MG/5ML PO ELIX,189.0,189.0,0.01,189.0,112 NDC,6498100,HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML INJECTION,98.0,98.0,10.0,108.78,124 NDC,6498101,HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML INJECTION,98.0,98.0,10.0,108.78,124 NDC,6500401,LETERMOVIR 480 MG/24ML IV SOLN,1302.0,1302.0,175.77,1302.0,113 NDC,6500402,LETERMOVIR 480 MG/24ML IV SOLN,1302.0,1302.0,175.77,1302.0,113 NDC,65054301,TRIAMCINOLONE ACETONIDE 40 MG/ML INTRAOCULAR SUSP,3399.0,3399.0,23.51,3399.0,119 NDC,65162052110,PROMETHAZINE HCL 25 MG PO TABS,2.0,2.0,0.09,2.0,111 NDC,65162069179,ONDANSETRON HCL 4 MG/5ML PO SOLN,720.0,720.0,0.01,720.0,112 NDC,65162074510,PROMETHAZINE HCL 12.5 MG PO TABS,2.0,2.0,0.09,2.0,111 NDC,65162080114,TEMOZOLOMIDE 5 MG PO CAPS,44.0,44.0,0.27,44.0,112 NDC,65162080151,TEMOZOLOMIDE 5 MG PO CAPS,43.0,43.0,0.27,43.0,112 NDC,65162080214,TEMOZOLOMIDE 20 MG PO CAPS,173.0,173.0,0.27,173.0,112 NDC,65162080251,TEMOZOLOMIDE 20 MG PO CAPS,173.0,173.0,0.27,173.0,112 NDC,65162080314,TEMOZOLOMIDE 100 MG PO CAPS,864.0,864.0,0.27,864.0,112 NDC,65162080351,TEMOZOLOMIDE 100 MG PO CAPS,864.0,864.0,0.27,864.0,112 NDC,65162080651,TEMOZOLOMIDE 250 MG PO CAPS,2159.0,2159.0,0.27,2159.0,112 NDC,65162091446,TOBRAMYCIN 300 MG/5ML INHALATION NEBU,425.0,425.0,12.47,425.0,112 NDC,65219001000,POTASSIUM CHLORIDE 40 MEQ/100ML IV SOLN,14.0,14.0,0.1,14.0,112 NDC,65219001001,POTASSIUM CHLORIDE 40 MEQ/100ML IV SOLN,14.0,14.0,0.1,14.0,112 NDC,65219001601,AMPICILLIN SODIUM 500 MG INJECTION SOLR,9.0,9.0,0.49,9.0,112 NDC,65219001610,AMPICILLIN SODIUM 500 MG INJECTION SOLR,9.0,9.0,0.49,9.0,112 NDC,65219002003,AMPICILLIN SODIUM 2 G INJECTION SOLR,29.0,29.0,0.49,29.0,112 NDC,65219002023,AMPICILLIN SODIUM 2 G INJECTION SOLR,29.0,29.0,0.49,29.0,112 NDC,65219008201,GADOTERATE MEGLUMINE 5 MMOL/10ML IV SOLN,84.0,84.0,0.1,84.0,104 NDC,65219008210,GADOTERATE MEGLUMINE 5 MMOL/10ML IV SOLN,84.0,84.0,0.1,84.0,104 NDC,65219008401,GADOTERATE MEGLUMINE 7.5 MMOL/15ML IV SOLN,106.0,106.0,0.1,106.0,104 NDC,65219008415,GADOTERATE MEGLUMINE 7.5 MMOL/15ML IV SOLN,106.0,106.0,0.1,106.0,104 NDC,65219008601,GADOTERATE MEGLUMINE 10 MMOL/20ML IV SOLN,142.0,142.0,0.1,142.0,104 NDC,65219008620,GADOTERATE MEGLUMINE 10 MMOL/20ML IV SOLN,142.0,142.0,0.1,142.0,104 NDC,65219016201,CALCIUM GLUCONATENACL 10.675 GM/50ML IV SOLN,72.0,72.0,0.03,72.0,112 NDC,65219016210,CALCIUM GLUCONATENACL 10.675 GM/50ML IV SOLN,72.0,72.0,0.03,72.0,112 NDC,65219016401,CALCIUM GLUCONATENACL 20.675 GM/100ML IV SOLN,143.0,143.0,0.03,143.0,112 NDC,65219016450,CALCIUM GLUCONATENACL 20.675 GM/100ML IV SOLN,143.0,143.0,0.03,143.0,112 NDC,65219018701,STERILE WATER FOR INJECTION SOLN,32.0,32.0,0.71,32.0,111 NDC,65219020005,TEMSIROLIMUS 25 MG/ML IV SOLN,4248.0,4248.0,20.32,4248.0,119 NDC,65219025600,PIPERACILLIN SODTAZOBACTAM SO 40.5 (364.5) G IV SO,529.0,529.0,1.09,529.0,112 NDC,65219025905,PIPERACILLIN SODTAZOBACTAM SO 4.5 (40.5) G IV SOLR,39.0,39.0,1.09,39.0,112 NDC,65219037110,PEGFILGRASTIMFPGK 6 MG/0.6ML SC SOSY,15481.0,15481.0,147.24,15481.0,119 NDC,65219038302,IODIXANOL 320 MG/ML IV SOLN,164.0,164.0,0.15,164.0,104 NDC,65219038304,IODIXANOL 320 MG/ML IV SOLN,327.0,327.0,0.15,327.0,104 NDC,65219038305,IODIXANOL 320 MG/ML IV SOLN,164.0,164.0,0.15,164.0,104 NDC,65219042950,ARGATROBAN 50 MG/50ML IV SOLN (WRAPPER),434.0,434.0,0.61,434.0,119 NDC,65219043301,PANTOPRAZOLE SODIUM 40 MG IV SOLR,18.0,18.0,1.93,18.0,111 NDC,65219043315,PANTOPRAZOLE SODIUM 40 MG IV SOLR,18.0,18.0,1.93,18.0,111 NDC,65219047205,SODIUM CHLORIDE 0.9 IV SOLN,15.0,15.0,1.25,15.0,112 NDC,65219056420,MITOMYCIN 5 MG IV SOLR,876.0,876.0,25.94,876.0,119 NDC,65219057001,BUMETANIDE 0.25 MG/ML INJECTION SOLN,13.0,13.0,0.36,13.0,112 NDC,65219057004,BUMETANIDE 0.25 MG/ML INJECTION SOLN,13.0,13.0,0.36,13.0,112 NDC,65219057201,BUMETANIDE 0.25 MG/ML INJECTION SOLN,16.0,16.0,0.36,16.0,112 NDC,65219057210,BUMETANIDE 0.25 MG/ML INJECTION SOLN,16.0,16.0,0.36,16.0,112 NDC,65219080001,PROPOFOL 200 MG/20ML IV EMUL,22.0,22.0,0.08,22.0,112 NDC,65219080010,PROPOFOL 200 MG/20ML IV EMUL,22.0,22.0,0.08,22.0,112 NDC,65250013304,BUPIVACAINE LIPOSOME 1.3 INJECTION SUSP,820.0,820.0,1.44,820.0,112 NDC,65250013309,BUPIVACAINE LIPOSOME 1.3 INJECTION SUSP,820.0,820.0,1.44,820.0,112 NDC,65250013310,BUPIVACAINE LIPOSOME 1.3 INJECTION SUSP,820.0,820.0,1.44,820.0,112 NDC,65250026604,BUPIVACAINE LIPOSOME 1.3 INJECTION SUSP,1355.0,1355.0,1.44,1355.0,112 NDC,65250026609,BUPIVACAINE LIPOSOME 1.3 INJECTION SUSP,1355.0,1355.0,1.44,1355.0,112 NDC,65250026620,BUPIVACAINE LIPOSOME 1.3 INJECTION SUSP,1355.0,1355.0,1.44,1355.0,112 NDC,65282160501,LIDOCAINE HCL (PF) 1 INJECTION SOLN,13.0,13.0,0.01,13.0,111 NDC,65282160501,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),13.0,13.0,1.76,13.0,111 NDC,65597040601,FAMTRASTUZUMAB DERUXTECNXKI 100 MG IV SOLR,10111.0,10111.0,28.81,10111.0,119 NDC,65597050404,QUIZARTINIB DIHYDROCHLORIDE 17.7 MG PO TABS,1966.0,1966.0,265.41,1966.0,113 NDC,65597051104,QUIZARTINIB DIHYDROCHLORIDE 26.5 MG PO TABS,1966.0,1966.0,265.41,1966.0,113 NDC,65649023141,AZATHIOPRINE 75 MG PO TABS,75.0,75.0,0.06,75.0,112 NDC,65757030001,NALTREXONE 380 MG IM SUSR,5908.0,5908.0,4.12,5908.0,119 NDC,65757040203,ARIPIPRAZOLE LAUROXIL ER 662 MG/2.4ML IM PRSY,8348.0,8348.0,3.23,8348.0,119 NDC,65757040303,ARIPIPRAZOLE LAUROXIL ER 882 MG/3.2ML IM PRSY,11122.0,11122.0,3.23,11122.0,119 NDC,65757040403,ARIPIPRAZOLE LAUROXIL ER 1064 MG/3.9ML IM PRSY,13417.0,13417.0,3.23,13417.0,119 NDC,65757050003,ARIPIPRAZOLE LAUROXIL ER 675 MG/2.4ML IM PRSY,8512.0,8512.0,3.13,8512.0,119 NDC,65862018730,ONDANSETRON HCL 4 MG PO TABS,73.0,73.0,0.01,73.0,112 NDC,65862018830,ONDANSETRON HCL 8 MG PO TABS,121.0,121.0,0.01,121.0,112 NDC,65862035430,EMTRICITABINETENOFOVIR DF 200300 MG PO TABS,211.0,211.0,1.34,211.0,119 NDC,65862039010,ONDANSETRON 4 MG PO TBDP,67.0,67.0,0.01,67.0,112 NDC,65862039110,ONDANSETRON 8 MG PO TBDP,112.0,112.0,0.01,112.0,112 NDC,65862094524,LEVALBUTEROL HCL 1.25 MG/3ML INHALATION NEBU,21.0,21.0,0.27,21.0,112 NDC,66215030300,ILOPROST 20 MCG/ML INHALATION SOLN,424.0,424.0,57.24,424.0,112 NDC,66215030330,ILOPROST 20 MCG/ML INHALATION SOLN,424.0,424.0,57.24,424.0,112 NDC,66215040201,EPOPROSTENOL SODIUM (FLOLAN) 1.5 MG IV SOLR,188.0,188.0,15.65,188.0,112 NDC,66215040301,EPOPROSTENOL SODIUM (VELETRI) 0.5 MG IV SOLR,94.0,94.0,12.69,94.0,112 NDC,66220020730,ACETYLCYSTEINE 200 MG/ML IV SOLN,823.0,823.0,0.37,823.0,112 NDC,66288110001,CEFAZOLIN SODIUM 100 G INJECTION SOLR,540.0,540.0,0.81,540.0,112 NDC,66288130001,CEFAZOLIN SODIUM 300 G INJECTION SOLR,1425.0,1425.0,0.81,1425.0,112 NDC,66288610001,CEFTRIAXONE SODIUM 100 G INJECTION SOLR,855.0,855.0,0.45,855.0,112 NDC,66288710001,VANCOMYCIN HCL 100 G IV SOLR,1800.0,1800.0,1.86,1800.0,111 NDC,66288810001,CEFEPIME HCL 100 G IV SOLR,36.0,36.0,0.87,36.0,112 NDC,66302010101,TREPROSTINIL 20 MG/20ML INJECTION SOLN,4584.0,4584.0,54.48,4584.0,119 NDC,66302010201,TREPROSTINIL 50 MG/20ML INJECTION SOLN,11460.0,11460.0,54.48,11460.0,119 NDC,66302010501,TREPROSTINIL 100 MG/20ML INJECTION SOLN,22920.0,22920.0,54.48,22920.0,119 NDC,66302011001,TREPROSTINIL 200 MG/20ML INJECTION SOLN,45840.0,45840.0,54.48,45840.0,119 NDC,66302020601,TREPROSTINIL 0.6 MG/ML INHALATION SOLN,1915.0,1915.0,258.53,1915.0,112 NDC,66302020603,TREPROSTINIL 0.6 MG/ML INHALATION SOLN,2688.0,2688.0,362.88,2688.0,112 NDC,66621079001,CROTALIDAE IMMUNE FAB (EQUINE) IV SOLR,4752.0,4752.0,641.52,14816.85,119 NDC,66621079002,CROTALIDAE IMMUNE FAB (EQUINE) IV SOLR,4752.0,4752.0,641.52,14816.85,119 NDC,66658011303,PALIFERMIN 5.16 MG IV SOLR,11929.0,11929.0,33.99,11929.0,119 NDC,66689030708,MYCOPHENOLATE MOFETIL 200 MG/ML PO SUSR,4349.0,4349.0,0.15,4349.0,112 NDC,66689034702,SIROLIMUS 1 MG/ML PO SOLN,6300.0,6300.0,0.96,6300.0,112 NDC,66689069430,METHADONE HCL 10 MG/ML PO CONC,300.0,300.0,17.7,300.0,112 NDC,66733094823,CETUXIMAB 100 MG/50ML IV SOLN,2895.0,2895.0,77.1,2895.0,119 NDC,66733095823,CETUXIMAB 200 MG/100ML IV SOLN,5790.0,5790.0,77.1,5790.0,119 NDC,66758005001,DOCETAXEL 20 MG/2ML IV SOLN,1139.0,1139.0,0.38,1139.0,112 NDC,66758005002,DOCETAXEL 80 MG/8ML IV SOLN,4555.0,4555.0,0.38,4555.0,112 NDC,66758005003,DOCETAXEL 160 MG/16ML IV SOLN,9717.0,9717.0,0.38,9717.0,112 NDC,66794015101,BACLOFEN 50 MCG/ML INTRATHECAL SOSY,317.0,317.0,40.73,317.0,112 NDC,66794015501,BACLOFEN 10000 MCG/20ML INTRATHECAL SOSY,914.0,914.0,123.39,914.0,119 NDC,66794015601,BACLOFEN 20000 MCG/20ML INTRATHECAL SOSY,1828.0,1828.0,173.84,1828.0,119 NDC,66794015701,BACLOFEN 40000 MCG/20ML INTRATHECAL SOSY,3660.0,3660.0,173.84,3660.0,119 NDC,66794020202,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),9.0,9.0,0.38,9.0,112 NDC,66794020242,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),9.0,9.0,0.38,9.0,112 NDC,66794020502,GLYCOPYRROLATE 4 MG/20ML INJECTION SOLN,87.0,87.0,0.38,87.0,112 NDC,66794021943,LINEZOLID 600 MG/300ML IV SOLN,69.0,69.0,2.74,69.0,112 NDC,66794021963,LINEZOLID 600 MG/300ML IV SOLN,69.0,69.0,2.74,69.0,112 NDC,66794023643,LINEZOLID 600 MG/300ML IV SOLN,44.0,44.0,2.74,44.0,112 NDC,66794023663,LINEZOLID 600 MG/300ML IV SOLN,44.0,44.0,2.74,44.0,112 NDC,66794023702,DOXYCYCLINE HYCLATE 100 MG IV SOLR,91.0,91.0,12.29,91.0,111 NDC,66794023741,DOXYCYCLINE HYCLATE 100 MG IV SOLR,91.0,91.0,12.29,91.0,111 NDC,66975042551,LIDOCAINEEPINEPHRINE 2 1 100000 INJECTION SOLN,3.0,3.0,0.01,3.0,111 NDC,66993037025,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP,294.0,294.0,0.35,294.0,111 NDC,66993037083,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP,294.0,294.0,0.35,294.0,111 NDC,66993037179,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSY,346.0,346.0,0.35,346.0,111 NDC,66993045730,DAPAGLIFLOZIN PROPANEDIOL 10 MG PO TABS,67.0,67.0,9.04,67.0,105 NDC,66993073051,DEXAMETHASONE 4 MG PO TABS,4.0,4.0,0.01,4.0,112 NDC,66993073080,DEXAMETHASONE 4 MG PO TABS,4.0,4.0,0.01,4.0,112 NDC,67066000501,SECRETIN ACETATE (HUMAN) 16 MCG IV SOLR,2268.0,2268.0,30.33,2268.0,119 NDC,67066000601,SECRETIN ACETATE 16 MCG IV SOLR,30.0,30.0,4.05,121.66,119 NDC,67386013051,EPTINEZUMABJJMR 100 MG/ML IV SOLN,6581.0,6581.0,19.32,6581.0,119 NDC,67457012410,DIPHENHYDRAMINE HCL 50 MG/ML INJECTION SOLN,44.0,44.0,0.71,44.0,112 NDC,67457015300,AMIODARONE HCL 150 MG/3ML IV SOLN,14.0,14.0,0.39,14.0,112 NDC,67457015303,AMIODARONE HCL 150 MG/3ML IV SOLN,14.0,14.0,0.39,14.0,112 NDC,67457015309,AMIODARONE HCL 450 MG/9ML IV SOLN,28.0,28.0,0.39,28.0,112 NDC,67457015318,AMIODARONE HCL 900 MG/18ML IV SOLN,54.0,54.0,0.39,54.0,112 NDC,67457015399,AMIODARONE HCL 450 MG/9ML IV SOLN,28.0,28.0,0.39,28.0,112 NDC,67457017750,DIMETHYL SULFOXIDE 50 INTRAVESICAL SOLN,2502.0,2502.0,337.77,2502.0,119 NDC,67457018200,ESMOLOL HCL 100 MG/10ML IV SOLN,27.0,27.0,0.21,27.0,112 NDC,67457018210,ESMOLOL HCL 100 MG/10ML IV SOLN,27.0,27.0,0.21,27.0,112 NDC,67457019501,MELPHALAN HCL 50 MG IV SOLR,9023.0,9023.0,86.94,9023.0,119 NDC,67457019600,THIAMINE HCL 100 MG/ML INJECTION SOLN,33.0,33.0,1.76,33.0,112 NDC,67457019602,THIAMINE HCL 100 MG/ML INJECTION SOLN,33.0,33.0,1.76,33.0,112 NDC,67457021005,CIDOFOVIR 75 MG/ML IV SOLN,3560.0,3560.0,301.1,3560.0,119 NDC,67457021102,FOMEPIZOLE 1.5 GM/1.5ML IV SOLN,3697.0,3697.0,6.03,3697.0,119 NDC,67457021202,ARGATROBAN 250 MG/2.5ML IV SOLN,1836.0,1836.0,0.61,1836.0,119 NDC,67457021720,METHADONE HCL 10 MG/ML INJECTION SOLN,1539.0,1539.0,17.7,1539.0,112 NDC,67457021810,CLONIDINE HCL (ANALGESIA) 100 MCG/ML EPIDURAL SOLN,159.0,159.0,16.74,159.0,112 NDC,67457022000,ISOSULFAN BLUE 1 SC SOLN,4372.0,4372.0,1.67,4372.0,119 NDC,67457022005,ISOSULFAN BLUE 1 SC SOLN,4372.0,4372.0,1.67,4372.0,119 NDC,67457023900,OCTREOTIDE ACETATE 50 MCG/ML SC SOSY,15.0,15.0,0.61,15.0,112 NDC,67457023901,OCTREOTIDE ACETATE 50 MCG/ML SC SOSY,15.0,15.0,0.61,15.0,112 NDC,67457024500,OCTREOTIDE ACETATE 100 MCG/ML SC SOSY,29.0,29.0,0.61,29.0,112 NDC,67457024501,OCTREOTIDE ACETATE 100 MCG/ML SC SOSY,29.0,29.0,0.61,29.0,112 NDC,67457024600,OCTREOTIDE ACETATE 500 MCG/ML SC SOSY,143.0,143.0,0.61,143.0,112 NDC,67457024601,OCTREOTIDE ACETATE 500 MCG/ML SC SOSY,143.0,143.0,0.61,143.0,112 NDC,67457025500,LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN,51.0,51.0,0.04,51.0,112 NDC,67457025510,LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN,51.0,51.0,0.04,51.0,112 NDC,67457025600,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,3412.0,3412.0,0.16,3412.0,112 NDC,67457025610,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,3412.0,3412.0,0.16,3412.0,112 NDC,67457025900,ISOSULFAN BLUE 1 SC SOLN,2446.0,2446.0,1.67,2446.0,119 NDC,67457026500,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN,78.0,78.0,0.04,78.0,112 NDC,67457026510,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN,78.0,78.0,0.04,78.0,112 NDC,67457026600,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN,103.0,103.0,0.04,103.0,112 NDC,67457026610,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN,103.0,103.0,0.04,103.0,112 NDC,67457029200,NALOXONE HCL 0.4 MG/ML INJECTION SOLN,72.0,72.0,8.7,72.0,111 NDC,67457029202,NALOXONE HCL 0.4 MG/ML INJECTION SOLN,72.0,72.0,8.7,72.0,111 NDC,67457031625,DECITABINE 50 MG IV SOLR,3420.0,3420.0,0.65,3420.0,112 NDC,67457031725,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,1078.0,1078.0,0.34,1078.0,112 NDC,67457032325,MOXIFLOXACIN HCL IN NACL 400 MG/250ML IV SOLN,173.0,173.0,8.65,173.0,112 NDC,67457033900,VANCOMYCIN HCL 500 MG IV SOLR,29.0,29.0,1.86,29.0,111 NDC,67457033950,VANCOMYCIN HCL 500 MG IV SOLR,29.0,29.0,1.86,29.0,111 NDC,67457034000,VANCOMYCIN HCL 1 G IV SOLR,57.0,57.0,1.86,57.0,111 NDC,67457034001,VANCOMYCIN HCL 1 G IV SOLR,57.0,57.0,1.86,57.0,111 NDC,67457034105,VANCOMYCIN HCL 5 G IV SOLR,315.0,315.0,1.86,315.0,111 NDC,67457034210,VANCOMYCIN HCL 10 G IV SOLR,780.0,780.0,1.86,780.0,111 NDC,67457035959,FLUPHENAZINE DECANOATE 25 MG/ML INJECTION SOLN,558.0,558.0,6.2,558.0,112 NDC,67457036610,IBUTILIDE FUMARATE 1 MG/10ML IV SOLN,1119.0,1119.0,151.06,1119.0,119 NDC,67457037412,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,11.0,11.0,0.18,11.0,112 NDC,67457037499,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,11.0,11.0,0.18,11.0,112 NDC,67457038310,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,35.0,35.0,0.18,35.0,112 NDC,67457038431,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,29.0,29.0,0.18,29.0,112 NDC,67457038499,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,29.0,29.0,0.18,29.0,112 NDC,67457038510,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,15.0,15.0,0.18,15.0,112 NDC,67457038599,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,15.0,15.0,0.18,15.0,112 NDC,67457038600,MYCOPHENOLATE MOFETIL HCL 500 MG IV SOLR,261.0,261.0,0.37,261.0,112 NDC,67457038681,MYCOPHENOLATE MOFETIL HCL 500 MG IV SOLR,261.0,261.0,0.37,261.0,112 NDC,67457039054,ZOLEDRONIC ACID 4 MG/5ML IV CONC,159.0,159.0,5.08,159.0,112 NDC,67457040900,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN,159.0,159.0,3.94,159.0,112 NDC,67457041000,HALOPERIDOL DECANOATE 50 MG/ML IM SOLN,80.0,80.0,3.94,80.0,112 NDC,67457041013,HALOPERIDOL DECANOATE 50 MG/ML IM SOLN,80.0,80.0,3.94,80.0,112 NDC,67457041800,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML INJECTION,8.0,8.0,0.11,8.0,112 NDC,67457041805,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML INJECTION,8.0,8.0,0.11,8.0,112 NDC,67457041900,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION S,3.0,3.0,0.11,3.0,112 NDC,67457041901,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION S,3.0,3.0,0.11,3.0,112 NDC,67457042000,DEXAMETHASONE SODIUM PHOSPHATE 100 MG/10ML INJECTI,15.0,15.0,0.11,15.0,112 NDC,67457042010,DEXAMETHASONE SODIUM PHOSPHATE 100 MG/10ML INJECTI,15.0,15.0,0.11,15.0,112 NDC,67457042100,DEXAMETHASONE SODIUM PHOSPHATE 120 MG/30ML INJECTI,38.0,38.0,0.11,38.0,112 NDC,67457042200,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML INJECTION,8.0,8.0,0.11,8.0,112 NDC,67457042254,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML INJECTION,8.0,8.0,0.11,8.0,112 NDC,67457042300,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION S,3.0,3.0,0.11,3.0,112 NDC,67457042312,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION S,3.0,3.0,0.11,3.0,112 NDC,67457042600,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLN,5.0,5.0,0.68,5.0,112 NDC,67457042612,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLN,5.0,5.0,0.68,5.0,112 NDC,67457042800,TOBRAMYCIN SULFATE 1.2 GM/30ML INJECTION SOLN,79.0,79.0,1.97,79.0,112 NDC,67457042830,TOBRAMYCIN SULFATE 1.2 GM/30ML INJECTION SOLN,79.0,79.0,1.97,79.0,112 NDC,67457043010,PAMIDRONATE DISODIUM 30 MG/10ML IV SOLN,98.0,98.0,11.16,98.0,112 NDC,67457043300,FAMOTIDINE (PF) 20 MG/2ML IV SOLN,4.0,4.0,0.54,4.0,111 NDC,67457043322,FAMOTIDINE (PF) 20 MG/2ML IV SOLN,4.0,4.0,0.54,4.0,111 NDC,67457043650,DOXORUBICIN HCL 50 MG IV SOLR,878.0,878.0,2.72,878.0,112 NDC,67457043700,DOXYCYCLINE HYCLATE 100 MG IV SOLR,55.0,55.0,7.43,55.0,111 NDC,67457043710,DOXYCYCLINE HYCLATE 100 MG IV SOLR,55.0,55.0,7.43,55.0,111 NDC,67457044000,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,3.0,3.0,0.09,3.0,112 NDC,67457044220,OXALIPLATIN 100 MG/20ML IV SOLN,720.0,720.0,0.05,720.0,112 NDC,67457044610,PAMIDRONATE DISODIUM 90 MG/10ML IV SOLN,337.0,337.0,11.16,337.0,112 NDC,67457044800,FAMOTIDINE 40 MG/4ML IV SOLN,7.0,7.0,0.9,7.0,111 NDC,67457044843,FAMOTIDINE 40 MG/4ML IV SOLN,7.0,7.0,0.9,7.0,111 NDC,67457045700,FAMOTIDINE 200 MG/20ML IV SOLN,33.0,33.0,0.9,33.0,111 NDC,67457045720,FAMOTIDINE 200 MG/20ML IV SOLN,33.0,33.0,0.9,33.0,111 NDC,67457046910,OXALIPLATIN 50 MG/10ML IV SOLN,360.0,360.0,0.05,360.0,112 NDC,67457047300,TOBRAMYCIN SULFATE 80 MG/2ML INJECTION SOLN,8.0,8.0,1.08,8.0,112 NDC,67457047322,TOBRAMYCIN SULFATE 80 MG/2ML INJECTION SOLN,8.0,8.0,1.08,8.0,112 NDC,67457048300,DEXAMETHASONE SODIUM PHOSPHATE 100 MG/10ML INJECTI,15.0,15.0,0.11,15.0,112 NDC,67457048310,DEXAMETHASONE SODIUM PHOSPHATE 100 MG/10ML INJECTI,15.0,15.0,0.11,15.0,112 NDC,67457052433,IBANDRONATE SODIUM 3 MG/3ML IV SOLN,1516.0,1516.0,13.14,1516.0,112 NDC,67457052810,LEUCOVORIN CALCIUM 100 MG INJECTION SOLR,72.0,72.0,3.84,72.0,112 NDC,67457052920,LEUCOVORIN CALCIUM 200 MG INJECTION SOLR,144.0,144.0,3.84,144.0,112 NDC,67457053035,LEUCOVORIN CALCIUM 350 MG INJECTION SOLR,94.0,94.0,3.84,94.0,112 NDC,67457053102,DOCETAXEL 20 MG/2ML IV SOLN,248.0,248.0,0.38,248.0,112 NDC,67457053208,DOCETAXEL 80 MG/8ML IV SOLN,990.0,990.0,0.38,990.0,112 NDC,67457053316,DOCETAXEL 160 MG/16ML IV SOLN,2112.0,2112.0,0.38,2112.0,112 NDC,67457055300,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,48.0,48.0,0.41,48.0,112 NDC,67457055400,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,24.0,24.0,0.41,24.0,112 NDC,67457056700,MAGNESIUM SULFATE IN D5W 15 GM/100ML IV SOLN,24.0,24.0,0.41,24.0,112 NDC,67457058200,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN,164.0,164.0,0.67,164.0,112 NDC,67457058210,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN,164.0,164.0,0.67,164.0,112 NDC,67457058300,FONDAPARINUX SODIUM 5 MG/0.4ML SC SOLN,386.0,386.0,0.67,386.0,112 NDC,67457058304,FONDAPARINUX SODIUM 5 MG/0.4ML SC SOLN,386.0,386.0,0.67,386.0,112 NDC,67457058400,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN,386.0,386.0,0.67,386.0,112 NDC,67457058406,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN,386.0,386.0,0.67,386.0,112 NDC,67457058500,FONDAPARINUX SODIUM 10 MG/0.8ML SC SOLN,386.0,386.0,0.67,386.0,112 NDC,67457058508,FONDAPARINUX SODIUM 10 MG/0.8ML SC SOLN,386.0,386.0,0.67,386.0,112 NDC,67457059210,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN,201.0,201.0,0.67,201.0,112 NDC,67457059500,FONDAPARINUX SODIUM 10 MG/0.8ML SC SOLN,472.0,472.0,0.67,472.0,112 NDC,67457059900,NALOXONE HCL 0.4 MG/ML INJECTION SOLN,72.0,72.0,8.7,72.0,111 NDC,67457060202,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,17.0,17.0,0.18,17.0,112 NDC,67457060305,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,32.0,32.0,0.18,32.0,112 NDC,67457060399,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,32.0,32.0,0.18,32.0,112 NDC,67457061610,GEMCITABINE HCL 200 MG/5.26ML IV SOLN,29.0,29.0,2.87,29.0,112 NDC,67457061730,GEMCITABINE HCL 1 GM/26.3ML IV SOLN,127.0,127.0,2.87,127.0,112 NDC,67457061810,GEMCITABINE HCL 2 GM/52.6ML IV SOLN,289.0,289.0,2.87,289.0,112 NDC,67457061910,ZOLEDRONIC ACID 5 MG/100ML IV SOLN,846.0,846.0,5.08,846.0,112 NDC,67457062102,TRIAMCINOLONE ACETONIDE 40 MG/ML INJECTION SUSP,33.0,33.0,0.74,33.0,112 NDC,67457062205,TRIAMCINOLONE ACETONIDE 40 MG/ML INJECTION SUSP,163.0,163.0,0.74,163.0,112 NDC,67457062299,TRIAMCINOLONE ACETONIDE 40 MG/ML INJECTION SUSP,163.0,163.0,0.74,163.0,112 NDC,67457064000,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,67.0,67.0,2.31,67.0,112 NDC,67457064002,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,67.0,67.0,2.31,67.0,112 NDC,67457065725,ESMOLOL HCLSODIUM CHLORIDE 2500 MG/250ML IV SOLN,1577.0,1577.0,0.21,1577.0,112 NDC,67457065810,ESMOLOL HCLSODIUM CHLORIDE 2000 MG/100ML IV SOLN,1631.0,1631.0,0.21,1631.0,112 NDC,67457067502,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLN,11276.0,11276.0,816.0,11276.0,111 NDC,67457070500,VANCOMYCIN HCL 750 MG IV SOLR,36.0,36.0,4.86,36.0,111 NDC,67457070575,VANCOMYCIN HCL 750 MG IV SOLR,36.0,36.0,4.86,36.0,111 NDC,67457078108,DOCETAXEL 160 MG/8ML IV CONC,8764.0,8764.0,0.38,8764.0,112 NDC,67457079000,LEVETIRACETAM 500 MG/5ML IV SOLN,38.0,38.0,0.04,38.0,112 NDC,67457079005,LEVETIRACETAM 500 MG/5ML IV SOLN,38.0,38.0,0.04,38.0,112 NDC,67457079410,ZOLEDRONIC ACID 5 MG/100ML IV SOLN,396.0,396.0,5.08,396.0,112 NDC,67457079920,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,264.0,264.0,0.05,264.0,112 NDC,67457079999,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,264.0,264.0,0.05,264.0,112 NDC,67457081350,DAPTOMYCIN 500 MG IV SOLR,1604.0,1604.0,0.03,1604.0,112 NDC,67457082399,VANCOMYCIN HCL 1.25 G IV SOLR,73.0,73.0,6.43,73.0,111 NDC,67457082499,VANCOMYCIN HCL 1.5 G IV SOLR,87.0,87.0,6.43,87.0,111 NDC,67457083306,PEGFILGRASTIMJMDB 6 MG/0.6ML SC SOSY,7515.0,7515.0,98.87,7515.0,119 NDC,67457084550,TRASTUZUMABDKST 420 MG IV SOLR,13311.0,13311.0,37.71,13311.0,119 NDC,67457084744,TRASTUZUMABDKST 420 MG IV SOLR,13311.0,13311.0,37.71,13311.0,119 NDC,67457085350,ACETAZOLAMIDE SODIUM 500 MG INJECTION SOLR,144.0,144.0,17.23,144.0,112 NDC,67457085500,ADENOSINE 6 MG/2ML IV SOLN,23.0,23.0,0.32,23.0,112 NDC,67457085502,ADENOSINE 6 MG/2ML IV SOLN,23.0,23.0,0.32,23.0,112 NDC,67457085620,ADENOSINE 3 MG/ML IV SOLN (CATH LAB INFUSION),468.0,468.0,0.32,468.0,112 NDC,67457085730,ADENOSINE 3 MG/ML IV SOLN (CATH LAB INFUSION),706.0,706.0,0.32,706.0,112 NDC,67457086404,GRANISETRON HCL 4 MG/4ML IV SOLN,90.0,90.0,0.15,90.0,112 NDC,67457088700,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP,124.0,124.0,0.35,124.0,111 NDC,67457088701,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP,124.0,124.0,0.35,124.0,111 NDC,67457088799,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP,124.0,124.0,0.35,124.0,111 NDC,67457088910,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR,1083.0,1083.0,0.11,1083.0,112 NDC,67457089300,BUSULFAN 6 MG/ML IV SOLN,7453.0,7453.0,0.89,7453.0,119 NDC,67457089308,BUSULFAN 6 MG/ML IV SOLN,7453.0,7453.0,0.89,7453.0,119 NDC,67457094010,ACETAMINOPHEN 10 MG/ML IV SOLN,135.0,135.0,0.05,135.0,112 NDC,67457094115,DAPTOMYCIN 500 MG IV SOLR,120.0,120.0,0.03,120.0,112 NDC,67457099115,TRASTUZUMABDKST 150 MG IV SOLR,4769.0,4769.0,37.71,4769.0,119 NDC,67457099405,REGADENOSON 0.4 MG/5ML IV SOLN,108.0,108.0,2.68,108.0,112 NDC,67684200000,GADOTERATE MEGLUMINE 2.5 MMOL/5ML IV SOLN,108.0,108.0,0.1,108.0,104 NDC,67684200001,GADOTERATE MEGLUMINE 5 MMOL/10ML IV SOLN,182.0,182.0,0.1,182.0,104 NDC,67684200002,GADOTERATE MEGLUMINE 7.5 MMOL/15ML IV SOLN,272.0,272.0,0.1,272.0,104 NDC,67684200003,GADOTERATE MEGLUMINE 10 MMOL/20ML IV SOLN,363.0,363.0,0.1,363.0,104 NDC,67684200007,GADOTERATE MEGLUMINE 10 MMOL/20ML IV SOSY,392.0,392.0,0.1,392.0,104 NDC,67684200100,GADOTERATE MEGLUMINE 2.5 MMOL/5ML IV SOLN,96.0,96.0,0.1,96.0,104 NDC,67684200101,GADOTERATE MEGLUMINE 5 MMOL/10ML IV SOLN,119.0,119.0,0.1,119.0,104 NDC,67684200103,GADOTERATE MEGLUMINE 10 MMOL/20ML IV SOLN,202.0,202.0,0.1,202.0,104 NDC,67684200104,GADOTERATE MEGLUMINE 50 MMOL/100ML IV SOLN,930.0,930.0,0.1,930.0,104 NDC,67850002100,AMPICILLIN SODIUM 1 G INJECTION SOLR,24.0,24.0,0.49,24.0,112 NDC,67850002110,AMPICILLIN SODIUM 1 G INJECTION SOLR,24.0,24.0,0.49,24.0,112 NDC,67850002200,AMPICILLIN SODIUM 2 G INJECTION SOLR,48.0,48.0,0.49,48.0,112 NDC,67850002210,AMPICILLIN SODIUM 2 G INJECTION SOLR,48.0,48.0,0.49,48.0,112 NDC,67850002400,AMPICILLIN SODIUM 500 MG INJECTION SOLR,13.0,13.0,0.49,13.0,112 NDC,67850002410,AMPICILLIN SODIUM 500 MG INJECTION SOLR,13.0,13.0,0.49,13.0,112 NDC,67850015000,PANTOPRAZOLE SODIUM 40 MG IV SOLR,15.0,15.0,1.93,15.0,111 NDC,67850015010,PANTOPRAZOLE SODIUM 40 MG IV SOLR,15.0,15.0,1.93,15.0,111 NDC,67850015025,PANTOPRAZOLE SODIUM 40 MG IV SOLR,15.0,15.0,1.93,15.0,111 NDC,67871047906,ETHANOLAMINE OLEATE 5 IV SOLN,1586.0,1586.0,214.11,1586.0,119 NDC,67871479006,ETHANOLAMINE OLEATE 5 IV SOLN,1730.0,1730.0,233.55,1730.0,119 NDC,67877022501,MYCOPHENOLATE MOFETIL 500 MG PO TABS,24.0,24.0,0.15,24.0,112 NDC,67877022505,MYCOPHENOLATE MOFETIL 500 MG PO TABS,24.0,24.0,0.15,24.0,112 NDC,67877023022,MYCOPHENOLATE MOFETIL 200 MG/ML PO SUSR,4349.0,4349.0,0.15,4349.0,112 NDC,67877026601,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,12.0,12.0,0.15,12.0,112 NDC,67877026605,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,12.0,12.0,0.15,12.0,112 NDC,67877042612,MYCOPHENOLATE SODIUM 180 MG PO TBEC,14.0,14.0,0.32,14.0,112 NDC,67877042712,MYCOPHENOLATE SODIUM 360 MG PO TBEC,28.0,28.0,0.32,28.0,112 NDC,67877049301,AZATHIOPRINE 50 MG PO TABS,7.0,7.0,0.06,7.0,112 NDC,67877053714,TEMOZOLOMIDE 5 MG PO CAPS,43.0,43.0,0.27,43.0,112 NDC,67877053814,TEMOZOLOMIDE 20 MG PO CAPS,171.0,171.0,0.27,171.0,112 NDC,67877053907,TEMOZOLOMIDE 100 MG PO CAPS,847.0,847.0,0.27,847.0,112 NDC,67877053914,TEMOZOLOMIDE 100 MG PO CAPS,836.0,836.0,0.27,836.0,112 NDC,67877054207,TEMOZOLOMIDE 250 MG PO CAPS,2157.0,2157.0,0.27,2157.0,112 NDC,67877071831,EVEROLIMUS 0.25 MG PO TABS,31.0,31.0,1.18,31.0,112 NDC,67877071833,EVEROLIMUS 0.25 MG PO TABS,31.0,31.0,1.18,31.0,112 NDC,67877072031,EVEROLIMUS 0.75 MG PO TABS,91.0,91.0,1.18,91.0,112 NDC,67877072033,EVEROLIMUS 0.75 MG PO TABS,91.0,91.0,1.18,91.0,112 NDC,67877074701,SIROLIMUS 1 MG PO TABS,51.0,51.0,0.96,51.0,112 NDC,67877075360,DRONABINOL 2.5 MG PO CAPS,20.0,20.0,1.35,20.0,112 NDC,67877075460,DRONABINOL 5 MG PO CAPS,41.0,41.0,1.35,41.0,112 NDC,67919003001,CEFTOLOZANETAZOBACTAM 1.5 (10.5) G IV SOLR,572.0,572.0,8.15,572.0,119 NDC,67919004002,TEDIZOLID PHOSPHATE 200 MG IV SOLR,1259.0,1259.0,1.81,1259.0,119 NDC,67919004099,TEDIZOLID PHOSPHATE 200 MG IV SOLR,1259.0,1259.0,1.81,1259.0,119 NDC,67919004105,TEDIZOLID PHOSPHATE 200 MG PO TABS,1580.0,1580.0,29.55,1580.0,105 NDC,67919004199,TEDIZOLID PHOSPHATE 200 MG PO TABS,1580.0,1580.0,29.55,1580.0,105 NDC,67979000101,VALRUBICIN 40 MG/ML INTRAVESICAL SOLN,8224.0,8224.0,1110.24,8224.0,119 NDC,68001000501,METHYLPREDNISOLONE 4 MG PO TBPK,5.0,5.0,0.13,5.0,112 NDC,68001016100,PROMETHAZINE HCL 12.5 MG PO TABS,2.0,2.0,0.09,2.0,111 NDC,68001016200,PROMETHAZINE HCL 25 MG PO TABS,2.0,2.0,0.09,2.0,111 NDC,68001024604,ONDANSETRON 4 MG PO TBDP,70.0,70.0,0.01,70.0,112 NDC,68001024616,ONDANSETRON 4 MG PO TBDP,70.0,70.0,0.01,70.0,112 NDC,68001024617,ONDANSETRON 4 MG PO TBDP,70.0,70.0,0.01,70.0,112 NDC,68001024716,ONDANSETRON 8 MG PO TBDP,116.0,116.0,0.01,116.0,112 NDC,68001024717,ONDANSETRON 8 MG PO TBDP,116.0,116.0,0.01,116.0,112 NDC,68001026522,ETOPOSIDE 100 MG/5ML IV SOLN,35.0,35.0,0.98,35.0,112 NDC,68001026523,ETOPOSIDE 500 MG/25ML IV SOLN,171.0,171.0,0.98,171.0,112 NDC,68001026525,ETOPOSIDE 100 MG/5ML IV SOLN,35.0,35.0,0.98,35.0,112 NDC,68001026526,ETOPOSIDE 500 MG/25ML IV SOLN,171.0,171.0,0.98,171.0,112 NDC,68001026527,ETOPOSIDE 1 GM/50ML IV SOLN,342.0,342.0,0.98,342.0,112 NDC,68001031356,AZACITIDINE 100 MG INJECTION SUSR,1853.0,1853.0,0.21,1853.0,112 NDC,68001048485,FULVESTRANT 250 MG/5ML IM SOSY,3142.0,3142.0,5.72,3142.0,112 NDC,68001053436,BORTEZOMIB 1 MG/ML IV SOLR (WRAPPER),810.0,810.0,1.59,810.0,112 NDC,68001053941,PEMETREXED DISODIUM 500 MG IV SOLR,2880.0,2880.0,3.59,2880.0,119 NDC,68001054036,BORTEZOMIB 1 MG/ML IV SOLR (WRAPPER),1080.0,1080.0,1.59,1080.0,112 NDC,68084014901,METHYLPREDNISOLONE 4 MG PO TABS,7.0,7.0,0.13,7.0,112 NDC,68084014911,METHYLPREDNISOLONE 4 MG PO TABS,7.0,7.0,0.13,7.0,112 NDC,68084015511,PROMETHAZINE HCL 25 MG PO TABS,2.0,2.0,0.09,2.0,111 NDC,68084022001,ONDANSETRON HCL 4 MG PO TABS,3.0,3.0,0.01,3.0,112 NDC,68084022011,ONDANSETRON HCL 4 MG PO TABS,3.0,3.0,0.01,3.0,112 NDC,68084022101,ONDANSETRON HCL 8 MG PO TABS,4.0,4.0,0.01,4.0,112 NDC,68084022111,ONDANSETRON HCL 8 MG PO TABS,4.0,4.0,0.01,4.0,112 NDC,68084022901,AZATHIOPRINE 50 MG PO TABS,3.0,3.0,0.06,3.0,112 NDC,68084022911,AZATHIOPRINE 50 MG PO TABS,3.0,3.0,0.06,3.0,112 NDC,68084028401,HYDROXYUREA 500 MG PO CAPS,4.0,4.0,0.41,4.0,111 NDC,68084028411,HYDROXYUREA 500 MG PO CAPS,4.0,4.0,0.41,4.0,111 NDC,68084044901,TACROLIMUS 0.5 MG PO CAPS,7.0,7.0,0.15,7.0,112 NDC,68084044911,TACROLIMUS 0.5 MG PO CAPS,7.0,7.0,0.15,7.0,112 NDC,68084045001,TACROLIMUS 1 MG PO CAPS,14.0,14.0,0.15,14.0,112 NDC,68084045011,TACROLIMUS 1 MG PO CAPS,14.0,14.0,0.15,14.0,112 NDC,68084045101,TACROLIMUS 5 MG PO CAPS,67.0,67.0,0.15,67.0,112 NDC,68084045111,TACROLIMUS 5 MG PO CAPS,67.0,67.0,0.15,67.0,112 NDC,68084060201,PERPHENAZINE 4 MG PO TABS,7.0,7.0,0.48,7.0,111 NDC,68084060211,PERPHENAZINE 4 MG PO TABS,7.0,7.0,0.48,7.0,111 NDC,68084060701,PERPHENAZINE 8 MG PO TABS,8.0,8.0,0.48,8.0,111 NDC,68084060711,PERPHENAZINE 8 MG PO TABS,8.0,8.0,0.48,8.0,111 NDC,68084090711,MYCOPHENOLATE SODIUM 180 MG PO TBEC,15.0,15.0,0.32,15.0,112 NDC,68084090721,MYCOPHENOLATE SODIUM 180 MG PO TBEC,15.0,15.0,0.32,15.0,112 NDC,68084091525,SIROLIMUS 1 MG PO TABS,52.0,52.0,0.96,52.0,112 NDC,68084091595,SIROLIMUS 1 MG PO TABS,52.0,52.0,0.96,52.0,112 NDC,68084091825,MYCOPHENOLATE SODIUM 360 MG PO TBEC,30.0,30.0,0.32,30.0,112 NDC,68084091895,MYCOPHENOLATE SODIUM 360 MG PO TBEC,30.0,30.0,0.32,30.0,112 NDC,68094010120,PHENTOLAMINE MESYLATE 5 MG INJECTION SOLR,1505.0,1505.0,203.18,1505.0,119 NDC,68094076359,ONDANSETRON HCL 4 MG/5ML PO SOLN,46.0,46.0,0.01,46.0,112 NDC,68135010001,ELOSULFASE ALFA 5 MG/5ML IV SOLN,5116.0,5116.0,293.92,5116.0,119 NDC,68180096204,TOBRAMYCIN 300 MG/5ML INHALATION NEBU,425.0,425.0,12.47,425.0,112 NDC,68180096256,TOBRAMYCIN 300 MG/5ML INHALATION NEBU,425.0,425.0,12.47,425.0,112 NDC,68180098405,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,34.0,34.0,1.05,34.0,112 NDC,68180098430,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,34.0,34.0,1.05,34.0,112 NDC,68382000301,AZATHIOPRINE 50 MG PO TABS,7.0,7.0,0.06,7.0,112 NDC,68382004001,PROMETHAZINE HCL 12.5 MG PO TABS,2.0,2.0,0.09,2.0,111 NDC,68382004101,PROMETHAZINE HCL 25 MG PO TABS,2.0,2.0,0.09,2.0,111 NDC,68382052001,SIROLIMUS 0.5 MG PO TABS,26.0,26.0,0.96,26.0,112 NDC,68382077501,METHOTREXATE SODIUM 2.5 MG PO TABS,11.0,11.0,0.15,11.0,112 NDC,68382086002,BENZTROPINE MESYLATE 1 MG/ML INJECTION SOLN,177.0,177.0,13.81,177.0,112 NDC,68382086010,BENZTROPINE MESYLATE 1 MG/ML INJECTION SOLN,177.0,177.0,13.81,177.0,112 NDC,68382091001,DOXYCYCLINE HYCLATE 100 MG IV SOLR,91.0,91.0,12.29,91.0,111 NDC,68382091010,DOXYCYCLINE HYCLATE 100 MG IV SOLR,91.0,91.0,12.29,91.0,111 NDC,68382091601,METHYLPREDNISOLONE 4 MG PO TABS,5.0,5.0,0.13,5.0,112 NDC,68382091818,METHYLPREDNISOLONE 16 MG PO TABS,11.0,11.0,0.13,11.0,112 NDC,68382099710,ARSENIC TRIOXIDE 10 MG/10ML IV SOLN,1365.0,1365.0,4.68,1365.0,112 NDC,68462010530,ONDANSETRON HCL 4 MG PO TABS,74.0,74.0,0.01,74.0,112 NDC,68462010630,ONDANSETRON HCL 8 MG PO TABS,108.0,108.0,0.01,108.0,112 NDC,68462015713,ONDANSETRON 4 MG PO TBDP,70.0,70.0,0.01,70.0,112 NDC,68462015740,ONDANSETRON 4 MG PO TBDP,70.0,70.0,0.01,70.0,112 NDC,68462015813,ONDANSETRON 8 MG PO TBDP,116.0,116.0,0.01,116.0,112 NDC,68462046940,BUMETANIDE 0.25 MG/ML INJECTION SOLN,9.0,9.0,0.36,9.0,112 NDC,68462046954,BUMETANIDE 0.25 MG/ML INJECTION SOLN,9.0,9.0,0.36,9.0,112 NDC,68462047040,BUMETANIDE 0.25 MG/ML INJECTION SOLN,9.0,9.0,0.36,9.0,112 NDC,68462047054,BUMETANIDE 0.25 MG/ML INJECTION SOLN,9.0,9.0,0.36,9.0,112 NDC,68462058340,APREPITANT 40 MG PO CAPS,330.0,330.0,2.72,330.0,112 NDC,68462058385,APREPITANT 40 MG PO CAPS,330.0,330.0,2.72,330.0,112 NDC,68462058440,APREPITANT 80 MG PO CAPS,612.0,612.0,2.72,612.0,112 NDC,68462058540,APREPITANT 125 MG PO CAPS,956.0,956.0,2.72,956.0,112 NDC,68462058576,APREPITANT 125 MG PO CAPS,956.0,956.0,2.72,956.0,112 NDC,68462062102,FOSPHENYTOIN SODIUM 100 MG PE/2ML INJECTION SOLN,54.0,54.0,1.01,54.0,119 NDC,68462062154,FOSPHENYTOIN SODIUM 100 MG PE/2ML INJECTION SOLN,54.0,54.0,1.01,54.0,119 NDC,68462062210,FOSPHENYTOIN SODIUM 500 MG PE/10ML INJECTION SOLN,171.0,171.0,1.01,171.0,119 NDC,68462062264,FOSPHENYTOIN SODIUM 500 MG PE/10ML INJECTION SOLN,171.0,171.0,1.01,171.0,119 NDC,68462068201,SIROLIMUS 0.5 MG PO TABS,26.0,26.0,0.96,26.0,112 NDC,68462068301,SIROLIMUS 1 MG PO TABS,51.0,51.0,0.96,51.0,112 NDC,68462075501,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,6.0,6.0,0.33,6.0,112 NDC,68462075525,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,6.0,6.0,0.33,6.0,112 NDC,68462075601,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,6.0,6.0,0.33,6.0,112 NDC,68462075625,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,6.0,6.0,0.33,6.0,112 NDC,68462086401,CHLORPROMAZINE HCL 100 MG PO TABS,45.0,45.0,0.33,45.0,111 NDC,68462089701,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLN,132.0,132.0,0.61,132.0,112 NDC,68462089710,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLN,132.0,132.0,0.61,132.0,112 NDC,6846258458,APREPITANT 80 MG PO CAPS,717.0,717.0,2.72,717.0,112 NDC,6846258476,APREPITANT 80 MG PO CAPS,717.0,717.0,2.72,717.0,112 NDC,68516320401,FACTOR IX COMPLEX 500 UNITS IV SOLR,3044.0,3044.0,1.66,3044.0,116 NDC,68516320502,FACTOR IX COMPLEX 1000 UNITS IV SOLR,4710.0,4710.0,1.66,4710.0,116 NDC,68516360502,COAGULATION FACTOR IX 1000 UNITS IV SOLR,5010.0,5010.0,1.34,5010.0,116 NDC,68516460501,ANTIHEMOPHILIC FACTORVWF 250 UNITS IV SOLR (ALPHAN,1140.0,1140.0,1.2,1140.0,113 NDC,68516460601,ANTIHEMOPHILIC FACTORVWF 500 UNITS IV SOLR (ALPHAN,2280.0,2280.0,1.2,2280.0,113 NDC,68516460702,ANTIHEMOPHILIC FACTORVWF 1000 UNITS IV SOLR (ALPHA,4560.0,4560.0,1.2,4560.0,116 NDC,68516460802,ANTIHEMOPHILIC FACTORVWF 1500 UNITS IV SOLR (ALPHA,6840.0,6840.0,1.2,6840.0,117 NDC,68516461002,ANTIHEMOPHILIC FACTORVWF 2000 UNITS IV SOLR (ALPHA,10674.0,10674.0,1.2,10674.0,117 NDC,68516521401,ALBUMIN HUMAN 5 IV SOLN,175.0,175.0,23.63,175.0,119 NDC,68516521402,ALBUMIN HUMAN 5 IV SOLN,335.0,335.0,45.23,335.0,119 NDC,68516521403,ALBUMIN HUMAN 5 IV SOLN,175.0,175.0,23.63,175.0,119 NDC,68516521404,ALBUMIN HUMAN 5 IV SOLN,335.0,335.0,45.23,335.0,119 NDC,68516521407,ALBUMIN HUMAN 5 IV SOLN,175.0,175.0,23.63,175.0,119 NDC,68516521408,ALBUMIN HUMAN 5 IV SOLN,335.0,335.0,45.23,335.0,119 NDC,68516521600,ALBUMIN HUMAN 25 IV SOLN,336.0,336.0,45.36,336.0,119 NDC,68516521601,ALBUMIN HUMAN 25 IV SOLN,168.0,168.0,22.68,168.0,119 NDC,68516521602,ALBUMIN HUMAN 25 IV SOLN,336.0,336.0,45.36,336.0,119 NDC,68516521603,ALBUMIN HUMAN 25 IV SOLN,168.0,168.0,22.68,168.0,119 NDC,68516521604,ALBUMIN HUMAN 25 IV SOLN,336.0,336.0,45.36,336.0,119 NDC,68516521607,ALBUMIN HUMAN 25 IV SOLN,168.0,168.0,22.68,168.0,119 NDC,68516521608,ALBUMIN HUMAN 25 IV SOLN,336.0,336.0,45.36,336.0,119 NDC,68516521609,ALBUMIN HUMAN 25 IV SOLN,168.0,168.0,22.68,168.0,119 NDC,68516521800,ALBUMIN HUMAN 5 IV SOLN,175.0,175.0,23.63,175.0,119 NDC,68516521804,ALBUMIN HUMAN 5 IV SOLN,175.0,175.0,23.63,175.0,119 NDC,68516521900,ALBUMIN HUMAN 5 IV SOLN,335.0,335.0,45.23,335.0,119 NDC,68516521902,ALBUMIN HUMAN 5 IV SOLN,335.0,335.0,45.23,335.0,119 NDC,68547011110,SULBACTAM SODDURLOBACTAM SOD 11 G IV SOLR,570.0,570.0,76.95,570.0,111 NDC,68727071201,LURBINECTEDIN 4 MG IV SOLR,28908.0,28908.0,204.9,28908.0,119 NDC,68727074501,DAUNORUBICINCYTARABINE LIPO 44100 MG IV SUSR,37638.0,37638.0,248.41,37638.0,119 NDC,68727074502,DAUNORUBICINCYTARABINE LIPO 44100 MG IV SUSR,37638.0,37638.0,248.41,37638.0,119 NDC,68727080001,DEFIBROTIDE SODIUM 200 MG/2.5ML IV SOLN,4097.0,4097.0,553.1,4097.0,113 NDC,68727090001,ASPARAGINASE ERWINIA CHRYRYWN 10 MG/0.5ML IM SOLN,18468.0,18468.0,54.14,18468.0,119 NDC,68817013450,PACLITAXEL PROTEINBOUND PART 100 MG IV SUSR,5689.0,5689.0,8.18,5689.0,119 NDC,68982014301,ANTIHEM FACTOR RECOMB (RFVIII) 1000 UNITS IV KIT,6600.0,6600.0,1.13,6600.0,116 NDC,68982018201,ANTIHEMOPHILIC FACTORVWF 500500 UNITS IV KIT,2894.0,2894.0,1.27,2894.0,114 NDC,68982034701,FIBRINOGEN CONCENTRATE (HUMAN) IV SOLR,3960.0,3960.0,1.11,3960.0,119 NDC,68982034801,FIBRINOGEN CONCENTRATE (HUMAN) IV SOLR,3960.0,3960.0,1.11,3960.0,119 NDC,68982062302,ALBUMIN HUMAN 5 IV SOLN,261.0,261.0,35.23,261.0,119 NDC,68982062303,ALBUMIN HUMAN 5 IV SOLN,500.0,500.0,47.71,500.0,119 NDC,68982064301,ALBUMIN HUMAN 25 IV SOLN,207.0,207.0,27.95,207.0,119 NDC,68982084001,OCTAGAM 1 G/20 ML IV SOLN (WRAPPER),700.0,700.0,47.38,700.0,119 NDC,68982084002,OCTAGAM 1 G/20 ML IV SOLN (WRAPPER),1749.0,1749.0,47.38,1749.0,119 NDC,68982084003,OCTAGAM 1 G/20 ML IV SOLN (WRAPPER),3497.0,3497.0,47.38,3497.0,119 NDC,68982084004,OCTAGAM 1 G/20 ML IV SOLN (WRAPPER),6993.0,6993.0,47.38,6993.0,119 NDC,68982085001,OCTAGAM 1 G/10 ML IV SOLN (WRAPPER),1399.0,1399.0,47.38,1399.0,119 NDC,68982085002,OCTAGAM 1 G/10 ML IV SOLN (WRAPPER),3497.0,3497.0,47.38,3497.0,119 NDC,68982085003,OCTAGAM 1 G/10 ML IV SOLN (WRAPPER),6993.0,6993.0,47.38,6993.0,119 NDC,68982085004,OCTAGAM 1 G/10 ML IV SOLN (WRAPPER),13986.0,13986.0,47.38,13986.0,119 NDC,68992301001,TACROLIMUS ER 1 MG PO TB24,25.0,25.0,1.8,25.0,112 NDC,68992301003,TACROLIMUS ER 1 MG PO TB24,25.0,25.0,1.8,25.0,112 NDC,68992304001,TACROLIMUS ER 4 MG PO TB24,99.0,99.0,1.8,99.0,112 NDC,68992304003,TACROLIMUS ER 4 MG PO TB24,99.0,99.0,1.8,99.0,112 NDC,68992307501,TACROLIMUS ER 0.75 MG PO TB24,19.0,19.0,1.8,19.0,112 NDC,68992307503,TACROLIMUS ER 0.75 MG PO TB24,19.0,19.0,1.8,19.0,112 NDC,69004301,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,44.0,44.0,0.27,44.0,112 NDC,69005801,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,13.0,13.0,0.27,13.0,112 NDC,69005802,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,13.0,13.0,0.27,13.0,112 NDC,69005901,HEPARIN SODIUM 5000 UNIT/ML (60 UNITS/KG) INJECTIO,42.0,42.0,0.18,42.0,112 NDC,69005902,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,42.0,42.0,0.18,42.0,112 NDC,69005903,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,16.0,16.0,0.18,16.0,112 NDC,69005904,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,16.0,16.0,0.18,16.0,112 NDC,69013701,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,28.0,28.0,0.27,28.0,112 NDC,69014601,METHOTREXATE SODIUM (PF) 50 MG/2ML INJECTION SOLN,14.0,14.0,1.89,14.0,112 NDC,69019602,DALTEPARIN SODIUM 5000 UNIT/0.2ML SC SOSY,218.0,218.0,13.86,218.0,112 NDC,69020701,RSV PREFUSION F A B VAC RCMB 120 MCG/0.5ML IM SOLR,5310.0,5310.0,716.85,5310.0,111 NDC,69020901,PROPOFOL 200 MG/20ML IV EMUL,16.0,16.0,0.08,16.0,112 NDC,69020910,PROPOFOL 200 MG/20ML IV EMUL,16.0,16.0,0.08,16.0,112 NDC,69023401,PROPOFOL 500 MG/50ML IV EMUL,39.0,39.0,0.08,39.0,112 NDC,69023801,RITUXIMABPVVR 100 MG/10ML IV SOLN,2581.0,2581.0,13.27,2581.0,119 NDC,69024801,PROPOFOL 1000 MG/100ML IV EMUL,78.0,78.0,0.08,78.0,112 NDC,69024810,PROPOFOL 1000 MG/100ML IV EMUL,78.0,78.0,0.08,78.0,112 NDC,69024901,RITUXIMABPVVR 500 MG/50ML IV SOLN,12903.0,12903.0,13.27,12903.0,119 NDC,69029101,FILGRASTIMAAFI 300 MCG/0.5ML INJECTION SOSY,789.0,789.0,0.28,789.0,119 NDC,69029201,FILGRASTIMAAFI 480 MCG/0.8ML INJECTION SOSY,1262.0,1262.0,0.28,1262.0,119 NDC,69029301,FILGRASTIMAAFI 300 MCG/ML INJECTION SOLN,789.0,789.0,0.28,789.0,119 NDC,69029310,FILGRASTIMAAFI 300 MCG/ML INJECTION SOLN,789.0,789.0,0.28,789.0,119 NDC,69029401,FILGRASTIMAAFI 480 MCG/1.6ML INJECTION SOLN,1262.0,1262.0,0.28,1262.0,119 NDC,69030501,TRASTUZUMABQYYP 420 MG IV SOLR,12208.0,12208.0,8.2,12208.0,119 NDC,69030601,TRASTUZUMABQYYP 420 MG IV SOLR,12208.0,12208.0,8.2,12208.0,119 NDC,69030801,TRASTUZUMABQYYP 150 MG IV SOLR,4360.0,4360.0,8.2,4360.0,119 NDC,69031501,BEVACIZUMABBVZR 100 MG/4ML IV SOLN,2209.0,2209.0,23.0,2209.0,119 NDC,69032401,PEGFILGRASTIMAPGF 6 MG/0.6ML SC SOSY,14130.0,14130.0,117.01,14130.0,119 NDC,69034201,BEVACIZUMABBVZR 400 MG/16ML IV SOLN,9422.0,9422.0,23.0,9422.0,119 NDC,69034401,RSV PREFUSION F A B VAC RCMB 120 MCG/0.5ML IM SOLR,1062.0,1062.0,143.37,1062.0,111 NDC,69034405,RSV PREFUSION F A B VAC RCMB 120 MCG/0.5ML IM SOLR,5310.0,5310.0,716.85,5310.0,111 NDC,69035820,DOXORUBICIN HCL 2 MG/ML IV SOLN,37.0,37.0,2.72,37.0,112 NDC,69080901,INFLIXIMABDYYB 100 MG IV SOLR,3407.0,3407.0,11.55,3407.0,119 NDC,69097031832,BUDESONIDE 0.25 MG/2ML INHALATION SUSP,29.0,29.0,1.05,29.0,112 NDC,69097031853,BUDESONIDE 0.25 MG/2ML INHALATION SUSP,29.0,29.0,1.05,29.0,112 NDC,69097031886,BUDESONIDE 0.25 MG/2ML INHALATION SUSP,29.0,29.0,1.05,29.0,112 NDC,69097031887,BUDESONIDE 0.25 MG/2ML INHALATION SUSP,29.0,29.0,1.05,29.0,112 NDC,69097031932,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,34.0,34.0,1.05,34.0,112 NDC,69097031953,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,34.0,34.0,1.05,34.0,112 NDC,69097031986,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,34.0,34.0,1.05,34.0,112 NDC,69097031987,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,34.0,34.0,1.05,34.0,112 NDC,69097032132,BUDESONIDE 1 MG/2ML INHALATION SUSP,36.0,36.0,1.05,36.0,112 NDC,69097032153,BUDESONIDE 1 MG/2ML INHALATION SUSP,36.0,36.0,1.05,36.0,112 NDC,69097032186,BUDESONIDE 1 MG/2ML INHALATION SUSP,70.0,70.0,1.05,70.0,112 NDC,69097032187,BUDESONIDE 1 MG/2ML INHALATION SUSP,70.0,70.0,1.05,70.0,112 NDC,69097051707,CYCLOPHOSPHAMIDE 50 MG PO CAPS,54.0,54.0,0.84,54.0,112 NDC,69097070831,PHYTONADIONE 10 MG/ML INJECTION SOLN,154.0,154.0,2.21,154.0,112 NDC,69097070896,PHYTONADIONE 10 MG/ML INJECTION SOLN,154.0,154.0,2.21,154.0,112 NDC,69097070930,PHYTONADIONE 1 MG/0.5ML INJECTION SOLN,22.0,22.0,2.21,22.0,112 NDC,69097070996,PHYTONADIONE 1 MG/0.5ML INJECTION SOLN,22.0,22.0,2.21,22.0,112 NDC,69097087067,LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN,32014.0,32014.0,24.45,32014.0,119 NDC,69097090667,LANREOTIDE ACETATE 120 MG/0.5ML SC SOLN,24097.0,24097.0,24.45,24097.0,119 NDC,69130501,EPOETIN ALFAEPBX 2000 UNIT/ML INJECTION SOLN,80.0,80.0,7.47,80.0,119 NDC,69130510,EPOETIN ALFAEPBX 2000 UNIT/ML INJECTION SOLN,80.0,80.0,7.47,80.0,119 NDC,69130601,EPOETIN ALFAEPBX 3000 UNIT/ML INJECTION SOLN,120.0,120.0,7.47,120.0,119 NDC,69130610,EPOETIN ALFAEPBX 3000 UNIT/ML INJECTION SOLN,120.0,120.0,7.47,120.0,119 NDC,69130701,EPOETIN ALFAEPBX 4000 UNIT/ML INJECTION SOLN,159.0,159.0,7.47,159.0,119 NDC,69130710,EPOETIN ALFAEPBX 4000 UNIT/ML INJECTION SOLN,159.0,159.0,7.47,159.0,119 NDC,69130801,EPOETIN ALFAEPBX 10000 UNIT/ML INJECTION SOLN,398.0,398.0,7.47,398.0,119 NDC,69130810,EPOETIN ALFAEPBX 10000 UNIT/ML INJECTION SOLN,398.0,398.0,7.47,398.0,119 NDC,69130901,EPOETIN ALFAEPBX 40000 UNIT/ML INJECTION SOLN,1589.0,1589.0,7.47,1589.0,119 NDC,69130904,EPOETIN ALFAEPBX 40000 UNIT/ML INJECTION SOLN,1589.0,1589.0,7.47,1589.0,119 NDC,69131101,EPOETIN ALFAEPBX 20000 UNIT/ML INJECTION SOLN,795.0,795.0,7.47,795.0,119 NDC,69131110,EPOETIN ALFAEPBX 20000 UNIT/ML INJECTION SOLN,795.0,795.0,7.47,795.0,119 NDC,69154220,DOXORUBICIN HCL 2 MG/ML IV SOLN,236.0,236.0,2.72,236.0,112 NDC,69238105401,CHLORPROMAZINE HCL 10 MG PO TABS,13.0,13.0,0.33,13.0,111 NDC,69238105601,CHLORPROMAZINE HCL 25 MG PO TABS,23.0,23.0,0.33,23.0,111 NDC,69238105801,CHLORPROMAZINE HCL 50 MG PO TABS,32.0,32.0,4.32,56.1,112 NDC,69238106001,CHLORPROMAZINE HCL 100 MG PO TABS,45.0,45.0,0.33,45.0,111 NDC,69238106201,CHLORPROMAZINE HCL 200 MG PO TABS,69.0,69.0,0.33,69.0,111 NDC,69238159403,SIROLIMUS 1 MG/ML PO SOLN,5685.0,5685.0,0.96,5685.0,112 NDC,69238159406,SIROLIMUS 1 MG/ML PO SOLN,5685.0,5685.0,0.96,5685.0,112 NDC,69238159502,MYCOPHENOLATE MOFETIL 200 MG/ML PO SUSR,4349.0,4349.0,0.15,4349.0,112 NDC,69238212201,PREDNISOLONE 15 MG/5ML PO SOLN (WRAPPER),10.0,10.0,0.27,10.0,112 NDC,69238212209,PREDNISOLONE 15 MG/5ML PO SOLN (WRAPPER),219.0,219.0,0.27,219.0,112 NDC,69303020,DOXORUBICIN HCL 2 MG/ML IV SOLN,37.0,37.0,2.72,37.0,112 NDC,69315016401,HYDROXYUREA 500 MG PO CAPS,3.0,3.0,0.41,3.0,111 NDC,69315083,AZITHROMYCIN 500 MG IV SOLR,22.0,22.0,2.04,22.0,112 NDC,69315084,AZITHROMYCIN 500 MG IV SOLR,22.0,22.0,2.04,22.0,112 NDC,69339013602,DIAZEPAM 5 MG/ML INJECTION SOLN,89.0,89.0,6.17,89.0,112 NDC,69339013603,DIAZEPAM 5 MG/ML INJECTION SOLN,89.0,89.0,6.17,89.0,112 NDC,69339013634,DIAZEPAM 5 MG/ML INJECTION SOLN,89.0,89.0,6.17,89.0,112 NDC,69339013701,DIAZEPAM 5 MG/ML INJECTION SOLN,144.0,144.0,6.17,144.0,112 NDC,69339013705,DIAZEPAM 5 MG/ML INJECTION SOLN,144.0,144.0,6.17,144.0,112 NDC,69367019050,ZOLEDRONIC ACID 4 MG/5ML IV CONC,2515.0,2515.0,5.08,2515.0,112 NDC,69374033005,ALBUTEROL SULFATE (5 MG/ML) 0.5 INHALATION NEBU,36.0,36.0,0.16,36.0,112 NDC,69374053703,METHACHOLINE CHLORIDE INHALATION SOLN KIT 0.0625 M,486.0,486.0,1.61,486.0,112 NDC,69374054206,METHACHOLINE CHLORIDE INHALATION KIT,486.0,486.0,1.61,486.0,112 NDC,69374054410,EPINEPHRINE 0.1 MG/10ML IV SOSY,17.0,17.0,0.76,17.0,111 NDC,69374090205,NEOSTIGMINE METHYLSULFATE 5 MG/5ML IV SOSY,74.0,74.0,0.71,74.0,111 NDC,69374091910,SUCCINYLCHOLINE CHLORIDE 200 MG/10ML IV SOSY,72.0,72.0,0.81,72.0,111 NDC,69374092005,SUCCINYLCHOLINE CHLORIDE 100 MG/5ML IV SOSY (WRAPP,51.0,51.0,0.81,51.0,111 NDC,69374092203,NEOSTIGMINE METHYLSULFATE 2 MG/2ML IV SOSY,67.0,67.0,0.71,67.0,111 NDC,69374094634,LABETALOL HCL 5 MG/ML IV SOLN,20.0,20.0,0.29,20.0,112 NDC,69374095510,PHENYLEPHRINE HCL (PRESSORS) 0.4 MG/10ML IV SOSY,16.0,16.0,0.01,16.0,108 NDC,69374097950,MORPHINE SULFATE 1 MG/ML IV SOLN (WRAPPER),35.0,35.0,2.78,35.0,112 NDC,69448000105,MITOMYCIN 5 MG IV SOLR,1272.0,1272.0,25.94,1272.0,119 NDC,69547101,FOSPHENYTOIN SODIUM 100 MG PE/2ML INJECTION SOLN,99.0,99.0,1.01,99.0,119 NDC,69547102,FOSPHENYTOIN SODIUM 100 MG PE/2ML INJECTION SOLN,99.0,99.0,1.01,99.0,119 NDC,69547401,FOSPHENYTOIN SODIUM 500 MG PE/10ML INJECTION SOLN,295.0,295.0,1.01,295.0,119 NDC,69547402,FOSPHENYTOIN SODIUM 500 MG PE/10ML INJECTION SOLN,295.0,295.0,1.01,295.0,119 NDC,69600102,FOSPHENYTOIN SODIUM 100 MG PE/2ML INJECTION SOLN,146.0,146.0,1.01,146.0,119 NDC,69600110,FOSPHENYTOIN SODIUM 500 MG PE/10ML INJECTION SOLN,437.0,437.0,1.01,437.0,119 NDC,69600121,FOSPHENYTOIN SODIUM 500 MG PE/10ML INJECTION SOLN,437.0,437.0,1.01,437.0,119 NDC,69600125,FOSPHENYTOIN SODIUM 100 MG PE/2ML INJECTION SOLN,146.0,146.0,1.01,146.0,119 NDC,69680011210,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,17.0,17.0,0.64,17.0,112 NDC,69680011225,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,12.0,12.0,0.64,12.0,112 NDC,69724011210,SOTALOL HCL 150 MG/10ML IV SOLN,11866.0,11866.0,18.82,11866.0,119 NDC,69784000306,FLUCONAZOLE IN SODIUM CHLORIDE 4000.9 MG/200ML IV,26.0,26.0,2.39,26.0,112 NDC,69784020530,CROMOLYN SODIUM 20 MG/2ML INHALATION NEBU,66.0,66.0,0.21,66.0,112 NDC,69784020560,CROMOLYN SODIUM 20 MG/2ML INHALATION NEBU,66.0,66.0,0.21,66.0,112 NDC,69784026124,FLUCONAZOLE IN SODIUM CHLORIDE 1000.9 MG/50ML IV,18.0,18.0,2.39,18.0,112 NDC,69800420201,HEPATITIS B IMMUNE GLOBULIN 312 UNIT/ML IM SOLN WR,601.0,601.0,10.0,601.0,122 NDC,69800420202,HEPATITIS B IMMUNE GLOBULIN 312 UNIT/ML IM SOLN WR,601.0,601.0,10.0,601.0,122 NDC,69800420301,HEPATITIS B IMMUNE GLOBULIN 312 UNIT/ML IM SOLN WR,2631.0,2631.0,10.0,2631.0,122 NDC,69800420302,HEPATITIS B IMMUNE GLOBULIN 312 UNIT/ML IM SOLN WR,2631.0,2631.0,10.0,2631.0,122 NDC,69918089901,DESMOPRESSIN ACETATE PF 4 MCG/ML INJECTION SOLN,212.0,212.0,3.41,212.0,112 NDC,69918089902,DESMOPRESSIN ACETATE PF 4 MCG/ML INJECTION SOLN,115.0,115.0,3.41,115.0,112 NDC,69918089910,DESMOPRESSIN ACETATE PF 4 MCG/ML INJECTION SOLN,212.0,212.0,3.41,212.0,112 NDC,69918089911,DESMOPRESSIN ACETATE PF 4 MCG/ML INJECTION SOLN,115.0,115.0,3.41,115.0,112 NDC,69918090110,DESMOPRESSIN ACETATE 4 MCG/ML INJECTION SOLN,2143.0,2143.0,3.41,2143.0,112 NDC,69918090111,DESMOPRESSIN ACETATE 4 MCG/ML INJECTION SOLN,1158.0,1158.0,3.41,1158.0,112 NDC,70004041159,MIDAZOLAM HCLSODIUM CHLORIDE 1000.9 MG/100ML IV S,134.0,134.0,0.17,134.0,112 NDC,70004060740,EPINEPHRINENACL 80.9 MG/250ML IV SOLN,324.0,324.0,0.76,324.0,111 NDC,70004064006,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),63.0,63.0,0.38,63.0,112 NDC,70004091009,SUCCINYLCHOLINE CHLORIDE 100 MG/5ML IV SOSY (WRAPP,49.0,49.0,0.81,49.0,111 NDC,70020191001,IXABEPILONE 15 MG IV SOLR,7111.0,7111.0,136.43,7111.0,119 NDC,70020191101,IXABEPILONE 45 MG IV SOLR,21331.0,21331.0,136.43,21331.0,119 NDC,70020191102,IXABEPILONE 45 MG IV SOLR,21331.0,21331.0,136.43,21331.0,119 NDC,70069000501,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,14.0,14.0,0.64,14.0,112 NDC,70069000510,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,14.0,14.0,0.64,14.0,112 NDC,70069001101,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),11.0,11.0,0.38,11.0,112 NDC,70069002101,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML INJECTION,19.0,19.0,0.11,19.0,112 NDC,70069002125,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML INJECTION,19.0,19.0,0.11,19.0,112 NDC,70069002501,DEXAMETHASONE SODIUM PHOSPHATE 100 MG/10ML INJECTI,43.0,43.0,0.11,43.0,112 NDC,70069003001,HALOPERIDOL DECANOATE 50 MG/ML IM SOLN,94.0,94.0,3.94,94.0,112 NDC,70069003003,HALOPERIDOL DECANOATE 50 MG/ML IM SOLN,94.0,94.0,3.94,94.0,112 NDC,70069006101,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,18.0,18.0,0.05,18.0,112 NDC,70069006110,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,19.0,19.0,0.05,19.0,112 NDC,70069006125,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,18.0,18.0,0.05,18.0,112 NDC,70069006201,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,33.0,33.0,0.05,33.0,112 NDC,70069006210,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,33.0,33.0,0.05,33.0,112 NDC,70069006301,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,53.0,53.0,0.05,53.0,112 NDC,70069006325,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,53.0,53.0,0.05,53.0,112 NDC,70069006401,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,32.0,32.0,0.05,32.0,112 NDC,70069006410,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,32.0,32.0,0.05,32.0,112 NDC,70069006425,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,32.0,32.0,0.05,32.0,112 NDC,70069007101,NALOXONE HCL 0.4 MG/ML INJECTION SOLN,38.0,38.0,5.13,38.0,111 NDC,70069007110,NALOXONE HCL 0.4 MG/ML INJECTION SOLN,38.0,38.0,5.13,38.0,111 NDC,70069030110,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,32.0,32.0,0.81,32.0,111 NDC,70069030125,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,23.0,23.0,0.81,23.0,111 NDC,70069038101,HALOPERIDOL DECANOATE 50 MG/ML IM SOLN,81.0,81.0,3.94,81.0,112 NDC,70069067101,NALBUPHINE HCL 10 MG/ML INJECTION SOLN,24.0,24.0,3.24,24.0,112 NDC,70069067110,NALBUPHINE HCL 10 MG/ML INJECTION SOLN,24.0,24.0,3.24,24.0,112 NDC,70069067201,NALBUPHINE HCL 20 MG/ML INJECTION SOLN,41.0,41.0,3.43,41.0,112 NDC,70069067210,NALBUPHINE HCL 20 MG/ML INJECTION SOLN,41.0,41.0,3.43,41.0,112 NDC,70069078801,ACETYLCYSTEINE 200 MG/ML IV SOLN,200.0,200.0,0.37,200.0,112 NDC,70069078804,ACETYLCYSTEINE 200 MG/ML IV SOLN,200.0,200.0,0.37,200.0,112 NDC,70069080101,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),9.0,9.0,0.01,9.0,108 NDC,70069080125,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),9.0,9.0,0.01,9.0,108 NDC,70069080201,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,60.0,60.0,0.01,60.0,108 NDC,70069080210,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,60.0,60.0,0.01,60.0,108 NDC,70069080301,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,94.0,94.0,0.01,94.0,108 NDC,70069080601,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,29.0,29.0,0.71,29.0,111 NDC,70069080610,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,29.0,29.0,0.71,29.0,111 NDC,70069080801,MILRINONE LACTATE 20 MG/20ML IV SOLN,23.0,23.0,1.31,23.0,112 NDC,70069080810,MILRINONE LACTATE 20 MG/20ML IV SOLN,23.0,23.0,1.31,23.0,112 NDC,70092103036,MIDAZOLAM HCLSODIUM CHLORIDE 1000.9 MG/100ML IV S,116.0,116.0,0.17,116.0,112 NDC,70092123847,CEFAZOLIN SODIUM 2 GM/20ML IV SOSY,49.0,49.0,0.81,49.0,112 NDC,70092152049,MORPHINE SULFATE 1 MG/ML IV SOLN (WRAPPER),61.0,61.0,2.78,61.0,112 NDC,70095002401,PANTOPRAZOLE SODIUM 40 MG IV SOLR,26.0,26.0,1.93,26.0,111 NDC,70095002501,AZITHROMYCIN 500 MG IV SOLR,22.0,22.0,2.04,22.0,112 NDC,70095002502,AZITHROMYCIN 500 MG IV SOLR,22.0,22.0,2.04,22.0,112 NDC,70114010101,PEGFILGRASTIMCBQV 6 MG/0.6ML SC SOSY,15030.0,15030.0,130.91,15030.0,119 NDC,70114013001,PEGFILGRASTIMCBQV (INF DEV) 6 MG/0.6ML SC SOSY,15030.0,15030.0,130.91,15030.0,119 NDC,70114034001,TORIPALIMABTPZI 240 MG/6ML IV SOLN,32652.0,32652.0,39.32,32652.0,119 NDC,70114044001,RANIBIZUMABEQRN 0.3 MG/0.05ML INTRAVITREAL SOLN,2938.0,2938.0,83.34,2938.0,119 NDC,70114044101,RANIBIZUMABEQRN 0.5 MG/0.05ML INTRAVITREAL SOLN,4896.0,4896.0,83.34,4896.0,119 NDC,70121104901,TRIAMCINOLONE ACETONIDE 40 MG/ML INJECTION SUSP,31.0,31.0,0.74,31.0,112 NDC,70121104902,TRIAMCINOLONE ACETONIDE 40 MG/ML INJECTION SUSP,31.0,31.0,0.74,31.0,112 NDC,70121116801,TRIAMCINOLONE ACETONIDE 40 MG/ML INJECTION SUSP,157.0,157.0,0.74,157.0,112 NDC,70121123601,CLOFARABINE 1 MG/ML IV SOLN,6840.0,6840.0,5.33,6840.0,119 NDC,70121123801,CYCLOPHOSPHAMIDE 500 MG INJECTION SOLR,1187.0,1187.0,0.58,1187.0,119 NDC,70121123901,CYCLOPHOSPHAMIDE 1 G INJECTION SOLR,2374.0,2374.0,0.58,2374.0,119 NDC,70121124001,CYCLOPHOSPHAMIDE 2 G INJECTION SOLR,4747.0,4747.0,0.58,4747.0,119 NDC,70121139401,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLN,26.0,26.0,0.38,26.0,112 NDC,70121139701,GLYCOPYRROLATE 4 MG/20ML INJECTION SOLN,447.0,447.0,0.38,447.0,112 NDC,70121145301,MEROPENEM 1 G IV SOLR,40.0,40.0,0.38,40.0,112 NDC,70121145307,MEROPENEM 1 G IV SOLR,40.0,40.0,0.38,40.0,112 NDC,70121145401,MEROPENEM 500 MG IV SOLR,22.0,22.0,0.38,22.0,112 NDC,70121145407,MEROPENEM 500 MG IV SOLR,22.0,22.0,0.38,22.0,112 NDC,70121146302,FULVESTRANT 250 MG/5ML IM SOSY,1350.0,1350.0,5.72,1350.0,112 NDC,70121147901,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,94.0,94.0,0.71,94.0,111 NDC,70121148202,CARMUSTINE 100 MG IV SOLR,2700.0,2700.0,173.64,2700.0,119 NDC,70121156807,FILGRASTIMAYOW 300 MCG/0.5ML SC SOSY,573.0,573.0,0.34,573.0,119 NDC,70121157001,FILGRASTIMAYOW 480 MCG/0.8ML SC SOSY,916.0,916.0,0.34,916.0,119 NDC,70121157007,FILGRASTIMAYOW 480 MCG/0.8ML SC SOSY,916.0,916.0,0.34,916.0,119 NDC,70121157301,METHYLPREDNISOLONE ACETATE 40 MG/ML INJECTION SUSP,35.0,35.0,0.12,35.0,112 NDC,70121157305,METHYLPREDNISOLONE ACETATE 40 MG/ML INJECTION SUSP,35.0,35.0,0.12,35.0,112 NDC,70121157401,METHYLPREDNISOLONE ACETATE 80 MG/ML INJECTION SUSP,59.0,59.0,0.12,59.0,112 NDC,70121157405,METHYLPREDNISOLONE ACETATE 80 MG/ML INJECTION SUSP,59.0,59.0,0.12,59.0,112 NDC,70121157701,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,13.0,13.0,0.01,13.0,108 NDC,70121157705,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),13.0,13.0,0.01,13.0,108 NDC,70121157801,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,73.0,73.0,0.01,73.0,108 NDC,70121157807,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,73.0,73.0,0.01,73.0,108 NDC,70121157901,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,143.0,143.0,0.01,143.0,108 NDC,70121158101,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,70.0,70.0,0.81,70.0,111 NDC,70121162701,PEGFILGRASTIMPBBK 6 MG/0.6ML SC SOSY,9000.0,9000.0,127.23,9000.0,119 NDC,70121164201,VASOPRESSIN 20 UNIT/ML IV SOLN,379.0,379.0,0.53,379.0,112 NDC,70121164205,VASOPRESSIN 20 UNIT/ML IV SOLN,379.0,379.0,0.53,379.0,112 NDC,70121164207,VASOPRESSIN 20 UNIT/ML IV SOLN,379.0,379.0,0.53,379.0,112 NDC,70121165101,TRIAMCINOLONE ACETONIDE 40 MG/ML INJECTION SUSP,31.0,31.0,0.74,31.0,112 NDC,70121165201,TRIAMCINOLONE ACETONIDE 40 MG/ML INJECTION SUSP,157.0,157.0,0.74,157.0,112 NDC,70121165801,ARSENIC TRIOXIDE 12 MG/6ML IV SOLN,792.0,792.0,4.68,792.0,112 NDC,70121165806,ARSENIC TRIOXIDE 12 MG/6ML IV SOLN,792.0,792.0,4.68,792.0,112 NDC,70121170602,ATROPINE SULFATE 1 MG/10ML INJECTION SOSY,37.0,37.0,0.07,37.0,112 NDC,70121170603,ATROPINE SULFATE 1 MG/10ML INJECTION SOSY,37.0,37.0,0.07,37.0,112 NDC,70121170604,ATROPINE SULFATE 1 MG/10ML INJECTION SOSY,37.0,37.0,0.07,37.0,112 NDC,70121171701,ESMOLOL HCLSODIUM CHLORIDE 2000 MG/100ML IV SOLN,432.0,432.0,0.21,432.0,112 NDC,70121171707,ESMOLOL HCLSODIUM CHLORIDE 2000 MG/100ML IV SOLN,432.0,432.0,0.21,432.0,112 NDC,70121171901,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,45.0,45.0,0.41,45.0,112 NDC,70121171909,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,45.0,45.0,0.41,45.0,112 NDC,70121172009,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,23.0,23.0,0.41,23.0,112 NDC,70121174301,NELARABINE 5 MG/ML IV SOLN,2380.0,2380.0,63.38,2380.0,119 NDC,70121174304,NELARABINE 5 MG/ML IV SOLN,2380.0,2380.0,63.38,2380.0,119 NDC,70121175401,BEVACIZUMABMALY 100 MG/4ML IV SOLN,2587.0,2587.0,33.01,2587.0,119 NDC,70121175407,BEVACIZUMABMALY 100 MG/4ML IV SOLN,2587.0,2587.0,33.01,2587.0,119 NDC,70121175501,BEVACIZUMABMALY 400 MG/16ML IV SOLN,11038.0,11038.0,33.01,11038.0,119 NDC,70121175507,BEVACIZUMABMALY 400 MG/16ML IV SOLN,10348.0,10348.0,33.01,10348.0,119 NDC,703001801,HYDROMORPHONE HCL PF 500 MG/50ML INJECTION SOLN,373.0,373.0,0.09,373.0,112 NDC,703011001,HYDROMORPHONE HCL PF 10 MG/ML INJECTION SOLN,13.0,13.0,0.09,13.0,112 NDC,703011003,HYDROMORPHONE HCL PF 10 MG/ML INJECTION SOLN,13.0,13.0,0.09,13.0,112 NDC,703024101,TRIAMCINOLONE ACETONIDE 40 MG/ML INJECTION SUSP,30.0,30.0,0.74,30.0,112 NDC,703024301,TRIAMCINOLONE ACETONIDE 40 MG/ML INJECTION SUSP,148.0,148.0,0.74,148.0,112 NDC,703066601,TREPROSTINIL 20 MG/20ML INJECTION SOLN,4355.0,4355.0,54.48,4355.0,119 NDC,703067601,TREPROSTINIL 50 MG/20ML INJECTION SOLN,10887.0,10887.0,54.48,10887.0,119 NDC,703068601,TREPROSTINIL 100 MG/20ML INJECTION SOLN,21774.0,21774.0,54.48,21774.0,119 NDC,703321601,PACLITAXEL 100 MG/16.7ML IV CONC,120.0,120.0,0.1,120.0,112 NDC,703321801,PACLITAXEL 300 MG/50ML IV CONC,360.0,360.0,0.1,360.0,112 NDC,703367101,METHOTREXATE SODIUM (PF) 50 MG/2ML INJECTION SOLN,38.0,38.0,2.26,38.0,112 NDC,703367501,METHOTREXATE SODIUM (PF) 250 MG/10ML INJECTION SOL,33.0,33.0,2.26,33.0,112 NDC,703367801,METHOTREXATE SODIUM (PF) 1 GM/40ML INJECTION SOLN,120.0,120.0,2.26,120.0,112 NDC,703398501,OXALIPLATIN 50 MG/10ML IV SOLN,180.0,180.0,0.05,180.0,112 NDC,703398601,OXALIPLATIN 100 MG/20ML IV SOLN,360.0,360.0,0.05,360.0,112 NDC,703409401,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,126.0,126.0,0.34,126.0,112 NDC,703423901,CARBOPLATIN 600 MG/60ML IV SOLN,238.0,238.0,2.11,238.0,112 NDC,703424401,CARBOPLATIN 50 MG/5ML IV SOLN,30.0,30.0,2.11,30.0,112 NDC,703424601,CARBOPLATIN 150 MG/15ML IV SOLN,76.0,76.0,2.11,76.0,112 NDC,703424801,CARBOPLATIN 450 MG/45ML IV SOLN,234.0,234.0,2.11,234.0,112 NDC,703424881,CARBOPLATIN 450 MG/45ML IV SOLN,234.0,234.0,2.11,234.0,112 NDC,703450201,METOCLOPRAMIDE HCL 5 MG/ML INJECTION SOLN,13.0,13.0,1.0,13.0,112 NDC,703450204,METOCLOPRAMIDE HCL 5 MG/ML INJECTION SOLN,13.0,13.0,1.0,13.0,112 NDC,703450291,METOCLOPRAMIDE HCL 5 MG/ML INJECTION SOLN,4.0,4.0,0.54,4.0,112 NDC,703476801,PACLITAXEL 300 MG/50ML IV CONC,360.0,360.0,0.1,360.0,112 NDC,703574711,CISPLATIN 50 MG/50ML IV SOLN,73.0,73.0,1.95,73.0,112 NDC,703574811,CISPLATIN 100 MG/100ML IV SOLN,146.0,146.0,1.95,146.0,112 NDC,70377003911,MYCOPHENOLATE SODIUM 180 MG PO TBEC,14.0,14.0,0.32,14.0,112 NDC,703877601,ADENOSINE 3 MG/ML IV SOLN (CATH LAB INFUSION),312.0,312.0,0.32,312.0,112 NDC,70436001982,AZITHROMYCIN 500 MG IV SOLR,52.0,52.0,2.04,52.0,112 NDC,70436002082,VANCOMYCIN HCL 500 MG IV SOLR,15.0,15.0,1.86,15.0,111 NDC,70436002182,VANCOMYCIN HCL 1 G IV SOLR,18.0,18.0,1.86,18.0,111 NDC,70436002282,VANCOMYCIN HCL 5 G IV SOLR,315.0,315.0,1.86,315.0,111 NDC,70436002382,VANCOMYCIN HCL 10 G IV SOLR,780.0,780.0,1.86,780.0,111 NDC,70436002980,VORICONAZOLE 200 MG IV SOLR,458.0,458.0,0.75,458.0,112 NDC,70436008955,GANCICLOVIR SODIUM 500 MG IV SOLR,305.0,305.0,28.74,305.0,112 NDC,70436012634,IOPAMIDOL 61 INJECTION SOLN,248.0,248.0,0.15,248.0,104 NDC,70436012682,IOPAMIDOL 61 INJECTION SOLN,248.0,248.0,0.15,248.0,104 NDC,70436014780,DICYCLOMINE HCL 10 MG/ML IM SOLN,141.0,141.0,11.33,141.0,112 NDC,70436014781,DICYCLOMINE HCL 10 MG/ML IM SOLN,141.0,141.0,11.33,141.0,112 NDC,70436020380,DOBUTAMINE HCL 250 MG/20ML IV SOLN,24.0,24.0,3.24,24.0,112 NDC,70436020382,DOBUTAMINE HCL 250 MG/20ML IV SOLN,24.0,24.0,3.24,24.0,112 NDC,70510217101,EDARAVONE 30 MG/100ML IV SOLN,2291.0,2291.0,17.47,2291.0,119 NDC,70510217102,EDARAVONE 30 MG/100ML IV SOLN,2291.0,2291.0,17.47,2291.0,119 NDC,70512084301,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,6.0,6.0,0.33,6.0,112 NDC,70512084325,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,6.0,6.0,0.33,6.0,112 NDC,70515026110,DIGOXIN 0.25 MG/ML INJECTION SOLN,516.0,516.0,4.0,516.0,112 NDC,70515026210,DIGOXIN 0.1 MG/ML INJECTION SOLN,496.0,496.0,4.0,496.0,112 NDC,70515026310,DIGOXIN 0.1 MG/ML INJECTION SOLN,516.0,516.0,4.0,516.0,112 NDC,70594002301,COLISTIMETHATE SODIUM (CBA) 150 MG INJECTION SOLR,101.0,101.0,11.39,101.0,112 NDC,70594003401,DAPTOMYCIN 500 MG IV SOLR,216.0,216.0,0.03,216.0,112 NDC,70594004502,VANCOMYCIN HCL 500 MG IV SOLR,26.0,26.0,1.86,26.0,111 NDC,70594004801,VANCOMYCIN HCL 10 G IV SOLR,78.0,78.0,1.86,78.0,111 NDC,70594005301,DAPTOMYCIN 350 MG IV SOLR,144.0,144.0,0.04,144.0,112 NDC,70594005601,VANCOMYCIN HCL 750 MG/150ML IV SOLN,44.0,44.0,5.94,44.0,111 NDC,70594006501,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),99.0,99.0,0.01,99.0,108 NDC,70594007801,PIPERACILLIN SODTAZOBACTAM SO 2.25 (20.25) G IV SO,26.0,26.0,1.09,26.0,112 NDC,70594007802,PIPERACILLIN SODTAZOBACTAM SO 2.25 (20.25) G IV SO,26.0,26.0,1.09,26.0,112 NDC,70594008501,AMPICILLIN SODIUM 500 MG INJECTION SOLR,9.0,9.0,0.49,9.0,112 NDC,70594008502,AMPICILLIN SODIUM 500 MG INJECTION SOLR,9.0,9.0,0.49,9.0,112 NDC,70594008601,AMPICILLIN SODIUM 1 G INJECTION SOLR,13.0,13.0,0.49,13.0,112 NDC,70594008602,AMPICILLIN SODIUM 1 G INJECTION SOLR,13.0,13.0,0.49,13.0,112 NDC,70594008701,AMPICILLIN SODIUM 2 G INJECTION SOLR,26.0,26.0,0.49,26.0,112 NDC,70594008702,AMPICILLIN SODIUM 2 G INJECTION SOLR,26.0,26.0,0.49,26.0,112 NDC,70594008901,CEFEPIME HCL 1 G INJECTION SOLR,21.0,21.0,0.87,21.0,112 NDC,70594008902,CEFEPIME HCL 1 G INJECTION SOLR,21.0,21.0,0.87,21.0,112 NDC,70594011101,ACETYLCYSTEINE 200 MG/ML IV SOLN,216.0,216.0,0.37,216.0,112 NDC,70594011102,ACETYLCYSTEINE 200 MG/ML IV SOLN,216.0,216.0,0.37,216.0,112 NDC,70594011401,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,24.0,24.0,0.01,24.0,112 NDC,70594011402,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,24.0,24.0,0.01,24.0,112 NDC,70594011801,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,27.0,27.0,0.01,27.0,112 NDC,70621010101,AMINOLEVULINIC ACID HCL 10 EX GEL,1307.0,1307.0,1.72,1307.0,119 NDC,70655000206,FLUCONAZOLE IN SODIUM CHLORIDE 2000.9 MG/100ML IV,22.0,22.0,2.39,22.0,112 NDC,70655000210,FLUCONAZOLE IN SODIUM CHLORIDE 2000.9 MG/100ML IV,17.0,17.0,2.29,17.0,112 NDC,70655008806,FLUCONAZOLE IN SODIUM CHLORIDE 4000.9 MG/200ML IV,26.0,26.0,2.39,26.0,112 NDC,70655008810,FLUCONAZOLE IN SODIUM CHLORIDE 4000.9 MG/200ML IV,75.0,75.0,2.39,75.0,112 NDC,70700016722,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),135.0,135.0,0.38,135.0,112 NDC,70700016725,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),135.0,135.0,0.38,135.0,112 NDC,70700017222,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,68.0,68.0,0.71,68.0,111 NDC,70700017223,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,68.0,68.0,0.71,68.0,111 NDC,70700017322,TOBRAMYCIN SULFATE 1.2 G INJECTION SOLR,657.0,657.0,1.97,657.0,112 NDC,70700018622,FLUOROURACIL 500 MG/10ML IV SOLN,48.0,48.0,1.72,48.0,112 NDC,70700018623,FLUOROURACIL 500 MG/10ML IV SOLN,48.0,48.0,1.72,48.0,112 NDC,70700018722,FLUOROURACIL 1 GM/20ML IV SOLN,87.0,87.0,1.72,87.0,112 NDC,70700018723,FLUOROURACIL 1 GM/20ML IV SOLN,87.0,87.0,1.72,87.0,112 NDC,70700018822,FLUOROURACIL 2.5 GM/50ML IV SOLN,104.0,104.0,1.72,104.0,112 NDC,70700028622,PROGESTERONE 50 MG/ML IM OIL,151.0,151.0,0.63,151.0,112 NDC,70700090222,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),135.0,135.0,0.38,135.0,112 NDC,70700090225,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),135.0,135.0,0.38,135.0,112 NDC,70710137701,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,72.0,72.0,0.81,72.0,111 NDC,70710137702,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,72.0,72.0,0.81,72.0,111 NDC,70710141101,BORTEZOMIB 1 MG/ML IV SOLR (WRAPPER),462.0,462.0,1.59,462.0,112 NDC,70710146101,HALOPERIDOL DECANOATE 50 MG/ML IM SOLN,81.0,81.0,3.94,81.0,112 NDC,70710146106,HALOPERIDOL DECANOATE 50 MG/ML IM SOLN,80.0,80.0,3.94,80.0,112 NDC,70710146109,HALOPERIDOL DECANOATE 50 MG/ML IM SOLN,81.0,81.0,3.94,81.0,112 NDC,70710146301,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN,159.0,159.0,3.94,159.0,112 NDC,70710146305,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN,159.0,159.0,3.94,159.0,112 NDC,70710147801,FOMEPIZOLE 1.5 GM/1.5ML IV SOLN,5400.0,5400.0,6.03,5400.0,119 NDC,70710151502,FONDAPARINUX SODIUM 5 MG/0.4ML SC SOLN,408.0,408.0,0.67,408.0,112 NDC,70710151506,FONDAPARINUX SODIUM 5 MG/0.4ML SC SOLN,408.0,408.0,0.67,408.0,112 NDC,70710151509,FONDAPARINUX SODIUM 5 MG/0.4ML SC SOLN,408.0,408.0,0.67,408.0,112 NDC,70710151602,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN,408.0,408.0,0.67,408.0,112 NDC,70710151606,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN,386.0,386.0,0.67,386.0,112 NDC,70710151609,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN,408.0,408.0,0.67,408.0,112 NDC,70710152509,CARMUSTINE 100 MG IV SOLR,2700.0,2700.0,173.64,2700.0,119 NDC,70710153001,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP,2442.0,2442.0,104.01,2442.0,119 NDC,70710153101,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP,6105.0,6105.0,104.01,6105.0,119 NDC,70710161001,ARSENIC TRIOXIDE 12 MG/6ML IV SOLN,1940.0,1940.0,4.68,1940.0,112 NDC,70710161006,ARSENIC TRIOXIDE 12 MG/6ML IV SOLN,1940.0,1940.0,4.68,1940.0,112 NDC,70710165401,PEMETREXED DISODIUM 100 MG IV SOLR,714.0,714.0,3.59,714.0,119 NDC,70710166301,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,10.0,10.0,0.64,10.0,112 NDC,70710166307,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,10.0,10.0,0.64,10.0,112 NDC,70710166701,PROCHLORPERAZINE MALEATE 5 MG PO TABS,2.0,2.0,0.27,2.0,111 NDC,70710172601,NELARABINE 5 MG/ML IV SOLN,2380.0,2380.0,63.38,2380.0,119 NDC,70710172608,NELARABINE 5 MG/ML IV SOLN,2380.0,2380.0,63.38,2380.0,119 NDC,70710175806,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,34.0,34.0,0.53,34.0,112 NDC,70710176006,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,68.0,68.0,0.53,68.0,112 NDC,70710184901,CHLORPROMAZINE HCL 25 MG/ML INJECTION SOLN,90.0,90.0,12.15,90.0,112 NDC,70710184907,CHLORPROMAZINE HCL 25 MG/ML INJECTION SOLN,90.0,90.0,12.15,90.0,112 NDC,70720095036,GOSERELIN ACETATE 3.6 MG SC IMPL,3575.0,3575.0,482.63,3575.0,119 NDC,70720095130,GOSERELIN ACETATE 10.8 MG SC IMPL,10022.0,10022.0,703.06,10022.0,119 NDC,70756060444,TOBRAMYCIN 300 MG/5ML INHALATION NEBU,387.0,387.0,12.47,387.0,112 NDC,70756060456,TOBRAMYCIN 300 MG/5ML INHALATION NEBU,387.0,387.0,12.47,387.0,112 NDC,70756062210,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),80.0,80.0,0.01,80.0,108 NDC,70756064025,LIDOCAINE HCL (PF) 1 INJECTION SOLN,9.0,9.0,0.01,9.0,111 NDC,70756064325,LIDOCAINE HCL (PF) 2 INJECTION SOLN (WRAPPER),8.0,8.0,0.01,8.0,111 NDC,70756064385,LIDOCAINE HCL (PF) 2 INJECTION SOLN (WRAPPER),8.0,8.0,0.01,8.0,111 NDC,70756064525,LIDOCAINE HCL 1 INJECTION SOLN,14.0,14.0,0.01,14.0,111 NDC,70756064586,LIDOCAINE HCL 1 INJECTION SOLN,14.0,14.0,0.01,14.0,111 NDC,70842012001,MEROPENEMVABORBACTAM 2 (11) G IV SOLR,778.0,778.0,2.11,778.0,119 NDC,70842012006,MEROPENEMVABORBACTAM 2 (11) G IV SOLR,778.0,778.0,2.11,778.0,119 NDC,70842014001,ORITAVANCIN DIPHOSPHATE 400 MG IV SOLR,4179.0,4179.0,28.47,4179.0,119 NDC,70842014003,ORITAVANCIN DIPHOSPHATE 400 MG IV SOLR,4179.0,4179.0,28.47,4179.0,119 NDC,70842016001,MINOCYCLINE HCL 100 MG IV SOLR,904.0,904.0,2.5,904.0,119 NDC,70842016010,MINOCYCLINE HCL 100 MG IV SOLR,904.0,904.0,2.5,904.0,119 NDC,70860010041,AZITHROMYCIN 500 MG IV SOLR,18.0,18.0,2.04,18.0,112 NDC,70860010541,VANCOMYCIN HCL 1 G IV SOLR,27.0,27.0,1.86,27.0,111 NDC,70860012541,AZITHROMYCIN 500 MG IV SOLR,11.0,11.0,1.49,11.0,112 NDC,70860012566,AZITHROMYCIN 500 MG IV SOLR,11.0,11.0,1.49,11.0,112 NDC,70860012751,PENICILLIN G POTASSIUM 20000000 UNITS INJECTION SO,198.0,198.0,0.75,198.0,112 NDC,70860021141,FULVESTRANT 250 MG/5ML IM SOSY,360.0,360.0,5.72,360.0,112 NDC,70860021174,FULVESTRANT 250 MG/5ML IM SOSY,360.0,360.0,5.72,360.0,112 NDC,70860070103,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,7.0,7.0,0.33,7.0,112 NDC,70860078101,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),3.0,3.0,0.38,3.0,112 NDC,70860078105,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),29.0,29.0,0.38,29.0,112 NDC,70860078141,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),3.0,3.0,0.38,3.0,112 NDC,70860078143,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),29.0,29.0,0.38,29.0,112 NDC,70954005910,PREDNISONE 10 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,70954040110,DEXAMETHASONE 1.5 MG PO TABS,2.0,2.0,0.01,2.0,112 NDC,70954068810,PROCHLORPERAZINE MALEATE 5 MG PO TABS,2.0,2.0,0.27,2.0,111 NDC,70954068910,PROCHLORPERAZINE MALEATE 10 MG PO TABS,3.0,3.0,0.35,3.0,111 NDC,71225012001,BENDAMUSTINE HCL 100 MG/4ML IV SOLN,11786.0,11786.0,28.06,11786.0,119 NDC,71266200101,SUCCINYLCHOLINE CHLORIDE 100 MG/5ML IV SOSY (WRAPP,56.0,56.0,0.81,56.0,111 NDC,71266200102,SUCCINYLCHOLINE CHLORIDE 200 MG/10ML IV SOSY,66.0,66.0,0.81,66.0,111 NDC,71266200109,SUCCINYLCHOLINE CHLORIDE 100 MG/5ML IV SOSY (WRAPP,56.0,56.0,0.81,56.0,111 NDC,71266200302,NEOSTIGMINE METHYLSULFATE 5 MG/5ML IV SOSY,50.0,50.0,0.71,50.0,111 NDC,71266200401,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),36.0,36.0,0.38,36.0,112 NDC,71266200401,GLYCOPYRROLATE 0.6 MG/3ML IV SOSY,36.0,36.0,4.86,36.0,112 NDC,71266500001,OXYTOCIN INFUSION 30 UNITS/500ML NSS (WRAPPER)(CNR,75.0,75.0,0.86,75.0,111 NDC,71266503001,MIDAZOLAM HCLSODIUM CHLORIDE 1000.9 MG/100ML IV S,84.0,84.0,0.17,84.0,112 NDC,71266505502,HYDROMORPHONE HCL 1 MG/ML IV SOLN,70.0,70.0,0.09,70.0,112 NDC,71266506001,FENTANYL INFUSION 1600MCG/100ML NSS WRAPPER (CNR),66.0,66.0,0.85,66.0,112 NDC,71266510001,OXYTOCINSODIUM CHLORIDE 300.9 UT/500ML IV SOLN,75.0,75.0,0.86,75.0,111 NDC,71266510301,OXYTOCIN INFUSION 30 UNITS/500ML NSS (WRAPPER)(CNR,75.0,75.0,0.86,75.0,111 NDC,71266901001,PHENYLEPHRINE 100 MCG/ML BOLUS INJECTION 10ML (WRA,52.0,52.0,0.01,52.0,108 NDC,71266901009,PHENYLEPHRINE 100 MCG/ML BOLUS INJECTION 10ML (WRA,47.0,47.0,0.01,47.0,108 NDC,71266901101,PHENYLEPHRINE 100 MCG/ML BOLUS INJECTION 10ML (WRA,15.0,15.0,0.01,15.0,108 NDC,71266901109,PHENYLEPHRINE 100 MCG/ML BOLUS INJECTION 10ML (WRA,15.0,15.0,0.01,15.0,108 NDC,71266901503,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),45.0,45.0,0.38,45.0,112 NDC,71266902005,NEOSTIGMINE METHYLSULFATE 5 MG/5ML IV SOSY,108.0,108.0,0.71,108.0,111 NDC,71266902201,PHENYLEPHRINE 100 MCG/ML INFUSION (50ML)(WRAPPER),9.0,9.0,0.01,9.0,108 NDC,71266903101,PHENYLEPHRINE HCL (PRESSORS) 0.4 MG/10ML IV SOSY,37.0,37.0,0.01,37.0,108 NDC,71266903201,PHENYLEPHRINE HCL (PRESSORS) 0.4 MG/10ML IV SOSY,24.0,24.0,0.01,24.0,108 NDC,71266909001,LIDOCAINE HCL (CARDIAC) 100 MG/5ML IV SOSY (WRAPPE,21.0,21.0,0.01,21.0,111 NDC,71266911501,HYDROMORPHONE HCLNACL 1 MG/1ML IV SOSY (WRAPPER),49.0,49.0,0.09,49.0,112 NDC,71266918001,FENTANYL CITRATE 10 MCG/ML IV SOSY (WRAPPER),26.0,26.0,0.85,26.0,112 NDC,71266968405,SUCCINYLCHOLINE CHLORIDE 100 MG/5ML IV SOSY (WRAPP,100.0,100.0,0.81,100.0,111 NDC,71285604301,OXYTOCIN INFUSION 20 UNITS/1000ML NSS (ADS),30.0,30.0,0.86,30.0,111 NDC,71285604401,OXYTOCINSODIUM CHLORIDE 300.9 UT/500ML IV SOLN,33.0,33.0,0.86,33.0,111 NDC,71285809301,EPINEPHRINE HCLNACL 40.9 MG/250ML IV SOLN,124.0,124.0,0.76,124.0,111 NDC,71286200102,FENTANYL IV SYRINGE 300MCG/30ML (NEO) (CAPS),57.0,57.0,0.85,57.0,112 NDC,71286201201,HYDROMORPHONE HCLNACL 1 MG/1ML IV SOSY (WRAPPER),47.0,47.0,0.09,47.0,112 NDC,71286204003,MORPHINE SULFATE 1 MG/ML IV SOLN (WRAPPER),23.0,23.0,2.78,23.0,112 NDC,71286207101,FENTANYL CITRATENACL 100.9 MCG/ML IV SOSY,2.0,2.0,0.27,2.44,112 NDC,71286207107,FENTANYL CITRATENACL 100.9 MCG/ML IV SOSY,13.0,13.0,0.85,13.0,112 NDC,71286403503,MIDAZOLAM HCLSODIUM CHLORIDE 1000.9 MG/100ML IV S,73.0,73.0,0.17,73.0,112 NDC,71286600001,ATROPINE SULFATE 0.4 MG/ML INJECTION SOLN (WRAPPER,48.0,48.0,0.07,48.0,112 NDC,7128660003,ATROPINE SULFATE 0.4 MG/ML INJECTION SOLN (WRAPPER,24.0,24.0,0.07,24.0,112 NDC,71286600901,PHENYLEPHRINE 100 MCG/ML BOLUS INJECTION 10ML (WRA,2.0,2.0,0.01,2.0,108 NDC,71286601101,SUCCINYLCHOLINE CHLORIDE 100 MG/5ML IV SOSY (WRAPP,63.0,63.0,0.81,63.0,111 NDC,71288001615,DAPTOMYCIN 500 MG IV SOLR,108.0,108.0,0.03,108.0,112 NDC,71288001695,DAPTOMYCIN 500 MG IV SOLR,67.0,67.0,0.03,67.0,112 NDC,71288001715,DAPTOMYCIN 350 MG IV SOLR,90.0,90.0,0.03,90.0,112 NDC,71288003120,AMPICILLINSULBACTAM SODIUM 1.5 (10.5) G INJECTION,19.0,19.0,1.33,19.0,112 NDC,71288003121,AMPICILLINSULBACTAM SODIUM 1.5 (10.5) G INJECTION,19.0,19.0,1.33,19.0,112 NDC,71288003220,AMPICILLINSULBACTAM SODIUM 3 (21) G INJECTION SOLR,30.0,30.0,1.33,30.0,112 NDC,71288003221,AMPICILLINSULBACTAM SODIUM 3 (21) G INJECTION SOLR,30.0,30.0,1.33,30.0,112 NDC,71288003375,AMPICILLINSULBACTAM SODIUM 15 (105) G IV SOLR,200.0,200.0,1.33,200.0,112 NDC,71288010110,OXALIPLATIN 50 MG/10ML IV SOLN,54.0,54.0,0.05,54.0,112 NDC,71288010120,OXALIPLATIN 100 MG/20ML IV SOLN,72.0,72.0,0.05,72.0,112 NDC,71288010610,BLEOMYCIN SULFATE 15 UNITS INJECTION SOLR,111.0,111.0,14.99,111.0,112 NDC,71288010720,BLEOMYCIN SULFATE 30 UNITS INJECTION SOLR,241.0,241.0,20.9,241.0,112 NDC,71288010920,CYTARABINE (PF) 100 MG/ML INJECTION SOLN,67.0,67.0,0.79,67.0,112 NDC,71288011530,AZACITIDINE 100 MG INJECTION SUSR,162.0,162.0,0.21,162.0,112 NDC,71288011611,BUSULFAN 6 MG/ML IV SOLN,414.0,414.0,0.89,414.0,119 NDC,71288011728,GEMCITABINE HCL 1 GM/26.3ML IV SOLN,70.0,70.0,2.87,70.0,112 NDC,71288011810,BORTEZOMIB 1 MG/ML IV SOLR (WRAPPER),152.0,152.0,1.59,152.0,112 NDC,71288011920,DECITABINE 50 MG IV SOLR,360.0,360.0,0.65,360.0,112 NDC,71288012690,CARMUSTINE 100 MG IV SOLR,2520.0,2520.0,173.64,2520.0,119 NDC,71288012902,DACTINOMYCIN 0.5 MG IV SOLR,1800.0,1800.0,243.0,1800.0,119 NDC,71288013015,MELPHALAN HCL 50 MG IV SOLR,720.0,720.0,86.94,720.0,119 NDC,71288013290,MELPHALAN HCL 50 MG IV SOLR,720.0,720.0,86.94,720.0,119 NDC,71288013720,MITOMYCIN 5 MG IV SOLR,540.0,540.0,25.94,540.0,119 NDC,71288013850,MITOMYCIN 20 MG IV SOLR,1620.0,1620.0,25.94,1620.0,119 NDC,71288014416,DOCETAXEL 160 MG/16ML IV SOLN,1229.0,1229.0,0.38,1229.0,112 NDC,71288015395,AZACITIDINE 100 MG INJECTION SUSR,141.0,141.0,0.21,141.0,112 NDC,71288015605,THIOTEPA 15 MG INJECTION SOLR,720.0,720.0,97.2,720.0,111 NDC,71288015710,THIOTEPA 100 MG INJECTION SOLR,8460.0,8460.0,221.75,8460.0,111 NDC,71288016010,LEUCOVORIN CALCIUM 50 MG INJECTION SOLR,36.0,36.0,3.84,36.0,112 NDC,71288016120,LEUCOVORIN CALCIUM 100 MG INJECTION SOLR,58.0,58.0,3.84,58.0,112 NDC,71288016230,LEUCOVORIN CALCIUM 200 MG INJECTION SOLR,87.0,87.0,3.84,87.0,112 NDC,71288016330,LEUCOVORIN CALCIUM 350 MG INJECTION SOLR,94.0,94.0,3.84,94.0,112 NDC,71288016450,LEUCOVORIN CALCIUM 500 MG INJECTION SOLR,311.0,311.0,3.84,311.0,112 NDC,71288016610,PEMETREXED DISODIUM 100 MG IV SOLR,44.0,44.0,3.59,44.0,119 NDC,71288016691,PEMETREXED DISODIUM 100 MG IV SOLR,44.0,44.0,3.59,44.0,119 NDC,71288016750,PEMETREXED DISODIUM 500 MG IV SOLR,190.0,190.0,3.59,190.0,119 NDC,71288016795,PEMETREXED DISODIUM 500 MG IV SOLR,190.0,190.0,3.59,190.0,119 NDC,71288020185,REGADENOSON 0.4 MG/5ML IV SOLN,72.0,72.0,2.68,72.0,112 NDC,71288020302,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),4.0,4.0,0.39,4.0,111 NDC,71288020303,FUROSEMIDE 10 MG/ML INJECTION SOLN,4.0,4.0,0.39,4.0,111 NDC,71288020304,FUROSEMIDE 10 MG/ML INJECTION SOLN,5.0,5.0,0.39,5.0,111 NDC,71288020305,FUROSEMIDE 10 MG/ML INJECTION SOLN,5.0,5.0,0.39,5.0,111 NDC,71288020310,FUROSEMIDE 10 MG/ML INJECTION SOLN,8.0,8.0,0.39,8.0,111 NDC,71288020311,FUROSEMIDE 10 MG/ML INJECTION SOLN,8.0,8.0,0.39,8.0,111 NDC,71288030301,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,7.0,7.0,0.64,7.0,112 NDC,71288030302,CYANOCOBALAMIN 1000 MCG/ML INJECTION SOLN,7.0,7.0,0.64,7.0,112 NDC,71288040201,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,7.0,7.0,0.18,7.0,112 NDC,71288040202,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,7.0,7.0,0.18,7.0,112 NDC,71288040210,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,15.0,15.0,0.18,15.0,112 NDC,71288040211,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,15.0,15.0,0.18,15.0,112 NDC,71288040230,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,26.0,26.0,0.18,26.0,112 NDC,71288040231,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,26.0,26.0,0.18,26.0,112 NDC,71288040301,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,7.0,7.0,0.18,7.0,112 NDC,71288040302,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,7.0,7.0,0.18,7.0,112 NDC,71288040310,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,43.0,43.0,0.18,43.0,112 NDC,71288040311,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,43.0,43.0,0.18,43.0,112 NDC,71288040401,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,12.0,12.0,0.18,12.0,112 NDC,71288040402,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,12.0,12.0,0.18,12.0,112 NDC,71288040404,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,32.0,32.0,0.18,32.0,112 NDC,71288040405,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML INJECTION S,32.0,32.0,0.18,32.0,112 NDC,71288040905,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,33.0,33.0,0.34,33.0,112 NDC,71288041401,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),9.0,9.0,0.38,9.0,112 NDC,71288041402,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),18.0,18.0,0.38,18.0,112 NDC,71288041403,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),9.0,9.0,0.38,9.0,112 NDC,71288041404,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),18.0,18.0,0.38,18.0,112 NDC,71288041520,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),121.0,121.0,0.38,121.0,112 NDC,71288041521,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),121.0,121.0,0.38,121.0,112 NDC,71288042603,ENOXAPARIN SODIUM 300 MG/3ML INJECTION SOLN,116.0,116.0,0.53,116.0,112 NDC,71288042710,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,252.0,252.0,0.16,252.0,112 NDC,71288042711,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,252.0,252.0,0.16,252.0,112 NDC,71288043688,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,34.0,34.0,0.53,34.0,112 NDC,71288043689,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,34.0,34.0,0.53,34.0,112 NDC,71288043691,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,26.0,26.0,0.53,26.0,112 NDC,71288043692,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,26.0,26.0,0.53,26.0,112 NDC,71288050201,HALOPERIDOL DECANOATE 50 MG/ML IM SOLN,72.0,72.0,3.94,72.0,112 NDC,71288050202,HALOPERIDOL DECANOATE 50 MG/ML IM SOLN,72.0,72.0,3.94,72.0,112 NDC,71288055586,FULVESTRANT 250 MG/5ML IM SOSY,333.0,333.0,5.72,333.0,112 NDC,71288060010,PANTOPRAZOLE SODIUM 40 MG IV SOLR,11.0,11.0,1.49,11.0,111 NDC,71288060011,PANTOPRAZOLE SODIUM 40 MG IV SOLR,11.0,11.0,1.49,11.0,111 NDC,71288071910,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,18.0,18.0,0.81,18.0,111 NDC,71288071911,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,18.0,18.0,0.81,18.0,111 NDC,71288072232,BUPIVACAINE HCL (PF) 0.25 INJECTION SOLN,11.0,11.0,0.01,11.0,112 NDC,71288072532,BUPIVACAINE HCL (PF) 0.5 INJECTION SOLN,11.0,11.0,0.01,11.0,112 NDC,71288072711,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,15.0,15.0,0.01,15.0,112 NDC,71288072832,BUPIVACAINE HCL (PF) 0.75 INJECTION SOLN,18.0,18.0,0.01,18.0,112 NDC,71288080320,MYCOPHENOLATE MOFETIL HCL 500 MG IV SOLR,261.0,261.0,0.37,261.0,112 NDC,71288080321,MYCOPHENOLATE MOFETIL HCL 500 MG IV SOLR,261.0,261.0,0.37,261.0,112 NDC,71288080701,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),8.0,8.0,0.01,8.0,108 NDC,71288080702,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),8.0,8.0,0.01,8.0,108 NDC,713035102,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,17.0,17.0,2.29,17.0,112 NDC,713035109,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,17.0,17.0,2.29,17.0,112 NDC,713035125,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,17.0,17.0,2.29,17.0,112 NDC,71336100001,PATISIRAN SODIUM 10 MG/5ML IV SOLN,35226.0,35226.0,98.83,35226.0,119 NDC,71336100101,GIVOSIRAN SODIUM 189 MG/ML SC SOLN,153418.0,153418.0,115.47,153418.0,119 NDC,71336100301,VUTRISIRAN SODIUM 25 MG/0.5ML SC SOSY,417150.0,417150.0,4917.75,417150.0,119 NDC,71351002125,LIDOCAINE HCL (PF) 1 INJECTION SOLN,9.0,9.0,0.01,9.0,111 NDC,71351002202,BUPIVACAINE IN DEXTROSE 0.758.25 INTRATHECAL SOL,19.0,19.0,0.01,19.0,112 NDC,71351002210,BUPIVACAINE IN DEXTROSE 0.758.25 INTRATHECAL SOL,19.0,19.0,0.01,19.0,112 NDC,71351002305,LIDOCAINE HCL (PF) 2 INJECTION SOLN (WRAPPER),10.0,10.0,0.01,10.0,111 NDC,71351002310,LIDOCAINE HCL (PF) 2 INJECTION SOLN (WRAPPER),10.0,10.0,0.01,10.0,111 NDC,71351002325,LIDOCAINE HCL (PF) 2 INJECTION SOLN (WRAPPER),10.0,10.0,0.01,10.0,111 NDC,71390001100,REMIMAZOLAM BESYLATE 20 MG IV SOLR,149.0,149.0,20.12,149.0,111 NDC,71390001111,REMIMAZOLAM BESYLATE 20 MG IV SOLR,149.0,149.0,20.12,149.0,111 NDC,71394006501,VORETIGENE NEPARVOVECRZYL 5000000000000 VG/ML INTR,467500.0,467500.0,3026.8,467500.0,114 NDC,71394041501,VORETIGENE NEPARVOVECRZYL 5000000000000 VG/ML INTR,467500.0,467500.0,3026.8,467500.0,114 NDC,71469023101,AMINOLEVULINIC ACID HCL 1.5 G PO SOLR,10041.0,10041.0,29.55,10041.0,105 NDC,71506001959,VANCOMYCIN HCL IN NACL 20.9 GM/500ML IV SOLN,123.0,123.0,1.86,123.0,111 NDC,71506002303,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),46.0,46.0,0.55,46.0,112 NDC,71506002859,OXYTOCIN INFUSION 30 UNITS/500ML NSS (WRAPPER)(CNR,75.0,75.0,0.86,75.0,111 NDC,71506004105,LIDOCAINE HCL (CARDIAC) 100 MG/5ML IV SOSY (WRAPPE,72.0,72.0,0.01,72.0,111 NDC,71506004645,LABETALOL HCL 5 MG/ML IV SOLN,16.0,16.0,0.29,16.0,112 NDC,71506006058,EPINEPHRINENACL 80.9 MG/250ML IV SOLN,300.0,300.0,0.76,300.0,111 NDC,71773005005,ERAVACYCLINE DIHYDROCHLORIDE 50 MG IV SOLR,222.0,222.0,1.21,222.0,119 NDC,71773005012,ERAVACYCLINE DIHYDROCHLORIDE 50 MG IV SOLR,222.0,222.0,1.21,222.0,119 NDC,71773010005,ERAVACYCLINE DIHYDROCHLORIDE 100 MG IV SOLR,396.0,396.0,1.21,396.0,119 NDC,71773010012,ERAVACYCLINE DIHYDROCHLORIDE 100 MG IV SOLR,396.0,396.0,1.21,396.0,119 NDC,71837584301,SARGRAMOSTIM 250 MCG INJECTION SOLR,1111.0,1111.0,56.09,1111.0,119 NDC,71837584305,SARGRAMOSTIM 250 MCG INJECTION SOLR,1111.0,1111.0,56.09,1111.0,119 NDC,71839010401,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR,1083.0,1083.0,0.11,1083.0,112 NDC,71839010801,DAPTOMYCIN 350 MG IV SOLR,998.0,998.0,0.03,998.0,112 NDC,71839011110,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,51.0,51.0,0.53,51.0,112 NDC,71839011210,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,68.0,68.0,0.53,68.0,112 NDC,71839011310,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,84.0,84.0,0.53,84.0,112 NDC,71839011701,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,41.0,41.0,0.18,41.0,112 NDC,71839011725,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,41.0,41.0,0.18,41.0,112 NDC,71839011801,HEPARIN SODIUM (PORCINE) PF 5000 UNIT/0.5ML INJECT,18.0,18.0,0.18,18.0,112 NDC,71839011825,HEPARIN SODIUM (PORCINE) PF 5000 UNIT/0.5ML INJECT,18.0,18.0,0.18,18.0,112 NDC,71839012201,PANTOPRAZOLE SODIUM 40 MG IV SOLR,638.0,638.0,1.93,638.0,111 NDC,71839012210,PANTOPRAZOLE SODIUM 40 MG IV SOLR,638.0,638.0,1.93,638.0,111 NDC,71839012501,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),134.0,134.0,0.38,134.0,112 NDC,71904020001,CIPAGLUCOSIDASE ALFAATGA 105 MG IV SOLR,6560.0,6560.0,89.38,6560.0,119 NDC,71904030001,MIGLUSTAT (GAA DEFICIENCY) 65 MG PO CAPS,119.0,119.0,16.07,119.0,113 NDC,71930001730,ONDANSETRON HCL 4 MG PO TABS,2.0,2.0,0.01,2.0,112 NDC,71930001830,ONDANSETRON HCL 8 MG PO TABS,2.0,2.0,0.01,2.0,112 NDC,71930001852,ONDANSETRON HCL 8 MG PO TABS,2.0,2.0,0.01,2.0,112 NDC,72000031006,TEDIZOLID PHOSPHATE 200 MG PO TABS,1519.0,1519.0,29.55,1519.0,105 NDC,72000031030,TEDIZOLID PHOSPHATE 200 MG PO TABS,1519.0,1519.0,29.55,1519.0,105 NDC,72000032010,TEDIZOLID PHOSPHATE 200 MG IV SOLR,1210.0,1210.0,1.81,1210.0,119 NDC,72078003300,ADENOSINE 6 MG/2ML IV SOLN,22.0,22.0,0.32,22.0,112 NDC,72078003302,ADENOSINE 6 MG/2ML IV SOLN,22.0,22.0,0.32,22.0,112 NDC,72078003802,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLN,11276.0,11276.0,816.0,11276.0,111 NDC,72078004609,AMIODARONE HCL 450 MG/9ML IV SOLN,28.0,28.0,0.39,28.0,112 NDC,72187040101,TAGRAXOFUSPERZS 1000 MCG/ML IV SOLN,115738.0,115738.0,338.89,115738.0,119 NDC,72196600901,PHENYLEPHRINE 100 MCG/ML BOLUS INJECTION 10ML (WRA,2.0,2.0,0.01,2.0,108 NDC,72196601102,SUCCINYLCHOLINE CHLORIDE 200 MG/10ML IV SOSY,125.0,125.0,0.81,125.0,111 NDC,72196604301,OXYTOCIN INFUSION 20 UNITS/1000ML NSS (ADS),30.0,30.0,0.86,30.0,111 NDC,72196604401,OXYTOCIN INFUSION 30 UNITS/500ML NSS (WRAPPER)(CNR,35.0,35.0,0.86,35.0,111 NDC,72196809301,EPINEPHRINE HCLNACL 40.9 MG/250ML IV SOLN,124.0,124.0,0.76,124.0,111 NDC,72205003101,DECITABINE 50 MG IV SOLR,5853.0,5853.0,0.65,5853.0,112 NDC,72205003601,DECITABINE 50 MG IV SOLR,5853.0,5853.0,0.65,5853.0,112 NDC,72205005401,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR,964.0,964.0,0.11,964.0,112 NDC,72205006301,PACLITAXEL 300 MG/50ML IV CONC,360.0,360.0,0.1,360.0,112 NDC,72205009978,SIROLIMUS 1 MG/ML PO SOLN,5685.0,5685.0,0.96,5685.0,112 NDC,72205010101,BUMETANIDE 0.25 MG/ML INJECTION SOLN,10.0,10.0,0.36,10.0,112 NDC,72205010107,BUMETANIDE 0.25 MG/ML INJECTION SOLN,10.0,10.0,0.36,10.0,112 NDC,72205010201,BUMETANIDE 0.25 MG/ML INJECTION SOLN,11.0,11.0,0.36,11.0,112 NDC,72205010207,BUMETANIDE 0.25 MG/ML INJECTION SOLN,11.0,11.0,0.36,11.0,112 NDC,72205010691,CHLORPROMAZINE HCL 100 MG PO TABS,67.0,67.0,0.33,67.0,111 NDC,72205010791,CHLORPROMAZINE HCL 200 MG PO TABS,81.0,81.0,0.33,81.0,111 NDC,72205019701,CARMUSTINE 100 MG IV SOLR,1620.0,1620.0,173.64,1620.0,119 NDC,72205019801,CARMUSTINE 100 MG IV SOLR,1620.0,1620.0,173.64,1620.0,119 NDC,72266010101,DEXRAZOXANE HCL 500 MG IV SOLR,1651.0,1651.0,32.09,1651.0,119 NDC,72266010201,LABETALOL HCL 5 MG/ML IV SOLN,29.0,29.0,0.29,29.0,112 NDC,72266010301,LABETALOL HCL 5 MG/ML IV SOLN,22.0,22.0,0.29,22.0,112 NDC,72266010341,LABETALOL HCL 5 MG/ML IV SOLN,22.0,22.0,0.29,22.0,112 NDC,72266010601,CASPOFUNGIN ACETATE 50 MG IV SOLR,257.0,257.0,2.27,257.0,112 NDC,72266010701,CASPOFUNGIN ACETATE 70 MG IV SOLR,357.0,357.0,2.27,357.0,112 NDC,72266010801,CLOFARABINE 1 MG/ML IV SOLN,2880.0,2880.0,5.33,2880.0,119 NDC,72266011801,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,7.0,7.0,0.33,7.0,112 NDC,72266011825,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,7.0,7.0,0.33,7.0,112 NDC,72266012701,DICYCLOMINE HCL 10 MG/ML IM SOLN,89.0,89.0,11.33,89.0,112 NDC,72266012705,DICYCLOMINE HCL 10 MG/ML IM SOLN,89.0,89.0,11.33,89.0,112 NDC,72266012801,MELPHALAN HCL 50 MG IV SOLR,902.0,902.0,86.94,902.0,119 NDC,72266013101,VORICONAZOLE 200 MG IV SOLR,216.0,216.0,0.75,216.0,112 NDC,72266015910,ERTAPENEM SODIUM 1 G INJECTION SOLR,288.0,288.0,9.02,288.0,112 NDC,72266016001,ZIPRASIDONE MESYLATE 20 MG IM SOLR,119.0,119.0,3.14,119.0,112 NDC,72266016010,ZIPRASIDONE MESYLATE 20 MG IM SOLR,119.0,119.0,3.14,119.0,112 NDC,72266016041,ZIPRASIDONE MESYLATE 20 MG IM SOLR,72.0,72.0,3.14,72.0,112 NDC,72266016042,ZIPRASIDONE MESYLATE 20 MG IM SOLR,72.0,72.0,3.14,72.0,112 NDC,72266016101,OXALIPLATIN 50 MG/10ML IV SOLN,45.0,45.0,0.05,45.0,112 NDC,72266016301,TOBRAMYCIN SULFATE 1.2 G INJECTION SOLR,1664.0,1664.0,1.97,1664.0,112 NDC,72266016306,TOBRAMYCIN SULFATE 1.2 G INJECTION SOLR,1664.0,1664.0,1.97,1664.0,112 NDC,72266020401,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,17.0,17.0,2.29,17.0,112 NDC,72266020410,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,17.0,17.0,2.29,17.0,112 NDC,72266023401,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,4.0,4.0,0.33,4.0,112 NDC,72266023425,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,4.0,4.0,0.33,4.0,112 NDC,72266023501,DEXRAZOXANE HCL 250 MG IV SOLR,830.0,830.0,32.09,830.0,119 NDC,72266023701,DOXYCYCLINE HYCLATE 100 MG IV SOLR,53.0,53.0,7.16,53.0,111 NDC,72266023705,DOXYCYCLINE HYCLATE 100 MG IV SOLR,53.0,53.0,7.16,53.0,111 NDC,72266024801,SINCALIDE 5 MCG INJECTION SOLR,492.0,492.0,66.42,492.0,112 NDC,72266024805,SINCALIDE 5 MCG INJECTION SOLR,492.0,492.0,66.42,492.0,112 NDC,72266025101,CALCITRIOL 1 MCG/ML IV SOLN,36.0,36.0,0.99,36.0,111 NDC,72266025110,CALCITRIOL 1 MCG/ML IV SOLN,36.0,36.0,0.99,36.0,111 NDC,72266025201,CISPLATIN 50 MG/50ML IV SOLN,90.0,90.0,1.95,90.0,112 NDC,72266025301,CISPLATIN 100 MG/100ML IV SOLN,144.0,144.0,1.95,144.0,112 NDC,72485010101,DIPHENHYDRAMINE HCL 50 MG/ML INJECTION SOLN,6.0,6.0,0.71,6.0,112 NDC,72485010105,DIPHENHYDRAMINE HCL 50 MG/ML INJECTION SOLN,11.0,11.0,0.71,11.0,112 NDC,72485010125,DIPHENHYDRAMINE HCL 50 MG/ML INJECTION SOLN,6.0,6.0,0.71,6.0,112 NDC,72485010401,CAFFEINE CITRATE 60 MG/3ML IV SOLN,36.0,36.0,1.02,36.0,111 NDC,72485010610,LEVETIRACETAM 500 MG/5ML IV SOLN,9.0,9.0,0.04,9.0,112 NDC,72485010625,LEVETIRACETAM 500 MG/5ML IV SOLN,9.0,9.0,0.04,9.0,112 NDC,72485011601,NICARDIPINE HCL 2.5 MG/ML IV SOLN,84.0,84.0,0.07,84.0,112 NDC,72485011610,NICARDIPINE HCL 2.5 MG/ML IV SOLN,84.0,84.0,0.07,84.0,112 NDC,72485020101,AZACITIDINE 100 MG INJECTION SUSR,1853.0,1853.0,0.21,1853.0,112 NDC,72485020512,CAPECITABINE 500 MG PO TABS,118.0,118.0,15.93,118.0,111 NDC,72485021205,IRINOTECAN HCL 100 MG/5ML IV SOLN,65.0,65.0,1.4,65.0,112 NDC,72485022102,GEMCITABINE HCL 200 MG/5.26ML IV SOLN,19.0,19.0,2.57,19.0,112 NDC,72485040301,PIPERACILLIN SODTAZOBACTAM SO 3.375 (30.375) G IV,52.0,52.0,1.09,52.0,112 NDC,72485040310,PIPERACILLIN SODTAZOBACTAM SO 3.375 (30.375) G IV,52.0,52.0,1.09,52.0,112 NDC,72485040401,PIPERACILLIN SODTAZOBACTAM SO 4.5 (40.5) G IV SOLR,66.0,66.0,1.09,66.0,112 NDC,72485040410,PIPERACILLIN SODTAZOBACTAM SO 4.5 (40.5) G IV SOLR,66.0,66.0,1.09,66.0,112 NDC,72485041201,MEROPENEM 1 G IV SOLR,21.0,21.0,0.38,21.0,112 NDC,72485041210,MEROPENEM 1 G IV SOLR,21.0,21.0,0.38,21.0,112 NDC,72485041601,AMPICILLINSULBACTAM SODIUM 1.5 (10.5) G INJECTION,12.0,12.0,1.33,12.0,112 NDC,72485041610,AMPICILLINSULBACTAM SODIUM 1.5 (10.5) G INJECTION,12.0,12.0,1.33,12.0,112 NDC,72485041701,AMPICILLINSULBACTAM SODIUM 3 (21) G INJECTION SOLR,20.0,20.0,1.33,20.0,112 NDC,72485041710,AMPICILLINSULBACTAM SODIUM 3 (21) G INJECTION SOLR,20.0,20.0,1.33,20.0,112 NDC,72485042201,AMPICILLIN SODIUM 2 G INJECTION SOLR,26.0,26.0,0.49,26.0,112 NDC,72485042210,AMPICILLIN SODIUM 2 G INJECTION SOLR,26.0,26.0,0.49,26.0,112 NDC,72485050501,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),36.0,36.0,0.01,36.0,108 NDC,72485050510,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),36.0,36.0,0.01,36.0,108 NDC,72493010303,MITOMYCIN 80 (2 X 40) MG UL SOLR,88128.0,88128.0,311.36,88128.0,119 NDC,72516002401,PAPAVERINE HCL 30 MG/ML INJECTION SOLN,135.0,135.0,18.23,135.0,111 NDC,72572006101,CEFTRIAXONE SODIUM 1 G INJECTION SOLR,6.0,6.0,0.45,6.0,112 NDC,72572006125,CEFTRIAXONE SODIUM 1 G INJECTION SOLR,6.0,6.0,0.45,6.0,112 NDC,72572006201,CEFTRIAXONE SODIUM 2 G INJECTION SOLR,10.0,10.0,0.45,10.0,112 NDC,72572006225,CEFTRIAXONE SODIUM 2 G INJECTION SOLR,10.0,10.0,0.45,10.0,112 NDC,72572010201,DAPTOMYCIN 500 MG IV SOLR,92.0,92.0,0.03,92.0,112 NDC,72572012001,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION S,4.0,4.0,0.11,4.0,112 NDC,72572012025,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION S,4.0,4.0,0.11,4.0,112 NDC,72572012201,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION,5.0,5.0,0.11,5.0,112 NDC,72572012225,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML INJECTION,5.0,5.0,0.11,5.0,112 NDC,72572014001,DIAZEPAM 5 MG/ML INJECTION SOLN,68.0,68.0,6.17,68.0,112 NDC,72572022501,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLN,11.0,11.0,0.38,11.0,112 NDC,72572022525,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLN,11.0,11.0,0.38,11.0,112 NDC,72572025501,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,7.0,7.0,0.18,7.0,112 NDC,72572025525,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,7.0,7.0,0.18,7.0,112 NDC,72572026501,HYDRALAZINE HCL 20 MG/ML INJECTION SOLN,14.0,14.0,1.89,14.0,112 NDC,72572026525,HYDRALAZINE HCL 20 MG/ML INJECTION SOLN,14.0,14.0,1.89,14.0,112 NDC,72572035001,LABETALOL HCL 5 MG/ML IV SOLN,11.0,11.0,0.29,11.0,112 NDC,72572037001,LIDOCAINE HCL (PF) 1 INJECTION SOLN,5.0,5.0,0.01,5.0,111 NDC,72572037025,LIDOCAINE HCL (PF) 1 INJECTION SOLN,5.0,5.0,0.01,5.0,111 NDC,72572037201,LIDOCAINE HCL (PF) 2 INJECTION SOLN (WRAPPER),31.0,31.0,0.01,31.0,111 NDC,72572037225,LIDOCAINE HCL (PF) 2 INJECTION SOLN (WRAPPER),5.0,5.0,0.01,5.0,111 NDC,72572041501,MEROPENEM 500 MG IV SOLR,14.0,14.0,0.38,14.0,112 NDC,72572041510,MEROPENEM 500 MG IV SOLR,14.0,14.0,0.38,14.0,112 NDC,72572041601,MEROPENEM 1 G IV SOLR,26.0,26.0,0.38,26.0,112 NDC,72572041610,MEROPENEM 1 G IV SOLR,26.0,26.0,0.38,26.0,112 NDC,72572043001,MIDAZOLAM HCL 2 MG/2ML INJECTION SOLN,3.0,3.0,0.13,3.0,112 NDC,72572043025,MIDAZOLAM HCL 2 MG/2ML INJECTION SOLN,3.0,3.0,0.13,3.0,112 NDC,72572044001,MORPHINE SULFATE 4 MG/ML IV SOLN,8.0,8.0,1.08,8.0,112 NDC,72572044025,MORPHINE SULFATE 4 MG/ML IV SOLN,8.0,8.0,1.08,8.0,112 NDC,72572047001,NICARDIPINE HCL 2.5 MG/ML IV SOLN,69.0,69.0,0.07,69.0,112 NDC,72572052001,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,3.0,3.0,0.09,3.0,112 NDC,72572052025,ONDANSETRON HCL 4 MG/2ML INJECTION SOLN,3.0,3.0,0.09,3.0,112 NDC,72572055001,PANTOPRAZOLE SODIUM 40 MG IV SOLR,11.0,11.0,1.49,11.0,111 NDC,72572055010,PANTOPRAZOLE SODIUM 40 MG IV SOLR,11.0,11.0,1.49,11.0,111 NDC,72572057401,PIPERACILLIN SODTAZOBACTAM SO 4.5 (40.5) G IV SOLR,21.0,21.0,1.09,21.0,112 NDC,72572057410,PIPERACILLIN SODTAZOBACTAM SO 4.5 (40.5) G IV SOLR,21.0,21.0,1.09,21.0,112 NDC,72572058001,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,22.0,22.0,2.31,22.0,112 NDC,72572058025,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,22.0,22.0,2.31,22.0,112 NDC,72572075001,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,47.0,47.0,0.81,47.0,111 NDC,72572075010,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,47.0,47.0,0.81,47.0,111 NDC,72572080101,VANCOMYCIN HCL 1 G IV SOLR,13.0,13.0,1.76,13.0,111 NDC,72572080102,VANCOMYCIN HCL 1 G IV SOLR,13.0,13.0,1.76,13.0,111 NDC,72578016601,DEXAMETHASONE 1 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,72603010101,OXALIPLATIN 100 MG/20ML IV SOLN,821.0,821.0,0.05,821.0,112 NDC,72603010301,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP,3489.0,3489.0,104.01,3489.0,119 NDC,72603012801,PANTOPRAZOLE SODIUM 40 MG IV SOLR,22.0,22.0,1.93,22.0,111 NDC,72603012810,PANTOPRAZOLE SODIUM 40 MG IV SOLR,22.0,22.0,1.93,22.0,111 NDC,72603013301,FUROSEMIDE 10 MG/ML INJECTION SOLN (INFUSION),10.0,10.0,0.39,10.0,111 NDC,72603013325,FUROSEMIDE 10 MG/ML INJECTION SOLN,10.0,10.0,0.39,10.0,111 NDC,72603013901,THIAMINE HCL 100 MG/ML INJECTION SOLN,34.0,34.0,1.76,34.0,112 NDC,72603013925,THIAMINE HCL 100 MG/ML INJECTION SOLN,34.0,34.0,1.76,34.0,112 NDC,72603014101,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOAJ,338.0,338.0,25.5,338.0,111 NDC,72603014102,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOAJ,338.0,338.0,25.5,338.0,111 NDC,72603014601,LABETALOL HCL 5 MG/ML IV SOLN,23.0,23.0,0.29,23.0,112 NDC,72603016001,TOBRAMYCIN SULFATE 1.2 G INJECTION SOLR,284.0,284.0,1.97,284.0,112 NDC,72603016006,TOBRAMYCIN SULFATE 1.2 G INJECTION SOLR,284.0,284.0,1.97,284.0,112 NDC,72603016101,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,10.0,10.0,0.33,10.0,112 NDC,72603016125,KETOROLAC TROMETHAMINE 30 MG/ML INJECTION SOLN,10.0,10.0,0.33,10.0,112 NDC,72603016901,PROCHLORPERAZINE MALEATE 10 MG PO TABS,3.0,3.0,0.35,3.0,111 NDC,72603017501,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,29.0,29.0,0.53,29.0,112 NDC,72603017510,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,29.0,29.0,0.53,29.0,112 NDC,72603017901,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,18.0,18.0,0.18,18.0,112 NDC,72603017925,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,18.0,18.0,0.18,18.0,112 NDC,72603018101,OLANZAPINE 10 MG IM SOLR,127.0,127.0,17.14,127.0,111 NDC,72603018501,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,43.0,43.0,0.53,43.0,112 NDC,72603018510,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,43.0,43.0,0.53,43.0,112 NDC,72603018701,DEXAMETHASONE 1.5 MG PO TABS,2.0,2.0,0.01,2.0,112 NDC,72603018901,DEXAMETHASONE 4 MG PO TABS,4.0,4.0,0.01,4.0,112 NDC,72603019501,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,58.0,58.0,0.53,58.0,112 NDC,72603019510,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,58.0,58.0,0.53,58.0,112 NDC,72603019801,ZOLEDRONIC ACID 4 MG/5ML IV CONC,309.0,309.0,5.08,309.0,112 NDC,72603020001,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP,8722.0,8722.0,104.01,8722.0,119 NDC,72603021201,DEXAMETHASONE 0.5 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,72603021601,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,42.0,42.0,0.05,42.0,112 NDC,72603021625,ROPIVACAINE HCL 2 MG/ML INJECTION SOLN,42.0,42.0,0.05,42.0,112 NDC,72603021701,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,72.0,72.0,0.05,72.0,112 NDC,72603021725,ROPIVACAINE HCL 5 MG/ML INJECTION SOLN,72.0,72.0,0.05,72.0,112 NDC,72603025101,FUROSEMIDE 10 MG/ML INJECTION SOLN,10.0,10.0,0.39,10.0,111 NDC,72603025125,FUROSEMIDE 10 MG/ML INJECTION SOLN,10.0,10.0,0.39,10.0,111 NDC,72603026701,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,26.0,26.0,0.18,26.0,112 NDC,72603026725,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,26.0,26.0,0.18,26.0,112 NDC,72603030101,OXALIPLATIN 50 MG/10ML IV SOLN,446.0,446.0,0.05,446.0,112 NDC,72603047401,FUROSEMIDE 10 MG/ML INJECTION SOLN,16.0,16.0,0.39,16.0,111 NDC,72603047425,FUROSEMIDE 10 MG/ML INJECTION SOLN,16.0,16.0,0.39,16.0,111 NDC,72603050501,LIDOCAINE HCL (PF) 2 INJECTION SOLN (WRAPPER),11.0,11.0,0.01,11.0,111 NDC,72603050510,LIDOCAINE HCL (PF) 2 INJECTION SOLN (WRAPPER),11.0,11.0,0.01,11.0,111 NDC,72603050525,LIDOCAINE HCL (PF) 2 INJECTION SOLN (WRAPPER),7.0,7.0,0.01,7.0,111 NDC,72603057801,AMPICILLIN SODIUM 10 G INJECTION (WRAPPER),3016.0,3016.0,0.49,3016.0,112 NDC,72606001101,BEVACIZUMABADCD 100 MG/4ML IV SOLN,2439.0,2439.0,38.16,2439.0,119 NDC,72606001201,BEVACIZUMABADCD 400 MG/16ML IV SOLN,10405.0,10405.0,38.16,10405.0,119 NDC,72611071601,DEXRAZOXANE HCL 500 MG IV SOLR,1437.0,1437.0,32.09,1437.0,119 NDC,72611071672,DEXRAZOXANE HCL 500 MG IV SOLR,522.0,522.0,32.09,522.0,119 NDC,72611071901,KETOROLAC TROMETHAMINE 15 MG/ML INJECTION SOLN,4.0,4.0,0.33,4.0,112 NDC,72611073401,LABETALOL HCL 5 MG/ML IV SOLN,42.0,42.0,0.29,42.0,112 NDC,72611076101,VANCOMYCIN HCL 500 MG IV SOLR,11.0,11.0,1.49,11.0,111 NDC,72611076110,VANCOMYCIN HCL 500 MG IV SOLR,11.0,11.0,1.49,11.0,111 NDC,72611078502,TEMSIROLIMUS 25 MG/ML IV SOLN,11610.0,11610.0,20.32,11610.0,119 NDC,72694051501,CALASPARGASE PEGOLMKNL 3750 UNIT/5ML IV SOLN,104531.0,104531.0,76.53,104531.0,119 NDC,72694095401,PEGASPARGASE 750 UNIT/ML IM SOLN,96535.0,96535.0,13032.23,96535.0,119 NDC,72819015205,MITOMYCIN 5 MG IV SOLR,876.0,876.0,25.94,876.0,119 NDC,72819015302,MITOMYCIN 20 MG IV SOLR,2276.0,2276.0,25.94,2276.0,119 NDC,72854035120,DEXTROMETHORPHAN HBR 15 MG PO TABS,3.0,3.0,0.41,3.0,111 NDC,72888019201,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,12.0,12.0,0.15,12.0,112 NDC,72888020012,MYCOPHENOLATE SODIUM 360 MG PO TBEC,28.0,28.0,0.32,28.0,112 NDC,72893000201,BELINOSTAT 500 MG IV SOLR,8647.0,8647.0,50.28,8647.0,119 NDC,72893000301,PRALATREXATE 20 MG/ML IV SOLN,26412.0,26412.0,373.77,26412.0,119 NDC,72893000501,PRALATREXATE 40 MG/2ML IV SOLN,52823.0,52823.0,373.77,52823.0,119 NDC,72903085301,MIRVETUXIMAB SORAVTANSINEGYNX 100 MG/20ML IV SOLN,23354.0,23354.0,68.11,23354.0,119 NDC,73070010011,INSULIN ASPART VIAL FOR SUBQ INFUSION PUMP 100 UNI,261.0,261.0,0.22,261.0,111 NDC,73070020011,INSULIN ASPART PROT ASPART (7030) 100 UNIT/ML SC,261.0,261.0,0.22,261.0,111 NDC,73090042001,SILTUXIMAB 100 MG IV SOLR,5406.0,5406.0,155.97,5406.0,119 NDC,73090042101,SILTUXIMAB 400 MG IV SOLR,21621.0,21621.0,155.97,21621.0,119 NDC,73150015006,UBLITUXIMABXIIY 150 MG/6ML IV SOLN,37701.0,37701.0,69.03,37701.0,119 NDC,73293000101,LIDOCAINE HCL (PF) 1 INJECTION SOLN,9.0,9.0,0.01,9.0,111 NDC,73293000101,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),9.0,9.0,1.22,9.0,111 NDC,73293000102,LIDOCAINE HCL (PF) 1 INJECTION SOLN,9.0,9.0,0.01,9.0,111 NDC,73293000102,LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY),9.0,9.0,1.22,9.0,111 NDC,73293000201,BUPIVACAINE IN DEXTROSE 0.758.25 INTRATHECAL SOL,19.0,19.0,0.01,19.0,112 NDC,73475304105,EFGARTIGIMOD ALFAFCAB 400 MG/20ML IV SOLN,22286.0,22286.0,32.22,22286.0,119 NDC,73535020801,TAFASITAMABCXIX 200 MG IV SOLR,4854.0,4854.0,13.97,4854.0,119 NDC,73594931001,FERRIC DERISOMALTOSE(ONE DOSE) 1000 MG/10ML IV SOL,11689.0,11689.0,18.95,11689.0,119 NDC,73702013110,CEFAZOLIN SODIUM 1 GM/10ML IV SOSY,20.0,20.0,0.81,20.0,112 NDC,73702013210,CEFAZOLIN SODIUM 2 GM/20ML IV SOSY,23.0,23.0,0.81,23.0,112 NDC,74165801,PARICALCITOL 5 MCG/ML IV SOLN,341.0,341.0,0.67,341.0,112 NDC,74165805,PARICALCITOL 5 MCG/ML IV SOLN,437.0,437.0,0.67,437.0,112 NDC,74210001,RISANKIZUMABRZAA 150 MG/ML SC SOAJ,75663.0,75663.0,10214.51,75663.0,114 NDC,74210803,LEUPROLIDE ACETATE (PED) 7.5 MG IM KIT,7429.0,7429.0,1002.92,7429.0,119 NDC,74228203,LEUPROLIDE ACETATE (PED) 11.25 MG IM KIT,13487.0,13487.0,1666.78,13487.0,119 NDC,74244003,LEUPROLIDE ACETATE (PED) 15 MG IM KIT,14855.0,14855.0,1666.78,14855.0,119 NDC,74310832,CYCLOSPORINE MODIFIED 25 MG PO CAPS,7.0,7.0,0.53,7.0,112 NDC,74310932,CYCLOSPORINE MODIFIED 100 MG PO CAPS,26.0,26.0,1.81,26.0,112 NDC,74334603,LEUPROLIDE ACETATE (3 MONTH) 22.5 MG IM KIT,22077.0,22077.0,155.42,22077.0,119 NDC,74347303,LEUPROLIDE ACETATE (6 MONTH) 45 MG IM KIT,44154.0,44154.0,155.42,44154.0,119 NDC,74364103,LEUPROLIDE ACETATE 3.75 MG IM KIT,6176.0,6176.0,833.76,6176.0,119 NDC,74364203,LEUPROLIDE ACETATE 7.5 MG IM KIT,7359.0,7359.0,155.42,7359.0,119 NDC,74366303,LEUPROLIDE ACETATE (3 MONTH) 11.25 MG IM KIT,18526.0,18526.0,1666.78,18526.0,119 NDC,74368303,LEUPROLIDE ACETATE (4 MONTH) 30 MG IM KIT,29435.0,29435.0,155.42,29435.0,119 NDC,74379902,ADALIMUMAB 40 MG/0.8ML SC PSKT,12461.0,12461.0,1682.24,12461.0,111 NDC,74433902,ADALIMUMAB 40 MG/0.8ML SC AJKT,12461.0,12461.0,1682.24,12461.0,111 NDC,74463701,PARICALCITOL 2 MCG/ML IV SOLN,22.0,22.0,0.67,22.0,112 NDC,74501501,RISANKIZUMABRZAA 600 MG/10ML IV SOLN,36431.0,36431.0,14.84,36431.0,119 NDC,74527002201,MARGETUXIMABCMKB 250 MG/10ML IV SOLN,8504.0,8504.0,49.4,8504.0,119 NDC,74527002202,MARGETUXIMABCMKB 250 MG/10ML IV SOLN,8504.0,8504.0,49.4,8504.0,119 NDC,74527002203,MARGETUXIMABCMKB 250 MG/10ML IV SOLN,8504.0,8504.0,49.4,8504.0,119 NDC,74676590200,TRIPTORELIN PAMOATE 3.75 MG IM SUSR,3104.0,3104.0,419.04,3104.0,119 NDC,74676590201,TRIPTORELIN PAMOATE 3.75 MG IM SUSR,3104.0,3104.0,419.04,3104.0,119 NDC,74676590400,TRIPTORELIN PAMOATE 11.25 MG IM SUSR,9310.0,9310.0,463.19,9310.0,119 NDC,74676590401,TRIPTORELIN PAMOATE 11.25 MG IM SUSR,9310.0,9310.0,463.19,9310.0,119 NDC,74676590600,TRIPTORELIN PAMOATE 22.5 MG IM SUSR,18620.0,18620.0,463.19,18620.0,119 NDC,74676590601,TRIPTORELIN PAMOATE 22.5 MG IM SUSR,18620.0,18620.0,463.19,18620.0,119 NDC,74726950,CYCLOSPORINE MODIFIED 100 MG/ML PO SOLN,1424.0,1424.0,1.81,1424.0,112 NDC,75062040,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,36.0,36.0,0.53,36.0,112 NDC,75062160,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,54.0,54.0,0.53,54.0,112 NDC,75062201,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,72.0,72.0,0.53,72.0,112 NDC,75062280,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,72.0,72.0,0.53,72.0,112 NDC,75062300,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,90.0,90.0,0.53,90.0,112 NDC,75062303,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,90.0,90.0,0.53,90.0,112 NDC,75062430,ENOXAPARIN SODIUM 30 MG/0.3ML INJECTION SOSY,27.0,27.0,0.53,27.0,112 NDC,75062603,ENOXAPARIN SODIUM 300 MG/3ML INJECTION SOLN,268.0,268.0,0.53,268.0,112 NDC,75291201,ENOXAPARIN SODIUM 120 MG/0.8ML INJECTION SOSY,108.0,108.0,0.53,108.0,112 NDC,75291501,ENOXAPARIN SODIUM 150 MG/ML INJECTION SOSY,135.0,135.0,0.53,135.0,112 NDC,75801301,ENOXAPARIN SODIUM 30 MG/0.3ML INJECTION SOSY,24.0,24.0,0.53,24.0,112 NDC,75801601,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,179.0,179.0,0.53,179.0,112 NDC,75801610,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,179.0,179.0,0.53,179.0,112 NDC,75801801,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,239.0,239.0,0.53,239.0,112 NDC,75801810,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,239.0,239.0,0.53,239.0,112 NDC,75802001,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,299.0,299.0,0.53,299.0,112 NDC,75802010,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,299.0,299.0,0.53,299.0,112 NDC,75802201,ENOXAPARIN SODIUM 120 MG/0.8ML INJECTION SOSY,358.0,358.0,0.53,358.0,112 NDC,75802210,ENOXAPARIN SODIUM 120 MG/0.8ML INJECTION SOSY,358.0,358.0,0.53,358.0,112 NDC,75834017101,CALCIUM GLUCONATE 10 IV SOLN,37.0,37.0,0.03,37.0,112 NDC,75834017119,CALCIUM GLUCONATE 10 IV SOLN,37.0,37.0,0.03,37.0,112 NDC,75907018935,CYCLOPHOSPHAMIDE 2 GM/10ML IV SOLN,5274.0,5274.0,0.7,5274.0,119 NDC,75907019007,CYCLOPHOSPHAMIDE 1 GM/5ML IV SOLN,2637.0,2637.0,0.7,2637.0,119 NDC,75907019102,CYCLOPHOSPHAMIDE 500 MG/2.5ML IV SOLN,1319.0,1319.0,0.7,1319.0,119 NDC,75987005006,GLYCEROL PHENYLBUTYRATE 1.1 GM/ML PO LIQD,20492.0,20492.0,29.55,20492.0,105 NDC,75987008010,PEGLOTICASE 8 MG/ML IV SOLN,66900.0,66900.0,3550.05,66900.0,119 NDC,75987011110,INTERFERON GAMMA1B 100 MCG/0.5ML SC SOLN,19542.0,19542.0,2638.17,19542.0,111 NDC,75987011111,INTERFERON GAMMA1B 100 MCG/0.5ML SC SOLN,19542.0,19542.0,2638.17,19542.0,111 NDC,75987013015,TEPROTUMUMABTRBW 500 MG IV SOLR,58976.0,58976.0,347.1,58976.0,119 NDC,76014000333,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,67.0,67.0,0.71,67.0,111 NDC,76014000432,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,80.0,80.0,0.01,80.0,108 NDC,76014000433,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,156.0,156.0,0.01,156.0,108 NDC,76045000100,MIDAZOLAM HCL (PF) 2 MG/2ML INJECTION SOLN,12.0,12.0,0.13,12.0,112 NDC,76045000120,MIDAZOLAM HCL (PF) 2 MG/2ML INJECTION SOLN,12.0,12.0,0.13,12.0,112 NDC,76045000401,MORPHINE SULFATE 2 MG/ML INJECTION SOLN,11.0,11.0,1.49,19.43,112 NDC,76045000410,MORPHINE SULFATE 2 MG/ML INJECTION SOLN,11.0,11.0,1.49,19.43,112 NDC,76045000411,MORPHINE SULFATE 2 MG/ML INJECTION SOLN,11.0,11.0,1.49,19.43,112 NDC,76045000501,MORPHINE SULFATE 4 MG/ML INJECTION SOLN,11.0,11.0,1.49,19.43,112 NDC,76045000510,MORPHINE SULFATE 4 MG/ML INJECTION SOLN,11.0,11.0,1.49,19.43,112 NDC,76045000511,MORPHINE SULFATE 4 MG/ML INJECTION SOLN,11.0,11.0,1.49,19.43,112 NDC,76045000901,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,15.0,15.0,0.09,15.0,112 NDC,76045000905,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,13.0,13.0,0.09,13.0,112 NDC,76045000906,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,15.0,15.0,0.09,15.0,112 NDC,76045000911,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,15.0,15.0,0.09,15.0,112 NDC,76045000996,HYDROMORPHONE HCL 1 MG/ML INJECTION SOLN,15.0,15.0,0.09,15.0,112 NDC,76045001001,HYDROMORPHONE HCL 2 MG/ML INJECTION SOLN,15.0,15.0,0.09,15.0,112 NDC,76045001011,HYDROMORPHONE HCL 2 MG/ML INJECTION SOLN,15.0,15.0,0.09,15.0,112 NDC,76045002300,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),55.0,55.0,0.55,55.0,112 NDC,76045002330,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),55.0,55.0,0.55,55.0,112 NDC,76045010120,METOCLOPRAMIDE HCL 5 MG/ML INJECTION SOLN,10.0,10.0,1.0,10.0,112 NDC,76045010210,DIPHENHYDRAMINE HCL 50 MG/ML INJECTION SOLN,10.0,10.0,0.71,10.0,112 NDC,76045010800,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,11.0,11.0,0.18,11.0,112 NDC,76045010810,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,11.0,11.0,0.18,11.0,112 NDC,76045012101,HYDROMORPHONE HCL 0.2 MG/ML INJECTION SOLN,11.0,11.0,0.09,11.0,112 NDC,76045012111,HYDROMORPHONE HCL 0.2 MG/ML INJECTION SOLN,11.0,11.0,0.09,11.0,112 NDC,76045020400,DIAZEPAM 5 MG/ML INJECTION SOLN,89.0,89.0,6.17,89.0,112 NDC,76045020420,DIAZEPAM 5 MG/ML INJECTION SOLN,89.0,89.0,6.17,89.0,112 NDC,76045021300,METOCLOPRAMIDE HCL 5 MG/ML INJECTION SOLN,12.0,12.0,1.0,12.0,112 NDC,76045021320,METOCLOPRAMIDE HCL 5 MG/ML INJECTION SOLN,12.0,12.0,1.0,12.0,112 NDC,76045022303,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),56.0,56.0,0.55,56.0,112 NDC,76045022330,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),56.0,56.0,0.55,56.0,112 NDC,76045073701,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLN,15.0,15.0,0.73,15.0,112 NDC,76075010101,CARFILZOMIB 60 MG IV SOLR,11791.0,11791.0,51.97,11791.0,119 NDC,76075010201,CARFILZOMIB 30 MG IV SOLR,5896.0,5896.0,51.97,5896.0,119 NDC,76075010301,CARFILZOMIB 10 MG IV SOLR,1966.0,1966.0,51.97,1966.0,119 NDC,76125015002,RABIES IMMUNE GLOBULIN 300 UNIT/2ML INJECTION SOLN,2685.0,2685.0,237.1,2685.0,119 NDC,76125015010,RABIES IMMUNE GLOBULIN 1500 UNIT/10ML INJECTION SO,12252.0,12252.0,237.1,12252.0,119 NDC,76125079025,ALBUMIN HUMAN 5 IV SOLN,180.0,180.0,24.3,180.0,119 NDC,76125079026,ALBUMIN HUMAN 5 IV SOLN,180.0,180.0,24.3,180.0,119 NDC,76128015575,PORFIMER SODIUM 75 MG IV SOLR,83963.0,83963.0,11335.01,83963.0,119 NDC,76204010001,IPRATROPIUM BROMIDE 0.02 INHALATION SOLN,6.0,6.0,0.37,6.0,112 NDC,76204010025,IPRATROPIUM BROMIDE 0.02 INHALATION SOLN,6.0,6.0,0.37,6.0,112 NDC,76204010030,IPRATROPIUM BROMIDE 0.02 INHALATION SOLN,6.0,6.0,0.37,6.0,112 NDC,76204010060,IPRATROPIUM BROMIDE 0.02 INHALATION SOLN,6.0,6.0,0.37,6.0,112 NDC,76204020001,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,5.0,5.0,0.07,5.0,112 NDC,76204020025,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,4.0,4.0,0.07,4.0,112 NDC,76204020030,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,4.0,4.0,0.07,4.0,112 NDC,76204020060,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083 INHALATION N,4.0,4.0,0.07,4.0,112 NDC,76204060001,IPRATROPIUMALBUTEROL 0.52.5 (3) MG/3ML INHALATION,7.0,7.0,0.19,7.0,112 NDC,76204060005,IPRATROPIUMALBUTEROL 0.52.5 (3) MG/3ML INHALATION,7.0,7.0,0.19,7.0,112 NDC,76204060012,IPRATROPIUMALBUTEROL 0.52.5 (3) MG/3ML INHALATION,7.0,7.0,0.19,7.0,112 NDC,76204060030,IPRATROPIUMALBUTEROL 0.52.5 (3) MG/3ML INHALATION,7.0,7.0,0.19,7.0,112 NDC,76204060060,IPRATROPIUMALBUTEROL 0.52.5 (3) MG/3ML INHALATION,7.0,7.0,0.19,7.0,112 NDC,76204070001,LEVALBUTEROL HCL 0.31 MG/3ML INHALATION NEBU,7.0,7.0,0.27,7.0,112 NDC,76204070011,LEVALBUTEROL HCL 0.31 MG/3ML INHALATION NEBU,7.0,7.0,0.27,7.0,112 NDC,76204080001,LEVALBUTEROL HCL 0.63 MG/3ML INHALATION NEBU,7.0,7.0,0.08,7.0,112 NDC,76204080011,LEVALBUTEROL HCL 0.63 MG/3ML INHALATION NEBU,7.0,7.0,0.08,7.0,112 NDC,76204090001,LEVALBUTEROL HCL 1.25 MG/3ML INHALATION NEBU,7.0,7.0,0.27,7.0,112 NDC,76204090011,LEVALBUTEROL HCL 1.25 MG/3ML INHALATION NEBU,7.0,7.0,0.27,7.0,112 NDC,76204090015,LEVALBUTEROL HCL 1.25 MG/3ML INHALATION NEBU,7.0,7.0,0.27,7.0,112 NDC,76204090025,LEVALBUTEROL HCL 1.25 MG/3ML INHALATION NEBU,7.0,7.0,0.27,7.0,112 NDC,76282064038,BUDESONIDE 0.25 MG/2ML INHALATION SUSP,8.0,8.0,1.05,8.0,112 NDC,76282064137,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,8.0,8.0,1.05,8.0,112 NDC,76297000112,SODIUM CHLORIDE 0.9 IV SOLN,14.0,14.0,0.63,14.0,112 NDC,76297000112,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),14.0,14.0,1.89,14.0,112 NDC,76297000121,SODIUM CHLORIDE 0.9 IV SOLN,16.0,16.0,0.63,16.0,112 NDC,76297000121,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),16.0,16.0,1.99,16.0,112 NDC,76297000131,SODIUM CHLORIDE 0.9 IV SOLN,18.0,18.0,0.63,18.0,112 NDC,76297000131,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),18.0,18.0,1.99,18.0,112 NDC,76297000132,SODIUM CHLORIDE 0.9 IV SOLN,18.0,18.0,0.63,18.0,112 NDC,76310002401,FOSCARNET SODIUM 6000 MG/250ML IV SOLN,1773.0,1773.0,6.71,1773.0,112 NDC,76310002415,FOSCARNET SODIUM 6000 MG/250ML IV SOLN,1800.0,1800.0,6.71,1800.0,112 NDC,76310002425,FOSCARNET SODIUM 6000 MG/250ML IV SOLN,1800.0,1800.0,6.71,1800.0,112 NDC,76329124001,PHYTONADIONE 1 MG/0.5ML INJECTION SOLN,90.0,90.0,2.21,90.0,112 NDC,76329146901,NALOXONE HCL 2 MG/2ML INJECTION SOSY,119.0,119.0,8.7,119.0,111 NDC,76329191201,MORPHINE SULFATE 1 MG/ML IV SOLN (WRAPPER),51.0,51.0,2.78,51.0,112 NDC,76329331601,EPINEPHRINE HCL 0.1 MG/ML INJECTION (WRAPPER),36.0,36.0,0.76,36.0,111 NDC,76329331801,EPINEPHRINE HCL 0.1 MG/ML INJECTION (WRAPPER),45.0,45.0,0.76,45.0,111 NDC,76329332100,REGADENOSON 0.4 MG/5ML IV SOLN,108.0,108.0,2.68,108.0,112 NDC,76329334001,ATROPINE SULFATE 1 MG/10ML INJECTION SOSY,42.0,42.0,0.07,42.0,112 NDC,76329336901,NALOXONE HCL 2 MG/2ML INJECTION SOSY,119.0,119.0,8.7,119.0,111 NDC,76329339001,LIDOCAINE HCL (CARDIAC) 100 MG/5ML IV SOSY (WRAPPE,30.0,30.0,0.01,30.0,111 NDC,76329339905,PROCAINAMIDE HCL 100 MG/ML INJECTION SOLN,306.0,306.0,41.31,1036.48,119 NDC,76329826100,LORAZEPAM 2 MG/ML INJECTION SOLN,36.0,36.0,1.32,36.0,112 NDC,76329826101,LORAZEPAM 2 MG/ML INJECTION SOLN,36.0,36.0,1.32,36.0,112 NDC,76329906000,EPINEPHRINE (ANAPHYLAXIS) 30 MG/30ML INJECTION SOL,810.0,810.0,0.76,810.0,111 NDC,78010901,CYCLOSPORINE 50 MG/ML IV SOLN,247.0,247.0,33.34,247.0,112 NDC,78010961,CYCLOSPORINE 50 MG/ML IV SOLN,247.0,247.0,33.34,247.0,112 NDC,78018001,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLN,51.0,51.0,0.61,51.0,112 NDC,78018061,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLN,51.0,51.0,0.61,51.0,112 NDC,78018101,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLN,99.0,99.0,0.61,99.0,112 NDC,78018161,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLN,99.0,99.0,0.61,99.0,112 NDC,78018201,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLN,476.0,476.0,0.61,476.0,112 NDC,78018261,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLN,476.0,476.0,0.61,476.0,112 NDC,78024615,CYCLOSPORINE MODIFIED 25 MG PO CAPS,10.0,10.0,0.53,10.0,112 NDC,78024661,CYCLOSPORINE MODIFIED 25 MG PO CAPS,10.0,10.0,0.53,10.0,112 NDC,78024815,CYCLOSPORINE MODIFIED 100 MG PO CAPS,39.0,39.0,1.81,39.0,112 NDC,78024861,CYCLOSPORINE MODIFIED 100 MG PO CAPS,39.0,39.0,1.81,39.0,112 NDC,78027422,CYCLOSPORINE MODIFIED 100 MG/ML PO SOLN,2100.0,2100.0,1.81,2100.0,112 NDC,78033184,BASILIXIMAB 20 MG IV SOLR,16092.0,16092.0,2172.42,16092.0,119 NDC,78038566,MYCOPHENOLATE SODIUM 180 MG PO TBEC,25.0,25.0,0.32,25.0,112 NDC,78038666,MYCOPHENOLATE SODIUM 360 MG PO TBEC,49.0,49.0,0.32,49.0,112 NDC,78041420,EVEROLIMUS 0.5 MG PO TABS,76.0,76.0,1.18,76.0,112 NDC,78041461,EVEROLIMUS 0.5 MG PO TABS,76.0,76.0,1.18,76.0,112 NDC,78041520,EVEROLIMUS 0.75 MG PO TABS,114.0,114.0,1.18,114.0,112 NDC,78041561,EVEROLIMUS 0.75 MG PO TABS,114.0,114.0,1.18,114.0,112 NDC,78041720,EVEROLIMUS 0.25 MG PO TABS,38.0,38.0,1.18,38.0,112 NDC,78041761,EVEROLIMUS 0.25 MG PO TABS,38.0,38.0,1.18,38.0,112 NDC,78046761,DEFEROXAMINE MESYLATE 500 MG INJECTION SOLR,500.0,500.0,8.47,500.0,112 NDC,78046791,DEFEROXAMINE MESYLATE 500 MG INJECTION SOLR,500.0,500.0,8.47,500.0,112 NDC,78063941,SECUKINUMAB (300 MG DOSE) 150 MG/ML SC SOAJ,13337.0,13337.0,1800.5,13337.0,113 NDC,78063968,SECUKINUMAB 150 MG/ML SC SOAJ,26673.0,26673.0,3600.86,26673.0,113 NDC,78063997,SECUKINUMAB 150 MG/ML SC SOSY,26673.0,26673.0,3600.86,26673.0,113 NDC,78063998,SECUKINUMAB (300 MG DOSE) 150 MG/ML SC SOSY,13337.0,13337.0,1800.5,13337.0,113 NDC,78066913,OFATUMUMAB 100 MG/5ML IV CONC,2173.0,2173.0,60.09,2173.0,119 NDC,78066961,OFATUMUMAB 100 MG/5ML IV CONC,2048.0,2048.0,60.09,2048.0,119 NDC,78067461,TOPOTECAN HCL 4 MG IV SOLR,4580.0,4580.0,1.25,4580.0,112 NDC,78068361,NELARABINE 5 MG/ML IV SOLN,2910.0,2910.0,63.38,2910.0,119 NDC,78069061,OFATUMUMAB 1000 MG/50ML IV CONC,21722.0,21722.0,60.09,21722.0,119 NDC,78073461,CANAKINUMAB 150 MG/ML SC SOLN,69998.0,69998.0,135.88,69998.0,119 NDC,78079061,OCTREOTIDE ACETATE 10 MG IM KIT,12685.0,12685.0,199.17,12685.0,119 NDC,78079761,OCTREOTIDE ACETATE 20 MG IM KIT,16619.0,16619.0,199.17,16619.0,119 NDC,78080461,OCTREOTIDE ACETATE 30 MG IM KIT,24886.0,24886.0,199.17,24886.0,119 NDC,78081181,OCTREOTIDE ACETATE 10 MG IM KIT,12685.0,12685.0,199.17,12685.0,119 NDC,78081881,OCTREOTIDE ACETATE 20 MG IM KIT,16619.0,16619.0,199.17,16619.0,119 NDC,78082581,OCTREOTIDE ACETATE 30 MG IM KIT,24886.0,24886.0,199.17,24886.0,119 NDC,78088361,CRIZANLIZUMABTMCA 100 MG/10ML IV SOLN,8831.0,8831.0,128.68,8831.0,119 NDC,78100060,INCLISIRAN SODIUM 284 MG/1.5ML SC SOSY,12297.0,12297.0,12.28,12297.0,119 NDC,78116861,SECUKINUMAB 125 MG/5ML IV SOLN,7691.0,7691.0,17.72,7691.0,119 NDC,781206701,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,12.0,12.0,0.15,12.0,112 NDC,781206705,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,12.0,12.0,0.15,12.0,112 NDC,781210201,TACROLIMUS 0.5 MG PO CAPS,7.0,7.0,0.15,7.0,112 NDC,781210301,TACROLIMUS 1 MG PO CAPS,14.0,14.0,0.15,14.0,112 NDC,781210401,TACROLIMUS 5 MG PO CAPS,67.0,67.0,0.15,67.0,112 NDC,781232106,APREPITANT 40 MG PO CAPS,330.0,330.0,2.72,330.0,112 NDC,781232151,APREPITANT 40 MG PO CAPS,330.0,330.0,2.72,330.0,112 NDC,781232246,APREPITANT 80 MG PO CAPS,612.0,612.0,2.72,612.0,112 NDC,781232268,APREPITANT 80 MG PO CAPS,612.0,612.0,2.72,612.0,112 NDC,781232306,APREPITANT 125 MG PO CAPS,956.0,956.0,2.72,956.0,112 NDC,781300094,MEROPENEM 500 MG IV SOLR,55.0,55.0,0.38,55.0,112 NDC,781305972,DIGOXIN 0.25 MG/ML INJECTION SOLN,23.0,23.0,3.11,23.0,112 NDC,781305995,DIGOXIN 0.25 MG/ML INJECTION SOLN,23.0,23.0,3.11,23.0,112 NDC,781309894,MEROPENEM 1 G IV SOLR,110.0,110.0,0.38,110.0,112 NDC,781309895,MEROPENEM 1 G IV SOLR,110.0,110.0,0.38,110.0,112 NDC,781311090,PIPERACILLIN SODTAZOBACTAM SO 2.25 (20.25) G IV SO,37.0,37.0,1.09,37.0,112 NDC,781311095,PIPERACILLIN SODTAZOBACTAM SO 2.25 (20.25) G IV SO,37.0,37.0,1.09,37.0,112 NDC,781311390,PIPERACILLIN SODTAZOBACTAM SO 3.375 (30.375) G IV,56.0,56.0,1.09,56.0,112 NDC,781311395,PIPERACILLIN SODTAZOBACTAM SO 3.375 (30.375) G IV,56.0,56.0,1.09,56.0,112 NDC,781311491,PIPERACILLIN SODTAZOBACTAM SO 4.5 (40.5) G IV SOLR,71.0,71.0,1.09,71.0,112 NDC,781311495,PIPERACILLIN SODTAZOBACTAM SO 4.5 (40.5) G IV SOLR,71.0,71.0,1.09,71.0,112 NDC,781315401,FERUMOXYTOL 510 MG/17ML IV SOLN,3260.0,3260.0,0.31,3260.0,119 NDC,781315606,ACETAMINOPHEN 10 MG/ML IV SOLN,134.0,134.0,0.05,134.0,112 NDC,781315695,ACETAMINOPHEN 10 MG/ML IV SOLN,134.0,134.0,0.05,134.0,112 NDC,781315894,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,3412.0,3412.0,0.16,3412.0,112 NDC,781315895,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,3412.0,3412.0,0.16,3412.0,112 NDC,781315972,OLANZAPINE 10 MG IM SOLR,125.0,125.0,0.75,125.0,112 NDC,781320470,NICARDIPINE HCL 2.5 MG/ML IV SOLN,759.0,759.0,0.07,759.0,112 NDC,781320495,NICARDIPINE HCL 2.5 MG/ML IV SOLN,759.0,759.0,0.07,759.0,112 NDC,781320685,CEFTRIAXONE SODIUM 250 MG INJECTION SOLR,6.0,6.0,0.45,6.0,112 NDC,781320695,CEFTRIAXONE SODIUM 250 MG INJECTION SOLR,45.0,45.0,0.45,45.0,112 NDC,781320785,CEFTRIAXONE SODIUM 500 MG INJECTION SOLR,81.0,81.0,0.45,81.0,112 NDC,781320795,CEFTRIAXONE SODIUM 500 MG INJECTION SOLR,81.0,81.0,0.45,81.0,112 NDC,781320885,CEFTRIAXONE SODIUM 1 G INJECTION SOLR,138.0,138.0,0.45,138.0,112 NDC,781320895,CEFTRIAXONE SODIUM 1 G INJECTION SOLR,138.0,138.0,0.45,138.0,112 NDC,781320990,CEFTRIAXONE SODIUM 2 G INJECTION SOLR,275.0,275.0,0.45,275.0,112 NDC,781320995,CEFTRIAXONE SODIUM 2 G INJECTION SOLR,275.0,275.0,0.45,275.0,112 NDC,781321046,CEFTRIAXONE SODIUM 10 G IV SOLR,1346.0,1346.0,0.45,1346.0,112 NDC,781322280,CEFEPIME HCL 1 G INJECTION SOLR,61.0,61.0,0.87,61.0,112 NDC,781322295,CEFEPIME HCL 1 G INJECTION SOLR,62.0,62.0,0.87,62.0,112 NDC,781322395,CEFEPIME HCL 2 G IV SOLR,243.0,243.0,0.87,243.0,112 NDC,781322402,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,98.0,98.0,0.53,98.0,112 NDC,781323294,PANTOPRAZOLE SODIUM 40 MG IV SOLR,19.0,19.0,1.93,19.0,111 NDC,781323295,PANTOPRAZOLE SODIUM 40 MG IV SOLR,19.0,19.0,1.93,19.0,111 NDC,781323394,CYCLOPHOSPHAMIDE 500 MG INJECTION SOLR,1237.0,1237.0,3.84,1237.0,119 NDC,781323801,ENOXAPARIN SODIUM 30 MG/0.3ML INJECTION SOSY,26.0,26.0,0.53,26.0,112 NDC,781323863,ENOXAPARIN SODIUM 30 MG/0.3ML INJECTION SOSY,26.0,26.0,0.53,26.0,112 NDC,781324494,CYCLOPHOSPHAMIDE 1 G INJECTION SOLR,2473.0,2473.0,3.84,2473.0,119 NDC,781324602,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,34.0,34.0,0.53,34.0,112 NDC,781324664,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,34.0,34.0,0.53,34.0,112 NDC,781325394,AZACITIDINE 100 MG INJECTION SUSR,1853.0,1853.0,0.21,1853.0,112 NDC,781325603,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,51.0,51.0,0.53,51.0,112 NDC,781325666,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,51.0,51.0,0.53,51.0,112 NDC,781326204,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,68.0,68.0,0.53,68.0,112 NDC,781326268,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,68.0,68.0,0.53,68.0,112 NDC,781326805,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,84.0,84.0,0.53,84.0,112 NDC,781326869,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,84.0,84.0,0.53,84.0,112 NDC,781328809,CLINDAMYCIN PHOSPHATE IN D5W 300 MG/50ML IV SOLN,30.0,30.0,1.67,30.0,112 NDC,781328891,CLINDAMYCIN PHOSPHATE IN D5W 300 MG/50ML IV SOLN,30.0,30.0,1.67,30.0,112 NDC,781328909,CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN,45.0,45.0,1.67,45.0,112 NDC,781328991,CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN,45.0,45.0,1.67,45.0,112 NDC,781329009,CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN,55.0,55.0,1.67,55.0,112 NDC,781329091,CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN,55.0,55.0,1.67,55.0,112 NDC,781329905,ENOXAPARIN SODIUM 150 MG/ML INJECTION SOSY,126.0,126.0,0.53,126.0,112 NDC,781329969,ENOXAPARIN SODIUM 150 MG/ML INJECTION SOSY,126.0,126.0,0.53,126.0,112 NDC,781331275,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,1020.0,1020.0,0.34,1020.0,112 NDC,781331570,OXALIPLATIN 50 MG/10ML IV SOLN,637.0,637.0,0.05,637.0,112 NDC,781331780,OXALIPLATIN 100 MG/20ML IV SOLN,1274.0,1274.0,0.05,1274.0,112 NDC,781335603,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,147.0,147.0,0.53,147.0,112 NDC,781340485,AMPICILLIN SODIUM 1 G INJECTION SOLR,26.0,26.0,0.49,26.0,112 NDC,781340495,AMPICILLIN SODIUM 1 G INJECTION SOLR,26.0,26.0,0.49,26.0,112 NDC,781340778,AMPICILLIN SODIUM 500 MG INJECTION SOLR,14.0,14.0,0.49,14.0,112 NDC,781340880,AMPICILLIN SODIUM 2 G INJECTION SOLR,51.0,51.0,0.49,51.0,112 NDC,781340895,AMPICILLIN SODIUM 2 G INJECTION SOLR,51.0,51.0,0.49,51.0,112 NDC,781340946,AMPICILLIN SODIUM 10 G IV SOLR,324.0,324.0,0.49,324.0,112 NDC,781340995,AMPICILLIN SODIUM 10 G IV SOLR,324.0,324.0,0.49,324.0,112 NDC,781341170,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,72.0,72.0,0.81,72.0,111 NDC,781341195,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,72.0,72.0,0.81,72.0,111 NDC,781341215,AMPICILLIN SODIUM 1 G IV SOLR,54.0,54.0,0.49,54.0,112 NDC,781341315,AMPICILLIN SODIUM 2 G IV SOLR,105.0,105.0,0.49,105.0,112 NDC,781341575,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,1020.0,1020.0,0.34,1020.0,112 NDC,781341694,VORICONAZOLE 200 MG IV SOLR,458.0,458.0,0.75,458.0,112 NDC,781342080,TREPROSTINIL 20 MG/20ML INJECTION SOLN,4298.0,4298.0,54.48,4298.0,119 NDC,781342101,CASPOFUNGIN ACETATE 50 MG IV SOLR,353.0,353.0,2.27,353.0,112 NDC,781342194,CASPOFUNGIN ACETATE 50 MG IV SOLR,353.0,353.0,2.27,353.0,112 NDC,781342271,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),12.0,12.0,0.01,12.0,108 NDC,781342275,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),83.0,83.0,0.01,83.0,108 NDC,781342292,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),12.0,12.0,0.01,12.0,108 NDC,781342301,CASPOFUNGIN ACETATE 70 MG IV SOLR,372.0,372.0,2.27,372.0,112 NDC,781342394,CASPOFUNGIN ACETATE 70 MG IV SOLR,372.0,372.0,2.27,372.0,112 NDC,781342580,TREPROSTINIL 50 MG/20ML INJECTION SOLN,10744.0,10744.0,54.48,10744.0,119 NDC,781342780,TREPROSTINIL 100 MG/20ML INJECTION SOLN,21488.0,21488.0,54.48,21488.0,119 NDC,781343080,TREPROSTINIL 200 MG/20ML INJECTION SOLN,42975.0,42975.0,54.48,42975.0,119 NDC,781343346,LINEZOLID 600 MG/300ML IV SOLN,234.0,234.0,2.74,234.0,112 NDC,781344071,COSYNTROPIN 0.25 MG INJECTION SOLR,289.0,289.0,20.65,289.0,112 NDC,781344095,COSYNTROPIN 0.25 MG INJECTION SOLR,289.0,289.0,20.65,289.0,112 NDC,781344312,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN,152.0,152.0,0.67,152.0,112 NDC,781344394,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN,152.0,152.0,0.67,152.0,112 NDC,781344395,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN,89.0,89.0,0.67,89.0,112 NDC,781344795,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,3510.0,3510.0,0.16,3510.0,112 NDC,781345070,CEFAZOLIN SODIUM 500 MG INJECTION SOLR,15.0,15.0,0.81,15.0,112 NDC,781345095,CEFAZOLIN SODIUM 500 MG INJECTION SOLR,30.0,30.0,0.81,30.0,112 NDC,781345170,CEFAZOLIN SODIUM 1 G INJECTION SOLR,23.0,23.0,0.81,23.0,112 NDC,781345196,CEFAZOLIN SODIUM 1 G INJECTION SOLR,23.0,23.0,0.81,23.0,112 NDC,781345246,CEFAZOLIN SODIUM 10 G INJECTION SOLR,180.0,180.0,0.81,180.0,112 NDC,781345295,CEFAZOLIN SODIUM 10 G INJECTION SOLR,180.0,180.0,0.81,180.0,112 NDC,781345895,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,83.0,83.0,0.01,83.0,108 NDC,781346512,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN,357.0,357.0,0.67,357.0,112 NDC,781346595,FONDAPARINUX SODIUM 7.5 MG/0.6ML SC SOLN,208.0,208.0,0.67,208.0,112 NDC,781346670,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),139.0,139.0,0.01,139.0,108 NDC,781353191,PACLITAXEL PROTEINBOUND PART 100 MG IV SUSR,5120.0,5120.0,8.18,5120.0,119 NDC,781353201,FULVESTRANT 250 MG/5ML IM SOSY,3273.0,3273.0,5.72,3273.0,112 NDC,781353212,FULVESTRANT 250 MG/5ML IM SOSY,3273.0,3273.0,5.72,3273.0,112 NDC,781382571,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),11.0,11.0,0.38,11.0,112 NDC,781382596,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),11.0,11.0,0.38,11.0,112 NDC,781382975,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),42.0,42.0,0.38,42.0,112 NDC,781382996,GLYCOPYRROLATE 0.2 MG/1ML INJECTION (WRAPPER),42.0,42.0,0.38,42.0,112 NDC,781383180,GLYCOPYRROLATE 4 MG/20ML INJECTION SOLN,150.0,150.0,0.38,150.0,112 NDC,781400332,LEUPROLIDE ACETATE 1 MG/0.2ML INJECTION KIT,2673.0,2673.0,8.91,2673.0,111 NDC,781517501,MYCOPHENOLATE MOFETIL 500 MG PO TABS,24.0,24.0,0.15,24.0,112 NDC,781517505,MYCOPHENOLATE MOFETIL 500 MG PO TABS,24.0,24.0,0.15,24.0,112 NDC,781613594,PENICILLIN G POTASSIUM 5000000 UNITS INJECTION SOL,127.0,127.0,0.75,127.0,112 NDC,781613595,PENICILLIN G POTASSIUM 5000000 UNITS INJECTION SOL,127.0,127.0,0.75,127.0,112 NDC,781613694,PENICILLIN G POTASSIUM 20000000 UNITS INJECTION SO,481.0,481.0,0.75,481.0,112 NDC,781751787,BUDESONIDE 1 MG/2ML INHALATION SUSP,70.0,70.0,1.05,70.0,112 NDC,781804701,PERPHENAZINE 4 MG PO TABS,8.0,8.0,0.48,8.0,111 NDC,781905370,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,72.0,72.0,0.81,72.0,111 NDC,781905395,SUCCINYLCHOLINE CHLORIDE 20 MG/ML INJECTION SOLN,72.0,72.0,0.81,72.0,111 NDC,781905501,FULVESTRANT 250 MG/5ML IM SOSY,3273.0,3273.0,5.72,3273.0,112 NDC,781905512,FULVESTRANT 250 MG/5ML IM SOSY,3273.0,3273.0,5.72,3273.0,112 NDC,781910572,OLANZAPINE 10 MG IM SOLR,125.0,125.0,0.75,125.0,112 NDC,781915894,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,3412.0,3412.0,0.16,3412.0,112 NDC,781915895,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,3412.0,3412.0,0.16,3412.0,112 NDC,781921090,PIPERACILLIN SODTAZOBACTAM SO 2.25 (20.25) G IV SO,37.0,37.0,1.09,37.0,112 NDC,781921095,PIPERACILLIN SODTAZOBACTAM SO 2.25 (20.25) G IV SO,37.0,37.0,1.09,37.0,112 NDC,781921390,PIPERACILLIN SODTAZOBACTAM SO 3.375 (30.375) G IV,56.0,56.0,1.09,56.0,112 NDC,781921395,PIPERACILLIN SODTAZOBACTAM SO 3.375 (30.375) G IV,56.0,56.0,1.09,56.0,112 NDC,781921491,PIPERACILLIN SODTAZOBACTAM SO 4.5 (40.5) G IV SOLR,71.0,71.0,1.09,71.0,112 NDC,781921495,PIPERACILLIN SODTAZOBACTAM SO 4.5 (40.5) G IV SOLR,71.0,71.0,1.09,71.0,112 NDC,781922775,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),83.0,83.0,0.01,83.0,108 NDC,781922795,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),83.0,83.0,0.01,83.0,108 NDC,781922870,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),139.0,139.0,0.01,139.0,108 NDC,781926185,AMPICILLIN SODIUM 1 G INJECTION SOLR,26.0,26.0,0.49,26.0,112 NDC,781931570,OXALIPLATIN 50 MG/10ML IV SOLN,637.0,637.0,0.05,637.0,112 NDC,781931780,OXALIPLATIN 100 MG/20ML IV SOLN,1274.0,1274.0,0.05,1274.0,112 NDC,781940278,AMPICILLIN SODIUM 250 MG INJECTION SOLR,13.0,13.0,0.49,13.0,112 NDC,781940295,AMPICILLIN SODIUM 250 MG INJECTION SOLR,13.0,13.0,0.49,13.0,112 NDC,781940485,AMPICILLIN SODIUM 1 G INJECTION SOLR,26.0,26.0,0.49,26.0,112 NDC,781940495,AMPICILLIN SODIUM 1 G INJECTION SOLR,26.0,26.0,0.49,26.0,112 NDC,781940778,AMPICILLIN SODIUM 500 MG INJECTION SOLR,14.0,14.0,0.49,14.0,112 NDC,781940795,AMPICILLIN SODIUM 500 MG INJECTION SOLR,14.0,14.0,0.49,14.0,112 NDC,781940880,AMPICILLIN SODIUM 2 G INJECTION SOLR,51.0,51.0,0.49,51.0,112 NDC,781940895,AMPICILLIN SODIUM 2 G INJECTION SOLR,51.0,51.0,0.49,51.0,112 NDC,781940995,AMPICILLIN SODIUM 10 G IV SOLR,324.0,324.0,0.49,324.0,112 NDC,78206011801,BETAMETHASONE SOD PHOS ACET 6 (33) MG/ML INJECTI,150.0,150.0,6.89,150.0,112 NDC,78206014501,ETONOGESTREL 68 MG SC IMPL,4373.0,4373.0,590.36,4373.0,115 NDC,78206014801,TRASTUZUMABDTTB 420 MG IV SOLR,13353.0,13353.0,18.02,13353.0,119 NDC,78206014899,TRASTUZUMABDTTB 420 MG IV SOLR,13353.0,13353.0,18.02,13353.0,119 NDC,78206016201,INFLIXIMABABDA 100 MG IV SOLR,2713.0,2713.0,25.05,2713.0,119 NDC,79672061301,SODIUM CHLORIDE 0.9 IV SOLN,85.0,85.0,0.63,85.0,112 NDC,79672061301,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),85.0,85.0,1.99,85.0,112 NDC,79952011001,LONCASTUXIMAB TESIRINELPYL 10 MG IV SOLR,97284.0,97284.0,212.12,97284.0,119 NDC,8010001,INOTUZUMAB OZOGAMICIN 0.9 MG IV SOLR,83370.0,83370.0,2658.13,83370.0,119 NDC,80203034701,SUTIMLIMABJOME 1100 MG/22ML IV SOLN,6904.0,6904.0,18.11,6904.0,119 NDC,80777010201,COVID19 MRNA VACC (MODERNA) 50 MCG/0.5ML IM SUSY,467.0,467.0,40.0,518.38,124 NDC,80777011001,COVID19 MRNA VACC (MODERNA) 50 MCG/0.5ML IM SUSY,511.0,511.0,40.0,567.22,124 NDC,80777011096,COVID19 MRNA VACC (MODERNA) 50 MCG/0.5ML IM SUSY,511.0,511.0,40.0,567.22,124 NDC,80803015350,SIROLIMUS PROTEINBOUND PART 100 MG IV SUSR,27486.0,27486.0,84.53,27486.0,119 NDC,80830236201,CALCIUM GLUCONATENACL 10.675 GM/50ML IV SOLN,72.0,72.0,0.03,72.0,112 NDC,80830236202,CALCIUM GLUCONATENACL 10.675 GM/50ML IV SOLN,72.0,72.0,0.03,72.0,112 NDC,80830236301,CALCIUM GLUCONATENACL 20.675 GM/100ML IV SOLN,143.0,143.0,0.03,143.0,112 NDC,80830236302,CALCIUM GLUCONATENACL 20.675 GM/100ML IV SOLN,143.0,143.0,0.03,143.0,112 NDC,80830236309,CALCIUM GLUCONATENACL 20.675 GM/100ML IV SOLN,143.0,143.0,0.03,143.0,112 NDC,80830246501,METRONIDAZOLE IV SYRINGE 5MG/ML NSS (NEO/PED) (WRA,11.0,11.0,0.03,11.0,112 NDC,80830246509,METRONIDAZOLE IV SYRINGE 5MG/ML NSS (NEO/PED) (WRA,11.0,11.0,0.03,11.0,112 NDC,8092351,PANTOPRAZOLE SODIUM 40 MG IV SOLR,19.0,19.0,1.93,19.0,111 NDC,8092355,PANTOPRAZOLE SODIUM 40 MG IV SOLR,19.0,19.0,1.93,19.0,111 NDC,8092360,PANTOPRAZOLE SODIUM 40 MG IV SOLR,19.0,19.0,1.93,19.0,111 NDC,8103004,SIROLIMUS 1 MG/ML PO SOLN,7072.0,7072.0,0.96,7072.0,112 NDC,8103006,SIROLIMUS 1 MG/ML PO SOLN,7072.0,7072.0,0.96,7072.0,112 NDC,8104010,SIROLIMUS 0.5 MG PO TABS,58.0,58.0,0.96,58.0,112 NDC,8104105,SIROLIMUS 1 MG PO TABS,124.0,124.0,0.96,124.0,112 NDC,81052013810,PAFOLACIANINE SODIUM 3.2 MG/1.6ML IV SOLN,15300.0,15300.0,132.29,15300.0,111 NDC,8117901,TEMSIROLIMUS 25 MG/ML IV SOLN,6371.0,6371.0,20.32,6371.0,119 NDC,81284021300,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),65.0,65.0,0.01,65.0,108 NDC,81284021301,PHENYLEPHRINE HCL 10 MG/ML IV SOLN (WRAPPER),65.0,65.0,0.01,65.0,108 NDC,81284041105,DIHYDROERGOTAMINE MESYLATE 1 MG/ML INJECTION SOLN,281.0,281.0,37.94,281.0,112 NDC,81284041110,DIHYDROERGOTAMINE MESYLATE 1 MG/ML INJECTION SOLN,249.0,249.0,33.62,249.0,112 NDC,81298811001,CYCLOPHOSPHAMIDE 500 MG INJECTION SOLR,425.0,425.0,0.58,425.0,119 NDC,81298811201,CYCLOPHOSPHAMIDE 1 G INJECTION SOLR,911.0,911.0,0.58,911.0,119 NDC,81643927001,FLOXURIDINE 0.5 G INJECTION SOLR,13565.0,13565.0,1831.28,13565.0,119 NDC,81927011101,NELARABINE 5 MG/ML IV SOLN,2376.0,2376.0,63.38,2376.0,119 NDC,81927011106,NELARABINE 5 MG/ML IV SOLN,2376.0,2376.0,63.38,2376.0,119 NDC,81952011101,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,10.0,10.0,0.18,10.0,112 NDC,81952011106,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML INJECTION SO,10.0,10.0,0.18,10.0,112 NDC,81952011204,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML INJECTION SO,13.0,13.0,0.18,13.0,112 NDC,81952012414,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,31.0,31.0,0.53,31.0,112 NDC,81952012424,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,31.0,31.0,0.53,31.0,112 NDC,81960003103,PEMIVIBART 500 MG/4ML IV SOLN,2310.0,2310.0,390.39,7962.9,121 NDC,82705000201,EPCORITAMABBYSP 4 MG/0.8ML SC SOLN,4753.0,4753.0,5.31,4753.0,119 NDC,82705001001,EPCORITAMABBYSP 48 MG/0.8ML SC SOLN,57026.0,57026.0,5.31,57026.0,119 NDC,82737007301,MOTIXAFORTIDE ACETATE 62 MG SC SOLR,21240.0,21240.0,25.22,21240.0,119 NDC,8290306423,HEPARIN SOD (PORK) LOCK FLUSH 100 UNIT/ML IV SOLN,3.0,3.0,0.02,3.0,112 NDC,8290306424,HEPARIN SOD (PORK) LOCK FLUSH 100 UNIT/ML IV SOLN,3.0,3.0,0.02,3.0,112 NDC,8290306513,HEPARIN SOD (PORK) LOCK FLUSH 100 UNIT/ML IV SOLN,3.0,3.0,0.02,3.0,112 NDC,8290306514,HEPARIN SOD (PORK) LOCK FLUSH 100 UNIT/ML IV SOLN,1.0,1.0,0.02,1.0,112 NDC,8290306544,NORMAL SALINE FLUSH 0.9 IV SOLN,2.0,2.0,0.27,2.0,111 NDC,8290306545,SODIUM CHLORIDE FLUSH 0.9 IV SOLN,2.0,2.0,0.27,2.0,111 NDC,8290306546,SODIUM CHLORIDE FLUSH 0.9 IV SOLN,2.0,2.0,0.27,2.0,111 NDC,8290306553,SODIUM CHLORIDE FLUSH 0.9 IV SOLN,5.0,5.0,0.68,5.0,111 NDC,82959011101,IMETELSTAT SODIUM 188 MG IV SOLR,35583.0,35583.0,4803.7,35583.0,113 NDC,82959011201,IMETELSTAT SODIUM 47 MG IV SOLR,8896.0,8896.0,1200.96,8896.0,113 NDC,83090001101,DAPTOMYCIN 500 MG IV SOLR,108.0,108.0,0.03,108.0,112 NDC,83257000311,TRASTUZUMABDKST 420 MG IV SOLR,9451.0,9451.0,37.71,9451.0,119 NDC,83257000412,TRASTUZUMABDKST 420 MG IV SOLR,9451.0,9451.0,37.71,9451.0,119 NDC,83257000541,PEGFILGRASTIMJMDB 6 MG/0.6ML SC SOSY,7515.0,7515.0,98.87,7515.0,119 NDC,832601700,CHLORPROMAZINE HCL 10 MG PO TABS,13.0,13.0,0.33,13.0,111 NDC,832601800,CHLORPROMAZINE HCL 25 MG PO TABS,23.0,23.0,0.33,23.0,111 NDC,832601900,CHLORPROMAZINE HCL 50 MG PO TABS,32.0,32.0,4.32,56.1,112 NDC,832601989,CHLORPROMAZINE HCL 50 MG PO TABS,46.0,46.0,6.21,56.1,112 NDC,832602000,CHLORPROMAZINE HCL 100 MG PO TABS,45.0,45.0,0.33,45.0,111 NDC,832602100,CHLORPROMAZINE HCL 200 MG PO TABS,69.0,69.0,0.33,69.0,111 NDC,83634020261,MELPHALAN HCL 50 MG IV SOLR,918.0,918.0,86.94,918.0,119 NDC,83634040010,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,324.0,324.0,0.16,324.0,112 NDC,83634040041,BIVALIRUDIN TRIFLUOROACETATE 250 MG IV SOLR,324.0,324.0,0.16,324.0,112 NDC,83634050041,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,19.0,19.0,0.41,19.0,112 NDC,83634050081,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,19.0,19.0,0.41,19.0,112 NDC,83634077610,FOSAPREPITANT DIMEGLUMINE 150 MG IV SOLR,144.0,144.0,0.11,144.0,112 NDC,83634077802,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,22.0,22.0,2.31,22.0,112 NDC,83634077841,PROCHLORPERAZINE EDISYLATE 10 MG/2ML INJECTION SOL,22.0,22.0,2.31,22.0,112 NDC,83634077902,METOCLOPRAMIDE HCL 5 MG/ML INJECTION SOLN,6.0,6.0,0.81,6.0,112 NDC,83634077941,METOCLOPRAMIDE HCL 5 MG/ML INJECTION SOLN,6.0,6.0,0.81,6.0,112 NDC,8400101,PANTOPRAZOLE SODIUM 40 MG IV SOLR,18.0,18.0,1.93,18.0,111 NDC,8451001,GEMTUZUMAB OZOGAMICIN 4.5 MG IV SOLR,35628.0,35628.0,233.12,35628.0,119 NDC,85056605,BETAMETHASONE SOD PHOS ACET 6 (33) MG/ML INJECTI,135.0,135.0,6.89,135.0,112 NDC,85138101,TEMOZOLOMIDE 100 MG IV SOLR,3612.0,3612.0,10.39,3612.0,119 NDC,8881570300,SODIUM CHLORIDE FLUSH 0.9 IV SOLN,3.0,3.0,0.41,3.0,111 NDC,89122072420,SODIUM HYALURONATE (VISCOSUP) 20 MG/2ML INTRAARTIC,684.0,684.0,72.96,684.0,112 NDC,9000302,METHYLPREDNISOLONE SODIUM SUCC 500 MG INJECTION SO,171.0,171.0,0.26,171.0,112 NDC,9000501,HYDROCORTISONE SOD SUC (PF) 1000 MG INJECTION SOLR,571.0,571.0,20.94,571.0,112 NDC,9001103,HYDROCORTISONE SOD SUC (PF) 100 MG INJECTION SOLR,78.0,78.0,10.53,78.0,112 NDC,9001104,HYDROCORTISONE SOD SUC (PF) 100 MG INJECTION SOLR,78.0,78.0,10.53,78.0,112 NDC,9001612,HYDROCORTISONE SOD SUC (PF) 500 MG INJECTION SOLR,286.0,286.0,20.94,286.0,112 NDC,9001820,METHYLPREDNISOLONE SODIUM SUCC 1000 MG INJECTION S,249.0,249.0,0.26,249.0,112 NDC,9002001,METHYLPREDNISOLONE 2 MG PO TABS,6.0,6.0,0.13,6.0,112 NDC,9003905,METHYLPREDNISOLONE SODIUM SUCC 40 MG INJECTION SOL,25.0,25.0,0.26,25.0,112 NDC,9003928,METHYLPREDNISOLONE SODIUM SUCC 40 MG INJECTION SOL,24.0,24.0,0.26,24.0,112 NDC,9003930,METHYLPREDNISOLONE SODIUM SUCC 40 MG INJECTION SOL,24.0,24.0,0.26,24.0,112 NDC,9003932,METHYLPREDNISOLONE SODIUM SUCC 40 MG INJECTION SOL,24.0,24.0,0.26,24.0,112 NDC,9003933,METHYLPREDNISOLONE SODIUM SUCC 40 MG INJECTION SOL,24.0,24.0,0.26,24.0,112 NDC,9004722,METHYLPREDNISOLONE SODIUM SUCC 125 MG INJECTION SO,38.0,38.0,0.26,38.0,112 NDC,9004725,METHYLPREDNISOLONE SODIUM SUCC 125 MG INJECTION SO,38.0,38.0,0.26,38.0,112 NDC,9004726,METHYLPREDNISOLONE SODIUM SUCC 125 MG INJECTION SO,38.0,38.0,0.26,38.0,112 NDC,9004727,METHYLPREDNISOLONE SODIUM SUCC 125 MG INJECTION SO,38.0,38.0,0.26,38.0,112 NDC,9005602,METHYLPREDNISOLONE 4 MG PO TABS,2.0,2.0,0.13,2.0,112 NDC,9007301,METHYLPREDNISOLONE 16 MG PO TABS,11.0,11.0,0.13,11.0,112 NDC,9008202,IRINOTECAN HCL 300 MG/15ML IV SOLN,410.0,410.0,1.4,410.0,112 NDC,9008601,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN,76.0,76.0,0.03,76.0,112 NDC,9021501,ALPROSTADIL 500 MCG/ML INJECTION SOLN,553.0,553.0,6.54,553.0,111 NDC,9021505,ALPROSTADIL 500 MCG/ML INJECTION SOLN,553.0,553.0,6.54,553.0,111 NDC,9028002,METHYLPREDNISOLONE ACETATE 40 MG/ML INJECTION SUSP,178.0,178.0,0.12,178.0,112 NDC,9030602,METHYLPREDNISOLONE ACETATE 80 MG/ML INJECTION SUSP,356.0,356.0,0.12,356.0,112 NDC,9041701,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN,86.0,86.0,0.03,86.0,112 NDC,9041702,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN,498.0,498.0,0.03,498.0,112 NDC,904205661,DIPHENHYDRAMINE HCL 50 MG PO CAPS,1.0,1.0,0.02,1.0,111 NDC,904530760,DIPHENHYDRAMINE HCL 50 MG PO CAPS,1.0,1.0,0.02,1.0,111 NDC,904530780,DIPHENHYDRAMINE HCL 50 MG PO CAPS,1.0,1.0,0.02,1.0,111 NDC,904655161,ONDANSETRON HCL 4 MG PO TABS,3.0,3.0,0.01,3.0,112 NDC,904655261,ONDANSETRON HCL 8 MG PO TABS,3.0,3.0,0.01,3.0,112 NDC,904660061,PERPHENAZINE 4 MG PO TABS,6.0,6.0,0.48,6.0,111 NDC,904662361,TACROLIMUS 0.5 MG PO CAPS,4.0,4.0,0.15,4.0,112 NDC,904662461,TACROLIMUS 5 MG PO CAPS,33.0,33.0,0.15,33.0,112 NDC,904691461,METHYLPREDNISOLONE 4 MG PO TABS,7.0,7.0,0.13,7.0,112 NDC,904692361,PREDNISONE 10 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,904693961,HYDROXYUREA 500 MG PO CAPS,4.0,4.0,0.41,4.0,111 NDC,904707861,MYCOPHENOLATE MOFETIL 500 MG PO TABS,4.0,4.0,0.15,4.0,112 NDC,904709761,TACROLIMUS 1 MG PO CAPS,5.0,5.0,0.15,5.0,112 NDC,904712761,PREDNISONE 20 MG PO TABS,1.0,1.0,0.01,1.0,112 NDC,904712961,CHLORPROMAZINE HCL 10 MG PO TABS,16.0,16.0,0.33,16.0,111 NDC,904713061,CHLORPROMAZINE HCL 25 MG PO TABS,19.0,19.0,0.33,19.0,111 NDC,904713161,CHLORPROMAZINE HCL 50 MG PO TABS,29.0,29.0,3.92,56.1,112 NDC,904713261,CHLORPROMAZINE HCL 100 MG PO TABS,45.0,45.0,0.33,45.0,111 NDC,904717207,EMTRICITABINETENOFOVIR DF 200300 MG PO TABS,8.0,8.0,1.08,8.0,119 NDC,904724804,SIROLIMUS 1 MG PO TABS,36.0,36.0,0.96,36.0,112 NDC,904726661,DEXAMETHASONE 4 MG PO TABS,4.0,4.0,0.01,4.0,112 NDC,904730461,PROMETHAZINE HCL 25 MG PO TABS,1.0,1.0,0.09,1.0,111 NDC,9060204,CLINDAMYCIN PHOSPHATE 600 MG/4ML INJECTION SOLN,11.0,11.0,1.49,11.0,112 NDC,9069801,METHYLPREDNISOLONE SODIUM SUCC 1000 MG INJECTION S,159.0,159.0,0.26,159.0,112 NDC,9072805,CLINDAMYCIN PHOSPHATE 9 GM/60ML INJECTION SOLN,85.0,85.0,1.67,85.0,112 NDC,9072809,CLINDAMYCIN PHOSPHATE 9 GM/60ML INJECTION SOLN,85.0,85.0,1.67,85.0,112 NDC,9074630,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP,190.0,190.0,0.35,190.0,111 NDC,9074635,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP,190.0,190.0,0.35,190.0,111 NDC,9075801,METHYLPREDNISOLONE SODIUM SUCC 500 MG INJECTION SO,88.0,88.0,0.26,88.0,112 NDC,9077520,CLINDAMYCIN PHOSPHATE 600 MG/4ML INJECTION SOLN,11.0,11.0,1.49,11.0,112 NDC,9077526,CLINDAMYCIN PHOSPHATE 600 MG/4ML INJECTION SOLN,11.0,11.0,1.49,11.0,112 NDC,9082501,HYDROCORTISONE SOD SUC (PF) 100 MG INJECTION SOLR,58.0,58.0,7.83,58.0,112 NDC,9085001,METHYLPREDNISOLONE SODIUM SUCC 2000 MG INJECTION S,392.0,392.0,0.26,392.0,112 NDC,9087021,CLINDAMYCIN PHOSPHATE 300 MG/2ML INJECTION SOLN,9.0,9.0,1.22,9.0,112 NDC,9087026,CLINDAMYCIN PHOSPHATE 300 MG/2ML INJECTION SOLN,9.0,9.0,1.22,9.0,112 NDC,9090211,CLINDAMYCIN PHOSPHATE 900 MG/6ML INJECTION SOLN,16.0,16.0,1.67,16.0,112 NDC,9090218,CLINDAMYCIN PHOSPHATE 900 MG/6ML INJECTION SOLN,16.0,16.0,1.67,16.0,112 NDC,9307301,METHYLPREDNISOLONE ACETATE 40 MG/ML INJECTION SUSP,41.0,41.0,0.12,41.0,112 NDC,9307303,METHYLPREDNISOLONE ACETATE 40 MG/ML INJECTION SUSP,41.0,41.0,0.12,41.0,112 NDC,9307322,METHYLPREDNISOLONE ACETATE 40 MG/ML INJECTION SUSP,41.0,41.0,0.12,41.0,112 NDC,9307323,METHYLPREDNISOLONE ACETATE 40 MG/ML INJECTION SUSP,41.0,41.0,0.12,41.0,112 NDC,9316901,ALPROSTADIL 500 MCG/ML INJECTION SOLN,553.0,553.0,6.54,553.0,111 NDC,9316906,ALPROSTADIL 500 MCG/ML INJECTION SOLN,553.0,553.0,6.54,553.0,111 NDC,93414545,LEVALBUTEROL HCL 0.31 MG/3ML INHALATION NEBU,21.0,21.0,0.27,21.0,112 NDC,93414645,LEVALBUTEROL HCL 0.63 MG/3ML INHALATION NEBU,21.0,21.0,0.08,21.0,112 NDC,93414656,LEVALBUTEROL HCL 0.63 MG/3ML INHALATION NEBU,21.0,21.0,0.08,21.0,112 NDC,93414845,LEVALBUTEROL HCL 1.25 MG/3ML INHALATION NEBU,21.0,21.0,0.27,21.0,112 NDC,93414856,LEVALBUTEROL HCL 1.25 MG/3ML INHALATION NEBU,21.0,21.0,0.27,21.0,112 NDC,9347501,METHYLPREDNISOLONE ACETATE 80 MG/ML INJECTION SUSP,71.0,71.0,0.12,71.0,112 NDC,9347503,METHYLPREDNISOLONE ACETATE 80 MG/ML INJECTION SUSP,72.0,72.0,0.12,72.0,112 NDC,93681519,BUDESONIDE 0.25 MG/2ML INHALATION SUSP,29.0,29.0,1.05,29.0,112 NDC,93681545,BUDESONIDE 0.25 MG/2ML INHALATION SUSP,29.0,29.0,1.05,29.0,112 NDC,93681555,BUDESONIDE 0.25 MG/2ML INHALATION SUSP,29.0,29.0,1.05,29.0,112 NDC,93681573,BUDESONIDE 0.25 MG/2ML INHALATION SUSP,29.0,29.0,1.05,29.0,112 NDC,93681619,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,34.0,34.0,1.05,34.0,112 NDC,93681645,BUDESONIDE 0.5 MG/2ML INHALATION SUSP,34.0,34.0,1.05,34.0,112 NDC,93681719,BUDESONIDE 1 MG/2ML INHALATION SUSP,70.0,70.0,1.05,70.0,112 NDC,93733401,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,12.0,12.0,0.15,12.0,112 NDC,93733405,MYCOPHENOLATE MOFETIL 250 MG PO CAPS,12.0,12.0,0.15,12.0,112 NDC,93747306,CAPECITABINE 150 MG PO TABS,36.0,36.0,0.04,36.0,119 NDC,93770456,EMTRICITABINETENOFOVIR DF 200300 MG PO TABS,211.0,211.0,1.34,211.0,119 NDC,9379401,IBUTILIDE FUMARATE 1 MG/10ML IV SOLN,1976.0,1976.0,186.77,1976.0,119 NDC,9379422,IBUTILIDE FUMARATE 1 MG/10ML IV SOLN,1976.0,1976.0,186.77,1976.0,119 NDC,93901819,CYCLOSPORINE MODIFIED 25 MG PO CAPS,5.0,5.0,0.53,5.0,112 NDC,93901865,CYCLOSPORINE MODIFIED 25 MG PO CAPS,5.0,5.0,0.53,5.0,112 NDC,93902019,CYCLOSPORINE MODIFIED 100 MG PO CAPS,17.0,17.0,1.81,17.0,112 NDC,93902065,CYCLOSPORINE MODIFIED 100 MG PO CAPS,17.0,17.0,1.81,17.0,112 NDC,93929119,CLONAZEPAM 0.25 MG PO TBDP,4.0,4.0,0.54,4.0,105 NDC,93929167,CLONAZEPAM 0.25 MG PO TBDP,4.0,4.0,0.54,4.0,105 NDC,93929219,CLONAZEPAM 0.5 MG PO TBDP,4.0,4.0,0.54,4.0,105 NDC,93929267,CLONAZEPAM 0.5 MG PO TBDP,4.0,4.0,0.54,4.0,105 NDC,93929319,CLONAZEPAM 1 MG PO TBDP,5.0,5.0,0.68,5.0,105 NDC,93929367,CLONAZEPAM 1 MG PO TBDP,5.0,5.0,0.68,5.0,105 NDC,9407303,CLINDAMYCIN PHOSPHATE 600 MG/4ML INJECTION SOLN,11.0,11.0,1.49,11.0,112 NDC,944049301,ALBUMIN HUMAN 25 IV SOLN,105.0,105.0,14.18,159.68,119 NDC,944049302,ALBUMIN HUMAN 25 IV SOLN,417.0,417.0,45.9,417.0,119 NDC,944049303,ALBUMIN HUMAN 25 IV SOLN,105.0,105.0,14.18,159.68,119 NDC,944049304,ALBUMIN HUMAN 25 IV SOLN,417.0,417.0,45.9,417.0,119 NDC,944049505,ALBUMIN HUMAN 5 IV SOLN,217.0,217.0,29.3,217.0,119 NDC,944049506,ALBUMIN HUMAN 5 IV SOLN,217.0,217.0,29.3,217.0,119 NDC,944265603,GAMMAGARD S/D LESS IGA 1 G/10 ML IV SOLN (WRAPPER),4037.0,4037.0,78.89,4037.0,119 NDC,944265804,GAMMAGARD S/D LESS IGA 1 G/10 ML IV SOLN (WRAPPER),8074.0,8074.0,78.89,8074.0,119 NDC,944270002,GAMMAGARD 1 G/10 ML IV SOLN (WRAPPER),611.0,611.0,46.46,611.0,119 NDC,944270003,GAMMAGARD 1 G/10 ML IV SOLN (WRAPPER),1526.0,1526.0,46.46,1526.0,119 NDC,944270004,IMMUNE GLOBULIN (HUMAN) 5 GM/50ML INJECTION SOLN,3052.0,3052.0,46.46,3052.0,119 NDC,944270005,IMMUNE GLOBULIN (HUMAN) 10 GM/100ML INJECTION SOLN,6103.0,6103.0,46.46,6103.0,119 NDC,944270006,IMMUNE GLOBULIN (HUMAN) 20 GM/200ML INJECTION SOLN,12206.0,12206.0,46.46,12206.0,119 NDC,944270007,GAMMAGARD 1 G/10 ML IV SOLN (WRAPPER),18308.0,18308.0,46.46,18308.0,119 NDC,944270008,GAMMAGARD 1 G/10 ML IV SOLN (WRAPPER),611.0,611.0,46.46,611.0,119 NDC,944270009,GAMMAGARD 1 G/10 ML IV SOLN (WRAPPER),1526.0,1526.0,46.46,1526.0,119 NDC,944270012,GAMMAGARD 1 G/10 ML IV SOLN (WRAPPER),12206.0,12206.0,46.46,12206.0,119 NDC,944270013,GAMMAGARD 1 G/10 ML IV SOLN (WRAPPER),18308.0,18308.0,46.46,18308.0,119 NDC,944283401,ANTIHEM FACTOR RECOMB (RFVIII) 12411800 UNITS IV S,8300.0,8300.0,1.54,8300.0,117 NDC,944284110,ANTIHEM FACTOR RECOMB (RFVIII) 220400 UNITS IV SOL,1646.0,1646.0,1.54,1646.0,113 NDC,944284210,ANTIHEM FACTOR RECOMB (RFVIII) 401800 UNITS IV SOL,3084.0,3084.0,1.54,3084.0,116 NDC,944284310,ANTIHEM FACTOR RECOMB (RFVIII) 8011240 UNITS IV SO,6515.0,6515.0,1.54,6515.0,116 NDC,944284410,ANTIHEM FACTOR RECOMB (RFVIII) 12411800 UNITS IV S,9481.0,9481.0,1.54,9481.0,117 NDC,944284510,ANTIHEM FACTOR RECOMB (RFVIII) 18012400 UNITS IV S,14705.0,14705.0,1.54,14705.0,117 NDC,944288401,ALPHA1PROTEINASE INHIBITOR 1000 MG/50ML IV SOLN,2220.0,2220.0,5.51,2220.0,119 NDC,944304510,ANTIHEMOPHIL FACTOR (RAHFPFM) 2000 UNITS IV SOLR,13128.0,13128.0,1.54,13128.0,117 NDC,944305102,ANTIHEMOPHIL FACTOR (RAHFPFM) 250 UNITS IV SOLR,1425.0,1425.0,1.54,1425.0,113 NDC,944305103,ANTIHEMOPHIL FACTOR (RAHFPFM) 250 UNITS IV SOLR,1425.0,1425.0,1.54,1425.0,113 NDC,944305202,ANTIHEMOPHIL FACTOR (RAHFPFM) 500 UNITS IV SOLR,3335.0,3335.0,1.54,3335.0,116 NDC,944305203,ANTIHEMOPHIL FACTOR (RAHFPFM) 500 UNITS IV SOLR,3420.0,3420.0,1.54,3420.0,116 NDC,944305302,ANTIHEMOPHIL FACTOR (RAHFPFM) 1000 UNITS IV SOLR,6978.0,6978.0,1.54,6978.0,117 NDC,944417705,PROTEIN C CONCENTRATE (HUMAN) 500 UNITS IV SOLR,2700.0,2700.0,15.01,2700.0,119 NDC,944500101,ANTIHEMOPHILIC FACTOR RPFVIII 500 UNITS IV SOLR,5310.0,5310.0,3.23,5310.0,116 NDC,9499201,LINEZOLID 600 MG/300ML IV SOLN,173.0,173.0,2.74,173.0,112 NDC,9499202,LINEZOLID 600 MG/300ML IV SOLN,173.0,173.0,2.74,173.0,112 NDC,9509101,EPIRUBICIN HCL 50 MG/25ML IV SOLN,169.0,169.0,1.59,169.0,112 NDC,9509301,EPIRUBICIN HCL 200 MG/100ML IV SOLN,819.0,819.0,1.59,819.0,112 NDC,9514001,LINEZOLID 600 MG/300ML IV SOLN,119.0,119.0,2.74,119.0,112 NDC,9514004,LINEZOLID 600 MG/300ML IV SOLN,119.0,119.0,2.74,119.0,112 NDC,9518201,ALPROSTADIL (VASODILATOR) 20 MCG INTRACAVER KIT,381.0,381.0,6.54,381.0,111 NDC,9518211,ALPROSTADIL (VASODILATOR) 20 MCG INTRACAVER KIT,381.0,381.0,6.54,381.0,111 NDC,955100310,ENOXAPARIN SODIUM 30 MG/0.3ML INJECTION SOSY,24.0,24.0,0.53,24.0,112 NDC,955100401,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,31.0,31.0,0.53,31.0,112 NDC,955100410,ENOXAPARIN SODIUM 40 MG/0.4ML INJECTION SOSY,31.0,31.0,0.53,31.0,112 NDC,955100601,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,47.0,47.0,0.53,47.0,112 NDC,955100610,ENOXAPARIN SODIUM 60 MG/0.6ML INJECTION SOSY,47.0,47.0,0.53,47.0,112 NDC,955100801,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,62.0,62.0,0.53,62.0,112 NDC,955100810,ENOXAPARIN SODIUM 80 MG/0.8ML INJECTION SOSY,62.0,62.0,0.53,62.0,112 NDC,955101010,ENOXAPARIN SODIUM 100 MG/ML INJECTION SOSY,77.0,77.0,0.53,77.0,112 NDC,955101201,ENOXAPARIN SODIUM 120 MG/0.8ML INJECTION SOSY,93.0,93.0,0.53,93.0,112 NDC,955101210,ENOXAPARIN SODIUM 120 MG/0.8ML INJECTION SOSY,93.0,93.0,0.53,93.0,112 NDC,955101501,ENOXAPARIN SODIUM 150 MG/ML INJECTION SOSY,116.0,116.0,0.53,116.0,112 NDC,955101510,ENOXAPARIN SODIUM 150 MG/ML INJECTION SOSY,116.0,116.0,0.53,116.0,112 NDC,955101601,ENOXAPARIN SODIUM 300 MG/3ML INJECTION SOLN,231.0,231.0,0.53,231.0,112 NDC,955102001,DOCETAXEL 20 MG/ML IV CONC,393.0,393.0,0.38,393.0,112 NDC,955102104,DOCETAXEL 80 MG/4ML IV CONC,1566.0,1566.0,0.38,1566.0,112 NDC,9722401,LYMPHOCYTEANTITHYMO IMM GLOB 50 MG/ML IV SOLN,17354.0,17354.0,2342.79,17354.0,119 NDC,9722402,LYMPHOCYTEANTITHYMO IMM GLOB 50 MG/ML IV SOLN,15090.0,15090.0,2037.15,15968.38,119 NDC,9737611,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSY,198.0,198.0,0.35,198.0,111 NDC,9752903,IRINOTECAN HCL 100 MG/5ML IV SOLN,149.0,149.0,1.4,149.0,112 NDC,9752904,IRINOTECAN HCL 40 MG/2ML IV SOLN,100.0,100.0,1.4,100.0,112 NDC,9780701,LINEZOLID 600 MG/300ML IV SOLN,288.0,288.0,2.74,288.0,112 NDC,990707426,POTASSIUM CHLORIDE 10 MEQ/100ML IV SOLN,18.0,18.0,0.1,18.0,112 NDC,990707526,POTASSIUM CHLORIDE 20 MEQ/100ML IV SOLN,18.0,18.0,0.1,18.0,112 NDC,990707714,POTASSIUM CHLORIDE 20 MEQ/50ML IV SOLN,18.0,18.0,0.1,18.0,112 NDC,990707726,POTASSIUM CHLORIDE 40 MEQ/100ML IV SOLN,19.0,19.0,0.1,19.0,112 NDC,990711509,KCL (POTASSIUM CHLORIDE) IN NACL 200.9 MEQ/L IV S,24.0,24.0,0.1,24.0,112 NDC,990711807,STERILE WATER FOR INJECTION SOLN,18.0,18.0,0.71,18.0,111 NDC,990782808,LACTATED RINGERS IRRIGATION SOLN,45.0,45.0,2.38,45.0,112 NDC,990790509,POTASSIUM CL IN DEXTROSE 5 20 MEQ/L IV SOLN,27.0,27.0,0.1,27.0,112 NDC,990792202,DEXTROSE 5 IV SOLN,19.0,19.0,1.75,19.0,112 NDC,990792203,DEXTROSE 5 IV SOLN,20.0,20.0,1.75,20.0,112 NDC,990792209,DEXTROSE 5 IV SOLN BOLUS,39.0,39.0,2.94,39.0,112 NDC,990792253,DEXTROSE 5 IV SOLN,19.0,19.0,1.75,19.0,112 NDC,990792261,DEXTROSE 5 IV SOLN,57.0,57.0,1.75,57.0,112 NDC,990792313,DEXTROSE 5 IV SOLN,9.0,9.0,1.22,9.0,112 NDC,990792323,DEXTROSE 5 IV SOLN,8.0,8.0,1.08,8.0,112 NDC,990792336,DEXTROSE 5 IV SOLN,8.0,8.0,1.08,8.0,112 NDC,990792337,DEXTROSE 5 IV SOLN,8.0,8.0,1.08,8.0,112 NDC,990794103,DEXTROSESODIUM CHLORIDE 50.9 IV SOLN,20.0,20.0,1.18,20.0,112 NDC,990794109,DEXTROSESODIUM CHLORIDE 50.9 IV SOLN,18.0,18.0,1.18,18.0,112 NDC,990795302,LACTATED RINGERS IV SOLN FLUSH (NONINTEROP),20.0,20.0,2.38,20.0,112 NDC,990795303,LACTATED RINGERS IV SOLN,20.0,20.0,2.38,20.0,112 NDC,990795309,LACTATED RINGERS IV SOLN,18.0,18.0,2.38,18.0,112 NDC,990798302,SODIUM CHLORIDE 0.9 IV SOLN,20.0,20.0,0.63,20.0,112 NDC,990798302,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),20.0,20.0,1.99,20.0,112 NDC,990798303,SODIUM CHLORIDE 0.9 LARGE VOLUME FLUSH (NONINTERO,20.0,20.0,1.25,20.0,112 NDC,990798309,SODIUM CHLORIDE 0.9 LARGE VOLUME FLUSH (NONINTERO,18.0,18.0,1.99,18.0,112 NDC,990798361,SODIUM CHLORIDE 0.9 IV SOLN,19.0,19.0,0.63,19.0,112 NDC,990798361,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),19.0,19.0,1.99,19.0,112 NDC,990798413,SODIUM CHLORIDE 0.9 IV SOLN,9.0,9.0,0.63,9.0,112 NDC,990798413,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),9.0,9.0,1.22,9.0,112 NDC,990798420,SODIUM CHLORIDE 0.9 IV SOLN,9.0,9.0,0.63,9.0,112 NDC,990798423,SODIUM CHLORIDE 0.9 IV SOLN,9.0,9.0,0.63,9.0,112 NDC,990798423,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),9.0,9.0,1.22,9.0,112 NDC,990798437,SODIUM CHLORIDE 0.9 IV SOLN BOLUS (WRAPPER),7.0,7.0,0.95,7.0,112 NDC,990799009,STERILE WATER FOR INJECTION SOLN,18.0,18.0,0.71,18.0,111 NDC,990925739,POTASSIUM CHLORIDE IN NACL 200.45 MEQ/L IV SOLN (,24.0,24.0,0.1,24.0,112 NDC,99999000901,MORPHINE SULFATE 1 MG/ML IV SOLN (WRAPPER),35.0,35.0,2.78,35.0,112 NDC,99999001001,TOBRAMYCIN 40 MG/ML INHALATION NEBU UPHS COMPOUNDE,637.0,637.0,51.08,637.0,111 NDC,99999001201,LORAZEPAM INFUSION 100MG/50ML (CNR),123.0,123.0,1.32,123.0,112 NDC,99999001501,HYDROMORPHONE HCLNACL 1 MG/1ML IV SOSY (WRAPPER),49.0,49.0,0.09,49.0,112 NDC,9999999986,OXYTOCIN INFUSION 40 UNITS/1000ML NSS (HUP),33.0,33.0,0.86,33.0,111 NDC,9999999987,OXYTOCIN INFUSION 20 UNITS/1000ML NSS (ADS),29.0,29.0,0.86,29.0,111 NDC,99999999901,FLUCONAZOLE (DIFLUCAN) IVPB 2 MG/ML NSS (REPACKAGE,7.0,7.0,0.95,7.0,112 NDC,99999999902,FLUCONAZOLE (DIFLUCAN) IVPB 2 MG/ML NSS (REPACKAGE,53.0,53.0,2.39,53.0,112