code_type,code,description,gross_charge,discounted_cash,min_negotiated,max_negotiated,payer_entries ,,Bilateral Procedures,,,,,0 ,,Bilateral Services,,,,,0 ,,CT services furnished with equipment that don't meet NEMA standard,,,,,0 ,,Computed radiography x-ray,,,,,0 ,,Computed tomography services furnished using equipment that does not meet each of the attributes of the national electrical manufacturers association (NEMA) XR-29-2013 standard,,,,,0 ,,Discontinued OP Hospital/ASC Procedure Prior to Administration of Anesthesia,,,,,0 ,,Discontinued Procedure,,,,,0 ,,Excepted off-campus service,,,,,0 ,,Non-excepted off-campus service,,,,,0 ,,Reduced Services,,,,,0 ,,X-ray taken using film,,,,,0 ,,X-ray was performed using film,,,,,0 ,,X-ray was taken using computed radiography technology/cassette-based imaging,,,,,0 CDM,11100002,HC REX PRIVATE ROOM,1328.0,796.8,849.92,5693.0,4 CDM,11100016,HC LTC SHORT TERM PRIVATE ROOM LEVEL 1,600.0,360.0,384.0,5693.0,4 CDM,11100017,HC LTC LONG TERM PRIVATE ROOM LEVEL 1,400.0,240.0,256.0,5693.0,4 CDM,11100018,HC LTC LOA SHORT TERM PRIVATE ROOM,600.0,360.0,384.0,486.0,2 CDM,11100019,HC LTC LOA LONG TERM CARE PRIVATE ROOM,400.0,240.0,256.0,324.0,2 CDM,11100020,HC LTC BED HOLD  SHORT TERM PRIVATE ROOM,600.0,360.0,384.0,5693.0,4 CDM,11100021,HC LTC BED HOLD LONG TERM CARE PRIVATE ROOM,400.0,240.0,256.0,5693.0,4 CDM,11100022,HC LTC SHORT TERM PRIVATE ROOM LEVEL 2,600.0,360.0,384.0,5693.0,4 CDM,11100023,HC LTC LONG TERM PRIVATE ROOM LEVEL 2,400.0,240.0,256.0,5693.0,4 CDM,11100024,HC LTC SHORT TERM PRIVATE ROOM LEVEL 3,600.0,360.0,384.0,5693.0,4 CDM,11100025,HC LTC LONG TERM PRIVATE ROOM LEVEL 3,400.0,240.0,256.0,5693.0,4 CDM,11100026,HC LTC SHORT TERM PRIVATE ROOM LEVEL 4,600.0,360.0,384.0,5693.0,4 CDM,11100027,HC LTC LONG TERM PRIVATE ROOM LEVEL 4,400.0,240.0,256.0,5693.0,4 CDM,11100030,HC LTC LOA SHORT TERM PRIVATE ROOM LTP,600.0,360.0,384.0,486.0,2 CDM,11100031,HC LTC LOA LONG TERM CARE PRIVATE ROOM LTP,400.0,240.0,256.0,324.0,2 CDM,11120001,HC REX OB PRIVATE ROOM,1328.0,796.8,849.92,5693.0,4 CDM,11150001,HC REX HOSPICE PRIVATE ROOM,1328.0,796.8,849.92,2085.0,5 CDM,11200003,HC REX MED SURG SEMI PRIVATE ROOM,1328.0,796.8,849.92,5693.0,4 CDM,11200004,HC LTC SHORT TERM SEMI PRIVATE ROOM LEVEL 1,580.0,348.0,371.2,5693.0,4 CDM,11200005,HC LTC LONG TERM SEMI PRIVATE ROOM LEVEL 1,380.0,228.0,243.2,5693.0,4 CDM,11200006,HC LTC LOA SHORT TERM SEMI PRIVATE ROOM,580.0,348.0,371.2,469.8,2 CDM,11200007,HC LTC LOA LONG TERM CARE SEMI PRIVATE ROOM,380.0,228.0,243.2,307.8,2 CDM,11200008,HC LTC BED HOLD SHORT TERM SEMI PRIVATE ROOM,580.0,348.0,371.2,5693.0,4 CDM,11200009,HC LTC BED HOLD LONG TERM CARE SEMI PRIVATE,380.0,228.0,243.2,5693.0,4 CDM,11200010,HC LTC SHORT TERM SEMI PRIVATE ROOM LEVEL 2,580.0,348.0,371.2,5693.0,4 CDM,11200011,HC LTC LONG TERM SEMI PRIVATE ROOM LEVEL 2,380.0,228.0,243.2,5693.0,4 CDM,11200012,HC LTC SHORT TERM SEMI PRIVATE ROOM LEVEL 3,580.0,348.0,371.2,5693.0,4 CDM,11200013,HC LTC LONG TERM SEMI PRIVATE ROOM LEVEL 3,380.0,228.0,243.2,5693.0,4 CDM,11200014,HC LTC SHORT TERM SEMI PRIVATE ROOM LEVEL 4,580.0,348.0,371.2,5693.0,4 CDM,11200015,HC LTC LONG TERM SEMI PRIVATE ROOM LEVEL 4,380.0,228.0,243.2,5693.0,4 CDM,11200016,HC LTC LOA SHORT TERM SEMI PRIVATE ROOM LTP,580.0,348.0,371.2,469.8,2 CDM,11200017,HC LTC LOA LONG TERM PASS SEMI PRIVATE ROOM,380.0,228.0,243.2,307.8,2 CDM,11710001,HC REX CONTINUED NEONATAL CARE PRIVATE ROOM,1924.0,1154.4,974.0,1558.44,5 CDM,11710002,HC REX LEVEL 1 NURSERY ROOM,1924.0,1154.4,974.0,1558.44,5 CDM,11720002,HC REX LABOR CARE TIME LESS THAN 2 HRS,519.0,311.4,103.9,954.0,23 CDM,11720003,HC REX LABOR CARE 2-4 HRS,1287.0,772.2,257.66,1042.47,23 CDM,11720004,HC REX LABOR CARE 4-8 HRS,1925.0,1155.0,385.38,1559.25,23 CDM,11720005,HC REX LABOR CARE 8-12 HRS,2891.0,1734.6,578.78,2341.71,23 CDM,11720006,HC REX LABOR CARE 12-16 HRS,3469.0,2081.4,615.0,2809.89,23 CDM,11720007,HC REX LABOR CARE 16-20 HRS,4162.0,2497.2,615.0,3371.22,23 CDM,11720008,HC REX LABOR CARE 20-24 HRS,4996.0,2997.6,615.0,4046.76,23 CDM,11720009,HC REX LABOR CARE 24-36 HRS,6375.0,3825.0,615.0,5163.75,23 CDM,11720010,HC REX LABOR CARE 36-48 HRS,8443.0,5065.8,615.0,6838.83,23 CDM,11720011,HC REX LABOR CARE GREATER THAN 48 HRS,9477.0,5686.2,615.0,7676.37,23 CDM,11720015,HC REX LEVEL 2 NURSERY ROOM,3166.0,1899.6,2026.24,3569.0,5 CDM,11733001,HC REX LEVEL 3 INTERMEDIATE NURSERY ROOM,4517.0,2710.2,2890.88,5493.0,5 CDM,11740002,HC REX LEVEL 4 INTENSIVE NURSERY ROOM,6546.0,3927.6,4189.44,5695.0,5 CDM,11820001,HC LTC LOA MULTIDAY PASS PRIVATE ROOM,600.0,360.0,384.0,486.0,2 CDM,11820002,HC LTC LOA SINGLE DAY PASS PRIVATE ROOM,600.0,360.0,384.0,486.0,2 CDM,11820003,HC LTC LOA BED HOLD,600.0,360.0,384.0,486.0,2 CDM,11830003,HC LTC LOA LONG TERM PASS,600.0,360.0,384.0,486.0,2 CDM,11850001,HC LTC LOA SEND TO ED PRIVATE ROOM,600.0,360.0,384.0,486.0,2 CDM,11850002,HC LTC LOA SEND TO CLINIC APPOINTMENT PRIVATE ROOM,600.0,360.0,384.0,486.0,2 CDM,11850003,HC LTC LOA SEND TO OR/CATH LAB/VIR/GI PRIVATE ROOM,600.0,360.0,384.0,486.0,2 CDM,11850004,HC LTC LOA SEND TO IMAGING APPT PRIVATE ROOM,600.0,360.0,384.0,486.0,2 CDM,11850011,HC LTC LOA MULTIDAY PASS SEMI PRIVATE ROOM,380.0,228.0,243.2,307.8,2 CDM,11850012,HC LTC LOA SEND TO CLINIC APPT SEMI PRIVATE ROOM,380.0,228.0,243.2,307.8,2 CDM,11850013,HC LTC LOA SEND TO ED SEMI PRIVATE ROOM,380.0,228.0,243.2,307.8,2 CDM,11850014,HC LTC LOA SEND TO IMAGING APPT SEMI PRIVATE ROOM,380.0,228.0,243.2,307.8,2 CDM,11850015,HC LTC LOA SEND TO OR/CATH/VIR/GI SEMI PRIVATE ROOM,380.0,228.0,243.2,307.8,2 CDM,11850016,HC LTC LOA SINGLE DAY PASS SEMI PRIVATE ROOM,380.0,228.0,243.2,307.8,2 CDM,11850017,HC LTC LOA MULTIDAY PASS SHORT TERM SEMI PRIVATE,580.0,348.0,371.2,469.8,2 CDM,11850018,HC LTC LOA SEND TO CLINIC APPT SHORT TERM SEMI PRIVATE,580.0,348.0,371.2,469.8,2 CDM,11850019,HC LTC LOA SEND TO ED SHORT TERM ED SEMI PRIVATE,580.0,348.0,371.2,469.8,2 CDM,11850020,HC LTC LOA SEND TO IMAGING APPT SHORT TERM SEMI PRIVATE,580.0,348.0,371.2,469.8,2 CDM,11850021,HC LTC LOA SEND TO OR/CATH/VIR/GI SHORT TERM SEMI PRIVATE,580.0,348.0,371.2,469.8,2 CDM,11850022,HC LTC LOA SINGLE DAY PASS SHORT TERM SEMI PRIVATE,580.0,348.0,371.2,469.8,2 CDM,11850023,HC LTC LOA MULTIDAY PASS SHORT TERM PRIVATE,600.0,360.0,384.0,486.0,2 CDM,11850024,HC LTC LOA SEND TO CLINIC APPT SHORT TERM PRIVATE,600.0,360.0,384.0,486.0,2 CDM,11850025,HC LTC LOA SEND TO ED SHORT TERM PRIVATE,600.0,360.0,384.0,486.0,2 CDM,11850026,HC LTC LOA SEND TO IMAGING APPT SHORT TERM PRIVATE,600.0,360.0,384.0,486.0,2 CDM,11850027,HC LTC LOA SEND TO OR/CATH/VIR/GI SHORT TERM PRIVATE,600.0,360.0,384.0,486.0,2 CDM,11850028,HC LTC LOA SINGLE DAY PASS SHORT TERM PRIVATE,600.0,360.0,384.0,486.0,2 CDM,12000002,HC REX ICU ROOM,4395.0,2637.0,1228.0,6258.0,8 CDM,12000005,HC REX INTENSIVE CARE LESS THAN 6 HRS,2065.0,1239.0,413.41,1672.65,23 CDM,12000006,HC REX INTENSIVE CARE 6-12 HRS,3033.0,1819.8,607.21,2456.73,23 CDM,12000007,HC REX INTENSIVE CARE 13-24 HRS,5516.0,3309.6,615.0,4467.96,23 CDM,12000008,HC REX INTENSIVE CARE SEMI PRIVATE ROOM,3522.0,2113.2,1228.0,6258.0,4 CDM,12000009,HC REX INTENSIVE CARE 24-36 HRS,7831.0,4698.6,615.0,6343.11,23 CDM,12000010,HC REX INTENSIVE CARE 36-48 HRS,10149.0,6089.4,615.0,8220.69,23 CDM,12000011,HC REX INTENSIVE CARE GREATER THAN 48 HRS,11308.0,6784.8,615.0,9159.48,23 CDM,12090002,HC REX INTERMEDIATE CARE ROOM,2084.0,1250.4,1228.0,5197.0,4 CDM,12090004,HC REX INTERMEDIATE CARE SEMI PRIVATE ROOM,2084.0,1250.4,1228.0,5197.0,4 CDM,17620005,HC REX OBSERVATION CARE PER HOUR,56.0,33.6,10.56,7281.0,23 CDM,17620007,HC REX INTERMEDIATE OBSERVATION CARE PER HOUR,86.0,51.6,16.21,7281.0,23 CDM,17620008,HC REX INTENSIVE OBSERVATION CARE PER HOUR,183.0,109.8,34.5,7281.0,23 CDM,17620009,HC REX SPECIAL CARE NURSERY OBSERVATION CARE PER HOUR,100.0,60.0,18.85,7281.0,23 CDM,17620010,HC REX OBSERVATION DIRECT ADMISSION,99.0,59.4,18.66,7281.0,32 CDM,22640031,HC ROADSAVER CAROTID ARTERY STENT SYSTEM IDE G140240,1.01,0.61,0.2022,0.8181,21 CDM,22640032,HC NANOPARASOL EMBOLIC PROTECTION DEVICE IDE G140240,1.01,0.61,0.2022,0.8181,21 CDM,22700047,HC H.O.L.D BELT,160.0,96.0,32.03,130.08,24 CDM,22700050,HC PICC LINE,633.0,379.8,126.73,514.63,24 CDM,22700051,HC PREEMIE NEST SET,173.0,103.8,34.63,140.65,24 CDM,22700091,HC AEROSOL THERAPY SUPPLY PER DAY,117.0,70.2,23.42,95.12,24 CDM,22700101,HC CYTOLOGY BRUSH,62.0,37.2,12.41,50.41,24 CDM,22700103,HC DISPOSABLE NEBULIZER SUPPLY,26.0,15.6,5.21,21.14,24 CDM,22700117,"HC INFANT HOOD,INITIAL",143.0,85.8,28.63,116.26,24 CDM,22700127,HC PULMONARY OXIMIZER PENDANT,63.0,37.8,12.61,51.22,24 CDM,22700147,HC SURGICAL ABSORBABLE HEMOSTAT,81.0,48.6,16.22,65.85,24 CDM,22700167,HC SHEATH INTRODUCER PERCUTANEOUS,158.0,94.8,31.63,128.45,24 CDM,22700168,HC TRI CLOSE THORACIC TRAY,524.0,314.4,104.9,426.01,24 CDM,22700169,HC VENTRICULAR PACING LEAD,597.0,358.2,119.52,485.36,24 CDM,22700457,HC VAT POWERGLIDE 10CM CATH SYSTEM,480.0,288.0,96.1,390.24,24 CDM,22700458,HC VAT POWERGLIDE 10CM CATHETER,300.0,180.0,60.06,243.9,24 CDM,22700459,HC VAT POWERGLIDE 8CM CATH SYSTEM,480.0,288.0,96.1,390.24,24 CDM,22700460,HC VAT POWERGLIDE 8CM CATHETER,300.0,180.0,60.06,243.9,24 CDM,22700468,HC REX PLEURX PLEURAL CATHETER KIT,600.0,360.0,76.2,498.0,26 CDM,22700469,HC REX OPTI-Q SO2 CCO PA CATHETER HEP,746.0,447.6,94.74,619.18,26 CDM,22700495,HC REX TRANSFORAMINAL SUPPLIES,34.0,20.4,6.81,27.64,24 CDM,22700498,HC REX CANNULA RF CERVICAL/LUMBAR TIP,90.0,54.0,18.02,73.17,24 CDM,22700503,HC REX REFILL SYNCHROMED SUPPLIES,240.0,144.0,48.05,195.12,24 CDM,22700505,HC REX STYLET ENHANCED PRICISION 50CM,374.0,224.4,74.87,304.06,24 CDM,22700506,HC REX PATIENT TRIAL PRECISION COMPONEN,508.0,304.8,101.7,413.0,24 CDM,22700507,HC REX CABLE SCRNG SNAP-LID CONN RESTOR,1320.0,792.0,264.26,1073.16,24 CDM,22700508,HC REX SCS ACCESSORY SUPPLY,1425.0,855.0,285.29,1158.53,24 CDM,22700509,HC REX PROBE SIMPLICITY III ELECTRO NEE,2232.0,1339.2,446.85,1814.62,24 CDM,22700540,HC LEAD BLANK,293.0,175.8,37.21,243.19,26 CDM,22700541,HC REX CABLE MULTI-LEAD TRIAL,1375.0,825.0,174.62,1141.25,26 CDM,22700542,HC REX CABLE TRIAL,19569.0,11741.4,2485.26,16242.27,26 CDM,22700544,HC REX LEAD 16-CONTACT TRIAL 50CM,9120.0,5472.0,1158.24,7569.6,26 CDM,22700545,HC LEAD RESTORE TRIAL STANDARD,5120.0,3072.0,650.24,4249.6,26 CDM,22700546,HC LEAD TRIAL PERCUT OCTRODE 60CM,4954.0,2972.4,629.16,4111.82,26 CDM,22700547,HC LEAD 8-CONTACT PRECISION TRIAL,7438.0,4462.8,944.63,6173.54,26 CDM,22700548,HC LEAD 8-CONTACT PRECISION 50CM,8418.0,5050.8,1069.09,6986.94,26 CDM,22700549,HC LEAD TRIAL SUBCOMPACT 3875-60,5120.0,3072.0,650.24,4249.6,26 CDM,22700550,HC LEAD TRIAL 50CM,6348.0,3808.8,806.2,5268.84,26 CDM,22700554,HC ANESTHESIA AIRWAY COMBITUBE ESOPHAGEAL,672.0,403.2,134.53,546.34,24 CDM,22700555,HC ANESTHESIA CIRCUIT HEATED HUMIDIFIER,104.0,62.4,20.82,84.55,24 CDM,22700556,HC ANESTHESIA QUICKTRACH,1016.0,609.6,203.4,826.01,24 CDM,22700558,HC ANESTHESIA CVP CATH MULTILUMEN,318.0,190.8,40.39,263.94,26 CDM,22700559,HC ANESTHESIA CVP CATH S LUMEN,103.0,61.8,13.08,85.49,26 CDM,22700560,HC ANESTHESIA CVP DOUBLE LUMEN,209.0,125.4,26.54,173.47,26 CDM,22700579,HC NITROUS SUPPLIES,175.0,105.0,35.03,142.28,24 CDM,22700749,HC MRI EEG ELECTRODES,258.0,154.8,51.65,209.75,24 CDM,22700886,HC WOUND VAC DAILY CHARGE,192.0,115.2,38.44,156.1,24 CDM,22700965,HC CERIBELL HEADBAND,3162.0,1897.2,633.03,2570.71,24 CDM,22700970,HC AGILITI VITAL GO TLB THERAPY BED,302.0,181.2,60.46,245.53,24 CDM,22700971,HC AGILITI UMANO W ADAPT STANDARD BARIATRIC THERAPY BED,296.0,177.6,59.26,240.65,24 CDM,22700972,HC AGILITI UMANO BARIATRIC W PERCUSSION THERAPY BED,309.0,185.4,61.86,251.22,24 CDM,22700973,HC KREG EZ WIDER WITH LAL THERAPY BED,285.0,171.0,57.06,231.71,24 CDM,22700974,HC KREG EZ WIDER WITH LAL AND CLRT THERAPY BED,341.0,204.6,68.27,277.23,24 CDM,22700975,HC KREG CATALYST STANDARD THERAPY BED,432.0,259.2,86.49,351.22,24 CDM,22700976,HC KREG CATALYST BARIATRIC THERAPY BED,617.0,370.2,123.52,501.62,24 CDM,22710005,HC REPLACEMENT VENTRICLE DRAIN BAG,92.0,55.2,18.42,74.8,24 CDM,22710006,HC MAXITHERM LITE HEAD WRAP,73.0,43.8,14.61,59.35,24 CDM,22710014,HC RADIATION IMPLANT BRIEFS 3XL TO 5XL,230.0,138.0,46.05,186.99,24 CDM,22710016,HC UNA BOOT WITH CALAMINE,28.0,16.8,5.61,22.76,23 CDM,22710020,HC RADIATION IMPLANT BRIEFS SM TO 2XL,211.0,126.6,42.24,171.54,24 CDM,22710068,HC OXYHOOD SET UP,44.0,26.4,8.81,35.77,24 CDM,22720072,HC ARCTIC SUN GEL LARGE PAD,5233.0,3139.8,1047.65,4254.43,24 CDM,22720073,HC ARCTIC SUN GEL MEDIUM PAD,5233.0,3139.8,1047.65,4254.43,24 CDM,22720074,HC ARCTIC SUN GEL SMALL PAD,4982.0,2989.2,997.4,4050.37,24 CDM,22720075,HC ARCTIC SUN GEL UNIVERSAL SINGLE PAD,1786.0,1071.6,357.56,1452.02,24 CDM,22720146,HC WRIST COCK UP SPLINT,58.0,34.8,11.61,47.15,24 CDM,22720161,HC TRACH SHILEY PERCUT 6 OR 8 FR,3005.0,1803.0,601.6,2443.07,24 CDM,22720187,HC PICC CATHETER TRIPLE LUMEN BARD,145.0,87.0,18.41,120.35,26 CDM,22720193,HC IP IABP CATH,1526.0,915.6,305.51,1240.64,24 CDM,22720194,HC D STAT RADIAL HEMOSTAT BAND,313.0,187.8,62.66,254.47,24 CDM,22720195,HC CVP CATH MULTILUMEN,318.0,190.8,40.39,263.94,26 CDM,22720197,HC PACER CATHETER,81.0,48.6,16.22,65.85,24 CDM,22720198,HC 3F POLY SINGLE LUMEN PICC CATH,126.0,75.6,16.0,104.58,26 CDM,22720199,HC 4F POLY SINGLE LUMEN PICC CATH,151.0,90.6,19.18,125.33,26 CDM,22720200,HC 5F POLY SINGLE LUMEN PICC CATH,184.0,110.4,23.37,152.72,26 CDM,22720201,HC 4F POLY DUAL LUMEN PICC CATH,295.0,177.0,37.47,244.85,26 CDM,22720202,HC 5F POLY DUAL LUMEN PICC CATH,355.0,213.0,45.09,294.65,26 CDM,22720205,HC VAT QUICKCLOT,63.0,37.8,12.61,51.22,24 CDM,22720206,HC RICHLI PNEUMOTHORAX CATH,1093.0,655.8,218.82,888.61,24 CDM,22720208,HC VAT ARROW LONG WIRE,342.0,205.2,68.47,278.05,24 CDM,22720210,HC VENTRICLEAR EVD CATHETER,1236.0,741.6,247.45,1004.87,24 CDM,22720211,HC CVP DOUBLE LUMEN,1048.0,628.8,133.1,869.84,26 CDM,22720212,HC CVP CATH S LUMEN,103.0,61.8,13.08,85.49,26 CDM,22720213,HC NXSTAGE CARTRIDGE,909.0,545.4,181.98,739.02,24 CDM,22720214,HC HERMETIC LRG VENTRICULAR CATH SET,303.0,181.8,60.66,246.34,24 CDM,22720215,HC VAT 3FR SINGLE LUMEN BARD PICC,425.0,255.0,53.98,352.75,26 CDM,22720217,HC MAX 5FR TRIPLE FULL,500.0,300.0,100.1,406.5,24 CDM,22720219,HC CRRT SOLUTION BAG SPIKE SUPPLIES,938.0,562.8,187.79,762.59,24 CDM,22720220,HC EXTERNAL VENTRICLE DRAIN,266.0,159.6,53.25,216.26,24 CDM,22720221,HC PLEURX PLEURAL CATHETER,600.0,360.0,76.2,498.0,26 CDM,22720222,HC CATHETER D LUMEN 24CMSCHONXL,1073.0,643.8,136.27,890.59,26 CDM,22720223,HC 24CMSCHONXL CATHETER D LUMEN,948.0,568.8,120.4,786.84,26 CDM,22720224,HC VAT ARROW 4FR PICC CONVERSION KIT,204.0,122.4,40.84,165.85,24 CDM,22720227,HC VAT BARD DUAL LUMEN POWER 5FR PICC,1092.0,655.2,218.62,887.8,24 CDM,22720232,HC OPTI Q SO2 CCO PA HEP,746.0,447.6,94.74,619.18,26 CDM,22720233,HC OPTI Q SO2 CCO PA HEP J TIP,746.0,447.6,94.74,619.18,26 CDM,22720234,HC CHEST TUBE INSERTION,273.0,163.8,34.67,226.59,26 CDM,22720235,HC ACUTE HEMODIALYSIS CATH 15 CM,948.0,568.8,189.79,770.72,24 CDM,22720236,HC IP INTRAOSSEOUS SUPPLY,286.0,171.6,57.26,232.52,24 CDM,22720239,HC ELASTABAND 10CM,43.0,25.8,8.61,34.96,24 CDM,22720240,HC ELASTABAND 8CM,35.0,21.0,7.01,28.45,24 CDM,22720261,HC BRONCH ALVEOLAR LAVAGE KIT,140.0,84.0,28.03,113.82,24 CDM,22720292,HC FILSHIE CLIPS,474.0,284.4,94.89,385.36,24 CDM,22720296,HC FOREARM THUMB SPICA,126.0,75.6,25.23,102.44,24 CDM,22720301,HC INTRAOSSEOUS SUPPLY,286.0,171.6,57.26,232.52,24 CDM,22720311,HC REX PATELLAR TRACKING ORTHOSIS,134.0,80.4,26.83,108.94,24 CDM,22720323,HC ROSIDOL BANDAGE,11.0,6.6,2.2,8.94,24 CDM,22720418,HC BLOOD FILTER PALL LIPGURD REINFU,42.0,25.2,8.41,34.15,24 CDM,22720419,HC CONTINUOUS PLEXUS,71.0,42.6,14.21,57.72,24 CDM,22720420,HC COOK AIRWAY EXCHANGE CATHETER,221.0,132.6,44.24,179.67,24 CDM,22720421,HC DOUBLE LUMEN ENDOBRONCHIAL TUB,402.0,241.2,80.48,326.83,24 CDM,22720422,HC ENDOBRONCHIAL UNIBLOCKER,890.0,534.0,178.18,723.57,24 CDM,22720426,HC LIGHT WAND ILLUMINATING,74.0,44.4,14.81,60.16,24 CDM,22720427,HC MEDRAD IV TUBING STD CONT PUMP,54.0,32.4,10.81,43.9,24 CDM,22720428,HC MV SVO2 SWAN GANZ CATHETER,265.0,159.0,53.05,215.44,24 CDM,22720431,HC SET BLOOD Y TYPE HI FLO PUMP,40.0,24.0,8.01,32.52,24 CDM,22720432,HC TUBE UNIVENT,750.0,450.0,150.15,609.75,24 CDM,22720433,HC REX SCOPE AMBU FLEXIBLE DIFF INTUB,1175.0,705.0,235.24,955.27,24 CDM,22720435,HC RADIOFREQUENCY COOLED SU,4010.0,2406.0,802.8,3260.13,24 CDM,22720458,HC ULTRAFILTRATION CATHETER,774.0,464.4,98.3,642.42,26 CDM,22720459,HC Q GUIDE ELECTRODE INSERTION TOOL,5120.0,3072.0,1025.02,4162.56,24 CDM,22720465,HC CABLE OR EXTENSION,1224.0,734.4,245.04,995.11,24 CDM,22720466,HC RETR HEARTPT DISP SOFT TISSUE SM,1794.0,1076.4,359.16,1458.52,24 CDM,22720468,HC SUP ARROW TRIPLE LUMEN CVA CATH,503.0,301.8,63.88,417.49,26 CDM,22720469,HC SP T J LIVER BIOPSY SET,2269.0,1361.4,454.25,1844.7,24 CDM,22720470,HC SPECTRA TRIAL COMP,492.0,295.2,98.5,400.0,24 CDM,22720473,HC GENICULAR KIT ACTIVE TIP,4010.0,2406.0,802.8,3260.13,24 CDM,22720476,HC D STAT FLOWABLE HEMOSTAT,700.0,420.0,140.14,569.1,24 CDM,22720477,HC MAMMOTOME 11 GAUGE VACUUM CANN,780.0,468.0,156.16,634.14,24 CDM,22720481,HC SUPPLIES BREAST NEEDLE,90.0,54.0,18.02,73.17,24 CDM,22720482,HC CATHETER DIAG,452.0,271.2,90.49,367.48,24 CDM,22720483,HC DISPOSABLE ENDORECTAL COIL,1598.0,958.8,319.92,1299.17,24 CDM,22720486,HC PLEURX CATHETER UNC,1349.0,809.4,171.32,1119.67,26 CDM,22720495,HC LEAD RESTORE TRIAL COMPACT,5120.0,3072.0,650.24,4249.6,26 CDM,22721005,HC PROBE SINERGY 17G X 75MM X 4MM ACTIVE TIP,2569.0,1541.4,514.31,2088.6,24 CDM,22721008,HC VAT 5FR TL BARD PROVENA PICC,1484.0,890.4,188.47,1231.72,26 CDM,22721009,HC VAT 4FR DL BARD PROVENA PICC,1379.0,827.4,175.13,1144.57,26 CDM,22721010,HC VAT POWER PRO 20GA 8CM BARD,58.0,34.8,7.37,48.14,26 CDM,22721011,HC VAT POWER PRO 20GA 10CM BARD,58.0,34.8,7.37,48.14,26 CDM,22721012,HC VAT POWER PRO 18GA 8CM BARD,58.0,34.8,7.37,48.14,26 CDM,22721013,HC VAT POWER PRO 18GA 10CM BARD,58.0,34.8,7.37,48.14,26 CDM,22721030,HC WIRELESS EXTERNAL NEUROSTIMULATOR,500.0,300.0,100.1,406.5,24 CDM,22721043,HC CVW SINGLE PICC CATHETER,535.0,321.0,67.94,444.05,26 CDM,22721044,HC CVW IP DUAL PICC CATHETER,535.0,321.0,67.94,444.05,26 CDM,22721045,HC CVW IP TRIPLE PICC CATHETER,535.0,321.0,67.94,444.05,26 CDM,22721111,HC NEEDLE LOCALIZATION SUPPLY,0.01,0.01,0.002,0.00813,24 CDM,22721114,HC CT BOSTON CRYO PROBE NEEDLE EACH,6720.0,4032.0,1345.34,5463.36,24 CDM,22721118,HC JADA INTRAUTERINE VACUUM HEMORRHAGE,4000.0,2400.0,800.8,3252.0,24 CDM,22721119,HC ACUMEN CUFF AIQCS AIQCM AIQCL,2425.0,1455.0,485.49,1971.53,24 CDM,22721120,HC ACUMEN CUFF CSCS CSCM CSCL,1800.0,1080.0,360.36,1463.4,24 CDM,22721121,HC FLOTRAC SENSOR AIQS85,2425.0,1455.0,485.49,1971.53,24 CDM,22721122,HC FLOTRAC SENSOR MHD85,1800.0,1080.0,360.36,1463.4,24 CDM,22721156,HC BARD POWER TRIALYSIS DIALYSIS CATH 15CM,922.0,553.2,117.09,765.26,26 CDM,22721157,HC BARD POWER TRIALYSIS DIALYSIS CATH 20CM,922.0,553.2,117.09,765.26,26 CDM,22721158,HC BARD POWER TRIALYSIS DIALYSIS CATH 24CM,922.0,553.2,117.09,765.26,26 CDM,22721159,HC REX IP 10FR IRIS FEEDING TUBE SYSTEM,1180.0,708.0,236.24,959.34,24 CDM,22721160,HC REX IP 12FR IRIS FEEDING TUBE SYSTEM,1180.0,708.0,236.24,959.34,24 CDM,22721161,HC BELMONT DISPOSABLE 3 SPIKE RAPID INFUSER,1057.0,634.2,211.61,859.34,24 CDM,22723012,HC VAT 4FR SL BARD PROVENA PICC,1215.0,729.0,154.31,1008.45,26 CDM,22723014,HC VAT 5FR TRIPLE 3 CG POWER BARD CATHETER,1631.0,978.6,207.14,1353.73,26 CDM,22723019,HC EXTERNAL PULSE GENERATOR 2 PORT HEADER ABBOTT 3032ANS TRIAL KIT,2899.0,1739.4,580.38,2356.89,24 CDM,22740018,HC WRIST FX VELCRO SPLINT,350.0,210.0,44.45,290.5,26 CDM,22740156,HC HUMERAL FRACTURE ORTHOTIC,463.0,277.8,58.8,384.29,26 CDM,22740157,HC WALKING BOOT PREFABRICATED,140.0,84.0,17.78,116.2,26 CDM,22740158,HC KNEE IMMOBILIZER PREFABRICATED,95.0,57.0,12.06,78.85,26 CDM,22740159,HC KNEE IMMOBILIZER HINGED PREFABRICATED,166.0,99.6,21.08,137.78,26 CDM,22740160,HC WRIST FX SPLINT PREFABRICATED,350.0,210.0,44.45,290.5,26 CDM,22740161,HC WRIST SPLINT PREFABRICATED,91.0,54.6,11.56,75.53,26 CDM,22740162,HC ANKLE STIRRUP PREFABRICATED,101.0,60.6,12.83,83.83,26 CDM,22780088,HC LEAD NEUROSTIM TEST KIT,5270.0,3162.0,669.29,4374.1,26 CDM,22780089,HC SCHON XL DIALYSIS CATH 14FR 20CM,1024.0,614.4,130.05,849.92,26 CDM,22780093,HC BRACHYTX HDR IR-192 NON STRANDED,637.0,382.2,80.9,528.71,35 CDM,22780109,HC GRAFT SURGIMEND 20X30,39570.0,23742.0,7921.91,32170.41,24 CDM,22780114,HC MATRIX WOUND MESHED BILAYER,17004.0,10202.4,162.39,13824.25,24 CDM,22780119,HC BRACHYTX IODINE 125 NON STRANDED,297.0,178.2,33.78,246.51,35 CDM,22780120,HC BRACHYTX PALLADIUM 103 NON STRAN,308.0,184.8,33.78,255.64,35 CDM,22780122,HC GRAFT DURAL MAT DURAGEN SUT 1X3,1919.0,1151.4,384.18,1560.15,24 CDM,22780123,HC GRAFT DURAL MATRIX DURAGEN XS,7252.0,4351.2,1451.85,5895.88,24 CDM,22780124,HC GRAFT MATRISTEM MICRO PART 100MG,1734.0,1040.4,347.15,1409.74,24 CDM,22780125,HC GRAFT MATRISTEM MICRO PART 200MG,3295.0,1977.0,659.66,2678.84,24 CDM,22780126,HC GRAFT MATRISTEM TISS MATX 20X30C,40220.0,24132.0,8052.04,32698.86,24 CDM,22780127,HC GRAFT MATRISTEM TISSUE MATRIX 8C,12517.0,7510.2,2505.9,10176.32,24 CDM,22780128,HC GRAFT MATRISTEM3L TISSMATRIX10X1,11120.0,6672.0,2226.22,9040.56,24 CDM,22780129,HC GRAFT SURGICAL HERNIA REPAIR 12X15C,15665.0,9399.0,3136.13,12735.65,24 CDM,22780130,HC GRAFT SURGISIS HERNIA REP 20X30C,31578.0,18946.8,6321.92,25672.91,24 CDM,22780131,HC GRFT DURAL MATRX DURAGEN PLUS 1X,2639.0,1583.4,528.33,2145.51,24 CDM,22780132,HC GRFT MATRISTEM TISSUE MATRIX 6X1,11117.0,6670.2,2225.62,9038.12,24 CDM,22780133,HC GRFT MATRISTEM TISSUE MATRIX10X1,16042.0,9625.2,3211.61,13042.15,24 CDM,22780134,HC ELEV SYST W INTEXEN GFT POST REP,9476.0,5685.6,1203.45,7865.08,26 CDM,22780135,HC ENDURAGEN COLLAGEN 2CMX 5CMX1MM,2696.0,1617.6,342.39,2237.68,50 CDM,22780136,HC MATRISTEM TISSUE MATRIX 7CMX10,8366.0,5019.6,1674.87,6801.56,24 CDM,22780137,HC MEDTRONIC ADMIRAL DEB IDE G11020,1.01,0.61,0.2022,0.8181,21 CDM,22780141,HC GFT ARTHROFLEX HUMAN DERM 15X140,8920.0,5352.0,1785.78,7251.96,24 CDM,22780142,HC GFT ARTHROFLEX HUMAN DERM 40X70,11277.0,6766.2,2257.66,9168.2,24 CDM,22780143,HC AUGMENT PFC SIGMA POSTERIOR,4985.0,2991.0,633.1,4137.55,26 CDM,22780144,HC CORE AILERON MEDIUM,20100.0,12060.0,2552.7,16683.0,26 CDM,22780146,HC CONNECTOR SMALL TSRH 3DX,5074.0,3044.4,644.4,4211.42,26 CDM,22780147,HC INSERT TRIDENT 10 DEG ECCENTRIC,4240.0,2544.0,538.48,3519.2,26 CDM,22780148,HC SLEEVE ADAPTER MORSE C TAPER,3478.0,2086.8,441.71,2886.74,26 CDM,22780243,HC GRAFT GORE PROPATEN TW H470045A,6131.0,3678.6,778.64,5088.73,26 CDM,22780244,HC SERI SCAFFOLD 250SQCM 10X25,15495.0,9297.0,3102.1,12597.43,24 CDM,22780400,HC BRACHYTHERAPY SEED STRANDED IODINE 125 PER SOURCE,1255.0,753.0,35.64,1041.65,35 CDM,22780425,HC TISSUE MARKER,537.0,322.2,68.2,445.71,25 CDM,22780426,HC CATHETER DECOMPRESSION,6720.0,4032.0,853.44,5577.6,26 CDM,22780427,HC VECTRIS SUBCOMPACT TRIAL LEAD KT,5270.0,3162.0,669.29,4374.1,26 CDM,22780473,HC NEUROSTIM IMPL LEAD 8CH60CM T SJMG DPP HR NONM GEN3 PR,940.0,564.0,119.38,780.2,26 CDM,22780474,HC NEUROSTIM 3013 MULTI LEAD TRIALCABLE,220.0,132.0,27.94,182.6,26 CDM,22780475,HC NEUROSTIM C65EPG TRIAL NON CE BURST,555.0,333.0,70.48,460.65,26 CDM,22780477,HC INFINION 16 TRIAL LEAD SYSTEM 50 CM,5436.0,3261.6,690.37,4511.88,26 CDM,22780494,HC ENDURA SINGLE LEAD SYSTEM 92446001,19845.0,11907.0,2520.32,16471.35,26 CDM,22780495,HC EXTENSA DUAL LEAD SYSTEM 92446002,27390.0,16434.0,3478.53,22733.7,26 CDM,22780505,HC POWERGLIDE PRO MIDLINE CATHETER 18G 10 CM,281.0,168.6,35.69,233.23,26 CDM,22780506,HC POWERGLIDE PRO MIDLINE CATHETER 20G 10 CM,281.0,168.6,35.69,233.23,26 CDM,22780507,HC ACCUCATH INTRAVASCULAR CATHETER 10G BY 2.25 IN,263.0,157.8,33.4,218.29,26 CDM,22780508,HC VAT ACCUCATH INTRAVASCULAR CATHETER 20G BY 2.25 IN,263.0,157.8,33.4,218.29,26 CDM,22780511,HC VAT ACCUCATH INTRAVASCULAR CATHETER 18G BY 2.25 IN,263.0,157.8,33.4,218.29,26 CDM,22780527,HC SPACEOAR HYDROGEL,0.01,0.01,0.00127,0.0083,26 CDM,22780530,HC TRIAL LEAD NEVRO,3125.0,1875.0,396.88,2593.75,26 CDM,22780540,HC REX IP STORZ DISPOSABLE ENDOSCOPE,1172.0,703.2,234.63,952.84,24 CDM,22780541,HC REX IP AMBU REGULAR DISPOSABLE ENDOSCOPE,1507.0,904.2,301.7,1225.19,24 CDM,22780542,HC REX IP AMBU LARGE DISPOSABLE ENDOSCOPE,1415.0,849.0,283.28,1150.39,24 CDM,22780545,HC REX IP AMBU SLIM DISPOSABLE ENDOSCOPE,1370.0,822.0,274.27,1113.81,24 CDM,26240007,HC SCAFFOLD TRIAL IDE G110127,9964.0,5978.4,1994.79,8070.84,21 CDM,26240009,HC DURABILITY PAS IDE P110023,6335.0,3801.0,1268.27,5131.35,21 CDM,26240010,HC COAST IDE G090106,3795.0,2277.0,759.76,3073.95,21 CDM,32500002,HC NXSTAGE THERAPY SOLUTION,182.0,109.2,36.44,147.97,22 CDM,39400001,HC THERAPEUTIC PHLEBOTOMY,423.0,253.8,84.68,767.0,29 CDM,42600001,HC HYDRATION IV INITIAL 31MIN-1HR,549.0,329.4,95.58,759.0,32 CDM,42600002,HC HYDRATION IV EACH ADDTL HR,377.0,226.2,44.39,759.0,32 CDM,42600003,HC IV INFUSION INITIAL UP TO 1HR,585.0,351.0,101.85,759.0,32 CDM,42600004,HC IV INFUSION EACH ADDTL HR,377.0,226.2,44.39,759.0,32 CDM,42600005,HC IV INFUSION SEQUENTIAL UP TO 1 HR,377.0,226.2,65.64,759.0,32 CDM,42600006,HC IV INFUSION CONCURRENT,92.0,55.2,16.02,759.0,23 CDM,42600007,HC INJECTION ADMIN INTRA ARTERIAL,288.0,172.8,50.14,759.0,32 CDM,42600008,HC IV PUSH SINGLE INITIAL,437.0,262.2,76.08,759.0,32 CDM,42600009,HC IV PUSH SEQ EA ADD NEW DRUG,262.0,157.2,44.39,759.0,32 CDM,42600010,HC IV PUSH SAME DRUG EA ADD,234.0,140.4,40.74,759.0,23 CDM,42600011,HC PROLONGED IV INFUS REQUIRING PUM,652.0,391.2,113.51,759.0,32 CDM,42720001,HC GAS NITRIC OXIDE HOURLY,463.0,277.8,92.69,376.42,24 CDM,42740001,HC ANTERIOR AFO,110.0,66.0,13.97,91.3,26 CDM,43000003,HC COLLECTION BLOOD VENIPUNCTURE,33.0,19.8,3.9,26.73,32 CDM,43300001,HC REFL MAINT IMPL PUMP INTRATHCL INCL ANALYSIS,1899.0,1139.4,319.11,3466.0,32 CDM,43300002,HC CHEMO INJ SQ IM NON HORMONAL,117.0,70.2,23.42,3466.0,31 CDM,43300003,HC CHEMO INJ SQ IM HORMONAL,117.0,70.2,23.42,3466.0,31 CDM,43300004,HC INTRALESIONAL CHEMO 1-7 LESIONS,240.0,144.0,48.05,3466.0,31 CDM,43300005,HC INTRALESIONAL CHEMO 8+ LESIONS,360.0,216.0,72.07,3466.0,31 CDM,43300006,HC CHEMO IV PUSH SINGLE INITIAL,463.0,277.8,92.69,3466.0,31 CDM,43300007,HC CHEMO IV PUSH EACH ADDITIONAL SUBSTANCE DRUG,420.0,252.0,68.47,3466.0,31 CDM,43300008,HC CHEMO PLEURAL W THORACENTESIS,1947.0,1168.2,319.11,3466.0,31 CDM,43300009,HC CHEMOTHERAPY PERITONEAL CAVITY PORT OR CATH,1990.0,1194.0,319.11,3466.0,31 CDM,43300010,HC SIMULATION SIMPLE,1169.5,701.7,127.74,1139.67,64 CDM,43300011,HC SIMULATION INTERMEDIATE,1592.0,955.2,292.29,1396.44,64 CDM,43300012,HC SIMULATION COMPLEX,2808.5,1685.1,352.19,2850.39,64 CDM,43300013,HC 3-D SIMULATION AIDED FIELD SETTING,6486.5,3891.8999999999996,688.0,5452.11,64 CDM,43300014,HC DOSIMETRY BASIC,743.0,445.8,127.13,1067.0,64 CDM,43300015,HC IMRT TX PLANNING,6743.5,4046.1,688.0,5779.35,64 CDM,43300016,HC IMRT TX PLANNING II,7135.0,4281.0,688.0,5779.35,32 CDM,43300024,HC SPECIAL TELETHERAPY PORT PLAN,2233.5,1340.1,339.94,2242.89,64 CDM,43300028,HC SPECIAL DOSIMETRY,915.0,549.0,127.74,1067.0,64 CDM,43300029,HC TREATMENT DEVICES SIMPLE,718.5,431.09999999999997,93.89,1067.0,64 CDM,43300030,HC TREATMENT DEVICES INTERMEDIATE,1116.0,669.6,127.74,1251.45,64 CDM,43300031,HC TREATMENT DEVICES COMPLEX,1466.5,879.9000000000001,214.41,1508.22,64 CDM,43300032,HC CONTINUING PHYSICS CONSULT,827.0,496.2,90.09,1067.0,64 CDM,43300033,HC MLC DESIGN PER IMRT PLAN,7473.0,4483.799999999999,352.19,6068.52,64 CDM,43300034,HC SPECIAL MEDICAL PHYSIC CONSULT,2072.0,1243.1999999999998,127.74,1942.38,64 CDM,43300035,HC SBRT 1-5 FX,5761.5,3456.9,620.62,6822.63,64 CDM,43300047,HC PORT FILMS,496.0,297.6,85.08,1067.0,46 CDM,43300052,HC SBRT MANAGEMENT,2178.0,1306.8,436.04,1764.18,23 CDM,43300053,HC SPECIAL TX PROCEDURE,3363.5,2018.1,418.82,3754.35,64 CDM,43300055,HC INTRACAVITARY RADIOELEMT SIMPLE 1-4,2458.0,1474.8,492.09,1990.98,32 CDM,43300060,HC INTERSTITIAL COMPLEX INCL SUPERV HANDLE LOAD,2999.0,1799.4,600.4,2429.19,32 CDM,43300064,HC SURFACE APPL RADIOELEMENT LDR,316.0,189.6,63.26,1067.0,32 CDM,43300065,HC SUPERVISION HANDLING LOADING,321.0,192.6,64.26,1067.0,23 CDM,43300072,HC CHEMO IV INITIAL UP TO 1HR,1076.0,645.6,215.42,3466.0,31 CDM,43300073,HC CHEMO IV EACH ADDITIONAL HOUR,496.0,297.6,68.47,3466.0,31 CDM,43300074,HC CHEMO INFUSION PROLONGED 8+ HRS,603.0,361.8,120.72,3466.0,31 CDM,43300075,HC CHEMO IV SEQ DIFF DRUG TO 1HR,496.0,297.6,68.47,3466.0,31 CDM,43300077,HC CHEMO IA INFUSION 1ST HOUR,1537.0,922.2,307.71,3466.0,31 CDM,43300078,HC CHEMO IA INFUSION EACH ADD HR,615.0,369.0,44.39,3466.0,31 CDM,43300079,HC CHEMO IA INFUS PROLONGED 8+ HRS,734.0,440.4,146.95,3466.0,31 CDM,43300085,HC REFILLING AND MAINTENANCE OF PORTABLE PUMP,457.0,274.2,91.49,767.0,28 CDM,43300086,HC REFILLING AND MAINTENANCE OF IMPLANTABLE PUMP OR RESERVOIR,331.0,198.6,66.27,767.0,28 CDM,43300087,HC CHEMO ADMIN INTR ARTERIAL PUSH,523.0,313.8,104.7,3466.0,31 CDM,43300090,HC IMRT COMPLEX ISO TX PLANNING,7135.0,4281.0,688.0,5779.35,32 CDM,43300092,HC RESPIRATORY MOTION MGMT SIMUL,1032.0,619.2,206.61,1067.0,23 CDM,43300093,HC RT TRMT SIMPLE,889.0,533.4,105.35,1067.0,32 CDM,43300094,HC RT TRMT INTERMEDIATE,1163.0,697.8,232.83,1067.0,32 CDM,43300095,HC RT TRMT COMPLEX,1228.5,737.1,210.41,1138.86,64 CDM,43300096,HC RT TRMT COMPLEX 2ND VISIT,1406.0,843.6,281.48,1138.86,23 CDM,43300097,HC IMRT SIMPLE,2806.5,1683.9,373.37,3035.88,64 CDM,43300098,HC IMRT SIMPLE 2ND VISIT,3748.0,2248.8,688.0,3035.88,23 CDM,43300099,HC IMRT COMPLEX,3945.0,2367.0,556.54,3195.45,32 CDM,43300100,HC IMRT COMPLEX 2ND VISIT,3945.0,2367.0,688.0,3195.45,23 CDM,43300101,HC ISODOSE PLANNING SIMPLE,2147.5,1288.5,352.19,1831.41,64 CDM,43300102,HC ISODOSE PLANNING COMPLEX,2506.0,1503.6,352.19,2129.49,64 CDM,43300104,HC BRACHYTHERAPY ISODOSE SIMPLE,1833.0,1099.8,352.19,1484.73,32 CDM,43300106,HC BRACHYTHERAPY ISODOSE COMPLEX,2622.0,1573.2,352.19,2123.82,32 CDM,43300107,HC STEREOSCOPIC XRAY GUIDANCE,378.0,226.8,68.67,1067.0,46 CDM,43300108,HC DAILY INTRAFRACTION LOC AND TRACKG,413.0,247.8,82.68,1067.0,23 CDM,43300109,HC CHEMO INJ SUBARACH/INTRAVENT VIA SUBQ RESV SGL MULTI,292.0,175.2,58.46,3466.0,31 CDM,43300110,HC CRANIAL 1 LESION LINAC,15070.5,9042.3,568.97,26864.0,64 CDM,43300111,HC BRACHYTHERAPY RDNCL NTRSTL/INTRCAV  1 CHANNEL,3753.0,2251.8,667.51,3039.93,32 CDM,43300112,HC BRACHYTHERAPY RDNCL NTRSTL INTRCAV  2-12 CHANNELS,4316.0,2589.6,667.51,3495.96,32 CDM,43300113,HC BRACHYTHERAPY RDNCL NTRSTL/INTRCAV  OVER 12 CHANNELS,4316.0,2589.6,667.51,3495.96,32 CDM,43300114,HC DAILY TX MGMT INTERMED 6-10 MV/MEV,648.0,388.8,129.73,1067.0,23 CDM,43300115,HC DAILY TX MGMT INTERMED 11-19 MEV,708.0,424.8,141.74,1067.0,23 CDM,43300116,HC DAILY TX MGMT COMPLEX LESS THAN OR EQUAL TO MV/MEV,1225.0,735.0,245.25,1067.0,23 CDM,43300117,HC DAILY TX MGMT COMPLEX <=5 MV/MEV,860.0,516.0,172.17,1067.0,23 CDM,43300118,HC DAILY TX MGMT COMPLEX 11-19 MV/MEV,914.0,548.4,182.98,1067.0,23 CDM,43300119,HC DAILY TX MGMT COMPLEX GREATER THAN OR EQUAL TO 20 MV/MEV,938.0,562.8,187.79,1067.0,23 CDM,43300121,HC RT TRMT-INTER,641.0,384.6,128.33,1067.0,23 CDM,43300122,HC IMRT SIMPLE,1865.0,1119.0,373.37,1510.65,23 CDM,43300123,HC IMRT SIMPLE 2ND VISIT,1865.0,1119.0,373.37,1510.65,23 CDM,43300124,HC IMRT COMPLEX,1865.0,1119.0,373.37,1510.65,23 CDM,43300125,HC IMRT COMPLEX 2ND VISIT,1865.0,1119.0,373.37,1510.65,23 CDM,43300126,HC STEREOSCOPIC XRAY GUIDANCE,343.0,205.8,68.67,1067.0,23 CDM,43300128,HC INTRAFRACTION TRACK MOTION,506.5,303.9,72.67,1067.0,46 CDM,43300129,HC IMRT COMPLEX,1865.0,1119.0,373.37,1510.65,23 CDM,43300130,HC IMRT COMPLEX 2ND VISIT,1865.0,1119.0,373.37,1510.65,23 CDM,43300132,HC CHEMO INFUSION PROLONGED 8+ HRS INCLUDING EQUIPMENT,455.0,273.0,91.09,3466.0,32 CDM,43300133,HC DAILY TX MGMT COMPLEX 2ND VISIT,860.0,516.0,172.17,1067.0,23 CDM,43300134,HC DAILY MGMT COMPLEX 2ND VISIT,914.0,548.4,182.98,1067.0,23 CDM,43300135,HC JV THERAPEUTIC RAD TREATMENT PLANNING COMPLEX GL,499.0,299.4,99.9,1067.0,23 CDM,43300136,HC JV SIMULATION SIMPLE GL,1044.0,626.4,127.74,1067.0,32 CDM,43300137,HC JV SIMULATION INTERMEDIATE GL,1629.0,977.4,326.13,1319.49,32 CDM,43300138,HC JV SIMULATION COMPLEX GL,2343.0,1405.8,352.19,1897.83,32 CDM,43300139,HC JV 3-D SIMULATION AIDED FIELD SETTING GL,6914.0,4148.4,688.0,5600.34,32 CDM,43300140,HC JV DOSIMETRY BASIC GL,733.0,439.8,127.74,1067.0,32 CDM,43300141,HC JV IMRT TX PLANNING GL,6067.0,3640.2,688.0,4914.27,32 CDM,43300142,HC JV ISODOSE PLANNING SIMPLE GL,2254.0,1352.4,352.19,1825.74,32 CDM,43300143,HC JV ISODOSE PLANNING COMPLEX GL,2837.0,1702.2,352.19,2297.97,32 CDM,43300144,HC JV SPECIAL TELETHERAPY PORT PLAN GL,1848.0,1108.8,352.19,1496.88,32 CDM,43300145,HC JV SPECIAL DOSIMETRY GL,871.0,522.6,127.74,1067.0,32 CDM,43300146,HC JV TREATMENT DEVICES SIMPLE GL,549.0,329.4,109.91,1067.0,32 CDM,43300147,HC JV TREATMENT DEVICES INTERMEDIATE GL,805.0,483.0,127.74,1067.0,32 CDM,43300148,HC JV TREATMENT DEVICES COMPLEX GL,1252.0,751.2,250.65,1067.0,32 CDM,43300149,HC JV MLC FOR IMRT GL,8164.0,4898.4,352.19,6612.84,32 CDM,43300150,HC JV SPECIAL TX PROCEDURE GL,2410.0,1446.0,482.48,1952.1,32 CDM,43300151,HC JV STEREOSCOPIC XRAY GUIDANCE GL,405.0,243.0,81.08,1067.0,23 CDM,43300152,HC JV RADIATION TX MANAGEMENT X5 GL,560.0,336.0,112.11,1067.0,23 CDM,43300153,HC JV RESPIRATORY MOTION MANAGEMENT GL,1662.0,997.2,332.73,1346.22,23 CDM,43300154,HC JV SBRT PHYSICIAN MGT GL,1923.0,1153.8,384.98,1557.63,23 CDM,43300155,HC JV SRS PHYSICIAN MGT GL,1274.0,764.4,255.05,1067.0,23 CDM,43300156,HC JV RADIATION THERAPY MGT W COMPLETE COURSE 1 OR 2 FX,316.0,189.6,63.26,1067.0,23 CDM,43300157,HC JV INTRAFRACTION TRACK MOTION,650.0,390.0,130.13,1067.0,23 CDM,43300158,HC SRS MANAGEMENT,2178.0,1306.8,436.04,1764.18,23 CDM,43600017,HC BRONCHOSCOPY CT GUIDED,3954.0,2372.4,791.59,7039.0,21 CDM,43610001,HC THERAPEUTIC APHERESIS PLASMA EXCHANGE,3123.0,1873.8,625.22,7039.0,33 CDM,43610003,HC FETAL NON STRESS TEST,351.0,210.6,61.11,767.0,32 CDM,43610009,HC EXTERNAL CEPHALIC VERSION WITH OR WITHOUT TOCOLYSIS,1054.0,632.4,211.01,7039.0,32 CDM,43610012,HC NASOTRACHEAL ASPIRATION,34.0,20.4,6.41,4311.0,33 CDM,43610015,HC RT TRACH TUBE EXCHANGE,465.0,279.0,93.09,7039.0,33 CDM,43610016,HC TRACHEOBRONCH THRU EST TRACH,4530.0,2718.0,906.91,7039.0,21 CDM,43610018,HC BRONCHOSCOPY DIAGNOSTIC,4461.0,2676.6,893.09,7039.0,21 CDM,43610019,HC BRONCH W BRUSHINGS,3531.0,2118.6,706.91,7039.0,21 CDM,43610021,HC BRONCH W LAVAGE,5835.0,3501.0,1168.17,7039.0,21 CDM,43610023,HC BRONCH WITH BRONCH OR ENDOBRONCH BIOPSY,4143.0,2485.8,829.43,7039.0,42 CDM,43610025,HC BRONCH W TB BX SNGLE LOBE,4821.0,2892.6,965.16,7039.0,21 CDM,43610026,HC BRONCH W TB NDL ASP BX,4821.0,2892.6,965.16,7039.0,21 CDM,43610027,HC BRONCH W TRACH BRONCH DILATION,5866.0,3519.6,1174.37,7039.0,21 CDM,43610028,HC BRONCH W TB BX EA ADDL LOBE,3954.0,2372.4,791.59,7039.0,21 CDM,43610029,HC BRONCH W TB NDL ASP BX EAADD,3954.0,2372.4,791.59,7039.0,21 CDM,43610030,HC BRONCH W REMOVAL FOREIGN BODY,3531.0,2118.6,706.91,7039.0,21 CDM,43610031,HC BRONCH W THERAPEUTIC ASP INIT,3954.0,2372.4,791.59,7039.0,21 CDM,43610032,HC BRONCH W THERAPEUTIC ASP SUBS,1745.0,1047.0,349.35,7039.0,21 CDM,43610035,HC DIRECT LARYNGOSCOPY,1120.0,672.0,186.78,4376.0,66 CDM,43610036,HC BRONCH INTRACAV APPL,4110.0,2466.0,822.82,7039.0,21 CDM,43610038,HC INSERT TANDEMS VAG OVOIDS HDR,322.0,193.2,64.46,7039.0,33 CDM,43610039,HC INSERT VAG RAD AFTERLOAD APP BRACHYTHERAPY,757.0,454.2,151.55,7039.0,33 CDM,43610043,HC REM TUNNELED PLEURAL CATH,1691.0,1014.6,338.54,7039.0,21 CDM,43610048,HC ARTERIAL CATHETER PLACEMENT BY RESPIRATORY THERAPY,162.0,97.2,32.43,7039.0,24 CDM,43610049,HC BRONCHOSCOPY W EBUS SAMPLE 1-2 NODES,6499.0,3899.4,1301.1,17457.0,33 CDM,43610050,HC BRONCHOSCOPY W EBUS SAMPLE 3 OR MORE NODES,6499.0,3899.4,1301.1,7039.0,21 CDM,43700001,HC REGIONAL ANES LESS THAN 4 HRS,1184.0,710.4,237.04,962.59,24 CDM,43700002,HC REGIONAL ANES 4-8 HOURS,2432.0,1459.2,486.89,1977.22,24 CDM,43700003,HC REGIONAL ANES 8-12 HOURS,3684.0,2210.4,737.54,2995.09,24 CDM,43700004,HC REGIONAL ANES GREATER THAN 12 HR,4297.0,2578.2,860.26,3493.46,24 CDM,43910002,HC DIALYSIS TRANSFUSION BLD BLD COMPONENTS,1170.0,702.0,203.7,4311.0,32 CDM,44020002,HC US GUIDANCE INTRST RADIOELEMENT APPLICATION,299.0,179.4,59.86,467.0,23 CDM,44100001,HC INTUBATION,595.0,357.0,103.59,4311.0,32 CDM,44100002,HC NEBULIZER TREATMENT,63.0,37.8,10.97,440.0,32 CDM,44100003,HC MDI METRD DOSE INHAL,113.0,67.8,19.67,440.0,32 CDM,44100005,HC CHEST PHYSICAL THERAPY INITIAL,28.0,16.8,4.87,440.0,32 CDM,44100006,HC TREATMENT W ACT THERAPY INITIAL,28.0,16.8,4.87,440.0,32 CDM,44100007,HC CHEST VEST THERAPY INITIAL,302.0,181.2,52.58,440.0,32 CDM,44100008,HC CHEST PHYSICAL THERAPY SUBSEQUENT,37.0,22.2,6.44,440.0,32 CDM,44100009,HC TREATMENT W ACT THERAPY SUBSEQUENT,37.0,22.2,6.44,440.0,32 CDM,44100010,HC CHEST VEST THERAPY SUBSEQUENT,23.0,13.8,4.0,440.0,32 CDM,44100011,HC THERAPY STRENGTH ENDURANCE IND 1,58.0,34.8,10.1,440.0,32 CDM,44100012,HC RT THERAPY OTHER IND 15 MIN,56.0,33.6,9.75,440.0,32 CDM,44100013,HC THERAPY STRENGTH ENDUR GROUP,109.0,65.4,18.98,440.0,32 CDM,44100014,HC CONTINUOUS MEDICATION NEBULIZER TREATMENT,200.0,120.0,34.82,440.0,32 CDM,44100015,HC CONTINUOUS MEDICATION NEBULIZER PER HR,161.0,96.6,28.03,440.0,23 CDM,44100016,HC INCENTIVE SPIROMETRY SUPPLY,121.0,72.6,24.22,98.37,24 CDM,44100017,HC SPUTUM COLLECTION,113.0,67.8,19.67,440.0,32 CDM,44120015,HC SURFACTANT ADMINISTRATION THROUGH ENDOTRACHEAL TUBE,133.0,79.8,23.16,440.0,32 CDM,44120017,HC AEROSOL TREATMENT,113.0,67.8,19.67,440.0,32 CDM,44120020,HC IPV TREATMENT INITIAL,438.0,262.8,76.26,440.0,32 CDM,44120021,HC IPV TREATMENT SUBSEQUENT,50.0,30.0,8.71,440.0,32 CDM,44120022,HC AEROSOL INHAL OF PENTAMINDINE,413.0,247.8,71.9,440.0,32 CDM,44120024,HC BIPAP CPAP,288.0,172.8,50.14,440.0,32 CDM,44120026,HC PATIENT DEMO EVALUATION OF NEBULIZER INHALER IPPB DEVICE,54.0,32.4,9.4,440.0,32 CDM,44120031,HC BIPAP CPAP WITH PATIENTS OWN EQUIPMENT,37.0,22.2,6.44,440.0,32 CDM,44120032,HC RT INTERROGATION ONLY PACEMAKER,191.0,114.6,33.25,440.0,32 CDM,44120033,HC RT INTERROGATION ONLY ICD,269.0,161.4,35.88,440.0,32 CDM,44200001,HC PT BIOFEEDBACK TRAIN ANY MODALITY,67.0,40.2,10.44,276.0,23 CDM,44200003,HC PT CANALITH REPOSITIONING PER DAY,75.0,45.0,11.69,276.0,23 CDM,44200004,HC PT HOT OR COLD PACK APPLICATION,12.0,7.2,1.87,276.0,22 CDM,44200005,HC PT TRACTION MECHANICAL,121.0,72.6,18.85,276.0,22 CDM,44200006,HC PT VASOPNEUMATIC DEVICE TX,49.0,29.4,7.63,276.0,22 CDM,44200007,HC PT ANODYNE INFRARED TREATMENT,16.0,9.6,2.49,276.0,22 CDM,44200008,HC PT E STIM ATTENDED 15MIN,153.0,91.8,23.84,276.0,22 CDM,44200009,HC PT THERAPEUTIC EXERCISE 15MIN,163.0,97.8,25.4,276.0,22 CDM,44200010,HC PT NEUROMUSC RE EDUCATION 15MIN,128.0,76.8,19.94,276.0,22 CDM,44200011,HC PT GAIT TRAINING 15MIN,110.0,66.0,17.14,276.0,22 CDM,44200012,HC PT MASSAGE 15MIN,59.0,35.4,9.19,276.0,22 CDM,44200013,HC PT MANUAL THERAPY TECHNIQUE 15MIN,164.0,98.4,25.55,276.0,22 CDM,44200014,HC PT THERAPEUTIC ACTIVITIES 15MIN,160.0,96.0,24.93,276.0,22 CDM,44200015,HC PT WHEELCHAIR MGMNT 15MIN,144.0,86.4,22.44,276.0,22 CDM,44200018,HC PT PHY PERF TEST MEAS 15MIN,165.0,99.0,25.71,276.0,23 CDM,44200040,HC PT E STIM UNATTENDED,139.0,83.4,21.66,276.0,23 CDM,44200044,HC PT WHIRLPOOL,202.0,121.2,31.47,276.0,22 CDM,44200045,HC PT IONTOPHORESIS 15MIN,117.0,70.2,18.23,276.0,22 CDM,44200046,HC PT ULTRASOUND 15MIN,129.0,77.4,20.1,276.0,22 CDM,44200047,HC PT AQUATIC TX W THERAPEUTIC EX 15 MIN,151.0,90.6,23.53,276.0,22 CDM,44200048,HC PT WOUND CARE,47.0,28.2,7.32,276.0,22 CDM,44200049,HC PT GROUP THERAPY PROCEDURE,118.0,70.8,18.38,276.0,22 CDM,44200050,HC PT SENSORY INTEGRATION 15MIN,85.0,51.0,13.24,276.0,22 CDM,44200051,HC PT SELFCARE HOME MGMT TRAINING 15 MIN,129.0,77.4,20.1,276.0,22 CDM,44200052,HC PT COMMUNITY WORK REINTEGRATION TRAINING 15MIN,99.0,59.4,15.42,276.0,22 CDM,44200064,HC PT DEBRID OPEN WOUND 1ST 20 SQ CM OR LESS,180.0,108.0,28.04,4311.0,23 CDM,44200065,HC PT DEBRID OPEN WOUND EA ADDL 20 SQ CM,180.0,108.0,28.04,4311.0,23 CDM,44200067,HC PT COGNITIVE PERFORMANCE TESTING,91.0,54.6,14.18,276.0,22 CDM,44200068,HC PT PARAFFIN BATH,91.0,54.6,14.18,276.0,22 CDM,44200071,HC PT WORKSITE EVALUATION,238.0,142.8,37.08,276.0,23 CDM,44200130,HC PT PROSTHETIC TRAINING UE LE TRUNK INITIAL ENCOUNTER EACH 15MINS,89.0,53.4,13.87,276.0,22 CDM,44200131,HC PT ORTH PROSTH MNGMT TRAIN UE LE TRUNK SUBSQ ENCOUNTER EACH 15MINS,127.0,76.2,19.79,276.0,22 CDM,44200181,HC PT CAREGIVER TRAINING 1ST 30 MINS,130.0,78.0,20.25,276.0,23 CDM,44200182,HC PT CAREGIVER TRAINING EACH ADDL 15 MINS,70.0,42.0,10.91,276.0,23 CDM,44200183,HC PT CAREGIVER GROUP TRAINING,30.0,18.0,4.67,276.0,23 CDM,44240005,HC PT EVALUATION 20 MINS W PATIENT AND OR FAMILY,306.0,183.6,47.67,276.0,22 CDM,44240006,HC PT EVALUATION 30 MINS W PATIENT AND OR FAMILY,423.0,253.8,65.9,342.63,22 CDM,44240007,HC PT EVALUATION 45 MINS W PATIENT AND OR FAMILY,434.0,260.4,67.62,351.54,22 CDM,44240014,HC PT RE EVALUATION 20 MINS W PATIENT AND OR FAMILY,288.0,172.8,44.87,276.0,22 CDM,44300002,HC OT PARAFFIN BATH,91.0,54.6,14.18,276.0,22 CDM,44300004,HC OT IONTOPHORESIS 15MIN,117.0,70.2,18.23,276.0,22 CDM,44300005,HC OT ULTRASOUND 15MIN,129.0,77.4,20.1,276.0,22 CDM,44300009,HC OT GROUP THERAPY PROCEDURE,118.0,70.8,18.38,276.0,22 CDM,44300010,HC OT COGNITIVE SKILL DEVELOPMENT 15MIN,70.0,42.0,10.91,276.0,22 CDM,44300012,HC OT SELFCARE HOME MGMT TRAINING 15 MIN,129.0,77.4,20.1,276.0,22 CDM,44300013,HC OT COMMUNITY WORK REINTEGRATION TRAINING 15MIN,99.0,59.4,15.42,276.0,22 CDM,44300040,HC OT HOT OR COLD PACK APPLICATION,12.0,7.2,1.87,276.0,22 CDM,44300041,HC OT THERAPEUTIC EXERCISE 15MIN,163.0,97.8,25.4,276.0,22 CDM,44300042,HC OT NEUROMUSC RE EDUCATION 15MIN,128.0,76.8,19.94,276.0,22 CDM,44300043,HC OT MASSAGE 15MIN,62.0,37.2,9.66,276.0,22 CDM,44300044,HC OT MANUAL THERAPY TECHNIQ 15MIN,164.0,98.4,25.55,276.0,22 CDM,44300045,HC OT THERAPEUTIC ACTIVITIES 15MIN,160.0,96.0,24.93,276.0,22 CDM,44300046,HC OT WHEELCHAIR MGMNT 15MIN,144.0,86.4,22.44,276.0,22 CDM,44300048,HC OT PHY PERF TEST MEAS 15MIN,165.0,99.0,25.71,276.0,23 CDM,44300074,HC OT VASOPNEUMATIC DEVICE TX,49.0,29.4,7.63,276.0,22 CDM,44300076,HC OT WORKSITE EVALUATION,224.0,134.4,34.9,276.0,22 CDM,44300090,HC OT ORTHOTIC MNGMT TRAIN UE LE TRUNK INITIAL ENCOUNTER EACH 15MINS,152.0,91.2,23.68,276.0,22 CDM,44300091,HC OT ORTH PROSTH MNGMT TRAIN UE LE TRUNK SUBQ ENCOUNTER EACH 15MINS,127.0,76.2,19.79,276.0,22 CDM,44300102,HC OT COGNITIVE SKILL DEVELOPMENT EACH ADDITIONAL 15 MIN,75.0,45.0,11.69,276.0,22 CDM,44340006,HC OT EVALUATION 30 MINS W PATIENT AND OR FAMILY,318.0,190.8,49.54,276.0,22 CDM,44340007,HC OT EVALUATION 45 MINS W PATIENT AND OR FAMILY,403.0,241.8,62.79,326.43,22 CDM,44340008,HC OT EVALUATION 60 MINS W PATIENT AND OR FAMILY,415.0,249.0,64.66,336.15,22 CDM,44340009,HC OT RE EVALUATION 30 MINS W PATIENT AND OR FAMILY,202.0,121.2,31.47,276.0,22 CDM,44400001,HC SP TREATMENT S L V,356.0,213.6,55.46,288.36,22 CDM,44400004,HC SP SWALLOWING THERAPY,336.0,201.6,52.35,276.0,23 CDM,44400005,HC SP THERAPY SPEECH GENERATING DEV,187.0,112.2,29.13,276.0,23 CDM,44400006,HC SP APHASIA ASSESSMENT,269.0,161.4,41.91,276.0,23 CDM,44400028,HC SP BIOFEEDBACK TRAIN ANY MODALITY,200.0,120.0,31.16,276.0,23 CDM,44400029,HC SP COGNITIVE PERFORMANCE TESTING,315.0,189.0,49.08,276.0,23 CDM,44400031,HC SP NEUROMUSC RE EDUCATION 15MIN,128.0,76.8,19.94,276.0,22 CDM,44400035,HC SP COGNITIVE SKILL DEVELOPMENT 15 MIN,70.0,42.0,10.91,276.0,22 CDM,44400036,HC SP SENSORY INTEGRATION 15 MIN,85.0,51.0,13.24,276.0,22 CDM,44400037,HC SP COMMUNITY/WORK REINTEGRATION TRAINING 15MIN,99.0,59.4,15.42,276.0,22 CDM,44400048,HC EVAL SPEECH FLUENCY,229.0,137.4,35.68,276.0,22 CDM,44400049,HC SPEECH SOUND PRODUCTION,136.0,81.6,21.19,276.0,22 CDM,44400050,HC EVAL SPEECH SOUND LANG COMP/EXP,655.0,393.0,102.05,530.55,22 CDM,44400051,HC BEHAVRL QUAL ANALYS VOICE,259.0,155.4,40.35,276.0,22 CDM,44400062,HC SP COGNITIVE SKILL DEVELOPMENT EACH ADDL 15 MIN,68.0,40.8,10.59,276.0,22 CDM,44400087,HC SP CAREGIVER TRAINING 1ST 30 MINS,130.0,78.0,20.25,276.0,23 CDM,44400088,HC SP CAREGIVER TRAINING EACH ADDL 15 MINS,70.0,42.0,10.91,276.0,23 CDM,44400089,HC SP CAREGIVER GROUP TRAINING,30.0,18.0,4.67,276.0,23 CDM,44440002,HC SP EVAL FOR USE FIT VOICE PROSTH,214.0,128.4,33.34,276.0,23 CDM,44440003,HC SP EVAL FOR PRESCRIP SP GEN DEV,229.0,137.4,35.68,276.0,23 CDM,44440004,HC SP EVAL FOR PRESCRIP ADD 30 MIN,107.0,64.2,16.67,276.0,23 CDM,44440005,HC SP SWALLOWING EVALUATION,353.0,211.8,55.0,285.93,23 CDM,44440006,HC SP MOTION FLUORO EVAL SWALLOW FUNC,549.0,329.4,85.53,444.69,23 CDM,44440007,HC SP FLEX ENDO EVAL SWALLOW,591.0,354.6,92.08,478.71,23 CDM,44600001,HC SPIROMETRY,864.0,518.4,150.42,699.84,32 CDM,44600002,HC SPIROMETRY INFANT,549.0,329.4,95.58,444.69,32 CDM,44600003,HC SPIROMETRY PRE POST INFANT,885.0,531.0,154.08,716.85,32 CDM,44600004,HC THORACIC GAS VOL INFANT,504.0,302.4,87.75,557.85,32 CDM,44600005,HC SPIROMETRY PRE POST,745.0,447.0,129.7,603.45,32 CDM,44600006,HC BRONCHOSPASM PROVOCATN EVAL,3756.0,2253.6,243.0,3042.36,32 CDM,44600007,HC VITAL CAPACITY TOTAL,43.0,25.8,7.49,374.0,32 CDM,44600008,HC MAXIMUM VOLUNTARY VENTILATION,148.0,88.8,25.77,374.0,32 CDM,44600009,HC RESPIRATORY FLOW VOL LOOP,525.0,315.0,91.4,425.25,32 CDM,44600010,HC HIGH ALTITUDE SIMULATION TEST,523.0,313.8,91.05,423.63,32 CDM,44600011,HC HIGH ALTITUDE SIMULATION W 02,563.0,337.8,98.02,456.03,32 CDM,44600012,HC 6 MIN WALK PULM STRESS TEST,377.0,226.2,65.64,374.0,32 CDM,44600013,HC 6 MIN PULMONARY STRESS TEST SIMPLE,377.0,226.2,65.64,374.0,32 CDM,44600014,HC PULMONARY STRESS TEST COMPLEX,1357.0,814.2,236.25,1099.17,32 CDM,44600015,HC PULMONARY SHUNT STUDY,418.0,250.8,72.77,374.0,32 CDM,44600016,HC METABOLIC TESTING CALO,812.0,487.2,141.37,657.72,32 CDM,44600017,HC INDIRECT CALORIMETRY,107.0,64.2,18.63,374.0,32 CDM,44600018,HC LUNG VOL BODY BOX,567.0,340.2,98.71,459.27,32 CDM,44600019,HC LUNG VOL N2 WASHOUT,476.0,285.6,82.87,385.56,32 CDM,44600020,HC AIRWAY RESISTANCE,652.0,391.2,113.51,528.12,32 CDM,44600021,HC DLCO CARB MON DIFFUS CAPCTY,458.0,274.8,79.74,374.0,23 CDM,44600027,HC RT TRANSCUTANEOUS MONITORING,156.0,93.6,27.16,374.0,32 CDM,44700019,HC OTOACOUSTIC EMISSIONS LIMITED EVAL,180.0,108.0,31.34,327.39,32 CDM,44700022,HC TRANSFUSION BLD BLD COMPONENTS,1170.0,702.0,203.7,4311.0,32 CDM,44700082,HC EVOKED OTOACOUSTIC EMISSION COMPREHENSIVE,131.0,78.6,22.81,192.0,23 CDM,44710006,HC AUDITORY EVOKED POTENTIAL THRESHOLD ESTIMATION MULTIPLE FREQUENCIES INTERP AND RPT,1542.0,925.2,124.0,1249.02,32 CDM,44710007,HC AUDITORY EVOKED POTENTIAL NEURODIAGNOSTIC INTERP AND RPT,1542.0,925.2,124.0,1249.02,32 CDM,44710008,HC AUDITORY EVOKED POTENTIAL SCREEN W STIMULI AUTO ANALYSIS,264.0,158.4,45.96,213.84,23 CDM,44710009,HC AUDITORY EVOKED POTENTIAL HEARING STATUS DETER BROADBAND STIMULI INTERP AND RPT,264.0,158.4,45.96,327.39,32 CDM,47200001,HC VAGINAL DEL W FORCEPS VACUUM,1706.0,1023.6,341.54,1381.86,23 CDM,47200002,HC VAGINAL DELIVERY FEE,3426.0,2055.6,615.0,2775.06,23 CDM,47200003,HC FETAL MONITORING HOURLY,83.0,49.8,16.62,954.0,23 CDM,47200004,HC HEMATOMA EVACUATION,467.0,280.2,93.49,954.0,23 CDM,47610002,HC JV DIRECT LARYNGOSCOPY,2000.0,1200.0,186.78,4376.0,33 CDM,48010003,HC THERAPEUTIC APHERESIS RED BLOOD CELL,3123.0,1873.8,494.0,4376.0,29 CDM,48010004,HC UNIT BEDSIDE HEMODIALYSIS,689.0,413.4,119.95,560.16,24 CDM,48010015,HC ADULT CRRT START UP,1557.0,934.2,271.07,1265.84,24 CDM,48010017,HC CRRT ADULT,1179.0,707.4,205.26,958.53,24 CDM,48010025,HC CAPD IP DAILY,79.0,47.4,13.75,64.23,24 CDM,48010029,HC HEMODIALYSIS PROCEDURE W SINGLE EVAL,700.0,420.0,121.87,735.65,33 CDM,48010032,HC EP EVAL SINGLE OR DUAL CD LEADS INCLUDING DEFIB THRESHOLD EVAL AT TIME OF INITIAL IMPLANT REPLACE,2272.0,1363.2,303.99,12247.0,24 CDM,48010034,HC DIALYSIS ACUTE PERITONEAL DIALYSIS INPATIENT,831.0,498.6,144.68,675.6,33 CDM,49100074,HC NEUROPSYCHOLOGICAL TST EVAL PHYS QHP 1ST HOUR,505.0,303.0,87.92,557.85,32 CDM,49100076,HC PSYCHOLOGICAL OR NEUROPSYCHOLOGICAL TEST ADMIN SCORE BY QHCP ADDL 30 MINS,222.0,133.2,38.65,528.0,23 CDM,49100078,HC PSYCHOLOGICAL OR NEUROPSYCHOLOGICAL TEST ADMIN AND SCORE BY QHCP FIRST 30 MINS,333.0,199.8,57.98,528.0,32 CDM,49100079,HC NEUROPSYCHOLOGICAL TST EVAL PHYS QHP EA ADDL HOUR,338.0,202.8,58.85,528.0,23 CDM,49200003,HC MAX INSP EXP MUSC PRES,185.0,111.0,32.21,767.0,32 CDM,49200004,HC SLEEP MULT SLEEP LAT TEST,6043.0,3625.8,510.48,4894.83,32 CDM,49200005,HC SLEEP MAINT OF WAKEFULNESS TEST,6043.0,3625.8,510.48,4894.83,32 CDM,49200009,HC SLEEP OVERNIGHT SCREEN,1017.0,610.2,150.52,1990.0,32 CDM,49200011,HC POLYSOM LESS THAN 6 HRS AND 6 YRS OLD OR MORE,4200.0,2520.0,840.84,3402.0,32 CDM,49200013,HC POLYSOM 6 YRS AND OLDER 4 OR MORE PARAMETERS,4200.0,2520.0,840.84,3402.0,32 CDM,49200019,HC POLYSOM 6 YRS AND OLDER 4 OR MORE PARAMETERS W CPAP,4266.0,2559.6,854.05,3455.46,32 CDM,49200022,HC CV DUPLEX COMPL BILAT,1154.0,692.4,175.0,934.74,32 CDM,49200023,HC EEG EXTENDED 41-60 MIN,552.0,331.2,110.51,954.0,32 CDM,49200024,HC CV DUPLEX LTD UNIL,565.0,339.0,98.37,457.65,32 CDM,49200026,HC TRANSCRANIAL DOPP COMPL,1350.0,810.0,175.0,1093.5,32 CDM,49200027,HC EEG AWAKE AND DROWSY,963.0,577.8,192.79,954.0,32 CDM,49200028,HC UE OR LE ARTERY PHYSIOLOGIC LTD BIL 1 TO 2 LEVELS,550.0,330.0,95.75,445.5,32 CDM,49200029,HC EEG AWAKE AND ASLEEP,963.0,577.8,192.79,954.0,32 CDM,49200030,HC UE OR LE ARTERY PHYSIOLOGIC COMPL BIL 3 OR MORE LEVELS,1051.0,630.6,150.52,851.31,32 CDM,49200031,HC EEG SLEEP ONLY,453.0,271.8,90.69,954.0,32 CDM,49200032,HC LE ARTERY OR GRAFT DUPLEX COMPL BIL,1271.0,762.6,175.0,1029.51,32 CDM,49200033,HC EEG CEREBRAL DEATH EVAL,1159.0,695.4,232.03,954.0,32 CDM,49200034,HC LE ARTERY OR GRAFT DUPLEX LTD UNIL,728.0,436.8,102.31,589.68,32 CDM,49200035,HC ELECTROCORTICOGRAPHY IN OR,481.0,288.6,96.3,954.0,23 CDM,49200036,HC UE ARTERY OR GRAFT DUPLEX COMP BIL,1126.0,675.6,175.0,912.06,32 CDM,49200037,HC TENSILON TEST MYASTHENIA GRAVIS,316.0,189.6,63.26,954.0,32 CDM,49200038,HC UE ARTERY OR GRAFT DUPLEX LTD UNIL,758.0,454.8,102.31,613.98,32 CDM,49200039,HC BLINK REFLEX,124.0,74.4,24.82,954.0,32 CDM,49200044,HC VENOUS EXTREMITY DUPLEX LTD UNIL,958.0,574.8,102.31,775.98,32 CDM,49200046,HC DUPLEX AORTA IVC ILIAC OR GRAFTS COMPL BIL,571.0,342.6,99.41,462.51,32 CDM,49200048,HC DUPLEX AORTA IVC ILIAC OR GRAFTS LTD UNIL,464.0,278.4,80.78,375.84,32 CDM,49200050,HC PENILE VESSEL DUPLEX LTD OR FOLLOW UP,539.0,323.4,93.7,436.59,32 CDM,49200052,HC HEMODIALYSIS ACCESS DUPLEX,503.0,301.8,87.57,407.43,32 CDM,49200056,HC POLYSOM LESS THAN 6 YRS 4 OR MORE PARAMETERS,1572.0,943.2,273.69,1990.0,32 CDM,49200059,HC CORTICAL MAPPING INITIAL HR,405.0,243.0,81.08,1069.64,32 CDM,49200060,HC POLYSOM LESS THAN 6 YRS 4 OR MORE PARAMETERS CPAP OR BILVL,1572.0,943.2,273.69,1990.0,32 CDM,49200061,HC CORTICAL MAPPING EA ADDL HR,405.0,243.0,81.08,954.0,23 CDM,49200063,HC HOME SLEEP TEST,373.0,223.8,74.67,1990.0,32 CDM,49200065,HC EMG 1 EXTREMITY,674.0,404.4,117.34,1831.0,32 CDM,49200066,HC EMG 2 EXTREMITY,822.0,493.2,124.01,1831.0,32 CDM,49200067,HC EMG 3 EXTREMITY,855.0,513.0,148.86,1831.0,32 CDM,49200068,HC EMG 4 EXTREMITY,888.0,532.8,150.52,1831.0,32 CDM,49200070,HC EMG NEEDLE LARYNX UNIL,539.0,323.4,93.84,1831.0,32 CDM,49200072,HC EMG CRANIAL UNIL,429.0,257.4,74.69,1831.0,32 CDM,49200073,HC EMG THORACIC PARASPINAL,295.0,177.0,51.36,1831.0,32 CDM,49200074,HC EMG LIMITED 1 EXTREMITY OR NON LIMB MUSCLES,437.0,262.2,76.08,1831.0,32 CDM,49200077,HC EMG NEEDLE GUIDANCE CHEMODENRV,253.0,151.8,44.05,1831.0,23 CDM,49200078,HC EMG LTD W NCV 4 OR LESS MUSCLES PER EXT,614.0,368.4,106.9,1831.0,23 CDM,49200079,HC EMG COMPL W NCV 5 OR MORE MUSCLES PER EXT,614.0,368.4,106.9,1831.0,23 CDM,49200080,HC EMG NON EXTREMITY W NCV,547.0,328.2,95.23,1831.0,23 CDM,49200081,HC NERVE CONDUCTION 1-2 STUDIES,212.0,127.2,36.91,1831.0,32 CDM,49200082,HC NERVE CONDUCTION 3-4 STUDIES,212.0,127.2,36.91,1831.0,32 CDM,49200083,HC NERVE CONDUCTION 5-6 STUDIES,212.0,127.2,36.91,1831.0,32 CDM,49200084,HC NERVE CONDUCTION 7-8 STUDIES,212.0,127.2,36.91,1831.0,32 CDM,49200085,HC NERVE CONDUCTION 9-10 STUDIES,400.0,240.0,69.64,1831.0,32 CDM,49200086,HC NERVE CONDUCTION 11-12 STUDIES,400.0,240.0,69.64,1831.0,32 CDM,49200087,HC NERVE CONDUCTION 13 OR GREATER THAN STUDIES,400.0,240.0,69.64,1831.0,32 CDM,49200088,HC AUTONOMIC CARDIOVAGAL W RR INTERVAL,267.0,160.2,46.48,1831.0,32 CDM,49200089,HC AUTONOMIC VASOMOTOR,366.0,219.6,63.72,1831.0,32 CDM,49200090,HC AUTONOMIC SUDOMOTOR,366.0,219.6,63.72,1831.0,32 CDM,49200091,HC SOMATOSENSORY EVOKED POTENTIAL UE,1635.0,981.0,284.65,1831.0,32 CDM,49200092,HC SOMATOSENSORY EVOKED POTENTIAL LE,1635.0,981.0,284.65,1831.0,32 CDM,49200093,HC CENTRAL MOTOR EVOKED POTENTIAL UPPER,457.0,274.2,79.56,1831.0,32 CDM,49200094,HC CENTRAL MOTOR EVOKED POTENTIAL LOWER,455.0,273.0,79.22,1831.0,32 CDM,49200095,HC VISUAL EVOKED POTENTIAL,1491.0,894.6,259.58,1831.0,32 CDM,49200096,HC SOMATOSENSORY EVOKED POTENTIAL UE AND LE,1526.0,915.6,265.68,1831.0,32 CDM,49200097,HC CENTRAL MOTOR EVOKED POTENTIAL UE AND LE,848.0,508.8,147.64,1831.0,32 CDM,49200098,HC INTRA OP MONITORING PER 15MINS,1233.0,739.8,214.67,1831.0,23 CDM,49200108,HC SOMATOSENSORY EVOKED POTENTIAL UNI,423.0,253.8,73.64,1831.0,32 CDM,49200109,HC PAP NAP,997.0,598.2,199.6,1990.0,32 CDM,49200119,HC SCREENING AAA ULTRASOUND,463.0,277.8,92.69,467.0,32 CDM,49200134,HC EEG CONT REC W VID EEG TECH MIN 8 CHANNELS,544.0,326.4,108.91,954.0,32 CDM,49200135,HC EEG W O VID 2-12 HR UNMNTR,1315.0,789.0,263.26,1065.15,32 CDM,49200136,HC EEG WO VID 2-12HR INTMT MNTR,1588.0,952.8,299.59,1286.28,32 CDM,49200137,HC EEG W O VID 2-12HR CONT MNTR,1950.0,1170.0,299.59,1579.5,32 CDM,49200138,HC EEG WO VID EA 12-26HR UNMNTR,2767.0,1660.2,510.48,2241.27,32 CDM,49200139,HC EEG W O VID EA 12-26HR INTMT,3039.0,1823.4,510.48,2461.59,32 CDM,49200140,HC EEG W O VID EA 12-26HR CONT,3856.0,2313.6,510.48,3123.36,32 CDM,49200141,HC VEEG 2-12 HR UNMNTR,2268.0,1360.8,299.59,1837.08,32 CDM,49200142,HC VEEG 2-12 HR INTMT MNTR,2540.0,1524.0,299.59,2057.4,32 CDM,49200143,HC VEEG 2-12 HR CONT MNTR,2858.0,1714.8,510.48,2314.98,32 CDM,49200144,HC VEEG EA 12-26 HR UNMNTR,4536.0,2721.6,510.48,3674.16,32 CDM,49200145,HC VEEG EA 12-26HR INTMT MNTR,5080.0,3048.0,510.48,4114.8,32 CDM,49200146,HC VEEG EA 12-26HR CONT MNTR,5670.0,3402.0,615.0,4592.7,32 CDM,49200157,HC EEG EXTENDED 61-119 MINUTES,1042.0,625.2,208.61,954.0,32 CDM,49400003,HC INJECTION ADMIN SQ IM,188.0,112.8,37.64,767.0,29 CDM,49400005,HC INJECTION SQ IM SELF ADMIN,188.0,112.8,37.64,767.0,29 CDM,49400014,HC RT SMOKING TOBACCO USE CESSATION COUNSELING>10 MINS,63.0,37.8,10.97,1090.0,32 CDM,49400015,HC ON BODY INJECTION APPLICATION,225.0,135.0,44.39,4311.0,29 CDM,49420004,HC DIABETIC ED 15 MIN IP,88.0,52.8,15.32,1090.0,23 CDM,49420016,HC NUTRITION COUNSELING GROUP BCBS,292.0,175.2,50.84,1090.0,23 CDM,49420017,HC DIETICIAN VISIT BCBS,294.0,176.4,51.19,1090.0,23 CDM,49420018,HC IMMUNIZATION ADMIN 1ST VACCINE THRU 18YRS,48.0,28.8,8.36,42.0,23 CDM,49420019,HC IMMUNIZATION ADMIN ADDL VACCINE THRU 18YRS,48.0,28.8,8.36,42.0,23 CDM,49420020,HC IMMUNIZATION ADMIN ONE VACCINE,118.0,70.8,20.54,95.58,32 CDM,49420021,HC INFLUENZA VAC ADMIN,118.0,70.8,20.54,95.58,32 CDM,49420022,HC PNEUMOCOCCAL VAC ADMIN,118.0,70.8,20.54,95.58,32 CDM,49420023,HC HEPATITIS B VAC ADMIN,118.0,70.8,20.54,95.58,32 CDM,49420025,HC IMMUNIZATION ADMIN EACH ADDITIONAL VACCINE,106.0,63.6,18.45,85.86,23 CDM,49420026,HC ADM OF FREE VACCINE,118.0,70.8,20.54,95.58,32 CDM,49420206,HC IV OR SQ INJ ADMIN CASIRIVIMAB/IMDEVIMAB INCL POST ADMIN MONITORING,775.0,465.0,134.93,759.0,23 CDM,49420209,HC IV ADMIN BAMLANIVIMAB AND ETESEVIMAB INCL POST ADMIN MONITORING,775.0,465.0,134.93,759.0,23 CDM,49420228,HC IV OR SQ INJ ADMIN CASIRIVIMAB/IMDEVIMAB INCL POST ADMIN MONITOR REPEAT DOSES,775.0,465.0,134.93,759.0,23 CDM,49420232,HC IV ADMIN SOTROVIMAB INCL POST ADMIN MONITORING,775.0,465.0,134.93,759.0,23 CDM,49420233,HC INJ IM ADMIN EVUSHELD TIXAGEVIMAB CILGAVIMAB INCL POST ADMIN MONITORING,775.0,465.0,26.0,627.75,23 CDM,49420237,HC IV INJ ADMIN BEBTELOVIMAB INCL POST ADMIN MONITORING,775.0,465.0,26.0,627.75,23 CDM,49420261,HC COVID19 VACCINE ADMINISTRATION,75.0,45.0,13.06,60.75,32 CDM,49900001,HC PT MAINTENANCE SELF PYMT,21.0,12.6,3.66,17.01,21 CDM,49900035,HC PT DRY NEEDLING,66.67,40.0,10.39,4311.0,23 CDM,53610002,HC INCISION AND DRAINAGE ABSCESS SIMPLE SINGLE,479.0,287.4,90.29,4311.0,33 CDM,53610004,HC INCISION AND DRAINAGE HEMATOMA SEROMA OR FLUID,2744.0,1646.4,517.24,7039.0,66 CDM,53610005,HC INCISION AND DRAINAGE POSTOP WOUND INFECTION COMPLEX,3875.0,2325.0,730.44,4376.0,33 CDM,53610006,HC DEBRIDEMENT MUSCLE SKIN TISSUE 1ST 20SQCM,1085.0,651.0,173.0,7039.0,66 CDM,53610007,HC DEBRIDEMENT BONE SKIN TISSUE MUSCLE 1ST 20SQCM,2464.0,1478.4,464.46,4376.0,33 CDM,53610008,HC DEBRIDEMENT TISSUE SKIN ADD 20SQCM,1039.0,623.4,195.85,4311.0,24 CDM,53610009,HC DEBRIDEMENT MUSCLE SKIN TISSUE ADD 20SQCM,1039.0,623.4,195.85,4311.0,24 CDM,53610010,HC DEBRIDEMENT BONE SKIN TISSUE MUSCLE ADD 20SQCM,3190.0,1914.0,601.32,4311.0,24 CDM,53610011,HC PARING BENIGN LESION SINGLE,430.0,258.0,81.06,4311.0,33 CDM,53610012,HC PARING BENIGN LESION 2-4,480.0,288.0,90.48,4311.0,33 CDM,53610013,HC PARING BENIGN LESION GREATER THAN 4,536.0,321.6,101.04,4311.0,33 CDM,53610015,HC EXCISION BENIGN LESION T A L 0.6 TO 1 CM,458.0,274.8,86.33,4311.0,33 CDM,53610016,HC TRIM NONDYSTROPHIC NAILS,119.0,71.4,22.43,96.75,33 CDM,53610017,HC DEBRID NAILS ANY METHOD 1-5,129.0,77.4,24.32,4311.0,33 CDM,53610018,HC DEBRID NAILS ANY METHOD 6 AND GREATER,129.0,77.4,24.32,4311.0,33 CDM,53610019,HC AVULSION NAIL PLATE P C S SNGL,208.0,124.8,39.21,4311.0,33 CDM,53610020,HC AVULSION NAIL PLATE EA ADD,163.0,97.8,30.73,4311.0,24 CDM,53610023,HC SIMPLE REPAIR SUPERFCL WND RPR SC NK GEN EXT 2.5 CM OR LESS,307.0,184.2,57.87,4311.0,33 CDM,53610038,HC WOUND CAUTERY CHEMICAL,520.0,312.0,98.02,4311.0,33 CDM,53610039,HC ASPIRAT PUNCT BREAST CYST,504.0,302.4,95.0,4311.0,33 CDM,53610040,HC INJ CARPAL TUNNEL THERPTC,618.0,370.8,116.49,4311.0,33 CDM,53610041,HC INJECTION SINGLE TENDON SHEATH OR LIGAMENT,409.0,245.4,77.1,4311.0,33 CDM,53610043,HC INJECTION TRIGGER POINT 1 OR 2 MUSCLES,770.0,462.0,145.15,7039.0,66 CDM,53610044,HC INJECTION TRIGGER POINT 3 OR MORE MUSCLES,638.0,382.8,127.73,7039.0,33 CDM,53610049,HC APPLICATION CAST RIG TOTAL CONT LEG,603.0,361.8,113.67,490.24,33 CDM,53610052,HC TRACH TUBE EXCHANGE,902.0,541.2,170.03,4311.0,33 CDM,53610053,HC SPIDER VEINS INJ SINGLE OR MULT LIMB OR TRUNK,182.0,109.2,36.44,7039.0,33 CDM,53610054,HC INJ SCLEROSING SOLUTION SINGLE VEIN,152.0,91.2,30.43,7039.0,33 CDM,53610055,HC INJ SCLEROSING SOLUTION MULT VEINS SAME LEG,280.0,168.0,56.06,7039.0,33 CDM,53610056,HC COLLECT BLOOD VIA VENOUS CATH,388.0,232.8,73.14,315.44,33 CDM,53610057,HC DECLOT IMPLNTD VASC ACC DEV,759.0,455.4,143.07,7039.0,66 CDM,53610058,HC BIOPSY LIVER NEEDLE PERCUTAN,2295.0,1377.0,459.46,7039.0,33 CDM,53610077,HC PUNCTURE OF SHUNT OR PUMP FOR INJECTION,607.0,364.2,114.42,4311.0,33 CDM,53610081,HC INJ EPID BLOOD PATCH,1863.0,1117.8,351.18,7039.0,66 CDM,53610082,HC INJ DISCOGRAPHY LUMB EA LVL,2132.0,1279.2,173.0,7039.0,24 CDM,53610088,HC PUMP ANALYSIS W REPROGRAM,536.0,321.6,101.04,4376.0,33 CDM,53610089,HC PUMP REFILL W ANLYS AND PROGRAM,1037.0,622.2,195.47,843.08,33 CDM,53610090,HC PERC IMPLANT NEURO ELECTRODE,12507.0,7504.2,2357.57,10168.19,33 CDM,53610093,HC INJECTION ANESTHETIC AGENT CERVICAL PLEXUS,1520.0,912.0,284.0,4311.0,33 CDM,53610099,HC INJECTION ANESTHETIC AGENT SCIATIC NERVE SINGLE INCL IMG GUIDANCE,1933.0,1159.8,364.37,4311.0,33 CDM,53610103,HC INJECTION ANESTHETIC AGENT FACET JOINT C T 2ND LEVEL,834.0,500.4,157.21,4311.0,24 CDM,53610104,HC INJECTION ANESTHETIC AGENT FACET JOINT C T 3RD LEVEL AND MORE,869.0,521.4,163.81,4311.0,24 CDM,53610105,HC INJECTION ANESTHETIC AGENT SPHENOPALATINE GANGLION,925.0,555.0,174.36,4311.0,33 CDM,53610106,HC INJECTION ANESTHETIC AGENT STELLATE GANGLION,1538.0,922.8,289.91,4311.0,33 CDM,53610107,HC INJECTION ANESTHETC AGENT L T PARAVERTEBRAL,1918.0,1150.8,361.54,4311.0,33 CDM,53610108,HC PERC IMPL NEURO ELCTR PER NRV,9774.0,5864.4,1842.4,7946.26,33 CDM,53610111,HC CHEMODNRVTN NECK MUSCL,660.0,396.0,124.41,7039.0,66 CDM,53610113,HC RF DENERV C T SNGL W IG,3189.0,1913.4,601.13,7039.0,66 CDM,53610114,HC RF DENERV C T ADD W IG,1528.0,916.8,173.0,7039.0,48 CDM,53610115,HC DESTROY PERIPH NERVE BRANCH,1727.0,1036.2,325.54,4311.0,33 CDM,53610118,HC DESTR SUPER HYPOGASTRIC PLEX,2142.0,1285.2,403.77,7039.0,66 CDM,53610119,HC GANGLION IMPAR BLOCK,1397.0,838.2,173.0,7039.0,66 CDM,53610127,HC DEBRIDE OPEN WOUND 1ST 20 SQ CM OR LESS,621.0,372.6,117.06,7039.0,66 CDM,53610128,HC DEBRIDE OPEN WOUND EA ADDL 20 SQ CM,720.0,432.0,135.72,7039.0,48 CDM,53610151,HC NONSELECTIVE DEBRIDEMENT WOUND,61.0,36.6,11.5,7039.0,63 CDM,53610153,HC CYST ASP UNDER MAMM GUIDANCE BI,373.0,223.8,74.67,7039.0,33 CDM,53610165,HC INJECTION ANESTHETIC AGENT SUPERIOR HYPOGASTRIC PLEXUS,2240.0,1344.0,422.24,4376.0,33 CDM,53610169,HC DISCARDED APLIGRAF PER SQ CM,132.0,79.2,26.43,107.32,24 CDM,53610171,HC US BREAST BIOPSY VABB NC PROG 1,333.0,199.8,66.67,7039.0,21 CDM,53610173,HC CHEMODNRVTN 1 EXTREMITY 1 TO 4 MUSCLES,586.0,351.6,110.46,4311.0,33 CDM,53610174,HC CHEMODNRVTN 1 EXTREMITY 5 OR MORE MUSCLES,499.0,299.4,99.9,7039.0,33 CDM,53610175,HC CHEMODNRVTN ADDITIONAL EXTREMITIES 1 TO 4 MUSCLES,604.0,362.4,120.92,7039.0,24 CDM,53610176,HC CHEMODNRVTN ADDITIONAL EXTREMITIES 5 OR MORE MUSCLES,499.0,299.4,94.06,4311.0,24 CDM,53610177,HC CHEMODNRVTN TRUNK 1 TO 5 MUSCLES,586.0,351.6,117.32,7039.0,33 CDM,53610179,HC CHEMODENERVATION MUSCLE BILATERAL FACIAL TRIGEMINAL CERVICAL ACCESSORY NERVE,822.0,493.2,154.95,4311.0,33 CDM,53610190,HC RF DENERV PUDENDAL NRV,1364.0,818.4,257.11,4376.0,33 CDM,53610225,HC EXCISION OF NAIL FOLD TOE,352.0,211.2,66.35,4311.0,33 CDM,53610241,HC INJECTION DIAGNOSTIC OR THERAPEUTIC INCL NEEDLE PLACEMENT C T WO GUID,3941.0,2364.6,666.26,7039.0,66 CDM,53610242,HC INJECTION DIAGNOSTIC OR THERAPEUTIC INCL NEEDLE PLACEMENT C T W GUID,3941.0,2364.6,666.26,7039.0,66 CDM,53610243,HC INJECTION DIAGNOSTIC OR THERAPEUTIC INCL NEEDLE PLACEMENT L S WO GUIDE,1950.0,1170.0,367.57,7039.0,66 CDM,53610244,HC INJECTION DIAGNOSTIC OR THERAPEUTIC INCL NEEDLE PLACEMENT L S W GUID,3103.0,1861.8,584.92,7039.0,66 CDM,53610245,HC INJECTION INCL INDWELLING CATHETER PLACEMENT CONTINUOUS FLOW CERV THOR WO IMG GUIDANCE,1723.0,1033.8,324.79,4311.0,33 CDM,53610247,HC INJECTION INCL INDWELLING CATHETER PLACEMENT CONTINUOUS FLOW L S W O GUID,2132.0,1279.2,401.88,4311.0,33 CDM,53610248,HC INJECTION INCL INDWELLING CATHETER PLACEMENT CONTINUOUS FLOW L S W GUID,2800.0,1680.0,527.8,4311.0,33 CDM,53610250,HC TAP BLOCK UNILATERAL,543.0,325.8,108.71,7039.0,24 CDM,53610267,HC COOLED RF ABLATION CERVICAL EA ADDL LVL,4385.0,2631.0,173.0,7039.0,24 CDM,53610269,HC COOLED RF ABLATION LUMB SACRAL EA ADDL LVL,4850.0,2910.0,173.0,7039.0,24 CDM,53610270,HC COOLED RF ABLATION OTHER NERVE,5734.0,3440.4,856.54,7039.0,33 CDM,53610271,HC TAP BLOCK BILATERAL,804.0,482.4,160.96,7039.0,24 CDM,53610277,HC EPIDERMAL AUTOGRAFT T A L EACH ADDL 100 SQCM OR LESS OR 1% BODY AREA INFANTS CHILDREN,1565.0,939.0,295.0,4311.0,24 CDM,53610278,HC EPIDERMAL AUTOGRAFT FEET F S E M N E O G H F D EACH ADDL 100 SQCM OR 1% BODY AREA INFANTS CHILDREN,1565.0,939.0,295.0,4311.0,24 CDM,53610286,HC INSERTION OF FIDUCIAL MARKERS,1921.0,1152.6,284.0,4311.0,33 CDM,53610289,HC INJECTION ANESTHETIC AGENT AND OR STEROID TRIGEMINAL NERVE EA BRANCH,1701.0,1020.6,284.0,4311.0,33 CDM,53610290,HC INJECTION ANESTHETIC AGENT AND OR STEROID GREATER OCCIPITAL NERVE,582.0,349.2,109.71,4311.0,33 CDM,53610291,HC INJECTION ANESTHETIC AGENT AND OR STEROID BRACHIAL PLEXUS INCL IMG GUIDANCE,2268.0,1360.8,427.52,4311.0,33 CDM,53610292,HC INJECTION ANESTHETIC AGENT AND OR STEROID SUPRASCAPULAR NERVE,1265.0,759.0,238.45,4311.0,33 CDM,53610293,HC INJECTION ANESTHETIC AGENT AND OR STEROID INTERCOSTAL NERVE SINGLE LEVEL,2333.0,1399.8,439.77,7039.0,66 CDM,53610294,HC INJECTION ANESTHETIC AGENT AND OR STEROID INTERCOSTAL NERVE EACH ADDL LEVEL,2047.0,1228.2,385.86,4311.0,33 CDM,53610295,HC INJECTION ANESTHETIC AGENT AND OR STEROID ILIOINGUINAL ILIOHYPOGASTRIC NERVES,1335.0,801.0,251.65,4311.0,33 CDM,53610296,HC INJECTION ANESTHETIC AGENT AND OR STEROID PUDENDAL NERVE,847.0,508.2,159.66,4311.0,33 CDM,53610297,HC INJECTION ANESTHETIC AGENT AND OR STEROID FEMORAL NERVE INCL IMG GUIDANCE,1781.0,1068.6,335.72,7039.0,65 CDM,53610299,HC INJECTION ANESTHETIC AGENT ANDOR STEROID OTHER PERIPHERAL NERVE BRANCH,1698.0,1018.8,320.07,4311.0,33 CDM,53610300,HC INJECTION ANESTHETIC AGENT STEROID NERVES SI JOINT INCL IMAGING GUIDANCE,1381.0,828.6,260.32,4311.0,33 CDM,53610301,HC INJECTION ANESTHETIC AGENT STEROID GENICULAR NERVE BRANCHES INCL IMAGING GUIDANCE,1381.0,828.6,260.32,4311.0,33 CDM,53610302,HC DESTRUCTION NEUROLYTIC AGENT GENICULAR NERVE INCLD IMG GUIDANCE,1794.0,1076.4,338.17,7039.0,66 CDM,53610303,HC RF ABLATION NERVE SI JOINT INCLD CT FLUORO GUIDANCE,4119.0,2471.4,776.43,12408.0,66 CDM,53610309,HC INJ NONCMPND SCLEROSANT SINGLE INCMPTNT VEIN,3475.0,2085.0,695.7,17457.0,33 CDM,53610310,HC INJ NONCMPND SCLEROSANT MULTIPLE INCMPTNT VEINS,3475.0,2085.0,695.7,17457.0,33 CDM,53610314,HC INPT DEBRIDE OPEN WOUND 1ST 20 SQ CM OR LESS,512.0,307.2,102.5,7039.0,33 CDM,53610315,HC INPT DEBRIDE OPEN WOUND EA ADDL 20 SQ CM,594.0,356.4,118.92,7039.0,24 CDM,53610316,HC INPT NONSELECTIVE DEBRIDEMENT WOUND,61.0,36.6,12.21,7039.0,30 CDM,53610318,HC NEUROPLASTY MAJOR NERVE LEG ARM,1100.0,660.0,220.22,7039.0,24 CDM,53610323,HC VAT DECLOT IMPLNTD VASC ACC DEV,759.0,455.4,151.95,7039.0,33 CDM,54130001,HC HYPERBARIC OXYGEN TX FBC 30MIN,711.0,426.6,123.79,1912.0,32 CDM,54130002,HC HYBERBARIC O2 THERAPY PRIV INS,1461.0,876.6,254.36,1912.0,23 CDM,54500001,HC ARTERIAL PUNCT DRAW BLD FOR DX,127.0,76.2,22.11,767.0,32 CDM,54500002,HC ED PROCEDURE LEVEL 6,1502.0,901.2,280.12,1216.62,21 CDM,54500003,HC ED PROCEDURE LEVEL 5,1422.0,853.2,265.2,1151.82,21 CDM,54500004,HC ED PROCEDURE LEVEL 4,1140.0,684.0,212.61,923.4,21 CDM,54500005,HC DEBRIDEMENT SQ TISSUE SKIN 1ST 20SQCM,919.0,551.4,173.0,7039.0,66 CDM,54500006,HC ED PROCEDURE LEVEL 3,858.0,514.8,160.02,694.98,21 CDM,54500007,HC ED PROCEDURE LEVEL 2,576.0,345.6,107.42,466.56,21 CDM,54500008,HC ED PROCEDURE LEVEL 1,294.0,176.4,54.83,238.14,21 CDM,54500010,HC NASOPHARYNGOSCOPY,373.0,223.8,74.67,7039.0,31 CDM,54500011,HC ED VISIT LEVEL 1,317.0,190.2,59.12,365.0,32 CDM,54500012,HC ED VISIT LEVEL 2,697.0,418.2,129.99,624.0,32 CDM,54500013,HC ED VISIT LEVEL 3,1393.0,835.8,259.79,1295.0,32 CDM,54500014,HC ED VISIT LEVEL 4,2375.0,1425.0,409.68,3235.0,32 CDM,54500015,HC ED VISIT LEVEL 5,3167.0,1900.2,589.86,3709.0,32 CDM,54500016,HC ED CRITICAL CARE 1ST 30-74 MIN,4011.0,2406.6,748.05,5152.0,32 CDM,54500017,HC ED CRITICAL CARE EACH ADDL 30 MIN,1324.0,794.4,246.93,5152.0,21 CDM,54500018,HC CARDIOPULMONARY RESUSCITATION,1207.0,724.2,161.5,7039.0,32 CDM,54500051,HC MODERATE SEDATION INITIAL 15 MINUTES YOUNGER THAN 5 YEARS OF AGE,361.0,216.6,72.27,293.49,24 CDM,54500052,HC MODERATE SEDATION INITIAL 15 MINUTES 5 YEARS OF AGE OR OLDER,296.0,177.6,59.26,240.65,24 CDM,54500053,HC MODERATE SEDATION EACH ADDITIONAL 15 MINUTES,189.0,113.4,37.84,153.66,24 CDM,54800001,HC AMBULATORY BP MONITOR RPT AUTOMATED WORN 24 HRS RPT ONLY,156.0,93.6,20.87,7039.0,32 CDM,54800002,HC AMBULATORY BP MONITOR RPT AUTOMATED WORN 24 HRS LONGER SCAN ANLY W RPT,156.0,93.6,20.87,7039.0,32 CDM,54830001,HC STRESS ECHO W CONTINUOUS EKG WO CONT,2736.0,1641.6,266.0,2216.16,32 CDM,55100004,HC NEW PATIENT LEVEL 2,194.5,116.69999999999999,32.73,162.81,44 CDM,55100006,HC NEW PATIENT LEVEL 3,244.5,146.7,41.78,201.69,44 CDM,55100008,HC NEW PATIENT LEVEL 4,358.0,214.8,55.19,323.19,44 CDM,55100010,HC NEW PATIENT LEVEL 5,423.0,253.8,64.59,384.75,44 CDM,55100012,HC ESTABLISHED PATIENT LEVEL 1,126.5,75.9,12.54,146.61,44 CDM,55100016,HC ESTABLISHED PATIENT LEVEL 2,163.5,98.1,17.41,183.87,44 CDM,55100018,HC ESTABLISHED PATIENT LEVEL 3,258.5,155.1,43.52,216.27,44 CDM,55100020,HC ESTABLISHED PATIENT LEVEL 4,420.5,252.3,70.68,352.35,44 CDM,55100023,HC ESTABLISHED PATIENT LEVEL 5,417.0,250.2,69.12,353.97,44 CDM,55100087,HC JV NEW PATIENT LEVEL 2 GL,181.0,108.6,31.51,146.61,22 CDM,55100088,HC JV NEW PATIENT LEVEL 3 GL,254.0,152.4,44.22,205.74,22 CDM,55100089,HC JV NEW PATIENT LEVEL 4 GL,388.0,232.8,67.55,314.28,22 CDM,55100090,HC JV NEW PATIENT LEVEL 5 GL,489.0,293.4,85.13,396.09,22 CDM,55100091,HC JV ESTABLISHED PATIENT LEVEL 1 GL,66.0,39.6,11.49,134.0,22 CDM,55100092,HC JV ESTABLISHED PATIENT LEVEL 2 GL,106.0,63.6,18.45,134.0,22 CDM,55100093,HC JV ESTABLISHED PATIENT LEVEL 3 GL,176.0,105.6,30.64,142.56,22 CDM,55100094,HC JV ESTABLISHED PATIENT LEVEL 4 GL,260.0,156.0,45.27,210.6,22 CDM,55100095,HC JV ESTABLISHED PATIENT LEVEL 5 GL,343.0,205.8,59.72,277.83,22 CDM,55100097,HC JV OFFICE OR OTHER OP CONSULTATION NEW ESTAB PATIENT MEET OR EXCEED 20 MIN,231.0,138.6,40.22,187.11,22 CDM,55100098,HC JV OFFICE OR OTHER OP CONSULTATION NEW ESTAB PATIENT MEET OR EXCEED 30 MIN,317.0,190.2,55.19,256.77,22 CDM,55100099,HC JV OFFICE OR OTHER OP CONSULTATION NEW ESTAB PATIENT MEET OR EXCEED 40 MIN,475.0,285.0,82.7,384.75,22 CDM,55100100,HC JV OFFICE OR OTHER OP CONSULTATION NEW ESTAB PATIENT MEET OR EXCEED 55 MIN,576.0,345.6,100.28,466.56,22 CDM,55100101,HC JV PHYS TELEPHONE EVAL 5-10 MINS GL,49.0,29.4,8.53,134.0,22 CDM,55100102,HC JV PHYS TELEPHONE EVAL 11-20 MINS GL,93.0,55.8,16.19,134.0,22 CDM,55100103,HC JV PHYS TELEPHONE EVAL 21-30 MINS GL,137.0,82.2,23.85,134.0,22 CDM,55100105,HC LACTATION INDIVIDUAL EDUCATION AND TRAINING FACE TO FACE EACH 30 MINS,112.0,67.2,19.5,134.0,22 CDM,55100108,HC JV COMPLEX E/M VISIT ADD ON GL,48.0,28.8,8.36,134.0,22 CDM,56360001,HC APLIGRAF PER SQ CM,130.0,78.0,26.03,105.69,25 CDM,56360002,HC OASIS TISSUE NONHUM PER SQ CM,25.0,15.0,5.0,31.86,25 CDM,56360003,HC DERMAGRAFT PER SQ CM,95.0,57.0,19.02,138.68,25 CDM,56360006,HC MATRISTEM MICROMATRIX 1 MG,54.0,32.4,5.99,43.9,25 CDM,56360009,HC DISCARDED THERASKIN PER SQ CM,123.0,73.8,24.62,124.49,24 CDM,56360010,HC THERASKIN PER SQ CM,123.0,73.8,24.62,132.99,25 CDM,56360013,HC DISCARDED DERMAGRAFT PER SQ CM,95.0,57.0,19.02,106.06,24 CDM,56360016,HC GRAFT JACKET PER SQ CM,142.0,85.2,28.43,371.55,25 CDM,56360025,HC MATRISTEM WOUND MATRIX PER SQ C,275.0,165.0,34.92,228.25,26 CDM,56360030,HC TALYMED PER SQ CM USED,200.0,120.0,40.04,186.47,25 CDM,56360031,HC DISCARDED TALYMED PER SQ CM,200.0,120.0,40.04,162.6,24 CDM,56360032,HC OASIS ULTRA TRI LAYER MATRIX 3X3.5 CM PAD,455.0,273.0,5.88,369.92,25 CDM,56360033,HC OASIS ULTRA TRI LAYER MATRIX 3X7 CM PAD,911.0,546.6,5.88,740.64,25 CDM,56360043,HC DISCARDED OASIS ULTRA TRI LAYER MATRIX 3X7 CM PAD PER SQ CM,911.0,546.6,5.88,740.64,24 CDM,56360044,HC DISCARDED OASIS ULTRA TRI LAYER MATRIX 3X3.5 CM PAD PER SQ CM,455.0,273.0,5.88,369.92,24 CDM,56360046,HC PURAPLY AM 4SQCM 2X2 PER SQ CM,988.0,592.8,197.8,803.24,25 CDM,56360047,HC PURAPLY AM 8SQCM 2X4 PER SQ CM,626.0,375.6,125.33,508.94,25 CDM,56360048,HC PURAPLY AM 25SQCM 5X5 PER SQ CM,273.0,163.8,54.65,268.27,25 CDM,56360056,HC DISCARDED PURAPLY AM 4SQCM 2X2 PER SQ CM,988.0,592.8,197.8,803.24,24 CDM,56360058,HC DISCARDED PURAPLY AM 25SQCM 5X5 PER SQ CM,273.0,163.8,54.65,238.43,24 CDM,56360091,HC PRIMATRIX 4SQCM 2X2 PER SQ CM,571.0,342.6,114.31,464.22,25 CDM,56360093,HC PRIMATRIX 16SQCM 4X4 PER SQ CM,262.0,157.2,52.45,213.01,25 CDM,56360132,HC AMNIOEXCEL PLUS 17MM DISC,2754.0,1652.4,240.06,2239.0,25 CDM,56360133,HC AMNIOEXCEL PLUS 2CM X 2 CM PER SQ CM,1216.0,729.6,240.06,988.61,25 CDM,56360134,HC AMNIOEXCEL PLUS 3CM X 3CM PER SQ CM,616.0,369.6,123.32,500.81,25 CDM,56360135,HC DISCARDED AMNIOEXCEL PLUS 17MM DISC,2754.0,1652.4,240.06,2239.0,24 CDM,56360136,HC DISCARDED AMNIOEXCEL PLUS 2CM X 2 CM PER SQ CM,1216.0,729.6,240.06,988.61,24 CDM,56360137,HC DISCARDED AMNIOEXCEL PLUS 3CM X 3CM PER SQ CM,616.0,369.6,123.32,500.81,24 CDM,56360138,HC PURAPLY AM 1.6CM DISC,2813.0,1687.8,238.43,2286.97,25 CDM,56360149,HC THERASKIN 7.6CM X 15.2CM PER SQ CM,123.0,73.8,24.62,132.99,25 CDM,56360193,HC ALLOPATCH 4 CM X 4 CM PER SQ CM,342.0,205.2,68.47,278.05,25 CDM,56360200,HC DISCARDED ALLOPATCH 4 CM X 4 CM PER SQ CM,342.0,205.2,68.47,278.05,24 CDM,56360225,HC GRAFIX PL 1.5X2 PER SQ CM,1546.0,927.6,309.51,1256.9,25 CDM,56360226,HC GRAFIX PL 16 MM DISC,3094.0,1856.4,327.43,2515.42,25 CDM,56360229,HC DISCARDED GRAFIX PL 1.5X2 PER SQ CM,1546.0,927.6,309.51,1256.9,24 CDM,56360238,HC ALLOPATCH 1.5 CM X 1.5 CM PER SQ CM,428.0,256.8,70.59,347.96,25 CDM,56360239,HC DISCARDED ALLOPATCH 1.5 CM X 1.5 CM PER SQ CM,428.0,256.8,70.59,347.96,24 CDM,56360240,HC ALLOPATCH 2 CM X 2 CM PER SQ CM,483.0,289.8,70.59,392.68,25 CDM,56360241,HC DISCARDED ALLOPATCH 2 CM X 2 CM PER SQ CM,483.0,289.8,70.59,392.68,24 CDM,56360248,HC MATRISTEM MICROMATRIX 1000MG PER 1 MG,10.0,6.0,2.0,8.13,25 CDM,56360274,HC CYGNUS DUAL 6 SQ CM 2 X 3 PER SQ CM,2498.0,1498.8,500.1,2030.87,25 CDM,56360275,HC DISCARDED CYGNUS DUAL 6 SQ CM 2 X 3 PER SQ CM,2498.0,1498.8,500.1,2030.87,24 CDM,56360276,HC CYGNUS DUAL 16 SQ CM 4 X 4 PER SQ CM,2025.0,1215.0,405.4,1646.33,25 CDM,56360277,HC DISCARDED CYGNUS DUAL 16 SQ CM 4 X 4 PER SQ CM,2025.0,1215.0,405.4,1646.33,24 CDM,56360278,HC CYGNUS DUAL 24 SQ CM 4 X 6 PER SQ CM,1708.0,1024.8,341.94,1388.6,25 CDM,56360279,HC DISCARDED CYGNUS DUAL 24 SQ CM 4 X 6 PER SQ CM,1708.0,1024.8,341.94,1388.6,24 CDM,56360310,HC OASIS WOUND MATRIX 11 SQ CM 3 X 3.5 PER SQ CM,65.0,39.0,13.01,52.84,25 CDM,56360311,HC DISCARDED OASIS WOUND MATRIX 11 SQ CM 3 X 3.5 PER SQ CM,65.0,39.0,13.01,52.84,24 CDM,56361004,HC NUSHIELD DISC 1.6 PER SQ CM,2469.0,1481.4,494.29,6571.14,25 CDM,56361006,HC NUSHIELD 2X3 PER SQ CM,698.0,418.8,139.74,6571.14,25 CDM,56361007,HC DISCARDED NUSHIELD 2X3 PER SQ CM,698.0,418.8,139.74,6571.14,24 CDM,56361008,HC NUSHIELD 2X4 PER SQ CM,626.0,375.6,125.33,6571.14,25 CDM,56361009,HC DISCARDED NUSHIELD 2X4 PER SQ CM,626.0,375.6,125.33,6571.14,24 CDM,56361010,HC NUSHIELD 3X4 PER SQ CM,615.0,369.0,123.12,6571.14,25 CDM,56361011,HC DISCARDED NUSHIELD 3X4 PER SQ CM,615.0,369.0,123.12,6571.14,24 CDM,56361014,HC NUSHIELD 4X6 PER SQ CM,439.0,263.4,87.89,6571.14,25 CDM,56361015,HC DISCARDED NUSHIELD 4X6 PER SQ CM,439.0,263.4,87.89,6571.14,24 CDM,56361016,HC NUSHIELD 6X6 PER SQ CM,399.0,239.4,79.88,6571.14,25 CDM,56361017,HC DISCARDED NUSHIELD 6X6 PER SQ CM,399.0,239.4,79.88,6571.14,24 CDM,56361018,HC DISCARDED PRIMATRIX 18MM DISC,2363.0,1417.8,154.34,1921.12,24 CDM,56361019,HC DISCARDED PRIMATRIX 2CMX2CM PER SQ CM,571.0,342.6,114.31,464.22,24 CDM,56361020,HC DISCARDED PRIMATRIX 4CMX4CM PER SQ CM,262.0,157.2,52.45,213.01,24 CDM,56361021,HC PRIMATRIX 3CMX3CM,313.0,187.8,62.66,254.47,25 CDM,56361022,HC DISCARDED PRIMATRIX 3CMX3CM PER SQ CM,313.0,187.8,62.66,254.47,24 CDM,56361023,HC AMNIOEXCEL 15MM DISC,1575.0,945.0,240.06,1280.47,25 CDM,56361024,HC DISCARDED AMNIOEXCEL 15MM DISC PER CM,1575.0,945.0,240.06,1280.47,24 CDM,56361025,HC AMNIOEXCEL 1.5X1.5CM PER SQ CM,1252.0,751.2,240.06,1017.88,25 CDM,56361026,HC DISCARDED AMNIOEXCEL 1.5X1.5CM PER SQ CM,1252.0,751.2,240.06,1017.88,24 CDM,56361027,HC AMNIOEXCEL 2X3CM PER SQ CM,641.0,384.6,128.33,521.13,25 CDM,56361028,HC DISCARDED AMNIOEXCEL 2X3CM PER SQ CM,641.0,384.6,128.33,521.13,24 CDM,56361029,HC AMNIOEXCEL 3.5X3.5CM PER SQ CM,340.0,204.0,68.07,276.42,25 CDM,56361030,HC DISCARDED AMNIOEXCEL 3.5X3.5CM PER SQ CM,340.0,204.0,68.07,276.42,24 CDM,56361031,HC AMNIOEXCEL 4X4CM PER SQ CM,272.0,163.2,54.45,274.21,25 CDM,56361032,HC DISCARDED AMNIOEXCEL 4X4CM PER SQ CM,272.0,163.2,54.45,240.06,24 CDM,56361033,HC AMNIOEXCEL OR BIODEXCEL 18MM DISK,2562.0,1537.2,240.06,2082.91,25 CDM,57300001,HC EKG,295.0,177.0,57.15,238.95,32 CDM,57300008,HC ZP HOOKUP W RECORD GREATER THAN 48 HRS LESS THAN 7 DAYS,637.0,382.2,37.76,515.97,32 CDM,57300009,HC ZP HOOKUP W RECORD GREATER THAN 7 DAYS LESS THAN 15 DAYS,637.0,382.2,37.76,515.97,32 CDM,57300012,HC RT ZP HOOKUP W RECORD GREATER THAN 48 HRS LESS THAN 7 DAYS,637.0,382.2,37.76,515.97,32 CDM,57300013,HC RT ZP HOOKUP W RECORD GREATER THAN 7 DAYS LESS THAN 15 DAYS,637.0,382.2,37.76,515.97,32 CDM,57610036,HC INJECTION INTRALESIONAL 210,4521.0,2712.6,905.1,3675.57,24 CDM,67100008,HC POST PROCEDURE CARE NO SEDATION,661.0,396.6,132.33,537.39,24 CDM,67100018,HC LEVEL 1 RECOVERY DISCHARGE 240-300 MINS,3280.0,1968.0,656.66,2666.64,24 CDM,67100019,HC LEVEL 1 RECOVERY DISCHARGE OVER 300 MIN,4322.0,2593.2,865.26,3513.79,24 CDM,67100020,HC LEVEL 1 RECOVERY DISCHARGE 0-30 MINS,1294.0,776.4,259.06,1052.02,24 CDM,67100021,HC LEVEL 1 RECOVERY DISCHARGE 31-60 MINS,1763.0,1057.8,352.95,1433.32,24 CDM,67100022,HC LEVEL 1 RECOVERY DISCHARGE 61-90 MINS,1966.0,1179.6,393.59,1598.36,24 CDM,67100023,HC LEVEL 1 RECOVERY DISCHARGE 91-120 MINS,2177.0,1306.2,435.84,1769.9,24 CDM,67100024,HC LEVEL 1 RECOVERY DISCHARGE 121-150 MINS,2387.0,1432.2,477.88,1940.63,24 CDM,67100025,HC LEVEL 1 RECOVERY DISCHARGE 151-180 MINS,2596.0,1557.6,519.72,2110.55,24 CDM,67100026,HC LEVEL 1 RECOVERY DISCHARGE 181-240 MINS,2807.0,1684.2,561.96,2282.09,24 CDM,67100027,HC LEVEL 2 POST RECOVERY CARE 1ST HR,1649.0,989.4,330.13,1340.64,24 CDM,67100028,HC LEVEL 2 POST RECOVERY EACH ADD HR,958.0,574.8,191.79,778.85,24 CDM,67100050,HC PACU LEVEL 1 RECOVERY 121 TO 150 MINS,2387.0,1432.2,477.88,1940.63,24 CDM,67100079,HC PACU LEVEL 1 RECOVERY 0 TO 30 MINS,1294.0,776.4,259.06,1052.02,24 CDM,67100080,HC PACU LEVEL 1 RECOVERY 31 TO 60 MINS,1763.0,1057.8,352.95,1433.32,24 CDM,67100081,HC PACU LEVEL 1 RECOVERY 61 TO 90 MINS,1966.0,1179.6,393.59,1598.36,24 CDM,67100082,HC PACU LEVEL 1 RECOVERY 91 TO 120 MINS,2177.0,1306.2,435.84,1769.9,24 CDM,67100085,HC PACU LEVEL 1 RECOVERY 151 TO 180 MINS,2596.0,1557.6,519.72,2110.55,24 CDM,67100086,HC PACU LEVEL 1 RECOVERY 181 TO 240 MINS,2807.0,1684.2,561.96,2282.09,24 CDM,67100087,HC PACU LEVEL 1 RECOVERY 240 TO 300 MINS,3280.0,1968.0,656.66,2666.64,24 CDM,67100088,HC PACU LEVEL 1 RECOVERY OVER 300 MINS,4322.0,2593.2,865.26,3513.79,24 CDM,67100106,HC PACU INJECTION ADMIN SQ/IM,188.0,112.8,35.44,152.84,33 CDM,67100109,HC ADULT BRONCH RECOVERY LEVEL 1,499.0,299.4,99.9,405.69,24 CDM,67100127,HC UNC VIR BRONCH RECOVERY FIRST HOUR,499.0,299.4,99.9,405.69,24 CDM,67100128,HC UNC VIR BRONCH RECOVERY EACH ADDL HOUR,246.0,147.6,49.25,200.0,24 CDM,67500001,HC ESOPHAGEAL MOTILITY MANOMETRY,797.0,478.2,159.56,7039.0,33 CDM,67500002,HC ESOPHAGEAL PH STUDY,988.0,592.8,173.0,7039.0,32 CDM,67500004,HC 48 HR PH MONITORING AND INSERT CAP,1432.0,859.2,173.0,7039.0,32 CDM,67500005,HC ESOPHAGEAL FUNCTION TEST W IMPEDANCE ELECTRODE PLACEMENT,886.0,531.6,173.0,7039.0,32 CDM,67500007,HC BREATH HYDROGEN TEST,179.0,107.4,35.84,7039.0,32 CDM,67500008,HC GI TRACK IMAGING CAPSULE STUDY ESOPHAGUS THROUGH ILEUM,1828.0,1096.8,365.97,7039.0,32 CDM,67500009,HC ESOPHAGEAL CAPSULE ENDOSCOPY,2594.0,1556.4,519.32,7039.0,32 CDM,67500011,HC ANORECTAL MANOMETRY,945.0,567.0,173.0,7039.0,32 CDM,67500012,HC GI PATENCY CAPSULE STUDY,2883.0,1729.8,577.18,7039.0,32 CDM,67500013,HC EGD COLONOSCOPY,3430.0,2058.0,686.69,7039.0,21 CDM,67500014,HC ENDO ADDITIONAL TIME 1-15 MIN,285.0,171.0,57.06,7039.0,21 CDM,67500015,HC ENDO PROCEDURE TIME 0-15,1357.0,814.2,271.67,7039.0,21 CDM,67500016,HC ENDO PROCEDURE TIME 16-30,1537.0,922.2,307.71,7039.0,21 CDM,67500017,HC ENDO PROCEDURE TIME 31-45,1719.0,1031.4,344.14,7039.0,21 CDM,67500018,HC ENDO PROCEDURE TIME 46-60,1901.0,1140.6,380.58,7039.0,21 CDM,67500019,HC ENDO PROCEDURE TIME 61-75,2085.0,1251.0,417.42,7039.0,21 CDM,67500020,HC ENDO PROCEDURE TIME 76-90,2268.0,1360.8,454.05,7039.0,21 CDM,67500021,HC ENDO PROCEDURE TIME 91-105,2450.0,1470.0,490.49,7039.0,21 CDM,67500022,HC ENDO PROCEDURE TIME 106-120,2631.0,1578.6,526.73,7039.0,21 CDM,67500023,HC ENDO PROCEDURE TIME 121-135,2812.0,1687.2,562.96,7039.0,21 CDM,67500024,HC ENDO PROCEDURE TIME 136-150,2996.0,1797.6,599.8,7039.0,21 CDM,67500025,HC ENDO PROCEDURE TIME 151-165,3177.0,1906.2,636.04,7039.0,21 CDM,67500026,HC ENDO PROCEDURE TIME 166-180,3414.0,2048.4,683.48,7039.0,21 CDM,67500027,HC ENDO PROCEDURE TIME 181-196,3598.0,2158.8,720.32,7039.0,21 CDM,67500028,HC ENDO PROCEDURE TIME 196-210,4293.0,2575.8,859.46,7039.0,21 CDM,67500029,HC ENDO PROCEDURE TIME 211-225,4574.0,2744.4,915.71,7039.0,21 CDM,67500030,HC ENDO PROCEDURE TIME 226-240,4787.0,2872.2,958.36,7039.0,21 CDM,67500032,HC ENDO PROCEDURE TIME 241-255,4969.0,2981.4,994.79,7039.0,21 CDM,67500033,HC ENDO PROCEDURE TIME 256-270,5150.0,3090.0,1031.03,7039.0,21 CDM,67500058,HC ESOPHAGEAL IMPED MAN W IMPED PH MON,956.0,573.6,173.0,7039.0,32 CDM,67500059,HC IMPEDANCE PH MONITORING,886.0,531.6,173.0,7039.0,32 CDM,67500060,HC ESOPHAGEAL MANO W IMPED PH MONITORN,1402.0,841.2,173.0,7039.0,33 CDM,67500062,HC PROC CHG OPEN APPL GASTRIC BAND,4369.0,2621.4,874.67,7039.0,21 CDM,67500063,HC PROC CHG LAP BILIOPANC DIV W EGD,4369.0,2621.4,874.67,7039.0,21 CDM,67500064,HC PROC CHG LAP RX EN Y GAS BYPASS,4369.0,2621.4,874.67,7039.0,21 CDM,67500066,HC NAVIGATIONAL BRONCHOSOPY,4636.0,2781.6,928.13,7039.0,21 CDM,67500068,HC HEMORRHOIDECTOMY W 2 OR MORE COLUMNS GROUPS WO IMG GUIDANCE,4123.0,2473.8,825.42,7039.0,21 CDM,67500070,HC INSTILLATION OF FECAL MICROBIOTA BY ANY METHOD INCL ASSESSMENT OF DONOR SPECIMEN,2613.0,1567.8,523.12,7039.0,21 CDM,67500073,HC PROCTOSIGMOIDOSCOPY W BIOPSY,2825.0,1695.0,565.57,7039.0,21 CDM,67500111,HC EGD FLEX SIGMOIDOSCOPY,2486.0,1491.6,497.7,7039.0,21 CDM,67500112,HC POUCH ENTEROSCOPY WITH BIOPSY,3342.0,2005.2,669.07,7039.0,21 CDM,67610003,HC EYE EXAM UNDER ANESTH PROCEDURE,2174.0,1304.4,409.8,2452.76,33 CDM,67610006,HC CORNEAL TISSUE,4232.0,2539.2,736.79,3440.62,24 CDM,67610007,HC ENDOTHELIAL CORNEA TISSUE,19132.0,11479.2,3330.88,15554.32,24 CDM,69220001,HC EMG CRANIAL NERVES BIL,429.0,257.4,74.69,1831.0,32 CDM,69220002,HC EVOKED POT TRUNK HEAD SSEP UNIL,452.0,271.2,78.69,1831.0,32 CDM,69220003,HC NEUROMUSCULAR JUNCTION TEST EA NERVE ANY 1 METHOD,401.0,240.6,69.81,1831.0,32 CDM,69220006,HC SOMATOSENSORY EVOKED POTENTIAL TRUNK OR HEAD,665.0,399.0,115.78,1831.0,32 CDM,69220008,HC AUTONOMIC COMBINED,318.0,190.8,55.36,1831.0,32 CDM,69600001,HC STANDBY BEFORE MONITORING,54.0,32.4,10.81,43.74,18 CDM,72550006,HC F18 SODIUM FLUORIDE DX PSD UP TO 30MCI,305.0,183.0,61.06,722.16,24 CDM,72550015,HC ORBIT DETECTION FOREIGN BODY,324.0,194.4,45.52,268.0,32 CDM,72550017,HC MANDIBLE COMP 4 VWS,545.0,327.0,61.58,441.45,32 CDM,72550018,HC MASTOID COMP MIN 3 VWS PER SIDE,352.0,211.2,70.47,285.12,32 CDM,72550020,HC FACIAL BONES LESS THAN 3 VWS,481.0,288.6,42.96,389.61,32 CDM,72550021,HC FACE BONES COMP MIN 3 VWS,601.0,360.6,67.36,486.81,32 CDM,72550022,HC NASAL BONES COMP MIN 3 VWS,394.0,236.4,57.08,319.14,32 CDM,72550023,HC DACRYOCYSTOGRAPHY,442.0,265.2,65.78,358.02,32 CDM,72550024,HC ORBITS COMP MIN 4 VWS,500.0,300.0,67.36,405.0,32 CDM,72550025,HC SINUSES PARANASAL LESS THAN 3 VWS,152.0,91.2,30.43,268.0,32 CDM,72550026,HC SINUSES PARANASAL COMP MIN 3 VWS,270.0,162.0,52.6,268.0,32 CDM,72550027,HC SELLA TURCICA,120.0,72.0,24.02,268.0,32 CDM,72550028,HC SKULL LESS THAN 4 VWS,501.0,300.6,51.96,405.81,32 CDM,72550029,HC SKULL COMP MIN 4 VWS,671.0,402.6,60.3,543.51,32 CDM,72550030,HC TMJ OPEN AND CLOSED BIL,179.0,107.4,35.84,268.0,32 CDM,72550032,HC PANOREX,302.0,181.2,15.34,268.0,32 CDM,72550033,HC NECK SOFT TISSUE,362.0,217.2,43.6,293.22,32 CDM,72550040,HC RIBS UNIL 2 VWS,483.0,289.8,50.02,391.23,32 CDM,72550041,HC RIBS UNIL W PA CHEST MIN 3 VWS,584.0,350.4,56.44,473.04,32 CDM,72550042,HC RIBS BIL 3 VWS,1079.0,647.4,57.74,873.99,32 CDM,72550043,HC RIBS BIL W PA CHEST MIN 4 VWS,585.0,351.0,71.86,473.85,32 CDM,72550044,HC STERNUM MIN 2 VWS,385.0,231.0,46.82,311.85,32 CDM,72550045,HC STERNOCLAVICULAR JOINT MIN 3 VWS,305.0,183.0,59.66,268.0,32 CDM,72550047,HC SPINE SINGLE VIEW,442.0,265.2,32.04,358.02,32 CDM,72550048,HC SPINE CERVICAL 2 OR 3 VIEWS,496.0,297.6,55.16,401.76,32 CDM,72550049,HC SPINE CERVICAL 4 OR 5 VWS,660.0,396.0,77.0,534.6,32 CDM,72550050,HC SPINE CERVICAL 6 OR MORE VWS,929.0,557.4,91.78,752.49,32 CDM,72550052,HC SPINE THORACIC 2 VWS,437.0,262.2,44.24,353.97,32 CDM,72550053,HC SPINE THORACIC 3 VWS,327.0,196.2,54.52,268.0,32 CDM,72550055,HC SPINE THORACOLUMBAR 2 VWS,564.0,338.4,47.46,456.84,32 CDM,72550057,HC SPINE LUMBOSACRAL 2 OR 3 VWS,492.0,295.2,55.8,398.52,32 CDM,72550058,HC LUMBAR SPINE MIN 4 VWS,710.0,426.0,74.44,575.1,32 CDM,72550059,HC LUMBAR SPINE COMP BENDING VWS MIN 6,875.0,525.0,91.12,708.75,32 CDM,72550060,HC LUMBAR SPINE BENDING 2 TO 3 VWS,582.0,349.2,57.74,471.42,32 CDM,72550061,HC PELVIS 1 OR 2 VWS,341.0,204.6,37.18,276.21,32 CDM,72550062,HC PELVIS COMPLETE MIN 3 VWS,541.0,324.6,57.74,438.21,32 CDM,72550063,HC SACROILIAC JNTS 3 OR MORE VWS,369.0,221.4,54.52,298.89,32 CDM,72550064,HC SACRUM AND COCCYX MIN 2 VWS,368.0,220.8,46.16,298.08,32 CDM,72550065,HC MYELOGRAPHY CERVICAL,1211.0,726.6,138.66,980.91,32 CDM,72550066,HC MYELOGRAPHY THORACIC,752.0,451.2,141.22,830.63,32 CDM,72550067,HC MYELOGRAPHY LUMBOSACRAL,1336.0,801.6,135.44,1082.16,32 CDM,72550068,HC MYELOGRAPHY 2 OR MORE REGIONS,1892.0,1135.2,195.18,1532.52,32 CDM,72550073,HC DISCOGRAM LUMBAR,2081.0,1248.6,139.3,2053.05,32 CDM,72550074,HC CLAVICLE COMP,425.0,255.0,46.16,344.25,32 CDM,72550075,HC SCAPULA COMP,382.0,229.2,28.82,309.42,32 CDM,72550076,HC SHOULDER 1 VW,459.0,275.4,26.9,371.79,32 CDM,72550077,HC SHOULDER COMP 2 VWS,462.0,277.2,48.74,374.22,32 CDM,72550078,HC SHOULDER ARTHROGRAPHY,1271.0,762.6,204.18,1029.51,32 CDM,72550079,HC ACROMIOCLAVICULAR JOINTS BIL W WO WEIGHT,522.0,313.2,37.18,422.82,32 CDM,72550080,HC HUMERUS MIN 2 VWS,440.0,264.0,46.16,356.4,32 CDM,72550081,HC ELBOW 2 VWS,406.0,243.6,40.38,328.86,32 CDM,72550082,HC ELBOW COMP MIN 3 VWS,442.0,265.2,46.16,358.02,32 CDM,72550083,HC ELBOW ARTHROGRAPHY,487.0,292.2,97.5,394.47,32 CDM,72550084,HC FOREARM 2 VWS,379.0,227.4,41.04,306.99,32 CDM,72550085,HC UE INFANT MIN 2 VWS,298.0,178.8,46.16,268.0,32 CDM,72550086,HC WRIST 2 VIEWS,375.0,225.0,49.38,303.75,32 CDM,72550087,HC WRIST COMP MIN 3 VWS,347.0,208.2,62.22,281.07,32 CDM,72550088,HC WRIST ARTHROGRAPHY,653.0,391.8,130.73,528.93,32 CDM,72550089,HC HAND 2 VWS,431.0,258.6,44.24,349.11,32 CDM,72550090,HC HAND MIN 3 VWS,394.0,236.4,53.88,319.14,32 CDM,72550091,HC FINGERS MIN 2 VIEWS,276.0,165.6,55.26,268.0,32 CDM,72550095,HC HIP ARTHROGRAPHY,841.0,504.6,168.37,681.21,32 CDM,72550099,HC KNEE 1 OR 2 VWS,427.0,256.2,50.02,345.87,32 CDM,72550100,HC KNEE 3 VWS,371.0,222.6,60.94,300.51,32 CDM,72550101,HC KNEE COMPL 4 OR MORE VWS,482.0,289.2,68.0,390.42,32 CDM,72550102,HC KNEES BOTH STANDING AP,316.0,189.6,61.58,268.0,32 CDM,72550103,HC KNEE ARTHROGRAPHY,380.0,228.0,76.08,375.47,32 CDM,72550104,HC TIBIA AND FIBULA 2 VIEWS,354.0,212.4,45.52,286.74,32 CDM,72550105,HC LE INFANT MIN 2 VWS,218.0,130.8,43.64,268.0,32 CDM,72550106,HC ANKLE 2 VWS,445.0,267.0,46.82,360.45,32 CDM,72550107,HC ANKLE COMPLETE MIN 3 VWS,463.0,277.8,54.52,375.03,32 CDM,72550108,HC ANKLE ARTHROGRAPHY,380.0,228.0,76.08,375.47,32 CDM,72550109,HC FOOT 2 VWS,530.0,318.0,39.74,429.3,32 CDM,72550110,HC FOOT COMPLETE MIN 3 VWS,463.0,277.8,50.66,375.03,32 CDM,72550111,HC CALCANEUS MIN 2 VWS,401.0,240.6,40.38,324.81,32 CDM,72550112,HC TOES MIN 2 VIEWS,324.0,194.4,43.6,268.0,32 CDM,72550113,HC ABDOMEN 1 VIEW,426.0,255.6,41.04,345.06,32 CDM,72550117,HC PERITONEOGRAM S AND I,495.0,297.0,63.2,576.46,32 CDM,72550118,HC S AND I PERITONEOGRAM,495.0,297.0,63.2,576.46,32 CDM,72550119,HC S AND I PERITONEOGRAM AIR CONTRAST,495.0,297.0,63.2,576.46,32 CDM,72550121,HC RAD EXAM ESOPHAGUS,782.0,469.2,138.66,633.42,32 CDM,72550123,HC S AND I REMOVE FOREIGN BODY ESOPHAGUS,322.0,193.2,64.46,268.0,23 CDM,72550135,HC THERAPEUTIC ENEMA CONT OR AIR,247.0,148.2,49.45,311.44,32 CDM,72550136,HC CHOLANGIOGRAPHY INTRAOPERATIVE,1055.0,633.0,211.21,854.55,23 CDM,72550137,HC OR S AND I CHOLANGIO INTRAOPERATIVE T TUBE,728.0,436.8,145.75,589.68,23 CDM,72550144,HC PLCMT GASTROINT TUBE W FLUORO,888.0,532.8,177.78,719.28,23 CDM,72550146,HC S AND I DILATION OF ESOPHAGUS,498.0,298.8,99.7,403.38,23 CDM,72550147,HC DILATION BILIARY STRICTURE W WO STENT S AND I,529.0,317.4,105.91,428.49,23 CDM,72550148,HC UROG W WO KUB W WO TOMOGRAPHY,988.0,592.8,171.27,800.28,32 CDM,72550149,HC IVP W NEPHROTOMOGRAPHY,1041.0,624.6,171.27,843.21,32 CDM,72550150,HC UROGRAPHY RETROG W WO KUB,1074.0,644.4,100.76,869.94,32 CDM,72550151,HC UROGRAPHY ANTEGRADE RADIOLOGICAL S AND I,537.0,322.2,107.51,434.97,32 CDM,72550152,HC CYSTOGRAPHY MIN 3 VWS,98.0,58.8,19.62,375.47,32 CDM,72550153,HC OR S AND I VASOGRAPHY,580.0,348.0,116.12,469.8,32 CDM,72550154,HC S AND I URETHROCYSTOGRAPHY RETRO,643.0,385.8,98.3,520.83,32 CDM,72550155,HC URETHROCYSTOGRAPHY VOIDING,818.0,490.8,163.76,662.58,32 CDM,72550159,HC S AND I DILITATION URETERS OR URETHRA,666.0,399.6,133.33,2153.7,32 CDM,72550160,HC S AND I HYSTEROSALPINGOGRAM,810.0,486.0,154.08,656.1,32 CDM,72550162,HC S AND I AORTOGRAM THORACIC BY SERIALOGRAPHY,2088.0,1252.8,130.88,5683.29,32 CDM,72550163,HC S AND I AORTOGRAM ABDOMINAL BY SERIALOGRAPHY,4645.0,2787.0,116.82,3762.45,32 CDM,72550164,HC S AND I AORTOGRAPHY ABD AND BIL ILIOFEM,3577.0,2146.2,125.18,3309.13,32 CDM,72550169,HC S AND I SHUNTOGRAM,185.0,111.0,37.04,268.0,32 CDM,72550171,HC S AND I VENOGRAPHY EXTREMITY UNIL,1368.0,820.8,117.46,1633.21,32 CDM,72550172,HC S AND I VENOGRAPHY EXTREMITY BILAT,1395.0,837.0,126.46,1633.21,32 CDM,72550173,HC S AND I VENOGRAM CAVAL INFER SERIAL,4047.0,2428.2,118.74,3309.13,32 CDM,72550174,HC S AND I VENOGRAM CAVAL SUPERIOR SERIAL,5746.0,3447.6,129.02,4654.26,32 CDM,72550175,HC S AND I VENOGRAM RENAL UNIL SELECTIVE,1326.0,795.6,130.96,3309.13,32 CDM,72550176,HC S AND I RENAL VENOGRAM BIL SELECTIVE,2572.0,1543.2,150.14,3309.13,32 CDM,72550177,HC S AND I VENOGRAM ADRENAL UNIL SELECTIVE,1031.0,618.6,143.8,3309.13,32 CDM,72550178,HC S AND I VENOGRAM ADRENAL BIL SELECTIVE,1202.0,721.2,167.48,5683.29,32 CDM,72550179,HC S AND I VENOGRAM JUG OR VENOUS SINU,1608.0,964.8,139.94,3309.13,32 CDM,72550180,HC S AND I VENOGRAM SUPERIOR SAGITTAL SINUS,804.0,482.4,160.96,3309.13,32 CDM,72550182,HC S AND I TRANSHEPATIC PORTOG WO HEM,1616.0,969.6,139.94,3309.13,32 CDM,72550183,HC S AND I HEPATIC VENOGRAM WEDGE OR FREE W HEM,967.0,580.2,138.66,3309.13,32 CDM,72550184,HC S AND I HEPATIC VENOGRAM WEDGE OR FREE WO HEM,799.0,479.4,139.3,3309.13,32 CDM,72550185,HC S AND I VENOUS SAMPLING VIA CATH W WO ANGI,1106.0,663.6,150.22,5683.29,32 CDM,72550186,HC S AND I TRANSCATHETER EMBOLIZATION,2333.0,1399.8,232.0,1889.73,23 CDM,72550188,HC ANGIO FOLLOW UP VIA EXIST CATHETER OTHER THAN THROMBOLYSIS,1376.0,825.6,82.4,3309.13,32 CDM,72550189,HC S AND I MECH REMVL PERICATH OBS MAT,204.0,122.4,40.84,268.0,23 CDM,72550190,HC S AND I MECH REMVL INTRALUMINL OBS,175.0,105.0,35.03,268.0,23 CDM,72550196,HC S AND I ENDOV REPAIR DTA INV LSA,1204.0,722.4,232.0,975.24,23 CDM,72550205,HC S AND I TRANSCATHETER BIOPSY,771.0,462.6,154.35,624.51,23 CDM,72550209,HC S AND I CHANGE DRAIN CATH,1057.0,634.2,211.61,856.17,23 CDM,72550210,HC S AND I DRAINAGE CATHETER PLACEMENT,358.0,214.8,71.67,289.98,23 CDM,72550211,HC FLUOROSCOPY UP TO 1 HR,953.0,571.8,53.24,771.93,32 CDM,72550213,HC FOREIGN BODY 1 VW CHILD NOSE TO RECTUM,169.0,101.4,33.83,268.0,32 CDM,72550214,HC S AND I FISTULA SINUS STUDY,936.0,561.6,68.64,758.16,32 CDM,72550215,HC RAD EXAM SURG SPECIMEN,306.0,183.6,48.74,576.46,32 CDM,72550216,HC TOMOGRAPHY SGL PLANE BDY SECT,341.0,204.6,68.27,276.21,32 CDM,72550218,HC UNLISTED FLUOROSCOPIC,143.0,85.8,28.63,268.0,32 CDM,72550219,HC FLUORO GUIDE CVA DEV PLACEMENT,744.0,446.4,148.95,602.64,23 CDM,72550220,HC FLUORO GUIDANCE NEEDLE PLACEMENT,662.0,397.2,132.53,536.22,23 CDM,72550221,HC FLUORO GUIDANCE FOR NEEDLE PLACEMENT INE INJ,657.0,394.2,131.53,532.17,23 CDM,72550224,HC BREAST DUCTOGRAM SINGLE DUCT,323.0,193.8,64.66,268.0,32 CDM,72550225,HC BREAST DUCTOGRAM MULTIPL DUCTS,646.0,387.6,91.12,523.26,32 CDM,72550227,HC BONE AGE STUDIES,346.0,207.6,32.68,280.26,32 CDM,72550228,HC BONE LENGTH STUDY SCANOGRAM,243.0,145.8,48.65,268.0,32 CDM,72550229,HC OSSEOUS SURVEY LIMITED,268.0,160.8,53.65,268.0,32 CDM,72550230,HC OSSEOUS SURVEY COMPLETE,927.0,556.2,102.31,750.87,32 CDM,72550231,HC OSSEOUS SURVEY INFANT,306.0,183.6,61.26,268.0,32 CDM,72550233,HC DEXA AXIAL SKELETON 1 OR MORE SITES,911.0,546.6,52.6,737.91,32 CDM,72550234,HC DEXA APPENDICULAR SKELETON,291.0,174.6,40.38,268.0,32 CDM,72550238,HC S AND I ANGIO SPINAL SELECTIVE,788.0,472.8,157.76,5683.29,32 CDM,72550239,HC S AND I ANGIO ART EXTREMITY UNIL,2343.0,1405.8,133.52,3309.13,32 CDM,72550240,HC S AND I ANGIO EXTREMITY BIL,4039.0,2423.4,137.94,3309.13,32 CDM,72550241,HC S AND I ANGIO ART VISCERAL W OR WO FLUSH,3338.0,2002.8,148.86,5683.29,32 CDM,72550242,HC S AND I ANGIO ADRENAL GLAND UNILATERAL SELECTIVE,3598.0,2158.8,186.12,3309.13,32 CDM,72550244,HC S AND I PELVIC SUPRA SELECTIVE,2035.0,1221.0,170.7,5683.29,32 CDM,72550245,HC S AND I ANGIO PULMONARY UNIL SELECTIVE,4514.0,2708.4,136.1,3656.34,32 CDM,72550246,HC S AND I ANGIO PULMONARY BIL SELECTIVE,4514.0,2708.4,138.58,3656.34,32 CDM,72550247,HC S AND I ANGIO PULM NON SELECTIVE CATH VE,4514.0,2708.4,155.28,3656.34,32 CDM,72550248,HC S AND I ANGIO INTERNAL MAMMARY,3053.0,1831.8,198.96,3309.13,32 CDM,72550249,HC S AND I ANGIO SELECT EACH ADDITIONAL VESSEL,1786.0,1071.6,232.0,1446.66,23 CDM,72550252,HC ANGIO ILIAC ARTERY W CATH,1404.0,842.4,281.08,9423.0,21 CDM,72550253,HC CHEST 1 VW FRONTAL,268.0,160.8,32.68,268.0,32 CDM,72550254,HC CHEST 2 VWS FRONT LATERAL,374.0,224.4,44.24,302.94,32 CDM,72550255,HC CHEST 4 OR MORE VWS,332.0,199.2,60.3,268.92,32 CDM,72550257,HC SIALOGRAPHY,831.0,498.6,166.37,673.11,32 CDM,72550261,HC TC99M PENTETATE DX PSD UP TO 25 MCI,163.0,97.8,32.63,132.52,24 CDM,72550275,HC SKULL 2 VWS XRAY,501.0,300.6,51.96,405.81,32 CDM,72550276,HC DISCOGRAPHY CERV THOR INITIAL,2081.0,1248.6,137.38,2053.05,32 CDM,72550278,HC SPINE ENTIRE THOR LUMB INCL SKULL CERV AND SACRAL 1 VW,617.0,370.2,57.74,499.77,32 CDM,72550279,HC SPINE ENTIRE THOR LUMB INCL SKULL CERV AND SACRAL 2 OR 3 VWS,812.0,487.2,102.31,657.72,32 CDM,72550280,HC SPINE ENTIRE THOR LUMB INCL SKULL CERV AND SACRAL 4 OR 5 VWS,861.0,516.6,102.31,697.41,32 CDM,72550281,HC HIP UNIL W PELVIS 1 VW,467.0,280.2,44.88,378.27,32 CDM,72550282,HC HIP UNIL W PELVIS 2 TO 3 VWS,494.0,296.4,69.3,400.14,32 CDM,72550283,HC HIP UNIL W PELVIS MIN 4 VWS,523.0,313.8,87.92,423.63,32 CDM,72550284,HC HIPS BILAT W PELVIS 2 VWS,758.0,454.8,58.38,613.98,32 CDM,72550285,HC HIPS BILAT W PELVIS 3 TO 4 VWS,736.0,441.6,75.72,596.16,32 CDM,72550286,HC HIPS BILAT W PELVIS MIN 5 VWS,1079.0,647.4,89.2,873.99,32 CDM,72550287,HC FEMUR 1 VW,229.0,137.4,40.38,268.0,32 CDM,72550288,HC FEMUR MIN 2 VWS,432.0,259.2,50.66,349.92,32 CDM,72550293,HC RAD EXAM SMALL INTESTINE FOLLOW THROUGH STUDY,1063.0,637.8,212.81,861.03,23 CDM,72550294,HC RAD EXAM UGI INCLD SCOUT ABD RADGRPH AND DELAYED IMAGE SINGLE CONTRAST STUDY,615.0,369.0,123.12,498.15,32 CDM,72550295,HC RAD EXAM ESOPHAGUS DOUBLE CONTRAST STUDY,785.0,471.0,154.08,635.85,32 CDM,72780001,HC BRACHYTHERAPY Y90 NS PER SOURCE,37500.0,22500.0,4762.5,31125.0,35 CDM,73200001,HC US CYST PUNCTURE,217.0,130.2,43.44,467.0,23 CDM,73200002,HC S AND I PELVIC SUPRA SELECTIVE ADDL,1853.0,1111.8,170.7,5683.29,32 CDM,73200016,HC MYELOGRAPHY LUMBOSACRAL VIA LUMBAR INJ INCL S AND I,2253.0,1351.8,451.05,8213.0,33 CDM,73200022,HC CHEST 3 VWS,420.0,252.0,56.44,340.2,32 CDM,73200023,HC ABDOMEN 2 VWS,550.0,330.0,49.38,445.5,32 CDM,73200024,HC ABDOMEN 3 OR MORE VWS,540.0,324.0,58.38,437.4,32 CDM,73200037,HC RAD EXAM SWALLOWING FUNCTION W CINEVIDEO INCLD SCOUT NECK RADGPH AND DELAYED IMG W CONTRAST,401.0,240.6,80.28,324.81,32 CDM,73200038,HC RAD EXAM UGI INCLD SCOUT ABD RADGRPH AND DELAYED IMAGE DOUBLE CONTRAST STUDY INCLD GLUCAGON,596.0,357.6,119.32,482.76,32 CDM,73200039,HC RAD EXAM SM INTESTINE INCLD MULTI SERIAL IMAGES AND SCOUT ABD RADGRPH SINGLE CONTRAST STUDY,497.0,298.2,99.5,402.57,32 CDM,73200040,HC RAD EXAM ABDOMEN ACUTE SERIES CMPL INCLD 2 OR MORE ABD VIEW AND SINGLE CHEST,752.0,451.2,66.72,609.12,32 CDM,73200041,HC RAD ONC SM INTESTINE INCLD MULTI SERIAL IMAGES AND SCOUT ABD RADGRP DOUBLE CONTRAST INCLD GLUCAGON,581.0,348.6,116.32,633.86,32 CDM,73200042,HC RAD EXAM COLON INCLD SCOUT ABD RADGRPH AND DELAYED IMAGE SINGLE CONTRAST STUDY,928.0,556.8,171.27,751.68,32 CDM,73200043,HC RAD EXAM COLON INCLD SCOUT ABD RADGRPH AND DELAYED IMAGE DOUBLE CONTRAST INCLD GLUCAGON,1382.0,829.2,171.27,1119.42,32 CDM,73200045,HC CT THORAX LOW DOSE LUNG CANCER SCREENING WO CONTRAST,270.0,162.0,54.05,2905.0,32 CDM,73300001,HC CHEMO INTO CNS INTRATHECAL W LP,829.0,497.4,165.97,3466.0,31 CDM,73300002,HC CT IGRT,378.0,226.8,68.67,1067.0,46 CDM,73400002,HC BRAIN IMAGING WITH FLOW,1357.0,814.2,257.0,1560.0,32 CDM,73400003,HC NM THYROID UPTAKE SINGLE MULT,677.0,406.2,135.54,1560.0,32 CDM,73400004,HC NM THYROID IMG INCL FLOW,685.0,411.0,137.14,1560.0,32 CDM,73400005,HC NM THYROID FLOW AND UPTAKE,1104.0,662.4,221.02,1560.0,32 CDM,73400006,HC NM THYROID CA METS LTD,583.0,349.8,116.72,1560.0,32 CDM,73400008,HC NM I131 TOTAL BODY,2917.0,1750.2,257.0,2362.77,32 CDM,73400010,HC NM PARATHYROID PLANAR,1494.0,896.4,257.0,1560.0,32 CDM,73400011,HC PARATHYROID PLANAR AND SPECT,1093.0,655.8,218.82,1560.0,32 CDM,73400012,HC NM PARATHYROID PLANAR AND SPECT CT,976.0,585.6,195.4,1560.0,32 CDM,73400013,HC NM ENDOCRINE PROCEDURE,717.0,430.2,143.54,1560.0,32 CDM,73400015,HC NM BONE MARROW WHOLE BODY,1866.0,1119.6,257.0,1560.0,32 CDM,73400016,HC NM RBC SEQUESTRATION,1014.0,608.4,203.0,1560.0,32 CDM,73400018,HC NM LYMPHOSCINTIGRAPHY,2079.0,1247.4,257.0,1683.99,32 CDM,73400019,HC NM LIVER STATIC IMAGING,1602.0,961.2,257.0,1560.0,32 CDM,73400020,HC NM LIVER SCAN W VASCULAR FLOW,2290.0,1374.0,257.0,1854.9,32 CDM,73400022,HC LIVER SPLEEN SCAN STATIC,1602.0,961.2,257.0,1560.0,32 CDM,73400024,HC NM HEPATOBILIARY IMG INCL GB,2378.0,1426.8,257.0,1926.18,32 CDM,73400025,HC NM HEPATOBILIARY SYS IMAG W PHARM,2733.0,1639.8,257.0,2213.73,32 CDM,73400026,HC SALIVARY GLAND IMAGING,856.0,513.6,171.37,1560.0,32 CDM,73400027,HC NM ESOPHAGEAL SCAN,1567.0,940.2,257.0,1560.0,32 CDM,73400028,HC NM GASTR REFL STUDY,1230.0,738.0,246.25,1560.0,32 CDM,73400029,HC NM GASTRIC EMPTYING,2245.0,1347.0,257.0,1818.45,32 CDM,73400030,HC NM GI BLEEDING,1042.0,625.2,208.61,1560.0,32 CDM,73400031,HC NM ABDOMEN MECKELS,1148.0,688.8,229.83,1560.0,32 CDM,73400032,HC NM PERITONEAL SHUNT PATENCY,1255.0,753.0,251.25,1560.0,32 CDM,73400033,HC NM BONE LTD,1784.0,1070.4,257.0,1560.0,32 CDM,73400034,HC NM BONE MULTI AREAS,2636.0,1581.6,257.0,2135.16,32 CDM,73400035,HC NM BONE SCAN WHOLE BODY,2636.0,1581.6,257.0,2135.16,32 CDM,73400036,HC NM BONE 3 PHASE,2497.0,1498.2,257.0,2022.57,32 CDM,73400038,HC NM SPECT SINGLE REST STRESS,3876.0,2325.6,257.0,3139.56,32 CDM,73400039,HC NM SPECT MULTI STRESS REST,4844.0,2906.4,257.0,3923.64,32 CDM,73400040,HC MYOCARDIAL INFARCT SCAN,831.0,498.6,166.37,1560.0,32 CDM,73400041,HC NM CARD KINETIC REST,1439.0,863.4,257.0,1560.0,32 CDM,73400045,HC NM PULM VENTILATION IMAGING,1294.0,776.4,257.0,1560.0,32 CDM,73400046,HC NM LUNG PERFUSION,1592.0,955.2,257.0,1560.0,32 CDM,73400047,HC NM PULM VENT AND PERF IMAGING,2486.0,1491.6,257.0,2013.66,32 CDM,73400048,HC NM PERF ONLY QUANTITATIVE,778.0,466.8,155.76,1560.0,32 CDM,73400049,HC NM VQ SCAN QUANTITATIVE,1464.0,878.4,257.0,1560.0,32 CDM,73400053,HC NM CSF SCAN CISTERN,864.0,518.4,172.97,1560.0,32 CDM,73400054,HC NM CSF SHUNT EVALUATION,1090.0,654.0,218.22,1560.0,32 CDM,73400055,HC NM CSF LEAK DETECT LOCALIZATION,799.0,479.4,159.96,1560.0,32 CDM,73400057,HC NM RENAL MORPHOLOGY,1160.0,696.0,232.23,1560.0,32 CDM,73400058,HC NM RENAL W VASCULAR FLOW,1321.0,792.6,257.0,1560.0,32 CDM,73400059,HC NM RENAL VASC AND FUNCTION,1160.0,696.0,232.23,1560.0,32 CDM,73400060,HC NM RENOGRAM W PHARMACOLOGICAL INTERVENTION,1611.0,966.6,257.0,1560.0,32 CDM,73400064,HC NM URETERAL REFLUX STUDY,1271.0,762.6,254.45,1560.0,32 CDM,73400065,HC NM TESTICULAR SCAN,923.0,553.8,184.78,1560.0,32 CDM,73400068,HC NM TUMOR LOC WB 1 DAY,2341.0,1404.6,257.0,1896.21,32 CDM,73400070,HC NM TUMOR LOC WB 2 OR MORE DAYS,2943.0,1765.8,257.0,2383.83,32 CDM,73400077,HC TC99M MACROAGGREGATED ALBUMIN DX PSD UP TO 10MCI,277.0,166.2,55.46,225.2,24 CDM,73400089,HC I131 SODIUM IODIDE CAPSULE TX PER MCI,51.0,30.6,10.21,208.95,34 CDM,73400097,HC TC99M PYROPHOSPHATE DX PSD UP TO 25MCI,99.0,59.4,19.82,154.18,24 CDM,73400101,HC IN111 PENETETATE DX PER 0.5MCI,2030.0,1218.0,406.41,2131.58,34 CDM,73400107,HC RB82 DX PSD UP TO 60MCI,988.0,592.8,197.8,1410.77,24 CDM,73400108,HC GA67 CITRATE DX PER MCI,107.0,64.2,21.42,325.02,24 CDM,73400110,HC XE133 GAS DX PER 10MCI,208.0,124.8,41.64,807.54,24 CDM,73400114,HC TC99M PENTETATE AEROSOL DX PSD UP TO 75MCI,188.0,112.8,37.64,152.84,24 CDM,73400116,HC IN111 PENTETRE PENTETREOTIDE DX PSD UP TO 6MCI,2794.0,1676.4,559.36,9315.86,34 CDM,73400122,HC I123 IOBENGUANE DX PSD UP TO 15MCI,12493.0,7495.8,2012.57,12296.97,34 CDM,73400123,HC NM RADIOPHARM TX ORAL ADM,1643.0,985.8,215.63,1560.0,32 CDM,73400124,HC NM RADIOPHARM TX IV ADM,519.0,311.4,103.9,1560.0,32 CDM,73400125,HC NM IV RADPHARM MONOCLONAL ANTI,2033.0,1219.8,215.63,1646.73,32 CDM,73400127,HC NM RADIOPHARM TX INTRA ARTERIA,470.0,282.0,94.09,1560.0,32 CDM,73400135,HC SM153 LEXIDRONAM TX PTD UP TO 150MCI,12371.0,7422.6,2476.67,39196.15,34 CDM,73400145,HC NM THYROID UPTAKE MULTIPLE,677.0,406.2,135.54,1560.0,32 CDM,73400146,HC NM PHARM S1001 TRIAL,1.01,0.61,0.2022,163224.3,29 CDM,73400153,HC TC99M SULFUR COLLOID DX PSD UP TO 20MCI,87.0,52.2,17.42,2045.69,24 CDM,73400164,HC F18FDG DX PSD UP TO 45MCI,878.0,526.8,175.78,1136.88,23 CDM,73400167,HC I123 SODIUM IODIDE DX PER 100MICRO UP TO 999MICRO,119.0,71.4,23.82,318.78,25 CDM,73400189,HC I123 SOD IODIDE DX PER MCI,584.0,350.4,116.92,474.79,24 CDM,73400191,HC I131 SODIUM IODIDE CAPSULE DX PER MCI,323.0,193.8,64.66,262.6,24 CDM,73400193,HC I131 SODIUM IODIDE DX PER MICRO UP TO 100UCI,44.0,26.4,8.43,35.77,24 CDM,73400194,HC IN111 AUTO WBC DX PSD,5280.0,3168.0,1000.45,10134.22,34 CDM,73400199,HC TC99M PERTECHNETATE DX PER MCI,6.0,3.6,1.2,29.06,24 CDM,73400204,HC TC99M MERTIATIDE DX PSD UP TO 15MCI,649.0,389.4,129.93,2091.51,23 CDM,73400209,HC TL201 THALLOUS CHLORIDE DX PER MCI,122.0,73.2,24.42,132.97,24 CDM,73400223,HC TC99M MEDRONATE DX PSD UP TO 30MCI,42.0,25.2,8.41,161.14,24 CDM,73400225,HC TC99M SESTAMIBI DX PSD,82.0,49.2,16.42,1226.71,24 CDM,73400228,HC TC99M LABELED RBC DX PSD UP TO 30 MCI,254.0,152.4,50.85,287.08,24 CDM,73400230,HC TC99M MEBROFENIN DX PSD UP TO 15MCI,77.0,46.2,15.42,308.9,24 CDM,73400231,HC F18 FLORBETAPIR DX PSD UP TO 10MCI AMYVID INJ,6058.0,3634.8,1212.81,6878.34,34 CDM,73400245,HC TC99M OXIDRONATE DX PSD UP TO 30MCI,183.0,109.8,36.64,148.78,24 CDM,73400246,HC NM RADIONUCLIDE VASCULAR FLOW,1075.0,645.0,215.22,1560.0,32 CDM,73400253,HC PET PHARM NAF18,305.0,183.0,61.06,722.16,24 CDM,73400254,HC NM BONE MARROW MULTIPLE,1428.0,856.8,257.0,1560.0,32 CDM,73400255,HC RADIUM RA223 DICHLORIDE TX PER MICROCURIE,305.0,183.0,61.06,479.07,34 CDM,73400269,HC GASTRIC EMPTYING W SM BOWEL TRANSIT,2016.0,1209.6,257.0,1632.96,32 CDM,73400270,HC GASTRIC EMPTYING W SM BOWEL COLON TRANSIT MULTI DAYS,2016.0,1209.6,257.0,1632.96,32 CDM,73400275,HC TECHNETIUM TC99M TILMANOCEPT DX UP TO 0.5MCI,1343.0,805.8,268.87,1592.55,23 CDM,73400276,HC FLUCICLOVINE F18 DX 1MCI,487.0,292.2,97.5,1243.67,34 CDM,73400284,HC NM TUMOR LOC 1 AREA 1 DAY IMG,435.0,261.0,87.09,1560.0,32 CDM,73400285,HC NM TUMOR LOC 2 OR MORE AREAS 1 OR MORE DAYS OR 1 AREA IMG OVER 2 OR MORE DAYS,2240.0,1344.0,257.0,1814.4,32 CDM,73400286,HC NM TUMOR LOCAL SPECT 1 AREA 1 DAY IMG,1605.0,963.0,257.0,1560.0,32 CDM,73400287,HC NM LOCAL TUMOR INFLAMMATORY PROCESS ETC WITH SPECT WITH CT SINGLE DAY,3344.0,2006.4,257.0,2708.64,32 CDM,73400288,HC NM LOCAL TUMOR INFLAMMATORY PROCESS ETC WITH SPECT SINGLE DAY OR MULTIPLE AREA 2 OR MORE DAYS,3344.0,2006.4,257.0,2708.64,32 CDM,73400289,HC NM LOCAL TUMOR INFLAMMATORY PROCESS ETC WITH SPECT WITH CT SINGLE DAY OR MULTIPLE AREA 2 OR MORE DAYS,3344.0,2006.4,257.0,2708.64,32 CDM,73400292,HC FLUOROESTRADIOL F18 DX 1 MCI,1309.0,785.4,262.06,1851.54,35 CDM,73400293,HC COPPER CU64 DOTATATE DX 1 MCI,1929.0,1157.4,386.19,2316.93,35 CDM,73400295,HC F18 PIFLUFOLASTAT PYLARIFY PER MCI,1069.0,641.4,214.01,1480.57,35 CDM,73400296,HC LOCAMETZ GALLIUM GA 68 PSMA DX PER MCI,1908.0,1144.8,369.58,2435.93,35 CDM,73400300,HC F18 FLOTUFOLASTAT POSLUMA DX 1 MCI,1230.0,738.0,246.25,1871.97,35 CDM,73500004,HC CT HEART WO CONT W COR CAL SCORE,4018.0,2410.8,84.71,3254.58,32 CDM,73500005,HC CT HEART W CONT 3D PP,3310.0,1986.0,343.59,2905.0,32 CDM,73500006,HC CT CARD STRUCT MORPH W CONG DISEASE,4142.0,2485.2,343.59,3355.02,32 CDM,73500007,HC CTA CARD STRUCT MORPH W CALC,4142.0,2485.2,343.59,3355.02,32 CDM,73500008,HC CTA ABD AORTA AND BIL ILIEOFM W CONT,4062.0,2437.2,171.27,3501.5,32 CDM,73500009,HC 3D RECON NOT REQ INDEP WORKST,1033.0,619.8,206.81,2905.0,23 CDM,73500010,HC 3D RECON REQUIRE INDEP WORKST,1126.0,675.6,225.43,2905.0,23 CDM,73500011,HC CT UNLISTED DIAG INTERVENTNAL,324.0,194.4,64.86,2905.0,32 CDM,73500012,HC CT GUIDE NEEDLE PLACEMENT,2537.0,1522.2,507.91,2905.0,23 CDM,73500013,HC CT GUID PARENCHYMAL TIS ABLATION,1289.0,773.4,258.06,2905.0,23 CDM,73500014,HC CT GUIDANCE PLACEMENT RADIATION FIELDS,1138.0,682.8,227.83,2905.0,23 CDM,73500015,HC CTA RECONS AORTA SURG PLAN MMS,1269.0,761.4,254.05,2905.0,23 CDM,73500016,HC CT HEAD OR BRAIN WO CONT,2261.0,1356.6,102.31,2905.0,32 CDM,73500017,HC CT HEAD OR BRAIN W CONT,2668.0,1600.8,171.27,2905.0,32 CDM,73500018,HC CT HEAD OR BRAIN WO FLD W CONT,3264.0,1958.4,171.27,2905.0,32 CDM,73500019,HC CT ORBIT SELLA PF WO CONT,2450.0,1470.0,102.31,2905.0,32 CDM,73500020,HC CT ORBIT SELLA PF W CONT,2942.0,1765.2,171.27,2908.74,32 CDM,73500021,HC CT ORBIT SELLA PF WO FLD W CONT,3282.0,1969.2,171.27,3211.99,32 CDM,73500022,HC CT MAXILLOFACIAL WO CONT,2536.0,1521.6,102.31,2905.0,32 CDM,73500023,HC CT MAXILLOFACIAL W CONT,3096.0,1857.6,171.27,2905.0,32 CDM,73500024,HC CT MAXILLOFACIAL WO FLD W CONT,3502.0,2101.2,171.27,2905.0,32 CDM,73500025,HC CT NECK SOFT TISSUE WO CONT,2584.0,1550.4,102.31,2905.0,32 CDM,73500026,HC CT SOFT TISSUE NECK W CONT,3082.0,1849.2,171.27,2905.0,32 CDM,73500027,HC CT SOFT TISSUE NECK WO FLD W CONT,3512.0,2107.2,171.27,2905.0,32 CDM,73500028,HC CTA HEAD W CONT INCL NON CONT,4188.0,2512.8,171.27,3392.28,32 CDM,73500029,HC CTA NECK W CONT INCL NON CONT,3971.0,2382.6,171.27,3216.51,32 CDM,73500030,HC CT THORAX DIAGNOSTIC WO CONT,2331.0,1398.6,102.31,2905.0,32 CDM,73500031,HC CT THORAX DIAGNOSTIC W CONT,2925.0,1755.0,171.27,2905.0,32 CDM,73500032,HC CT THORAX DIAGNOSTIC WO FLD W CONT,3440.0,2064.0,171.27,2905.0,32 CDM,73500033,HC CTA CHEST NONCOR WO W CONT,3874.0,2324.4,171.27,3137.94,32 CDM,73500034,HC CT CERVICAL WO CONT,2872.0,1723.2,102.31,2905.0,32 CDM,73500035,HC CT CERVICAL W CONT,3618.0,2170.8,343.59,2930.58,32 CDM,73500036,HC CT CERVICAL WO FLD W CONT,3704.0,2222.4,171.27,3000.24,32 CDM,73500037,HC CT THORACIC WO CONT,2242.0,1345.2,102.31,2905.0,32 CDM,73500038,HC CT THORACIC W CONT,2729.0,1637.4,171.27,2905.0,32 CDM,73500039,HC CT THORACIC WO FLD W CONT,3184.0,1910.4,171.27,2905.0,32 CDM,73500040,HC CT LUMBAR WO CONT,2622.0,1573.2,102.31,2905.0,32 CDM,73500041,HC CT LUMBAR W CONT,3189.0,1913.4,343.59,2905.0,32 CDM,73500042,HC CT LUMBAR WO FLD W CONT,3723.0,2233.8,171.27,3015.63,32 CDM,73500043,HC CTA PELVIS W CONT INCL NON CONT,3018.0,1810.8,171.27,3037.26,32 CDM,73500044,HC CT PELVIS WO CONT,2292.0,1375.2,102.31,2905.0,32 CDM,73500045,HC CT PELVIS W CONT,2865.0,1719.0,171.27,2905.0,32 CDM,73500046,HC CT PELVIS WO FLD W CONT,3071.0,1842.6,171.27,2905.0,32 CDM,73500047,HC CT UE WO CONT,2934.0,1760.4,102.31,2905.0,32 CDM,73500048,HC CT UE W CONT,4022.0,2413.2,343.59,3257.82,32 CDM,73500049,HC CT UE WO FLD W CONT,4343.0,2605.8,171.27,3517.83,32 CDM,73500050,HC CTA UE W CONT W NON CONT,3974.0,2384.4,171.27,3356.74,32 CDM,73500051,HC CT LE WO CONT,2511.0,1506.6,102.31,2905.0,32 CDM,73500052,HC CT LE W CONT,3231.0,1938.6,171.27,2905.0,32 CDM,73500053,HC CT LE WO FLD W CONT,4235.0,2541.0,171.27,3430.35,32 CDM,73500054,HC CTA LE W CONT AND INCL NON CONT,4927.0,2956.2,171.27,3990.87,32 CDM,73500055,HC CT ABDOMEN WO CONT,2494.0,1496.4,102.31,2905.0,32 CDM,73500056,HC CT ABDOMEN W CONT,3174.0,1904.4,171.27,2905.0,32 CDM,73500057,HC CT ABDOMEN WO W CONT,3758.0,2254.8,171.27,3043.98,32 CDM,73500058,HC CTA ABD PELVIS W CONT W NON CONT,7361.0,4416.6,343.59,5962.41,32 CDM,73500059,HC TAVR PERCUTANEOUS FEM ART,34463.0,20677.8,2025.0,27915.03,23 CDM,73500060,HC CT ABD PELVIS WO CONT,5355.0,3213.0,232.56,4337.55,32 CDM,73500061,HC CT ABD PELVIS W CONT,6379.0,3827.4,343.59,5166.99,32 CDM,73500062,HC CT ABD PELVIS WO W CONT,7415.0,4449.0,343.59,6006.15,32 CDM,73500063,HC CT LIMITED OR LOCALIZED FOLLOW UP,1309.0,785.4,84.71,2905.0,32 CDM,73500068,HC CTA ABDOMEN W CONT W NONCONT,4059.0,2435.4,171.27,3287.79,32 CDM,73500072,HC CTA NECK W CONT,3971.0,2382.6,171.27,3216.51,32 CDM,73500073,HC CT ANGIO HEAD W CONT,4188.0,2512.8,171.27,3392.28,32 CDM,73500077,HC CT RESEARCH STUDY,2925.0,1755.0,171.27,2905.0,32 CDM,73500082,HC CT CEREBRAL PERFUSION STUDY,2800.0,1680.0,560.56,2905.0,23 CDM,73500083,HC JV CT GUIDANCE PLACEMENT RADIATION FIELDS GL,477.0,286.2,95.5,1067.0,23 CDM,73500084,HC CT BREAST W 3D RENDERING UNIL WO CONT,1173.0,703.8,102.31,2905.0,32 CDM,73500085,HC CT BREAST W 3D RENDERING UNIL W CONT,1332.0,799.2,171.27,2905.0,32 CDM,73500086,HC CT BREAST W 3D RENDERING UNIL WO CONT FLD W CONT,1332.0,799.2,171.27,2905.0,32 CDM,73500087,HC CT BREAST W 3D RENDERING BIL WO CONT,1450.0,870.0,232.56,2905.0,32 CDM,73500088,HC CT BREAST W 3D RENDERING BIL W CONT,1764.0,1058.4,343.59,2905.0,32 CDM,73500089,HC CT BREAST W 3D RENDERING BIL WO CONT FLD CONT,1764.0,1058.4,343.59,2905.0,32 CDM,73500090,HC AUTOMATED QUANTIFICATION CT ANGIO CORONARY ATHEROSCLEROTIC PLAQUE ANALYSIS DATA PREP AND TRANSMISSION,1901.0,1140.6,380.58,2905.0,23 CDM,73500091,HC AUTOMATED QUANTIFICATION CT ANGIO CORONARY ATHEROSCLEROTIC PLAQUE COMPUTERIZED ANALYSIS OF DATA,475.0,285.0,95.09,2905.0,32 CDM,73600001,HC PROC TUBE THORACOSTOMY,337.0,202.2,67.47,7039.0,54 CDM,73600003,HC TAVR OPEN FEM ART,34463.0,20677.8,2025.0,27915.03,23 CDM,73600004,HC TAVR OPEN AXILLARY ART,34463.0,20677.8,2025.0,27915.03,23 CDM,73600006,HC TAVR TRANS AORTIC,31466.0,18879.6,2025.0,25487.46,23 CDM,73600011,HC PERC J TUBE PLACEMENT,269.0,161.4,53.85,7039.0,33 CDM,73600012,HC CONVERSION G TUBE TO J TUBE,728.0,436.8,145.75,7039.0,33 CDM,73600014,HC BILIARY BRUSHING VIA PERC CAT,629.0,377.4,125.93,8045.0,33 CDM,73600015,HC INSERT INTRAPERITONEAL TEMP,1993.0,1195.8,399.0,8045.0,33 CDM,73600017,HC DISK A DECOMPRESS LUMBAR,5105.0,3063.0,1022.02,17457.0,33 CDM,73600018,HC PROC EPIDURAL INJ BLOOD PATCH,543.0,325.8,108.71,7039.0,21 CDM,73600022,HC AMNIOCENTESIS DIAG,1387.0,832.2,277.68,7039.0,33 CDM,73600024,HC CT SPINE BIOPSY,880.0,528.0,176.18,7039.0,33 CDM,73600025,HC TAVR OPEN THORACIC APPROACH,57551.0,34530.6,2025.0,46616.31,23 CDM,73600026,HC CREATION OF A V FISTULA AUTO GENOUS GRAFT,4857.0,2914.2,972.37,13852.0,33 CDM,73600027,HC CREATION OF A V FISTULA GRAFT NONAUTOGENOUS GRAFT,4857.0,2914.2,972.37,13852.0,33 CDM,73600028,HC ADENOIDECTOMY YOUNGER THAN 12 PRIMARY,10082.0,6049.2,2018.42,8166.42,21 CDM,73600029,HC ADENOIDECTOMY OLDER THAN 12 PRIMARY,10082.0,6049.2,2018.42,8166.42,21 CDM,73600037,HC CHG ADENOIDEC PED SINUS WAS,10082.0,6049.2,2018.42,8166.42,21 CDM,73600038,HC PERFUSION PROFESS FEE IABP,1275.0,765.0,255.25,7039.0,21 CDM,73600039,HC PERFUSION SERVICE FEE OPCABG BRA,2096.0,1257.6,419.62,7039.0,21 CDM,73600040,HC PERFUSION SERVICE FEE STAND BY,2329.0,1397.4,466.27,7039.0,21 CDM,73600052,HC PERFUSION FEE BRAT CELLSAVER,1264.0,758.4,253.05,7039.0,21 CDM,73600056,HC TAVR TAVI W PROSTHETIC VALVE TRANSAPICAL EXPOSURE,29535.0,17721.0,2025.0,23923.35,23 CDM,73600057,HC CT BIOPSY BACK FLANK SOFT TISSUE SUPERFICIAL,1110.0,666.0,222.22,7039.0,33 CDM,73600058,HC CT BIOPSY BACK FLANK SOFT TISSUE DEEP,2999.0,1799.4,600.4,7039.0,33 CDM,73610001,HC ASPIR HEMATOMA ABCES BUL CYST,155.0,93.0,29.22,7039.0,66 CDM,73610002,HC INJ TREATMENT OF PSEUDOANEURYSM EXT,421.0,252.6,84.28,7039.0,33 CDM,73610004,HC RF ABLATION LIVER TUMOR PERC,2921.0,1752.6,584.78,13852.0,33 CDM,73610009,HC BILIARY BIOPSY PERC CATH,629.0,377.4,125.93,13852.0,33 CDM,73610010,HC INJECTION PERITONEUM CONTRAST AIR,456.0,273.6,91.29,7039.0,24 CDM,73610011,HC EXCHANGE DRAIN CATH ABS CYS,232.0,139.2,46.45,7039.0,33 CDM,73610012,HC CONTRAST INJ FOR ASSESSMENT ABSCESS CYST EXIST CATH,201.0,120.6,40.24,7039.0,24 CDM,73610013,HC REPLACEMENT OF G TUBE OR CECOSTOMY UNDER FLUORO,481.0,288.6,96.3,7039.0,33 CDM,73610017,HC CHANGE URETERAL STENT ILEAL CONDUIT,1109.0,665.4,222.02,7039.0,33 CDM,73610018,HC INJ DISCOGRAPHY CERV/THOR,458.0,274.8,91.69,7039.0,24 CDM,73610019,HC PLACE OCCLUSIVE DEVICE,285.0,171.0,57.06,7039.0,23 CDM,73610025,HC INJ ONLY FOR MAMM DUCTOGRAM,101.0,60.6,20.22,7039.0,24 CDM,73610033,HC BIOPSY NEEDLE MUSCLE PERC,1400.0,840.0,280.28,7039.0,33 CDM,73610034,HC BX NDL BONE TROCAR SUPERFICIAL,1582.0,949.2,298.21,7039.0,66 CDM,73610035,HC BX NDL BONE TROCAR DEEP,2330.0,1398.0,439.2,7039.0,66 CDM,73610036,HC INJECTION SINUS TRACT THERAPEUTIC,311.0,186.6,62.26,7039.0,33 CDM,73610037,HC INJ SINUS TRACT DIAGNOSTIC,311.0,186.6,62.26,7039.0,24 CDM,73610038,HC ARTHROCENTESIS A IR INJ SMALL JNT OR BURSA WO US GUIDE,804.0,482.4,151.55,7039.0,66 CDM,73610039,HC ARTHROCENTESIS ASPIR INJ INTERMEDIATE JNT OR BURSA WO US GUIDE,722.0,433.2,136.1,4311.0,33 CDM,73610040,HC ARTHROCENTESIS A IR INJ MAJOR JNT OR BURSA W/O US GUIDE,577.0,346.2,108.76,7039.0,66 CDM,73610041,HC RFA ABLAT BONE TUM W CONT,4720.0,2832.0,944.94,13527.54,33 CDM,73610042,HC CRYOABL MUSCULOSKELETAL,3377.0,2026.2,173.0,7039.0,33 CDM,73610044,HC BX SOFT TISSUE NECK OR THORAX,712.0,427.2,142.54,7039.0,33 CDM,73610054,HC INJ SHOULDER ARTHROGRAPHY,565.0,339.0,113.11,7039.0,24 CDM,73610055,HC INJ ELBOW ARTHROGRAPHY,1414.0,848.4,173.0,7039.0,24 CDM,73610057,HC INJ WRIST ARTHROGRAPHY,765.0,459.0,153.15,7039.0,24 CDM,73610058,HC INJ HIP ARTHROGRAPHY WO ANESTHESIA,1292.0,775.2,173.0,7039.0,24 CDM,73610059,HC INJ HIP ARTHROGRAPHY W ANESTHESIA,581.0,348.6,116.32,7039.0,24 CDM,73610060,HC INJ SACROILIAC JOINT INCLUDING IMAGE GUIDANCE,1275.0,765.0,173.0,7039.0,48 CDM,73610064,HC INJ ANKLE ARTHROGRAPHY,1168.0,700.8,173.0,7039.0,24 CDM,73610068,HC AMPUTATION TOE METATARSOPHALANGEAL JOINT,3019.0,1811.4,604.4,7039.0,33 CDM,73610069,HC AMPUTATION TOE INTERPHALANGEAL JOINT,3019.0,1811.4,604.4,7039.0,33 CDM,73610072,HC BIOPSY PLEURA PERC NEEDLE,300.0,180.0,60.06,7039.0,33 CDM,73610074,HC INSERT INDWELLING TUNNEL PLEURAL CATH W CUFF,1943.0,1165.8,388.99,17457.0,33 CDM,73610075,HC REMOVAL TUNNELED PLEURAL CATH,1464.0,878.4,293.09,7039.0,33 CDM,73610076,HC PLACEMENT INTERSTITIAL DEVICE INTRATHORACIC,834.0,500.4,166.97,9350.0,33 CDM,73610077,HC THORACENTESIS NLD CATH W IMAGE,1623.0,973.8,324.92,7039.0,33 CDM,73610078,HC PLEURAL DRAIN W CATH W IMAGE GUIDANCE,1770.0,1062.0,354.35,7039.0,33 CDM,73610086,HC PIV VEIN INTRODUCTION NEEDLE OR INTRACATHETER,1809.0,1085.4,173.0,9423.0,46 CDM,73610087,HC SELECTIVE VENOUS 1ST ORD,2105.0,1263.0,173.0,9423.0,48 CDM,73610088,HC CATHETER SELECTIVE PULM ART RT LT,677.0,406.2,135.54,9423.0,48 CDM,73610089,HC CATHETER SEG SUBSEG P,483.0,289.8,96.7,9423.0,42 CDM,73610091,HC INTRO NEEDLE CATH EXT ART,519.0,311.4,103.9,9423.0,24 CDM,73610094,HC NEEDLE CATH AORTA TRANSLUMBAR,684.0,410.4,136.94,9423.0,48 CDM,73610095,HC INTRO CATHETER AORTA,2691.0,1614.6,173.0,9423.0,24 CDM,73610096,HC CATH EXTERNAL CAROTID UNILAT,2756.0,1653.6,173.0,9423.0,48 CDM,73610097,HC ABD PELVIC OR LE SEL 1ST ORD ART,1594.0,956.4,173.0,9423.0,48 CDM,73610098,HC ABD PELVIC OR LE SEL 2ND ORD ART,916.0,549.6,173.0,9423.0,48 CDM,73610099,HC ABD PELVIC OR LE SEL 3RD ORD ART,1130.0,678.0,173.0,9423.0,48 CDM,73610100,HC ABD PELVIC OR LE SEL ADDL ORD ART,1153.0,691.8,173.0,9423.0,48 CDM,73610105,HC LASER ABLATION INCOMPETENT VEIN 1ST,5059.0,3035.4,1012.81,17457.0,33 CDM,73610106,HC LASER ABLATION INCOMPETENT VEIN EACH ADDITIONAL SAME EXTREMITY,4925.0,2955.0,928.36,4311.0,24 CDM,73610107,HC PORTAL VEIN ACCESS,795.0,477.0,159.16,7039.0,24 CDM,73610108,HC VENOUS CATH ORGAN BLOOD SAMPLING,725.0,435.0,145.15,7039.0,24 CDM,73610109,HC INSERT NON TUNNEL CVC UNDER 5YRS,818.0,490.8,163.76,7039.0,33 CDM,73610110,HC INSERT TUNNEL CVC WO SUBQ PORT PUMP UNDER 5YRS,742.0,445.2,148.55,13852.0,33 CDM,73610111,HC INSERT TUNNEL CVC WO SUBQ PORT PUMP 5YRS AND OLDER,2247.0,1348.2,449.85,8045.0,33 CDM,73610112,HC INSERT TUNNEL CVC W SUBQ PORT UNDER 5 YRS,742.0,445.2,148.55,8045.0,33 CDM,73610113,HC INSERT TUNNEL CVC W SUBQ PORT 5YRS AND OLDER,3723.0,2233.8,745.34,8045.0,33 CDM,73610114,HC PICC LINE PLACEMENT WO IMAGING GUIDANCE UNDER 5YRS,886.0,531.6,177.38,7039.0,33 CDM,73610115,HC PICC LINE PLACEMENT WO IMAGING GUIDANCE 5YRS AND OLDER,686.0,411.6,137.34,7039.0,33 CDM,73610118,HC REPAIR TUNNEL OR NONTUNNEL CVC WO PORT PUMP,195.0,117.0,39.04,7039.0,33 CDM,73610119,HC REPAIR TUNNEL OR NONTUNNEL CVC W PORT PUMP,533.0,319.8,106.71,7039.0,33 CDM,73610120,HC REPLACE TUNNEL CATH CVAD W SUBQ PORT PUMP,555.0,333.0,111.11,8045.0,33 CDM,73610121,HC REPLACE COMPLETE NONTUNNEL CVC WO SUBQ PORT PUMP,590.0,354.0,118.12,7039.0,33 CDM,73610122,HC REPLACE COMPLETE TUNNEL CVC WO SUBQ PORT PUMP,583.0,349.8,116.72,8045.0,33 CDM,73610123,HC REPLACE COMPLETE TUNNEL CVAD W SUBQ PUMP,665.0,399.0,133.13,13852.0,33 CDM,73610124,HC REPLACE COMPLETE TUNNEL CVAD W SUBQ PORT,4163.0,2497.8,833.43,8045.0,33 CDM,73610125,HC REPLACE COMPLETE PICC WO SUBQ PORT PUMP,2128.0,1276.8,426.03,7039.0,33 CDM,73610127,HC REMOVAL TUNNEL CVC WO SUBQ PORT PUMP,1343.0,805.8,268.87,7039.0,33 CDM,73610128,HC REMOVAL TUNNEL CVAD W SUBQ PORT PUMP CENTRAL OR PERIPHERAL INSERTION,1464.0,878.4,293.09,7039.0,33 CDM,73610129,HC MECHANICAL REMOVAL PERICATH OBSTRUCTIVE MATERIAL,694.0,416.4,138.94,8442.0,33 CDM,73610130,HC MECHANICAL REMOVAL INTRALUMINAL OBSTRUCTIVE MATERIAL,587.0,352.2,117.52,7039.0,33 CDM,73610131,HC REPOSITION PREV CVC W FLUORO,606.0,363.6,121.32,7039.0,33 CDM,73610132,HC CONTRAST INJ CVA DEVICE W FLUORO,884.0,530.4,166.63,7039.0,66 CDM,73610135,HC PRIMARY PTMT NONCOR INITIAL W FLUORO GUIDANCE,14058.0,8434.8,2814.41,18878.8,66 CDM,73610136,HC PRIMARY PTMT NONCOR 2 AND SUBQ FLUORO,14058.0,8434.8,173.0,11386.98,24 CDM,73610137,HC SECONDARY PTT NONCOR FLUORO GUIDE,6186.0,3711.6,173.0,9423.0,24 CDM,73610138,HC PTMT INCL INJ AND FLUORO GUIDANCE,10514.0,6308.4,2104.9,17457.0,66 CDM,73610139,HC PTMT INJ AND FLUORO REPEAT TX,10514.0,6308.4,2104.9,17457.0,66 CDM,73610140,HC INSERT IVC FILTER W S AND I INCLD IMAGE GUIDANCE,11452.0,6871.2,2292.69,13852.0,66 CDM,73610141,HC REPOSITION IVC FILTER W S AND I INCL IMAGE GUIDANCE,7673.0,4603.8,1536.13,8045.0,33 CDM,73610142,HC RETRIEVAL IVC FILTER ENDOVASC APPROACH W S AND I INCLD IMAGE GUIDANCE,7902.0,4741.2,1581.98,9423.0,66 CDM,73610143,HC INTRAVASCULAR FOREIGN BODY RETRIEVAL,4800.0,2880.0,960.96,9423.0,33 CDM,73610144,HC TRANSCATHETER BIOPSY VASCULAR,4471.0,2682.6,895.09,13852.0,33 CDM,73610146,HC STENT PLACEMENT INITIAL ARTERY OTHER THAN LOWER EXT CAROTIDS VERT,6062.0,3637.2,1213.61,24600.0,33 CDM,73610147,HC STENT PLACEMENT EACH ADDITIONAL ARTERY OTHER THAN LOWER EXT CAROTIDS VERT,6062.0,3637.2,1213.61,13852.0,48 CDM,73610149,HC TRANSCTH THROMBOTHRPY ART INT,4394.0,2636.4,879.68,13852.0,33 CDM,73610150,HC CRYO ABLATION VASCULAR MALFORMATION,2417.0,1450.2,483.88,7039.0,33 CDM,73610153,HC BONE MARROW BIOPSY,2475.0,1485.0,495.5,7039.0,33 CDM,73610154,HC BIOPSY LYMPH NODE SUPERFICIAL,1613.0,967.8,322.92,7039.0,33 CDM,73610156,HC INJECTION ID SENTINEL NODE,792.0,475.2,158.56,7039.0,33 CDM,73610157,HC ABLATION SCLEROTHERAPY HEMIC LYMPH,2474.0,1484.4,173.0,7039.0,33 CDM,73610160,HC INJECTION SIALOGRAM,379.0,227.4,75.88,7039.0,24 CDM,73610162,HC PLACEMENT NG OR OG TUBE INCL FLUORO,482.0,289.2,96.5,7039.0,33 CDM,73610165,HC INTRO LONG GI TUBE,282.0,169.2,56.46,7039.0,32 CDM,73610170,HC PERC BIOPSY LIVER W OTHER,542.0,325.2,108.51,7039.0,24 CDM,73610172,HC CRYOABL LIVER 1 OR MORE TUMORS PERCUT,5294.0,3176.4,1059.86,17457.0,33 CDM,73610173,HC PERC CHOLECYSTOSTOMY COMP INCL GUIDANCE,1277.0,766.2,255.66,8045.0,32 CDM,73610176,HC PERC BILIARY METALLIC STENT,7494.0,4496.4,1500.3,17457.0,54 CDM,73610178,HC BIOPSY PANCREAS PERCUTANEOUS NEEDLE,395.0,237.0,79.08,7039.0,33 CDM,73610183,HC ABD PARACENTESIS INCL IMAGING,1640.0,984.0,309.14,7039.0,66 CDM,73610184,HC BIOPSY ABD OR RETROPERITONEAL PERCUTANEOUS NEEDLE,2136.0,1281.6,427.63,7039.0,33 CDM,73610185,HC PLACEMENT INTERSTITIAL DEVICE PERC INTRA ABD PEL RETROPERI,911.0,546.6,171.72,4311.0,33 CDM,73610186,HC INSERT TUNNEL INTRAPERITONEAL CATH INCL IMAGING,3077.0,1846.2,616.02,17457.0,33 CDM,73610188,HC REMOVAL TUNNEL INTRAPERITONEAL CATH,2239.0,1343.4,448.25,8045.0,33 CDM,73610190,HC PERC INSERT GASTROSTOMY TUBE INCL FLUORO GUIDANCE,535.0,321.0,107.11,7039.0,33 CDM,73610191,HC PERCUTANEOUS INSERT JEJUN OR DUOD TUBE INCL FLUORO GUIDANCE,1016.0,609.6,203.4,7039.0,54 CDM,73610193,HC CONVERSION G TUBE TO GJ TUBE INCL FLUORO GUIDANCE,3854.0,2312.4,771.57,7039.0,33 CDM,73610194,HC REPLACE D OR J TUBE INCL FLUORO GUIDANCE,642.0,385.2,128.53,7039.0,33 CDM,73610195,HC REPLACE G OR J TUBE INCL FLUORO GUIDANCE,802.0,481.2,160.56,7039.0,33 CDM,73610196,HC MECHANICAL REMOVAL OBSTRUCTIVE MATERIAL G OR J OR GJ INCL FLUORO GUIDANCE,642.0,385.2,128.53,7039.0,33 CDM,73610197,HC INJECTION EXISTING G OR J OR GJ INCL GUIDE,695.0,417.0,139.14,7039.0,33 CDM,73610199,HC CRYOABL ABD PERI OMENTUM,5294.0,3176.4,902.01,7039.0,33 CDM,73610201,HC BIOPSY RENAL PERC BY TROCAR OR NEEDLE,2378.0,1426.8,476.08,7039.0,33 CDM,73610202,HC REMOVE AND REPLACE INDWELL URETERAL STENT PERCUTANEOUS,2502.0,1501.2,500.9,7039.0,33 CDM,73610203,HC REMOVE INDWELL URETERAL STENT PERC,2478.0,1486.8,496.1,7039.0,33 CDM,73610206,HC REMOVE REPLACE EXT URETERAL STENT INCL FLUORO GUIDANCE,636.0,381.6,127.33,7039.0,33 CDM,73610207,HC REMOVE NEPHROSTOMY TUBE INCL FLUORO GUIDANCE,1160.0,696.0,232.23,7039.0,33 CDM,73610208,HC INJECTION ASPIRATION RENAL PELVIC CYST BY PERCUTANEOUS NEEDLE,175.0,105.0,35.03,7039.0,33 CDM,73610213,HC RF ABLATION RENAL TUMOR UNIL PERC,6291.0,3774.6,1259.46,13852.0,33 CDM,73610214,HC CRYOABL RENAL TUMOR UNIL PERC,7767.0,4660.2,1554.95,17457.0,33 CDM,73610216,HC INJECTION ILEAL CONDUIT,90.0,54.0,18.02,7039.0,24 CDM,73610219,HC ASPIR BLADDER W SUPRAPUBIC CATH,2491.0,1494.6,498.7,7039.0,33 CDM,73610220,HC INJECTION FOR CYSTOGRAPHY OR VOIDING,294.0,176.4,58.86,7039.0,23 CDM,73610221,HC INJECTION RETROGRADE URETHROCYSTOGRAPHY,231.0,138.6,46.25,7039.0,23 CDM,73610222,HC INSERT TEMP INDWELLING BLADDER CATH SIMPLE,208.0,124.8,39.21,4311.0,33 CDM,73610223,HC CHANGE CYSTOSTOMY TUBE SIMPLE,404.0,242.4,80.88,7039.0,54 CDM,73610226,HC INJECTION HYSTEROSALPINOGRAPHY,408.0,244.8,81.68,7039.0,24 CDM,73610230,HC ABLATION SCLEROTHERAPY FEMALE,2474.0,1484.4,173.0,7039.0,33 CDM,73610238,HC BIOPSY NEEDLE THYROID CORE,202.0,121.2,40.44,7039.0,33 CDM,73610239,HC C1 C2 PUNCTURE W INJECTION SUBARACH ACE,1592.0,955.2,173.0,7039.0,33 CDM,73610240,HC ENDOVASC TEMP BALLOON ARTERIAL OCCLUSION HEAD NECK,4497.0,2698.2,900.3,24600.0,33 CDM,73610241,HC EMBOLIZATION OCCLUSION INTRACRANIAL N,4234.0,2540.4,847.65,24600.0,24 CDM,73610242,HC EMBOLIZATION OCCLUSION EXTRACRANIAL INN,2921.0,1752.6,584.78,24600.0,33 CDM,73610243,HC BALLOON ANGIO INTRACRANIAL PER,4574.0,2744.4,915.71,7039.0,44 CDM,73610244,HC TRANSCATH PLACE INTRAVAS STENT,10837.0,6502.2,2169.57,8777.97,21 CDM,73610248,HC PERC ASPIRATION INTERVERTEBRAL DISC OR PARAVERTEBRAL TISSUE,1055.0,633.0,198.87,7039.0,66 CDM,73610249,HC LUMBAR PUNCTURE DIAGNOSTIC,1471.0,882.6,294.49,7039.0,33 CDM,73610250,HC INJECTION SPINAL MYELOGRAM NOT C1 C2,288.0,172.8,54.29,7039.0,48 CDM,73610253,HC INJECTION ANESTHETIC AGENT AND OR STEROID TRANSFORAMINAL EPIDURAL C T 1 LEVEL W IMG GUIDE,1918.0,1150.8,361.54,7039.0,66 CDM,73610254,HC INJECTION ANESTHETIC AGENT AND OR STEROID TRANSFORAMINAL EPIDURAL C T EACH ADDL LEVEL W IMG GUIDE,1173.0,703.8,221.11,4311.0,24 CDM,73610255,HC INJECTION ANESTHETIC AGENT AND OR STEROID L S 1LVL W IMAGE GUIDANCE,2511.0,1506.6,473.32,7039.0,66 CDM,73610256,HC INJECTION ANESTHETIC AGENT AND OR STEROID L S EACH ADDL LVL W IMAGE GUIDANCE,2034.0,1220.4,173.0,7039.0,48 CDM,73610257,HC INJECTION ANESTHETIC AGENT PV FACET C T SGL LVL,1738.0,1042.8,327.61,7039.0,66 CDM,73610258,HC INJECTION ANESTHETIC AGENT PV FACET L S SGL LVL,1583.0,949.8,298.4,7039.0,66 CDM,73610259,HC INJECTION ANESTHETIC AGENT PV FACET L S 2ND LVL,1646.0,987.6,173.0,7039.0,48 CDM,73610260,HC INJECTION ANESTHETIC AGENT PV FACET L S 3RD EACH ADDL LVL,1710.0,1026.0,322.33,4311.0,24 CDM,73610261,HC INJECTION ANESTHETIC AGENT CELIAC PLEXUS,1515.0,909.0,285.58,7039.0,66 CDM,73610262,HC DESTRUCTION INTERCOSTAL NERVE,1509.0,905.4,284.45,7039.0,66 CDM,73610263,HC DESTRUCTION PV FACET JOINT NERVE LS SGL W IMAGE GUIDANCE,3322.0,1993.2,626.2,9350.0,66 CDM,73610264,HC DEST FACET JT NV LS ADD W IG,1860.0,1116.0,173.0,7039.0,48 CDM,73610265,HC DESTRUCTION NEUROLYTIC AGENT CELIAC PLEXUS,1818.0,1090.8,342.69,7039.0,66 CDM,73610266,HC ABLATION SCLEROTHERAPY NERVOUS SYSTEM,2306.0,1383.6,173.0,7039.0,33 CDM,73610268,HC INTRAOPERATIVE LYMPH NODE MAPPING,368.0,220.8,73.67,7039.0,24 CDM,73610269,HC INCISION AND DRAINAGE PERIRECTAL ABSCESS,4857.0,2914.2,915.54,6735.0,33 CDM,73610270,HC REMOVE TEMP CV CATH,220.0,132.0,44.04,7039.0,21 CDM,73610273,HC PERC AUGMENT SACRAL INJ UNIL 1 OR MORE NEEDLES W BIOPSY W IMAGE GUIDANCE,2841.0,1704.6,568.77,12408.0,32 CDM,73610274,HC PERC AUGMENT SACRAL INJ BIL 2 OR MORE NEEDLES W BIOPSY W IMAGE GUIDANCE,2990.0,1794.0,598.6,17457.0,32 CDM,73610278,HC ATHERECTOMY BRACHCPHLC BRCH W S AND I,20137.0,12082.2,4031.43,24600.0,33 CDM,73610290,HC CT RENAL BIOPSY,10706.0,6423.6,2143.34,24600.0,33 CDM,73610297,HC ART RETRO BRACHIAL,519.0,311.4,103.9,9423.0,24 CDM,73610315,HC INJECTION ANKLE ARTHROGRAM BIL,1168.0,700.8,173.0,7039.0,24 CDM,73610316,HC NEEDLE LOC BREAST INITIAL,1074.0,644.4,215.01,7039.0,33 CDM,73610322,HC PLACEMENT METAL CLIP DURING LYMPH NODE BIOPSY,693.0,415.8,138.74,7039.0,33 CDM,73610323,HC US GUIDANCE CYST ASPIRATION BREAST BIL,776.0,465.6,155.36,7039.0,33 CDM,73610326,HC BX BRST PLC LOC DEV 1LES W STG,5458.0,3274.8,1092.69,7039.0,33 CDM,73610327,HC BX BRST PLC LOC DEV +LES W STG,3712.0,2227.2,173.0,7039.0,24 CDM,73610328,HC BIOPSY BREAST PLACE LOCALIZATION DEVICE 1 LESION W US GUIDANCE,4719.0,2831.4,944.74,7039.0,33 CDM,73610329,HC BX BRST PLC LOC DEV +LES W USG,3869.0,2321.4,173.0,7039.0,24 CDM,73610330,HC BIOPSY BREAST PLACE LOCALIZATION DEVICE 1 LESION W MRI GUIDANCE,4864.0,2918.4,973.77,7039.0,33 CDM,73610331,HC BIOPSY BREAST PLACE LOCALIZATION DEVICE EACH ADDITIONAL LESION W MRI GUIDANCE,3988.0,2392.8,173.0,7039.0,24 CDM,73610332,HC PLACE BREAST LOCALIZATION DEVICE 1 LESION W MAMMO GUIDANCE,1688.0,1012.8,337.94,7039.0,33 CDM,73610333,HC PLACE BREAST LOCALIZATION DEVICE ADDL LESION W MAMMO GUIDANCE,573.0,343.8,114.71,7039.0,24 CDM,73610334,HC CRYOABL PULM TUM INCLD GUID,7462.0,4477.2,1493.89,13852.0,33 CDM,73610336,HC PLACE BREAST LOCALIZATION DEVICE 1 LESION W US GUIDANCE,1990.0,1194.0,398.4,7039.0,33 CDM,73610337,HC PLACEMENT BREAST LOC DEV EACH ADDL LES W USG,1492.0,895.2,173.0,7039.0,24 CDM,73610338,HC PLACE BREAST LOCALIZATION DEVICE 1 LESION W MRI GUIDANCE,2653.0,1591.8,531.13,7039.0,33 CDM,73610444,HC STENT INTRAVASULAR OPEN EACH ADDITIONAL VEIN,28766.0,17259.6,4311.0,23300.46,24 CDM,73610445,HC VASCULAR EMBOLIZATION OR OCCLUSION VENOUS OTHER THAN HEMMORRHAGE INCLD SI IMG GUIDE ROADMAPPING,4187.0,2512.2,838.24,24600.0,33 CDM,73610446,HC EMBOLIZATION ARTERIAL NOT HEMORRHAGE,13279.0,7967.4,2658.46,24600.0,33 CDM,73610447,HC EMBOLIZATION ARTERIAL OR VENOUS HEMORRHAGE,8848.0,5308.8,1771.37,24600.0,33 CDM,73610448,HC PLC BRST LOC DEV 1LES W STG,3479.0,2087.4,676.91,7039.0,33 CDM,73610451,HC PERIPHERAL INSERTED CVAD W SUBQ PORT 5 YRS AND OLDER,3624.0,2174.4,725.52,8045.0,33 CDM,73610453,HC REMOVAL OF FOREIGN BODY PERITONEAL CAVITY,1241.0,744.6,248.45,8045.0,33 CDM,73610455,HC ARTHROCENTESIS ASPIRATION INJECTION SMALL JOINT OR BURSA W US GUIDANCE,1696.0,1017.6,173.0,7039.0,66 CDM,73610456,HC ARTHROCENTESIS ASPIRATION INJECTION INTERMEDIATE JOINT OR BURSA W US GUIDANCE,1876.0,1125.6,353.63,7039.0,66 CDM,73610457,HC ARTHROCENTESIS ASPIRATION INJECTION MAJOR JOINT OR BURSA W US GUIDANCE,1732.0,1039.2,173.0,7039.0,66 CDM,73610458,HC PERC VERT 1 VERT BODY CERVICOTHORACIC UNIL OR BIL W BIOPSY W IMAGE GUIDANCE,1289.0,773.4,258.06,17457.0,33 CDM,73610459,HC PERC VERT 1 VERT BODY LUMBOSACRAL UNIL OR BIL W BIOPSY W IMAGE GUIDANCE,733.0,439.8,146.75,17457.0,33 CDM,73610460,HC PERC VERT 1 VERT BODY EACH ADDITIONAL CT OR LS UNIL OR BIL W BIOPSY W IMAGE GUIDANCE,1229.0,737.4,173.0,17457.0,24 CDM,73610461,HC PERC VERT AUGMENT 1 VERT BODY THORACIC UNIL OR BIL W IMAGE GUIDANCE,7165.0,4299.0,1434.43,13852.0,33 CDM,73610462,HC PERC VERT AUGMENT 1 VERT BODY LUMBAR UNIL OR BIL W IMAGE GUIDANCE,1791.0,1074.6,358.56,13852.0,33 CDM,73610463,HC PERC VERT AUGMENT EACH ADDITIONAL THOR LUM UNIL OR BIL W IMAGE GUIDANCE,1576.0,945.6,173.0,7039.0,24 CDM,73610464,HC MYELOGRAPHY CERVICAL VIA LUMBER INJECTION INCL S AND I,1854.0,1112.4,371.17,8213.0,33 CDM,73610465,HC MYELOGRAPHY THORACIC VIA LUMBAR INJECTION INCL S AND I,1046.0,627.6,209.41,8213.0,33 CDM,73610466,HC CRYOABL BONE TUMOR PERCUT W IMAGE GUIDE,7984.0,4790.4,1598.4,13852.0,33 CDM,73610467,HC STENT PLCMNT INTRATHORACIC CAROTID W ANGIO W S AND I,3586.0,2151.6,717.92,9423.0,48 CDM,73610507,HC PLACE SOFT TISSUE MARKER 1ST LESION,2607.0,1564.2,521.92,7039.0,33 CDM,73610509,HC IVUS NON CORONARY INITIAL VESSEL INCL S AND I,2602.0,1561.2,173.0,9423.0,48 CDM,73610510,HC IVUS NON CORONARY EACH ADDITIONAL VESSEL INCL S AND I,2602.0,1561.2,173.0,9423.0,48 CDM,73610511,HC INJECTION PROC FOR CHOLANGIO EXIST ACCESS INCL IMAGE S AND I,3465.0,2079.0,693.69,8045.0,33 CDM,73610512,HC INJECTION PROC FOR CHOLANGIO NEW ACCESS INCL IMAGE S AND I,2980.0,1788.0,596.6,17457.0,33 CDM,73610513,HC PLACE EXT BILIARY DRAIN CATH INCL CHOLANG WHEN PERFORMED IMAGE S AND I,6144.0,3686.4,1230.03,17457.0,33 CDM,73610514,HC PLACE INT EXT BILIARY DRAIN CATH INCL CHOLANG WHEN PERFORMED IMAGE S AND I,7144.0,4286.4,1430.23,17457.0,33 CDM,73610515,HC CONVERT EXT BILIARY DRAIN TO INT EXT BIL DRAIN INCL CHOLANG WHEN PERFORMED IMAGE S AND I,5291.0,3174.6,1059.26,17457.0,33 CDM,73610516,HC EXCHANGE BILIARY DRAIN CATH INCL CHOLANG WHEN PERFORMED IMAGE S AND I,4767.0,2860.2,954.35,17457.0,33 CDM,73610517,HC REMOVAL BILIARY DRAIN CATH REQ FLUORO INCL CHOLANG WHEN PERFORMED IMAGE S AND I,1192.0,715.2,238.64,7039.0,33 CDM,73610518,HC PLACE STENT BILE DUCT EXIST ACCESS,8038.0,4822.8,1609.21,17457.0,33 CDM,73610519,HC PLACE STENT BILE DUCT NEW ACCESS WO PLC SEP BIL DRAIN CATH,8296.0,4977.6,1660.86,17457.0,33 CDM,73610520,HC PLACE STENT BILE DUCT NEW ACCESS W PLC SEP BIL DRAIN CATH I,12470.0,7482.0,2496.49,17457.0,33 CDM,73610521,HC PLACE NEW ACCESS THRU BILIARY TREE INTO SM BOWEL FOR ENDO PROC EG RENDEVOUS,6955.0,4173.0,1392.39,17457.0,33 CDM,73610522,HC BALLOON DILATION OF BILIARY DUCT INCLDS IMG SI,5274.0,3164.4,1055.85,7039.0,21 CDM,73610523,HC ENDOLUMINAL BIOPSY BILIARY TREE INCL IMAGE S AND I,2658.0,1594.8,173.0,7039.0,24 CDM,73610524,HC REMOVAL OF CALCULI DEBRIS FROM BILIARY DUCT AND OR GB INCL DESTRUC WHEN PERFORMED IMAGE S AND I,1848.0,1108.8,173.0,7039.0,24 CDM,73610525,HC SCLERO FLUID COLLECT LYMPHOCELE CYST SEROMA INCL CONT INJ IMAGE S AND I WHEN PERFORMED,891.0,534.6,178.38,12408.0,33 CDM,73610526,HC INJECTION PROCEDURE FOR NEPHROSTOGRAM AND OR URETEROGRAM NEW ACCESS INCL IMAGE S AND I,1611.0,966.6,322.52,7039.0,33 CDM,73610527,HC INJECTION PROCEDURE FOR NEPHROSTOGRAM AND OR URETEROGRAM EXIST ACCESS INCL IMAGE S AND I,1191.0,714.6,238.44,7039.0,33 CDM,73610528,HC PLACE NEPHROSTOMY CATH INCL NEPHRO URETEROGRAM WHEN PERFORMED IMAGE S AND I,3702.0,2221.2,741.14,12408.0,33 CDM,73610529,HC PLACE NEPHROURETERAL CATH NEW ACCESS INCL NEPHRO URETEROGRAM WHEN PERFORMED IMAGE S AND I,3251.0,1950.6,650.85,12408.0,33 CDM,73610530,HC CONVERT NEPHROSTOMY CATH TO NEPHROURETERAL CATH VIA EXISTING NEPH TRACT,3254.0,1952.4,651.45,7039.0,33 CDM,73610531,HC EXCHANGE NEPHROSTOMY CATH INCL NEPH URETEROGRAM WHEN PERFORMED IMAGE S AND I,2805.0,1683.0,561.56,7039.0,33 CDM,73610532,HC ENDOLUMINAL BIOPSY URETER AND OR RENAL PELVIS NON ENDO INCL IMAGE S AND I,2658.0,1594.8,173.0,7039.0,24 CDM,73610533,HC PLACE URETERAL STENT THRU PRE EXIST NEPHROSTOMY TRACT INCL NEPHR URETEROGRAM WHEN PERFORMED IMAGE S AND I,4769.0,2861.4,954.75,17457.0,33 CDM,73610534,HC PLACE URETERAL STENT NEW ACCESS WO SEP NEPHRO CATH INCL NEPH URETEROGRAM WHEN PERFORMED IMAGE SUPERVISION,5532.0,3319.2,1107.51,17457.0,33 CDM,73610535,HC PLACE URETERAL STENT NEW ACCESS W SEP NEPHRO CATH INCL NEPH URETEROGRAM WHEN PERFORMED IMAGE S AND I,8107.0,4864.2,1623.02,17457.0,33 CDM,73610536,HC BALLOON DILATION URETERAL STRICTURE INCL IMAGE S AND I,751.0,450.6,150.35,7039.0,24 CDM,73610537,HC ARTERIAL TRANSLUM MECH THRMBCTMY AND OR INFUS THRM INTRCRNL INCL ANGIO FLG CATH PLAC PHAR THROB INJ,10877.0,6526.2,2025.0,11124.0,24 CDM,73610538,HC EV INTRCRNL PRLNGD ADMIN PHARM AGENT NOT THROMBLYSIS INITIAL INCL CATH PLACE IMAGE,7831.0,4698.6,1567.77,7039.0,23 CDM,73610539,HC EV INTRCRNL PRLNGD ADMIN PHARM AGENT NOT THROMBLYSIS EA ADDL INCL CATH PLACE IMAGE,3807.0,2284.2,762.16,7039.0,23 CDM,73610540,HC TRANSCATH REPAIR MITRAL VALVE PARAVAL LEAK,17121.0,10272.6,3427.62,52940.0,33 CDM,73610541,HC THROMBECTOMY ARTERIAL VENOUS NONHEMODIALYSIS GRAFT WO REVISION,7327.0,4396.2,1466.87,13852.0,33 CDM,73610542,HC BIOPSY SALIVARY GLAND,902.0,541.2,180.58,7039.0,33 CDM,73610551,HC TRANS BALLOON ANGIO CENTRAL DIALYSIS SEGMENT,3481.0,2088.6,173.0,9423.0,48 CDM,73610552,HC TRANS BALLOON ANGIO EXCEPT LE PULMONARY CORONARY INTRACRANIAL DIALYSIS INITIAL ARTERY,17238.0,10342.8,3451.05,13962.78,33 CDM,73610553,HC TRANS BALLOON ANGIO EXCEPT LE PULMONARY CORONARY INTRACRANIAL DIALYSIS EACH ADDITIONAL ARTERY,16182.0,9709.2,173.0,13107.42,48 CDM,73610554,HC TRANS BALLOON ANGIO EXCEPT DIALYSIS CIRCUIT INITIAL VEIN,8795.0,5277.0,1760.76,13852.0,66 CDM,73610555,HC TRANS BALLOON ANGIO EXCEPT DIALYSIS CIRCUIT EACH ADDITIONAL VEIN,9322.0,5593.2,173.0,9423.0,48 CDM,73610559,HC STENT PLACEMENT CENTRAL DIALYSIS SEGMENT,12428.0,7456.8,173.0,10066.68,24 CDM,73610560,HC DIALYSIS CIRCUIT EMBOLIZATION OR OCCLUSION,9035.0,5421.0,173.0,9423.0,24 CDM,73610568,HC BONE MARROW BIOPSY AND ASPIRATION DIAGNOSTIC,2910.0,1746.0,582.58,7039.0,33 CDM,73610580,HC PLACEMENT OF PROXIMAL OR DISTAL EXTENSIONS FOR ENDVASC REPAIR OF INFRARENAL ABD OR ILIAC ANEURYSM,2368.0,1420.8,474.07,7039.0,24 CDM,73610581,HC DELAYED PLACEMENT OF PROX OR DISTAL EXTENSION FOR ENDO REPAIR OF AO OR ILIAC ANEURYSM INITIAL VESSEL,2368.0,1420.8,474.07,8442.0,24 CDM,73610582,HC DELAYED PLACEMENT OF PROX OR DISTAL EXTENSION FOR ENDO REPAIR OF AO OR ILIAC ANEURYSM EACH ADDITIONAL VESSEL,804.0,482.4,160.96,7039.0,24 CDM,73610590,HC CVW INS PICC WO SQ PRT PUMP UNDER 5YRS WO IMG GUIDANCE,6560.0,3936.0,990.0,7039.0,33 CDM,73610591,HC CVW INS PICC WO SQ PORT PUMP 5YRS AND OLDER WO IMG GUIDANCE,1686.0,1011.6,317.81,4311.0,33 CDM,73610592,HC CVW REPL COMP PICC WO SQ PORT PMP,2021.0,1212.6,404.6,7039.0,33 CDM,73610615,HC PERIPHERAL FFR,3211.0,1926.6,594.81,9423.0,33 CDM,73610616,HC INJECTION PROC FOR CONTRAST KNEE ARTHRO OR CONTRAST ENHANCED CT MRI KNEE ARTHRO,487.0,292.2,97.5,7039.0,24 CDM,73610617,HC INSERT PICC WO PORT OR PUMP INCL GUIDANCE AND SUPERVISION INTERP YOUNGER THAN 5 YEARS OLD,2859.0,1715.4,572.37,7039.0,33 CDM,73610618,HC INSERT PICC WO PORT OR PUMP INCL GUIDANCE AND SUPERVISION INTERP 5 YEARS AND OLDER,2859.0,1715.4,572.37,10768.0,33 CDM,73610619,HC REPLACEMENT OF G TUBE PERC INCL REMOVAL WO IMAGE OR ENDO GUIDANCE NOT REQ REV G TRACT,218.0,130.8,43.64,7039.0,33 CDM,73610620,HC REPLACEMENT OF G TUBE PERC INCL REMOVAL WO IMAGE OR ENDO GUIDANCE W REV OF G TRACT,218.0,130.8,43.64,7039.0,33 CDM,73610621,HC DILATION OF EXISTING TRACT PERC ENDOUROLOGIC PROCEDURE INCL GUIDE AND SI W POSTPROC TUBE PLACEMENT,9944.0,5966.4,1990.79,17457.0,33 CDM,73610622,HC DILATION OF EXISTING TRACT PERC ENDOUROLOGIC PROCEDURE INCL GUIDE AND SI W POSTPROC TUBE PLACE INCL ACCESS TO RSC,9944.0,5966.4,1990.79,8054.64,33 CDM,73610644,HC CORE NEEDLE BIOPSY LUNG MEDIASTINUM PERQ W IMG,4014.0,2408.4,803.6,12408.0,33 CDM,73610645,HC CRYOABL NERVE PLEXUS OR TRUNCAL NERVE INCL GUIDANCE,6092.0,3655.2,1219.62,10022.0,33 CDM,73610654,HC VENOUS EMBOLIZATION NOT HEMORRHAGE W NEEDLE,3452.0,2071.2,594.81,7039.0,33 CDM,73610655,HC VAT PIV VEIN INTRODUCTION NEEDLE OR INTRACATHETER,1809.0,1085.4,173.0,7039.0,23 CDM,73610657,HC VAT PICC LINE PLACEMENT WO IMAGING GUIDANCE 5YRS AND OLDER,629.0,377.4,125.93,7039.0,33 CDM,73610659,HC VAT INSERT PICC WO PORT OR PUMP INCL GUIDANCE AND SUPERVISION INTERP YOUNGER THAN 5 YEARS OLD,2859.0,1715.4,572.37,7039.0,33 CDM,73610660,HC VAT INSERT PICC WO PORT OR PUMP INCL GUIDANCE AND SUPERVISION INTERP 5 YEARS AND OLDER,2859.0,1715.4,572.37,10768.0,33 CDM,73610661,HC NONINVASIVE ESTIMATE OF CORONARY FRACTIONAL FLOW RESERVE FROM AUGMENT SOFTWARE ANALYSIS W CT ANGIO INCL INTERPRETATION AND REPORT BY PHY QHP,4058.0,2434.8,651.0,3286.98,32 CDM,73620017,HC MYELOGRAPHY 2 OR MORE REGIONS LT CT LC LTC,1959.0,1175.4,392.19,8213.0,33 CDM,74010009,HC DIAGNOSTIC MAMMO WITH CAD UNILATERAL,392.0,235.2,78.48,317.52,23 CDM,74010010,HC DIAGNOSTIC MAMMO W CAD BILATERAL,459.0,275.4,91.89,371.79,23 CDM,74010014,HC SCREENING MAMMO 2 VIEW STUDY EACH BREAST BIL W CAD,373.0,223.8,74.67,302.13,23 CDM,74010015,HC SCREENING MAMMO 2 VIEW STUDY EACH BREAST BIL WO CAD,373.0,223.8,74.67,302.13,23 CDM,74010016,HC DIAGNOSTIC MAMMO WO CAD UNILATERAL,392.0,235.2,78.48,317.52,23 CDM,74020004,HC US HEAD ECHOENCEPHALOGRAPHY,320.0,192.0,64.06,467.0,32 CDM,74020005,HC US SOFT TISSUES HEAD AND NECK,894.0,536.4,102.31,724.14,32 CDM,74020006,HC US CHEST,574.0,344.4,59.02,467.0,32 CDM,74020008,HC US ABDOMINAL COMPLETE,1142.0,685.2,102.31,925.02,32 CDM,74020009,HC US ABDOMINAL LIMITED,936.0,561.6,102.31,758.16,32 CDM,74020010,HC US RETROPERITONEAL COMPLETE,1058.0,634.8,102.31,856.98,32 CDM,74020011,HC US RETROPERITONEAL LIMITED,771.0,462.6,58.38,624.51,32 CDM,74020012,HC US DOPPLER TRANSPLANT RENAL,837.0,502.2,102.31,677.97,32 CDM,74020013,HC US SPINAL CANAL AND CONTENTS,315.0,189.0,63.06,467.0,32 CDM,74020014,HC US PREG UTERUS LESS THAN 14 WKS SINGLE OR 1 GEST,758.0,454.8,102.31,613.98,32 CDM,74020015,HC US OB LESS THAN 14 WKS EACH ADDITIONAL GEST,310.0,186.0,62.06,467.0,23 CDM,74020016,HC US OB GREATER THAN 14 WKS TRANSABD SINGLE OR 1ST GEST,825.0,495.0,102.31,668.25,32 CDM,74020018,HC US OB TRANSABD SINGLE OR 1ST GEST,961.0,576.6,160.28,778.41,32 CDM,74020019,HC US OB TRANSABD EACH ADDITIONAL GEST,519.0,311.4,103.9,467.0,23 CDM,74020022,HC US PREG UTERUS LIMITED 1 OR MORE,637.0,382.2,97.56,515.97,32 CDM,74020023,HC US PREG UTERUS FOLLOW UP PER FETUS,427.0,256.2,85.49,467.0,32 CDM,74020024,HC US TRANSVAGINAL PREG UTERUS,835.0,501.0,102.31,676.35,32 CDM,74020025,HC US BIOPHYSICAL PROFILE W NONSTRESS,668.0,400.8,102.31,541.08,32 CDM,74020026,HC US BIOPHYSICAL PROFILE WO NONSTRESS,539.0,323.4,89.84,467.0,32 CDM,74020027,HC US SIS INCLD COLOR FLOW DPLR,658.0,394.8,131.73,532.98,32 CDM,74020028,HC US PELVIC NONOB COMPLETE,1037.0,622.2,102.31,839.97,32 CDM,74020029,HC US PELVIC NONOB LIMITED,823.0,493.8,46.82,666.63,32 CDM,74020030,HC US SCROTUM AND CONTENTS,919.0,551.4,102.31,744.39,32 CDM,74020031,HC US TRANSRECTAL,301.0,180.6,60.26,467.0,32 CDM,74020032,HC US EXTREMITY NV W IMAGE COMPLETE,1178.0,706.8,54.52,954.18,32 CDM,74020033,HC US EXTREMITY NV W IMAGE LIMITED,764.0,458.4,63.52,618.84,32 CDM,74020034,HC US INFANT HIPS W IMAGING W MANIPULATION,250.0,150.0,50.05,467.0,32 CDM,74020035,HC US INFANT HIP LIMITED WO STRESS,231.0,138.6,46.25,467.0,32 CDM,74020037,HC US GUIDE FOR ENDOMYOCARDIAL BX,186.0,111.6,37.24,467.0,23 CDM,74020038,HC US GUIDANCE VASCULAR ACCESS,1102.0,661.2,220.62,892.62,23 CDM,74020040,HC S AND I US GUIDANCE NEEDLE PLACEMENT,825.0,495.0,165.16,668.25,23 CDM,74020043,HC US GUIDE AMNIOCENTESIS,199.0,119.4,39.84,467.0,23 CDM,74020046,HC US BONE DENSITY MEASURE,51.0,30.6,8.28,467.0,32 CDM,74020047,HC US INTRAOPERATIVE,684.0,410.4,136.94,554.04,23 CDM,74020048,HC US UNLISTED PROCEDURE,422.0,253.2,84.48,467.0,32 CDM,74020049,HC US TRANSVAGINAL NONOB COMPLETE,967.0,580.2,102.31,783.27,32 CDM,74020056,HC ANESTHESIA US GUIDANCE,724.0,434.4,144.94,586.44,23 CDM,74020057,HC WAKE RESEARCH US GUIDANCE,413.0,247.8,82.68,467.0,23 CDM,74020072,HC US BREAST UNILATERAL LIMITED,492.0,295.2,84.71,467.0,32 CDM,74020073,HC US BREAST UNILATERAL COMPLETE,459.0,275.4,91.89,467.0,32 CDM,74020078,HC US GUIDANCE FOR VASC ACCESS IV TEAM ONLY,110.0,66.0,22.02,467.0,23 CDM,74030011,HC MG SCREENING DIGITAL BREAST TOMO BIL,139.0,83.4,27.83,246.0,23 CDM,74030012,HC MG DX DIGITAL BREAST TOMO UNIL,67.0,40.2,13.41,246.0,23 CDM,74030013,HC MG DX DIGITAL BREAST TOMO BIL,109.0,65.4,21.82,246.0,23 CDM,74040001,HC PET CT MYOCARDIAL IMAG MET EVAL,6386.0,3831.6,1113.08,5598.0,32 CDM,74040004,HC PET CT METABOLIC BRAIN,4654.0,2792.4,811.19,5598.0,32 CDM,74040008,HC PET CT TUMOR IMAGING LIMITED,4182.0,2509.2,728.92,5598.0,32 CDM,74040009,HC PET CT SKULL TO THIGH,6491.0,3894.6,1131.38,5598.0,32 CDM,74040010,HC PET CT TUMOR IMAGING WHOLE BODY,6150.0,3690.0,1071.94,5598.0,32 CDM,74040011,HC NM DX UNLISTED PROCEDURE,2688.0,1612.8,257.0,2177.28,32 CDM,74040013,HC PET TOTAL BODY BONE SCAN,6150.0,3690.0,1071.94,5598.0,32 CDM,74040015,HC NOPR NAF 18 TOTAL BODY BONE SCAN,6150.0,3690.0,1071.94,5598.0,32 CDM,74040016,HC PET AMYVID BRAIN SCAN,931.0,558.6,162.27,5598.0,32 CDM,74040017,HC PET MYOCARDIAL PERFUSION INCLD VENT WALL AND OR EJECT FRACT SINGLE STUDY REST STRESS,1531.0,918.6,266.85,5598.0,32 CDM,74040018,HC PET MYOCARDIAL PERFUSION INCLD VENT WALL AND OR EJECT FRACT MULTIPLE STUDY REST STRESS,3061.0,1836.6,533.53,5598.0,32 CDM,74040019,HC PET MYOCARDIAL IMAGING METABOLIC EVAL WITH CT SINGLE STUDY,4660.0,2796.0,812.24,5598.0,32 CDM,74040020,HC PET MYOCARDIAL IMAGING PERFUSION EVAL WITH CT SINGLE STUDY AT REST OR STRESS,4176.0,2505.6,727.88,5598.0,32 CDM,74040021,HC PET MYOCARDIAL IMAGING PERFUSION EVAL WITH CT MULTIPLE STUDIES AT REST OR STRESS,6052.0,3631.2,1054.86,5598.0,32 CDM,74040022,HC PET MYOCARDIAL IMAGING COMBINED PERFUSION W METABOLIC DUAL RADIOTRACER WITH CT,8896.0,5337.6,1550.57,7205.76,32 CDM,74800001,HC DOPPLER ECHO COLOR FLOW MAPPING,527.0,316.2,73.94,968.0,23 CDM,74830001,HC ROUTINE 2D ECHO WM MOD CON,899.0,539.4,126.13,968.0,32 CDM,74830004,HC INTRAOPERATIVE MONITORING TEE,571.0,342.6,80.11,968.0,32 CDM,74830005,HC STRESS 2D ECHO ONLY,1012.0,607.2,141.98,968.0,32 CDM,74830006,HC STRESS 2D ECHO CONTRAST,2736.0,1641.6,266.0,2216.16,32 CDM,74830009,HC INTRAOPERATVIE MONITOR TEE WITH CONTRAST,2469.0,1481.4,266.0,1999.89,32 CDM,74830010,HC INTERVENTIONAL TEE,481.0,288.6,67.48,968.0,23 CDM,76100001,HC MRI TMJ,2813.0,1687.8,232.56,2825.0,32 CDM,76100002,HC MRI CHEST WO CONT,3292.0,1975.2,232.56,2825.0,32 CDM,76100003,HC MRI CHEST W CONT,5069.0,3041.4,760.1,4105.89,32 CDM,76100004,HC MRI CHEST WO CONT FLD W CONT,6127.0,3676.2,343.59,4962.87,32 CDM,76100005,HC MRI PELVIS WO CONT,3459.0,2075.4,232.56,2825.0,32 CDM,76100006,HC MRI PELVIS W CONT,5173.0,3103.8,343.59,4190.13,32 CDM,76100007,HC MRI PELVIS WO FLD W CONT,5388.0,3232.8,343.59,4364.28,32 CDM,76100008,HC MRI UE NOT JOINT WO CONT,3604.0,2162.4,232.56,2919.24,32 CDM,76100009,HC MRI UE NOT JOINT W CONT,3765.0,2259.0,343.59,3127.52,32 CDM,76100010,HC MRI UE NOT JOINT WO FLD W CONT,5158.0,3094.8,343.59,4177.98,32 CDM,76100011,HC MRI UE ANY JOINT WO CONT,3472.0,2083.2,232.56,2825.0,32 CDM,76100012,HC MRI UE ANY JOINT W CONT,4076.0,2445.6,760.1,3301.56,32 CDM,76100013,HC MRI UE ANY JOINT WO FLD W CONT,4699.0,2819.4,343.59,3806.19,32 CDM,76100014,HC MRI LE NOT JOINT WO CONT,3708.0,2224.8,232.56,3003.48,32 CDM,76100015,HC MRI LE NOT JOINT W CONT,3892.0,2335.2,343.59,3152.52,32 CDM,76100016,HC MRI LE NOT JOINT WO FLD W CONT,5332.0,3199.2,343.59,4318.92,32 CDM,76100017,HC MRI LEG JOINT WO CONT,3675.0,2205.0,232.56,2976.75,32 CDM,76100018,HC MRI LE ANY JOINT W CONT,3712.0,2227.2,743.14,3006.72,32 CDM,76100019,HC MRI LE ANY JOINT WO FLD W CONT,5158.0,3094.8,343.59,4177.98,32 CDM,76100020,HC MRI ABD WO CONT,4256.0,2553.6,232.56,3447.36,32 CDM,76100021,HC MRI ABD W CONT,4501.0,2700.6,343.59,3645.81,32 CDM,76100022,HC MRI ABD W WO CONT,5234.0,3140.4,343.59,4239.54,32 CDM,76100023,HC MRI CARDIAC MORPHOLOGY WO CONT,2919.0,1751.4,232.56,2825.0,32 CDM,76100025,HC MRI CARDIAC MORPH WO W CONT,4185.0,2511.0,343.59,3389.85,32 CDM,76100028,HC MRI SPECTROSCOPY BRAIN,3172.0,1903.2,84.71,2825.0,32 CDM,76100030,HC MRI GUIDANCE NEEDLE PLACEMENT BIOPSY,253.0,151.8,50.65,2825.0,23 CDM,76100032,HC MRI BREAST W CONT UNIL,3952.0,2371.2,791.19,3201.12,23 CDM,76100033,HC MRI BREAST W CONT BIL,3933.0,2359.8,787.39,3185.73,23 CDM,76100037,HC MRI BRAIN WO CONT,3843.0,2305.8,232.56,3112.83,32 CDM,76100038,HC MRI BRAIN W CONT,4405.0,2643.0,343.59,3568.05,32 CDM,76100039,HC MRI BRAIN WO FLD W CONT,5196.0,3117.6,343.59,4208.76,32 CDM,76100041,HC MRI SPINAL CANAL AND CONTENTS CERV WO CONT,4024.0,2414.4,232.56,3259.44,32 CDM,76100042,HC MRI SPINAL CANAL AND CONTENTS CERV W CONT,4135.0,2481.0,343.59,3349.35,32 CDM,76100043,HC MRI SPINAL CANAL AND CONTENTS THOR WO CONT,3516.0,2109.6,232.56,2847.96,32 CDM,76100044,HC MRI SPINAL CANAL AND CONTENTS THOR W CONT,4274.0,2564.4,343.59,3461.94,32 CDM,76100045,HC MRI SPINAL CANAL AND CONTENTS LUMB WO CONT,3523.0,2113.8,232.56,2853.63,32 CDM,76100046,HC MRI SPINAL CANAL AND CONTENTS LUMB W CONT,4051.0,2430.6,343.59,3281.31,32 CDM,76100047,HC MRI SPINAL CANAL AND CONTENTS CERV WO FLD W CONT,5104.0,3062.4,343.59,4134.24,32 CDM,76100048,HC MRI SPINAL CANAL AND CONTENTS THOR WO FLD W CONT,4912.0,2947.2,343.59,3978.72,32 CDM,76100049,HC MRI SPINAL CANAL AND CONTENTS LUMB WO FLD W CONT,5454.0,3272.4,343.59,4417.74,32 CDM,76100052,HC MRI ORBIT FACE NECK WO CONT,4190.0,2514.0,232.56,3393.9,32 CDM,76100053,HC MRI ORBIT FACE NECK W CONT,4637.0,2782.2,343.59,3755.97,32 CDM,76100054,HC MRI ORBIT FACE NECK WO FLD W CONT,5586.0,3351.6,343.59,4524.66,32 CDM,76100055,HC MRA HEAD WO CONT,3468.0,2080.8,232.56,2825.0,32 CDM,76100056,HC MRA HEAD W CONT,3671.0,2202.6,343.59,2973.51,32 CDM,76100057,HC MRA HEAD WO FLD W CONT,5340.0,3204.0,343.59,4325.4,32 CDM,76100058,HC MRA NECK WO CONT,3245.0,1947.0,232.56,2825.0,32 CDM,76100059,HC MRA NECK W CONT,3599.0,2159.4,343.59,2915.19,32 CDM,76100060,HC MRA NECK WO FLD W CONT,4999.0,2999.4,343.59,4049.19,32 CDM,76100061,HC MRA LE W CONT,4225.0,2535.0,845.85,3422.25,23 CDM,76100062,HC MRA LE WO CONT,3236.0,1941.6,647.85,3021.02,23 CDM,76100063,HC MRA LE WO W CONT,4472.0,2683.2,895.29,3622.32,23 CDM,76100064,HC MRA CHEST W CONT,4238.0,2542.8,848.45,3432.78,23 CDM,76100065,HC MRA CHEST WO CONT,4238.0,2542.8,848.45,3432.78,23 CDM,76100066,HC MRA CHEST WO W CONT,4238.0,2542.8,848.45,3432.78,23 CDM,76100067,HC MRA SPINAL CANAL AND CONTENTS W CONT,3535.0,2121.0,707.71,2863.35,23 CDM,76100068,HC MRA SPINAL CANAL AND CONTENTS WO CONT,4068.0,2440.8,814.41,3295.08,23 CDM,76100069,HC MRA SPINAL CANAL AND CONTENTS W WO CONT,4068.0,2440.8,814.41,3295.08,23 CDM,76100070,HC MRA PELVIS W CONT,4493.0,2695.8,899.5,3639.33,23 CDM,76100071,HC MRA PELVIS WO CONT,3250.0,1950.0,650.65,3027.91,23 CDM,76100072,HC MRA PELVIS WO W CONT,4594.0,2756.4,919.72,3721.14,23 CDM,76100073,HC MRA UE W CONT,4466.0,2679.6,894.09,3617.46,23 CDM,76100074,HC MRA UE WO CONT,4223.0,2533.8,845.44,3420.63,23 CDM,76100075,HC MRA UE W OR WO CONT,4223.0,2533.8,845.44,3420.63,23 CDM,76100076,HC MRA ABD W CONT,4540.0,2724.0,908.91,3677.4,23 CDM,76100077,HC MRA ABD WO CONT,4540.0,2724.0,908.91,3677.4,23 CDM,76100078,HC MRA ABD WO W CONT,4540.0,2724.0,908.91,3677.4,23 CDM,76100110,HC MRI LUMBAR SPINE LIMITED,3523.0,2113.8,232.56,2853.63,32 CDM,76100115,HC MRI REFORMAT,1033.0,619.8,206.81,2825.0,23 CDM,76100122,HC MRI BREAST WO CONT UNILATERAL,2400.0,1440.0,232.56,2825.0,32 CDM,76100123,HC MRI BREAST WO CONT BILATERAL,2385.0,1431.0,232.56,2825.0,32 CDM,76100124,HC MRI BREAST W WO CONT INCLUDE CAD UNILATERAL,3952.0,2371.2,791.19,3201.12,23 CDM,76100125,HC MRI BREAST W WO CONT INCLUDE CAD BILATERAL,1875.0,1125.0,375.38,2825.0,23 CDM,76200009,HC SITZ MARKER STUDY ABD 1 VW,426.0,255.6,41.04,345.06,32 CDM,77300001,HC EKG EVENT INTERPRETATION,324.0,194.4,64.86,262.44,23 CDM,77300002,HC SIGNAL AVERAGED EKG,399.0,239.4,57.15,323.19,32 CDM,77610005,HC DX LMBR SPINAL PUNCTURE W FLOURO OR CT GUIDANCE,1745.0,1047.0,328.93,7039.0,66 CDM,77610006,HC MYOCARDIAL STRAIN IMG SPCKL TRCK,158.0,94.8,29.78,128.45,24 CDM,77610007,HC THERAPEUTIC SPINAL DRAIN CSF USING CATHETER INCLD CT FLUORO GUIDE,1831.0,1098.6,345.14,7039.0,66 CDM,79210001,HC TRANSCRANIAL DOPPLER LIMITED,905.0,543.0,102.31,733.05,32 CDM,79210002,HC TRANSCRANIAL DOPPLER VASOREACTIVITY STUDY,540.0,324.0,94.01,437.4,23 CDM,79210003,HC TRANSCRANIAL DOPPLER EMBOLI WO MIC,475.0,285.0,82.7,384.75,32 CDM,79210004,HC TRANSCRANIAL DOPPLER EMBOLI W MICRO,475.0,285.0,82.7,384.75,32 CDM,79210005,HC EXERCISE HYPEREMIA BIL,1299.0,779.4,150.52,1052.19,32 CDM,79210006,HC DUPLEX COMPLETE ABD PEL SCRO RETRO,1037.0,622.2,175.0,839.97,32 CDM,79210007,HC DUPLEX LIMITED ABD PEL SCRO RETRO,847.0,508.2,102.31,686.07,32 CDM,79210008,HC DUPLEX PENILE SCAN COMPLETE,616.0,369.6,102.31,498.96,32 CDM,79210011,HC DUPLEX ART INFLOW VEN OUTFLOW FOR PREOP VESSEL ASSESSMENT HEMODIALYSIS ACCESS COMPL BIL,599.0,359.4,104.29,485.19,32 CDM,79210012,HC DUPLEX ART INFLOW VEN OUTFLOW FOR PREOP VESSEL ASSESSMENT HEMODIALYSIS ACCESS COMPL UNI STD,292.0,175.2,50.84,269.0,32 CDM,79900003,HC SCREENING CARDIAC CALCIUM SCORE,307.0,184.2,53.45,248.67,21 CDM,83000001,HC CAPILLARY BLOOD COLLECTION,31.0,18.6,4.01,25.11,23 CDM,83000002,HC COMPREHENSIVE METABOLIC PANEL,431.0,258.6,10.24,349.11,32 CDM,83000003,HC OBSTETRIC PANEL,317.0,190.2,46.38,256.77,32 CDM,83000004,HC RENAL PANEL,288.0,172.8,8.42,233.28,32 CDM,83000005,HC ACUTE HEPATITIS PANEL,680.0,408.0,46.2,550.8,32 CDM,83000006,HC HEPATIC FUNCTION PANEL,281.0,168.6,7.92,227.61,32 CDM,83000013,HC BCR ABL MAJOR BREAKPOINT,582.0,349.2,116.52,471.42,32 CDM,83000014,HC BCR ABL MINOR BREAKPOINT,582.0,349.2,116.52,471.42,32 CDM,83000018,HC CF DNA ANALYSIS,1436.0,861.6,287.49,1163.16,32 CDM,83000019,HC CYP2C19 RESPONSE GENOTYPING,752.0,451.2,150.55,609.12,32 CDM,83000022,HC MICROARRAY ANALYSIS SNP,1866.0,1119.6,373.57,2152.96,32 CDM,83000023,HC REF MICROARRAY ANALYSIS SNP,4350.0,2610.0,870.87,3523.5,32 CDM,83000025,HC FACTOR 2 GENE ANALYSIS,252.0,151.2,50.45,204.12,32 CDM,83000026,HC FACTOR V LEIDEN,177.0,106.2,35.44,143.37,32 CDM,83000027,HC FMR 1 GENE ANALYSIS,369.0,221.4,55.33,298.89,32 CDM,83000029,HC FMR 1 EXPANDED SIZE METHYLATIO,183.0,109.8,36.64,148.23,32 CDM,83000030,HC FLT3 ITD GENE ANALYSIS,427.0,256.2,85.49,345.87,32 CDM,83000031,HC CONX 26 SEQUENCE ANALYSIS,329.0,197.4,65.87,266.49,32 CDM,83000032,HC CONX 30 FRAGMENT ANALYSIS,275.0,165.0,33.95,222.75,32 CDM,83000033,HC HFE GENE ANALYSIS,399.0,239.4,63.4,323.19,32 CDM,83000034,HC IGH GENE REARRANGEMENT,631.0,378.6,126.33,511.11,32 CDM,83000035,HC IGK GENE REARRANGEMENT,518.0,310.8,103.7,419.58,32 CDM,83000036,HC REF MATERNL CELL CONTAMINATION,874.0,524.4,174.97,707.94,32 CDM,83000038,HC FINGERPRINT PRETRANS ANALYSIS,562.0,337.2,112.51,455.22,32 CDM,83000041,HC UA WITHOUT MICROSCOPIC POCT,57.0,34.2,2.18,46.17,32 CDM,83000043,HC MSI ANALYSIS,362.0,217.2,72.47,646.78,32 CDM,83000046,HC PWA METHYLATION ANALYSIS,756.0,453.6,49.54,612.36,32 CDM,83000047,HC A1AT GENE ANALYSIS,305.0,183.0,42.34,247.05,32 CDM,83000048,HC TRG GENE REARRANGEMENT,665.0,399.0,133.13,538.65,32 CDM,83000049,HC UGT1A1 GENE ANALYSIS,422.0,253.2,84.48,434.18,32 CDM,83000051,HC HLA ABCDRB1/3/4/5DQB1 LORES,956.0,573.6,191.39,816.53,32 CDM,83000053,HC HLA ABC LORES TYPING,599.0,359.4,119.92,748.92,32 CDM,83000055,HC HLA B LOCUS LORES TYPING,422.0,253.2,84.48,341.82,32 CDM,83000057,HC SNGL AGN LORES CLASS I TYPING,458.0,274.8,72.1,370.98,32 CDM,83000061,HC SNGL AGN LORES CLASS II TYPING,364.0,218.4,72.87,294.84,32 CDM,83000062,HC HLA ABC DRB1 HIRES TYPING,2524.0,1514.4,335.2,2044.44,32 CDM,83000063,HC HLA ABC HIRES TYPING,2169.0,1301.4,325.32,1756.89,32 CDM,83000064,HC HLA A LOCUS HIRES TYPING,1106.0,663.6,171.93,895.86,32 CDM,83000067,HC SNGL AGN HIRES CLASS I TYPING,521.0,312.6,104.3,422.01,32 CDM,83000069,HC HLA DQB1 HIRES TYPING,553.0,331.8,110.71,447.93,32 CDM,83000073,HC NPM1 QUANT ANALYSIS,336.0,201.6,67.27,457.32,32 CDM,83000074,HC MGMT BY PYROSEQUENCING,128.0,76.8,25.63,173.55,32 CDM,83000077,HC TKI RESISTANCE,512.0,307.2,102.5,556.86,32 CDM,83000078,HC IDH1 BY PYROSEQUENCING,404.0,242.4,80.88,358.4,32 CDM,83000079,HC IDH2 BY PYROSEQUENCING,404.0,242.4,80.88,549.16,32 CDM,83000082,HC PCD DNA ANALYSIS,2404.0,1442.4,218.46,1947.24,21 CDM,83000084,HC ALPHA FETOPROTEIN TUMOR MARKER,47.0,28.2,9.41,38.07,32 CDM,83000087,HC GLUCOSE STICK TEST,14.0,8.4,2.8,11.34,32 CDM,83000089,HC TOTAL IRON BINDING CAPACITY,112.0,67.2,8.48,90.72,32 CDM,83000094,HC PROSTATIC ACID PHOSPHATASE,163.0,97.8,9.37,132.03,32 CDM,83000098,HC BETA HCG QUALITATIVE,132.0,79.2,7.29,106.92,32 CDM,83000100,HC RETICULOCYTE COUNT MANUAL,26.0,15.6,4.18,21.06,32 CDM,83000116,HC KOH SKIN SCRAPING,44.0,26.4,4.14,35.64,32 CDM,83000130,HC DRUG SCREEN 7 DRUGS,189.0,113.4,37.84,153.09,32 CDM,83000133,HC BASIC METABOLIC PANEL,265.0,159.0,8.21,214.65,32 CDM,83000134,HC GENERAL HEALTH PANEL,0.01,0.01,0.002,76.44,23 CDM,83000135,HC ELECTROLYTES PANEL,88.0,52.8,6.8,71.28,32 CDM,83000136,HC LIPID PANEL,253.0,151.8,12.99,204.93,32 CDM,83000138,HC DRUG SCREEN QUAL MULT DRUG CL,189.0,113.4,37.84,153.09,32 CDM,83000151,HC METHADONE URINE SCREENING PRESUMPTIVE,397.0,238.2,60.28,321.57,32 CDM,83000155,HC BENZODIAZEPINE URINE SCREENING PRESUMPTIVE,155.0,93.0,31.03,125.55,32 CDM,83000158,HC AMPHETAMINE URINE PRESUMPTIVE,93.0,55.8,18.62,118.79,32 CDM,83000165,HC URINE TOX MULTIPLE DRUG CLASSES PRESUMPTIVE,535.0,321.0,60.28,433.35,32 CDM,83000166,HC AMIKACIN PEAK,91.0,54.6,14.63,73.71,32 CDM,83000167,HC AMIKACIN TROUGH,91.0,54.6,14.63,73.71,32 CDM,83000168,HC AMIKACIN,81.0,48.6,14.63,65.61,32 CDM,83000171,HC BENZODIAZEPINE UR CONFIRMATION,71.0,42.6,14.21,57.51,22 CDM,83000173,HC CARBAMAZEPINE,101.0,60.6,14.13,81.81,32 CDM,83000176,HC DIGOXIN TOTAL,51.0,30.6,10.21,41.31,32 CDM,83000177,HC VALPROIC ACID TOTAL,101.0,60.6,13.13,81.81,32 CDM,83000179,HC GENTAMICIN TROUGH,133.0,79.8,15.89,107.73,32 CDM,83000180,HC GENTAMICIN PEAK,133.0,79.8,15.89,107.73,32 CDM,83000181,HC GENTAMICIN RANDOM LEVEL,133.0,79.8,15.89,107.73,32 CDM,83000183,HC LIDOCAINE,63.0,37.8,12.61,51.03,32 CDM,83000184,HC LITHIUM,101.0,60.6,6.41,81.81,32 CDM,83000187,HC PHENOBARBITAL,29.0,17.4,5.81,28.26,32 CDM,83000188,HC DILANTIN PHENYTOIN,62.0,37.2,12.41,50.22,32 CDM,83000189,HC FREE DILANTIN PHENYTOIN,72.0,43.2,13.35,58.32,32 CDM,83000191,HC SIROLUMUS RAPMUNE,177.0,106.2,13.32,143.37,32 CDM,83000193,HC TACROLIMUS,124.0,74.4,13.32,100.44,32 CDM,83000194,HC THEOPHYLLINE,39.0,23.4,7.81,31.59,32 CDM,83000195,HC TOBRAMYCIN PEAK,145.0,87.0,15.65,117.45,32 CDM,83000196,HC TOBRAMCYIN,145.0,87.0,15.65,117.45,32 CDM,83000197,HC TOBRAMYCIN RANDOM,145.0,87.0,15.65,117.45,32 CDM,83000200,HC VANCOMYCIN PEAK,90.0,54.0,13.13,72.9,32 CDM,83000201,HC VANCOMYCIN TROUGH,90.0,54.0,13.13,72.9,32 CDM,83000202,HC VANCOMYCIN RANDOM,90.0,54.0,13.13,72.9,32 CDM,83000222,HC CORTISOL STIMULATION,154.0,92.4,30.83,124.74,32 CDM,83000228,HC ACETONE QUALITATIVE,29.0,17.4,4.38,23.49,32 CDM,83000229,HC URINE KETONES,43.0,25.8,7.92,34.83,32 CDM,83000231,HC BETA HYDROXYBUTYRATE,101.0,60.6,7.92,81.81,32 CDM,83000235,HC ALBUMIN,49.0,29.4,4.8,39.69,32 CDM,83000237,HC ALBUMIN OTHER FLUID,42.0,25.2,7.55,34.02,32 CDM,83000239,HC URINARY MICRO ALBUMIN RANDOM,31.0,18.6,5.61,25.11,32 CDM,83000240,HC MICRO ALBUMIN URINE QUANT,31.0,18.6,5.61,25.11,32 CDM,83000243,HC ALCOHOL BY IMMUNOASSAY AND ENZYMATIC METHOD,188.0,112.8,16.75,152.28,32 CDM,83000248,HC A1 ANTITRYPSIN,48.0,28.8,9.61,38.88,32 CDM,83000251,HC ALPHA FETOPROTEIN MATERNAL,162.0,97.2,16.27,131.22,32 CDM,83000260,HC AMMONIA,81.0,48.6,14.13,65.61,32 CDM,83000265,HC AMYLASE,115.0,69.0,6.29,93.15,32 CDM,83000266,HC AMYLASE BODY FLUID,115.0,69.0,6.29,93.15,32 CDM,83000267,HC AMYLASE TIMED URINE,115.0,69.0,6.29,93.15,32 CDM,83000284,HC BETA 2 MICROGLOBULIN,100.0,60.0,15.69,81.0,32 CDM,83000289,HC BILIRUBIN TOTAL,42.0,25.2,4.87,34.02,32 CDM,83000290,HC BILIRUBIN BODY FLUID,93.0,55.8,4.87,75.33,32 CDM,83000292,HC BILIRUBIN DIRECT,65.0,39.0,4.87,52.65,32 CDM,83000297,HC FECAL OCCULT BLOOD SINGLE DETERM,60.0,36.0,4.25,48.6,32 CDM,83000298,HC GASTRIC OCCULT TESTING,40.0,24.0,5.16,32.4,32 CDM,83000299,HC FECAL OCCULT BLOOD 1 TO 3 DETERM,40.0,24.0,4.1,32.4,32 CDM,83000302,HC VITAMIN D 25 OH,166.0,99.6,28.71,134.46,32 CDM,83000303,HC CALCIUM,89.0,53.4,5.01,72.09,32 CDM,83000304,HC CALCIUM RANDOM URINE,89.0,53.4,5.01,72.09,32 CDM,83000307,HC CALCIUM URINE 24HR,66.0,39.6,5.85,53.46,32 CDM,83000310,HC CARBON DIOXIDE CO 2,53.0,31.8,4.73,42.93,32 CDM,83000312,HC CARBOXYHEMOGLOBIN,65.0,39.0,11.95,52.65,32 CDM,83000313,HC CARBON MONOXIDE SAT,65.0,39.0,11.95,52.65,32 CDM,83000314,HC CEA,258.0,154.8,18.39,208.98,32 CDM,83000319,HC CERULOPLASMIN,63.0,37.8,10.42,51.03,32 CDM,83000320,HC ADP 5 SECRETION,95.0,57.0,13.7,76.95,32 CDM,83000321,HC ADP 10 SECRETION,95.0,57.0,13.7,76.95,32 CDM,83000330,HC CHLORIDE SERUM,36.0,21.6,4.46,29.16,32 CDM,83000331,HC CHLORIDE URINE 24 HR,36.0,21.6,5.58,29.16,32 CDM,83000333,HC CHLORIDE URINE,36.0,21.6,5.58,29.16,32 CDM,83000335,HC CHLORIDE OTHER FLUID,24.0,14.4,4.8,19.44,32 CDM,83000336,HC CHOLESTEROL,66.0,39.6,4.22,53.46,32 CDM,83000343,HC CAFFEINE BY HPLC,243.0,145.8,28.73,196.83,32 CDM,83000344,HC VORICONAZOLE,90.0,54.0,18.02,72.9,32 CDM,83000345,HC POSACONAZOLE CHROMATOGRAPHY,90.0,54.0,18.02,72.9,32 CDM,83000346,HC FLUCONAZOLE,180.0,108.0,18.08,145.8,32 CDM,83000360,HC CORTISOL,93.0,55.8,15.81,75.33,32 CDM,83000375,HC EVEROLIMUS,146.0,87.6,13.32,118.26,32 CDM,83000383,HC CREATINE KINASE,49.0,29.4,6.31,39.69,32 CDM,83000385,HC CREATINE KINASE MB,79.0,47.4,11.2,63.99,32 CDM,83000386,HC CREATININE,39.0,23.4,4.97,31.59,32 CDM,83000389,HC CREATININE OTHER SOURCE,65.0,39.0,5.02,52.65,32 CDM,83000390,HC CREATININE RANDOM URINE,65.0,39.0,5.02,52.65,32 CDM,83000418,HC ESTRADIOL TOTAL,299.0,179.4,27.1,242.19,32 CDM,83000421,HC ETHYLINE GLYCOL,6.0,3.6,1.2,31.74,32 CDM,83000423,HC FAT STOOL,93.0,55.8,4.95,75.33,32 CDM,83000427,HC FERRITIN,201.0,120.6,13.22,162.81,32 CDM,83000428,HC FETAL FIBRONECTIN,579.0,347.4,62.48,468.99,32 CDM,83000429,HC ASSAY OF FOLIC ACID SERUM,157.0,94.2,14.26,127.17,32 CDM,83000432,HC IMMUNOGLOBULIN G,122.0,73.2,9.02,98.82,32 CDM,83000434,HC IMMUNOGLOBULIN A,122.0,73.2,9.02,98.82,32 CDM,83000435,HC IMMUNOGLOBULIN G,122.0,73.2,9.02,98.82,32 CDM,83000437,HC IMMUNOGLOBULIN M,122.0,73.2,9.02,98.82,32 CDM,83000445,HC VENOUS PH,39.0,23.4,7.81,31.59,32 CDM,83000447,HC OR BLOOD GAS PACKAGE,188.0,112.8,25.29,152.28,32 CDM,83000448,HC ARTERIAL BLOOD GAS,203.0,121.8,40.64,164.43,32 CDM,83000449,HC VENOUS BLOOD GASES,203.0,121.8,40.64,164.43,32 CDM,83000450,HC NEONATAL BLOOD GAS,203.0,121.8,40.64,164.43,32 CDM,83000451,HC BLOOD GASES,203.0,121.8,40.64,164.43,32 CDM,83000452,HC O2 SATURATION MEASURED,51.0,30.6,9.48,41.31,32 CDM,83000455,HC GLUCOSE BODY FLUID,30.0,18.0,3.81,24.3,32 CDM,83000456,HC CSF GLUCOSE,110.0,66.0,3.81,89.1,32 CDM,83000457,HC GLUCOSE 24 HR URINE,110.0,66.0,3.81,89.1,32 CDM,83000458,HC GLUCOSE URINE,110.0,66.0,3.81,89.1,32 CDM,83000460,HC GLUCOSE,71.0,42.6,3.81,57.51,32 CDM,83000464,HC 2HR PC SUGAR LAB TEST,171.0,102.6,4.61,138.51,32 CDM,83000468,HC GTT 3 SPECIMENS,162.0,97.2,12.48,131.22,32 CDM,83000470,HC GLUCOSE ADDITIONAL SPECIMEN GTT,31.0,18.6,3.8,25.11,32 CDM,83000471,HC TOLERANCE TEST EACH ADDITIONAL OVER 3 SPECIMENS,31.0,18.6,3.8,25.11,32 CDM,83000473,HC GGT,78.0,46.8,6.98,63.18,32 CDM,83000476,HC FSH,238.0,142.8,18.02,192.78,32 CDM,83000478,HC LH,156.0,93.6,17.96,126.36,32 CDM,83000481,HC HAPTOGLOBIN,93.0,55.8,12.2,75.33,32 CDM,83000484,HC HEMOGLOBIN ELECTROPHORESIS,221.0,132.6,12.48,179.01,32 CDM,83000488,HC HB THAL PROFILE,120.0,72.0,17.52,97.2,32 CDM,83000490,HC APT TEST FOR FETAL HGB,152.0,91.2,7.76,123.12,32 CDM,83000491,HC HGB A1C POCT,65.0,39.0,9.42,52.65,32 CDM,83000492,HC METHEMOGLOBIN,47.0,28.2,7.95,38.07,32 CDM,83000493,HC METHEMOGLOBIN SAT,47.0,28.2,7.95,38.07,32 CDM,83000495,HC HEMOSIDERIN,23.0,13.8,4.6,18.63,32 CDM,83000497,HC HOMOCYSTEINE,197.0,118.2,17.38,159.57,32 CDM,83000512,HC ANTI MITOCHONDRIAL AB,132.0,79.2,23.38,106.92,32 CDM,83000513,HC ANCA MPO ELISA,40.0,24.0,8.01,32.4,32 CDM,83000514,HC ANCA PR3 ELISA,84.0,50.4,11.18,68.04,32 CDM,83000576,HC INSULIN,38.0,22.8,7.61,30.78,32 CDM,83000577,HC IRON,101.0,60.6,6.28,81.81,32 CDM,83000578,HC LACTIC ACID,65.0,39.0,11.22,52.65,32 CDM,83000579,HC LDH,80.0,48.0,5.86,64.8,32 CDM,83000580,HC LD SERUM,80.0,48.0,5.86,64.8,32 CDM,83000582,HC LACTOFERRIN,54.0,32.4,10.81,43.74,32 CDM,83000586,HC LAMELLAR BODY COUNT,42.0,25.2,8.41,40.33,32 CDM,83000587,HC LIPASE,158.0,94.8,6.68,127.98,32 CDM,83000589,HC LIPASE OTHER FLUID,158.0,94.8,6.68,127.98,32 CDM,83000593,HC HDL CHOLESTEROL,149.0,89.4,7.94,120.69,32 CDM,83000594,HC LDL DIRECT,72.0,43.2,10.19,58.32,32 CDM,83000595,HC MAGNESIUM,54.0,32.4,6.5,43.74,32 CDM,83000596,HC MAGNESIUM 24 HR URINE,54.0,32.4,6.5,43.74,32 CDM,83000598,HC MAGNESIUM URINE,31.0,18.6,6.21,25.11,32 CDM,83000618,HC MYOGLOBIN URINE,38.0,22.8,7.61,30.78,32 CDM,83000619,HC PROBNP,100.0,60.0,20.02,81.0,32 CDM,83000621,HC FREE KAPPA LIGHT CHAINS,143.0,85.8,16.75,115.83,32 CDM,83000622,HC FREE LAMBDA LIGHT CHAINS,81.0,48.6,16.22,65.61,32 CDM,83000636,HC OSMOLALITY SERUM,83.0,49.8,6.41,67.23,32 CDM,83000637,HC OSMOLALITY URINE,95.0,57.0,6.62,76.95,32 CDM,83000640,HC PARATHYROID HORMONE INTRAOPERATIVE,143.0,85.8,28.63,115.83,32 CDM,83000641,HC PTH,177.0,106.2,35.44,143.37,32 CDM,83000642,HC PH FLUID,26.0,15.6,3.47,21.06,32 CDM,83000643,HC PH FECAL,26.0,15.6,3.47,21.06,32 CDM,83000644,HC PH FLUID NOT BLOOD,26.0,15.6,3.47,21.06,32 CDM,83000648,HC ALKALINE PHOSPHATASE,58.0,34.8,5.02,46.98,32 CDM,83000653,HC PHOSPHOROUS SERUM,51.0,30.6,4.6,41.31,32 CDM,83000657,HC PHOSPHORUS 24 HR URINE,107.0,64.2,5.61,86.67,32 CDM,83000658,HC PHOSPHORUS URINE,2.0,1.2,0.4004,11.03,32 CDM,83000661,HC AMNISURE,329.0,197.4,65.87,266.49,32 CDM,83000665,HC POTASSIUM,55.0,33.0,4.62,44.55,32 CDM,83000668,HC POTASSIUM URINE,36.0,21.6,4.59,29.16,32 CDM,83000669,HC POTASSIUM RANDOM URINE,36.0,21.6,4.59,29.16,32 CDM,83000670,HC POTASSIUM OTHER FLUID,36.0,21.6,4.59,29.16,32 CDM,83000671,HC PREALBUMIN,77.0,46.2,14.15,62.37,32 CDM,83000673,HC PROGESTERONE,146.0,87.6,20.23,118.26,32 CDM,83000674,HC PROLACTIN,227.0,136.2,18.8,183.87,32 CDM,83000675,HC PSA SCREENING,215.0,129.0,17.84,174.15,32 CDM,83000676,HC PSA DIAGNOSTIC,215.0,129.0,17.84,174.15,32 CDM,83000678,HC TOTAL PROTEIN,45.0,27.0,3.56,36.45,32 CDM,83000680,HC TOTAL PROTEIN URINE,61.0,36.6,3.56,49.41,32 CDM,83000681,HC TOTAL PROTEIN 24 HR URINE,61.0,36.6,3.56,49.41,32 CDM,83000683,HC TOTAL PROTEIN OTHER FLUID,53.0,31.8,3.88,42.93,32 CDM,83000685,HC SERUM PROTEIN ELECTROPHORESIS,100.0,60.0,10.42,81.0,32 CDM,83000688,HC CSF IMMUNOGLOBULIN PROF,50.0,30.0,10.01,40.5,32 CDM,83000690,HC PROTEIN ELECTROPHORESIS URINE,66.0,39.6,13.21,53.46,32 CDM,83000708,HC SODIUM,45.0,27.0,4.67,36.45,32 CDM,83000711,HC SODIUM RANDOM,32.0,19.2,4.91,25.92,32 CDM,83000712,HC SODIUM 24 HR URINE,32.0,19.2,4.91,25.92,32 CDM,83000713,HC SODIUM OTHER SOURCE,43.0,25.8,4.71,34.83,32 CDM,83000720,HC FLUID SPECIFIC GRAVITY,15.0,9.0,3.0,12.15,32 CDM,83000726,HC TESTOSTERONE TOTAL,167.0,100.2,25.04,135.27,32 CDM,83000731,HC T4 RIA TOTAL,45.0,27.0,6.66,36.45,32 CDM,83000732,HC FREE T4,160.0,96.0,8.75,129.6,32 CDM,83000734,HC TSH,190.0,114.0,16.3,153.9,32 CDM,83000738,HC AST,61.0,36.6,5.02,49.41,32 CDM,83000739,HC ALT,72.0,43.2,5.14,58.32,32 CDM,83000740,HC TRANSFERRIN,74.0,44.4,12.38,59.94,32 CDM,83000741,HC TRIGLYCERIDES,66.0,39.6,5.57,53.46,32 CDM,83000743,HC T3 TOTAL,134.0,80.4,13.75,108.54,32 CDM,83000744,HC FREE T3,130.0,78.0,16.43,105.3,32 CDM,83000745,HC TROPONIN,108.0,64.8,12.1,87.48,32 CDM,83000746,HC BUN,36.0,21.6,3.83,29.16,32 CDM,83000749,HC UREA NITROGEN URINE,38.0,22.8,5.39,30.78,32 CDM,83000750,HC URIC ACID,77.0,46.2,4.38,62.37,32 CDM,83000751,HC URIC ACID URINE,115.0,69.0,4.93,93.15,32 CDM,83000753,HC URIC ACID BODY FLUID,115.0,69.0,4.93,93.15,32 CDM,83000763,HC ALCOHOL ISOPROPYL PRESUMPTIVE,130.0,78.0,26.03,118.79,32 CDM,83000764,HC ALCOHOL METHYL PRESUMPTIVE,193.0,115.8,38.64,156.33,32 CDM,83000768,HC BETA HCG QUANTITATIVE,54.0,32.4,10.81,43.74,32 CDM,83000772,HC PSEUDOCHOLINESTERASE,79.0,47.4,7.63,63.99,32 CDM,83000791,HC ALLERGEN SPECIFIC IGE,12.0,7.2,2.4,11.11,32 CDM,83000792,HC NEUTROPHIL AB GA,371.0,222.6,14.6,300.51,32 CDM,83000793,HC NEUTROPHIL AB GIF,371.0,222.6,14.6,300.51,32 CDM,83000795,HC HAT ANTI PF4 ANTIBODY,225.0,135.0,17.82,182.25,32 CDM,83000800,HC ANA ANTIBODY TITER,32.0,19.2,6.41,25.92,32 CDM,83000802,HC C REACTIVE PROTEIN,140.0,84.0,5.02,113.4,32 CDM,83000803,HC C REACTIVE PROTEIN HI SENSITIVITY,113.0,67.8,12.56,91.53,32 CDM,83000805,HC BETA 2 GLYCOPROTEIN 1 AB,97.0,58.2,19.42,78.57,32 CDM,83000808,HC ANTIBODY CARDIOLIPIN AB IGG,81.0,48.6,16.22,65.61,32 CDM,83000809,HC ANTIBODY CARDIOLIPIN AB IGM,81.0,48.6,16.22,65.61,32 CDM,83000815,HC COMPLEMENT ANTIGEN,137.0,82.2,11.64,110.97,32 CDM,83000828,HC ANTI DNA,120.0,72.0,13.33,97.2,32 CDM,83000829,HC DS DNA ANTIBODY,8.0,4.8,1.6,29.29,32 CDM,83000843,HC ENA SCREEN,22.0,13.2,4.4,38.23,32 CDM,83000848,HC ENA ANTIBODY,106.0,63.6,17.39,85.86,32 CDM,83000857,HC TITER EACH ANTIBODY,174.0,104.4,11.69,140.94,32 CDM,83000860,HC DS DNA AB TITER,37.0,22.2,7.41,29.97,32 CDM,83000873,HC CA 19 9,128.0,76.8,20.19,103.68,32 CDM,83000874,HC CA 125,267.0,160.2,20.19,216.27,32 CDM,83000877,HC MONONUCLEOSIS SCREEN,147.0,88.2,5.02,119.07,32 CDM,83000903,HC IMMUNOELECTROPHORESIS,273.0,163.8,29.02,221.13,32 CDM,83000907,HC IMMUNOFIXATION ELECTROPH SERUM,207.0,124.2,21.67,167.67,32 CDM,83000910,HC IMMUNOFIX ELECTROPHOR FLUID,50.0,30.0,10.01,62.57,32 CDM,83000916,HC B CELLS TOTAL COUNT,237.0,142.2,36.6,191.97,32 CDM,83000918,HC FETAL HEMOGL. BY FLOW CYT.,188.0,112.8,25.98,152.28,32 CDM,83000921,HC UNLISTED FLOW ANTIGEN EACH,118.0,70.8,23.62,95.58,32 CDM,83000922,HC PNH FLAER,81.0,48.6,16.22,381.82,32 CDM,83000923,HC PNH CD59,24.0,14.4,4.8,41.1,23 CDM,83000926,HC NATURAL KILLER CELLS TOTAL COUNT,206.0,123.6,36.6,166.86,32 CDM,83000927,HC TOTAL T CELL CD3,41.0,24.6,8.21,80.42,32 CDM,83000928,HC CD4 CD8 W RATIO,293.0,175.8,45.57,237.33,32 CDM,83000929,HC CD34 TOTAL COUNT,201.0,120.6,40.24,162.81,32 CDM,83000931,HC THYROPEROXIDASE AB,46.0,27.6,9.21,37.26,32 CDM,83000939,HC CRYPTOCOCCAL ANTIGEN,113.0,67.8,11.19,91.53,32 CDM,83000940,HC CRYPTOCOCCAL ANTIGEN CSF,113.0,67.8,11.19,91.53,32 CDM,83000941,HC CRYPTO AG TITER,50.0,30.0,10.01,40.5,32 CDM,83000945,HC RHEUMATOID FACTOR QUANTITATIVE,135.0,81.0,5.5,109.35,32 CDM,83000946,HC QUANTIFERON,223.0,133.8,44.64,180.63,32 CDM,83000949,HC SKIN TEST PPD,21.0,12.6,4.2,25.75,32 CDM,83000950,HC RPR,56.0,33.6,4.14,45.36,32 CDM,83000952,HC RPR TITER,57.0,34.2,4.27,46.17,32 CDM,83000953,HC CSF VDRL TITER,145.0,87.0,4.27,117.45,32 CDM,83000968,HC LYME DISEASE ANTIBODIES,68.0,40.8,13.61,55.08,32 CDM,83000988,HC CMV IGG SEROLOGY,117.0,70.2,13.96,94.77,32 CDM,83000990,HC CMV IGM,173.0,103.8,16.34,140.13,32 CDM,83001014,HC EBV NA IGG,97.0,58.2,14.83,78.57,32 CDM,83001015,HC EBV VCA IGG,116.0,69.6,17.6,93.96,32 CDM,83001016,HC EBV VCA IGM,116.0,69.6,17.6,93.96,32 CDM,83001017,HC EHRLICHIA ANTIBODIES,77.0,46.2,9.87,62.37,32 CDM,83001020,HC EHRLICHIA IGG TITER,15.0,9.0,3.0,21.69,32 CDM,83001024,HC GASTRIC UREASE,89.0,53.4,16.34,72.09,32 CDM,83001026,HC H PYLORI IGG ANTIBODIES,89.0,53.4,16.34,72.09,32 CDM,83001033,HC HTLV I II ANTIBODY,35.0,21.0,7.01,28.35,32 CDM,83001041,HC HSV 1 IGG,45.0,27.0,9.01,36.45,32 CDM,83001042,HC HSV 2 IGG,69.0,41.4,13.81,55.89,32 CDM,83001047,HC HIV SCREEN,461.0,276.6,8.62,373.41,32 CDM,83001050,HC SUPPLEMENTAL HIV 1/2 RAPID TEST,63.0,37.8,12.61,51.03,32 CDM,83001053,HC HEPATITIS B CORE ANTIBODY IGM,122.0,73.2,11.42,98.82,32 CDM,83001055,HC HEPATITIS B SURFACE ANTIBODY,72.0,43.2,10.42,58.32,32 CDM,83001057,HC HEPATITIS A ANTIBODY TOTAL,36.0,21.6,7.21,29.16,32 CDM,83001058,HC HEPATITIS A ANTIBODY IGM,195.0,117.0,10.92,157.95,32 CDM,83001071,HC TRYPANOSOMA CRUZI AB,83.0,49.8,12.02,67.23,32 CDM,83001076,HC RMSF IFA,11.0,6.6,2.2,41.26,32 CDM,83001077,HC RMSF IFA TITER,28.0,16.8,5.61,41.26,32 CDM,83001080,HC RUBEOLA IGG AB,35.0,21.0,7.01,28.35,32 CDM,83001082,HC TOXOPLASMA IGG ANTIBODY,135.0,81.0,13.96,109.35,32 CDM,83001083,HC TOXOPLASMA IGM ANTIBODY,108.0,64.8,13.98,87.48,32 CDM,83001084,HC SYPHILIS TP PA,54.0,32.4,10.81,43.74,32 CDM,83001085,HC VARICELLA ZOSTER AB IGG,56.0,33.6,11.21,45.36,32 CDM,83001096,HC HEPATITIS C ANTIBODY,77.0,46.2,13.84,62.37,32 CDM,83001100,HC FLOW X MATCH 1ST SAMPLE SERUM,794.0,476.4,106.21,643.14,32 CDM,83001102,HC HLA FLOW AB SCR CLASS I AND II,447.0,268.2,62.26,362.07,32 CDM,83001104,HC HLA FLOW AB SCR CLASS I,266.0,159.6,53.25,215.46,32 CDM,83001106,HC HLA FLOW SINGLE ANTIGEN CL 1,570.0,342.0,114.11,601.18,32 CDM,83001107,HC HLA FLOW SNGL ANTGN CL 2,841.0,504.6,168.37,681.21,32 CDM,83001112,HC ANTIBODY SCREEN,165.0,99.0,9.48,133.65,32 CDM,83001116,HC ANTIBODY ELUATE,296.0,177.6,37.47,239.76,32 CDM,83001119,HC ANTIBODY IDENTIFICATION,361.0,216.6,37.47,381.82,32 CDM,83001120,HC DIRECT COOMBS,85.0,51.0,5.23,68.85,32 CDM,83001122,HC DIRECT COOMBS IGG,85.0,51.0,5.23,68.85,32 CDM,83001123,HC DIRECT COOMBS C3,85.0,51.0,5.23,68.85,32 CDM,83001126,HC RULE OUT CELL,59.0,35.4,5.55,47.79,32 CDM,83001127,HC ANTIBODY TITER,233.0,139.8,5.02,188.73,32 CDM,83001128,HC ABO GROUP,145.0,87.0,2.9,117.45,32 CDM,83001130,HC BLOOD TYPING RH D,59.0,35.4,2.9,47.79,32 CDM,83001132,HC DONOR ANTIGEN SCREEN,123.0,73.8,6.16,99.63,32 CDM,83001133,HC DONOR ANTIGEN SCREEN ARC,134.0,80.4,6.16,108.54,32 CDM,83001134,HC PATIENT RBC ANTIGEN SCREEN,196.0,117.6,3.72,158.76,32 CDM,83001135,HC CROSSMATCH EACH UNIT IMMEDIATE SPIN,173.0,103.8,22.03,201.52,32 CDM,83001136,HC ELECTRONIC CROSSMATCH,61.0,36.6,12.21,201.52,32 CDM,83001141,HC COLD ABSORPTION,501.0,300.6,37.47,405.81,32 CDM,83001142,HC WARM ABSORPTION,737.0,442.2,37.47,596.97,32 CDM,83001144,HC CELL SEP PHENOTYPING ID,126.0,75.6,22.03,102.06,32 CDM,83001147,HC RSV DIRECT ANTIGEN,139.0,83.4,13.49,112.59,32 CDM,83001148,HC BLOOD COUNT SMEAR MICRO EXAM W MANUAL DIFF WBC COUNT,37.0,22.2,3.69,29.97,32 CDM,83001150,HC HEMOGLOBIN,49.0,29.4,2.3,39.69,32 CDM,83001151,HC HEMOGLOBIN WHOLE BLOOD,49.0,29.4,2.3,39.69,32 CDM,83001153,HC CBC W DIFFERENTIAL AUTO,150.0,90.0,7.54,121.5,32 CDM,83001154,HC COMPLETE CBC AUTOMATED WO DIFF,118.0,70.8,6.28,95.58,32 CDM,83001155,HC RETICULOCYTE COUNT AUTO,51.0,30.6,3.87,41.31,32 CDM,83001156,HC RETICULOCYTE COUNT AUTO ADDL PARAMETERS,93.0,55.8,5.4,75.33,32 CDM,83001158,HC WHITE BLOOD CELL WBC AUTO,162.0,97.2,2.46,131.22,32 CDM,83001159,HC PLATELET AUTOMATED,77.0,46.2,4.35,62.37,32 CDM,83001160,HC BONE MARROW TECH ASSIST,433.0,259.8,53.18,858.84,32 CDM,83001161,HC BN MARROW ASP PREP,433.0,259.8,53.18,858.84,32 CDM,83001164,HC FACTOR II ASSAY,323.0,193.8,12.59,261.63,32 CDM,83001165,HC FACTOR V ASSAY,275.0,165.0,17.12,222.75,32 CDM,83001166,HC FACTOR VII ASSAY,291.0,174.6,17.36,235.71,32 CDM,83001167,HC FACTOR VIII ACTIVITY,264.0,158.4,17.36,213.84,32 CDM,83001168,HC CHROMOGENIC FACTOR VIII,612.0,367.2,11.53,495.72,32 CDM,83001169,HC VON WILLEBRAND FACTOR ACTIVITY,161.0,96.6,22.25,130.41,32 CDM,83001170,HC VWF ACTIVITY RISTOCETIN,77.0,46.2,15.42,62.37,32 CDM,83001171,HC VON WILLEBRAND FACTOR ANTIGEN,237.0,142.2,22.25,191.97,32 CDM,83001172,HC ADAMST 13 ACTIVITY,199.0,119.4,29.93,161.19,32 CDM,83001173,HC VWF MULTIMER,99.0,59.4,19.82,80.19,32 CDM,83001174,HC FACTOR IX ASSAY,325.0,195.0,18.47,263.25,32 CDM,83001175,HC FACTOR X ASSAY,271.0,162.6,17.36,219.51,32 CDM,83001176,HC FACTOR XI ASSAY,323.0,193.8,17.36,261.63,32 CDM,83001177,HC FACTOR XII ASSAY,251.0,150.6,18.77,203.31,32 CDM,83001178,HC FACTOR XIII ASSAY,182.0,109.2,8.84,147.42,32 CDM,83001180,HC FLETCHER FACTOR MIX,186.0,111.6,18.36,150.66,32 CDM,83001181,HC FITZGERALD FACTOR MIX,186.0,111.6,18.36,150.66,32 CDM,83001183,HC ANTITHROMBIN III ACT ASSAY,247.0,148.2,11.49,200.07,32 CDM,83001185,HC PROTEIN C ACTIVITY,72.0,43.2,13.42,58.32,32 CDM,83001186,HC PROTEIN S ANTIGEN FREE,44.0,26.4,8.81,35.64,32 CDM,83001187,HC PROTEIN S ACTIVITY,150.0,90.0,29.93,121.5,32 CDM,83001188,HC ACTIVATED PROTEIN C RESISTANCE,196.0,117.6,14.86,158.76,32 CDM,83001189,HC BETHESDA INHIBITOR ASSAY,468.0,280.8,12.48,379.08,32 CDM,83001190,HC ADAMST 13 INHIBITOR,283.0,169.8,12.48,229.23,32 CDM,83001191,HC FACTOR IX INHIBITOR,74.0,44.4,12.48,59.94,32 CDM,83001193,HC ACT,35.0,21.0,4.15,28.35,32 CDM,83001194,HC FIBRIN DEGRADATION PRODUCT SCREEN,56.0,33.6,6.68,45.36,32 CDM,83001195,HC D DIMER QUANT,72.0,43.2,9.87,58.32,32 CDM,83001198,HC FIBRINOGEN,113.0,67.8,9.43,91.53,32 CDM,83001202,HC PLASMINOGEN ACTIVITY,356.0,213.6,16.67,288.36,32 CDM,83001205,HC FETAL BLEED SCREEN,62.0,37.2,9.08,50.22,32 CDM,83001207,HC LMW HEPARIN QUANTITATIVE,146.0,87.6,12.7,118.26,32 CDM,83001208,HC HEPARIN QUANT,63.0,37.8,12.61,51.03,32 CDM,83001217,HC HEPARIN INDUCED PLAT AGG,202.0,121.2,24.16,163.62,32 CDM,83001242,HC PLATELET FUNCTION SCREEN,143.0,85.8,24.16,115.83,32 CDM,83001243,HC LUPUS HEX PHOS PTT,117.0,70.2,17.44,94.77,32 CDM,83001244,HC HEXAGONAL PHOSPHO NEUTRAL,117.0,70.2,17.44,94.77,32 CDM,83001245,HC PROTHROMBIN TIME,79.0,47.4,4.16,63.99,32 CDM,83001246,HC PROTHROMBIN TIME MIX,102.0,61.2,3.82,82.62,32 CDM,83001248,HC LUPUS ANTICOAG,56.0,33.6,9.29,45.36,32 CDM,83001249,HC LUPUS DIL RVV TIME DRVVT,85.0,51.0,9.29,68.85,32 CDM,83001250,HC LUPUS DIL RVV TIME CONFIRM,98.0,58.8,17.44,79.38,32 CDM,83001251,HC REPTILASE TIME,56.0,33.6,9.55,45.36,32 CDM,83001252,HC DABIGATRAN,224.0,134.4,18.08,181.44,32 CDM,83001253,HC SED RATE,80.0,48.0,4.14,64.8,32 CDM,83001257,HC SICKLE CELL TEST,54.0,32.4,5.34,43.74,32 CDM,83001258,HC THROMBIN CLOTTING TIME,39.0,23.4,5.6,31.59,32 CDM,83001259,HC THROMBIN CLOTTNG TIME MIX,19.0,11.4,3.8,15.39,32 CDM,83001261,HC APTT,95.0,57.0,5.83,76.95,32 CDM,83001262,HC LUPUS APTT,95.0,57.0,5.83,76.95,32 CDM,83001264,HC APTT MIX,47.0,28.2,6.28,38.07,32 CDM,83001265,HC INCUBATED APTT,15.0,9.0,3.0,13.8,32 CDM,83001266,HC VISCOSITY,41.0,24.6,8.21,33.21,32 CDM,83001267,HC CONCENTRATION ANY TYPE INFECTIOUS AGENT,61.0,36.6,6.48,49.41,32 CDM,83001268,HC CULTURE BLOOD ROUTINE,188.0,112.8,10.01,152.28,32 CDM,83001269,HC CULTURE BLOOD ISOLATOR,122.0,73.2,10.01,98.82,32 CDM,83001270,HC STOOL CULTURE,130.0,78.0,9.16,105.3,32 CDM,83001272,HC YERSINIA SCREEN,54.0,32.4,9.16,43.74,32 CDM,83001273,HC CAMPYLOBACTER CULTURE,71.0,42.6,9.16,57.51,32 CDM,83001281,HC AEROBIC CULTURE CSF,136.0,81.6,8.36,110.16,32 CDM,83001283,HC AEROBIC CULTURE DEVICE,136.0,81.6,8.36,110.16,32 CDM,83001284,HC AEROBIC CULTURE TISSUE,136.0,81.6,8.36,110.16,32 CDM,83001286,HC GENITAL CULTURE,136.0,81.6,8.36,110.16,32 CDM,83001288,HC AEROBIC CULTURE WATER,136.0,81.6,8.36,110.16,32 CDM,83001290,HC AEROBIC CULTURE ROUTINE,136.0,81.6,8.36,110.16,32 CDM,83001291,HC AEROBIC CULTURE DIALYSIS,136.0,81.6,8.36,110.16,32 CDM,83001293,HC JOINT FLUID CULTURE,136.0,81.6,8.36,110.16,32 CDM,83001294,HC AEROBIC CULTURE EYE OPTHT,157.0,94.2,8.36,127.17,32 CDM,83001295,HC AEROBIC CULTURE UPPER RESPIRATORY,27.0,16.2,5.41,21.87,32 CDM,83001296,HC AEROBIC CULTURE WOUND,136.0,81.6,8.36,110.16,32 CDM,83001297,HC AEROBIC CULTURE LOWER RESPIRATORY,136.0,81.6,8.36,110.16,32 CDM,83001299,HC AEROBIC CULTURE VITREOUS WASHING,136.0,81.6,8.36,110.16,32 CDM,83001301,HC CULTURE QUANTITATIVE BRONCHIAL,53.0,31.8,9.59,42.93,32 CDM,83001304,HC ANAEROBIC CULTURE,187.0,112.2,9.19,151.47,32 CDM,83001305,HC ASCITIC FLUID CULTURE,187.0,112.2,9.19,151.47,32 CDM,83001306,HC ANAEROBIC CULTURE FLUID,97.0,58.2,9.19,78.57,32 CDM,83001313,HC ORGANISM ID BACTERIAL,213.0,127.8,7.84,172.53,32 CDM,83001315,HC MICROBIAL ID MANUAL,204.0,122.4,7.84,165.24,32 CDM,83001323,HC MANUAL ID GRAM STAIN,74.0,44.4,7.84,59.94,32 CDM,83001332,HC ORGANISM ID DEFINITIVE,59.0,35.4,7.84,47.79,32 CDM,83001334,HC GC CULTURE,101.0,60.6,6.43,81.81,32 CDM,83001337,HC VRE CULTURE SCREEN,101.0,60.6,6.43,81.81,32 CDM,83001338,HC MRSA SCREENING,32.0,19.2,6.41,25.92,32 CDM,83001340,HC GROUP A STREP SCREEN,101.0,60.6,6.43,81.81,32 CDM,83001341,HC GROUP B STREP SCREEN,101.0,60.6,6.43,81.81,32 CDM,83001343,HC YEAST SCREEN,204.0,122.4,6.43,165.24,32 CDM,83001346,HC FUNGAL SCREENING PLATE,31.0,18.6,6.21,25.11,32 CDM,83001348,HC AFB SCREENING PLATE,31.0,18.6,6.21,25.11,32 CDM,83001349,HC CULTURE MRSA OUTPATIENT,101.0,60.6,6.43,81.81,32 CDM,83001351,HC CULTURE LEGIONELLA SP,101.0,60.6,6.43,81.81,32 CDM,83001352,HC CULTURE ACTINOMYCES SP,70.0,42.0,6.43,56.7,32 CDM,83001355,HC URINE CULTURE,145.0,87.0,7.83,117.45,32 CDM,83001359,HC DERMATOLOGY SCREEN,92.0,55.2,7.48,74.52,32 CDM,83001360,HC CULTURE FUNGUS,136.0,81.6,8.16,110.16,32 CDM,83001362,HC YEAST ID,39.0,23.4,7.81,31.59,32 CDM,83001363,HC MOLD ID,101.0,60.6,10.01,81.81,32 CDM,83001374,HC STAPHYLOCOCCUS AGGLUTINATION,30.0,18.0,5.02,24.3,32 CDM,83001375,HC OXACILLIN RESISTANT TEST,30.0,18.0,5.02,24.3,32 CDM,83001380,HC BACTERIAL ID BY SEQUENCING,26.0,15.6,5.21,245.92,32 CDM,83001383,HC PARASITE ID WORM,24.0,14.4,4.18,19.44,32 CDM,83001384,HC PINWORM EXAMINATION,129.0,77.4,4.14,104.49,32 CDM,83001385,HC TISSUE HOMOGENIZATION,51.0,30.6,5.7,41.31,32 CDM,83001386,HC OVA AND PARASITES,116.0,69.6,8.63,93.96,32 CDM,83001388,HC E TEST MIC ADDITIONAL STRIP,79.0,47.4,4.61,63.99,32 CDM,83001392,HC SUSCEPTIBILITY DISK,110.0,66.0,7.26,89.1,32 CDM,83001394,HC BETA LACTAMASE DETECTION,18.0,10.8,3.6,14.58,32 CDM,83001397,HC AUTO SUSCEPTIBILITY GRAM NEG,74.0,44.4,8.39,59.94,32 CDM,83001399,HC AUTO SUSCEPTIBILITY GRAM POS,74.0,44.4,8.39,59.94,32 CDM,83001401,HC AUTO SUSCEP STREP PNEUMO,74.0,44.4,8.39,59.94,32 CDM,83001406,HC YEAST SUSCEPTIBILITY,74.0,44.4,8.39,59.94,32 CDM,83001408,HC RG MYCOBACTERIA SUSCEPT,339.0,203.4,8.39,274.59,32 CDM,83001428,HC EXAM FOR SEGGS,68.0,40.8,4.14,55.08,32 CDM,83001429,HC GRAM STAIN,84.0,50.4,4.14,68.04,32 CDM,83001430,HC STAIN BACTERIAL VAGINOSIS YST,89.0,53.4,4.14,72.09,32 CDM,83001431,HC TB AFB SMEAR,61.0,36.6,5.23,49.41,32 CDM,83001432,HC FUNGAL EXAM DIRECT,16.0,9.6,3.2,12.96,32 CDM,83001433,HC CYCLO IS ACID FAST STAIN,49.0,29.4,5.23,39.69,32 CDM,83001434,HC BLOOD SMEAR FOR MALARIA,245.0,147.0,5.81,198.45,32 CDM,83001436,HC TRICHROME STAIN,84.0,50.4,16.82,68.04,32 CDM,83001438,HC INDIA INK PREP,154.0,92.4,5.65,124.74,32 CDM,83001439,HC WET PREP,51.0,30.6,5.65,41.31,32 CDM,83001451,HC PARASITE SCRN CRYPTOSPORIDIUM,37.0,22.2,7.41,29.97,32 CDM,83001452,HC PNEUMOCYSTIS DFA,99.0,59.4,11.62,80.19,32 CDM,83001454,HC GALACTOMANNAN,81.0,48.6,11.62,65.61,32 CDM,83001455,HC C DIFF TOXINS,78.0,46.8,11.62,63.18,32 CDM,83001456,HC CRYPTOSPORIDIUM BY DIRECT ANTIGE,40.0,24.0,8.01,32.4,32 CDM,83001459,HC HEPATITIS B SURFACE ANTIGEN,57.0,34.2,10.02,46.17,32 CDM,83001460,HC HBV SURFACE AG CONFIRM,38.0,22.8,7.61,30.78,32 CDM,83001464,HC HIV ANTIGEN ANTIBODY COMBO,95.0,57.0,19.02,76.95,32 CDM,83001465,HC DIAGNOSTIC HIV AG AB COMBO,63.0,37.8,12.61,51.03,32 CDM,83001467,HC ROTAVIRUS DIRECT ANTIGEN,180.0,108.0,11.62,145.8,32 CDM,83001469,HC LEGIONELLA URINARY ANTIGEN,33.0,19.8,6.61,26.73,32 CDM,83001470,HC C DIFFICILE ANTIGEN,38.0,22.8,7.61,30.78,32 CDM,83001480,HC CHLAMYDIA BY PCR,228.0,136.8,34.04,184.68,32 CDM,83001482,HC C DIFFICILE BY PCR,169.0,101.4,33.83,136.89,32 CDM,83001483,HC CMV PCR QUAL NOT BLOOD,461.0,276.6,34.04,373.41,32 CDM,83001486,HC CMV VIRAL LOAD QUANTITATIVE,213.0,127.8,41.55,172.53,32 CDM,83001487,HC ENTEROVIRUS PCR,213.0,127.8,34.04,172.53,32 CDM,83001491,HC HBV DNA PCR QUANT,629.0,377.4,41.55,509.49,32 CDM,83001495,HC HCV RNA QUANT PCR,581.0,348.6,41.55,470.61,32 CDM,83001498,HC HSV 1/2 PCR,174.0,104.4,34.04,140.94,32 CDM,83001499,HC HHV 6 PCR HERPES VIRUS 6,161.0,96.6,32.23,130.41,32 CDM,83001502,HC HIV RNA PCR,350.0,210.0,70.07,283.5,32 CDM,83001506,HC GONORRHOEAE BY PCR,212.0,127.2,34.04,171.72,32 CDM,83001507,HC HPV DNA AMP PROBE HIGH RISK,164.0,98.4,32.83,132.84,32 CDM,83001508,HC HPV PCR,164.0,98.4,32.83,132.84,32 CDM,83001509,HC INFLUENZA DNA AMP PROBE,275.0,165.0,55.05,222.75,32 CDM,83001510,HC RSV FLU COMBO PCR,257.0,154.2,51.45,264.62,32 CDM,83001511,HC RESPIRATORY PATHOGEN PANEL,770.0,462.0,154.15,852.72,32 CDM,83001518,HC VZV PCR,87.0,52.2,17.42,74.82,32 CDM,83001519,HC PARVOVIRUS PCR,83.0,49.8,16.62,74.82,32 CDM,83001520,HC ADENOVIRUS PCR,48.0,28.8,9.61,74.82,32 CDM,83001523,HC TOXOPLASMA PCR,81.0,48.6,16.22,74.82,32 CDM,83001528,HC TRICHOMONAS PCR,112.0,67.2,22.42,90.72,32 CDM,83001530,HC BK VIRAL LOAD QUANTITATIVE,579.0,347.4,41.55,468.99,32 CDM,83001534,HC GI PCR PANEL 6 TO 11 TARGETS,279.0,167.4,55.86,488.14,32 CDM,83001535,HC TRICHOMONAS DETECTION,55.0,33.0,11.01,44.55,32 CDM,83001536,HC GROUP A STREP RAPID,154.0,92.4,16.03,124.74,32 CDM,83001539,HC CAMPYLOBACTER ANTIGEN DETECTION,96.0,57.6,15.59,77.76,32 CDM,83001540,HC SHIGA TOXIN E COLI EIA ST1,96.0,57.6,15.59,77.76,32 CDM,83001541,HC SHIGA TOXIN E COLI EIA ST2,96.0,57.6,15.59,77.76,32 CDM,83001543,HC HIV GENOTYPING,463.0,277.8,92.69,548.82,32 CDM,83001545,HC HCV GENOTYPING,294.0,176.4,58.86,548.82,32 CDM,83001550,HC URINALYSIS W MICROSCOPIC POCT,88.0,52.8,3.07,71.28,32 CDM,83001551,HC URINALYSIS W MICROSCOPIC,88.0,52.8,3.07,71.28,32 CDM,83001552,HC KETONE COMPONENT WO MICROSCOPIC MANUAL DIPSTICK,51.0,30.6,3.38,41.31,32 CDM,83001553,HC UA OR COMPONENT WO MICROSCOPIC MANUAL DIPSTICK,51.0,30.6,3.38,41.31,32 CDM,83001557,HC SPECIFIC GRAVITY,51.0,30.6,3.38,41.31,32 CDM,83001560,HC BCGP STREPTOCOCCUS PNEUMONIAE,62.0,37.2,12.41,50.22,32 CDM,83001561,HC BCGP STREPTOCOCCUS PYOGENES,62.0,37.2,12.41,50.22,32 CDM,83001563,HC URINE PREGNANCY QUALITATIVE,126.0,75.6,8.35,102.06,32 CDM,83001566,HC COMPAT TESTING ANTIGLOBULIN TECH,12.0,7.2,2.4,201.52,32 CDM,83001574,HC FLUID CELL COUNT W/DIFF,150.0,90.0,5.43,121.5,32 CDM,83001578,HC CRYSTAL IDENTIFICATION TISSUE OR BODY FLUID,62.0,37.2,7.11,50.22,32 CDM,83001579,HC SMEAR FOR EOSINS,120.0,72.0,5.62,97.2,32 CDM,83001583,HC JAK2 GENE ANALYSIS,548.0,328.8,88.91,443.88,32 CDM,83001586,HC BCGP ENTEROCOCCUS FAECALIS,62.0,37.2,12.41,50.22,32 CDM,83001587,HC BCGP ENTEROCOCCUS FAECIUM,62.0,37.2,12.41,50.22,32 CDM,83001588,HC BCGP STREPTOCOCCUS AGALACTIAE,62.0,37.2,12.41,50.22,32 CDM,83001589,HC BCGP STREPTOCOCCUS ANGINOSIS,62.0,37.2,12.41,50.22,32 CDM,83001612,HC CYCLOSPORINE LC MS,309.0,185.4,17.51,250.29,32 CDM,83001629,HC ESTRIOL,127.0,76.2,23.45,102.87,32 CDM,83001641,HC CHEMISTRY REFERENCE,0.01,0.01,0.002,0.0081,21 CDM,83001652,HC ANTI HAV IGG,36.0,21.6,7.21,29.16,32 CDM,83001670,HC EOSINOPHIL ID HANSEL STAIN,22.0,13.2,4.4,17.82,32 CDM,83001682,HC KEPPRA LEVETRIRACETAM,230.0,138.0,12.85,186.3,32 CDM,83001711,HC IGE REGION II ALLERGEN PROFILE,77.0,46.2,15.42,62.37,32 CDM,83001732,HC TTG AB,29.0,17.4,5.81,23.49,32 CDM,83001822,HC HOUSE DUST PANEL,18.0,10.8,3.6,14.58,32 CDM,83001841,HC AB EXTRAC NUCLEAR A,106.0,63.6,17.39,85.86,32 CDM,83001867,HC CSF VDRL,58.0,34.8,4.14,46.98,32 CDM,83001881,HC MUMPS ANTIBODIES IGG,35.0,21.0,7.01,28.35,32 CDM,83001888,HC 8763 RUBEOLA IGM AB,35.0,21.0,7.01,28.35,32 CDM,83001907,HC SALMONELLA SHIGELLA AGGLUTINATIO,19.0,11.4,3.8,15.39,32 CDM,83001929,HC 81806 H PYLORI AG FECES,61.0,36.6,12.21,49.41,32 CDM,83001960,HC BCGP STREPTOCOCCUS SP,62.0,37.2,12.41,50.22,32 CDM,83001961,HC BCGP VAN A RESISTANCE,62.0,37.2,12.41,50.22,32 CDM,83001979,HC SELECTED CELL ANTIBODY SCREEN A,59.0,35.4,5.55,47.79,32 CDM,83001980,HC SELECTED CELL ANTIBODY SCREEN B,59.0,35.4,5.55,47.79,32 CDM,83001981,HC SELECTED CELL ANTIBODY SCREEN C,59.0,35.4,5.55,47.79,32 CDM,83001982,HC SELECTED CELL ANTIBODY SCREEN D,59.0,35.4,5.55,47.79,32 CDM,83001983,HC SELECTED CELL ANTIBODY SCREEN E,59.0,35.4,5.55,47.79,32 CDM,83001995,HC EYE CULTURE,136.0,81.6,8.36,110.16,32 CDM,83002065,HC ANAEROBE ID BY MS,64.0,38.4,7.84,51.84,32 CDM,83002066,HC AEROBE ID BY MS,46.0,27.6,7.84,37.26,32 CDM,83002072,HC PARASITE SCREEN GIARDIA,56.0,33.6,11.21,45.36,32 CDM,83002082,HC SEMEN ANALYSIS POST VASECTOMY,71.0,42.6,8.35,57.51,32 CDM,83002085,HC BCGP VAN B RESISTANCE,62.0,37.2,12.41,50.22,32 CDM,83002087,HC 83267 CALIFORNIA VIRUS IGG AND IGM,15.0,9.0,3.0,28.12,32 CDM,83002095,HC TB CONCENTRATION,49.0,29.4,6.48,39.69,32 CDM,83002097,HC STREPTOCOCCUS AGGLUTINATION,30.0,18.0,5.02,24.3,32 CDM,83002099,HC 8409 LIPID PANEL,253.0,151.8,12.99,204.93,32 CDM,83002115,HC ETHANOL FORENSIC UNC,134.0,80.4,26.83,108.54,22 CDM,83002129,HC 2HR PC SUGAR LAB TEST,171.0,102.6,4.61,138.51,32 CDM,83002131,HC SULLIVAN OB GLUCOSE SCREEN,26.0,15.6,4.61,21.06,32 CDM,83002133,HC 2HR GLUCOSE TOLERANCE LAB TEST,162.0,97.2,12.48,131.22,32 CDM,83002140,HC FINGERSTICK PT,79.0,47.4,4.16,63.99,32 CDM,83002143,HC 80406 RHEUMATOID FACTOR,28.0,16.8,5.61,22.68,32 CDM,83002153,HC SYPHILIS AB IGG AND IGM,54.0,32.4,10.81,43.74,32 CDM,83002155,HC CRE CULTURE SCREEN,29.0,17.4,5.81,23.49,32 CDM,83002163,HC IMMUNO FLUORESCENCE CONSULT INITIAL,0.01,0.01,0.002,381.82,32 CDM,83002164,HC CUTANEOUS IMMUNO BIOPSY INITIAL,414.0,248.4,53.18,381.82,32 CDM,83002170,HC EFPO OSMOLALITY F,2.0,1.2,0.4004,45.98,21 CDM,83002184,HC HLA DPB1 HIRES TYPING,518.0,310.8,103.7,419.58,32 CDM,83002185,HC MYCOBACTERIA ID BY MS,81.0,48.6,14.17,65.61,32 CDM,83002222,HC GONADOTROPIN,62.0,37.2,12.41,50.22,32 CDM,83002225,HC PLASMA HEMOGLOBIN,29.0,17.4,5.81,23.49,32 CDM,83002240,HC HLA B57 SINGLE BY FLOW CYTOMETRY,161.0,96.6,25.04,130.41,32 CDM,83002242,HC MYELOID MUTATION PANEL,1960.0,1176.0,133.7,1587.6,32 CDM,83002244,HC CEPHEID NOROVIRUS GI,49.0,29.4,9.81,74.82,32 CDM,83002286,HC FECAL IMMUNOCHEMICAL TEST,95.0,57.0,15.44,76.95,32 CDM,83002306,HC PKU,141.0,84.6,5.33,114.21,32 CDM,83002307,HC PROCALCITONIN,89.0,53.4,17.82,72.09,32 CDM,83002372,HC SED RATE AUTOMATED,34.0,20.4,2.62,27.54,32 CDM,83002375,HC PLEURAL FLUID CULTURE,136.0,81.6,8.36,110.16,32 CDM,83002377,HC EAR CULTURE,136.0,81.6,8.36,110.16,32 CDM,83002380,HC NASOPHARYNGEAL CULTURE,136.0,81.6,8.36,110.16,32 CDM,83002390,HC STREP PNEUMO URINE ANTIGEN,38.0,22.8,7.61,30.78,32 CDM,83002397,HC INFLUENZA A ANTIGEN,70.0,42.0,14.01,56.7,32 CDM,83002399,HC INFLUENZA B ANTIGEN,70.0,42.0,14.01,56.7,32 CDM,83002423,HC SPECIAL COLLECTION LEVEL 1,15.0,9.0,3.0,12.15,32 CDM,83002424,HC SPECIAL COLLECTION LEVEL 2,35.0,21.0,3.9,28.35,32 CDM,83002425,HC SPECIAL COLLECTION LEVEL 3,75.0,45.0,3.9,60.75,32 CDM,83002426,HC CEPHEID NOROVIRUS GII,49.0,29.4,9.81,74.82,32 CDM,83002427,HC CALR GENE ANALYSIS,529.0,317.4,105.91,428.49,32 CDM,83002428,HC MPL GENE ANALYSIS,767.0,460.2,153.55,621.27,32 CDM,83002429,HC FLT3 TKD GENE ANALYSIS,134.0,80.4,26.83,154.14,32 CDM,83002430,HC TP53 GENE ANALYSIS,1805.0,1083.0,361.36,1462.05,32 CDM,83002432,HC BRCA 1 AND 2 MUTATION TESTING,1258.0,754.8,251.85,3699.95,32 CDM,83002434,HC BRCA 2 KNOWN FAMILIAL MUTATION TESTING,293.0,175.8,58.66,696.24,32 CDM,83002462,HC CATHETERIZATION FOR COLLECTION OF SPECIMEN SINGLE PATIENT ALL POS,116.0,69.6,4.18,4311.0,32 CDM,83002478,HC PYRIMIDINE 5' NUCLEOTIDASE,1931.0,1158.6,10.82,1564.11,32 CDM,83002559,HC AUTOMATED DIFFERENTIAL WBC COUNT,23.0,13.8,4.6,18.63,32 CDM,83002579,HC HEMOGLOBIN S ARC,259.0,155.4,5.34,209.79,32 CDM,83002580,HC CYSTATIN C,46.0,27.6,9.21,37.26,32 CDM,83002603,HC CD3 BAL,28.0,16.8,5.61,57.08,32 CDM,83002604,HC CD4 BAL,28.0,16.8,5.61,57.08,32 CDM,83002605,HC CD8 BAL,28.0,16.8,5.61,57.08,32 CDM,83002606,HC CD19 BAL,28.0,16.8,5.61,57.08,32 CDM,83002607,HC CD16 AND 56 BAL,28.0,16.8,5.61,57.08,32 CDM,83002619,HC KIDNEY GENETICS MUTATIION PANEL,1808.0,1084.8,218.46,1464.48,21 CDM,83002620,HC TERT PROMOTER MUTATION ASSAY,707.0,424.2,141.54,572.67,32 CDM,83002622,HC BCGP STAPHYLOCOCCUS AUREUS,62.0,37.2,12.41,50.22,32 CDM,83002623,HC BCGP STAPHYLOCOCCUS EPIDERMIDIS,62.0,37.2,12.41,50.22,32 CDM,83002624,HC BCGP STAPHYLOCOCCUS LUGDUNENSIS,62.0,37.2,12.41,50.22,32 CDM,83002625,HC BCGP STAPHYLOCOCCUS SPP,62.0,37.2,12.41,50.22,32 CDM,83002626,HC BCGP MECA RESISTANCE,62.0,37.2,12.41,50.22,32 CDM,83002633,HC GROUP B STREP WITH LIM BROTH BY NUCLEIC ACID PROBE,107.0,64.2,21.42,86.67,32 CDM,83002640,HC SMA CARRIER SCREEN,513.0,307.8,102.7,415.53,32 CDM,83002642,HC MRSA DNA AMP PROBE,189.0,113.4,34.04,153.09,32 CDM,83002651,HC NEOTYPE NGS HEMATOLYMPHOID NEOPLASM 5 TO 50 GENES,1960.0,1176.0,133.7,1587.6,32 CDM,83002656,HC BLOOD CULTURE IDENTIFICATION PANEL,114.0,68.4,22.82,324.56,32 CDM,83002658,HC EBV PCR QUALITATIVE NOT BLOOD,324.0,194.4,34.04,262.44,32 CDM,83002688,HC STREP GROUP A AMPLIFIED PROBE TECHNIQUE,136.0,81.6,27.23,110.16,32 CDM,83002689,HC CEPHEID RSV PCR,194.0,116.4,38.84,157.14,32 CDM,83002694,HC CALR GENE MUTATION EXON 9 REFLEX,953.0,571.8,117.98,771.93,32 CDM,83002695,HC MPLR MPL EXON MUTATON DETECTION,639.0,383.4,127.93,517.59,32 CDM,83002696,HC PLATELETS RESPONSE P2Y12,140.0,84.0,24.16,113.4,32 CDM,83002697,HC PLATELETS RESPONSE ASPIRIN,140.0,84.0,24.16,113.4,32 CDM,83002720,HC H PYLORI AG STOOL IN HOUSE,46.0,27.6,9.21,37.26,32 CDM,83002767,HC SUBSTANCE ABUSE PANEL 8 DRUGS,278.0,166.8,55.66,225.18,32 CDM,83002795,HC MICROARRAY POC,1589.0,953.4,318.12,2152.96,32 CDM,83002797,HC MENINGITIS MOLECULAR IDENTIFICATION PANEL,1187.0,712.2,237.64,961.47,32 CDM,83002812,HC JAK2 V617F QUANT MUTATION ANALYSIS,278.0,166.8,55.66,225.18,32 CDM,83002820,HC CA 27.29 IN HOUSE,101.0,60.6,20.19,81.81,32 CDM,83002858,HC CHIMERISM FOR MATERNAL CELL CONTAMINATION OF FETAL CELLS,609.0,365.4,121.92,493.29,32 CDM,83002859,HC HHV6 QUANTITATIVE PCR,478.0,286.8,40.51,387.18,32 CDM,83002860,HC ADENOVIRUS QUANT PCR,204.0,122.4,40.84,165.24,32 CDM,83002864,HC IMMUNOASSAY MALARIA SCREEN,426.0,255.6,15.59,345.06,32 CDM,83002865,HC ALLERGEN SPECIFIC IGE ALPHA GAL,50.0,30.0,5.06,40.5,32 CDM,83002872,HC NEUROPATHY AB BY WESTERN BLOT,110.0,66.0,22.02,89.1,32 CDM,83002899,HC COVID19 PCR,100.0,60.0,20.02,81.0,32 CDM,83002901,HC COVID IGG ANTIBODY,100.0,60.0,20.02,81.0,32 CDM,83002913,HC IL 6,163.0,97.8,16.75,132.03,32 CDM,83002918,HC BIOFIRE RESPIRATORY PANEL 2.1 RP2.1 TEST,907.0,544.2,181.58,734.67,32 CDM,83002939,HC RAPID RSFLU COVID FLURVID,275.0,165.0,55.05,222.75,32 CDM,83002957,HC MOLD ID BY MS,132.0,79.2,10.01,106.92,32 CDM,83002959,HC ACETAMINOPHEN THERAPEUTIC DRUG ASSAY,165.0,99.0,18.08,133.65,32 CDM,83002961,HC SALICYLATE THERAPEUTIC DRUG ASSAY,89.0,53.4,17.82,72.09,32 CDM,83002963,HC ITRACONAZOLE THERAPEUTIC DRUG ASSAY,43.0,25.8,8.61,50.1,32 CDM,83002965,HC METHOTREXATE THERAPEUTIC DRUG ASSAY,280.0,168.0,37.41,226.8,32 CDM,83002971,HC GRAM NEGATIVE SUSCEPTIBILITY,79.0,47.4,8.39,63.99,32 CDM,83002973,HC VAGINITIS MOLECULAR PANEL,194.0,116.4,38.84,264.62,32 CDM,83002991,HC BNP,91.0,54.6,18.22,73.71,32 CDM,83002992,HC SEX HORMONE BINDING GLOBULIN,69.0,41.4,13.81,55.89,32 CDM,83002993,HC C PEPTIDE,66.0,39.6,13.21,53.46,32 CDM,83002994,HC SMA SPINAL MUSCULAR ATROPHY DNA,350.0,210.0,70.07,283.5,32 CDM,83003008,HC 6-MONOACETYLMORPHINE CONFIRMATION RANDOM URINE,135.0,81.0,27.03,109.35,22 CDM,83003009,HC BUPRENORPHINE W METABOLITES CONFIRMATION RANDOM URINE,213.0,127.8,24.11,172.53,22 CDM,83003010,HC CODEINE AND HYDROCODONE W METABOLITES CONFIRMATION RANDOM URINE,219.0,131.4,43.84,177.39,22 CDM,83003011,HC FENTANYL W METABOLITE CONFIRMATION RANDOM URINE,135.0,81.0,27.03,109.35,22 CDM,83003012,HC OXYCODONE W METABOLITE CONFIRMATION RANDOM URINE,135.0,81.0,27.03,109.35,22 CDM,83003013,HC RAPID RSFLU COVID FLURVID CEPHEID - INACTIVE,275.0,165.0,55.05,222.75,21 CDM,83003038,HC COMPLEMENT ANTIGEN PANEL,45.0,27.0,9.01,36.45,32 CDM,83003039,HC COMPLEMENT FUNCTIONAL ACTIVITY PANEL,45.0,27.0,9.01,36.45,32 CDM,83003040,HC COMPLEMENT TOTAL PANEL,76.0,45.6,15.22,61.56,32 CDM,83003041,HC FH/FB AUTOANTIBODY PANEL,43.0,25.8,8.61,34.83,32 CDM,83003042,HC SOLUBLE C5B-9 PANEL,65.0,39.0,13.01,52.65,32 CDM,83003043,HC FLUID PHASE ACTIVITY ASSAY IFE PANEL,84.0,50.4,16.82,68.04,32 CDM,83003046,HC IMMUNFIX E-PHORSIS BETA-2 TRANSFERRIN,101.0,60.6,20.22,81.81,32 CDM,83003047,HC OLIGOCLONAL BANDS,149.0,89.4,26.57,120.69,32 CDM,83003052,HC GI MOLECULAR ID PANEL,1328.0,796.8,124.44,1075.68,32 CDM,83003063,HC ANTI GBM,55.0,33.0,11.01,44.55,32 CDM,83003067,HC MONKEYPOX PCR,108.0,64.8,21.62,87.48,32 CDM,83003072,HC LEGIONELLA PNEUMOPHILA PCR,118.0,70.8,23.62,95.58,32 CDM,83003073,HC LEGIONELLA SPECIES PCR,118.0,70.8,23.62,95.58,32 CDM,83003075,HC HGB A1C,65.0,39.0,9.42,52.65,32 CDM,83003076,HC LACTATE VENOUS POCT,65.0,39.0,11.22,52.65,32 CDM,83003077,HC UA WITHOUT MICROSCOPIC,57.0,34.2,2.18,46.17,32 CDM,83003081,HC PNEUMOCYSTIS PCR,271.0,162.6,34.04,219.51,32 CDM,83003118,HC MYCOPLASMA GENITALIUM PCR,167.0,100.2,33.43,135.27,32 CDM,83003120,HC EHRLICHIA PCR,271.0,162.6,34.04,219.51,32 CDM,83003160,HC APOE GENOTYPING ASSAY,319.0,191.4,63.86,258.39,32 CDM,83003188,HC BONE MARROW CULTURE,515.0,309.0,8.36,7039.0,30 CDM,83003195,HC CEPHEID MOLECULAR VAGINITIS PANEL,526.0,315.6,105.31,426.06,32 CDM,83003197,HC HPV DNA PROBE WITH EXTENDED GENOTYPE,210.0,126.0,42.04,170.1,32 CDM,83100004,HC SURG PATH MISCELLANEOUS,0.01,0.01,0.002,70.99,32 CDM,83100006,HC HEMATOCRIT,27.0,16.2,2.3,21.87,32 CDM,83100007,HC NON GYN SMEAR SPECIMEN,110.0,66.0,22.02,89.1,32 CDM,83100008,HC NONGYN CONCENTRATION SPECIMEN,186.0,111.6,24.9,150.66,32 CDM,83100009,HC CYSTOSPIN INTERP NON GYN,147.0,88.2,29.43,119.07,32 CDM,83100010,HC NON GYN PREP W CELL ENHANCE,147.0,88.2,29.43,119.07,32 CDM,83100011,HC PATHOLOGIST REVIEW,39.0,23.4,7.81,47.45,23 CDM,83100012,HC THINPREP PAP SMEAR CYTOLOGY,198.0,118.8,19.65,160.38,32 CDM,83100016,HC SMEAR CYTOLOGY,119.0,71.4,23.56,96.39,32 CDM,83100020,HC FNA W IMMED EVAL FIRST PASS,255.0,153.0,36.54,206.55,32 CDM,83100021,HC FNA W PATHOLOGIST INTERPRETATION,261.0,156.6,51.4,211.41,32 CDM,83100022,HC LIQUID BASE PREP W MANUAL AND AUTO SCREEN,136.0,81.6,25.81,110.16,32 CDM,83100023,HC PAP TP IMAGED SCREEN,78.0,46.8,15.62,63.18,32 CDM,83100024,HC PAP TP IMAGED MED DX,136.0,81.6,25.81,110.16,32 CDM,83100026,HC FLOW MARKER 1ST,209.0,125.4,24.9,381.82,32 CDM,83100030,HC CELL MARKER 1ST MARKER,207.0,124.2,24.9,381.82,32 CDM,83100047,HC TISSUE CULTURE NON NEOPLASTIC DISORDERS,518.0,310.8,103.7,419.58,32 CDM,83100048,HC TISSUE CULTURE BLOOD SETUP ONLY,148.0,88.8,29.63,248.36,32 CDM,83100050,HC SOLID TISSUE OR SKIN CULTURE,456.0,273.6,91.29,369.36,32 CDM,83100051,HC TISSUE CULTURE AMNIO CVS,597.0,358.2,119.52,483.57,32 CDM,83100052,HC TISSUE CULTURE AMNIO CVS W SENDOUT,755.0,453.0,145.79,611.55,32 CDM,83100053,HC TISSUE CULTURE BONE MARROW,561.0,336.6,112.31,454.41,32 CDM,83100055,HC FREEZING AND STORAGE CELLS,325.0,195.0,12.68,263.25,32 CDM,83100059,HC CHROMOSOME ANALYSIS 5 CELL 1 KARYOTYPE,225.0,135.0,45.05,490.72,32 CDM,83100060,HC KARYOTYPING W BANDING,1019.0,611.4,121.73,825.39,32 CDM,83100061,HC CHROMOSOME ANALYSIS 20 TO 25 CELLS,354.0,212.4,70.87,286.74,32 CDM,83100062,HC KARYOTYPE W BANDING AMNIO CVS,609.0,365.4,121.92,493.29,32 CDM,83100064,HC MOLECULAR CYTOGEN DNA PROBE,224.0,134.4,20.78,181.44,32 CDM,83100065,HC REF MOL CYTOG DNA PROBE,80.0,48.0,16.02,64.8,32 CDM,83100068,HC CHROMOSOMAL IN SITU HYBRIDIZATION 10 TO 30 CELLS,132.0,79.2,26.43,106.92,32 CDM,83100069,HC INTERPHASE IN SITU HYBRID 25 TO 99 CELLS,135.0,81.0,27.03,109.35,32 CDM,83100070,HC INTERPHASE IN SITU HYBRID 100 TO 300 CELLS,548.0,328.8,49.65,443.88,32 CDM,83100071,HC ADDITIONAL KARYOTYPE,102.0,61.2,20.42,82.62,32 CDM,83100072,HC ADDITIONAL SPEC BAND TECH,175.0,105.0,35.03,146.24,32 CDM,83100073,HC ADDITIONAL CELLS COUNTED,367.0,220.2,26.1,297.27,32 CDM,83100074,HC MISC CYTOGENETICS PROCEDURE,660.0,396.0,15.51,534.6,32 CDM,83100075,HC OUTSIDE CONSULTATION ON REFERRED SLIDES,0.01,0.01,0.002,109.32,32 CDM,83100077,HC LEVEL I SURG PATH GROSS ONLY,124.0,74.4,20.48,100.44,32 CDM,83100078,HC LEVEL II SURG PATH GROSS AND MICRO,226.0,135.6,24.9,183.06,32 CDM,83100079,HC LEVEL III SURG PATH GROSS AND MICRO,370.0,222.0,51.4,299.7,32 CDM,83100090,HC BONE MARROW CLOT EXAM,319.0,191.4,51.4,258.39,32 CDM,83100094,HC LEVEL IV SURG PATH GROSS AND MICRO,319.0,191.4,51.4,258.39,32 CDM,83100096,HC LEVEL V SURG PATH OR CYTO GROSS AND MICRO,593.0,355.8,80.53,480.33,32 CDM,83100098,HC LEVEL VI SURG PATH GROSS AND MICRO,548.0,328.8,80.53,858.84,32 CDM,83100099,HC DECALCIFICATION,97.0,58.2,12.54,78.57,23 CDM,83100110,HC SPECIAL STAINS GRP 2 IRON STAIN BM,129.0,77.4,24.9,135.52,32 CDM,83100135,HC HISTOCHEM STAIN MUSCLE W FS SENDOUT,394.0,236.4,24.9,319.14,23 CDM,83100136,HC HISTOCHEM STAIN-MUSCLE W/ FS,313.0,187.8,24.9,253.53,23 CDM,83100149,HC SPECIAL STAINS GRP 3 PEROXIDASE STAIN,249.0,149.4,49.85,858.84,32 CDM,83100162,HC CONSULT REPORT W SLIDE PREP,77.0,46.2,15.42,70.99,32 CDM,83100163,HC FROZEN SECTION FIRST BLOCK,384.0,230.4,53.18,311.04,32 CDM,83100164,HC FROZEN SECTION EA ADDTL BLOCK,132.0,79.2,24.9,106.92,23 CDM,83100165,HC INTRAOPERATIVE TOUCH PREP,675.0,405.0,24.9,858.84,32 CDM,83100166,HC TOUCH PREP ADDITIONAL,189.0,113.4,23.59,153.09,23 CDM,83100343,HC IMMUNO FLUORESCENCE CONSULT INITIAL,414.0,248.4,53.18,381.82,32 CDM,83100357,HC ANCA IFA,256.0,153.6,11.69,207.36,32 CDM,83100363,HC HER2NEU MORPHOMETRIC SPECIMEN,261.0,156.6,52.25,211.41,32 CDM,83100364,HC ESTROGEN RECEPTOR MORPHOMETRIC SPECIMEN,157.0,94.2,31.43,201.52,32 CDM,83100365,HC PROGESTERONE RECEPTOR MORPHOME SPECIMEN,157.0,94.2,31.43,201.52,32 CDM,83100368,HC IN SITU HYBRIDIZATION EACH SPECIMEN,539.0,323.4,80.53,436.59,32 CDM,83100374,HC UNC P CYTOGEN INTERPRETATION AND REPORT,139.0,83.4,27.83,112.59,23 CDM,83100377,HC HBA1 HBA2 GENE ANALYSIS FOR COMMON DELETIONS OR VARIANTS,164.0,98.4,32.83,189.48,32 CDM,83100380,HC BILICHEK,18.0,10.8,3.6,14.58,32 CDM,83100406,HC TUMOR IMMUNOHISTOCHEMISTRY QUANT,414.0,248.4,53.18,335.34,32 CDM,83100407,HC CELL MARKER EACH ADDITIONAL,91.0,54.6,18.22,73.71,23 CDM,83100408,HC 8537 TISSUE CULTURE FOR CHROM,247.0,148.2,49.45,269.27,32 CDM,83100409,HC TISSUE CULTURE SKIN SETUP ONLY,2191.0,1314.6,136.51,1774.71,32 CDM,83100411,HC TISSUE CULTURE BONE MARROW SETUP ONLY,353.0,211.8,70.67,285.93,32 CDM,83100419,HC REF INTERPHS ISH ANLYZ 100 TO 300 CELLS,192.0,115.2,38.44,155.52,32 CDM,83100435,HC 88466 FLOW CYTOMETRY INTERPRETATION 9 TO 15 MAKERS,708.0,424.8,53.18,573.48,23 CDM,83100436,HC FLOW MARKER 16 OR MORE,518.0,310.8,53.18,419.58,23 CDM,83100437,HC 8506 CHROMOSOMES HEMO BONE M,354.0,212.4,70.87,286.74,32 CDM,83100443,HC PIN4 COCKTAIL SPECIMEN,385.0,231.0,77.08,381.82,32 CDM,83100457,HC TISSUE IMMUNOPEROXIDASE EACH ADDITIONAL,367.0,220.2,67.67,297.27,23 CDM,83100460,HC TISSUE IMMUNOPEROXIDASE,385.0,231.0,53.18,311.85,32 CDM,83100655,HC IN SITU HYBRIDIZATION EACH SPECIMEN EACH ADDITIONAL,519.0,311.4,103.9,420.39,23 CDM,83100662,HC TRB GENE ARRANGE AMPLIFY,1285.0,771.0,49.65,1040.85,32 CDM,83100693,HC REF MULTIPLE MYELOMA MOL CYTOG DNA PROBE,80.0,48.0,16.02,64.8,32 CDM,83100695,HC IHC STAIN INITIAL SINGLE ANTIBODY STAIN,385.0,231.0,53.18,311.85,32 CDM,83100696,HC IHC STAIN ADDITIONAL SINGLE ANTIBODY STAIN,367.0,220.2,67.67,297.27,23 CDM,83100697,HC SPECIAL STAINS GRP 1,312.0,187.2,24.9,252.72,32 CDM,83100698,HC SPECIAL STAINS GRP 2,129.0,77.4,24.9,135.52,32 CDM,83100710,HC FLOW CYTOMETRY MARKER FISH CYTOGENETICS,1243.0,745.8,24.9,1006.83,32 CDM,83100718,HC PNH CD14,24.0,14.4,4.8,41.1,23 CDM,83100719,HC PNH CD15,24.0,14.4,4.8,41.1,23 CDM,83100720,HC PNH CD24,24.0,14.4,4.8,41.1,23 CDM,83100721,HC PNH CD64,24.0,14.4,4.8,41.1,23 CDM,83100722,HC PNH CD45,24.0,14.4,4.8,41.1,23 CDM,83100723,HC PNH CD235A,24.0,14.4,4.8,41.1,23 CDM,83100724,HC REF AML ALL INTERPHS ISH ANLYZ 100 TO 300 CELLS EACH,192.0,115.2,38.44,155.52,32 CDM,83100725,HC REF AML ALL MOLE CYTOG DNA PROBE,80.0,48.0,16.02,64.8,32 CDM,83100744,HC NEOTYPE AUTO TC MULTIPLEX PROBE,908.0,544.8,164.86,735.48,32 CDM,83100745,HC NEOTYPE LUNG FISH MANUAL,660.0,396.0,132.13,646.0,32 CDM,83100746,HC CMA QPCR FOLLOW UP,474.0,284.4,94.89,383.94,21 CDM,83100768,HC CONSULT REPORT W REFERRED MATERIAL,356.0,213.6,70.99,288.36,32 CDM,83100777,HC MOL CYTOGENETICS DNA PROBE,125.0,75.0,20.78,101.25,32 CDM,83100778,HC MOL CYTOGEN DNA PROBE ADDITIONAL,150.0,90.0,20.78,121.5,32 CDM,83100784,HC MOL CYTOGENETICS DNA PROBE FISH,95.0,57.0,19.02,76.95,32 CDM,83100785,HC INTERPHASE ISH ANALYZE 100 TO 300 CELLS FISH,166.0,99.6,33.23,134.46,32 CDM,83100787,HC REF MDM2 CYTOGENETICS DNA PROBE,80.0,48.0,16.02,64.8,32 CDM,83100788,HC REF FISH ANALYSIS 25 TO 99 CELLS,159.0,95.4,31.83,128.79,32 CDM,83100796,HC MPN HOTSPOT PANEL MPL JAK2 CALR,1589.0,953.4,218.46,1287.09,21 CDM,83100797,HC TP53 NOTCH1 SF3B1 DNA ANALYSIS,798.0,478.8,159.76,646.38,21 CDM,83100808,HC APOL1 GENE TESTING,326.0,195.6,65.27,264.06,21 CDM,83900002,HC TRANSACTION REACTION INVESTIGATION,66.0,39.6,13.21,201.52,32 CDM,83900004,HC THAWING FROZEN PLASMA EACH UNIT,42.0,25.2,8.41,201.52,32 CDM,83900007,HC THAWING FROZEN POOLED CRYO,28.0,16.8,5.61,381.82,32 CDM,83900009,HC BLOOD PRODUCT IRRADIATION EACH UNIT,105.0,63.0,21.02,85.05,32 CDM,83900010,HC POOLING BLOOD PRODUCTS,248.0,148.8,37.47,201.52,32 CDM,83900020,HC CRYOPRECIPITATE,62.0,37.2,10.79,2907.0,32 CDM,83900022,HC RED CELLS ER LEUKOCYTE REDUCED,300.0,180.0,52.23,2907.0,32 CDM,83900023,HC RED CELLS LEUKOCYTE REDUCED,300.0,180.0,52.23,2907.0,32 CDM,83900024,HC RBC ALIQUOT,277.0,166.2,48.23,2907.0,32 CDM,83900026,HC RBC LEUKO REDUCED,566.0,339.6,98.54,2907.0,32 CDM,83900028,HC PHERESIS FFP,91.0,54.6,15.84,2907.0,32 CDM,83900029,HC FFP ALIQUOT,91.0,54.6,15.84,2907.0,32 CDM,83900030,HC FRESH FROZEN PLASMA,57.0,34.2,9.92,2907.0,32 CDM,83900033,HC RBC AUTOLOGOUS,679.0,407.4,118.21,2907.0,32 CDM,83900034,HC WASHED RED BLOOD CELLS EACH UNIT,651.0,390.6,113.34,2907.0,32 CDM,83900039,HC PLATELET PHERESIS LEUKOCYTE REDUCED EACH UNIT,1041.0,624.6,181.24,2907.0,32 CDM,83900050,HC PLATELET PHERESIS LR ONE FOURTH IRRADIATED,1070.0,642.0,186.29,2907.0,32 CDM,83900053,HC DEGLYCERLIZED RED CELLS,215.0,129.0,37.43,2907.0,32 CDM,83900054,HC RBC LEUKO REDUCED IRRADIATED,419.0,251.4,72.95,2907.0,32 CDM,83900055,HC CRYO POOR PLASMA,294.0,176.4,51.19,2907.0,32 CDM,83900056,HC GRANULOCYTES PHERESIS EACH UNIT,949.0,569.4,165.22,2907.0,23 CDM,83900057,HC PLATELET APHERESIS HLA MATCH,1240.0,744.0,215.88,2907.0,32 CDM,83900060,HC RBC LEUKOREDUCED WASHED,600.0,360.0,104.46,2907.0,32 CDM,83900062,HC PLASMA,91.0,54.6,15.84,2907.0,32 CDM,83900087,HC PATHOGEN REDUCED PAS APHERESIS PLTS,1528.0,916.8,266.02,2907.0,32 CDM,83999901,HC ABO GROUP EXP,28.0,16.8,2.9,22.68,32 CDM,83999902,HC ANTIBODY SCREEN W COLD ADSORPTION EXP,165.0,99.0,9.48,133.65,32 CDM,83999903,HC ANTIBODY SCREEN W ELUATE EXP,165.0,99.0,9.48,133.65,32 CDM,83999904,HC ANTIBODY SCREEN W WARM ADSORPTION EXP,165.0,99.0,9.48,133.65,32 CDM,83999905,HC SELECTED CELL ANTIBODY SCREEN 2 EXP,59.0,35.4,5.55,47.79,32 CDM,83999906,HC SELECTED CELL ANTIBODY SCREEN 3 EXP,59.0,35.4,5.55,47.79,32 CDM,83999907,HC SELECTED CELL ANTIBODY SCREEN 4 EXP,59.0,35.4,5.55,47.79,32 CDM,83999908,HC SELECTED CELL ANTIBODY SCREEN 5 EXP,59.0,35.4,5.55,47.79,32 CDM,83999909,HC SELECTED CELL ANTIBODY SCREEN 6 EXP,59.0,35.4,5.55,47.79,32 CDM,83999910,HC SELECTED CELL ANTIBODY SCREEN 7 EXP,59.0,35.4,5.55,47.79,32 CDM,83999915,HC PLT PHERESIS LEUKO RED WASH EXP,1041.0,624.6,181.24,2907.0,32 CDM,83999916,HC PLT PHERESIS LEUKO REDUCED EXP,1041.0,624.6,181.24,2907.0,32 CDM,83999917,HC PLT PHERESIS LEUKOREDUCD IRRAD EXP,1160.0,696.0,201.96,2907.0,32 CDM,83999918,HC CRYOPRECIPITATE A,62.0,37.2,10.79,2907.0,32 CDM,83999919,HC CRYOPRECIPITATE B,62.0,37.2,10.79,2907.0,32 CDM,83999920,HC CRYOPRECIPITATE C,62.0,37.2,10.79,2907.0,32 CDM,83999921,HC CRYOPRECIPITATE D,62.0,37.2,10.79,2907.0,32 CDM,83999922,HC CRYOPRECIPITATE 5 EXP,62.0,37.2,10.79,2907.0,32 CDM,93600014,HC THROMBOENDARTERECTOMY COMMON FEMORAL,2616.0,1569.6,523.72,9423.0,23 CDM,93600017,HC RENAL ANGIO BIL SEL 1ST ORDER INCL S AND I,8570.0,5142.0,1715.71,9423.0,66 CDM,93600018,HC RENAL ANGIO UNIL SEL 2ND OR MORE ORDER INCL S AND I,8570.0,5142.0,1715.71,13852.0,33 CDM,93600019,HC RENAL ANGIO BIL SEL 2ND OR MORE ORDER INCL S AND I,8570.0,5142.0,1715.71,9423.0,66 CDM,93600028,HC OR TIME 1261-1320 MIN,39984.0,23990.4,7039.0,32387.04,21 CDM,93600029,HC OR TIME 1321-1380 MIN,41222.0,24733.2,7039.0,33389.82,21 CDM,93600030,HC PACEMAKER EP ROOM TIME 0 120MI,1885.0,1131.0,377.38,7039.0,21 CDM,93600031,HC PACEMAKER EP ROOM ADDITIONAL 30 MIN,557.0,334.2,111.51,7039.0,21 CDM,93600032,HC PERFUSION SERVICE FEE CABG,2915.0,1749.0,583.58,7039.0,21 CDM,93600034,HC TMVR,35477.0,21286.2,150.52,28736.37,32 CDM,93600035,HC PVL CLOSURES,6012.0,3607.2,150.52,9423.0,32 CDM,93610004,HC TEMPORARY PACEMAKER INSERTION,2474.0,1484.4,495.29,13852.0,66 CDM,93610005,HC INSERT IA BALLOON DEVICE,6715.0,4029.0,1344.34,52940.0,23 CDM,93610006,HC REMOVE IABP,2043.0,1225.8,409.01,52940.0,24 CDM,93610007,HC INSERTION OF IMPELLA LT HEART W S AND I,3368.0,2020.8,674.27,9423.0,23 CDM,93610008,HC IMPELLA REMOVAL LT HEART ARTERIAL OR ARTERIAL AND VENOUS CANNULA SEPARATE FROM INSERTION,909.0,545.4,181.98,9423.0,23 CDM,93610009,HC IMPELLA REPOSITIONING RT OR LT HEART INCLD IMG GUIDANCE SEPARATE FROM INSERTION,909.0,545.4,181.98,9423.0,23 CDM,93610010,HC INJ EXTREMITY VENOGRAPHY,1981.0,1188.6,173.0,9423.0,48 CDM,93610011,HC CATHETER INTO IVC OR SVC VEIN ATYPICAL,4166.0,2499.6,173.0,9423.0,48 CDM,93610012,HC CATH 2ND OR MORE ORDER VENOUS,1896.0,1137.6,173.0,9423.0,48 CDM,93610013,HC CATH RT HRT OR MAIN PULM ART,447.0,268.2,89.49,7039.0,24 CDM,93610014,HC INTROD CATH CAROTID OR VERTBRL,823.0,493.8,164.76,9423.0,24 CDM,93610015,HC SELECTIVE CATH PLACEMENT EACH 1ST ORDER,1794.0,1076.4,173.0,9423.0,48 CDM,93610016,HC SELECTIVE CATH PLACEMENT INITIAL 2ND ORDER,1416.0,849.6,173.0,9423.0,48 CDM,93610017,HC SELECTIVE CATH PLACEMENT INITIAL 3RD ORDER,1586.0,951.6,173.0,9423.0,48 CDM,93610018,HC SELECTIVE CATH PLACEMENT ADDITIONAL 2ND 3RD OR MORE ORDER,1416.0,849.6,173.0,9423.0,48 CDM,93610019,HC THORACIC ARTERY NON SEL CATH PLACEMENT W ANGIOGRAPHY INCL CAROTID VERT CEREB ARCH,7717.0,4630.2,1544.94,9423.0,33 CDM,93610020,HC COMMON CAROTID EXTRACRANIAL UNILAT,3858.0,2314.8,772.37,9423.0,66 CDM,93610021,HC COMMON CAROTID INTRACRANIAL UNILAT,7166.0,4299.6,1434.63,13852.0,66 CDM,93610022,HC INTERNAL CAROTID ART UNILAT,5512.0,3307.2,1103.5,13852.0,66 CDM,93610023,HC SUBCLAVIAN OR INNOMINATE ARTERY SEL CATH PLACEMENT UNILATERAL W ANGIOGRAPHY,1378.0,826.8,275.88,9423.0,66 CDM,93610024,HC VERTEBRAL ART UNILATERAL,5512.0,3307.2,1103.5,13852.0,66 CDM,93610025,HC INTRACRAN ART UNILATERAL,2659.0,1595.4,173.0,9423.0,24 CDM,93610026,HC RENAL ANGIO UNIL SEL 1ST ORDER INCL S AND I,8570.0,5142.0,1715.71,9423.0,66 CDM,93610027,HC INSERT NON TUNNELED CVC 5YRS OR OLDER,794.0,476.4,158.96,7039.0,33 CDM,93610029,HC STENT INTRAVASCULAR INITIAL VESSEL OPEN,29057.0,17434.2,5817.21,24600.0,33 CDM,93610030,HC TRANSCATH THERAPY VENOUS LYSIS,4394.0,2636.4,879.68,9423.0,66 CDM,93610031,HC TRANSCATH THERAPY FOLLOW UP LYSIS,439.0,263.4,87.89,17457.0,66 CDM,93610032,HC TRANSCATH THERAPY FOLLOW UP LYSIS INCL CATH REMOVAL,439.0,263.4,87.89,17457.0,66 CDM,93610033,HC STENT PLACEMENT CAROTID W DISTAL PROTECTION,2257.0,1354.2,451.85,9423.0,48 CDM,93610034,HC STENT PLACEMENT CAROTID WO DISTAL PROTECTION,2257.0,1354.2,451.85,9423.0,48 CDM,93610035,HC REVASC PTA ILIAC ARTERY INITIAL VESSEL UNIL,16729.0,10037.4,3349.15,13852.0,66 CDM,93610036,HC REVASC PTA ILIAC ARTERY W STENT INITIAL VESSEL UNIL,27882.0,16729.2,5581.98,24600.0,66 CDM,93610037,HC REVASC PTA ILIAC ARTERY EACH ADDITIONAL ILIAC VESSEL,10037.0,6022.2,2009.41,13852.0,48 CDM,93610038,HC REVASC PTA ILIAC ART W STENT INITIAL SAME VESSEL,23142.0,13885.2,4311.0,18745.02,48 CDM,93610039,HC REVASC PTA FEM POP UNIL,9307.0,5584.2,1863.26,13852.0,66 CDM,93610040,HC REVASC PTA FEM POP W ATHERECTOMY UNIL,23479.0,14087.4,4700.5,24600.0,66 CDM,93610041,HC REVASC PTA FEM POP W STENT SAME VESSEL UNIL,21152.0,12691.2,4234.63,24600.0,66 CDM,93610042,HC REVASC PTA FEM POP W STENT AND ATHERECTOMY SAME VESSEL UNIL,28133.0,16879.8,5632.23,52940.0,66 CDM,93610043,HC REVASC PTA TIBIAL PERONEAL INITIAL VESSEL UNIL,12328.0,7396.8,2468.07,13852.0,33 CDM,93610044,HC REVASC PTA TIBAL PERONEAL W ATHERECTOMY SAME VESSEL UNIL,23300.0,13980.0,4664.66,24600.0,66 CDM,93610045,HC REVASC PTA TIBAL PERONEAL W STENT SAME VESSEL UNIL,21204.0,12722.4,4245.04,24600.0,66 CDM,93610046,HC REVASC PTA TIBAL PERONEAL W STENT AND ATHERECTOMY SAME VESSEL UNIL,24040.0,14424.0,4812.81,52940.0,66 CDM,93610047,HC REVASC PTA TIBIAL PERONEAL EACH ADDITIONAL VESSEL UNIL,9493.0,5695.8,1900.5,13852.0,48 CDM,93610048,HC REVASC PTA TIBIAL PERONEAL W ATHERECTOMY EACH ADDITIONAL VESSEL UNIL,20464.0,12278.4,4096.89,24600.0,48 CDM,93610049,HC REVASC PTA TIBIAL PERONEAL W STENT EACH ADDITIONAL VESSEL UNIL,17629.0,10577.4,3529.33,14279.49,48 CDM,93610050,HC REVASC PTA TIBIAL PERONEAL W STENT AND ATHERECTOMY EACH ADDITIONAL VESSEL UNIL,20588.0,12352.8,4121.72,16676.28,24 CDM,93610053,HC PTCA SINGLE VSL LEFT MAIN,16199.0,9719.4,3243.04,27871.0,24 CDM,93610054,HC PTCA SINGLE VSL RAMUS,16199.0,9719.4,3243.04,27871.0,24 CDM,93610055,HC PTCA RCA,16199.0,9719.4,3243.04,27871.0,24 CDM,93610056,HC PTCA LAD DIAG,16199.0,9719.4,3243.04,27871.0,24 CDM,93610057,HC PTCA LCF OM,16199.0,9719.4,3243.04,27871.0,24 CDM,93610058,HC PTCA EA ADDL CIRCUMFLEX,8357.0,5014.2,1673.07,27871.0,24 CDM,93610059,HC PTCA EA ADDL RAMUS,8357.0,5014.2,1673.07,27871.0,24 CDM,93610060,HC PTCA EA ADDL RCA,8357.0,5014.2,1673.07,27871.0,24 CDM,93610061,HC PTCA EACH ADDITIONAL LAD DIAG,8357.0,5014.2,1673.07,27871.0,24 CDM,93610062,HC PTCA EACH ADDITIONAL LCF OM,8357.0,5014.2,1673.07,27871.0,24 CDM,93610063,HC PTCA ATHERECTOMY LEFT MAIN,14358.0,8614.8,2874.47,27871.0,24 CDM,93610064,HC PTCA ATHERECTOMY RAMUS,14358.0,8614.8,2874.47,27871.0,24 CDM,93610065,HC PTCA ATHERECTOMY RCA,14358.0,8614.8,2874.47,27871.0,24 CDM,93610066,HC PTCA ATHERECTOMY LAD DIAG,14358.0,8614.8,2874.47,27871.0,24 CDM,93610067,HC PTCA ATHERECTOMY LCF OM,14358.0,8614.8,2874.47,27871.0,24 CDM,93610068,HC PTCA ATHERECTOMY EA ADD LEFT MN,14358.0,8614.8,2874.47,27871.0,24 CDM,93610069,HC PTCA ATHERECTOMY EA ADD RAMUS,14358.0,8614.8,2874.47,27871.0,24 CDM,93610070,HC PTCA ATHERECTOMY EA ADD RCA,14358.0,8614.8,2874.47,27871.0,24 CDM,93610071,HC PTCA ATHERECTOMY EACH ADDITIONAL LAD DIAG,14358.0,8614.8,2874.47,27871.0,24 CDM,93610072,HC PTCA ATHERECTOMY EACH ADDITIONAL LCF OM,14358.0,8614.8,2874.47,27871.0,24 CDM,93610073,HC BM STENT LEFT MAIN W OR WO PTCA,21430.0,12858.0,4290.29,27871.0,24 CDM,93610074,HC BM STENT RAMUS W OR WO PTCA,21430.0,12858.0,4290.29,27871.0,24 CDM,93610075,HC BM STENT RCA W OR WO PTCA,21430.0,12858.0,4290.29,27871.0,24 CDM,93610076,HC BM STENT LAD DIAG W OR WO PTCA,21430.0,12858.0,4290.29,27871.0,24 CDM,93610077,HC BM STENT LCF OM W OR WO PTCA,21430.0,12858.0,4290.29,27871.0,24 CDM,93610078,HC DES STENT LEFT MAIN W OR WO PTCA,21430.0,12858.0,4290.29,27871.0,24 CDM,93610079,HC DES STENT RAMUS W OR WO PTCA,21430.0,12858.0,4290.29,27871.0,24 CDM,93610080,HC DES STENT SNGL RCA W OR WO PTCA,21430.0,12858.0,4290.29,27871.0,24 CDM,93610081,HC DES STENT SNGL LAD W OR WO PTCA,21430.0,12858.0,4290.29,27871.0,24 CDM,93610082,HC DES STENT LCF W OR WO PTCA,21430.0,12858.0,4290.29,27871.0,24 CDM,93610083,HC BM STENT ADD LEFT MAIN W OR WO PTCA,22715.0,13629.0,4311.0,27871.0,24 CDM,93610084,HC BM STENT ADD RAMUS W OR WO PTCA,22715.0,13629.0,4311.0,27871.0,24 CDM,93610085,HC BM STENT ADDL RCA W OR WO PTCA,22715.0,13629.0,4311.0,27871.0,24 CDM,93610086,HC BM STENT ADDITIONAL LAD DIAG W OR WO PTCA,22715.0,13629.0,4311.0,27871.0,24 CDM,93610087,HC BM STENT ADDITIONAL LCF OM W OR WO PTCA,22715.0,13629.0,4311.0,27871.0,24 CDM,93610090,HC DES STENT EA ADD RCA W OR WO PTCA,22715.0,13629.0,4311.0,27871.0,24 CDM,93610091,HC DES STENT EA ADD LAD W OR WO PTCA,22715.0,13629.0,4311.0,27871.0,24 CDM,93610092,HC DES STENT EA ADD LCF W OR WO PTCA,22715.0,13629.0,4311.0,27871.0,24 CDM,93610093,HC BM STENT ATH W OR WO PTCA LEFT MAIN,40502.0,24301.2,7039.0,32806.62,24 CDM,93610094,HC BM STENT ATH W OR WO PTCA RAMUS,40502.0,24301.2,7039.0,32806.62,24 CDM,93610095,HC BM STENT ATH W OR WO PTCA RCA,40502.0,24301.2,7039.0,32806.62,24 CDM,93610096,HC BM STENT ATH W OR WO PTCA LAD,40502.0,24301.2,7039.0,32806.62,24 CDM,93610097,HC BM STENT ATH W OR WO PTCA LCF,40502.0,24301.2,7039.0,32806.62,24 CDM,93610098,HC ATHERECTOMY W STENT LM,40502.0,24301.2,7039.0,32806.62,24 CDM,93610099,HC ATHERECTOMY W STENT RAMUS,40502.0,24301.2,7039.0,32806.62,24 CDM,93610100,HC ATHERECTOMY W STENT RCA,40502.0,24301.2,7039.0,32806.62,24 CDM,93610101,HC ATHERECTOMY W STENT LD,40502.0,24301.2,7039.0,32806.62,24 CDM,93610102,HC ATHERECTOMY W STENT LC,40502.0,24301.2,7039.0,32806.62,24 CDM,93610103,HC BM STENT ATH W OR WO PTCA ADD LEFT MN,40502.0,24301.2,4311.0,32806.62,24 CDM,93610104,HC BM STENTATH W OR WO PTCA ADD RI,40502.0,24301.2,4311.0,32806.62,24 CDM,93610105,HC BM STENT ATH W OR WO PTCA ADD RCA,40502.0,24301.2,4311.0,32806.62,24 CDM,93610106,HC BM STENT ATHERECTOMY W OR WO PTCA ADDITIONAL LAD DIAG,40502.0,24301.2,4311.0,32806.62,24 CDM,93610107,HC BM STENT ATHERECTOMY W OR WO PTCA ADDITIONAL LCF OM,40502.0,24301.2,4311.0,32806.62,24 CDM,93610110,HC ATHERECTOMY W STENT ADDITIONAL RCA,40502.0,24301.2,4311.0,32806.62,24 CDM,93610111,HC ATHERECTOMY W STENT ADDITIONAL LD,40502.0,24301.2,4311.0,32806.62,24 CDM,93610112,HC ATHERECTOMY W STENT ADDITIONAL LC,40502.0,24301.2,4311.0,32806.62,24 CDM,93610113,HC BM STENT OR PTCA OR ATH BYPASS GRAFT,23143.0,13885.8,4633.23,27871.0,33 CDM,93610114,HC DES STENT BYPASS GRAFT,23143.0,13885.8,4633.23,27871.0,33 CDM,93610115,HC BM STENT OR PTCA OR ATH ADD BYPASS GRAFT,23787.0,14272.2,4311.0,27871.0,24 CDM,93610116,HC DES STENT ADD BYPASS GRAFT,23787.0,14272.2,4311.0,27871.0,24 CDM,93610117,HC BM STENT AMI LEFT MAIN,24858.0,14914.8,4976.57,27871.0,23 CDM,93610118,HC BM STENT AMI RAMUS GRAFT,24858.0,14914.8,4976.57,27871.0,23 CDM,93610119,HC BM STENT AMI RCA GRAFT,24858.0,14914.8,4976.57,27871.0,23 CDM,93610120,HC BM STENT AMI LAD GRAFT,24858.0,14914.8,4976.57,27871.0,23 CDM,93610121,HC BM STENT AMI LCF GRAFT,24858.0,14914.8,4976.57,27871.0,23 CDM,93610122,HC DES STENT AMI LEFT MAIN,24858.0,14914.8,4976.57,27871.0,23 CDM,93610123,HC DES STENT AMI RAMUS,24858.0,14914.8,4976.57,27871.0,23 CDM,93610124,HC DES STENT AMI RCA,24858.0,14914.8,4976.57,27871.0,23 CDM,93610125,HC DES STENT AMI LAD,24858.0,14914.8,4976.57,27871.0,23 CDM,93610126,HC DES STENT AMI LCF,24858.0,14914.8,4976.57,27871.0,23 CDM,93610127,HC BM STENT OR PTCA OR ATHERECTOMY CTO LEFT MAIN GRAFT,25930.0,15558.0,5191.19,27871.0,24 CDM,93610128,HC BM STENT OR PTCA OR ATHERECTOMY CTO RAMUS GRAFT,25930.0,15558.0,5191.19,27871.0,24 CDM,93610129,HC BM STENT OR PTCA OR ATHERECTOMY CTO RCA GRAFT,25930.0,15558.0,5191.19,27871.0,24 CDM,93610130,HC BM STENT OR PTCA OR ATHERECTOMY CTO LAD DIAG GRAFT,25930.0,15558.0,5191.19,27871.0,24 CDM,93610131,HC BM STENT OR PTCA OR ATHERECTOMY CTO LCF OM GRAFT,25930.0,15558.0,5191.19,27871.0,24 CDM,93610132,HC CTO ANY INTERVENTION LM,25930.0,15558.0,5191.19,27871.0,24 CDM,93610133,HC CTO ANY INTERVENTION RAMUS,25930.0,15558.0,5191.19,27871.0,24 CDM,93610134,HC CTO ANY INTERVENTION RCA,25930.0,15558.0,5191.19,27871.0,24 CDM,93610135,HC CTO ANY INTERVENTION LD,25930.0,15558.0,5191.19,27871.0,24 CDM,93610136,HC CTO ANY INTERVENTION LC,25930.0,15558.0,5191.19,27871.0,24 CDM,93610142,HC DES STENT CTO ADD LEFT MAIN GRAFT,25930.0,15558.0,4311.0,27871.0,24 CDM,93610143,HC DES STENT CTO ADD RAMUS GRAFT,25930.0,15558.0,4311.0,27871.0,24 CDM,93610144,HC CTO ANY INTERVENTION ADDITIONAL RCA,25930.0,15558.0,4311.0,27871.0,24 CDM,93610145,HC CTO ANY INTERVENTION ADDITIONAL LD,25930.0,15558.0,4311.0,27871.0,24 CDM,93610146,HC CTO ANY INTERVENTION ADDITIONAL LC,25930.0,15558.0,4311.0,27871.0,24 CDM,93610147,HC TEMP TRANSCUTANEOUS PACING,393.0,235.8,78.68,9423.0,32 CDM,93610148,HC CARDIOVERSION EXTERNAL,1664.0,998.4,222.64,7039.0,32 CDM,93610149,HC INSERT INTER CARDIO ASSIST DEVIC,1865.0,1119.0,373.37,9423.0,23 CDM,93610150,HC PERC TRANSL CORONARY THROMBECTOMY MECHANICAL,422.0,253.2,84.48,9423.0,23 CDM,93610151,HC THROMBOLYSIS BY INTRACOR INFUS,2527.0,1516.2,505.91,9423.0,23 CDM,93610152,HC THROMBOLYSIS BY IV INFUSION,986.0,591.6,173.0,9423.0,32 CDM,93610155,HC BALLON VALVULOPLASTY AORTIC,11572.0,6943.2,2316.71,27871.0,33 CDM,93610156,HC BALLOON VALVULOPLASTY MITRAL,10706.0,6423.6,2143.34,27871.0,33 CDM,93610157,HC BALLON VALVULOPLASTY PULMONARY,10706.0,6423.6,2143.34,27871.0,33 CDM,93610159,HC PTA PULM ARTERY SINGLE VSL,10210.0,6126.0,2044.04,27871.0,33 CDM,93610160,HC PTA PULM ARTERY EA ADDL VSL,4250.0,2550.0,850.85,27871.0,23 CDM,93610161,HC RHC W O2 SAT AND CARD OUTPUT,7367.0,4420.2,1474.87,10022.0,33 CDM,93610162,HC LHC W LT VENTRICULOGRAPHY INJ INCL S AND I,10893.0,6535.8,2180.78,12247.0,33 CDM,93610163,HC RHC AND LHC W LT VENTRICULOGRAPHY INJ INCL S AND I,9673.0,5803.8,1936.53,12247.0,33 CDM,93610164,HC CATHETER COR ANGIOGRAPHY W INJ INCL S AND I,10326.0,6195.6,2067.27,12247.0,33 CDM,93610165,HC CATHETER PLACE W COR INJ AND GRAFTS AND NO LV,4543.0,2725.8,909.51,12247.0,33 CDM,93610166,HC RHC CORS ONLY,10624.0,6374.4,2126.92,12247.0,33 CDM,93610167,HC RHC CORS IMA SVG,13251.0,7950.6,2652.85,12247.0,33 CDM,93610168,HC LHC CORS,11937.0,7162.2,2389.79,12247.0,33 CDM,93610169,HC LHC CORS IMA SVG,12734.0,7640.4,2549.35,12247.0,33 CDM,93610170,HC RLHC CORS,12950.0,7770.0,2592.59,12247.0,33 CDM,93610171,HC RLHC CORS BYPASS W OR WO LV GAM,15877.0,9526.2,3094.46,12860.37,33 CDM,93610172,HC LHC BY TRANSSEPTL PUNCTURE,6778.0,4066.8,173.0,9423.0,24 CDM,93610173,HC PHARMACOLOGIC AGENT ADMIN,203.0,121.8,40.64,9423.0,23 CDM,93610174,HC EXERCISE CHALLENGE TEST,97.0,58.2,19.42,9423.0,23 CDM,93610175,HC SWAN GANZ PLACEMENT ONLY,1503.0,901.8,300.9,9423.0,33 CDM,93610176,HC ENDOMYOCARDIAL BIOPSY,4128.0,2476.8,826.43,9423.0,33 CDM,93610182,HC CONGENTIAL INJECTION SELECT COR ANGIOGRAPHY INCL S AND I,8064.0,4838.4,173.0,9423.0,23 CDM,93610183,HC CONGENTIAL INJECTION IMAGING OR NATIVE GRAFTS INCL S AND I,484.0,290.4,96.9,9423.0,23 CDM,93610184,HC CONGENTIAL INJECTION LT VENTRICULAR OR LT ATRIAL ANGIOGRAPHY INCL S AND I,626.0,375.6,125.33,9423.0,23 CDM,93610185,HC CONGENTIAL INJECTION RT VENTRICULAR OR RT ATRIAL ANGIOGRAPHY INCL S AND I,626.0,375.6,125.33,9423.0,23 CDM,93610186,HC CONGENTIAL INJECTION SUPRAVALVULAR AORTOGRAPHY INCL S AND I,215.0,129.0,43.04,9423.0,23 CDM,93610187,HC CONGENTIAL INJECTION NONSELECTIVE PULMONARY ATRERIAL ANGIOGRAPHY INCL S AND I,7671.0,4602.6,173.0,9423.0,23 CDM,93610190,HC PERC TRANSCATH CLOSURE CONGENITAL SEPTAL DEFECT ASD OR PFO W IMPLANT,39133.0,23479.8,7039.0,39682.0,33 CDM,93610191,HC COMP EP EVAL INITIAL RA RV HIS,12282.0,7369.2,1411.0,12247.0,33 CDM,93610192,HC EP EVALUATION HEART ACID GEN,2525.0,1515.0,337.85,12247.0,24 CDM,93610194,HC INTRACARDIAC ECHO,2824.0,1694.4,377.85,7039.0,23 CDM,93610195,HC PERC TRANSCATH SEPT REDUCTION THERAPY INCLUDE TEMP PACER,1266.0,759.6,253.45,9503.0,24 CDM,93610196,HC STENT ECV IT CAROTID W S AND I FIRST VESSEL,528.0,316.8,105.71,9423.0,46 CDM,93610197,HC STENT ECV IT CAROTID W S AND I EACH ADDITIONAL VESSEL,528.0,316.8,105.71,9423.0,23 CDM,93610198,HC REVASC ATHERECTOMY ILIAC ARTERY INCLD S AND I EACH VESSEL,7882.0,4729.2,1577.98,24600.0,66 CDM,93610201,HC INSERT REPLACE PERMANENT PACEMAKER W ATRIAL LEAD,14979.0,8987.4,2998.8,24600.0,33 CDM,93610202,HC INSERT REPLACE PERMANENT PACEMARKER W VENTRICULAR LEAD,14979.0,8987.4,2998.8,24600.0,33 CDM,93610203,HC INSERT REPLACE PERMANENT PACEMAKER W ATRIAL AND VENTRICULAR LEAD,18267.0,10960.2,3657.05,39682.0,33 CDM,93610204,HC INSERT PM GEN ONLY EXIST SNGL LEAD,13268.0,7960.8,2656.25,24600.0,33 CDM,93610205,HC INSERT PM GEN ONLY EXIST DUAL LEAD,15077.0,9046.2,3018.42,24600.0,33 CDM,93610206,HC UPGRADE SINGLE PPM TO DUAL PPM,18194.0,10916.4,3642.44,39682.0,33 CDM,93610207,HC REPOSITIONING RT ATRIAL OR RT VENTRICAL LEAD PERMANENT PACEMAKER ICD,3193.0,1915.8,639.24,8045.0,33 CDM,93610208,HC INSERT SINGLE CHAMBER LEAD PERMANENT PACEMAKER ICD,14089.0,8453.4,2820.62,13852.0,33 CDM,93610209,HC INSERT 2 LEADS FOR PMKR/ICD,14089.0,8453.4,2820.62,13852.0,33 CDM,93610210,HC REPAIR LEAD SINGLE CHAMBER PACEMAKER ICD,10215.0,6129.0,2045.04,8442.0,33 CDM,93610211,HC REPAIR LEADS DUAL PACEMAKER DEFIB,2944.0,1766.4,589.39,8442.0,33 CDM,93610212,HC RELOCATION POCKET PACEMAKER,2902.0,1741.2,580.98,7039.0,33 CDM,93610213,HC RELOCATE POCKET FOR DEFIB,2902.0,1741.2,580.98,7039.0,33 CDM,93610214,HC ADD LV LEAD TO EXISTING DEVICE,20392.0,12235.2,4082.48,39682.0,33 CDM,93610215,HC LV LEAD INSERT NEW DEVICE OR UPGRADE,14925.0,8955.0,2987.99,39682.0,24 CDM,93610216,HC REPOSITION OF LV LEAD,2367.0,1420.2,473.87,8045.0,33 CDM,93610217,HC REMOVE AND REPLACE PACEMAKER SINGLE SYSTEM,23786.0,14271.6,4761.96,24600.0,33 CDM,93610218,HC REMOVE AND REPLACE PACEMAKER DUAL SYSTEM,24521.0,14712.6,4909.1,24600.0,33 CDM,93610219,HC REMOVE AND REPLACE PACEMAKER BIV SYSTEM,26728.0,16036.8,5350.95,24600.0,33 CDM,93610220,HC REMOVE OLD PACEMKR GENERATOR,8508.0,5104.8,1703.3,8700.96,33 CDM,93610221,HC REMOVAL PACEMAKER LEADS SINGLE CHAMBER,11401.0,6840.6,2282.48,9234.81,33 CDM,93610222,HC REMOVAL PACEMAKER LEADS DUAL CHAMBER,11401.0,6840.6,2282.48,9234.81,33 CDM,93610223,HC INSERT ICD GENERATOR W EXIST SINGLE LEAD,49887.0,29932.2,7039.0,82346.0,33 CDM,93610224,HC REMOVE OLD ICD GENERATOR ONLY,5750.0,3450.0,1151.15,8442.0,33 CDM,93610225,HC REMOVE LEADS DUAL CHAMBER ICD,3821.0,2292.6,764.96,8442.0,33 CDM,93610226,HC INSERT OR REPLACE ICD SYSTEM,57698.0,34618.8,7039.0,82346.0,33 CDM,93610230,HC EXTERNAL MAZE PROCEDURE,2639.0,1583.4,528.33,7039.0,23 CDM,93610231,HC INSERT LOOP RECORDER,11667.0,7000.2,2199.23,9485.27,33 CDM,93610232,HC REMOVE LOOP RECORDER,2086.0,1251.6,417.62,7039.0,33 CDM,93610233,HC TIGHTEN LEAD SCREWS ONLY,4188.0,2512.8,594.81,7039.0,32 CDM,93610234,HC BUNDLE OF HIS RECORDING,6480.0,3888.0,867.02,12247.0,33 CDM,93610235,HC INTRA ATRIAL RECORDING,6480.0,3888.0,867.02,7977.75,32 CDM,93610236,HC RIGHT VENTRICULAR RECORDING,3232.0,1939.2,432.44,7039.0,32 CDM,93610237,HC INTRAVENTRICULAR AND OR INTRA ATRIAL MAPPING,2295.0,1377.0,307.07,12247.0,24 CDM,93610238,HC INTRA ATRIAL PACING,3232.0,1939.2,432.44,7977.75,32 CDM,93610239,HC INTRAVENTRICULAR PACING,3232.0,1939.2,432.44,7977.75,32 CDM,93610240,HC MAPPING 3D INTRACARDIAC,3043.0,1825.8,407.15,7039.0,23 CDM,93610241,HC INDUCE ARRHYTHMIA ELECT PACING,2787.0,1672.2,372.9,12247.0,33 CDM,93610242,HC COMPREHENSIVE EP STUDY WO INDUCTION OF ARRHYTHMIA,9580.0,5748.0,1281.8,12247.0,33 CDM,93610243,HC COMP EP EVAL ADD ON L ATRIALCS,15230.0,9138.0,1411.0,12336.3,24 CDM,93610244,HC COMP EP EVAL ADD ON L VENT,15230.0,9138.0,1411.0,12336.3,24 CDM,93610245,HC STIMULATION AND PACING AFTER IV DRUGS,1624.0,974.4,217.29,7039.0,23 CDM,93610246,HC EP FOLLOW UP STUDY,8084.0,4850.4,1081.64,7977.75,32 CDM,93610247,HC EPICARDIAL INTERROGATION,1658.0,994.8,221.84,7039.0,23 CDM,93610248,HC EP EVAL ICD POSTOP FOLLWUP DFT,3156.0,1893.6,422.27,12247.0,33 CDM,93610249,HC ABLATION OF AV NODE,25442.0,15265.2,1411.0,20608.02,33 CDM,93610251,HC ABLATION D AND S MECH OF ARRHYTHMIA,22534.0,13520.4,1411.0,18252.54,24 CDM,93610253,HC ADDITIONAL LINEAR OR FOCAL ABLATION LT OR RT ATRIUM FLW PVI,22534.0,13520.4,1411.0,18252.54,24 CDM,93610254,HC TILT TABLE EVALUATION,3025.0,1815.0,404.75,7039.0,32 CDM,93610255,HC REMOVE INTER CARDIO ASSIST DEVIC,1418.0,850.8,150.52,7039.0,32 CDM,93610257,HC ATHERECTOMY VISCERAL W S AND I EACH VESSEL,20137.0,12082.2,2025.0,16310.97,23 CDM,93610261,HC INSERT PM GEN ONLY EXIST MULTI,22381.0,13428.6,4480.68,24600.0,33 CDM,93610264,HC INSERT REPLACE SUBQ IMPLT DEFIB SYST W SUBQ ELECTRODE,2482.0,1489.2,496.9,82346.0,33 CDM,93610265,HC INSERT SUBQ DEFIB ELECTRODE,2111.0,1266.6,422.62,24600.0,33 CDM,93610269,HC REMOVAL SUBQ DEFIB ELECTRODE,2111.0,1266.6,422.62,8045.0,33 CDM,93610270,HC REPOS SUBQ IMPLT DEFIB ELECTRODE AND PLS GEN,2111.0,1266.6,422.62,17457.0,33 CDM,93610271,HC PERC TRANSCATH SEPTAL ABLATION WITH TEMP PM INSERT,1931.0,1158.6,386.59,9503.0,24 CDM,93610279,HC REMOVE AND REPLACE IMPLT DEFIB PLS GEN SINGLE LEAD SYSTEM,5548.0,3328.8,1110.71,82346.0,33 CDM,93610280,HC REMOVE AND REPLACE IMPLT DEFIB PLS GEN DUAL LEAD SYSTEM,5548.0,3328.8,1110.71,82346.0,33 CDM,93610281,HC REMOVE AND REPLACE IMPLT DEFIB PLS GEN MULT LEAD SYSTEM,6377.0,3826.2,1276.68,82346.0,33 CDM,93610282,HC RHC W IMPL OF WIRELESS PULM ART PRESSURE SENSOR W ANGIO,2575.0,1545.0,515.51,82346.0,33 CDM,93610283,HC MITRAL CLIP PROCEDURE INITIAL,13721.0,8232.6,2025.0,11114.01,23 CDM,93610284,HC MITRAL CLIP PROCEDURE ADDL CLIP,4800.0,2880.0,173.0,9423.0,23 CDM,93610285,HC DRUG CHALLENGE TEST,1418.0,850.8,150.52,7039.0,32 CDM,93610300,HC FFR ONLY NO HEART CATH STAND ALONE PROC,2127.0,1276.2,150.52,9423.0,32 CDM,93610301,HC IVUS ONLY ON HEART CATH STAND ALONE PROC,2836.0,1701.6,150.52,9423.0,32 CDM,93610304,HC MODIFIED MAZE PROCEDURE,7965.0,4779.0,1594.59,9423.0,23 CDM,93610305,HC BYPASS GRAFT WITH OTHER THAN VEIN AXILLARY FEMORAL,18522.0,11113.2,2025.0,15002.82,23 CDM,93610306,HC BYPASS GRAFT REOPERATION,9224.0,5534.4,1846.64,9423.0,23 CDM,93610307,HC ADD ON CODE REPEAT SURGERY ON ENDARTERECTOMY,6467.0,3880.2,1294.69,9423.0,23 CDM,93610309,HC PERC TRANSCATH CLOSURE OF LA APPENDAGE W IMPLANT INCL FLUORO S AND I WATCHMAN,7476.0,4485.6,1496.7,10022.0,23 CDM,93610314,HC PROVOCATION TEST FOR CORONARY VASOSPASM,288.0,172.8,57.66,9423.0,30 CDM,93610319,HC PACEMAKER ICD POCKET REVISION,1418.0,850.8,150.52,7039.0,32 CDM,93610322,HC EXCISION OF INFECTED GRAFT EXTREMITY,7970.0,4782.0,1595.59,8045.0,32 CDM,93610326,HC PERICARDIOCENTESIS INCLD IMG GUIDANCE,3041.0,1824.6,406.89,7039.0,33 CDM,93610327,HC PERICARDIAL DRAIN W INSERT CATH PERC INCLD FLUORO AND OR US GUIDE 6 YRS AND OLDER WO CONGENITAL CARDIAC ANOMALY,3041.0,1824.6,406.89,7039.0,23 CDM,93610328,HC PERICARDIAL DRAIN W INSERT CATH PERC INCLD FLUORO AND OR US GUIDE BIRTH TO 5 YRS OR ANY AGE W CONGENITAL CARDIAC ANOMALY,3041.0,1824.6,406.89,7039.0,23 CDM,93610329,HC PERICARDIAL DRAIN W INSERT CATH PERC INCLD CT GUIDANCE,3041.0,1824.6,406.89,7039.0,23 CDM,93610331,HC INTRAVASCULAR LITHOTRIPSY LE ARTERY OTHER THAN TIBIAL PERONEAL INCL ANGIOPLASTY SAME VSL,13301.0,7980.6,2662.86,13852.0,33 CDM,93610332,HC INTRAVASCULAR LITHOTRIPSY LE ARTERY OTHER THAN TIBIAL PERONEAL W STENT INCL ANGIOPLASTY SAME VESSEL,26602.0,15961.2,5325.72,24600.0,33 CDM,93610333,HC INTRAVASCULAR LITHOTRIPSY AND ATHERECTOMY LE ARTERY OTHER THAN TIBIAL PERONEAL INCL ANGIOPLASTY SAME VSL,26602.0,15961.2,5325.72,24600.0,33 CDM,93610334,HC INTRAVASCULAR LITHOTRIPSY STENT ATHERECTOMY LE ARTERY OTHER THAN TIBIAL PERONEAL INCL ANGIOPLASTY SAME VSL,42829.0,25697.4,7039.0,34691.49,33 CDM,93610335,HC TAVR TRANSCAROTID,34962.0,20977.2,594.81,28319.22,32 CDM,93610336,HC INSERT OR REPLACE PERM CARDIAC CCM SYSTEM,9476.0,5685.6,1897.1,82346.0,33 CDM,93610341,HC INSERT PERC VAD RT HEART VENOUS ACCESS ONLY,4345.0,2607.0,869.87,9423.0,23 CDM,93610343,HC INTRAVASCULAR LITHOTRIPSY TIBIAL PERONEAL ART INCL ANGIOPLASTY SAME VSL,21406.0,12843.6,4285.48,24600.0,33 CDM,93610344,HC INTRAVASCULAR LITHOTRIPSY TIBIAL PERONEAL ART W/STENT INCL ANGIOPLASTY SAME VSL,34241.0,20544.6,6855.05,27735.21,33 CDM,93610345,HC INTRAVASCULAR LITHOTRIPSY AND ATHERECTOMY TIBIAL PERONEAL ART INCL ANGIOPLASTY SAME VSL,34241.0,20544.6,6855.05,27735.21,33 CDM,93610346,HC INTRAVASCULAR LITHOTRIPSY STENT ATHERECTOMY TIBIAL PERONEAL ART INCL ANGIOPLASTY SAME VSL,34241.0,20544.6,6855.05,27735.21,33 CDM,93610347,HC TMVR IMPLANT OR REPLACE PERCUTANEOUS,32373.0,19423.8,2025.0,26222.13,23 CDM,93610350,HC RT HEART CATH FOR CONGENITAL DEFECT NORMAL NATIVE CONNECTIONS INCL GUIDANCE,6766.0,4059.6,1354.55,12247.0,33 CDM,93610351,HC RT HEART CATH FOR CONGENITAL DEFECT ABNORMAL NATIVE CONNECTIONS INCL GUIDANCE,6766.0,4059.6,1354.55,12247.0,33 CDM,93610354,HC CARDIAC OUTPUT MEASUREMENT DURING CATH,107.0,64.2,21.42,9423.0,23 CDM,93610355,HC ABLATION SVT INCL RA RV LA PACING 3DMAP HIS BUNDLE,39142.0,23485.2,1411.0,31705.02,33 CDM,93610356,HC ABLATION VT INCL RV LA LV PACING 3DMAP HIS BUNDLE,39142.0,23485.2,1411.0,31705.02,33 CDM,93610357,HC ABLATION AFIB PULM VEIN INCL 3DMAP ICE LA RA RV PACING HIS BUNDLE,47944.0,28766.4,1411.0,38834.64,33 CDM,93610364,HC TTVI PERC INCLD PROSTHETIC VALVE RHC TEMP PACER RA RV ANGIO,2399.0,1439.4,480.28,9423.0,23 CDM,93610367,HC PERC TRANSLUMINAL CORONARY LITHOTRIPSY ADD ON,6494.0,3896.4,1300.1,9423.0,22 CDM,93610375,HC TRANSCATHETER RENAL SYMPATHETIC DENERVATION BILATERAL INCL FLUORO W S AND I,10837.0,6502.2,2169.57,12247.0,33 CDM,93610378,HC IVUS OR OCT CORONARY VESSEL INITIAL LD,3436.0,2061.6,173.0,9423.0,23 CDM,93610379,HC IVUS OR OCT CORONARY VESSEL INITIAL RC,3436.0,2061.6,173.0,9423.0,23 CDM,93610380,HC IVUS OR OCT CORONARY VESSEL INITIAL RI,3436.0,2061.6,173.0,9423.0,23 CDM,93610381,HC IVUS OR OCT CORONARY VESSEL INITIAL LM,3436.0,2061.6,173.0,9423.0,23 CDM,93610382,HC IVUS OR OCT CORONARY VESSEL EA ADD LD,2748.0,1648.8,173.0,9423.0,23 CDM,93610383,HC IVUS OR OCT CORONARY VESSEL EA ADD RC,2748.0,1648.8,173.0,9423.0,23 CDM,93610384,HC IVUS OR OCT CORONARY VESSEL EA ADD RI,2748.0,1648.8,173.0,9423.0,23 CDM,93610385,HC IVUS OR OCT CORONARY VESSEL EA ADD LM,2748.0,1648.8,173.0,9423.0,23 CDM,93610386,HC FRACTIONAL FLOW RESERVE INITIAL VESSEL LD,2356.0,1413.6,173.0,9423.0,23 CDM,93610387,HC FRACTIONAL FLOW RESERVE INITIAL VESSEL RC,2356.0,1413.6,173.0,9423.0,23 CDM,93610388,HC FRACTIONAL FLOW RESERVE INITIAL VESSEL RI,2356.0,1413.6,173.0,9423.0,23 CDM,93610389,HC FRACTIONAL FLOW RESERVE INITIAL VESSEL LM,2356.0,1413.6,173.0,9423.0,23 CDM,93610390,HC FRACTIONAL FLOW RESERVE ADD VESSEL LD,495.0,297.0,99.1,9423.0,23 CDM,93610391,HC FRACTIONAL FLOW RESERVE ADD VESSEL RC,495.0,297.0,99.1,9423.0,23 CDM,93610392,HC FRACTIONAL FLOW RESERVE ADD VESSEL RI,495.0,297.0,99.1,9423.0,23 CDM,93610393,HC FRACTIONAL FLOW RESERVE ADD VESSEL LM,495.0,297.0,99.1,9423.0,23 CDM,93610394,HC IVUS OR OCT CORONARY VESSEL INITIAL LC,3436.0,2061.6,173.0,9423.0,23 CDM,93610395,HC IVUS OR OCT CORONARY VESSEL EA ADD LC,2748.0,1648.8,173.0,9423.0,23 CDM,93610396,HC FRACTIONAL FLOW RESERVE INITAL VESSEL LC,2356.0,1413.6,173.0,9423.0,23 CDM,93610397,HC FRACTIONAL FLOW RESERVE ADD VESSEL LC,495.0,297.0,99.1,9423.0,23 CDM,93610398,HC PERC TRANSCATH CLOSURE IATROGENIC SEPTAL DEFECT ASD OR PFO W IMPLANT,32611.0,19566.6,594.81,26414.91,32 CDM,93610399,HC INSERT OR REPLACE IMPL DEFIB SYSTEM W SUBSTERNAL ELECTRODES,61737.0,37042.2,7039.0,82346.0,33 CDM,93610400,HC PERC TRANSCATH THERAPY RX INTRACORONARY BALLOON INCL MECH DILATION BY NON RX DELIVERY BALLOON ANGIO IMG USING IVUS OR OCT INCL SINGLE MAJOR CORONARY ARTERY OR BRANCH,11403.0,6841.8,2282.88,13852.0,33 CDM,93610401,HC PERC TRANSCATH THERAPY RX INTRAC BALLOON DONE ON SEP TARGET LESION INCL MECH DILATION BY NON RX DEL BALLOON ANGIO IMG USING IVUS OR OCT INCL SINGLE MAJOR CORONARY ARTERY OR BRANCH,2851.0,1710.6,173.0,9423.0,24 CDM,94020001,HC DOPPLER FETAL UMBILICAL ARTERY,575.0,345.0,41.04,467.0,32 CDM,94800003,HC TRANSCATH INSERT REPLACE OF PERM LEADLESS PACEMKR RT VENT INCL IMG GUIDANCE AND DEVICE EVAL,4021.0,2412.6,538.01,20050.47,33 CDM,94800013,HC INTRAPROCEDURAL CORONARY FFR W 3D MAP FOR COR TREE REAL TIME REVIEW AND INTERP POSS STENT INTERV ADD ON,3304.0,1982.4,442.08,7039.0,23 CDM,94820001,HC CARDIAC STRESS TEST TRACING,1290.0,774.0,198.53,1044.9,32 CDM,94830001,HC COMPLETE CONGENITAL ECHO,1563.0,937.8,219.29,1266.03,32 CDM,94830002,HC LIMITED CONGENITAL ECHO,1157.0,694.2,162.33,968.0,32 CDM,94830003,HC ECHO COMPLETE W DOPPLER AND COLOR FLW W CONT,2229.0,1337.4,266.0,1805.49,32 CDM,94830004,HC ECHO COMPLETE W DOPPLER AND COLOR FLW WO CONT,2229.0,1337.4,266.0,1805.49,32 CDM,94830006,HC ECHO COMPLETE WO DOPPLER WO CONT,899.0,539.4,126.13,968.0,32 CDM,94830007,HC ECHO LIMITED W CONT,726.0,435.6,101.86,968.0,32 CDM,94830008,HC ECHO LIMITED WO CONT,726.0,435.6,101.86,968.0,32 CDM,94830010,HC TEE W 2D IMAGE AND PROBE WO CONT,2558.0,1534.8,266.0,2071.98,32 CDM,94830011,HC TEE W 2D IMAGE AND PROBE W CONT,2558.0,1534.8,266.0,2071.98,32 CDM,94830013,HC DOPPLER SPECTRAL COMPLETE,496.0,297.6,69.59,968.0,23 CDM,94830014,HC DOPPLER SPECTRAL LIMITED,385.0,231.0,54.02,968.0,23 CDM,94830015,HC STRESS ECHO W CONTINUOUS EKG W CONTRAST,2736.0,1641.6,266.0,2216.16,32 CDM,94830016,HC CONTRAST FOR STRESS ECHO NON MED,55.0,33.0,7.72,968.0,23 CDM,94830017,HC 3D ECHOCARDIOGRAPHIC IMAGING POST PROCESSING,1368.0,820.8,191.93,1108.08,23 CDM,97300003,HC EKG EVENT RECORDING HOOKUP UP TO 30 DAYS,243.0,145.8,35.88,196.83,32 CDM,97300004,HC HOLTER HOOKUP UP TO 48HRS,875.0,525.0,87.0,708.75,32 CDM,97300005,HC HOLTER SCANNING ANALYSIS W REPORT UP TO 48HRS,622.0,373.2,57.15,503.82,32 CDM,97300006,HC EKG EVENT TRANSMISSION AND ANALYSIS UP TO 30 DAYS,162.0,97.2,32.43,134.0,32 CDM,97300010,HC CARDIAC SURVEILLANCE TELEMETRY MONITORING,77.0,46.2,15.42,134.0,23 CDM,99210001,HC PRE POST ANALYSIS AND PROGRAMMING PACEMAKER,193.0,115.8,33.6,269.0,23 CDM,99210002,HC VENOUS EXTREMITY DUPLEX COMPLETE BIL,1276.0,765.6,175.0,1033.56,32 CDM,99210003,HC PERIOPERATIVE REPROGRAMMING ICD,285.0,171.0,49.62,269.0,23 CDM,99430001,HC CARDIAC THERAPY WO CONT ECG,218.0,130.8,37.95,269.0,32 CDM,99430005,HC CARDIAC THERAPY W CONT ECG,297.0,178.2,51.71,269.0,32 CDM,99480002,HC PULMONARY REHAB WO CONTINUOUS OXIMETRY MONITORING PER SESSION,109.0,65.4,18.98,269.0,32 CDM,99480003,HC PULMONARY REHAB W CONTINUOUS OXIMETRY MONITORING PER SESSION,141.0,84.6,24.55,269.0,32 CDM,99850001,HC EKG INTERPRETATION,43.0,25.8,8.61,34.83,18 CDM,99900028,HC FIT FOR DUTY EVALUATION,200.0,120.0,34.82,162.0,21 CDM,PX-22780109,HC Graft Surgimend 20x30,39570.0,23742.0,7921.91,32170.41,24 CDM,PX-22780114,HC Matrix Wound Meshed Bilayer,17004.0,10202.4,162.39,13824.25,24 CDM,PX-22780122,HC Graft Dural Mat Duragen Sut 1x3,1919.0,1151.4,384.18,1560.15,24 CDM,PX-22780123,HC Graft Dural Matrix Duragen Xs,7252.0,4351.2,1451.85,5895.88,24 CDM,PX-22780124,HC Graft Matristem Micro Part 100mg,1734.0,1040.4,347.15,1409.74,24 CDM,PX-22780125,HC Graft Matristem Micro Part 200mg,3295.0,1977.0,659.66,2678.84,24 CDM,PX-22780126,HC Graft Matristem Tiss Matx 20x30c,40220.0,24132.0,8052.04,32698.86,24 CDM,PX-22780127,HC Graft Matristem Tissue Matrix 8c,12517.0,7510.2,2505.9,10176.32,24 CDM,PX-22780128,HC Graft Matristem3l Tissmatrix10x1,11120.0,6672.0,2226.22,9040.56,24 CDM,PX-22780129,HC Graft Surgical Hernia Repair 12x15c,15665.0,9399.0,3136.13,12735.65,24 CDM,PX-22780130,HC Graft Surgisis Hernia Rep 20x30c,31578.0,18946.8,6321.92,25672.91,24 CDM,PX-22780131,HC Grft Dural Matrx Duragen Plus 1x,2639.0,1583.4,528.33,2145.51,24 CDM,PX-22780132,HC Grft Matristem Tissue Matrix 6x1,11117.0,6670.2,2225.62,9038.12,24 CDM,PX-22780133,HC Grft Matristem Tissue Matrix10x1,16042.0,9625.2,3211.61,13042.15,24 CDM,PX-22780135,HC Enduragen Collagen 2cmx 5cmx1mm,2696.0,1617.6,539.74,2191.85,24 CDM,PX-22780136,HC Matristem Tissue Matrix 7cmx10,8366.0,5019.6,1674.87,6801.56,24 CDM,PX-22780141,HC Gft Arthroflex Human Derm 15x140,8920.0,5352.0,1785.78,7251.96,24 CDM,PX-22780142,HC Gft Arthroflex Human Derm 40x70,11277.0,6766.2,2257.66,9168.2,24 CDM,PX-22780244,HC Seri Scaffold 250sqcm 10x25,15495.0,9297.0,3102.1,12597.43,24 CDM,PX-32500002,HC Nxstage Therapy Solution,182.0,109.2,36.44,147.97,22 CDM,PX-53610169,HC Discarded Apligraf per Sq Cm,132.0,79.2,26.43,107.32,24 CDM,PX-56360001,HC Apligraf per Sq Cm,130.0,78.0,26.03,105.69,25 CDM,PX-56360002,HC Oasis Wound Matrix per Sq Cm,25.0,15.0,5.0,31.86,25 CDM,PX-56360003,HC Dermagraft per Sq Cm,95.0,57.0,19.02,138.68,25 CDM,PX-56360006,HC Matristem Micromatrix 1 Mg,54.0,32.4,5.99,43.9,25 CDM,PX-56360009,HC Discarded Theraskin per Sq Cm,123.0,73.8,24.62,124.49,24 CDM,PX-56360010,HC Theraskin per Sq Cm,123.0,73.8,24.62,132.99,25 CDM,PX-56360013,HC Discarded Dermagraft per Sq Cm,95.0,57.0,19.02,106.06,24 CDM,PX-56360016,HC Graft Jacket per Sq Cm,142.0,85.2,28.43,371.55,25 CDM,PX-56360030,HC Talymed per Sq Cm Used,200.0,120.0,40.04,186.47,25 CDM,PX-56360031,HC Discarded Talymed per Sq Cm,200.0,120.0,40.04,162.6,24 CDM,PX-56360032,HC Oasis Ultra Tri Layer Matrix 3x3.5 Cm Pad,455.0,273.0,5.88,369.92,25 CDM,PX-56360033,HC Oasis Ultra Tri Layer Matrix 3x7 Cm Pad,911.0,546.6,5.88,740.64,25 CDM,PX-56360043,HC Discarded Oasis Ultra Tri Layer Matrix 3x7 Cm Pad per Sq Cm,911.0,546.6,5.88,740.64,24 CDM,PX-56360044,HC Discarded Oasis Ultra Tri Layer Matrix 3x3.5 Cm Pad per Sq Cm,455.0,273.0,5.88,369.92,24 CDM,PX-56360046,HC Puraply Am 4sqcm 2x2 per Sq Cm,988.0,592.8,197.8,803.24,25 CDM,PX-56360047,HC Puraply Am 8sqcm 2x4 per Sq Cm,626.0,375.6,125.33,508.94,25 CDM,PX-56360048,HC Puraply Am 25sqcm 5x5 per Sq Cm,273.0,163.8,54.65,268.27,25 CDM,PX-56360056,HC Discarded Puraply Am 4sqcm 2x2 per Sq Cm,988.0,592.8,197.8,803.24,24 CDM,PX-56360058,HC Discarded Puraply Am 25sqcm 5x5 per Sq Cm,273.0,163.8,54.65,238.43,24 CDM,PX-56360091,HC Primatrix 4sqcm 2x2 per Sq Cm,571.0,342.6,114.31,464.22,25 CDM,PX-56360093,HC Primatrix 16sqcm 4x4 per Sq Cm,262.0,157.2,52.45,213.01,25 CDM,PX-56360132,HC Amnioexcel Plus 17mm Disc,2754.0,1652.4,240.06,2239.0,25 CDM,PX-56360133,HC Amnioexcel Plus 2cm X 2 Cm per Sq Cm,1216.0,729.6,240.06,988.61,25 CDM,PX-56360134,HC Amnioexcel Plus 3cm X 3cm per Sq Cm,616.0,369.6,123.32,500.81,25 CDM,PX-56360135,HC Discarded Amnioexcel Plus 17mm Disc,2754.0,1652.4,240.06,2239.0,24 CDM,PX-56360136,HC Discarded Amnioexcel Plus 2cm X 2 Cm per Sq Cm,1216.0,729.6,240.06,988.61,24 CDM,PX-56360137,HC Discarded Amnioexcel Plus 3cm X 3cm per Sq Cm,616.0,369.6,123.32,500.81,24 CDM,PX-56360138,HC Puraply Am 1.6cm Disc,2813.0,1687.8,238.43,2286.97,25 CDM,PX-56360149,HC Theraskin 7.6cm X 15.2cm per Sq Cm,123.0,73.8,24.62,132.99,25 CDM,PX-56360193,HC Allopatch 4 Cm X 4 Cm per Sq Cm,342.0,205.2,68.47,278.05,25 CDM,PX-56360200,HC Discarded Allopatch 4 Cm X 4 Cm per Sq Cm,342.0,205.2,68.47,278.05,24 CDM,PX-56360225,HC Grafix Pl 1.5x2 per Sq Cm,1546.0,927.6,309.51,1256.9,25 CDM,PX-56360226,HC Grafix Pl 16 Mm Disc,3094.0,1856.4,327.43,2515.42,25 CDM,PX-56360229,HC Discarded Grafix Pl 1.5x2 per Sq Cm,1546.0,927.6,309.51,1256.9,24 CDM,PX-56360238,HC Allopatch 1.5 Cm X 1.5 Cm per Sq Cm,428.0,256.8,70.59,347.96,25 CDM,PX-56360239,HC Discarded Allopatch 1.5 Cm X 1.5 Cm per Sq Cm,428.0,256.8,70.59,347.96,24 CDM,PX-56360240,HC Allopatch 2 Cm X 2 Cm per Sq Cm,483.0,289.8,70.59,392.68,25 CDM,PX-56360241,HC Discarded Allopatch 2 Cm X 2 Cm per Sq Cm,483.0,289.8,70.59,392.68,24 CDM,PX-56360248,HC Matristem Micromatrix 1000mg per 1 Mg,10.0,6.0,2.0,8.13,25 CDM,PX-56360274,HC Cygnus Dual 6 Sq Cm 2 X 3 per Sq Cm,2498.0,1498.8,500.1,2030.87,25 CDM,PX-56360275,HC Discarded Cygnus Dual 6 Sq Cm 2 X 3 per Sq Cm,2498.0,1498.8,500.1,2030.87,24 CDM,PX-56360276,HC Cygnus Dual 16 Sq Cm 4 X 4 per Sq Cm,2025.0,1215.0,405.4,1646.33,25 CDM,PX-56360277,HC Discarded Cygnus Dual 16 Sq Cm 4 X 4 per Sq Cm,2025.0,1215.0,405.4,1646.33,24 CDM,PX-56360278,HC Cygnus Dual 24 Sq Cm 4 X 6 per Sq Cm,1708.0,1024.8,341.94,1388.6,25 CDM,PX-56360279,HC Discarded Cygnus Dual 24 Sq Cm 4 X 6 per Sq Cm,1708.0,1024.8,341.94,1388.6,24 CDM,PX-56360310,HC Oasis Wound Matrix 11 Sq Cm 3 X 3.5 per Sq Cm,65.0,39.0,13.01,52.84,25 CDM,PX-56360311,HC Discarded Oasis Wound Matrix 11 Sq Cm 3 X 3.5 per Sq Cm,65.0,39.0,13.01,52.84,24 CDM,PX-56361004,HC Nushield Disc 1.6 per Sq Cm,2469.0,1481.4,494.29,6571.14,25 CDM,PX-56361006,HC Nushield 2x3 per Sq Cm,698.0,418.8,139.74,6571.14,25 CDM,PX-56361007,HC Discarded Nushield 2x3 per Sq Cm,698.0,418.8,139.74,6571.14,24 CDM,PX-56361008,HC Nushield 2x4 per Sq Cm,626.0,375.6,125.33,6571.14,25 CDM,PX-56361009,HC Discarded Nushield 2x4 per Sq Cm,626.0,375.6,125.33,6571.14,24 CDM,PX-56361010,HC Nushield 3x4 per Sq Cm,615.0,369.0,123.12,6571.14,25 CDM,PX-56361011,HC Discarded Nushield 3x4 per Sq Cm,615.0,369.0,123.12,6571.14,24 CDM,PX-56361014,HC Nushield 4x6 per Sq Cm,439.0,263.4,87.89,6571.14,25 CDM,PX-56361015,HC Discarded Nushield 4x6 per Sq Cm,439.0,263.4,87.89,6571.14,24 CDM,PX-56361016,HC Nushield 6x6 per Sq Cm,399.0,239.4,79.88,6571.14,25 CDM,PX-56361017,HC Discarded Nushield 6x6 per Sq Cm,399.0,239.4,79.88,6571.14,24 CDM,PX-56361018,HC Discarded Primatrix 18mm Disc,2363.0,1417.8,154.34,1921.12,24 CDM,PX-56361019,HC Discarded Primatrix 2cmx2cm per Sq Cm,571.0,342.6,114.31,464.22,24 CDM,PX-56361020,HC Discarded Primatrix 4cmx4cm per Sq Cm,262.0,157.2,52.45,213.01,24 CDM,PX-56361021,HC Primatrix 3cmx3cm,313.0,187.8,62.66,254.47,25 CDM,PX-56361022,HC Discarded Primatrix 3cmx3cm per Sq Cm,313.0,187.8,62.66,254.47,24 CDM,PX-56361023,HC Amnioexcel 15mm Disc,1575.0,945.0,240.06,1280.47,25 CDM,PX-56361024,HC Discarded Amnioexcel 15mm Disc per Cm,1575.0,945.0,240.06,1280.47,24 CDM,PX-56361025,HC Amnioexcel 1.5x1.5cm per Sq Cm,1252.0,751.2,240.06,1017.88,25 CDM,PX-56361026,HC Discarded Amnioexcel 1.5x1.5cm per Sq Cm,1252.0,751.2,240.06,1017.88,24 CDM,PX-56361027,HC Amnioexcel 2x3cm per Sq Cm,641.0,384.6,128.33,521.13,25 CDM,PX-56361028,HC Discarded Amnioexcel 2x3cm per Sq Cm,641.0,384.6,128.33,521.13,24 CDM,PX-56361029,HC Amnioexcel 3.5x3.5cm per Sq Cm,340.0,204.0,68.07,276.42,25 CDM,PX-56361030,HC Discarded Amnioexcel 3.5x3.5cm per Sq Cm,340.0,204.0,68.07,276.42,24 CDM,PX-56361031,HC Amnioexcel 4x4cm per Sq Cm,272.0,163.2,54.45,274.21,25 CDM,PX-56361032,HC Discarded Amnioexcel 4x4cm per Sq Cm,272.0,163.2,54.45,240.06,24 CDM,PX-56361033,HC Amnioexcel or Biodexcel 18mm Disk,2562.0,1537.2,240.06,2082.91,25 CDM,PX-66360038,HC Integra Bilayer Matrix Wound Dressing 4sqcm 2x2 per Sq Cm,5187.0,3112.2,120.36,4217.03,25 CDM,PX-66360053,HC Neox 1k 2.0x1.0cm per Sq Cm,1235.0,741.0,247.25,1004.05,25 CDM,PX-66360054,HC Neox 1k 2.0x2.0cm per Sq Cm,1048.0,628.8,209.81,852.02,25 CDM,PX-66360055,HC Neox 1k 3.0x2.0cm per Sq Cm,707.0,424.2,141.54,574.79,25 CDM,PX-66360056,HC Neox 1k 3.0x3.0cm per Sq Cm,550.0,330.0,110.11,447.15,25 CDM,PX-66360057,HC Neox 1k 4.0x3.0cm per Sq Cm,442.0,265.2,88.49,359.35,25 CDM,PX-66360058,HC Neox 1k 6.0x3.0cm per Sq Cm,466.0,279.6,93.29,378.86,25 CDM,PX-66360059,HC Discarded Neox 1k 2.0x1.0cm per Sq Cm,1235.0,741.0,247.25,1004.05,24 CDM,PX-66360060,HC Discarded Neox 1k 2.0x2.0cm per Sq Cm,1048.0,628.8,209.81,852.02,24 CDM,PX-66360061,HC Discarded Neox 1k 3.0x2.0cm per Sq Cm,707.0,424.2,141.54,574.79,24 CDM,PX-66360062,HC Discarded Neox 1k 3.0x3.0cm per Sq Cm,550.0,330.0,110.11,447.15,24 CDM,PX-66360063,HC Discarded Neox 1k 4.0x3.0cm per Sq Cm,442.0,265.2,88.49,359.35,24 CDM,PX-66360064,HC Discarded Neox 1k 6.0x3.0cm per Sq Cm,466.0,279.6,93.29,378.86,24 CDM,PX-66360143,HC Integra Bilayer Wound Matrix 20sqcm 4x5 per Sq Cm,2078.0,1246.8,162.39,1689.41,24 CDM,PX-73400146,HC NM Pharm S1001 Trial,1.01,0.61,0.2022,163224.3,29 CDM,PX-90619,Menacwy-Tt Conj Vacc Serogroups Acwy for Im Use,192.61,115.57,38.56,454.56,24 CDM,PX-90620,Menb-4c Recombnt Prot & Outer Memb Vesic Vacc Im,216.17,129.7,43.28,774.28,25 CDM,PX-90630,Influenza Vacc Iiv4 Split Virus Prsrv Free ID,20.34,12.2,4.07,16.54,26 CDM,PX-90632,Hepa Vaccine Adult Dose for Intramuscular Use,81.13,48.68,16.24,221.32,25 CDM,PX-90633,Hepa Vaccine 2 Dose Schedule Ped/Adolesc Im Use,53.52,32.11,10.71,115.22,25 CDM,PX-90636,Hepa/Hepb Vaccine Adult Im,126.03,75.62,25.23,431.84,25 CDM,PX-90647,Hib Prp-Omp Vaccine 3 Dose Schedule Im Use,30.86,18.52,6.18,99.48,25 CDM,PX-90648,Hib Prp-T Vaccine 4 Dose Schedule Im Use,16.63,9.98,3.33,42.98,25 CDM,PX-90651,9vhpv Vacc 2/3 Dose Sched Im Use,278.96,167.38,55.85,1004.55,25 CDM,PX-90653,Iiv Adjuvanted Vaccine for Intramuscular Use,54.96,32.98,11.0,232.85,26 CDM,PX-90656,Iiv3 Vacc Preservative Free Im Use,22.1,13.26,4.42,62.32,26 CDM,PX-90661,Cciiv3 Vac Abx Fr 0.5 Ml Im,36.34,21.8,7.28,115.07,26 CDM,PX-90662,Iiv Vaccine Preserv Free Increased Ag Count Im,65.26,39.16,13.07,232.85,26 CDM,PX-90670,Pcv13 Vaccine for Intramuscular Use,249.07,149.44,49.86,719.5,26 CDM,PX-90671,Pcv15 Vaccine for Intramuscular Use,237.69,142.61,47.59,728.32,26 CDM,PX-90673,Riv3 Vaccine Preservative Free for Im Use,40.61,24.37,8.13,232.85,26 CDM,PX-90674,Cciiv4 Vaccine Preservative Free 0.5 Ml Im Use,31.28,18.77,6.26,79.56,26 CDM,PX-90677,Pcv20 Vaccine for Intramuscular Use,273.9,164.34,54.83,872.64,26 CDM,PX-90678,Rsv Vaccine Pref Subunit Bivalent for Im Use,330.4,198.24,66.15,1002.31,25 CDM,PX-90679,Rsv Vacc Pref Recombinant Adjuvanted for Im Use,329.28,197.57,65.92,1000.84,25 CDM,PX-90681,Rv1 Vaccine 2 Dose Schedule Live for Oral Use,143.9,86.34,28.81,479.9,25 CDM,PX-90682,Riv4 Vacc Recombinant Dna Prsrv Antibio Free Im,65.26,39.16,13.07,170.51,26 CDM,PX-90684,PR Pcv21 Vaccine Im,322.28,193.37,64.52,914.46,26 CDM,PX-90685,Iiv4 Presrv Free Vacc Child 6-35 Mo for Im Use,21.64,12.98,4.33,50.5,26 CDM,PX-90686,Iiv4 Vacc Presrv Free 6 Mos & Older Im Use,21.42,12.85,4.29,52.16,26 CDM,PX-90687,Iiv4 Vaccine Child 6-35 Mo for Im Use,20.37,12.22,4.08,24.38,26 CDM,PX-90688,Iiv4 Vaccine 3 Yrs & Older for Im Use,19.9,11.94,3.98,48.73,26 CDM,PX-90694,Aiiv4 Vacc Inactivated Prsrv Fr 0.5ml Dos Im Use,66.43,39.86,13.3,179.69,26 CDM,PX-90696,Dtap-Ipv Vaccine Child 4-6 Yrs for Im Use,63.57,38.14,12.73,208.49,25 CDM,PX-90697,Dtap-Ipv-Hib-Hepb Vaccine Intramuscular,153.8,92.28,30.79,509.36,25 CDM,PX-90698,Dtap-Ipv/Hib Vaccine for Intramuscular Use,116.79,70.07,23.38,367.5,25 CDM,PX-90700,"Dtap Vaccine, Im",33.65,20.19,6.74,97.2,25 CDM,PX-90707,"Mmr Vaccine, Subq",96.04,57.62,19.23,309.79,25 CDM,PX-90710,"Mmrv Vaccine, Subq",275.02,165.01,55.06,907.1,25 CDM,PX-90713,"Poliovirus, Ipv, Subq",42.62,25.57,8.53,145.73,25 CDM,PX-90714,Td Vaccine Prsrv Free 7 Yrs or Older for Im Use,33.35,20.01,6.68,111.68,25 CDM,PX-90715,Tdap Vacc Ind 7 Years/Older Im,51.42,30.85,10.29,128.86,25 CDM,PX-90716,Var Vaccine Live for Subcutaneous Use,166.08,99.65,33.25,597.45,25 CDM,PX-90732,Ppsv23 Vaccine 2 Yrs or Older for Subq/Im Use,128.79,77.27,25.78,372.23,26 CDM,PX-90734,Menacwyd/Menacwy-CRM Conj Vacc Grps Acwy Im Use,154.18,92.51,30.87,544.37,25 CDM,PX-90739,Hepb Vaccine Adult 2/4 Dose Schedule for Im Use,139.15,83.49,27.86,495.21,26 CDM,PX-90740,Hepb Vaccine Dialysis/Immunsup Pat 3 Dose Im,146.33,87.8,29.3,518.3,26 CDM,PX-90743,Hepb Vaccine Adolescent 2 Dose Schedule Im,26.14,15.68,5.23,209.59,26 CDM,PX-90744,Hepb Vaccine Ped/Adolesc 3 Dose Schedule Im,28.56,17.14,5.72,88.33,26 CDM,PX-90746,Hepb Vaccine Adult 3 Dose Schedule for Im Use,68.05,40.83,13.62,196.28,26 CDM,PX-90747,Hepb Vaccine Dialysis/Immunsup Pat 4 Dose Im,140.75,84.45,28.18,392.53,26 CDM,PX-90750,Hzv Zoster Vacc Recombinant Adjuvanted Im Njx,178.21,106.93,35.68,569.63,24 CDM,PX-90756,Cciiv4 Vaccine Antibiotic Free 0.5 Ml Dos Im Use,29.65,17.79,5.94,75.38,26 CDM,PX-91300,Sarscov2 Vaccine Dil Recon 30 Mcg/0.3 Ml Im Use,0.01,0.01,0.002,0.00813,26 CDM,PX-91301,Sarscov2 Vaccine 100 Mcg/0.5 Ml Im Use,0.01,0.01,0.002,0.00813,26 CDM,PX-91302,Sarscov2 Vaccine Chadox1 5x1010 Vp/0.5ml Im Use,0.01,0.01,0.002,0.00813,26 CDM,PX-91304,Sarscov2 Vacc Saponin-Bsd Adjt 5mcg/0.5ml Im Use,158.7,95.22,31.77,450.52,26 CDM,PX-91305,Sarscov2 Vaccine 30mcg/0.3ml Tris-Sucrose Im Use,0.01,0.01,0.002,0.00813,26 CDM,PX-91306,Sarscov2 Vaccine 50 Mcg/0.25 Ml Im Use,0.01,0.01,0.002,0.00813,26 CDM,PX-91307,Sarscov2 Vaccine 10mcg/0.2ml Tris-Sucrose Im Use,0.01,0.01,0.002,0.00813,26 CDM,PX-91308,Sarscov2 Vaccine 3mcg/0.2ml Tris-Sucrose Im Use,0.01,0.01,0.002,0.00813,26 CDM,PX-91320,Sarscv2 Vac 30mcg Trs-Suc Im,153.16,91.9,30.66,434.78,26 CDM,PX-91322,Sarscov2 Vac 50 Mcg/0.5ml Im,158.82,95.29,31.8,450.83,26 CDM,PX-J0401,Injection Aripiprazole Ext Rel 1mg-J0401,6.33,3.8,1.27,20.19,34 CDM,PX-J0561,Injection Penicillin,15.12,9.07,3.03,70.82,32 CDM,PX-J0665,"Inj, bupivacaine, nos, 0.5mg",0.01,0.01,0.002,0.033,24 CDM,PX-J0696,Injection Ceftriaxone Sodium,0.51,0.31,0.1021,1.3,24 CDM,PX-J0735,Inj Clonidine Hydrochlorid 1,26.23,15.74,5.25,48.11,24 CDM,PX-J0897,Prolia 60mg,22.07,13.24,4.42,81.55,34 CDM,PX-J1010,"Injection, methylprednisolone acetate, 1 mg",0.12,0.07,0.02402,0.2832,32 CDM,PX-J1030,Inj Methylprdnisolone Actat,5.92,3.55,1.19,4.81,25 CDM,PX-J1040,Inj Methylprdnisolone Actat,10.52,6.31,2.11,8.55,23 CDM,PX-J1050,Inj Mdrxyprgestron Actat,0.14,0.08,0.02803,1.47,24 CDM,PX-J1071,Inj testosterone cypionate,0.03,0.02,0.00601,0.0825,24 CDM,PX-J1100,Inj Dexethosone Sodim Phosha,0.11,0.07,0.02202,0.33,24 CDM,PX-J1200,Inj Diphenhydramine Hcl,0.8,0.48,0.16016,2.46,24 CDM,PX-J1631,Inj Haloperidol Decanoate,7.76,4.66,1.55,12.74,24 CDM,PX-J1650,Injection Enoxaparin Sodium,0.79,0.47,0.15816,1.55,24 CDM,PX-J1726,"Makena, 10 mg",27.47,16.48,5.5,79.91,23 CDM,PX-J1885,Inj Ketorolac Tromethamine,0.47,0.28,0.09409,0.957,33 CDM,PX-J1940,Injection Furosemide,0.64,0.38,0.12813,0.52032,25 CDM,PX-J1944,Aripirazole lauroxil 1 mg,3.1,1.86,0.62062,9.29,34 CDM,PX-J1950,Injection Leuprolide Actat,1666.78,1000.07,333.69,4844.6,34 CDM,PX-J2001,Injection Lido Hcl IV Infusion,0.02,0.01,0.004,0.01626,25 CDM,PX-J2003,"Inj, lidocaine hcl, 1 mg",0.01,0.01,0.002,0.165,24 CDM,PX-J2405,Injection Ondansetron Hcl,0.09,0.05,0.01802,1.94,23 CDM,PX-J2426,"Inj, invega sustenna, 1 mg",13.35,8.01,2.67,42.05,34 CDM,PX-J2550,Injection Promethazine Hcl,2.57,1.54,0.51451,6.96,23 CDM,PX-J2788,Inj Rho D Ig Humn Minidose,25.77,15.46,5.16,75.85,24 CDM,PX-J2790,Inj Rho D Ig Humn Full Dose,81.46,48.88,16.31,224.38,24 CDM,PX-J2795,Inj Ropivacaine Hydrochlorid,0.07,0.04,0.01401,0.165,24 CDM,PX-J2919,"Injection, methylprednisolone sodium succinate, 5 mg",0.27,0.16,0.05405,0.4956,32 CDM,PX-J2920,Inj Methylprdnisolon Sodim,4.25,2.55,0.85085,3.46,25 CDM,PX-J2930,Inj Methylprdnisln Sodim,6.12,3.67,1.23,4.98,25 CDM,PX-J3111,Inj. romosozumab-aqqg 1 mg,9.84,5.9,1.97,33.47,34 CDM,PX-J3301,Inj Triamcinolone Acetonide,1.12,0.67,0.22422,2.34,24 CDM,PX-J3420,Inj Vit B-12 Cynocoblmn,1.61,0.97,0.32232,2.59,24 CDM,PX-J7030,Infus Normal Saline Sol 1000,2.56,1.54,0.51251,6.2,24 CDM,PX-J7060,Sugar Solution,1.79,1.07,0.35836,5.53,24 CDM,PX-J7297,"Liletta, 52 mg",872.14,523.28,174.6,3043.97,24 CDM,PX-J7298,"Mirena, 52 mg",1070.23,642.14,214.26,3968.2,24 CDM,PX-J7307,Etonogestrel Cntracpt Impl Sys,1100.73,660.44,220.37,3968.2,24 CDM,PX-J7318,"Inj, durolane 1 mg",17.28,10.37,3.46,18.64,34 CDM,PX-J7321,Hyalgan supartz visco-3 dose,77.03,46.22,15.42,199.8,24 CDM,PX-J7323,Hyaluronan/Derivative Euflexxa,134.92,80.95,27.01,319.27,34 CDM,PX-J7324,Hyaluronan/Deriv Orthovisc Ia,166.43,99.86,33.32,272.48,34 CDM,PX-J7325,Hyaluronan/Derivative Synvisc,11.23,6.74,2.25,25.35,34 CDM,PX-J7328,Gel-syn injection 0.1 mg,2.18,1.31,0.43644,1.77,24 CDM,PX-J7611,Breathing Inhalation Medicine,0.75,0.45,0.15015,0.60975,24 CDM,PX-J7613,Breathing Inhalation Medicine,0.04,0.02,0.00801,0.2145,24 CDM,PX-J7620,Breathing Inhalation Medicine,0.13,0.08,0.02603,0.5445,24 CDM,PX-J7644,Ipratropium Bromide Inhal Sol,0.2,0.12,0.04004,1.06,24 CDM,PX-Q0144,Azithromycin Oral Cap/Powder,25.48,15.29,5.1,53.27,24 CDM,PX-Q0162,"Ondansetron Oral, 1 Mg",0.01,0.01,0.002,0.033,24 CDM,PX-Q0163,Diphenhydramine Hcl 50 Mg Oral,0.02,0.01,0.004,3.6,24 CDM,PX-Q2035,Flu Vaccine Shot,11.89,7.13,2.38,71.79,26 CDM,PX-Q2037,Flu Vaccination,17.69,10.61,3.54,41.35,26 CDM,RX-10000,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,432.475,259.485,2.22,446.09,48 CDM,RX-10001,ETOPOSIDE 50 MG CAPSULE,371.25,222.75,74.32,301.83,24 CDM,RX-10008,"FACTOR IX COMPLEX NO.4, 3-FACTOR 1,000 (+/-) UNIT INTRAVENOUS SOLUTION",82.95,49.77,1.65,67.44,34 CDM,RX-10009,FAMOTIDINE 10 MG/ML INTRAVENOUS SOLUTION,64.9,38.94,0.0236,52.76,48 CDM,RX-10010,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION,47.5,28.5,9.51,38.62,22 CDM,RX-10011,FAMOTIDINE 20 MG TABLET,1.2,0.72,0.24024,0.9756,22 CDM,RX-100265,OFATUMUMAB 100 MG/5 ML INTRAVENOUS SOLUTION,2929.75,1757.85,60.36,2381.89,34 CDM,RX-100272,C1 ESTERASE INHIBITOR 500 UNIT (10 ML) INTRAVENOUS KIT,19451.85,11671.11,73.58,15814.35,34 CDM,RX-10037,FINASTERIDE 5 MG TABLET,16.55,9.93,3.31,13.46,22 CDM,RX-10041,FLECAINIDE 100 MG TABLET,19.8,11.88,3.96,16.1,22 CDM,RX-10043,FLECAINIDE 50 MG TABLET,18.3,10.98,3.66,14.88,22 CDM,RX-10044,FLUCONAZOLE 100 MG TABLET,20.0,12.0,4.0,16.26,22 CDM,RX-10045,FLUCONAZOLE 200 MG TABLET,21.35,12.81,4.27,17.36,22 CDM,RX-10049,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK,128.45,77.07,5.33,104.43,24 CDM,RX-100491,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",84.1,50.46,1.13,68.37,24 CDM,RX-10051,FLUCYTOSINE 250 MG CAPSULE,350.7,210.42,70.21,285.12,22 CDM,RX-10052,FLUCYTOSINE 500 MG CAPSULE,385.55,231.33,77.19,313.45,22 CDM,RX-10054,FLUDROCORTISONE 0.1 MG TABLET,19.4,11.64,3.88,15.77,22 CDM,RX-100581,BENDAMUSTINE 25 MG INTRAVENOUS POWDER FOR SOLUTION,3544.0,2126.4,1.82,2881.27,34 CDM,RX-10059,FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION,304.25,182.55,0.8968,247.36,26 CDM,RX-10062,FLUORESCEIN 0.25 %-PROPARACAINE 0.5 % EYE DROPS,43.45,26.07,8.7,35.32,22 CDM,RX-10069,FLUOXETINE 10 MG CAPSULE,16.25,9.75,3.25,13.21,22 CDM,RX-10070,FLUOXETINE 20 MG CAPSULE,16.2,9.72,3.24,13.17,22 CDM,RX-100740,IBUTILIDE FUMARATE 0.1 MG/ML INTRAVENOUS SOLUTION,2414.3,1448.58,167.14,1962.83,34 CDM,RX-10085,FLUVOXAMINE 50 MG TABLET,18.05,10.83,3.61,14.67,22 CDM,RX-101,ACETAMINOPHEN 325 MG TABLET,1.1,0.66,0.22022,0.8943,22 CDM,RX-10101,GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION,471.55,282.93,93.31,383.37,24 CDM,RX-10116,GLIPIZIDE 10 MG TABLET,18.55,11.13,3.71,15.08,22 CDM,RX-10117,GLIPIZIDE 5 MG TABLET,17.3,10.38,3.46,14.06,22 CDM,RX-10126,GLYBURIDE 2.5 MG TABLET,16.85,10.11,3.37,13.7,22 CDM,RX-10130,GLYCOPYRROLATE 1 MG TABLET,16.55,9.93,3.31,13.46,22 CDM,RX-10137,GOSERELIN 3.6 MG SUBCUTANEOUS IMPLANT,5220.4,3132.24,711.66,4244.19,34 CDM,RX-10149,GUANFACINE 1 MG TABLET,16.85,10.11,3.37,13.7,22 CDM,RX-10163,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION,79.9,47.94,10.38,64.96,24 CDM,RX-10176,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",34.85,20.91,0.4956,38.21,72 CDM,RX-10181,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",22.525,13.515,0.4956,20.49,48 CDM,RX-102,ACETAMINOPHEN 500 MG TABLET,1.05,0.63,0.21021,0.85365,22 CDM,RX-10210,HYDROCORTISONE 100 MG/60 ML ENEMA,80.3,48.18,16.08,65.28,22 CDM,RX-10225,HYDROMORPHONE 1 MG/ML ORAL LIQUID,32.4,19.44,6.49,26.34,22 CDM,RX-10235,HYDROXYCHLOROQUINE 200 MG TABLET,23.8,14.28,4.76,19.35,22 CDM,RX-10236,HYDROXYUREA 500 MG CAPSULE,28.7,17.22,5.75,23.33,22 CDM,RX-10246,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,2.25,1.35,0.45045,1.83,22 CDM,RX-10248,IFOSFAMIDE 1 GRAM INTRAVENOUS SOLUTION,436.7,262.02,59.47,355.04,24 CDM,RX-10249,IFOSFAMIDE 3 GRAM INTRAVENOUS SOLUTION,748.2,448.92,59.47,608.29,24 CDM,RX-10267,INDOMETHACIN 1 MG INTRAVENOUS SOLUTION,2284.55,1370.73,457.37,1857.34,22 CDM,RX-10284,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION,219.0,131.4,0.5428,178.05,24 CDM,RX-10286,INSULIN HUMAN U-100 NPH-REGULR 70-30 MIX 100 UNIT/ML SUBCUTANEOUS SUSP,219.0,131.4,0.5428,178.05,24 CDM,RX-10289,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION,219.0,131.4,0.5428,178.05,24 CDM,RX-103,ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY,1.5,0.9,0.3003,1.22,22 CDM,RX-10321,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION,49.45,29.67,1.06,40.2,24 CDM,RX-10322,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,57.55,34.53,0.354,46.79,24 CDM,RX-10358,ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION,568.5,341.1,6.49,462.19,35 CDM,RX-10362,ISRADIPINE 2.5 MG CAPSULE,21.8,13.08,4.36,17.72,22 CDM,RX-10364,ITRACONAZOLE 100 MG CAPSULE,28.0,16.8,5.61,22.76,22 CDM,RX-10369,KETOCONAZOLE 200 MG TABLET,24.65,14.79,4.93,20.04,22 CDM,RX-10373,LABETALOL 100 MG TABLET,17.85,10.71,3.57,14.51,22 CDM,RX-10374,LABETALOL 200 MG TABLET,18.55,11.13,3.71,15.08,22 CDM,RX-10380,AMMONIUM LACTATE 12 % LOTION,7.0,4.2,1.4,5.69,22 CDM,RX-103890,TAMSULOSIN 0.4 MG CAPSULE,18.3,10.98,3.66,14.88,22 CDM,RX-104,ACETAMINOPHEN 325 MG RECTAL SUPPOSITORY,2.6,1.56,0.52052,2.11,22 CDM,RX-10403,LEVOTHYROXINE 88 MCG TABLET,18.05,10.83,3.61,14.67,22 CDM,RX-10404,LEVOTHYROXINE 112 MCG TABLET,18.4,11.04,3.68,14.96,22 CDM,RX-104207,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,26.75,16.05,0.0236,25.12,72 CDM,RX-104208,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,32.35,19.41,0.0236,38.66,72 CDM,RX-104258,CAPSAICIN-SKIN CLEANSER 8 % TOPICAL KIT,2741.35,1644.81,3.32,2228.72,34 CDM,RX-10427,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",17.25,10.350000000000001,0.0236,14.43,48 CDM,RX-1043,BETHANECHOL CHLORIDE 10 MG TABLET,18.55,11.13,3.71,15.08,22 CDM,RX-10430,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION",17.0,10.2,0.0236,13.82,24 CDM,RX-10431,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION",21.35,12.81,0.0236,17.36,24 CDM,RX-10434,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,40.8,24.48,8.17,33.17,22 CDM,RX-10442,LIOTHYRONINE 10 MCG/ML INTRAVENOUS SOLUTION,1839.6,1103.76,368.29,1495.59,22 CDM,RX-10443,LIOTHYRONINE 5 MCG TABLET,18.55,11.13,3.71,15.08,22 CDM,RX-10449,LISINOPRIL 10 MG TABLET,16.5,9.9,3.3,13.41,22 CDM,RX-10451,LISINOPRIL 5 MG TABLET,16.15,9.69,3.23,13.13,22 CDM,RX-10454,"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE",17.35,10.41,3.47,14.11,22 CDM,RX-10455,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE",17.75,10.65,3.55,14.43,22 CDM,RX-104576,TRANEXAMIC ACID 650 MG TABLET,32.75,19.65,6.56,26.63,22 CDM,RX-104604,RIFAXIMIN 550 MG TABLET,246.9,148.14,49.43,200.73,22 CDM,RX-10466,LORATADINE 10 MG TABLET,1.65,0.99,0.33033,1.34,22 CDM,RX-10467,LORAZEPAM 2 MG/ML INJECTION SOLUTION,22.975,13.785,3.26,18.86,48 CDM,RX-10475,"LYMPHOCYTE,ANTI-THYMO IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION",20322.25,12193.35,4068.51,16521.99,34 CDM,RX-104764,SIROLIMUS 0.5 MG TABLET,32.0,19.2,2.05,26.02,23 CDM,RX-10491,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET,1.1,0.66,0.22022,0.8943,22 CDM,RX-105,ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY,1.45,0.87,0.29029,1.18,22 CDM,RX-105011,GATIFLOXACIN 0.5 % EYE DROPS,157.85,94.71,31.6,128.33,22 CDM,RX-10512,"MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT",300.9,180.54,60.24,309.79,25 CDM,RX-10522,MELPHALAN (ALKERAN) IVPB,2475.0,1485.0,93.02,2012.17,34 CDM,RX-10523,MELPHALAN 2 MG TABLET,70.3,42.18,14.07,57.15,24 CDM,RX-10529,MEPIVACAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION,84.8,50.88,9.32,68.94,24 CDM,RX-10531,MERCAPTOPURINE 50 MG TABLET,37.7,22.62,7.55,30.65,22 CDM,RX-10535,MESALAMINE 4 GRAM/60 ML ENEMA,46.1,27.66,9.23,37.48,22 CDM,RX-10537,MESNA 100 MG/ML INTRAVENOUS SOLUTION,385.0,231.0,3.61,313.0,24 CDM,RX-105417,GEMCITABINE 2 GRAM INTRAVENOUS SOLUTION,774.35,464.61,7.39,629.55,24 CDM,RX-10544,METFORMIN 500 MG TABLET,16.2,9.72,3.24,13.17,22 CDM,RX-105633,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",59.849999999999994,35.910000000000004,10.18,55.98,44 CDM,RX-105637,MEPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,66.65,39.99,9.32,54.19,24 CDM,RX-105638,MEPIVACAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,72.25,43.35,9.32,58.74,24 CDM,RX-105640,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,33.9,20.34,0.0236,32.24,48 CDM,RX-105644,CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION,60837.1,36502.26,220.46,49460.56,34 CDM,RX-105679,NILOTINIB HCL 150 MG CAPSULE,798.05,478.83,159.77,648.81,22 CDM,RX-10571,METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION,158.35,95.01,31.7,128.74,24 CDM,RX-10572,METHYLERGONOVINE 0.2 MG TABLET,231.15,138.69,46.28,187.92,22 CDM,RX-10579,METHYLPREDNISOLONE SODIUM SUCCINATE 2 GRAM INTRAVENOUS SOLUTION,520.25,312.15,0.2037,422.96,34 CDM,RX-10586,METOLAZONE 10 MG TABLET,19.6,11.76,3.92,15.93,22 CDM,RX-10587,METOLAZONE 2.5 MG TABLET,27.0,16.2,5.41,21.95,22 CDM,RX-10588,METOLAZONE 5 MG TABLET,28.45,17.07,5.7,23.13,22 CDM,RX-105899,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,49.9,29.94,1.39,40.57,24 CDM,RX-105900,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,61.2,36.72,1.39,49.76,24 CDM,RX-105901,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,83.85,50.31,1.39,68.17,24 CDM,RX-105902,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,106.45,63.87,1.39,86.54,24 CDM,RX-105903,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,129.05,77.43,1.39,104.92,24 CDM,RX-105904,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,70.85,42.51,1.39,57.6,24 CDM,RX-10592,METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL,76.1,45.66,15.24,61.87,22 CDM,RX-10595,MEXILETINE 150 MG CAPSULE,21.2,12.72,4.24,17.24,22 CDM,RX-10596,MEXILETINE 200 MG CAPSULE,19.8,11.88,3.96,16.1,22 CDM,RX-105970,INCOBOTULINUMTOXINA 50 UNIT INTRAMUSCULAR SOLUTION,1235.4,741.24,5.4,1004.38,34 CDM,RX-105971,INCOBOTULINUMTOXINA 100 UNIT INTRAMUSCULAR SOLUTION,2341.05,1404.63,5.4,1903.27,34 CDM,RX-10599,MICONAZOLE NITRATE 2 % TOPICAL POWDER,8.5,5.1,1.7,6.91,22 CDM,RX-106079,ULIPRISTAL 30 MG TABLET,171.0,102.6,34.23,139.02,22 CDM,RX-10608,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,42.7,25.62,0.354,34.72,24 CDM,RX-10609,MIDODRINE 2.5 MG TABLET,17.0,10.2,3.4,13.82,22 CDM,RX-10610,MIDODRINE 5 MG TABLET,20.6,12.36,4.12,16.75,22 CDM,RX-106176,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM,37.05,22.23,7.42,30.12,22 CDM,RX-106177,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM,37.25,22.35,7.46,30.28,22 CDM,RX-106249,"NEOMYCIN 3.5 MG/G-POLYMYXIN B 10,000 UNIT/G-DEXAMETH 0.1 % EYE OINT",70.05,42.03,14.02,56.95,22 CDM,RX-106278,DIAZEPAM 5 MG/ML INJECTION SYRINGE,123.0,73.8,16.8,100.0,24 CDM,RX-10630,MITOMYCIN 20 MG INTRAVENOUS SOLUTION,3055.75,1833.45,19.74,2484.32,34 CDM,RX-10631,MITOMYCIN 40 MG INTRAVENOUS SOLUTION,5836.45,3501.87,19.74,4745.03,34 CDM,RX-10632,MITOMYCIN 5 MG INTRAVENOUS SOLUTION,1345.4,807.24,19.74,1093.81,34 CDM,RX-106348,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,21.5,12.9,0.2475,17.48,24 CDM,RX-106349,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION,64.55,38.73,0.2475,52.48,24 CDM,RX-106363,LIDOCAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,35.6,21.36,0.0236,28.94,24 CDM,RX-106364,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",33.7,20.22,6.68,27.68,44 CDM,RX-106490,DABIGATRAN ETEXILATE 75 MG CAPSULE,29.25,17.55,5.86,23.78,22 CDM,RX-106491,DABIGATRAN ETEXILATE 150 MG CAPSULE,29.25,17.55,5.86,23.78,22 CDM,RX-106761,ABOBOTULINUMTOXINA 300 UNIT INTRAMUSCULAR SOLUTION,2420.7,1452.42,8.49,1968.03,34 CDM,RX-106773,ERIBULIN (HALAVEN) SYRINGE 0.5 MG/ML,6479.0,3887.4,86.66,5267.43,34 CDM,RX-106783,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,168.0,100.8,0.236,136.58,24 CDM,RX-10685,NALTREXONE 50 MG TABLET,27.55,16.53,5.52,22.4,22 CDM,RX-10708,"NEOMYCIN-POLYMYXIN-DEXAMETH 3.5 MG/ML-10,000 UNIT/ML-0.1% EYE DROPS",63.7,38.22,12.75,51.79,22 CDM,RX-10717,NICOTINE (POLACRILEX) 2 MG GUM,1.5,0.9,0.3003,1.22,22 CDM,RX-10718,NICOTINE (POLACRILEX) 4 MG GUM,1.45,0.87,0.29029,1.18,22 CDM,RX-10722,NIMODIPINE 30 MG CAPSULE,27.5,16.5,5.51,22.36,22 CDM,RX-10724,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,31.45,18.87,6.3,25.57,22 CDM,RX-10734,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,157.4,94.44,31.51,127.97,22 CDM,RX-10747,NORETHINDRONE ACETATE 5 MG TABLET,23.45,14.07,4.69,19.06,22 CDM,RX-10749,NORGESTIMATE 0.25 MG-ETHINYL ESTRADIOL 0.035 MG TABLET,102.95,61.77,20.61,83.7,22 CDM,RX-10757,NORTRIPTYLINE 10 MG/5 ML ORAL SOLUTION,585.05,351.03,117.13,475.65,22 CDM,RX-107660,BUPRENORPHINE 5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,180.9,108.54,36.22,147.07,22 CDM,RX-107661,BUPRENORPHINE 10 MCG/HOUR WEEKLY TRANSDERMAL PATCH,260.3,156.18,52.11,211.62,22 CDM,RX-107668,LURASIDONE 40 MG TABLET,205.2,123.12,41.08,166.83,22 CDM,RX-107671,CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION,1144.35,686.61,4.1,930.36,34 CDM,RX-10779,ONDANSETRON HCL 8 MG TABLET,18.2,10.92,3.64,14.8,22 CDM,RX-10781,BALANCED SALT IRRIGATION SOLUTION (BSS PLAIN),139.725,83.835,20.21,145.12,44 CDM,RX-107829,GLYCOPYRROLATE 1 MG/5 ML (0.2 MG/ML) ORAL SOLUTION,525.45,315.27,105.2,427.19,22 CDM,RX-1079,"BISACODYL 5 MG TABLET,DELAYED RELEASE",1.05,0.63,0.21021,0.85365,22 CDM,RX-1080,BISACODYL 10 MG RECTAL SUPPOSITORY,1.55,0.93,0.31031,1.26,22 CDM,RX-108021,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",101.15,60.69,0.132,82.23,24 CDM,RX-108028,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,263.2,157.92,1.7,213.98,24 CDM,RX-108029,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE,263.2,157.92,1.7,213.98,24 CDM,RX-108036,"DALTEPARIN (PORCINE) 18,000 ANTI-XA UNIT/0.72 ML SUBCUTANEOUS SYRINGE",881.5,528.9,39.03,716.66,24 CDM,RX-108038,TESTOSTERONE 1 % (25 MG/2.5 GRAM) TRANSDERMAL GEL PACKET,58.5,35.1,11.71,47.56,22 CDM,RX-108041,DARBEPOETIN ALFA 25 MCG/0.42 ML IN POLYSORBATE INJECTION SYRINGE,896.45,537.87,2.84,728.81,34 CDM,RX-108042,DARBEPOETIN ALFA 40 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE,1424.7,854.82,2.84,1158.28,34 CDM,RX-108043,DARBEPOETIN ALFA 60 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE,2129.05,1277.43,2.84,1730.92,34 CDM,RX-108044,DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE,3537.7,2122.62,2.84,2876.15,34 CDM,RX-108047,DARBEPOETIN ALFA 200 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE,7059.4,4235.64,2.84,5739.29,34 CDM,RX-108048,DARBEPOETIN ALFA 300 MCG/0.6 ML IN POLYSORBATE INJECTION SYRINGE,10581.1,6348.66,2.84,8602.43,34 CDM,RX-108049,"PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSCULAR SYRINGE",1695.15,1017.09,29.11,1378.16,34 CDM,RX-108055,PANITUMUMAB 100 MG/5 ML (20 MG/ML) INTRAVENOUS SOLUTION,8246.3,4947.78,167.84,6704.24,34 CDM,RX-108057,PANITUMUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION,32160.05,19296.03,167.84,26146.12,34 CDM,RX-108062,TOCILIZUMAB 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION,5640.25,3384.15,5.54,4585.52,34 CDM,RX-108063,TOCILIZUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION,11217.45,6730.47,5.54,9119.79,34 CDM,RX-108065,BEVACIZUMAB (AVASTIN) 25 MG/ML,318.85,191.31,63.83,259.23,68 CDM,RX-108096,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,8806.85,5284.11,6.53,7159.97,34 CDM,RX-10810,OXYBUTYNIN CHLORIDE 5 MG/5 ML ORAL SYRUP,16.3,9.78,3.26,13.25,22 CDM,RX-108119,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,83.3,49.98,5.33,67.72,24 CDM,RX-108120,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,101.35,60.81,5.33,82.4,24 CDM,RX-108127,POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION,153.95,92.37,30.82,145.73,25 CDM,RX-10813,OXYCODONE 5 MG/5 ML ORAL SOLUTION,23.0,13.8,4.6,18.7,22 CDM,RX-10814,OXYCODONE 5 MG TABLET,23.35,14.01,4.67,18.98,22 CDM,RX-108155,BACLOFEN 500 MCG/ML INTRATHECAL SOLUTION,18.7,11.22,3.74,490.35,34 CDM,RX-108431,ETRAVIRINE 200 MG TABLET,115.9,69.54,23.2,94.23,22 CDM,RX-10845,PAMIDRONATE 30 MG INTRAVENOUS SOLUTION,141.95,85.17,22.75,115.41,24 CDM,RX-10855,PAROXETINE 20 MG TABLET,17.3,10.38,3.46,14.06,22 CDM,RX-108590,TOPOTECAN 4 MG/4 ML (1 MG/ML) INTRAVENOUS SOLUTION,884.7,530.82,3.65,719.26,24 CDM,RX-108850,"VITAMIN E (DL, ACETATE) 180 MG (400 UNIT) CAPSULE",1.4,0.84,0.28028,1.14,22 CDM,RX-108955,IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,40115.9,24069.54,177.98,32614.23,34 CDM,RX-108956,IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION,159638.1,95782.86,177.98,129785.78,34 CDM,RX-10897,"PENICILLIN G BENZATHINE 600,000 UNIT/ML INTRAMUSCULAR SYRINGE",985.5,591.3,29.11,801.21,34 CDM,RX-1090,BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION,1.725,1.0350000000000001,0.32032,1.63,88 CDM,RX-10900,PENICILLIN G POT 3 MILLION UNIT/50 ML-DEXTROSE INTRAVENOUS PIGGYBACK,100.65,60.39,1.86,81.83,24 CDM,RX-109034,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION,193.8,116.28,2.9,157.56,24 CDM,RX-10910,PENTOSTATIN (NIPENT) SYRINGE,13260.65,7956.39,2529.92,10780.91,34 CDM,RX-10917,PERMETHRIN 5 % TOPICAL CREAM,106.0,63.6,21.22,86.18,22 CDM,RX-10918,PERMETHRIN 1 % TOPICAL LIQUID,13.75,8.25,2.75,11.18,22 CDM,RX-109401,ROFLUMILAST 500 MCG TABLET,77.0,46.2,15.42,62.6,22 CDM,RX-10947,PHENTOLAMINE 5 MG INJECTION SOLUTION,2245.35,1347.21,419.06,1825.47,34 CDM,RX-109773,LINAGLIPTIN 5 MG TABLET,86.05,51.63,17.23,69.96,22 CDM,RX-109784,SODIUM NITRITE-SODIUM THIOSULFATE 300 MG/10 ML-12.5 GRAM/50 ML IV SOLN,709.9,425.94,2.16,577.15,34 CDM,RX-109909,RILPIVIRINE HCL 25 MG TABLET,213.8,128.28,42.8,173.82,22 CDM,RX-11023,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,60.6,36.36,6.44,49.27,24 CDM,RX-110250,RIVAROXABAN 10 MG TABLET,95.75,57.45,19.17,77.84,22 CDM,RX-110257,"AMIODARONE 150 MG/100 ML (1.5 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV",184.45,110.67,6.16,149.96,24 CDM,RX-110258,"AMIODARONE 360 MG/200 ML (1.8 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV",224.7,134.82,6.16,182.68,24 CDM,RX-110262,"TAPENTADOL ER 50 MG TABLET,EXTENDED RELEASE,12 HR",60.25,36.15,12.06,48.98,22 CDM,RX-110360,FIDAXOMICIN 200 MG TABLET,1057.0,634.2,211.61,859.34,22 CDM,RX-110366,VITAMIN B COMPLEX-FOLIC ACID 0.4 MG TABLET,1.45,0.87,0.29029,1.18,22 CDM,RX-110427,TICAGRELOR 90 MG TABLET,47.0,28.2,9.41,38.21,22 CDM,RX-11050,POLYSACCHARIDE IRON COMPLEX 150 MG IRON CAPSULE,1.2,0.72,0.24024,0.9756,22 CDM,RX-11067,SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET,3.1,1.86,0.62062,2.52,22 CDM,RX-11074,POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,80.15,48.09,0.2596,64.92,20 CDM,RX-11076,POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,77.35,46.41,0.2596,62.89,24 CDM,RX-11077,POTASSIUM CHLORIDE 20 MEQ/50 ML IN STERILE WATER INTRAVENOUS PIGGYBACK,76.3,45.78,0.2596,62.03,24 CDM,RX-11079,POTASSIUM CHLORIDE 40 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,77.35,46.41,0.2596,62.89,24 CDM,RX-11081,POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,101.5,60.9,0.2596,82.52,24 CDM,RX-11082,POTASSIUM CHLORIDE 40 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,105.0,63.0,0.2596,85.36,24 CDM,RX-110998,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION,471.6,282.96,94.41,383.41,22 CDM,RX-11111,PRAVASTATIN 20 MG TABLET,18.3,10.98,3.66,14.88,22 CDM,RX-11113,PRAZIQUANTEL 600 MG TABLET,281.75,169.05,56.41,229.06,22 CDM,RX-11129,PRIMIDONE 50 MG TABLET,19.3,11.58,3.86,15.69,22 CDM,RX-111348,BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION,56048.55,33629.13,250.88,45567.47,34 CDM,RX-11143,PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY,55.0,33.0,11.01,44.72,22 CDM,RX-111437,HYDROXOCOBALAMIN 5 GRAM INTRAVENOUS SOLUTION,4464.6,2678.76,5.03,3629.72,34 CDM,RX-11144,PROMETHAZINE 25 MG RECTAL SUPPOSITORY,55.0,33.0,11.01,44.72,22 CDM,RX-11150,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,48.775,29.265,0.2124,57.4,48 CDM,RX-11218,PSYLLIUM HUSK 3.4 GRAM ORAL POWDER PACKET,1.5,0.9,0.3003,1.22,22 CDM,RX-11237,PYRIDOSTIGMINE BROMIDE 5 MG/ML INJECTION SOLUTION,31.4,18.84,6.29,25.53,22 CDM,RX-11239,PYRIDOSTIGMINE BROMIDE 60 MG TABLET,19.3,11.58,3.86,15.69,22 CDM,RX-112481,POLIDOCANOL 1 % (20 MG/2 ML) INTRAVENOUS SOLUTION,67.75,40.65,13.56,55.08,22 CDM,RX-112703,CLOBAZAM 10 MG TABLET,29.8,17.88,5.97,24.23,22 CDM,RX-112781,BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION,1471.95,883.1700000000001,1.42,1487.79,66 CDM,RX-112786,GEMCITABINE 200 MG/5.26 ML (38 MG/ML) INTRAVENOUS SOLUTION,316.1,189.66,7.39,256.99,24 CDM,RX-112787,GEMCITABINE 1 GRAM/26.3 ML (38 MG/ML) INTRAVENOUS SOLUTION,474.3,284.58,7.39,385.61,24 CDM,RX-112834,RIVAROXABAN 15 MG TABLET,95.75,57.45,19.17,77.84,22 CDM,RX-112835,RIVAROXABAN 20 MG TABLET,95.75,57.45,19.17,77.84,22 CDM,RX-11291,RIFAMPIN 600 MG INTRAVENOUS SOLUTION,710.25,426.15,0.3304,577.43,24 CDM,RX-11292,RIFAMPIN 150 MG CAPSULE,28.75,17.25,5.76,23.37,22 CDM,RX-11293,RIFAMPIN 300 MG CAPSULE,23.45,14.07,4.69,19.06,22 CDM,RX-112936,RUXOLITINIB 5 MG TABLET,565.0,339.0,113.11,459.35,22 CDM,RX-112937,RUXOLITINIB 10 MG TABLET,1198.35,719.01,239.91,974.26,22 CDM,RX-11295,RINGER'S INTRAVENOUS SOLUTION,93.0,55.8,5.69,75.33,20 CDM,RX-113082,RACEPINEPHRINE 2.25 % SOLUTION FOR NEBULIZATION,4.1,2.46,0.82082,3.33,22 CDM,RX-113088,"VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP",568.8,341.28,113.87,597.45,25 CDM,RX-113475,LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK,112.0,67.2,0.0944,91.06,24 CDM,RX-113476,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",168.0,100.8,0.0944,136.58,24 CDM,RX-11350,SERTRALINE 100 MG TABLET,16.95,10.17,3.39,13.78,22 CDM,RX-11351,SERTRALINE 50 MG TABLET,17.65,10.59,3.53,14.35,22 CDM,RX-113587,LURASIDONE 20 MG TABLET,205.2,123.12,41.08,166.83,22 CDM,RX-11368,SINCALIDE 5 MCG SOLUTION FOR INJECTION,609.65,365.79,122.05,495.65,24 CDM,RX-113850,CEFAZOLIN 2 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,64.0,38.4,1.89,52.03,24 CDM,RX-114,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION,159.35,95.61,31.9,129.55,24 CDM,RX-11403,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,87.0,52.2,16.22,221.95,66 CDM,RX-11404,SODIUM CHLORIDE 2 % EYE DROPS,1.1,0.66,0.22022,0.8943,22 CDM,RX-11408,WHITE PETROLATUM TOPICAL OINTMENT,4.3,2.58,0.86086,3.5,22 CDM,RX-11421,SOTALOL 80 MG TABLET,21.1,12.66,4.22,17.15,22 CDM,RX-11425,SPIRONOLACTONE 100 MG TABLET,17.6,10.56,3.52,14.31,22 CDM,RX-11426,SPIRONOLACTONE 50 MG TABLET,16.85,10.11,3.37,13.7,22 CDM,RX-11441,SUCRALFATE 100 MG/ML ORAL SUSPENSION,28.75,17.25,5.76,23.37,44 CDM,RX-11442,SUCRALFATE 1 GRAM TABLET,17.3,10.38,3.46,14.06,22 CDM,RX-11500,TEMAZEPAM 7.5 MG CAPSULE,30.0,18.0,6.01,24.39,22 CDM,RX-11507,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION,34.2,20.52,6.85,27.8,24 CDM,RX-11510,TERCONAZOLE 0.4 % VAGINAL CREAM,123.5,74.1,24.72,100.41,22 CDM,RX-11512,TERCONAZOLE 80 MG VAGINAL SUPPOSITORY,124.9,74.94,25.0,101.54,22 CDM,RX-11561,TIMOLOL MALEATE 0.25 % EYE DROPS,48.85,29.31,6.32,50.37,66 CDM,RX-11562,TIMOLOL MALEATE 0.5 % EYE DROPS,77.55,46.53,15.53,63.05,22 CDM,RX-11565,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,380.0,228.0,5.59,308.94,24 CDM,RX-11566,TOBRAMYCIN-DEXAMETHASONE 0.3 %-0.1 % EYE OINTMENT,910.3,546.18,182.24,740.07,22 CDM,RX-11567,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",243.975,146.385,33.58,260.32,44 CDM,RX-11573,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",88.2,52.92,17.66,71.71,22 CDM,RX-11595,TRIFLURIDINE 1 % EYE DROPS,604.05,362.43,120.93,491.09,22 CDM,RX-116016,"OFATUMUMAB 1,000 MG/50 ML INTRAVENOUS SOLUTION",25404.55,15242.73,60.36,20653.9,34 CDM,RX-116028,MITOMYCIN 0.2 MG OPHTHALMIC KIT,1854.6,1112.76,371.29,1507.79,23 CDM,RX-11624,URSODIOL 300 MG CAPSULE,21.0,12.6,4.2,17.07,22 CDM,RX-11627,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,961.85,577.11,0.0708,781.98,24 CDM,RX-11630,VANCOMYCIN 50 MG/ML ORAL SOLUTION,24.95,14.97,4.99,20.28,22 CDM,RX-11634,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,84.65,50.79,16.95,68.82,22 CDM,RX-116345,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION,36.05,21.63,0.2124,29.31,24 CDM,RX-11639,"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE",18.45,11.07,3.69,15.0,22 CDM,RX-11640,"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE",17.3,10.38,3.46,14.06,22 CDM,RX-11641,"VITAMIN A PALMITATE 15,000 MCG RAE/ML (50,000 UNIT/ML) INTRAMUSCULAR SOLUTION",1651.2,990.72,330.57,1342.43,22 CDM,RX-116596,PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLUTION,30285.2,18171.12,16.51,24621.87,34 CDM,RX-11664,WARFARIN 1 MG TABLET,17.5,10.5,3.5,14.23,22 CDM,RX-11671,"WATER FOR INJECTION, STERILE INJECTION SOLUTION",38.05,22.83,3.57,43.37,110 CDM,RX-116809,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,72.05,43.23,0.2124,58.58,24 CDM,RX-116842,"MIRABEGRON ER 25 MG TABLET,EXTENDED RELEASE 24 HR",77.4,46.44,15.5,62.93,22 CDM,RX-11691,ZIDOVUDINE 10 MG/ML INTRAVENOUS SOLUTION,185.65,111.39,3.56,150.93,24 CDM,RX-11693,ZIDOVUDINE 10 MG/ML ORAL SYRUP,20.5,12.3,4.1,16.67,22 CDM,RX-11700,ZOLPIDEM 10 MG TABLET,22.35,13.41,4.47,18.17,22 CDM,RX-11701,ZOLPIDEM 5 MG TABLET,22.3,13.38,4.46,18.13,22 CDM,RX-117032,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,379.275,227.565,6.15,356.09,48 CDM,RX-117047,CARFILZOMIB 60 MG INTRAVENOUS SOLUTION,15838.65,9503.19,53.98,12876.82,34 CDM,RX-117356,RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PATCH,107.45,64.47,21.51,87.36,22 CDM,RX-119061,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,2404.75,1442.85,413.11,2232.5,44 CDM,RX-119074,MORPHINE 2 MG/ML INJECTION SOLUTION,26.35,15.81,5.28,22.13,24 CDM,RX-119125,CUPRIC CHLORIDE 0.4 MG/ML INTRAVENOUS SOLUTION,196.2,117.72,39.28,159.51,22 CDM,RX-119129,IODINE STRONG (LUGOLS) 5 % ORAL SOLUTION,18.1,10.86,3.62,14.72,22 CDM,RX-119190,LIDOCAINE 4 % TOPICAL PATCH,2.7,1.62,0.54054,2.2,22 CDM,RX-11931,HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN,60.0,36.0,12.01,48.78,25 CDM,RX-119318,BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION,32.2,19.32,0.0236,26.18,24 CDM,RX-119615,SENNOSIDES 8.8 MG/5 ML ORAL SYRUP,1.15,0.69,0.23023,0.93495,22 CDM,RX-119668,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION,22.3,13.38,4.46,21.36,24 CDM,RX-119671,DEXAMETHASONE 1 MG/ML DROPS (CONCENTRATE),87.55,52.53,0.0472,71.18,24 CDM,RX-119756,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,115.2,69.12,23.06,93.66,22 CDM,RX-119769,PSEUDOEPHEDRINE 15 MG/5 ML ORAL LIQUID,1.3,0.78,0.26026,1.06,22 CDM,RX-119826,SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION,42.900000000000006,25.740000000000002,7.23,40.41,44 CDM,RX-119902,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,147.95,88.77,0.0708,120.28,24 CDM,RX-119913,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION,1.3,0.78,0.21021,1.26,44 CDM,RX-12024,MECLIZINE 12.5 MG TABLET,1.75,1.05,0.35035,1.42,22 CDM,RX-120360,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,16.35,9.81,3.27,13.29,22 CDM,RX-120439,MICONAZOLE NITRATE 200 MG VAGINAL SUPPOSITORY,207.05,124.23,41.45,168.33,22 CDM,RX-120565,CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION,22.65,13.59,4.53,18.41,22 CDM,RX-120778,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET,24.6,14.76,4.92,20.0,22 CDM,RX-121573,HYDROMORPHONE 2 MG/ML INJECTION SYRINGE,32.1,19.26,0.2124,26.1,24 CDM,RX-12203,VENLAFAXINE 25 MG TABLET,17.3,10.38,3.46,14.06,22 CDM,RX-12211,DORNASE ALFA 1 MG/ML SOLUTION FOR INHALATION,551.1,330.66,110.33,448.04,22 CDM,RX-1222,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,25.375,15.224999999999998,0.0236,21.79,48 CDM,RX-1223,BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION,29.45,17.67,0.0236,23.94,24 CDM,RX-1224,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,48.275000000000006,28.965,0.0236,43.45,48 CDM,RX-122633,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,60.85,36.51,12.18,49.47,22 CDM,RX-122641,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,178.5,107.1,8.43,145.12,24 CDM,RX-122758,VERAPAMIL 2.5 MG/ML INTRAVENOUS SYRINGE,508.1,304.86,101.72,413.09,22 CDM,RX-122764,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SYRINGE,53.1,31.86,1.13,43.17,24 CDM,RX-122799,LORAZEPAM 2 MG/ML INJECTION SYRINGE,24.7,14.82,3.26,20.08,24 CDM,RX-122812,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE,29.8,17.88,0.2124,24.23,24 CDM,RX-123,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION,44.575,26.744999999999997,5.59,49.8,44 CDM,RX-123642,BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT IN PACKET,1.25,0.75,0.25025,1.02,22 CDM,RX-123643,BACITRACIN 500 UNIT/GRAM TOPICAL PACKET,1.25,0.75,0.25025,1.02,22 CDM,RX-12370,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION,170.2,102.12,0.1652,138.37,24 CDM,RX-123851,EPINEPHRINE 1 MG/ML INJECTION SOLUTION,756.65,453.99,1.13,939.87,48 CDM,RX-124059,WHITE PETROLATUM 41 % TOPICAL OINTMENT,8.6,5.16,1.72,6.99,22 CDM,RX-124410,WHITE PETROLATUM-MINERAL OIL TOPICAL OINTMENT,16.55,9.93,3.31,13.46,22 CDM,RX-12491,ESTRADIOL 0.5 MG TABLET,16.3,9.78,3.26,13.25,22 CDM,RX-12519,PEGASPARGASE (ONCASPAR) SYRINGE,118261.7,70957.02,23675.99,96146.76,34 CDM,RX-125214,ALBUTEROL SULFATE CONCENTRATE 2.5 MG/0.5 ML SOLUTION FOR NEBULIZATION,18.0,10.8,3.6,14.63,22 CDM,RX-125470,"MVI, PEDI NO.1 WITH VIT K 80 MG-400 UNIT-200 MCG/5 ML INTRAVENOUS SOLN",438.15000000000003,262.89,25.12,610.44,44 CDM,RX-12556,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,12.475,7.485,2.0,12.15,44 CDM,RX-125580,CEFAZOLIN 2 GRAM/100 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,76.65,45.99,1.89,62.32,24 CDM,RX-125594,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,84.0,50.4,3.37,68.29,23 CDM,RX-125667,SODIUM CHLORIDE-ALOE VERA NASAL GEL,5.35,3.21,1.07,4.35,22 CDM,RX-12580,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,17.2,10.32,3.44,13.98,22 CDM,RX-1259,CAFFEINE 200 MG TABLET,1.1,0.66,0.22022,0.8943,22 CDM,RX-125994,MEPERIDINE (PF) 25 MG/ML INJECTION SYRINGE,40.15,24.09,8.04,42.72,24 CDM,RX-125995,MEPERIDINE (PF) 50 MG/ML INJECTION SYRINGE,44.7,26.82,8.95,42.72,24 CDM,RX-125999,MEPERIDINE (PF) 100 MG/ML INJECTION SYRINGE,36.4,21.84,7.29,42.72,24 CDM,RX-126012,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK,84.825,50.894999999999996,16.97,68.77,38 CDM,RX-126013,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS PIGGYBACK,83.92500000000001,50.355000000000004,4.27,68.77,40 CDM,RX-126040,BCG LIVE 50 MG INTRAVESICAL SUSPENSION,1052.35,631.41,7.69,855.56,24 CDM,RX-126060,PORACTANT ALFA 240 MG/3 ML INTRATRACHEAL SUSPENSION,5389.95,3233.97,1079.07,4382.03,22 CDM,RX-126230,HEPATITIS B IMMUNE GLOBULIN-MALTOSE (HEPAGAM B) >312 UNIT/ML (5 ML) INJECTION SOLN,3636.8,2182.08,64.64,2956.72,34 CDM,RX-126252,LIDOCAINE (PF) 20 MG/ML (2 %) INTRAVENOUS SOLUTION,33.1,19.86,0.0236,26.91,24 CDM,RX-126393,ADALIMUMAB 40 MG/0.8 ML SUBCUTANEOUS PEN KIT,15765.0,9459.0,88.98,12816.94,33 CDM,RX-126458,"NEOMYCIN-BACITRACN ZN-POLYMYXN 3.5 MG-400 UNIT-5,000 UNIT TOP OINT PKT",2.9,1.74,0.58058,2.36,22 CDM,RX-126554,EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION,21.05,12.63,2.5,17.11,24 CDM,RX-126644,HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5 ML INTRAMUSCULAR SYRINGE,430.8,258.48,86.25,417.81,35 CDM,RX-126749,HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE,236.5,141.9,47.35,196.28,26 CDM,RX-127439,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,64.9,38.94,0.0236,52.76,24 CDM,RX-127496,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,108.0,64.8,1.13,87.8,24 CDM,RX-127584,WHITE PETROLATUM-MINERAL OIL 80 %-20 % EYE OINTMENT,12.4,7.44,2.48,10.08,22 CDM,RX-127606,PARENTERAL AMINO ACID 10 % COMBINATION NO.6 INTRAVENOUS SOLUTION,259.0,155.4,51.85,210.57,24 CDM,RX-127646,TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE,144.25,86.55,28.88,117.28,25 CDM,RX-127698,PARENTERAL AMINO ACID 10 % COMBINATION NO.7 INTRAVENOUS SOLUTION,289.8,173.88,58.02,235.61,22 CDM,RX-127771,TETANUS IMMUNE GLOBULIN (PF) 250 UNIT/ML INTRAMUSCULAR SYRINGE,2673.7,1604.22,535.27,2173.72,34 CDM,RX-127902,"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV",87.5,52.5,0.4956,71.14,24 CDM,RX-127908,WHITE PETROLATUM-MINERAL OIL 94 %-3 % EYE OINTMENT,13.65,8.19,2.73,11.1,24 CDM,RX-127972,SALIVA STIMULANT COMBINATION NO.3 ORAL MUCOSAL SPRAY,9.75,5.85,1.95,7.93,22 CDM,RX-127974,DIMETHYL SULFOXIDE 50 % INTRAVESICAL SOLUTION,3336.4,2001.84,667.95,2712.49,34 CDM,RX-127978,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR,27.275,16.365,4.73,25.12,44 CDM,RX-127981,VINCRISTINE 1 MG/ML INTRAVENOUS SOLUTION (2 MG MAX DOSE),342.8,205.68,19.4,278.7,24 CDM,RX-128003,CLEVIDIPINE 50 MG/100 ML INTRAVENOUS EMULSION,818.2,490.92,2.76,665.2,34 CDM,RX-128013,DOXORUBICIN 10 MG/5 ML INTRAVENOUS SOLUTION,319.7,191.82,7.13,259.92,24 CDM,RX-128026,THROMBIN(HUM PLAS)-FIBRIN-APROT-CA 2.5 TO 6.5 UNIT/ML(2ML) TOPICAL SYR,984.9,590.94,137.63,800.72,33 CDM,RX-12803,PILOCARPINE 5 MG TABLET,25.1,15.06,5.03,20.41,22 CDM,RX-128084,INTERFERON BETA-1B 0.3 MG SUBCUTANEOUS KIT,1360.75,816.45,272.42,1710.46,24 CDM,RX-128099,DOPAMINE 400 MG/10 ML (40 MG/ML) INTRAVENOUS SOLUTION,87.5,52.5,1.8,71.14,24 CDM,RX-128148,EPHEDRINE (PF) 50 MG/5 ML (10 MG/ML) IN 0.9% SOD. CHLORIDE IV SYRINGE,217.35,130.41,43.51,176.71,22 CDM,RX-128197,FENTANYL (PF) 250 MCG/5 ML (50 MCG/ML) INTRAVENOUS SYRINGE,38.4,23.04,2.6,31.22,24 CDM,RX-128202,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,39.2,23.52,7.85,31.87,22 CDM,RX-128227,HYLAN G-F 20 48 MG/6 ML INTRA-ARTICULAR SYRINGE,6247.8,3748.68,7.71,5079.46,34 CDM,RX-128364,MULTIVITAMIN-IRON 9 MG-FOLIC ACID 400 MCG-CALCIUM AND MINERALS TABLET,1.25,0.75,0.25025,1.02,22 CDM,RX-128492,THYROID (PORK) 30 MG TABLET,18.8,11.28,3.76,15.28,22 CDM,RX-128494,THYROID (PORK) 90 MG TABLET,20.8,12.48,4.16,16.91,22 CDM,RX-128540,TREPROSTINIL 1.74 MG/2.9 ML (0.6 MG/ML) SOLUTION FOR NEBULIZATION,9504.4,5702.64,1878.77,7727.08,23 CDM,RX-128670,ACETAMINOPHEN 325 MG/10.15 ML ORAL SOLUTION,3.85,2.31,0.77077,3.13,22 CDM,RX-128755,SODIUM CITRATE 4 % (3 ML) INTRA-CATHETER INJECTION SYRINGE,57.75,34.65,11.56,46.95,22 CDM,RX-128781,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION,45.45,27.27,0.2037,36.95,34 CDM,RX-128782,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION,63.45,38.07,0.2037,51.58,34 CDM,RX-128783,METHYLPREDNISOLONE SOD SUCC (PF) 500 MG/4 ML INTRAVENOUS SOLUTION,262.0,157.2,0.2037,213.01,34 CDM,RX-128784,"METHYLPREDNISOLONE SOD SUCC (PF) 1,000 MG/8 ML INTRAVENOUS SOLUTION",352.5,211.5,0.2037,286.58,34 CDM,RX-128832,ZINC OXIDE-COD LIVER OIL 40 % TOPICAL PASTE,10.85,6.51,2.17,8.82,22 CDM,RX-12886,CLARITHROMYCIN 250 MG/5 ML ORAL SUSPENSION,298.6,179.16,59.78,242.76,22 CDM,RX-128861,WITCH HAZEL 50 % TOPICAL PADS,1.15,0.69,0.23023,0.93495,22 CDM,RX-128932,MULTIVIT AND MINERALS-FERROUS GLUCONATE 9 MG IRON/15 ML ORAL LIQUID,1.6,0.96,0.28028,1.34,66 CDM,RX-128936,MORPHINE 30 MG/30 ML (1 MG/ML) IN 0.9 % SODIUM CHLORIDE IV PCA SYRINGE,46.3,27.78,5.14,37.64,24 CDM,RX-128975,HYDROCORTISONE SOD SUCCINATE (PF) 250 MG/2 ML SOLUTION FOR INJECTION,218.65,131.19,43.77,177.76,24 CDM,RX-129072,PRENATAL VITAMINS WITH CALCIUM NO.72-IRON 27 MG-FOLIC ACID 1 MG TABLET,1.15,0.69,0.23023,0.93495,22 CDM,RX-129095,NOREPINEPHRINE BITARTRATE 8 MG/250 ML (32 MCG/ML) IN DEXTROSE 5 % IV,179.4,107.64,35.92,145.85,22 CDM,RX-129103,SUCCINYLCHOLINE CHLORIDE 100 MG/5 ML (20 MG/ML) INTRAVENOUS SYRINGE,99.8,59.88,2.17,81.14,24 CDM,RX-129162,THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET,1.3,0.78,0.26026,1.06,22 CDM,RX-129312,FENTANYL (PF) 50 MCG/ML INTRAVENOUS SOLUTION,155.95,93.57,2.6,126.79,24 CDM,RX-129315,MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP,40.35,24.21,8.08,32.8,22 CDM,RX-12933,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",22.0,13.2,0.4012,17.89,24 CDM,RX-12935,TACROLIMUS 5 MG/ML INTRAVENOUS SOLUTION,64.75,38.85,12.96,731.33,34 CDM,RX-129384,IMMUNE GLOB G 20 GRAM/200 ML(10%)-GLY-IGA AVE 46 MCG/ML INFUSION SOLN,11976.2,7185.72,47.49,9736.65,34 CDM,RX-129423,TETRACAINE HCL (PF) 0.5 % EYE DROPS,57.65,34.59,11.54,46.87,22 CDM,RX-129455,"HEPARIN, PORCINE (PF) 5,000 UNIT/0.5 ML INJECTION SOLUTION",34.2,20.52,0.4956,27.8,24 CDM,RX-129477,AMIODARONE 450 MG/250 ML (1.8 MG/ML) IN DEXTROSE 5 % INTRAVENOUS SOLN,80.5,48.3,1.01,65.45,24 CDM,RX-129607,OCTREOTIDE ACETATE 100 MCG/ML (1 ML) INJECTION SYRINGE,23.65,14.19,1.44,19.23,24 CDM,RX-129667,LEUPROLIDE 7.5 MG INTRAMUSCULAR SYRINGE KIT,9718.8,5831.28,171.16,7901.38,34 CDM,RX-129810,EPOPROSTENOL 1.5 MG INTRAVENOUS SOLUTION,249.9,149.94,38.23,203.17,24 CDM,RX-1299,"CALCIUM 500 MG/5 ML (AS CALCIUM CARB 1,250 MG/5 ML) ORAL SUSPENSION",4.325,2.595,0.26026,5.98,44 CDM,RX-129978,PHENYLEPHRINE 20 MG/250 ML (80 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,137.85,82.71,0.0236,112.07,24 CDM,RX-130109,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION,18.5,11.1,3.7,15.04,22 CDM,RX-1302,"CALCIUM 600 MG (AS CALCIUM CARBONATE 1,500 MG) TABLET",1.05,0.63,0.21021,0.85365,22 CDM,RX-130235,"MVI,ADULT NO.4 WITH VIT K 3300 UNIT-150 MCG/10 ML INTRAVENOUS SOLUTION",83.375,50.025000000000006,16.17,69.92,44 CDM,RX-130353,ISOFLURANE 99.9 % INHALATION LIQUID,180.0,108.0,36.04,146.34,22 CDM,RX-130441,EPINEPHRINE HCL 8 MG/250 ML (32 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,97.15,58.29,19.45,78.98,22 CDM,RX-130504,C1 ESTERASE INHIBITOR 500 UNIT (10 ML) INTRAVENOUS SOLUTION,19451.85,11671.11,73.58,15814.35,34 CDM,RX-130528,SODIUM BICARBONATE 10 MEQ/10 ML (8.4 %) INTRAVENOUS SYRINGE,159.05,95.43,31.84,129.31,22 CDM,RX-1306,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE,93.85,56.31,0.0708,76.3,24 CDM,RX-1308,CALCIUM 200 MG (AS CALCIUM CITRATE 950 MG) TABLET,1.1,0.66,0.22022,0.8943,22 CDM,RX-130882,ATROPINE 0.8 MG/2 ML (0.4 MG/ML) INTRAVENOUS SYRINGE,70.45,42.27,0.198,57.28,24 CDM,RX-1312,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,79.19999999999999,47.519999999999996,0.0944,68.33,72 CDM,RX-13133,VALACYCLOVIR 500 MG TABLET,17.6,10.56,3.52,14.31,22 CDM,RX-1350,CAPSAICIN 0.025 % TOPICAL CREAM,11.8,7.08,2.36,9.59,22 CDM,RX-1355,CARBAMAZEPINE 100 MG CHEWABLE TABLET,18.05,10.83,3.61,14.67,22 CDM,RX-1357,CARBAMAZEPINE 200 MG TABLET,17.65,10.59,3.53,14.35,22 CDM,RX-13577,FLUCONAZOLE 150 MG TABLET,24.1,14.46,4.82,19.59,22 CDM,RX-1359,CARBAMIDE PEROXIDE 6.5 % EAR DROPS,11.05,6.63,2.21,8.98,22 CDM,RX-13691,LEUPROLIDE 3.75 MG INTRAMUSCULAR SYRINGE KIT,8199.9,4919.94,1641.62,6666.52,34 CDM,RX-13884,COLESTIPOL 1 GRAM TABLET,20.15,12.09,4.03,16.38,22 CDM,RX-13981,LAMOTRIGINE 25 MG TABLET,16.75,10.05,3.35,13.62,22 CDM,RX-13982,LAMOTRIGINE 100 MG TABLET,61.7,37.02,12.35,50.16,22 CDM,RX-14123,BALANCED SALT IRRIGATION INTRAOCULAR SOLUTION COMBINATION NO.1,373.5,224.1,74.77,303.66,22 CDM,RX-14203,VINORELBINE 10 MG/ML INTRAVENOUS SOLUTION,385.0,231.0,5.33,313.0,24 CDM,RX-14233,FLUCONAZOLE 40 MG/ML ORAL SUSPENSION,192.55,115.53,38.55,156.54,22 CDM,RX-1445,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,70.35,42.21,1.89,57.19,24 CDM,RX-1446,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION,66.3,39.78,1.89,53.9,24 CDM,RX-14471,DORZOLAMIDE 2 % EYE DROPS,91.0,54.6,18.22,73.98,22 CDM,RX-14550,TERAZOSIN 1 MG CAPSULE,16.75,10.05,3.35,13.62,22 CDM,RX-14553,TERAZOSIN 5 MG CAPSULE,16.75,10.05,3.35,13.62,22 CDM,RX-14632,TRAMADOL 50 MG TABLET,22.25,13.35,4.45,18.09,22 CDM,RX-1465,CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION,29.3,17.58,4.37,23.82,24 CDM,RX-14719,METFORMIN 850 MG TABLET,16.9,10.14,3.38,13.74,22 CDM,RX-14793,TIZANIDINE 4 MG TABLET,18.15,10.89,3.63,14.76,22 CDM,RX-14823,LOSARTAN 25 MG TABLET,16.35,9.81,3.27,13.29,22 CDM,RX-14824,LOSARTAN 50 MG TABLET,18.45,11.07,3.69,15.0,22 CDM,RX-14845,"DOPAMINE 400 MG/250 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN",112.9,67.74,1.8,91.79,24 CDM,RX-14846,"DOPAMINE 800 MG/250 ML (3,200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN",132.15,79.29,1.8,107.44,24 CDM,RX-14847,DOXYLAMINE SUCCINATE 25 MG TABLET,1.4,0.84,0.28028,1.14,22 CDM,RX-14869,LIDOCAINE (PF) 8 MG/ML (0.8 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION,90.15,54.09,0.0236,73.29,24 CDM,RX-14953,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,148.65,89.19,29.76,120.85,22 CDM,RX-14979,"WATER FOR INJECTION, BACTERIOSTATIC INJECTION SOLUTION",44.55,26.73,8.92,36.22,22 CDM,RX-14983,"BUPIVACAINE-EPINEPHRINE 0.25 %-1:200,000 INJECTION SOLUTION",104.3,62.58,20.88,84.8,22 CDM,RX-14984,"BUPIVACAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION",20.25,12.15,4.05,16.46,22 CDM,RX-15113,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,17.85,10.71,0.3776,14.51,24 CDM,RX-15119,SEVOFLURANE 99.97 % INHALATION LIQUID,346.0,207.6,69.27,281.3,22 CDM,RX-15156,DEXRAZOXANE HCL 250 MG INTRAVENOUS SOLUTION,1263.9,758.34,61.17,1027.55,34 CDM,RX-15328,SUMATRIPTAN 50 MG TABLET,23.05,13.83,4.61,18.74,22 CDM,RX-15330,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,680.3,408.17999999999995,1.25,738.04,48 CDM,RX-1562,CHERRY FLAVOR (BULK) ORAL LIQUID,1.725,1.0350000000000001,0.34034,1.42,44 CDM,RX-15706,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,15.95,9.57,1.78,18.7,44 CDM,RX-15723,SOTALOL 120 MG TABLET,18.6,11.16,3.72,15.12,22 CDM,RX-15738,CALCITONIN (SALMON) 200 UNIT/ACTUATION NASAL SPRAY,240.65,144.39,48.18,195.65,22 CDM,RX-15747,CARVEDILOL 6.25 MG TABLET,16.25,9.75,3.25,13.21,22 CDM,RX-15749,CARVEDILOL 12.5 MG TABLET,16.55,9.93,3.31,13.46,22 CDM,RX-15797,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,94.55,56.73,18.93,76.87,22 CDM,RX-15852,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION,28.3,16.98,5.67,29.37,24 CDM,RX-15858,NITROGLYCERIN 25 MG/250 ML (100 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,134.75,80.85,3.52,109.55,24 CDM,RX-15859,NITROGLYCERIN 50 MG/250 ML (200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,141.75,85.05,3.52,115.24,24 CDM,RX-15880,LAMIVUDINE 150 MG TABLET,43.75,26.25,8.76,35.57,22 CDM,RX-15881,LAMIVUDINE 10 MG/ML ORAL SOLUTION,348.65,209.19,69.8,283.45,22 CDM,RX-15950,SODIUM HYPOCHLORITE 0.25 % SOLUTION,23.0,13.8,4.6,18.7,22 CDM,RX-15956,"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION",19.85,11.91,0.0236,17.03,48 CDM,RX-15981,DOBUTAMINE 250 MG/250 ML (1 MG/ML) IN 5 % DEXTROSE INTRAVENOUS,141.75,85.05,16.71,115.24,24 CDM,RX-15982,"DOBUTAMINE 1,000 MG/250 ML(4,000 MCG/ML) IN 5 % DEXTROSE IV",164.5,98.7,16.71,133.74,24 CDM,RX-15996,METHADONE 10 MG/ML ORAL CONCENTRATE,175.0,105.0,35.03,142.28,22 CDM,RX-16013,ISOPROPYL ALCOHOL 70 % SOLUTION,3.2,1.92,0.64064,2.6,22 CDM,RX-16014,POTASSIUM CHLORIDE 20 MEQ/L-LACTATED RINGERS-5 % DEXTROSE INTRAVENOUS,101.5,60.9,0.2596,82.52,24 CDM,RX-16050,GLUCOSE 4 GRAM CHEWABLE TABLET,1.1,0.66,0.22022,0.8943,22 CDM,RX-16070,IPRATROPIUM BROMIDE 21 MCG (0.03 %) NASAL SPRAY,124.0,74.4,24.82,100.81,22 CDM,RX-16071,IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASAL SPRAY,124.0,74.4,24.82,100.81,22 CDM,RX-16162,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,91.7,55.02,1.13,74.55,24 CDM,RX-16168,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,79.7,47.82,15.96,64.8,22 CDM,RX-16169,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,471.0,282.6,94.29,382.92,22 CDM,RX-16205,ANASTROZOLE 1 MG TABLET,26.2,15.72,5.25,21.3,22 CDM,RX-16218,CALCITRIOL 1 MCG/ML ORAL SOLUTION,23.2,13.92,4.64,18.86,22 CDM,RX-1622,CHLORDIAZEPOXIDE 10 MG CAPSULE,23.5,14.1,4.7,19.11,22 CDM,RX-1623,CHLORDIAZEPOXIDE 25 MG CAPSULE,22.5,13.5,4.5,18.29,22 CDM,RX-1624,CHLORDIAZEPOXIDE 5 MG CAPSULE,22.6,13.56,4.52,18.37,22 CDM,RX-16254,GOSERELIN 10.8 MG SUBCUTANEOUS IMPLANT,13881.15,8328.69,711.66,11285.37,34 CDM,RX-162827,DARUNAVIR 800 MG TABLET,303.8,182.28,60.82,246.99,22 CDM,RX-16299,DIPHENHYDRAMINE-ZINC ACETATE 2 %-0.1 % TOPICAL CREAM,4.25,2.55,0.85085,3.46,22 CDM,RX-163024,APIXABAN 2.5 MG TABLET,56.45,33.87,11.3,45.89,22 CDM,RX-163141,APIXABAN 5 MG TABLET,56.45,33.87,11.3,45.89,22 CDM,RX-163231,LEVONORGESTREL 14 MCG/24 HR (UP TO 3 YRS) 13.5 MG INTRAUTERINE DEVICE,4065.55,2439.33,813.92,3305.29,24 CDM,RX-1634,CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,113.05,67.83,0.0944,91.91,24 CDM,RX-1635,CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION,117.85,70.71,0.0944,95.81,24 CDM,RX-163525,ADO-TRASTUZUMAB EMTANSINE 100 MG INTRAVENOUS SOLUTION,17829.4,10697.64,40.9,14495.3,34 CDM,RX-163526,ADO-TRASTUZUMAB EMTANSINE 160 MG INTRAVENOUS SOLUTION,28362.0,17017.2,40.9,23058.31,34 CDM,RX-16371,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,65.35,39.21,2.88,53.13,24 CDM,RX-163710,SODIUM BORATE-BORIC ACID-SODIUM CHLORIDE-WATER EYE WASH SOLN,6.15,3.69,1.23,5.0,22 CDM,RX-1649,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,147.45,88.47,29.52,119.88,24 CDM,RX-1654,CHLORPROMAZINE 100 MG TABLET,25.05,15.03,5.02,20.37,22 CDM,RX-1656,CHLORPROMAZINE 25 MG TABLET,41.5,24.9,8.31,33.74,22 CDM,RX-1661,CHLORTHALIDONE 25 MG TABLET,23.7,14.22,4.74,19.27,22 CDM,RX-16632,PAROXETINE 10 MG TABLET,19.2,11.52,3.84,15.61,22 CDM,RX-168114,"DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE",161.5,96.9,32.33,131.3,25 CDM,RX-168143,ZOLEDRONIC ACID 4 MG/100 ML-MANNITOL-0.9 % NACL INTRAVENOUS PIGGYBACK,273.0,163.8,11.94,221.95,24 CDM,RX-168273,FLUTICASONE FUROATE 100 MCG-VILANTEROL 25 MCG/DOSE INHALATION POWDER,486.7,292.02,97.44,395.69,22 CDM,RX-16830,MELATONIN 3 MG TABLET,1.1,0.66,0.22022,0.8943,22 CDM,RX-168440,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,97.9,58.74,1.82,79.59,24 CDM,RX-1685,CHROMIUM CHLORIDE 4 MCG/ML INTRAVENOUS SOLUTION,94.25,56.55,18.87,76.63,22 CDM,RX-168623,COPPER 380 SQUARE MM INTRAUTERINE DEVICE,4576.0,2745.6,916.12,3720.29,24 CDM,RX-168624,DEXTROSE 2.45 GRAM-SOD CITRATE 2.2 GRAM-CITRIC AC 730 MG/100 ML SOLN,153.0,91.8,30.63,124.39,22 CDM,RX-168748,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION,24.05,14.43,4.81,19.55,22 CDM,RX-168777,PHENYLEPHRINE 0.25 %-MINERAL OIL 14 %-PETROLATM 74.9 % RECTAL OINTMENT,4.8,2.88,0.96096,3.9,22 CDM,RX-168817,DOLUTEGRAVIR 50 MG TABLET,326.05,195.63,65.28,265.08,22 CDM,RX-169081,VORTIOXETINE 5 MG TABLET,84.6,50.76,16.94,68.78,22 CDM,RX-169082,VORTIOXETINE 10 MG TABLET,84.6,50.76,16.94,68.78,22 CDM,RX-169109,RIOCIGUAT 0.5 MG TABLET,643.15,385.89,128.76,522.88,22 CDM,RX-169112,RIOCIGUAT 2 MG TABLET,643.15,385.89,128.76,522.88,22 CDM,RX-17010,"HYOSCYAMINE ER 0.375 MG TABLET,EXTENDED RELEASE,12 HR",17.2,10.32,3.44,13.98,22 CDM,RX-17012,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION,549.95,329.97,50.79,447.11,24 CDM,RX-170902,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION,26.1,15.66,0.354,21.22,24 CDM,RX-170903,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION,22.35,13.41,0.354,18.17,24 CDM,RX-171001,PHENYLEPHRINE 0.25 %-COCOA BUTTER 88.44 % RECTAL SUPPOSITORY,1.85,1.11,0.37037,1.5,22 CDM,RX-171113,PERAMPANEL 2 MG TABLET,84.1,50.46,16.84,68.37,22 CDM,RX-17121,GEMCITABINE 200 MG INTRAVENOUS SOLUTION,324.35,194.61,7.39,263.7,24 CDM,RX-17122,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION,493.5,296.1,7.39,401.22,24 CDM,RX-171862,DROXIDOPA 100 MG CAPSULE,20.45,12.27,4.09,16.63,22 CDM,RX-171863,DROXIDOPA 200 MG CAPSULE,357.15,214.29,71.5,290.36,22 CDM,RX-171864,DROXIDOPA 300 MG CAPSULE,527.7,316.62,105.65,429.02,22 CDM,RX-171941,EMPAGLIFLOZIN 25 MG TABLET,99.95,59.97,20.01,81.26,22 CDM,RX-171943,EMPAGLIFLOZIN 10 MG TABLET,99.95,59.97,20.01,81.26,22 CDM,RX-172072,UMECLIDINIUM 62.5 MCG-VILANTEROL 25 MCG/ACTUATION POWDR FOR INHALATION,368.65,221.19,73.8,299.71,22 CDM,RX-172122,ELOSULFASE ALFA 5 MG/5 ML (1 MG/ML) INTRAVENOUS SOLUTION,6392.4,3835.44,299.42,5197.02,34 CDM,RX-172210,MORPHINE 2 MG/ML INTRAVENOUS SYRINGE,28.4,17.04,5.14,23.09,24 CDM,RX-172456,RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION,20085.45,12051.27,72.13,27066.72,68 CDM,RX-17280,SELEGILINE 5 MG CAPSULE,22.7,13.62,4.54,18.46,22 CDM,RX-173082,CYCLOPHOSPHAMIDE 25 MG CAPSULE,55.0,33.0,2.6,44.72,24 CDM,RX-173083,CYCLOPHOSPHAMIDE 50 MG CAPSULE,80.0,48.0,2.6,65.04,24 CDM,RX-173085,"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR",1.7,1.02,0.34034,1.38,22 CDM,RX-173179,"HUMAN PROTHROMBIN COMPLEX,4-FACTOR 500 UNIT (400-620 UNIT) IV SOLUTION",88.95,53.37,2.08,72.32,34 CDM,RX-173205,VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION,39374.65,23624.79,20.67,32011.59,34 CDM,RX-173219,DALBAVANCIN 500 MG INTRAVENOUS SOLUTION,8111.05,4866.63,15.14,6594.28,34 CDM,RX-173339,"HUM PROTHROMBIN CPLX, 4-FACTOR 1,000 UNIT (800-1,240 UNIT) IV SOLUTION",88.95,53.37,2.08,72.32,34 CDM,RX-17377,RISPERIDONE 1 MG/ML ORAL SOLUTION,381.35,228.81,76.35,310.04,22 CDM,RX-17379,MEROPENEM 500 MG INTRAVENOUS SOLUTION,75.6,45.36,0.9912,61.46,24 CDM,RX-17380,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,87.8,52.68,0.9912,71.38,24 CDM,RX-17381,HYLAN G-F 20 16 MG/2 ML INTRA-ARTICULAR SYRINGE,2093.3,1255.98,7.71,1701.85,34 CDM,RX-173869,DANTROLENE 250 MG INTRAVENOUS SUSPENSION,13983.35,8390.01,2799.47,11368.46,22 CDM,RX-1740,CLINDAMYCIN HCL 150 MG CAPSULE,17.8,10.68,3.56,14.47,22 CDM,RX-17405,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,462.25,277.35,0.5428,375.81,24 CDM,RX-174283,GLATIRAMER 20 MG/ML SUBCUTANEOUS SYRINGE,1095.0,657.0,150.45,890.24,34 CDM,RX-174289,BUPRENORPHINE 7.5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,247.5,148.5,49.55,201.22,22 CDM,RX-17464,BUSPIRONE 15 MG TABLET,16.4,9.84,3.28,13.33,22 CDM,RX-174722,COBICISTAT 150 MG TABLET,58.0,34.8,11.61,47.15,22 CDM,RX-174932,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,38.75,23.25,2.19,31.5,48 CDM,RX-175253,UMECLIDINIUM 62.5 MCG/ACTUATION BLISTER POWDER FOR INHALATION,241.15,144.69,48.28,196.05,22 CDM,RX-175263,FLUTICASONE FUROATE 100 MCG/ACTUATION BLISTER POWDER FOR INHALATION,307.9,184.74,61.64,250.32,22 CDM,RX-175264,FLUTICASONE FUROATE 200 MCG/ACTUATION BLISTER POWDER FOR INHALATION,406.8,244.08,81.44,330.73,22 CDM,RX-175329,BLINATUMOMAB 35 MCG INTRAVENOUS KIT,24724.8,14834.88,159.32,20101.26,34 CDM,RX-175394,CEFTOLOZANE-TAZOBACTAM 1.5 GRAM INTRAVENOUS SOLUTION,809.35,485.61,8.8,658.0,34 CDM,RX-175414,NIVOLUMAB 40 MG/4 ML INTRAVENOUS SOLUTION,6099.95,3659.97,31.97,4959.26,34 CDM,RX-175415,NIVOLUMAB 100 MG/10 ML INTRAVENOUS SOLUTION,14837.25,8902.35,31.97,12062.68,34 CDM,RX-1755,CLONIDINE HCL 0.1 MG TABLET,16.2,9.72,3.24,13.17,22 CDM,RX-1756,CLONIDINE HCL 0.2 MG TABLET,16.25,9.75,3.25,13.21,22 CDM,RX-175606,"MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE",731.15,438.69,146.38,774.28,25 CDM,RX-175608,"OXYCODONE ER 10 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",39.5,23.7,7.91,32.11,22 CDM,RX-175609,"OXYCODONE ER 15 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",47.7,28.62,9.55,38.78,22 CDM,RX-175610,"OXYCODONE ER 20 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",54.55,32.73,10.92,44.35,22 CDM,RX-175612,"OXYCODONE ER 40 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",77.7,46.62,15.56,63.17,22 CDM,RX-175704,PEGFILGRASTIM 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUTANEOUS INJECTOR,29217.9,17530.74,86.66,23754.15,34 CDM,RX-175735,PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,26225.0,15735.0,58.48,21320.92,34 CDM,RX-1759,CLORAZEPATE DIPOTASSIUM 3.75 MG TABLET,25.0,15.0,5.0,20.32,22 CDM,RX-176010,NALOXEGOL 12.5 MG TABLET,74.2,44.52,14.85,60.32,22 CDM,RX-176011,NALOXEGOL 25 MG TABLET,74.2,44.52,14.85,60.32,22 CDM,RX-176034,DEXMEDETOMIDINE 80 MCG/20 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,109.3,65.58,21.88,88.86,22 CDM,RX-176080,SOTALOL 5 MG/ML ORAL SOLUTION,1780.0,1068.0,356.36,1447.14,22 CDM,RX-176622,IVABRADINE 5 MG TABLET,57.75,34.65,11.56,46.95,22 CDM,RX-176623,IVABRADINE 7.5 MG TABLET,57.75,34.65,11.56,46.95,22 CDM,RX-176625,"OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",21020.2,12612.12,197.47,17089.42,34 CDM,RX-176626,"OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",31468.15,18880.89,197.47,25583.61,34 CDM,RX-176627,"OCTREOTIDE,MICROSPHERES ER 10 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",16047.65,9628.59,197.47,13046.74,34 CDM,RX-176637,CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION,1807.55,1084.53,101.59,1469.54,34 CDM,RX-176660,LEVONORGESTREL 20.4 MCG/24 HR (UP TO 8 YRS) 52 MG INTRAUTERINE DEVICE,3746.95,2248.17,750.14,3046.27,24 CDM,RX-1767,CLOTRIMAZOLE 1 % TOPICAL CREAM,8.1,4.86,1.62,6.59,22 CDM,RX-176919,CEFAZOLIN 3 GRAM/100 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,94.5,56.7,1.89,76.83,24 CDM,RX-177070,FLUTICASONE FUROATE 200 MCG-VILANTEROL 25 MCG/DOSE INHALATION POWDER,486.7,292.02,97.44,395.69,22 CDM,RX-177077,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",3914.2,2348.52,49.22,3182.24,34 CDM,RX-177083,DINUTUXIMAB 3.5 MG/ML INTRAVENOUS SOLUTION,84083.0,50449.8,16833.42,68359.48,25 CDM,RX-177307,"IMMUNE GLOB,GAMMA(IGG) 15 %-18 % RANGE-GLYCINE INTRAMUSCULAR SOLUTION",1235.8999999999999,741.5400000000001,47.56,1608.6,68 CDM,RX-177318,"IMMUNE GLOB,GAMMA(IGG) 5 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML IV SOLUTION",4629.4,2777.64,76.44,3763.7,34 CDM,RX-177319,"IMMUNE GLOB,GAMMA(IGG) 10 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML IV SOLUTION",9181.8,5509.08,76.44,7464.8,34 CDM,RX-177342,CANGRELOR 50 MG INTRAVENOUS SOLUTION,4571.5,2742.9,19.38,3716.63,34 CDM,RX-177412,SACUBITRIL 24 MG-VALSARTAN 26 MG TABLET,63.05,37.83,12.62,51.26,22 CDM,RX-177413,SACUBITRIL 49 MG-VALSARTAN 51 MG TABLET,63.05,37.83,12.62,51.26,22 CDM,RX-177414,SACUBITRIL 97 MG-VALSARTAN 103 MG TABLET,63.05,37.83,12.62,51.26,22 CDM,RX-178016,FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE,2013.4,1208.04,0.4462,1636.89,34 CDM,RX-178017,FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE,1264.35,758.61,0.4462,1027.92,34 CDM,RX-178020,"TACROLIMUS XR 1 MG TABLET,EXTENDED RELEASE 24 HR",44.3,26.58,4.32,36.02,24 CDM,RX-178021,"TACROLIMUS XR 4 MG TABLET,EXTENDED RELEASE 24 HR",129.2,77.52,4.32,105.04,24 CDM,RX-178095,TICAGRELOR 60 MG TABLET,47.0,28.2,9.41,38.21,22 CDM,RX-17837,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER,84.2,50.52,16.86,68.45,22 CDM,RX-178436,MIDAZOLAM (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,82.0,49.2,0.462,71.54,48 CDM,RX-178450,IDARUCIZUMAB 2.5 GRAM/50 ML INTRAVENOUS SOLUTION,10778.05,6466.83,2157.77,8762.55,22 CDM,RX-178467,IRINOTECAN LIPOSOMAL 4.3 MG/ML INTRAVENOUS,13382.6,8029.56,64.02,10880.05,34 CDM,RX-178590,BUPRENORPHINE HCL 75 MCG BUCCAL FILM,44.6,26.76,8.93,36.26,22 CDM,RX-178591,BUPRENORPHINE HCL 150 MCG BUCCAL FILM,44.6,26.76,8.93,36.26,22 CDM,RX-178592,BUPRENORPHINE HCL 300 MCG BUCCAL FILM,57.5,34.5,11.51,46.75,22 CDM,RX-178637,MEPOLIZUMAB 100 MG SUBCUTANEOUS SOLUTION,16408.85,9845.31,30.33,13340.4,34 CDM,RX-178644,ELVITEG 150 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO ALAFENAM 10 MG TABLET,578.15,346.89,115.75,470.04,22 CDM,RX-17881,BRIMONIDINE 0.2 % EYE DROPS,97.75,58.65,11.91,119.75,66 CDM,RX-178868,BENDAMUSTINE (BENDEKA) 25 MG/ML INTRAVENOUS SOLUTION,11159.75,6695.85,13.09,9072.88,34 CDM,RX-178923,SELEXIPAG 200 MCG TABLET,1039.25,623.55,208.06,844.91,22 CDM,RX-178998,SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION,635.45,381.27,127.22,516.62,22 CDM,RX-179011,SELENIUM SULFIDE 2.5 % LOTION,16.45,9.87,3.29,13.37,22 CDM,RX-179315,CARIPRAZINE 1.5 MG CAPSULE,218.55,131.13,43.75,177.68,22 CDM,RX-17937,OLANZAPINE 10 MG TABLET,19.15,11.49,3.83,15.57,22 CDM,RX-179567,INSULIN REGULAR HUMAN U-500 (CONCENTRATE) 500 UNIT/ML(3 ML) SUBCUT PEN,877.3,526.38,0.5428,713.24,24 CDM,RX-17961,ZIDOVUDINE 300 MG TABLET,19.6,11.76,3.92,15.93,22 CDM,RX-179871,INFLIXIMAB-DYYB 100 MG INTRAVENOUS SOLUTION,4037.4,2422.44,19.39,3282.41,34 CDM,RX-179881,SODIUM HYALURONATE 10 MG/ML(MW 2.4-3.6 MILLION)INTRA-ARTICULAR SYRINGE,1656.85,994.11,109.08,1347.02,34 CDM,RX-179980,EMTRICITABINE 200 MG-TENOFOVIR ALAFENAMIDE FUMARATE 25 MG TABLET,309.65,185.79,61.99,251.75,34 CDM,RX-180043,VENETOCLAX 10 MG (14)-50 MG (7)-100 MG (21) TABLETS IN A DOSE PACK,13510.9,8106.54,2704.88,10984.36,22 CDM,RX-180044,VENETOCLAX 10 MG TABLET,77.05,46.23,15.43,62.64,22 CDM,RX-180045,VENETOCLAX 50 MG TABLET,285.4,171.24,57.14,232.03,22 CDM,RX-180046,VENETOCLAX 100 MG TABLET,545.6,327.36,109.23,443.57,22 CDM,RX-180172,LEVONORGESTREL 17.5 MCG/24 HOUR (5 YEARS) INTRAUTERINE DEVICE,4647.2,2788.32,930.37,3968.2,24 CDM,RX-180236,BRIVARACETAM 50 MG/5 ML INTRAVENOUS SOLUTION,211.4,126.84,42.32,171.87,22 CDM,RX-180240,BRIVARACETAM 50 MG TABLET,95.65,57.39,19.15,77.76,22 CDM,RX-180347,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,148.15,88.89,29.66,120.45,22 CDM,RX-180358,"ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION",51268.2,30760.92,88.6,41681.05,34 CDM,RX-180455,TADALAFIL 20 MG TABLET (PULMONARY HYPERTENSION),22.0,13.2,4.4,17.89,22 CDM,RX-180708,GLYCOPYRROLATE 9 MCG-FORMOTEROL 4.8 MCG HFA AEROSOL INHALER,1350.15,810.09,270.3,1097.67,22 CDM,RX-180780,"HEPARIN (PORCINE) 4,000 UNIT/1,000 ML (4 UNIT/ML) IN 0.9% NACL IV SOLN",122.5,73.5,0.4956,99.59,24 CDM,RX-181003,LISINOPRIL 1 MG/ML ORAL SOLUTION,2747.2,1648.32,549.99,2233.47,22 CDM,RX-181150,BEVACIZUMAB 2.5 MG/0.1 ML INTRAVITREAL SYRINGE,61.35,36.81,1.78,49.88,35 CDM,RX-181156,METHYLENE BLUE (ANTIDOTE) 5 MG/ML INTRAVENOUS SOLUTION,1082.5,649.5,6.49,880.07,35 CDM,RX-181494,ENALAPRIL MALEATE 1 MG/ML ORAL SOLUTION,61.3,36.78,12.27,49.84,22 CDM,RX-181503,BEZLOTOXUMAB 25 MG/ML INTRAVENOUS SOLUTION,16023.0,9613.8,38.64,13026.7,34 CDM,RX-18192,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,128.95,77.37,0.118,298.61,96 CDM,RX-18195,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,39.9,23.94,0.118,46.75,72 CDM,RX-182015,CANAKINUMAB (PF) 150 MG/ML SUBCUTANEOUS SOLUTION,89877.3,53926.38,137.35,73070.24,34 CDM,RX-182066,AVELUMAB 20 MG/ML INTRAVENOUS SOLUTION,9488.7,5693.22,97.09,7714.31,34 CDM,RX-182080,OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION,86755.05,52053.03,57.63,70531.86,34 CDM,RX-1821,COLCHICINE 0.6 MG TABLET,44.8,26.88,8.97,36.42,22 CDM,RX-182286,TRASTUZUMAB 150 MG INTRAVENOUS SOLUTION,7132.1,4279.26,72.78,5798.4,34 CDM,RX-182328,MIDOSTAURIN 25 MG CAPSULE,896.7,538.02,179.52,729.02,22 CDM,RX-182334,DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION,11990.875,7194.525,82.57,15586.47,68 CDM,RX-182522,"RITUXIMAB 1,400 MG/11.7 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN",29212.0,17527.2,35.59,23749.36,34 CDM,RX-182556,UREA 15 GRAM ORAL POWDER PACKET,6.65,3.99,1.33,5.41,22 CDM,RX-18262,TRACE ELEMENTS CR-CU-MN-ZN 10 MCG-1 MG-0.5 MG-5 MG/ML INTRAVENOUS SOLN,71.75,43.05,14.36,58.33,22 CDM,RX-182620,"RITUXIMAB 1,600 MG/13.4 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN",33345.8,20007.48,35.59,27110.14,34 CDM,RX-18266,TRACE ELEMENT PEDI CR-CU-MN-ZN 1 MCG-0.1 MG-25 MCG-1 MG/ML INTRAVENOUS,71.3,42.78,14.27,57.97,22 CDM,RX-18267,TRACE ELEMENTS CR-CU-MN-ZN 0.85 MCG-0.1 MG-25 MCG-1.5MG/ML INTRAVENOUS,68.7,41.22,13.75,55.85,22 CDM,RX-182808,SPIRONOLACTONE 25 MG/5 ML ORAL SUSPENSION,2912.075,1747.2450000000001,262.81,3667.77,44 CDM,RX-182858,LIDOCAINE 4 %-RACEPINEPHRINE 0.05 %-TETRACAINE 0.5 % TOPICAL GEL,47.8,28.68,9.57,38.86,22 CDM,RX-182891,DAUNORUBICIN 44 MG AND CYTARABINE 100 MG IN LIPOSOME IV SOLUTION,48587.0,29152.2,248.41,39501.23,34 CDM,RX-182904,INOTUZUMAB OZOGAMICIN 0.9 MG(0.25 MG/ML INITIAL CONCENTRATION) IV SOLN,105505.2,63303.12,2617.11,85775.73,34 CDM,RX-18293,TORSEMIDE 20 MG TABLET,17.45,10.47,3.49,14.19,22 CDM,RX-18295,TORSEMIDE 5 MG TABLET,16.6,9.96,3.32,13.5,22 CDM,RX-182998,LIDOCAINE 1 %-PHENYLEPHRINE 1.5 % IN STERILE WATER INTRAOCULAR SOLN,131.6,78.96,26.35,106.99,22 CDM,RX-183014,"MVI,ADULT NO.4,VIT K,COMP(VIAL 1 OF 2) 3,300 UNIT-150 MCG/5 ML IV SOLN",95.3,57.18,19.08,77.48,22 CDM,RX-183015,"MVI, ADULT NO.4, VIT K (VIAL 2 OF 2) 600 MCG-60 MCG-5 MCG/5 ML IV SOLN",95.3,57.18,19.08,77.48,22 CDM,RX-18302,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,90.3,54.18,2.53,73.41,24 CDM,RX-18307,GABAPENTIN 400 MG CAPSULE,16.85,10.11,3.37,13.7,22 CDM,RX-18308,GABAPENTIN 300 MG CAPSULE,16.7,10.02,3.34,13.58,22 CDM,RX-18309,GABAPENTIN 100 MG CAPSULE,27.85,16.71,5.58,22.64,22 CDM,RX-18313,RISPERIDONE 1 MG TABLET,17.7,10.62,3.54,14.39,22 CDM,RX-18315,"DOBUTAMINE 500 MG/250 ML (2,000 MCG/ML) IN 5 % DEXTROSE IV",199.5,119.7,16.71,162.19,24 CDM,RX-183201,MEROPENEM-VABORBACTAM 2 GRAM INTRAVENOUS SOLUTION,997.5,598.5,2.11,810.97,34 CDM,RX-183205,TOCOPHERSOLAN (VITAMIN E TPGS) 75 UNIT/ML ORAL DROPS,66.1,39.66,13.23,53.74,22 CDM,RX-183322,"VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT",668.55,401.13,133.84,569.63,24 CDM,RX-183476,ARGININE 7 GRAM-GLUTAM 7 GRAM-CAHMB 1.5 GRAM-COLLA-MV-MIN ORAL PWD PKT,4.7,2.82,0.94094,3.82,22 CDM,RX-183577,EPINEPHRINE HCL 100 MCG/10 ML (10 MCG/ML) IN D5W INTRAVENOUS SYRINGE,18.4,11.04,1.13,14.96,24 CDM,RX-183578,APREPITANT 130 MG/18 ML (7.2 MG/ML) INTRAVENOUS EMULSION,1972.25,1183.35,1.59,1603.44,34 CDM,RX-183586,BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE,26620.1,15972.06,159.65,21642.14,34 CDM,RX-183685,ARSENIC TRIOXIDE 2 MG/ML INTRAVENOUS SOLUTION,5890.65,3534.39,7.91,4789.1,34 CDM,RX-18385,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",19.1,11.46,3.82,15.53,22 CDM,RX-183891,NIVOLUMAB 240 MG/24 ML INTRAVENOUS SOLUTION,35224.6,21134.76,31.97,28637.6,34 CDM,RX-183963,HYDROMORPHONE (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLN,80.05,48.03,0.2124,65.08,24 CDM,RX-18398,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION,241.95,145.17,48.44,196.71,22 CDM,RX-18400,REMIFENTANIL 2 MG INTRAVENOUS SOLUTION,389.5,233.7,77.98,316.66,22 CDM,RX-184612,MORPHINE 4 MG/ML INJECTION SOLUTION,26.35,15.81,5.28,22.13,24 CDM,RX-184619,IRON DEXTRAN 50 MG/ML INJECTION SOLUTION,58.45,35.07,11.7,50.28,34 CDM,RX-184820,BARICITINIB 2 MG TABLET,385.0,231.0,77.08,313.0,22 CDM,RX-184832,"EPOETIN ALFA-EPBX 2,000 UNIT/ML INJECTION SOLUTION",116.4,69.84,7.61,94.63,32 CDM,RX-184833,"EPOETIN ALFA-EPBX 3,000 UNIT/ML INJECTION SOLUTION",166.6,99.96,7.61,135.45,32 CDM,RX-184834,"EPOETIN ALFA-EPBX 4,000 UNIT/ML INJECTION SOLUTION",216.75,130.05,7.61,176.22,32 CDM,RX-184835,"EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION",517.9,310.74,7.61,421.05,32 CDM,RX-184836,"EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION",2023.5,1214.1,7.61,1645.11,32 CDM,RX-185041,PEGFILGRASTIM-JMDB 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,9514.15,5708.49,96.16,7735.0,34 CDM,RX-185234,PARENTERAL AMINO ACID 15 % COMBINATION NO.5 INTRAVENOUS SOLUTION,525.0,315.0,105.11,426.82,22 CDM,RX-185235,SODIUM ZIRCONIUM CYCLOSILICATE 5 GRAM ORAL POWDER PACKET,130.9,78.54,26.21,106.42,22 CDM,RX-185236,SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM ORAL POWDER PACKET,130.9,78.54,26.21,106.42,22 CDM,RX-185241,HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE,489.25,293.55,97.95,495.21,26 CDM,RX-185291,MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLUTION,21317.55,12790.53,241.04,17331.17,34 CDM,RX-185476,FILGRASTIM-AAFI 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,1012.45,607.47,0.291,823.12,34 CDM,RX-185477,FILGRASTIM-AAFI 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,1610.35,966.21,0.291,1309.21,34 CDM,RX-185487,ERAVACYCLINE 50 MG INTRAVENOUS SOLUTION,344.75,206.85,3.14,280.28,24 CDM,RX-18551,CARVEDILOL 3.125 MG TABLET,16.55,9.93,3.31,13.46,22 CDM,RX-185706,RIVAROXABAN 2.5 MG TABLET,55.9,33.54,11.19,45.45,22 CDM,RX-185713,CANNABIDIOL 100 MG/ML ORAL SOLUTION,5146.0,3087.6,1030.23,4183.7,22 CDM,RX-185743,CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION,48344.85,29006.91,28.41,39304.36,34 CDM,RX-186144,PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,19012.25,11407.35,103.14,15456.96,34 CDM,RX-18621,LATANOPROST 0.005 % EYE DROPS,48.1,28.86,9.63,39.11,22 CDM,RX-186326,ETHYL ALCOHOL 99 % INTRA-ARTERIAL SOLUTION,4543.25,2725.95,909.56,3693.66,22 CDM,RX-186373,"FACTOR XA,INACTIVATED-ZHZO (RECOMBINANT) 200 MG INTRAVENOUS SOLUTION",10077.0,6046.2,127.44,8192.6,34 CDM,RX-186457,FILGRASTIM-AAFI 300 MCG/ML INJECTION SOLUTION,1012.45,607.47,0.291,823.12,34 CDM,RX-186479,CAPLACIZUMAB-YHDP 11 MG INJECTION KIT,36064.1,21638.46,1875.8,29320.11,23 CDM,RX-186611,DEXAMETHASONE 0.4 MG INTRACANALICULAR INSERT,2928.0,1756.8,99.04,2380.46,33 CDM,RX-186675,ATEZOLIZUMAB 840 MG/14 ML (60 MG/ML) INTRAVENOUS SOLUTION,35970.3,21582.18,88.6,29243.85,34 CDM,RX-186766,"TRASTUZUMAB 600 MG-HYALURONIDASE-OYSK 10,000 UNIT/5 ML SUBCUT SOLUTION",20846.1,12507.66,59.6,16947.88,34 CDM,RX-186824,PARENTERAL AMINO ACID 15 % COMBINATION NO.6 INTRAVENOUS SOLUTION,245.0,147.0,40.64,233.33,44 CDM,RX-186918,LEVOTHYROXINE 20 MCG/ML INTRAVENOUS SOLUTION,419.55,251.73,6.63,341.09,34 CDM,RX-187079,SELENIUM 60 MCG/ML INTRAVENOUS SOLUTION,1781.0,1068.6,356.56,1447.95,22 CDM,RX-187119,POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION,82165.25,49299.15,132.57,66800.35,34 CDM,RX-187220,BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION,7950.0,4770.0,27.02,10207.17,68 CDM,RX-187224,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION",201.25,120.75,0.2124,163.62,24 CDM,RX-187311,AMLODIPINE BENZOATE 1 MG/ML ORAL SUSPENSION,48.0,28.8,9.61,39.02,22 CDM,RX-187432,IVABRADINE 5 MG/5 ML ORAL SOLUTION,23.85,14.31,4.77,19.39,22 CDM,RX-18786,DONEPEZIL 5 MG TABLET,17.8,10.68,3.56,14.47,22 CDM,RX-18787,DONEPEZIL 10 MG TABLET,16.6,9.96,3.32,13.5,22 CDM,RX-188032,RITUXIMAB-ABBS 10 MG/ML INTRAVENOUS SOLUTION,11436.275,6861.765,28.5,15347.08,68 CDM,RX-188104,LUSPATERCEPT-AAMT 25 MG SUBCUTANEOUS SOLUTION,17338.2,10402.92,40.72,14095.96,34 CDM,RX-188105,LUSPATERCEPT-AAMT 75 MG SUBCUTANEOUS SOLUTION,51888.4,31133.04,40.72,42185.27,34 CDM,RX-188124,CRIZANLIZUMAB-TMCA 10 MG/ML INTRAVENOUS SOLUTION,10365.35,6219.21,125.6,8427.03,34 CDM,RX-188137,ROMIPLOSTIM 125 MCG SUBCUTANEOUS SOLUTION,6279.25,3767.55,10.68,5105.03,34 CDM,RX-188260,"MINERAL OIL, LIGHT STERILE",107.15,64.29,21.45,87.11,22 CDM,RX-188339,ENFORTUMAB VEDOTIN-EJFV 20 MG INTRAVENOUS SOLUTION,12634.6,7580.76,35.64,10271.93,34 CDM,RX-188340,ENFORTUMAB VEDOTIN-EJFV 30 MG INTRAVENOUS SOLUTION,18814.4,11288.64,35.64,15296.11,34 CDM,RX-188344,FAM-TRASTUZUMAB DERUXTECAN-NXKI 100 MG INTRAVENOUS SOLUTION,13855.5,8313.3,29.08,11264.52,34 CDM,RX-188418,BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION,7022.425,4213.455,25.0,9000.6,68 CDM,RX-188420,RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION,9736.775,5842.0650000000005,27.01,13044.26,68 CDM,RX-188516,TEPROTUMUMAB-TRBW 500 MG INTRAVENOUS SOLUTION,75742.6,45445.56,348.41,61578.73,34 CDM,RX-188595,TRASTUZUMAB-QYYP 420 MG INTRAVENOUS SOLUTION,15195.8,9117.48,27.15,12354.19,34 CDM,RX-188765,CENOBAMATE 50 MG TABLET,143.55,86.13,28.74,116.71,22 CDM,RX-188768,CENOBAMATE 200 MG TABLET,143.55,86.13,28.74,116.71,22 CDM,RX-18877,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,28.6,17.16,5.73,23.25,22 CDM,RX-188789,EPTINEZUMAB-JJMR 100 MG/ML INTRAVENOUS SOLUTION,8211.3,4926.78,19.37,6675.79,34 CDM,RX-188809,ISATUXIMAB-IRFC 20 MG/ML INTRAVENOUS SOLUTION,11757.95,7054.77,79.44,15782.97,68 CDM,RX-18908,SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION,149.1,89.46,29.85,121.22,22 CDM,RX-189111,SACITUZUMAB GOVITECAN-HZIY 180 MG INTRAVENOUS SOLUTION,11554.4,6932.64,35.19,9393.73,34 CDM,RX-189115,MITOMYCIN 40 MG X 2 INTRA-PYELOCALYCEAL KIT,110033.0,66019.8,308.97,89456.83,34 CDM,RX-18918,LEVOFLOXACIN 250 MG TABLET,16.9,10.14,3.38,13.74,22 CDM,RX-189186,INFLIXIMAB-AXXQ 100 MG INTRAVENOUS SOLUTION,2163.0,1297.8,19.8,1758.52,34 CDM,RX-18919,LEVOFLOXACIN 500 MG TABLET,17.0,10.2,3.4,13.82,22 CDM,RX-18920,TOPIRAMATE 25 MG TABLET,42.75,25.65,8.56,34.76,22 CDM,RX-189211,NIMODIPINE 60 MG/10 ML ORAL SYRINGE (FOR ORAL USE ONLY),176.25,105.75,35.29,143.29,22 CDM,RX-18922,TOPIRAMATE 100 MG TABLET,17.9,10.74,3.58,14.55,22 CDM,RX-189593,DILUENT FOR MITOMYCIN INTRA-PYELOCALYCEAL SOLUTION,0.2,0.12,0.04004,0.1626,22 CDM,RX-189618,"PERTUZUMAB 1,200 MG-TRASTUZUMAB 600 MG-HYALURON-ZZXF/15 ML SUBCUT SOLN",61507.8,36904.68,60.24,50005.84,34 CDM,RX-189619,PERTUZUMAB 600 MG-TRASTUZUMAB 600 MG-HYALURONID-ZZXF/10 ML SUBCUT SOLN,41095.25,24657.15,60.24,33410.44,34 CDM,RX-189636,ATROPINE 1.2 MG/3 ML (0.4 MG/ML) IN 0.9 % SODIUM CHLORIDE IV SYRINGE,65.65,39.39,0.198,53.37,24 CDM,RX-189662,"MIDAZOLAM (PF) 1 MG/ML IN SODIUM CHLORIDE,ISO-OSM INTRAVENOUS SOLUTION",88.0,52.8,0.354,71.54,24 CDM,RX-189818,TAFASITAMAB-CXIX 200 MG INTRAVENOUS SOLUTION,6416.85,3850.11,13.88,5216.9,34 CDM,RX-190105,POLATUZUMAB VEDOTIN-PIIQ 30 MG INTRAVENOUS SOLUTION,17822.95,10693.77,132.57,14490.06,34 CDM,RX-190261,RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION,64077.4,38446.44,218.36,81834.18,68 CDM,RX-190548,"EPOETIN ALFA-EPBX 20,000 UNIT/ML INJECTION SOLUTION",1019.75,611.85,7.61,829.06,32 CDM,RX-190973,TRILACICLIB 300 MG INTRAVENOUS SOLUTION,6743.5,4046.1,5.3,5482.47,34 CDM,RX-191110,TRASTUZUMAB-QYYP 150 MG INTRAVENOUS SOLUTION,5603.9,3362.34,27.15,4555.97,34 CDM,RX-191365,THYROTROPIN ALFA 0.9 MG INTRAMUSCULAR SOLUTION,9216.7,5530.02,1845.18,7493.18,34 CDM,RX-191513,LONCASTUXIMAB TESIRINE-LPYL 10 MG INTRAVENOUS SOLUTION,124890.65,74934.39,210.39,101536.1,34 CDM,RX-191521,DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION,53208.2,31924.92,236.4,43258.27,34 CDM,RX-191712,"PEGCETACOPLAN 1,080 MG/20 ML SUBCUTANEOUS SOLUTION",20471.0,12282.6,4098.29,16642.92,22 CDM,RX-191720,AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION,17024.4,10214.64,21.86,13840.84,34 CDM,RX-19176,ATORVASTATIN 10 MG TABLET,17.5,10.5,3.5,14.23,22 CDM,RX-19178,ATORVASTATIN 20 MG TABLET,17.0,10.2,3.4,13.82,22 CDM,RX-19179,AZELASTINE 137 MCG (0.1 %) NASAL SPRAY,81.25,48.75,16.27,66.06,22 CDM,RX-192119,PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE,869.4,521.64,174.05,872.64,26 CDM,RX-192514,TISOTUMAB VEDOTIN-TFTV 40 MG INTRAVENOUS SOLUTION,32838.55,19703.13,183.1,26697.74,34 CDM,RX-192529,"CALCIUM GLUCONATE 1 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION",107.45,64.47,0.2124,87.36,24 CDM,RX-192644,AVACOPAN 10 MG CAPSULE,413.35,248.01,82.75,336.05,22 CDM,RX-192861,INCLISIRAN 284 MG/1.5 ML SUBCUTANEOUS SYRINGE,16340.2,9804.12,11.95,13284.58,34 CDM,RX-192891,SIROLIMUS-PROTEIN BOUND 100 MG INTRAVENOUS SUSPENSION,36433.75,21860.25,82.03,29620.64,34 CDM,RX-193199,BACLOFEN 25 MG/5 ML (5 MG/ML) ORAL SUSPENSION,34.15,20.49,6.84,27.76,22 CDM,RX-193221,VASOPRESSIN 0.2 UNIT/ML INTRAVENOUS SOLUTION,273.0,163.8,2.19,221.95,24 CDM,RX-193278,CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION,87.6,52.56,1.89,71.22,24 CDM,RX-19333,"CLONIDINE (PF) 1,000 MCG/10 ML (100 MCG/ML) EPIDURAL SOLUTION",82.75,49.65,16.57,67.28,48 CDM,RX-193338,FILGRASTIM-AYOW 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,739.45,443.67,0.3686,601.17,34 CDM,RX-193339,FILGRASTIM-AYOW 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,1173.55,704.13,0.3686,954.1,34 CDM,RX-193432,NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION,68131.75,40879.05,191.9,55391.11,34 CDM,RX-1935,CORTISONE 25 MG TABLET,76.0,45.6,15.22,61.79,22 CDM,RX-193923,TREPROSTINIL 16 MCG CARTRIDGE WITH INHALER,2626.3,1575.78,525.79,2135.18,24 CDM,RX-193924,TREPROSTINIL 32 MCG CARTRIDGE WITH INHALER,1136.0,681.6,227.43,923.57,22 CDM,RX-193925,TREPROSTINIL 48 MCG CARTRIDGE WITH INHALER,1136.0,681.6,227.43,923.57,22 CDM,RX-193926,TREPROSTINIL 64 MCG CARTRIDGE WITH INHALER,2626.3,1575.78,525.79,2135.18,22 CDM,RX-19433,WARFARIN 3 MG TABLET,17.6,10.56,3.52,14.31,22 CDM,RX-19451,"DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE",104.05,62.43,20.83,97.2,25 CDM,RX-194935,TECLISTAMAB-CQYV 90 MG/ML SUBCUTANEOUS SOLUTION,46244.25,27746.55,32.57,37596.58,34 CDM,RX-194936,TECLISTAMAB-CQYV 10 MG/ML SUBCUTANEOUS SOLUTION,9288.55,5573.13,32.57,7551.59,34 CDM,RX-195043,"MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION",520.0,312.0,104.1,544.37,25 CDM,RX-195085,MIRVETUXIMAB SORAVTANSINE-GYNX 5 MG/ML INTRAVENOUS SOLUTION,30117.4,18070.44,67.41,24485.45,34 CDM,RX-195327,MOSUNETUZUMAB-AXGB 1 MG/ML INTRAVENOUS SOLUTION,42849.2,25709.519999999997,604.94,67216.16,68 CDM,RX-195941,RETIFANLIMAB-DLWR 500 MG/20 ML INTRAVENOUS SOLUTION,65144.2,39086.52,29.64,52962.23,34 CDM,RX-196225,RISPERIDONE ER 100 MG/0.28 ML SUBCUTANEOUS EXTEND RELEASE SUSP SYRINGE,11967.5,7180.5,24.29,9729.58,34 CDM,RX-196227,RISPERIDONE ER 200 MG/0.56 ML SUBCUTANEOUS EXTEND RELEASE SUSP SYRINGE,23918.1,14350.86,24.29,19445.42,34 CDM,RX-196228,RISPERIDONE ER 250 MG/0.7 ML SUBCUTANEOUS EXTEND RELEASE SUSP SYRINGE,29894.05,17936.43,24.29,24303.86,34 CDM,RX-196543,PEDIATRIC MULTIVITAMIN NO.226-FERROUS SULFATE 18 MG CHEWABLE TABLET,1.2,0.72,0.24024,0.9756,24 CDM,RX-196721,NADOFARAGENE FIRADENOVEC-VNCG 3X10EXP11 VP/ML INTRAVESICAL SUSPENSION,68158.2,40894.92,13645.27,176902.85,34 CDM,RX-196766,"RESP SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION",942.4,565.44,188.67,1002.31,25 CDM,RX-196954,NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE,2546.4,1527.84,509.79,2070.22,25 CDM,RX-196955,NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE,2546.45,1527.87,509.8,2070.26,25 CDM,RX-19704,CARBACHOL 0.01 % INTRAOCULAR SOLUTION,62.5,37.5,12.51,50.81,22 CDM,RX-197053,TALQUETAMAB-TGVS 40 MG/ML SUBCUTANEOUS SOLUTION,51108.35,30665.01,70.44,41551.09,34 CDM,RX-197054,TALQUETAMAB-TGVS 2 MG/ML SUBCUTANEOUS SOLUTION,4087.55,2452.53,70.44,3323.18,34 CDM,RX-19713,DIAZOXIDE 50 MG/ML ORAL SUSPENSION,1475.8,885.48,295.46,1199.83,22 CDM,RX-19733,KETOROLAC 0.5 % EYE DROPS,154.2,92.52000000000001,20.02,169.43,44 CDM,RX-19736,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,255.5,153.3,1.35,207.72,24 CDM,RX-19743,NORETHINDRONE (CONTRACEPTIVE) 0.35 MG TABLET,30.9,18.54,6.19,25.12,22 CDM,RX-19746,OFLOXACIN 0.3 % EYE DROPS,106.0,63.6,21.22,86.18,22 CDM,RX-19791,POVIDONE-IODINE 5 % EYE SOLUTION,69.3,41.58,13.87,56.34,22 CDM,RX-197960,TRAVOPROST 75 MCG INTRACAMERAL IMPLANT,63488.5,38093.1,189.85,51616.15,34 CDM,RX-198062,METHYLENE BLUE (ANTIDOTE) 20 MG/2 ML (10 MG/ML) 1 % IV SYRINGE,234.4,140.64,6.49,190.57,35 CDM,RX-198112,PEGFILGRASTIM-CBQV 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUT INJECTOR,19012.25,11407.35,103.14,15456.96,34 CDM,RX-198250,BEVACIZUMAB 2.75 MG/0.11 ML INTRAVITREAL SYRINGE,352.45,211.47,1.78,286.54,35 CDM,RX-198468,PEMIVIBART 125 MG/ML INTRAVENOUS SOLUTION (EUA),26733.05,16039.83,5351.96,21733.97,25 CDM,RX-19882,SERTRALINE 25 MG TABLET,16.4,9.84,3.28,13.33,22 CDM,RX-199151,IMETELSTAT 47 MG INTRAVENOUS SOLUTION,10993.1,6595.86,55.32,8937.39,34 CDM,RX-199153,IMETELSTAT 188 MG INTRAVENOUS SOLUTION,43783.25,26269.95,55.32,35595.78,34 CDM,RX-199176,PNEUMOCOCCAL 21-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE,883.0,529.8,176.78,914.46,26 CDM,RX-199275,XYLITOL-YERBA SANTA MUCOSAL SPRAY WITH PUMP,9.15,5.49,1.83,7.44,24 CDM,RX-199746,GUSELKUMAB 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION,61242.05,36745.23,73.69,49789.79,34 CDM,RX-200024,ZOLBETUXIMAB-CLZB 100 MG INTRAVENOUS SOLUTION,7315.0,4389.0,32.43,5947.1,34 CDM,RX-200137,FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE,257.3,154.38,51.51,232.85,26 CDM,RX-200146,FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE,81.25,48.75,16.27,66.06,26 CDM,RX-2007,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",16.9,10.14,2.36,13.86,72 CDM,RX-200710,"NIVOLUMAB 600 MG-HYALURONIDASE-NVHY 10,000 UNIT/5 ML SUBCUT SOLUTION",35224.6,21134.76,26.54,28637.6,34 CDM,RX-200800,DATOPOTAMAB DERUXTECAN-DLNK 100 MG INTRAVENOUS SOLUTION,21795.75,13077.45,50.01,17719.94,34 CDM,RX-2009,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET",1.35,0.81,0.27027,1.1,22 CDM,RX-2012,CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET,1.3,0.78,0.26026,1.06,22 CDM,RX-20156,CYTARABINE (PF) 100 MG/ML INJECTION,364.45,218.67,1.96,296.3,24 CDM,RX-2017,CYCLOBENZAPRINE 10 MG TABLET,16.25,9.75,3.25,13.21,22 CDM,RX-202035,TENECTEPLASE 25 MG INTRAVENOUS SOLUTION FOR STROKE,37768.55,22661.13,167.05,30705.83,34 CDM,RX-202058,COVID VACC 2025-2026 (12 YRS UP) (PFIZER)(PF) 30 MCG/0.3 ML IM SYRINGE,465.1,279.06,93.11,434.78,26 CDM,RX-2033,CYPROHEPTADINE 4 MG TABLET,16.25,9.75,3.25,13.21,22 CDM,RX-20446,ANAGRELIDE 0.5 MG CAPSULE,49.1,29.46,9.83,39.92,22 CDM,RX-20472,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,89.15,53.49,17.85,72.48,22 CDM,RX-20566,MELOXICAM 7.5 MG TABLET,16.7,10.02,3.34,13.58,22 CDM,RX-20580,MELOXICAM 15 MG TABLET,16.2,9.72,3.24,13.17,22 CDM,RX-20887,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,73.4,44.04,14.69,59.67,22 CDM,RX-2091,DACARBAZINE 200 MG INTRAVENOUS SOLUTION,327.8,196.68,8.14,266.5,24 CDM,RX-20919,"MORPHINE ER 100 MG TABLET,EXTENDED RELEASE",38.45,23.07,7.7,31.26,22 CDM,RX-20920,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",23.45,14.07,4.69,19.06,22 CDM,RX-20921,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",27.25,16.35,5.46,22.15,22 CDM,RX-20922,"MORPHINE ER 60 MG TABLET,EXTENDED RELEASE",32.2,19.32,6.45,26.18,22 CDM,RX-20952,LEVOCARNITINE 330 MG TABLET,2.95,1.77,0.59059,2.4,22 CDM,RX-20954,LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION,192.9,115.74,38.62,156.83,24 CDM,RX-21058,ARTIFICIAL TEARS (HYPROMELLOSE) 0.3 % EYE GEL,11.1,6.66,2.22,9.02,22 CDM,RX-21061,OXCARBAZEPINE 300 MG TABLET,19.55,11.73,3.91,15.89,22 CDM,RX-21062,CITALOPRAM 20 MG TABLET,16.25,9.75,3.25,13.21,22 CDM,RX-21063,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,94.25,56.55,4.81,76.63,24 CDM,RX-2110,SODIUM HYPOCHLORITE 0.5 % SOLUTION,23.0,13.8,4.6,18.7,22 CDM,RX-21287,PRAMIPEXOLE 0.125 MG TABLET,16.6,9.96,3.32,13.5,22 CDM,RX-21300,"PENTOXIFYLLINE ER 400 MG TABLET,EXTENDED RELEASE",17.25,10.35,3.45,14.02,22 CDM,RX-2131,DAPSONE 100 MG TABLET,27.2,16.32,5.45,22.11,22 CDM,RX-21372,WARFARIN 4 MG TABLET,17.6,10.56,3.52,14.31,22 CDM,RX-21509,LETROZOLE 2.5 MG TABLET,26.2,15.72,5.25,21.3,22 CDM,RX-21688,ROPINIROLE 0.25 MG TABLET,16.5,9.9,3.3,13.41,22 CDM,RX-21689,ROPINIROLE 1 MG TABLET,18.3,10.98,3.66,14.88,22 CDM,RX-21823,QUETIAPINE 25 MG TABLET,17.2,10.32,3.44,13.98,22 CDM,RX-21824,QUETIAPINE 100 MG TABLET,17.9,10.74,3.58,14.55,22 CDM,RX-21880,BACLOFEN 50 MCG/ML INTRATHECAL SOLUTION,91.05,54.63,18.23,182.95,24 CDM,RX-21900,AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION,1399.95,839.97,20.84,1138.16,34 CDM,RX-22142,CLOPIDOGREL 75 MG TABLET,17.05,10.23,3.41,13.86,22 CDM,RX-22143,RALOXIFENE 60 MG TABLET,18.6,11.16,3.72,15.12,22 CDM,RX-22149,"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS",12676.675,7606.005,72.96,17027.84,68 CDM,RX-22156,DILTIAZEM 100 MG INTRAVENOUS SOLUTION,67.95,40.77,13.6,55.24,22 CDM,RX-22185,FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION,6363.0,3817.8,6.09,5173.12,34 CDM,RX-22240,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION,83.9,50.34,16.8,68.21,22 CDM,RX-22289,CEFDINIR 300 MG CAPSULE,18.7,11.22,3.74,15.2,22 CDM,RX-22290,CEFDINIR 125 MG/5 ML ORAL SUSPENSION,121.95,73.17,9.23,160.81,44 CDM,RX-22469,"LACTASE 3,000 UNIT TABLET",1.15,0.69,0.23023,0.93495,22 CDM,RX-22473,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,45.75,27.45,0.291,37.19,33 CDM,RX-22509,MONTELUKAST 10 MG TABLET,17.35,10.41,3.47,14.11,22 CDM,RX-22510,MONTELUKAST 5 MG CHEWABLE TABLET,19.8,11.88,3.96,16.1,22 CDM,RX-22532,INTERFERON BETA-1A (ALBUMIN) 44 MCG/0.5 ML SUBCUTANEOUS SYRINGE,4182.45,2509.47,100.21,3400.33,24 CDM,RX-22560,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,81.55,48.93,16.33,66.3,22 CDM,RX-22588,LOSARTAN 100 MG TABLET,18.8,11.28,3.76,15.28,22 CDM,RX-22719,PRAMIPEXOLE 0.5 MG TABLET,16.6,9.96,3.32,13.5,22 CDM,RX-22960,PARICALCITOL 5 MCG/ML INTRAVENOUS SOLUTION,126.65,75.99,1.83,102.97,24 CDM,RX-22988,CIPROFLOXACIN 500 MG/5 ML ORAL SUSPENSION,472.9,283.74,94.67,384.47,22 CDM,RX-23063,CAMPHOR-MENTHOL 0.5 %-0.5 % LOTION,9.65,5.79,1.93,7.85,22 CDM,RX-23122,PROGESTERONE MICRONIZED 100 MG CAPSULE,20.4,12.24,4.08,16.59,22 CDM,RX-23123,EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION,1113.0,667.8,24.07,904.87,24 CDM,RX-2320,DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION,64.0,38.4,0.0472,52.03,24 CDM,RX-2322,DEXAMETHASONE 0.5 MG TABLET,16.7,10.02,0.0472,13.58,24 CDM,RX-2325,DEXAMETHASONE 1.5 MG TABLET,17.6,10.56,0.0472,14.31,24 CDM,RX-2326,DEXAMETHASONE 2 MG TABLET,18.0,10.8,3.6,14.63,22 CDM,RX-2327,DEXAMETHASONE 4 MG TABLET,20.05,12.03,0.0472,16.3,24 CDM,RX-2332,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,24.9,14.94,0.2124,20.24,24 CDM,RX-2335,DEXAMETHASONE SODIUM PHOSPHATE 0.1 % EYE DROPS,177.7,106.62,35.58,144.47,22 CDM,RX-23461,LIDOCAINE 4 % TOPICAL CREAM,11.85,7.11,2.37,9.63,22 CDM,RX-2357,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,81.75,49.05,16.22,70.47,57 CDM,RX-2359,DEXTROSE 20 % IN WATER (D20W) INTRAVENOUS SOLUTION,106.5,63.9,21.32,86.27,19 CDM,RX-2361,DEXTROSE 25 % IN WATER (D25W) INTRAVENOUS SYRINGE,109.7,65.82,21.96,89.19,22 CDM,RX-23617,LEUCOVORIN CALCIUM 500 MG SOLUTION FOR INJECTION,654.25,392.55,7.6,531.91,24 CDM,RX-2364,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,74.1,44.46,4.27,65.61,116 CDM,RX-2365,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION,39.7,23.82,7.95,32.16,19 CDM,RX-2367,DEXTROSE 70 % IN WATER (D70W) INTRAVENOUS SOLUTION,78.0,46.8,15.62,63.18,19 CDM,RX-23796,INFLIXIMAB 100 MG INTRAVENOUS SOLUTION,2058.0,1234.8,30.16,1673.15,34 CDM,RX-23872,LEFLUNOMIDE 10 MG TABLET,20.4,12.24,4.08,16.59,22 CDM,RX-23873,LEFLUNOMIDE 20 MG TABLET,20.4,12.24,4.08,16.59,22 CDM,RX-23968,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION,516.55,309.93,0.8496,419.96,24 CDM,RX-2403,DIAZEPAM 10 MG TABLET,22.25,13.35,4.45,18.09,22 CDM,RX-2405,DIAZEPAM 5 MG TABLET,22.25,13.35,4.45,18.09,22 CDM,RX-24119,NEVIRAPINE 50 MG/5 ML ORAL SUSPENSION,53.9,32.34,10.79,43.82,22 CDM,RX-2412,DIBUCAINE 1 % TOPICAL OINTMENT,8.6,5.16,1.72,6.99,22 CDM,RX-2414,DICLOXACILLIN 250 MG CAPSULE,18.75,11.25,3.75,15.24,22 CDM,RX-2418,DICYCLOMINE 10 MG CAPSULE,18.0,10.8,3.6,14.63,22 CDM,RX-24188,"ANTIVENIN LATRODECTUS MACTANS 6,000 UNIT SOLUTION FOR INJECTION",142.1,85.26,28.45,115.53,22 CDM,RX-2420,DICYCLOMINE 20 MG TABLET,16.65,9.99,3.33,13.54,22 CDM,RX-24314,ALUMINUM HYDROX-MAGNESIUM CARB 95 MG-358 MG/15 ML ORAL SUSPENSION,1.25,0.75,0.25025,1.02,22 CDM,RX-24385,HYDROCORTISONE-ACETIC ACID 1 %-2 % EAR DROPS,422.4,253.44,84.56,343.41,22 CDM,RX-24398,"METFORMIN 1,000 MG TABLET",16.7,10.02,3.34,13.58,22 CDM,RX-24438,ABACAVIR 300 MG TABLET,50.7,30.42,10.15,41.22,22 CDM,RX-2444,DIGOXIN 125 MCG (0.125 MG) TABLET,88.65,53.19,17.75,72.07,22 CDM,RX-2445,DIGOXIN 250 MCG (0.25 MG) TABLET,21.4,12.84,4.28,17.4,22 CDM,RX-24474,CILOSTAZOL 100 MG TABLET,17.5,10.5,3.5,14.23,22 CDM,RX-24501,CELECOXIB 200 MG CAPSULE,24.0,14.4,4.8,19.51,22 CDM,RX-24521,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",17.55,10.53,3.51,14.27,22 CDM,RX-24559,CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET,1.05,0.63,0.21021,0.85365,22 CDM,RX-24703,MODAFINIL 200 MG TABLET,90.95,54.57,18.21,73.94,22 CDM,RX-2475,DILTIAZEM 30 MG TABLET,16.6,9.96,3.32,13.5,22 CDM,RX-2476,DILTIAZEM 60 MG TABLET,21.25,12.75,4.25,17.28,22 CDM,RX-2477,DILTIAZEM 90 MG TABLET,17.5,10.5,3.5,14.23,22 CDM,RX-24844,DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR,1.9,1.14,0.38038,1.54,22 CDM,RX-24914,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE",23.95,14.37,0.4012,19.47,24 CDM,RX-24915,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,22.4,13.44,4.48,18.21,22 CDM,RX-24932,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS,196.6,117.96,4.77,159.84,24 CDM,RX-250,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,17.0,10.2,3.4,13.82,22 CDM,RX-25005,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION,48.4,29.04,0.3776,39.35,24 CDM,RX-2508,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,29.7,17.82,1.79,24.15,24 CDM,RX-2511,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL ELIXIR,7.5,4.5,1.5,6.1,22 CDM,RX-25118,CIPROFLOXACIN 250 MG TABLET,17.25,10.35,3.45,14.02,22 CDM,RX-25119,CIPROFLOXACIN 500 MG TABLET,16.8,10.08,3.36,13.66,22 CDM,RX-2528,DIPYRIDAMOLE 25 MG TABLET,20.75,12.45,4.15,16.87,22 CDM,RX-25365,CEFAZOLIN 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,81.4,48.84,3.07,66.18,24 CDM,RX-25424,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,3.35,2.01,0.67067,2.72,22 CDM,RX-25471,KETOTIFEN 0.025 % (0.035 %) EYE DROPS,14.4,8.64,2.88,11.71,22 CDM,RX-2551,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE",16.3,9.78,3.26,13.25,22 CDM,RX-25519,RISPERIDONE 0.25 MG TABLET,16.95,10.17,3.39,13.78,22 CDM,RX-2552,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",16.5,9.9,3.3,13.41,22 CDM,RX-25528,PIOGLITAZONE 15 MG TABLET,22.5,13.5,4.5,18.29,22 CDM,RX-2566,DOCUSATE SODIUM 100 MG CAPSULE,1.3,0.78,0.26026,1.06,22 CDM,RX-25820,IVERMECTIN 3 MG TABLET,32.6,19.56,6.53,26.5,22 CDM,RX-2595,DOPAMINE 200 MG/5 ML (40 MG/ML) INTRAVENOUS SOLUTION,79.85,47.91,1.8,64.92,24 CDM,RX-25997,ZALEPLON 5 MG CAPSULE,22.9,13.74,4.58,18.62,22 CDM,RX-2608,DOXEPIN 10 MG CAPSULE,18.15,10.89,3.63,14.76,22 CDM,RX-2611,DOXEPIN 25 MG CAPSULE,18.85,11.31,3.77,15.33,22 CDM,RX-2612,DOXEPIN 50 MG CAPSULE,19.9,11.94,3.98,16.18,22 CDM,RX-2622,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,164.5,98.7,0.2596,133.74,24 CDM,RX-26224,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE",16.45,9.87,3.29,13.37,22 CDM,RX-26225,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",17.2,10.32,3.44,13.98,22 CDM,RX-26226,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,84.35,50.61,4.55,68.58,24 CDM,RX-2625,DOXYCYCLINE HYCLATE 100 MG TABLET,31.35,18.81,6.28,25.49,22 CDM,RX-26431,IMIGLUCERASE 400 UNIT INTRAVENOUS SOLUTION,7346.35,4407.81,41.89,5972.58,34 CDM,RX-2654,DROPERIDOL 2.5 MG/ML INJECTION SOLUTION,28.1,16.86,5.63,22.85,24 CDM,RX-26546,OSELTAMIVIR 75 MG CAPSULE,76.8,46.08,15.38,62.44,22 CDM,RX-26551,EXEMESTANE 25 MG TABLET,31.7,19.02,6.35,25.77,22 CDM,RX-26816,LEVETIRACETAM 250 MG TABLET,17.0,10.2,3.4,13.82,22 CDM,RX-26817,LEVETIRACETAM 500 MG TABLET,16.85,10.11,3.37,13.7,22 CDM,RX-27047,PORACTANT ALFA 120 MG/1.5 ML INTRATRACHEAL SUSPENSION,2741.3,1644.78,548.81,2228.68,22 CDM,RX-27103,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,88.2,52.92,17.66,71.71,22 CDM,RX-27113,"CLONIDINE (PF) 5,000 MCG/10 ML EPIDURAL SOLUTION",39.9,23.94,7.99,48.11,24 CDM,RX-27253,CEVIMELINE 30 MG CAPSULE,26.35,15.81,5.28,21.42,22 CDM,RX-27327,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,101.6,60.96,3.42,119.51,72 CDM,RX-27390,MORPHINE 10 MG/ML INTRAVENOUS SOLUTION,25.85,15.51,5.14,21.02,24 CDM,RX-27392,MORPHINE (PF) 25 MG/ML INJECTION SOLUTION,1179.5,707.7,28.44,958.93,24 CDM,RX-27431,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",4015.0,2409.0,105.22,4695.07,68 CDM,RX-27466,DEXTROSE 40 % ORAL GEL,5.9,3.54,1.18,4.8,22 CDM,RX-27467,"DINOPROSTONE ER 10 MG VAGINAL INSERT,CONTROLLED RELEASE",2216.75,1330.05,443.79,1802.22,22 CDM,RX-27471,NITROGLYCERIN 0.1 MG/HR TRANSDERMAL 24 HOUR PATCH,18.45,11.07,3.69,15.0,22 CDM,RX-27472,NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH,18.85,11.31,3.77,15.33,22 CDM,RX-27473,NITROGLYCERIN 0.3 MG/HR TRANSDERMAL 24 HOUR PATCH,228.0,136.8,45.65,185.36,22 CDM,RX-27474,NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH,19.3,11.58,3.86,15.69,22 CDM,RX-27475,NITROGLYCERIN 0.6 MG/HR TRANSDERMAL 24 HOUR PATCH,20.15,12.09,4.03,16.38,22 CDM,RX-27507,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH,263.6,158.16,52.77,214.31,22 CDM,RX-27614,"THEOPHYLLINE ER 300 MG TABLET,EXTENDED RELEASE,12 HR",21.2,12.72,4.24,17.24,22 CDM,RX-27631,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE",19.4,11.64,3.88,15.77,22 CDM,RX-27633,"CARBAMAZEPINE ER 300 MG CAPSULE,EXTENDED RELEASE 12HR",23.1,13.86,4.62,18.78,22 CDM,RX-27634,"CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR",22.65,13.59,4.53,18.41,22 CDM,RX-27644,"ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE",20.0,12.0,4.0,16.26,22 CDM,RX-27659,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",25.9,15.54,5.19,21.06,22 CDM,RX-27696,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,101.2,60.72,20.26,82.28,22 CDM,RX-27697,ONDANSETRON 4 MG DISINTEGRATING TABLET,18.45,11.07,3.69,15.0,22 CDM,RX-27770,DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASAL SPRAY,607.05,364.23,121.53,493.53,22 CDM,RX-27780,ZONISAMIDE 100 MG CAPSULE,18.0,10.8,3.6,14.63,22 CDM,RX-27796,PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,180.85,108.51,36.21,147.03,23 CDM,RX-27797,PERITONEAL DIALYSIS SOLN 4-1.5 % DEXTR CA+ 3.5 MEQ/L-LOW MAG 0.5 MEQ/L,180.85,108.51,36.21,147.03,23 CDM,RX-27800,PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,194.5,116.7,38.94,158.13,23 CDM,RX-27805,PERITON. DIALYSIS SOLN 3-4.25 % DEXTROSE CALC 3.5 MEQ/L-MAG 0.5 MEQ/L,195.65,117.39,39.17,159.06,23 CDM,RX-27838,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,78.0,46.8,4.6,63.18,20 CDM,RX-27857,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",18.0,10.8,3.6,14.63,22 CDM,RX-27858,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",17.85,10.71,3.57,14.51,22 CDM,RX-27860,NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH,3.7,2.22,0.74074,3.01,22 CDM,RX-27862,NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH,3.7,2.22,0.74074,3.01,22 CDM,RX-27863,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH,3.9,2.34,0.78078,3.17,22 CDM,RX-27871,"MORPHINE ER 30 MG CAPSULE,EXTENDED RELEASE PELLETS",35.65,21.39,7.14,28.98,22 CDM,RX-27905,FENTANYL 25 MCG/HR TRANSDERMAL PATCH,43.4,26.04,8.69,35.28,22 CDM,RX-27906,FENTANYL 50 MCG/HR TRANSDERMAL PATCH,60.0,36.0,12.01,48.78,22 CDM,RX-27907,FENTANYL 75 MCG/HR TRANSDERMAL PATCH,82.1,49.26,16.44,66.75,22 CDM,RX-27908,FENTANYL 100 MCG/HR TRANSDERMAL PATCH,104.7,62.82,20.96,85.12,22 CDM,RX-27963,AMINO ACID 5 % NO.6-DEXTROSE 15 %-ELECTROLYTES NO.23 IV SOLUTION,220.75,132.45,44.19,179.47,22 CDM,RX-27990,CARBOXYMETHYLCELLULOSE SODIUM 0.25 % EYE DROPS,13.4,8.04,2.68,10.89,22 CDM,RX-27991,CARBOXYMETHYLCELLULOSE SODIUM 0.5 % EYE DROPS IN A DROPPERETTE,1.45,0.87,0.29029,1.18,22 CDM,RX-28028,GELATIN ABSORBABLE EYE FILM,1011.8,607.08,202.56,822.59,22 CDM,RX-28048,BENZOCAINE 20 %-MENTHOL 0.5 % TOPICAL AEROSOL,8.05,4.83,1.61,6.54,22 CDM,RX-28113,ELECTROLYTE-A INTRAVENOUS SOLUTION,114.0,68.4,22.82,92.68,22 CDM,RX-28159,OLANZAPINE 5 MG DISINTEGRATING TABLET,23.15,13.89,4.63,18.82,22 CDM,RX-28160,OLANZAPINE 10 MG DISINTEGRATING TABLET,26.5,15.9,5.31,21.54,22 CDM,RX-28224,LINEZOLID 600 MG TABLET,30.0,18.0,6.01,24.39,22 CDM,RX-28225,LINEZOLID 100 MG/5 ML ORAL SUSPENSION,752.65,451.59,150.68,611.9,22 CDM,RX-28278,RIVASTIGMINE 1.5 MG CAPSULE,18.35,11.01,3.67,14.92,22 CDM,RX-28282,INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,308.4,185.04,0.5428,250.73,24 CDM,RX-28384,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,24.1,14.46,4.82,19.59,22 CDM,RX-28400,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION",87.0,52.2,16.22,75.61,44 CDM,RX-28408,ESTRADIOL 0.05 MG/24 HR WEEKLY TRANSDERMAL PATCH,92.3,55.38,18.48,75.04,22 CDM,RX-28409,ESTRADIOL 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,90.3,54.18,18.08,73.41,22 CDM,RX-2850,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION,22.85,13.71,1.13,18.58,24 CDM,RX-28643,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",20.3,12.18,4.06,16.5,22 CDM,RX-28645,ATORVASTATIN 80 MG TABLET,18.1,10.86,3.62,14.72,22 CDM,RX-28774,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,46.15,27.69,9.24,37.52,22 CDM,RX-28775,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,51.5,30.9,10.31,41.87,22 CDM,RX-28810,"NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG-10,000 UNIT/ML-1 % EAR DROPS,SUSP",267.7,160.62,53.59,217.64,22 CDM,RX-28842,CYCLOSPORINE MODIFIED 25 MG CAPSULE,27.9,16.74,1.89,22.68,24 CDM,RX-28843,CYCLOSPORINE MODIFIED 100 MG CAPSULE,63.15,37.89,4.81,51.34,24 CDM,RX-28849,HYDROCORTISONE 1 %-PRAMOXINE 1 % RECTAL FOAM,599.15,359.49,119.95,487.11,22 CDM,RX-2888,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,37.75,22.65,7.56,30.69,22 CDM,RX-2889,ERYTHROMYCIN 250 MG TABLET,62.45,37.47,12.5,50.77,22 CDM,RX-28912,DACTINOMYCIN (COSMEGEN) SYRINGE 0.5 MG/ML,3520.0,2112.0,318.49,2861.76,34 CDM,RX-28929,LOPINAVIR-RITONAVIR 400 MG-100 MG/5 ML ORAL SOLUTION,1552.0,931.2,310.71,1261.78,22 CDM,RX-28947,ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION,1204.1,722.46,0.776,978.93,34 CDM,RX-28964,LEVOFLOXACIN 750 MG TABLET,17.8,10.68,3.56,14.47,22 CDM,RX-28975,MIFEPRISTONE 200 MG TABLET,216.0,129.6,43.24,175.61,22 CDM,RX-28995,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",18.0,10.8,3.6,14.63,22 CDM,RX-2900,ERYTHROMYCIN ETHYLSUCCINATE 400 MG/5 ML ORAL POWDER FOR SUSPENSION,115.25,69.15,23.07,93.7,22 CDM,RX-2903,ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION,523.95,314.37,104.89,425.97,24 CDM,RX-29031,"EPINEPHRINE (JR) 0.15 MG/0.3 ML INJECTION,AUTO-INJECTOR",698.5,419.1,1.13,567.88,24 CDM,RX-29071,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION,1199.0,719.4,7.91,974.79,34 CDM,RX-29132,IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION,335.8,201.48,0.5428,273.01,24 CDM,RX-29169,GABAPENTIN 250 MG/5 ML ORAL SOLUTION,349.5,209.7,69.97,284.14,22 CDM,RX-29270,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR",19.1,11.46,3.82,15.53,22 CDM,RX-29272,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR",19.25,11.55,3.85,15.65,22 CDM,RX-29274,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR",21.35,12.81,4.27,17.36,22 CDM,RX-29287,DOCOSANOL 10 % TOPICAL CREAM,28.45,17.07,5.7,23.13,22 CDM,RX-29302,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION,19.3,11.58,0.5428,15.69,24 CDM,RX-29313,CROTALIDAE POLYVAL IMMUNE FAB SOLUTION FOR INJECTION,12869.0,7721.4,1773.86,10462.5,34 CDM,RX-29335,PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION,52.4,31.44,10.49,42.6,24 CDM,RX-29396,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,357.25,214.35,0.4012,290.44,24 CDM,RX-29424,CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM,66.6,39.96,13.33,54.15,22 CDM,RX-29531,MIRTAZAPINE 15 MG DISINTEGRATING TABLET,17.75,10.65,3.55,14.43,22 CDM,RX-29676,SODIUM CHLORIDE 0.65 % NASAL SPRAY AEROSOL,3.45,2.07,0.49049,3.62,44 CDM,RX-29778,ZIPRASIDONE 20 MG CAPSULE,21.35,12.81,4.27,17.36,22 CDM,RX-29779,ZIPRASIDONE 40 MG CAPSULE,27.1,16.26,5.43,22.03,22 CDM,RX-29805,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",693.0,415.8,0.5192,563.41,24 CDM,RX-29858,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",19.5,11.7,3.9,15.85,22 CDM,RX-29967,BUSPIRONE 7.5 MG TABLET,17.05,10.23,3.41,13.86,22 CDM,RX-30070,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",19.5,11.7,3.9,15.85,22 CDM,RX-30071,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",21.6,12.96,4.32,17.56,22 CDM,RX-3013,"FACTOR IX COMPLEX NO.4, 3-FACTOR 500 (+/-) UNIT INTRAVENOUS SOLUTION",83.1,49.86,1.65,67.56,34 CDM,RX-30148,VALGANCICLOVIR 450 MG TABLET,369.65,221.79,74.0,300.53,22 CDM,RX-30275,CARDIOPLEGIC SOLUTION 16 MEQ/L (POTASSIUM) FOR PERFUSION,420.0,252.0,84.08,341.46,22 CDM,RX-3037,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,31.0,18.6,2.6,43.45,120 CDM,RX-30479,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,25.95,15.57,5.2,21.1,22 CDM,RX-30538,GUAR GUM ORAL PACKET,1.75,1.05,0.35035,1.42,22 CDM,RX-3059,FERRIC SUBSULFATE (BULK) 20 TO 22 GRAM/100 ML SOLUTION,119.9,71.94,24.0,97.48,22 CDM,RX-3071,FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID,6.3,3.78,1.26,5.12,22 CDM,RX-3074,FERROUS SULFATE 325 MG (65 MG IRON) TABLET,1.05,0.63,0.21021,0.85365,22 CDM,RX-30807,FENTANYL (PF) 10 MCG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,94.0,56.4,2.6,76.42,24 CDM,RX-30862,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.125 %-NACL INJECTION SOLUTION,86.5,51.9,17.32,70.32,22 CDM,RX-30961,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,18.55,11.13,3.71,15.08,22 CDM,RX-310,ALLOPURINOL 100 MG TABLET,17.3,10.38,3.46,14.06,22 CDM,RX-31025,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",465.05,279.03,0.297,686.13,72 CDM,RX-311,ALLOPURINOL 300 MG TABLET,18.55,11.13,3.71,15.08,22 CDM,RX-31177,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION,20.5,12.3,4.1,16.67,22 CDM,RX-31209,VALSARTAN 80 MG TABLET,17.4,10.44,3.48,14.15,22 CDM,RX-31210,VALSARTAN 160 MG TABLET,17.85,10.71,3.57,14.51,22 CDM,RX-31270,PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML INTRAVENOUS SUSPENSION,265.05,159.03,53.06,215.49,23 CDM,RX-31310,ALTEPLASE 2 MG INTRA-CATHETER SOLUTION,858.55,515.13,91.62,698.0,34 CDM,RX-31432,DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION,19973.0,11983.8,3998.59,16238.05,34 CDM,RX-31576,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE",33.8,20.28,6.77,27.48,22 CDM,RX-31577,ALBUTEROL SULFATE 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,21.35,12.81,4.27,17.36,22 CDM,RX-31578,ALBUTEROL SULFATE 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,21.35,12.81,4.27,17.36,22 CDM,RX-31684,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,183.15,109.89,36.67,148.9,22 CDM,RX-3186,FLUOCINOLONE 0.01 % TOPICAL SOLUTION,116.3,69.78,23.28,94.55,22 CDM,RX-31864,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,29.9,17.94,5.99,24.31,22 CDM,RX-3187,FLUOCINONIDE 0.05 % TOPICAL CREAM,125.35,75.21,25.1,101.91,22 CDM,RX-3189,FLUOCINONIDE 0.05 % TOPICAL OINTMENT,71.5,42.9,14.31,58.13,22 CDM,RX-3190,FLUOCINONIDE 0.05 % TOPICAL SOLUTION,190.1,114.06,38.06,154.55,22 CDM,RX-31921,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,84.55,50.73,1.39,68.74,24 CDM,RX-3208,"FLUOROMETHOLONE 0.1 % EYE DROPS,SUSPENSION",521.3,312.78,104.36,423.82,22 CDM,RX-3216,FLUPHENAZINE 2.5 MG/ML INJECTION SOLUTION,59.7,35.82,7.12,48.54,34 CDM,RX-3218,FLUPHENAZINE 1 MG TABLET,22.0,13.2,4.4,17.89,22 CDM,RX-3221,FLUPHENAZINE 5 MG TABLET,28.6,17.16,5.73,23.25,22 CDM,RX-32215,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE,121.05,72.63,1.7,98.41,24 CDM,RX-32267,PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,29217.9,17530.74,86.66,23754.15,34 CDM,RX-3232,FOLIC ACID 5 MG/ML INJECTION SOLUTION,18.45,11.07,0.1416,15.0,24 CDM,RX-32329,LEVALBUTEROL 0.31 MG/3 ML SOLUTION FOR NEBULIZATION,36.65,21.99,7.34,29.8,22 CDM,RX-3233,FOLIC ACID 1 MG TABLET,16.8,10.08,3.36,13.66,22 CDM,RX-324,ALPRAZOLAM 0.25 MG TABLET,22.15,13.29,4.43,18.01,22 CDM,RX-325,ALPRAZOLAM 0.5 MG TABLET,22.35,13.41,4.47,18.17,22 CDM,RX-32589,PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION,93.35,56.01,18.69,75.89,24 CDM,RX-32700,ONABOTULINUMTOXINA 100 UNIT SOLUTION FOR INJECTION,2978.05,1786.83,6.3,2421.15,34 CDM,RX-32709,"MORPHINE ER 30 MG CAPSULE,EXTENDED RELEASE 24 HR MULTIPHASE",35.8,21.48,7.17,29.11,22 CDM,RX-32855,PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION,128.65,77.19,22.75,104.59,24 CDM,RX-32893,LEUPROLIDE 7.5 MG (1 MONTH) SUBCUTANEOUS SYRINGE,2262.45,1357.47,171.16,1839.37,34 CDM,RX-3291,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,35.05,21.03,0.0472,34.63,72 CDM,RX-3292,FUROSEMIDE 10 MG/ML ORAL SOLUTION,45.725,27.435,7.25,44.92,44 CDM,RX-32931,TREPROSTINIL SODIUM 1 MG/ML INJECTION SOLUTION,5230.3,3138.18,53.07,4252.23,34 CDM,RX-32932,TREPROSTINIL SODIUM 2.5 MG/ML INJECTION SOLUTION,13051.7,7831.02,53.07,10611.03,34 CDM,RX-32933,TREPROSTINIL SODIUM 5 MG/ML INJECTION SOLUTION,26087.25,15652.35,53.07,21208.93,34 CDM,RX-32934,TREPROSTINIL SODIUM 10 MG/ML INJECTION SOLUTION,52158.5,31295.1,53.07,42404.86,34 CDM,RX-3295,FUROSEMIDE 40 MG TABLET,16.8,10.08,3.36,13.66,22 CDM,RX-32950,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK,180.95,108.57,3.42,147.11,24 CDM,RX-32979,IMATINIB 100 MG TABLET,399.6,239.76,80.0,324.87,22 CDM,RX-33005,"DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULE,EXTEND RELEASE",25.5,15.3,5.11,20.73,22 CDM,RX-33008,VORICONAZOLE 50 MG TABLET,50.15,30.09,10.04,40.77,22 CDM,RX-33009,VORICONAZOLE 200 MG TABLET,147.8,88.68,29.59,120.16,22 CDM,RX-33010,VORICONAZOLE 200 MG INTRAVENOUS SOLUTION,316.3,189.78,1.82,257.15,24 CDM,RX-33083,MIDODRINE 10 MG TABLET,18.4,11.04,3.68,14.96,22 CDM,RX-33227,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,17.8,10.68,3.56,14.47,22 CDM,RX-33230,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,49.425,29.655,9.69,41.02,44 CDM,RX-33512,ESCITALOPRAM 10 MG TABLET,17.0,10.2,3.4,13.82,22 CDM,RX-33541,VALSARTAN 40 MG TABLET,17.95,10.77,3.59,14.59,22 CDM,RX-33591,RASBURICASE 1.5 MG INTRAVENOUS SOLUTION,4712.4,2827.44,366.19,3831.18,34 CDM,RX-3378,GEMFIBROZIL 600 MG TABLET,17.05,10.23,3.41,13.86,22 CDM,RX-34153,EZETIMIBE 10 MG TABLET,57.35,34.41,11.48,46.63,22 CDM,RX-3423,GENTAMICIN 0.1 % TOPICAL CREAM,134.5,80.7,26.93,109.35,22 CDM,RX-3426,GENTAMICIN 40 MG/ML INJECTION SOLUTION,102.4,61.44,5.22,136.3,48 CDM,RX-34369,ARIPIPRAZOLE 10 MG TABLET,48.9,29.34,9.79,39.76,22 CDM,RX-34418,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",21.9,13.14,4.38,17.8,22 CDM,RX-34505,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,22.5,13.5,4.5,18.29,22 CDM,RX-34544,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET,22.9,13.74,4.58,18.62,22 CDM,RX-34550,HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE,321.65,192.99,64.39,336.47,25 CDM,RX-34711,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET,21.5,12.9,4.3,17.48,22 CDM,RX-34712,BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET,26.25,15.75,5.26,21.34,22 CDM,RX-34714,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET,37.1,22.26,7.43,30.16,23 CDM,RX-3497,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,27.85,16.71,0.4462,22.64,34 CDM,RX-35126,"NEOMYCIN 3.5 MG-POLYMYXIN 10,000 UNIT-HYDROCORT 10 MG/ML EYE DROP,SUSP",465.05,279.03,93.1,378.09,22 CDM,RX-353,ALUMINUM HYDROXIDE GEL 320 MG/5 ML ORAL SUSPENSION,11.3,6.78,2.26,9.19,22 CDM,RX-3542,GUAIFENESIN 100 MG/5 ML ORAL LIQUID,1.375,0.825,0.22022,1.34,44 CDM,RX-35489,APREPITANT 125 MG CAPSULE,1034.85,620.91,6.44,841.33,24 CDM,RX-35625,CLONAZEPAM 0.125 MG DISINTEGRATING TABLET,24.85,14.91,4.97,20.2,22 CDM,RX-35626,CLONAZEPAM 0.25 MG DISINTEGRATING TABLET,24.8,14.88,4.96,20.16,22 CDM,RX-35640,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,252.0,151.2,11.94,204.88,24 CDM,RX-35686,RISPERIDONE 0.5 MG DISINTEGRATING TABLET,30.0,18.0,6.01,24.39,22 CDM,RX-35687,RISPERIDONE 1 MG DISINTEGRATING TABLET,32.35,19.41,6.48,26.3,22 CDM,RX-35771,"METFORMIN ER 750 MG TABLET,EXTENDED RELEASE 24 HR",17.7,10.62,3.54,14.39,22 CDM,RX-3579,HALOPERIDOL 1 MG TABLET,17.65,10.59,3.53,14.35,22 CDM,RX-3581,HALOPERIDOL 2 MG TABLET,18.25,10.95,3.65,14.84,22 CDM,RX-3583,HALOPERIDOL 5 MG TABLET,19.65,11.79,3.93,15.98,22 CDM,RX-35839,BORTEZOMIB (VELCADE) IV SYRINGE 1 MG/ML,7328.2,4396.92,4.32,5957.83,24 CDM,RX-3584,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION,17.65,10.59,1.89,14.35,24 CDM,RX-3585,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE,18.1,10.86,3.35,16.42,66 CDM,RX-35942,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",18.0,10.8,3.6,14.63,22 CDM,RX-36046,POTASSIUM CHLORIDE 20 MEQ/L IN 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLN,87.5,52.5,0.2596,71.14,24 CDM,RX-36151,OMALIZUMAB 150 MG SUBCUTANEOUS SOLUTION,6248.6,3749.16,43.26,5080.11,34 CDM,RX-36252,EMTRICITABINE 200 MG CAPSULE,87.55,52.53,17.53,71.18,22 CDM,RX-364,AMANTADINE HCL 100 MG CAPSULE,24.0,14.4,4.8,19.51,22 CDM,RX-36438,ARIPIPRAZOLE 5 MG TABLET,48.9,29.34,9.79,39.76,22 CDM,RX-365,AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION,96.9,58.14,19.4,78.78,22 CDM,RX-36590,LEVETIRACETAM 100 MG/ML ORAL SOLUTION,105.4,63.24,21.1,85.69,22 CDM,RX-36775,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",21.25,12.75,4.25,17.28,22 CDM,RX-36962,DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID,1.5,0.9,0.3003,1.22,22 CDM,RX-36966,MEMANTINE 10 MG TABLET,18.7,11.22,3.74,15.2,22 CDM,RX-3697,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,70.6,42.36,13.22,57.4,24 CDM,RX-36976,PHENOL 1.4 % MUCOSAL AEROSOL SPRAY,4.85,2.91,0.97097,3.94,22 CDM,RX-3698,HYDRALAZINE 10 MG TABLET,16.95,10.17,3.39,13.78,22 CDM,RX-36983,EPLERENONE 25 MG TABLET,28.4,17.04,5.69,23.09,22 CDM,RX-36987,ZONISAMIDE 25 MG CAPSULE,16.85,10.11,3.37,13.7,22 CDM,RX-36989,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,483.0,289.8,0.0708,392.68,24 CDM,RX-3700,HYDRALAZINE 25 MG TABLET,16.9,10.14,3.38,13.74,22 CDM,RX-37170,MEMANTINE 5 MG TABLET,17.95,10.77,3.59,14.59,22 CDM,RX-3720,HYDROCHLOROTHIAZIDE 25 MG TABLET,16.2,9.72,3.24,13.17,22 CDM,RX-3724,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML ORAL SOLUTION,23.6,14.16,4.72,19.19,22 CDM,RX-3726,HYDROCORTISONE 1 % TOPICAL CREAM,4.3,2.58,0.86086,3.5,22 CDM,RX-3727,HYDROCORTISONE 2.5 % TOPICAL CREAM,27.45,16.47,5.5,22.32,22 CDM,RX-3731,HYDROCORTISONE 1 % TOPICAL OINTMENT,4.3,2.58,0.86086,3.5,22 CDM,RX-3732,HYDROCORTISONE 2.5 % TOPICAL OINTMENT,25.9,15.54,5.19,21.06,22 CDM,RX-3733,HYDROCORTISONE 10 MG TABLET,17.15,10.29,3.43,13.94,22 CDM,RX-3738,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,62.0,37.2,12.41,50.41,22 CDM,RX-3752,HYDROGEN PEROXIDE 3 % SOLUTION,1.75,1.05,0.35035,1.42,22 CDM,RX-37567,"CARBAMAZEPINE ER 100 MG CAPSULE,EXTENDED RELEASE 12HR",22.55,13.53,4.51,18.33,22 CDM,RX-3758,HYDROMORPHONE 2 MG/ML INJECTION SOLUTION,23.3,13.98,0.2124,18.94,24 CDM,RX-3760,HYDROMORPHONE 2 MG TABLET,22.55,13.53,4.51,18.33,22 CDM,RX-37605,ALUMINUM-MAGNESIUM HYDROXIDE 200 MG-200 MG/5 ML ORAL SUSPENSION,8.35,5.01,1.67,6.79,23 CDM,RX-3761,HYDROMORPHONE 4 MG TABLET,22.7,13.62,4.54,18.46,22 CDM,RX-37637,METOPROLOL TARTRATE 25 MG TABLET,16.1,9.66,3.22,13.09,22 CDM,RX-37642,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION,113.5,68.1,22.72,92.28,22 CDM,RX-3770,HYDROXYZINE HCL 50 MG/ML INTRAMUSCULAR SOLUTION,169.4,101.64,33.91,137.72,24 CDM,RX-3783,HYOSCYAMINE SULFATE 0.125 MG TABLET,27.85,16.71,5.58,22.64,22 CDM,RX-37848,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,31.35,18.81,6.28,25.49,22 CDM,RX-37894,PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION,18064.2,10838.52,4.23,14686.19,34 CDM,RX-37989,CETUXIMAB 100 MG/50 ML IV,3955.6,2373.36,76.02,3215.9,34 CDM,RX-38062,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",30.9,18.54,0.8024,25.12,24 CDM,RX-38072,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG)/2 ML INJECTION SYRINGE",757.6,454.56,11.47,615.93,24 CDM,RX-38100,CINACALCET 30 MG TABLET,18.0,10.8,3.6,14.63,22 CDM,RX-38101,CINACALCET 60 MG TABLET,231.15,138.69,46.28,187.92,22 CDM,RX-38263,OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION,143.75,86.25,2.05,116.87,24 CDM,RX-38270,CYCLOPHOSPHAMIDE (CYTOXAN) 1 GM INJECTION,2740.6,1644.36,0.4656,2228.11,34 CDM,RX-38271,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION,1507.85,904.71,0.4656,1225.88,34 CDM,RX-38285,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP,2.375,1.425,0.25025,2.85,44 CDM,RX-38303,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,109.25,65.55,0.8968,88.82,24 CDM,RX-38321,CARBOXYMETHYLCELLULOSE SODIUM 1 % EYE GEL IN A DROPPERETTE,1.6,0.96,0.32032,1.3,22 CDM,RX-3841,IBUPROFEN 200 MG TABLET,1.15,0.69,0.23023,0.93495,22 CDM,RX-3845,IBUPROFEN 800 MG TABLET,16.3,9.78,3.26,13.25,22 CDM,RX-38488,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,23.799999999999997,14.280000000000001,4.04,22.28,44 CDM,RX-38703,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION,40.95,24.57,1.25,33.29,24 CDM,RX-3897,INDOMETHACIN 25 MG CAPSULE,16.9,10.14,3.38,13.74,22 CDM,RX-3901,INDOMETHACIN 50 MG RECTAL SUPPOSITORY,1391.25,834.75,278.53,1131.09,22 CDM,RX-39063,RIFAXIMIN 200 MG TABLET,60.95,36.57,12.2,49.55,22 CDM,RX-391,AMILORIDE 5 MG TABLET,16.9,10.14,3.38,13.74,22 CDM,RX-39136,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",37.05,22.23,7.42,30.12,22 CDM,RX-39255,EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,23.8,14.28,1.68,19.35,34 CDM,RX-39265,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,429.9,257.94,5.74,435.24,96 CDM,RX-39744,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,103.94999999999999,62.370000000000005,18.08,95.61,44 CDM,RX-39802,NORFLURANE-PENTAFLUOROPROPANE TOPICAL SPRAY,16.05,9.63,3.21,13.05,22 CDM,RX-39918,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,70.575,42.345,5.02,94.39,48 CDM,RX-39970,LEVOFLOXACIN 250 MG/10 ML ORAL SOLUTION,1146.7,688.02,137.38,1306.65,44 CDM,RX-40009,FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET,17.45,10.47,3.49,14.19,22 CDM,RX-40010,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET,18.65,11.19,3.73,15.16,22 CDM,RX-400291,SODIUM CHLORIDE 0.9% IV BOLUS,66.75,40.05,4.6,54.07,20 CDM,RX-400292,SODIUM CHLORIDE 0.45 % IV BOLUS,69.75,41.85,2.97,63.79,60 CDM,RX-400293,DEXTROSE 5 % IV BOLUS,71.625,42.975,4.27,121.5,78 CDM,RX-400294,DEXTROSE 5 % AND 0.9 % NACL IV BOLUS,68.625,41.175,3.33,56.5,40 CDM,RX-400295,DEXTROSE 5 % AND 0.45 % NACL IV BOLUS,67.5,40.5,3.33,54.67,20 CDM,RX-400296,LACTATED RINGERS IV BOLUS,66.75,40.05,5.69,54.07,20 CDM,RX-400297,DEXTROSE 5 % IN LACTATED RINGERS IV BOLUS,76.5,45.900000000000006,14.41,65.61,40 CDM,RX-400302,DEXTROSE 10 % IV BOLUS,69.75,41.85,13.36,63.79,57 CDM,RX-400499,MAGIC MOUTHWASH ORAL SUSPENSION,16.15,9.69,3.23,13.13,22 CDM,RX-4025,ISONIAZID 50 MG/5 ML ORAL SOLUTION,1023.5,614.1,204.9,832.11,22 CDM,RX-403,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION,22.65,13.59,4.04,18.41,24 CDM,RX-40392,SOLIFENACIN 5 MG TABLET,17.6,10.56,3.52,14.31,22 CDM,RX-40475,PACLITAXEL-PROTEIN BOUND (ABRAXANE) IVPB,7227.3,4336.38,10.22,5875.79,34 CDM,RX-40573,ZICONOTIDE 25 MCG/ML INTRATHECAL SOLUTION,26468.35,15881.01,9.84,21518.77,34 CDM,RX-40574,ZICONOTIDE 100 MCG/ML INTRATHECAL SOLUTION,16029.4,9617.64,9.84,21518.77,68 CDM,RX-4064,ISOSORBIDE DINITRATE 10 MG TABLET,18.45,11.07,3.69,15.0,22 CDM,RX-4065,ISOSORBIDE DINITRATE 20 MG TABLET,18.9,11.34,3.78,15.37,22 CDM,RX-40661,ALEMTUZUMAB (CAMPATH) SYRINGE 30 MG/ML (ONCOLOGY),0.2,0.12,0.04004,6806.87,34 CDM,RX-4068,ISOSORBIDE DINITRATE 5 MG TABLET,19.2,11.52,3.84,15.61,22 CDM,RX-407,AMINOPHYLLINE 250 MG/10 ML INTRAVENOUS SOLUTION,107.0,64.2,21.42,86.99,24 CDM,RX-40800001,BORTEZOMIB (VELCADE) SUBCUTANEOUS SYRINGE 2.5 MG/ML,7328.2,4396.92,4.32,5957.83,24 CDM,RX-40800005,BLEOMYCIN (BLENOXANE) SYRINGE 15 UNITS/ML,350.2,210.12,50.79,284.71,24 CDM,RX-40800008,MITOMYCIN BLADDER INSTILLATION (2 MG/ML; 40 MG VIAL),1243.0,745.8,19.74,1010.56,34 CDM,RX-408000123,ACETYLCYSTEINE 200 MG/ML (20 %) INHALATION SOLUTION,34.5,20.7,4.56,37.56,44 CDM,RX-40800013,DECITABINE (DACOGEN) SYRINGE 10 MG/ML,7030.6,4218.36,2.88,5715.88,24 CDM,RX-40800025,GEMCITABINE 38 MG/ML INJECTABLE SOLUTION WRAPPER,332.3,199.38,7.39,547.6,72 CDM,RX-40800030,IPILIMUMAB (YERVOY) 5 MG/ML INJECTION WRAPPER,99877.0,59926.2,177.98,129785.78,68 CDM,RX-40800031,FLUDARABINE (FLUDARA) 50 MG INJECTION WRAPPER,1471.3,882.78,66.15,1196.17,34 CDM,RX-40800033,OFATUMUMAB (ARZERRA) 20 MG/ML INJECTION WRAPPER,14876.525,8925.914999999999,60.36,21807.34,68 CDM,RX-40800034,DOXORUBICIN (ADRIAMYCIN) 25 MG/ML INJECTION,320.15,192.09,7.13,260.28,24 CDM,RX-40800035,FLUOROURACIL (ADRUCIL) 50 MG/ML IV SOLUTION WRAPPER,290.05,174.03,4.69,235.81,24 CDM,RX-408000554,METHOTREXATE INJECTION (PF) 25 MG/ML (NON-ONCOLOGY),314.75,188.85,6.15,342.52,72 CDM,RX-40800074,DOCETAXEL (TAXOTERE) 10 MG/ML INJECTION WRAPPER,996.6,597.96,1.04,1654.45,72 CDM,RX-4080010655,MORPHINE CONCENTRATE 20 MG/ML ORAL SOLUTION WRAPPER,22.9,13.74,4.58,18.62,22 CDM,RX-40800114,GANCICLOVIR 2 MG/0.1 ML OPHTHALMIC INJECTION,77.55,46.53,15.53,107.86,24 CDM,RX-40800119,GEMCITABINE BLADDER INSTILLATION (38 MG/ML),337.4,202.44,7.39,274.31,24 CDM,RX-40800122,TOCILIZUMAB (ACTEMRA) 20 MG/ML INJECTION WRAPPER,8428.85,5057.31,5.54,9119.79,68 CDM,RX-40800128175,EPHEDRINE (PF) 25 MG/5 ML (5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SYRINGE WRAPPER,105.35,63.21,21.09,85.65,22 CDM,RX-40800128781,METHYLPREDNISOLONE SOD SUCC 40 MG/ML SOLUTION FOR INJECTION WRAPPER,45.45,27.27,0.2037,36.95,34 CDM,RX-40800128782,METHYLPREDNISOLONE SOD SUCC 125 MG/2 ML SOLUTION FOR INJECTION WRAPPER,63.45,38.07,0.2037,51.58,34 CDM,RX-40800129102,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV WRAPPER,19.05,11.43,0.0236,15.49,24 CDM,RX-40800129599,"HEPARIN (PORCINE) 10,000 UNIT/1,000 ML IN 0.9 % SOD. CHLORIDE IV SOLN",84.0,50.4,0.4956,68.29,24 CDM,RX-40800129758,REMIFENTANIL 100 MCG/2 ML (50 MCG/ML) IN 0.9 % NACL IV SYRINGE,26.65,15.99,5.34,21.67,22 CDM,RX-40800141,VINCRISTINE 1 MG/ML INTRAVENOUS SOLUTION (>2 MG MAX DOSE),342.8,205.68,19.4,278.7,24 CDM,RX-4080030851,MORPHINE 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS WRAPPER,61.0,36.6,5.14,49.59,24 CDM,RX-4080034270,MIDAZOLAM 1 MG/ML INFUSION WRAPPER,76.0,45.6,0.354,61.79,24 CDM,RX-40800500,LEUCOVORIN CALCIUM 500 MG SOL FOR INJ (10 MG/ML),292.85,175.71,7.6,238.09,24 CDM,RX-408007002,CEFAZOLIN 1 GRAM INJ SOLR IM,20.8,12.48,1.89,16.91,24 CDM,RX-408007004,CEFEPIME 1 GRAM INJ SOLR IM,43.3,25.98,2.88,35.2,24 CDM,RX-408007009,CEFTRIAXONE 1 GRAM INJ SOLR IM,25.1,15.06,1.01,20.41,24 CDM,RX-408007010,CEFTRIAXONE 2 GRAM INJ SOLR IM,29.2,17.52,1.01,23.74,24 CDM,RX-4080070108,STUDY CMX-2043/PLACEBO 25MG/ML INTRAVENOUS SOLUTION,0.2,0.12,0.04004,0.162,19 CDM,RX-408007011,CEFTRIAXONE 250 MG INJ SOLR IM,19.5,11.7,1.01,15.85,24 CDM,RX-408007012,CEFTRIAXONE 500 MG INJ SOLR IM,19.25,11.55,1.01,15.65,24 CDM,RX-4080070219,STUDY BI 1321.3 IDARUCIZUMAB 50 MG/ML INTRAVENOUS SOLUTION,0.2,0.12,0.04004,0.162,19 CDM,RX-4080070386,MISOPROSTOL 25 MCG SPLIT TABLET,16.7,10.02,3.34,13.58,22 CDM,RX-4080070402,STUDY NICHD PROSPECT PROGESTERONE/PLACEBO 200 MG MICRONIZED CAPSULE,0.2,0.12,0.04004,0.162,19 CDM,RX-4080070435,WARFARIN 1.25 MG SPLIT TABLET,16.8,10.08,3.36,13.66,22 CDM,RX-4080070441,STUDY NITROGLYCERIN 100 MG/250 ML (400 MCG/ML) IN 5 % DEXTROSE,0.2,0.12,0.04004,3.86,24 CDM,RX-4080070442,STUDY ALLSTAR CAP-1002/PLACEBO ALLOGENEIC CARDIOSPHERE-DERIVED CELLS,0.2,0.12,0.04004,0.162,19 CDM,RX-4080070443,"STUDY HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",0.2,0.12,0.04004,0.594,24 CDM,RX-408007048,ACETAMINOPHEN (OFIRMEV) 10 MG/ML INJECTION,103.35,62.01,0.132,84.02,24 CDM,RX-4080070603,STUDY LIMBO-ATX DEXAMETHASONE 4MG/ML,0.2,0.12,0.04004,0.33,24 CDM,RX-4080070609,STUDY ISSBRIL0345 ASPIRIN TABLET 81 MG,0.2,0.12,0.04004,0.1626,23 CDM,RX-4080070610,STUDY ISSBRIL0345 ASPIRIN/PLACEBO TABLET 81 MG,0.2,0.12,0.04004,0.1626,23 CDM,RX-4080070611,STUDY ISSBRIL0345 TICAGRELOR TABLET 90 MG,0.2,0.12,0.04004,0.1626,23 CDM,RX-4080070621,"STUDY DU176B-D-U311 DALTEPARIN INJECTION 5,000 UNITS/0.2 ML",0.2,0.12,0.04004,0.1626,26 CDM,RX-4080070622,"STUDY DU176B-D-U311 DALTEPARIN INJECTION 7,500 UNITS/0.3 ML",0.2,0.12,0.04004,0.1626,26 CDM,RX-4080070623,"STUDY DU176B-D-U311 DALTEPARIN INJECTION 10,000 UNITS/0.4 ML",0.2,0.12,0.04004,0.1626,26 CDM,RX-4080070624,"STUDY DU176B-D-U311 DALTEPARIN INJECTION 12,500 UNITS/0.5 ML",0.2,0.12,0.04004,0.1626,26 CDM,RX-4080070625,"STUDY DU176B-D-U311 DALTEPARIN INJECTION 15,000 UNITS/0.6 ML",0.2,0.12,0.04004,0.1626,26 CDM,RX-4080070626,"STUDY DU176B-D-U311 DALTEPARIN INJECTION 18,000 UNITS/0.72 ML",0.2,0.12,0.04004,0.1626,26 CDM,RX-4080070627,STUDY DU176B-D-U311 EDOXABAN TABLET 30 MG,0.2,0.12,0.04004,0.1626,22 CDM,RX-4080070631,STUDY RIVAROXDVT3002 RIVAROXABAN/PLACEBO TABLET 10 MG,0.2,0.12,0.04004,0.1626,23 CDM,RX-4080070632,STUDY RIVAROXDVT3002 RIVAROXABAN PLACEBO TABLET 7.5 MG,0.2,0.12,0.04004,0.1626,23 CDM,RX-4080070655,STUDY RGS001D FUROSEMIDE 10 MG/ML OTO,0.2,0.12,0.04004,0.1626,24 CDM,RX-4080070656,STUDY RGS001D FUROSEMIDE 10 MG/ML PRN,0.2,0.12,0.04004,0.1626,24 CDM,RX-4080070657,STUDY RGS001D SODIUM CHLORIDE 0.9% (NS) INFUSION,0.2,0.12,0.04004,4.6,120 CDM,RX-4080070658,STUDY RGS001D SODIUM CHLORIDE 0.9% (NS) BOLUS,73.5,44.1,1.53,63.18,120 CDM,RX-4080070699,STUDY GSK 201023 SODIUM CHLORIDE 0.9% (NS) INFUSION,0.2,0.12,0.04004,1.53,20 CDM,RX-4080070732,STUDY FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,0.2,0.12,0.0236,0.1626,24 CDM,RX-4080070734,STUDY DEXAMETHASONE 4 MG/ML INJECTION SOLUTION,0.2,0.12,0.04004,0.33,24 CDM,RX-408007163,AZTREONAM 2 GRAM SOLUTION FOR IM,286.5,171.9,5.97,232.92,24 CDM,RX-408007355,STUDY EPAD ASPIRIN 100 MG,0.2,0.12,0.04004,0.1626,22 CDM,RX-408007489,"STUDY EPINEPHRINE 0.3MG/0.3 ML (1:1,000) IM PEN INJECTOR",0.2,0.12,0.04004,0.1626,22 CDM,RX-408007497,STUDY DIPHENHYDRAMINE 50 MG/ML INJECTION,0.2,0.12,0.04004,2.46,24 CDM,RX-408007498,STUDY METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2ML SOLUTION FOR INJECTION,0.2,0.12,0.04004,0.7181,34 CDM,RX-408007617,CEFTAZIDIME 2.25% (22.5 MG/ML) INTRAOCULAR SYRINGE,63.05,37.83,3.71,51.26,24 CDM,RX-4080077411,CAFFEINE CITRATE 20 MG/ML (FOR ORAL USE) INJECTION SOLUTION,109.4,65.64,2.9,88.94,23 CDM,RX-408007842,STUDY C25003 BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLN,0.2,0.12,0.04004,720.99,34 CDM,RX-408007850,SMOG ENEMA 480ML,4.75,2.85,0.95095,3.86,22 CDM,RX-408007977,"STUDY WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION",0.2,0.12,0.04004,0.1626,48 CDM,RX-408010289,INSULIN REGULAR 100 UNIT/ML CORRECTION SCALE ADULT,219.0,131.4,0.5428,178.05,24 CDM,RX-4080107671,CEFTAROLINE FOSAMIL 600 MG/20ML IV WETTED VIAL,1144.35,686.61,4.1,930.36,34 CDM,RX-408012211,DORNASE ALFA 1 MG/ML SOLUTION FOR CHEST TUBE,1086.2,651.72,217.46,883.08,22 CDM,RX-4080128177,KETAMINE 50 MG/5 ML (10 MG/ML) IN SODIUM CHLORIDE IV SYRINGE WRAPPER,44.5,26.7,8.91,36.18,22 CDM,RX-4080129102,PHENYLEPHRINE FOR PRIAPISM 100 MCG/ML VIAL/SYRINGE WRAPPER,46.5,27.9,0.0236,37.8,24 CDM,RX-4080181794,HYDROMORPHONE 0.5 MG/0.5 ML INJECTION SYRINGE WRAPPER,31.55,18.93,0.2124,25.65,24 CDM,RX-4080189367,PEDIATRIC MULTIVITAMIN-FERROUS SULFATE 11 MG/ML ORAL DROPS WRAPPER,1.1,0.66,0.22022,0.8943,22 CDM,RX-4080189607,PEDIATRIC MULTIVITAMIN ORAL DROPS WRAPPER,1.1,0.66,0.22022,0.8943,66 CDM,RX-408025424,POLYETHYLENE GLYCOL 3350 ORAL PACKET FOR LARGE DOSE,2.8,1.68,0.56056,2.28,22 CDM,RX-4080800218,LURBINECTEDIN 4 MG INTRAVENOUS SOLUTION,36575.0,21945.0,200.92,29735.47,34 CDM,RX-408102325,INSULIN LISPRO 100 UNIT/ML PERCENTAGE MEAL EATEN ADULT,318.15,190.89,0.5428,258.66,24 CDM,RX-40810289,INSULIN REGULAR 100 UNIT/ML PERCENTAGE MEAL EATEN ADULT,219.0,131.4,0.5428,178.05,24 CDM,RX-4081031017,LIDOCAINE (PF) 8 MG/ML IN DEXTROSE 5% 8 ML PEDIATRIC INFUSION,63.85,38.31,0.0236,51.91,24 CDM,RX-4081031018,LIDOCAINE (PF) 8 MG/ML (0.8 %) PEDIATRIC INJECTION,115.5,69.3,0.0236,93.9,24 CDM,RX-4081031028,FENTANYL (PF) 10 MCG/ML IN 0.9 % SODIUM CHLORIDE 1 ML INFUSION,27.75,16.65,2.6,22.56,24 CDM,RX-4081031104,STUDY DEXTROSE 5% IN WATER (D5W) INTRAVENOUS SYRINGE,0.2,0.12,0.04004,0.1626,22 CDM,RX-4081031111,GADOBUTROL 1 MMOL/ML INTRAVENOUS WRAPPER,11.75,7.05,0.6372,9.55,92 CDM,RX-4081031126,STUDY COPPER-A PACLITAXEL 60 MG/10 ML,0.2,0.12,0.04004,0.3304,24 CDM,RX-4081031153,DEXAMETHASONE 4 MG/ML IV PEDIATRIC,75.1,45.06,0.2124,61.06,24 CDM,RX-4081031175,PROPRANOLOL 0.05 MG/ML PEDIATRIC DILUTION,130.7,78.42,21.65,124.59,48 CDM,RX-4081031194,ONDANSETRON HCL 2 MG/ML (COMBINED) INJECTION SOLUTION WRAPPER,20.725,12.434999999999999,0.2475,17.76,48 CDM,RX-4081031284,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE/VIAL WRAPPER,57.75,34.65,11.56,46.95,22 CDM,RX-4081031359,URSODIOL 60 MG/ML ORAL SUSPENSION,204.3,122.58,40.9,166.1,22 CDM,RX-4081031410,STUDY CL7018 RELEIVE-HF ASPIRIN EC 81 MG TABLET,0.2,0.12,0.04004,0.1626,23 CDM,RX-4081031411,STUDY CL7018 RELIEVE-HF CLOPIDOGREL/PLACEBO 75 MG TABLET,0.2,0.12,0.04004,0.1626,22 CDM,RX-4081031433,SPIRONOLACTONE 12.5 MG SPLIT TABLET,16.4,9.84,3.28,13.33,22 CDM,RX-4081031475,COLCHICINE 0.3 MG SPLIT TABLET,53.2,31.92,10.65,43.25,22 CDM,RX-4081031477,METHIMAZOLE 2.5 MG SPLIT TABLET,16.2,9.72,3.24,13.17,22 CDM,RX-4081031577,CLOBAZAM 5 MG SPLIT TABLET,23.95,14.37,4.79,19.47,22 CDM,RX-4081031592,RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR - 5 ML VIALS,13686.9,8212.14,271.45,11127.45,35 CDM,RX-4081031594,RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR - 1 ML VIALS,2799.0,1679.4,271.45,2275.59,35 CDM,RX-4081031736,STUDY 20604 BAY 2433334 ASUNDEXIAN/PLACEBO 50 MG TABLET,0.2,0.12,0.04004,0.162,21 CDM,RX-40810372,LABETALOL 5 MG/ML PEDIATRIC SYRINGE,79.65,47.79,0.8024,64.76,24 CDM,RX-408112,AMPICILLIN SODIUM 2 GRAM INJ SOLR IM,48.35,29.01,1.3,39.31,24 CDM,RX-408113,AMPICILLIN SODIUM 250 MG INJ SOLR IM,28.2,16.92,1.3,22.93,24 CDM,RX-408126012,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK (ADDVANTAGE),76.2,45.72,15.26,61.72,19 CDM,RX-408170,KETOROLAC 30 MG/ML INJECTION WRAPPER,45.75,27.45,0.291,37.19,33 CDM,RX-408173,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INJECTION (COMBINED) WRAPPER,104.4,62.64,20.9,84.88,22 CDM,RX-408180,NXSTAGE RFP 400 (+/- BB) - CONTAINS 2 MEQ/L POTASSIUM,243.0,145.8,48.65,197.56,22 CDM,RX-40818303,PIPERACILLIN-TAZOBACTAM 3.375 GRAM SOLUTION FOR IV PUSH,63.6,38.16,2.53,51.71,24 CDM,RX-408186,NXSTAGE RFP 404 - CONTAINS 4 MEQ/L POTASSIUM,243.0,145.8,48.65,197.56,22 CDM,RX-408202,HYDROMORPHONE 1 MG/ML INJECTION WRAPPER,29.8,17.88,0.2124,24.23,24 CDM,RX-408204,BICTEGRAVIR 50 MG-EMTRICITABINE 200 MG-TENOFOVIR ALAFENAM 25 MG TABLET,578.15,346.89,115.75,470.04,22 CDM,RX-408211968,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION (FOR NEBULIZATION),28.5,17.1,3.42,23.17,24 CDM,RX-408320001,NXSTAGE RFP 453 - CONTAINS POTASSIUM 2 MEQ/L (CALCIUM FREE),273.0,163.8,54.65,221.95,22 CDM,RX-408320002,NXSTAGE RFP 454 - CONTAINS POTASSIUM 4 MEQ/L (CALCIUM FREE),273.0,163.8,54.65,221.95,22 CDM,RX-40839918,TOBRAMYCIN 40 MG/ML INJECTION FOR ORAL USE,20.65,12.39,4.13,16.79,24 CDM,RX-408400021,MAGNESIUM SULFATE 4 MEQ/ML (50 %) INJECTION WRAPPER,20.25,12.15,1.13,21.42,72 CDM,RX-4084000855,"BACITRACIN 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOPICAL OINTMENT (+/- ZINC) WRAPPER",7.1,4.26,1.42,5.77,22 CDM,RX-40840026,PROPOFOL INFUSION 10 MG/ML,153.75,92.25,0.2124,125.0,24 CDM,RX-40840050,TACROLIMUS 1 MG/ML ORAL SUSPENSION,405.05,243.03,0.4012,329.31,24 CDM,RX-40840080,ACETAZOLAMIDE 25 MG/ML ORAL SUSPENSION,155.0,93.0,31.03,126.02,22 CDM,RX-40840107,HYDRALAZINE 4 MG/ML ORAL SOLN,803.5,482.1,160.86,653.25,22 CDM,RX-408401083,DIGOXIN 25 MCG/ML NEONATAL DILUTION,66.2,39.72,10.89,53.82,24 CDM,RX-40840112,LABETALOL 40 MG/ML ORAL SUSP,25.0,15.0,5.0,20.32,22 CDM,RX-40840113,LAMOTRIGINE 1 MG/ML ORAL SOLN,19.0,11.4,3.8,15.45,22 CDM,RX-40840115,LOSARTAN 2.5 MG/ML ORAL SUSP,70.0,42.0,14.01,56.91,22 CDM,RX-40840121,METOPROLOL TARTRATE 10 MG/ML ORAL SOLN,88.0,52.8,17.62,71.54,22 CDM,RX-40840122,METRONIDAZOLE 50 MG/ML ORAL SUSP,74.8,44.88,14.97,60.81,22 CDM,RX-40840126,POTASSIUM PHOSPHATE 3 MMOL/ML ORAL SOLN,60.4,36.24,12.09,49.11,22 CDM,RX-40840129,PROPYLTHIOURACIL 5 MG/ML ORAL SUSP,92.2,55.32,18.46,74.96,22 CDM,RX-40840135,SEVELAMER 50 MG/ML ORAL SOLN,376.0,225.6,75.28,305.69,22 CDM,RX-40840141,SODIUM CHLORIDE 4 MEQ/ML ORAL SOLN,19.0,11.4,3.8,15.45,22 CDM,RX-40840182,LEECH,64.35,38.61,12.88,52.32,22 CDM,RX-40840215,PANTOPRAZOLE 2 MG/ML ORAL SUSPENSION,27.05,16.23,5.42,21.99,22 CDM,RX-40840222,SLEEPY BUTTER,24.0,14.4,4.8,19.51,22 CDM,RX-40840227,DEXAMETHASONE 24 MG/ML INJECTION,114.75,68.85,0.2124,93.29,24 CDM,RX-40840228,NXSTAGE/MULTIBIC RFP 401 (+/- BB) - CONTAINS 4 MEQ/L POTASSIUM,273.0,163.8,54.65,221.95,22 CDM,RX-40840229,NXSTAGE RFP 402 - CONTAINS NO POTASSIUM,243.0,145.8,48.65,197.56,22 CDM,RX-40840230,DR. IRON'S DIAPER RASH CREAM,47.5,28.5,9.51,38.62,22 CDM,RX-40840309,AZATHIOPRINE 25 MG SPLIT TAB,17.4,10.44,0.1416,14.15,24 CDM,RX-40840325,COSYNTROPIN 2.5 MCG/ML DILUTION INJECTION,64.0,38.4,12.81,76.28,24 CDM,RX-40840341,MERCAPTOPURINE 25 MG SPLIT TAB,28.7,17.22,5.75,23.33,22 CDM,RX-40840383,WARFARIN 0.5 MG SPLIT TABLET,16.4,9.84,3.28,13.33,22 CDM,RX-40840408,DIPHENHYDRAMINE 50 MG VIAL/SYRINGE WRAPPER,17.35,10.41,1.79,14.11,24 CDM,RX-40840479,HEPARIN 500 UNITS IN 500 ML NS (FOR VASCULAR SERVICE),94.5,56.7,0.4956,76.83,24 CDM,RX-40840593,LACTULOSE ENEMA 200 G/300 ML,34.0,20.4,6.81,27.64,22 CDM,RX-40840595,ARGININE (L) 5 GRAM POWDER (100 MG/ML) FOR ORAL SOLN,23.35,14.01,4.67,18.98,22 CDM,RX-40840656,NEONATAL AA ISOTONIC 3.6%/HEPARIN 1 UNIT/ML,215.6,129.36,43.16,175.28,22 CDM,RX-40840701,SELENIUM 10 MCG/ML DILUTION,338.7,203.22,67.81,275.36,22 CDM,RX-40840702,IRON DEXTRAN 2.5 MG/ML DILUTION,835.0,501.0,17.57,678.86,34 CDM,RX-40840762,CEFAZOLIN (ANCEF) 100 MG/ML SYRINGE (PEDIATRIC),65.25,39.15,1.89,53.05,24 CDM,RX-40840763,CEFUROXIME (ZINACEF) 90 MG/ML SYRINGE (PEDIATRIC),81.95,49.17,4.37,66.63,24 CDM,RX-40840767,LINEZOLID (ZYVOX) 2 MG/ML IVPB,222.6,133.56,8.43,180.97,24 CDM,RX-40840788,SODIUM BICARBONATE 1 MEQ/ML INJ SOLUTION WRAPPER (MULTI-VIAL SIZE),88.2,52.92,17.66,71.71,22 CDM,RX-40840789,NALOXONE 0.4 MG/ML INJ SOLUTION (COMBINED) WRAPPER,88.05,52.83,0.1888,71.58,24 CDM,RX-40840790,PHYTONADIONE 1 MG/0.5 ML INJ SOLUTION (MULTI-VIAL SIZE),128.55,77.13,6.44,104.51,23 CDM,RX-408408107,DEXTROSE 40 % ORAL GEL (NEONATAL) WRAPPER,5.9,3.54,1.18,4.8,22 CDM,RX-408408144,AMPICILLIN-SULBACTAM 1.5 GRAM MBP/ADV WRAPPER,51.1,30.66,3.28,41.54,24 CDM,RX-408408181,FENTANYL 50 MCG/ML INTRANASAL SOLUTION,28.4,17.04,2.6,23.09,24 CDM,RX-408408256,TENECTEPLASE 50 MG INTRAVENOUS SOLUTION WRAPPER FOR MI,37768.55,22661.13,167.05,30705.83,34 CDM,RX-408408260,LEUCOVORIN CALCIUM 50 MG SOLN FOR INJ (10 MG/ML),319.0,191.4,7.6,259.35,24 CDM,RX-408408264,CISATRACURIUM 2 MG/ML PEDIATRIC INFUSION (CSAC),168.4,101.04,33.71,136.91,22 CDM,RX-40840830,DOPAMINE 1600 MCG/ML IN DEXTROSE 5% 8 ML PEDIATRIC,64.55,38.73,1.8,52.48,24 CDM,RX-40840831,DOPAMINE 1600 MCG/ML IN DEXTROSE 5% 50 ML PEDIATRIC,72.7,43.62,1.8,59.11,24 CDM,RX-40840834,LIDOCAINE (PF) 8 MG/ML IN DEXTROSE 5% 50 ML PEDIATRIC INFUSION,64.9,38.94,0.0236,52.76,24 CDM,RX-40840837,HEPARIN 100 UNITS/ML IN SODIUM CHLORIDE 0.45% 50 ML PEDIATRIC,75.0,45.0,0.4956,60.98,24 CDM,RX-408408382,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION WRAPPER,87.95,52.77,12.09,302.52,66 CDM,RX-408408383,KETOROLAC 15 MG/ML INJECTION SOLUTION WRAPPER,19.25,11.55,0.291,15.65,33 CDM,RX-408408414,VECURONIUM (NORCURON) 1 MG/ML PEDIATRIC INFUSION 4 ML,67.4,40.44,13.49,54.8,22 CDM,RX-40840849,MILRINONE 200 MCG/ML IN DEXTROSE 5% 8 ML PEDIATRIC,68.4,41.04,3.42,55.61,24 CDM,RX-40840850,MILRINONE 200 MCG/ML IN DEXTROSE 5% 50 ML PEDIATRIC,96.6,57.96,3.42,78.54,24 CDM,RX-408408555,MORPHINE (PF) 0.5 MG/ML INJECTION SOLUTION WRAPPER,30.7,18.42,6.15,29.37,24 CDM,RX-40840878,VECURONIUM (NORCURON) 1 MG/ML PEDIATRIC INFUSION 40ML,106.55,63.93,21.33,86.63,22 CDM,RX-40840879,VECURONIUM (NORCURON) 1 MG/ML PEDIATRIC INFUSON 100ML,171.8,103.08,34.39,139.67,22 CDM,RX-40840884,SODIUM BICARBONATE 1MEQ/ML PEDIATRIC 50ML INFUSION,103.95,62.37,20.81,84.51,22 CDM,RX-40840889,INSULIN REGULAR HUMAN 100 UNIT/ML INJECTION (IV USE),250.4,150.24,0.5428,203.58,24 CDM,RX-40840890,FAMOTIDINE 2 MG/ML PEDIATRIC DILUTION,170.95,102.57,0.0236,138.98,24 CDM,RX-40840895,LEVOFLOXACIN 5 MG/ML IN 5 % DEXTROSE PEDIATRIC,80.65,48.39,5.33,65.57,24 CDM,RX-40840896,METRONIDAZOLE 5 MG/ML IN SODIUM CHLORIDE (ODD DOSE),70.35,42.21,0.0708,57.19,24 CDM,RX-40841007,CEFOTAXIME 100 MG/ML IV PEDIATRIC,92.92500000000001,55.754999999999995,16.4,84.51,48 CDM,RX-40841008,CEFOXITIN 100 MG/ML SYRINGE PEDIATRIC,96.6,57.96,11.28,78.54,24 CDM,RX-40841009,CEFTAZIDIME 100 MG/ML SYRINGE PEDIATRIC,109.2,65.52,3.71,88.78,24 CDM,RX-40841010,CEFEPIME 40 MG/ML PEDIATRIC DILUTION,478.8,287.28,2.88,389.26,24 CDM,RX-40841015,CLINDAMYCIN 18 MG/ML SYRINGE PEDIATRIC,117.85,70.71,4.32,95.81,24 CDM,RX-40841017,MEROPENEM 20 MG/ML PEDIATRIC DILUTION,567.0,340.2,0.9912,460.97,24 CDM,RX-40841026,GLUCAGON 1 MG SOLUTION FOR INJECTION (COMBINED VIALS) WRAPPER,1165.7,699.42,144.52,947.71,34 CDM,RX-408410260,GLUCAGON 1 MG/ML IV PEDIATRIC,1242.4,745.44,176.98,1010.07,34 CDM,RX-40841027,CEFUROXIME 1.5 GRAM (COMBINED) INJECTION WRAPPER,36.5,21.9,4.37,29.67,24 CDM,RX-40841043,POTASSIUM CHLORIDE 0.1 MEQ/ML (PERIPHERAL LINE) IV PEDIATRIC,83.6,50.16,0.2596,67.72,20 CDM,RX-40841044,POTASSIUM CHLORIDE 0.2 MEQ/ML (CENTRAL LINE) IV PEDIATRIC,74.35,44.61,0.2596,60.45,24 CDM,RX-40841053,LEVETIRACETAM 10 MG/ML IV PEDIATRIC,153.3,91.98,0.0944,124.63,24 CDM,RX-40841056,CEFTRIAXONE 40 MG/ML PEDIATRIC DILUTION,218.5,131.1,1.01,177.64,24 CDM,RX-40841057,VANCOMYCIN 5 MG/ML PEDIATRIC DILUTION,512.4,307.44,0.0708,416.58,24 CDM,RX-40841058,VANCOMYCIN 10 MG/ML (CENTRAL) PEDIATRIC DILUTION,961.8,577.08,0.0708,781.94,24 CDM,RX-40841063,PIPERACILLIN-TAZOBACTAM (200 MG OF PIPERACILLIN/ML) PEDIATRIC,90.3,54.18,2.53,73.41,24 CDM,RX-40841070,HYDROCORTISONE SOD SUCCINATE (PF) 50 MG/ML PEDIATRIC,103.15,61.89,20.65,83.86,24 CDM,RX-40841071,METHYLPREDNISOLONE SOD SUCC 62.5 MG/ML IV PEDIATRIC,247.75,148.65,0.2037,201.42,34 CDM,RX-40841084,HYDRALAZINE 0.5 MG/ML PEDIATRIC DILUTION,72.475,43.485,13.22,63.54,48 CDM,RX-40841089,CHLOROTHIAZIDE SODIUM 28 MG/ML (PEDIATRIC),735.15,441.09,93.1,597.68,24 CDM,RX-40841117,EPINEPHRINE 0.3MG/0.3ML OPHTH INJECTION,17.55,10.53,1.13,14.27,24 CDM,RX-40841118,FLUOROURACIL 50MG/ML OPHTH SOLUTION,275.2,165.12,4.69,223.74,24 CDM,RX-40841120,VANCOMYCIN OPHTH 10MG/0.2ML INJECTION,63.45,38.07,0.0708,51.58,24 CDM,RX-40841127,CALCIUM GLUCONATE (PICU-UNC) 100 MG/ML PEDIATRIC BOLUS,176.4,105.84,0.0944,235.61,72 CDM,RX-40841133,TOLUIDINE BLUE 1 % SOLUTION,24.2,14.52,4.84,19.67,22 CDM,RX-40841140,ENOXAPARIN 20 MG/ML DILUTION PEDIATRIC INJECTION,120.55,72.33,1.39,98.01,24 CDM,RX-40841151,PHENYLEPHRINE 4 MG/50 ML (80 MCG/ML) IN 0.9% SODIUM CHLORIDE,71.4,42.84,0.0236,58.05,24 CDM,RX-40841187,PAIN CLINIC SYRINGE (COMPOUNDED PRODUCT),0.2,0.12,0.04004,0.1626,26 CDM,RX-40841190,NEONATAL AA 3.75%/HEPARIN 0.5 UNIT/ML/ D10W 200ML,78.35,47.01,15.69,63.7,22 CDM,RX-40841198,DEXMEDETOMIDINE 200 MCG/50 ML (4 MCG/ML) NS PEDIATRIC INFUSION,180.6,108.36,36.16,146.83,22 CDM,RX-40841232,DEXMEDETOMIDINE 4 MCG/ML BOLUS FROM INFUSION (CSAC),0.2,0.12,0.04004,0.1626,22 CDM,RX-40841233,ESMOLOL 500 MG/50 ML NS SYRINGE,171.8,103.08,0.5192,139.67,24 CDM,RX-40841238,CISATRACURIUM (NIMBEX) 2 MG/ML PEDIATRIC BOLUS FROM INFUSION (CSAC),0.2,0.12,0.04004,0.1626,22 CDM,RX-40841239,FENTANYL (PF) 10 MCG/ML PEDIATRIC BOLUS FROM INFUSION (CSAC),0.2,0.12,0.04004,2.61,24 CDM,RX-40841240,FENTANYL (PF) 50 MCG/ML BOLUS FROM INFUSION,0.2,0.12,0.04004,2.61,24 CDM,RX-40841246,MORPHINE 1 MG/ML BOLUS FROM INFUSION,0.2,0.12,0.04004,0.1626,26 CDM,RX-40841249,PENTOBARBITAL (NEMBUTAL) 50 MG/ML BOLUS FROM INFUSION,0.2,0.12,0.04004,173.61,24 CDM,RX-40841260,INSULIN REGULAR 0.5 UNIT/ML PEDIATRIC DILUTION,75.6,45.36,0.5428,61.46,24 CDM,RX-40841268,PYRIMETHAMINE 2 MG/ML ORAL SUSPENSION,29.2,17.52,5.85,23.74,22 CDM,RX-40841269,FUROSEMIDE 10 MG/ML PEDIATRIC SYRINGE,34.75,20.85,0.0472,28.25,24 CDM,RX-40841274,HYDROCORTISONE SOD SUCCINATE (PF) 1 MG/ML PEDIATRIC DILUTION,71.4,42.84,14.29,58.05,24 CDM,RX-40841291,METHYLPREDNISOLONE SOD SUCC 4 MG/ML PEDIATRIC DILUTION,1785.0,1071.0,0.2037,1451.2,34 CDM,RX-40841293,DEXAMETHASONE 0.2 MG/ML PEDIATRIC DILUTION,99.55,59.73,0.2124,80.93,24 CDM,RX-40841307,MORPHINE (PF) 0.5MG/0.5ML INJECTION SOLUTION,25.15,15.09,5.04,29.37,24 CDM,RX-40841316,"HEPARIN, PORCINE (PF) 5,000 UNIT/0.5 ML INJECTION WRAPPER",34.85,20.91,0.4956,28.33,24 CDM,RX-40841351,VECURONIUM (NORCURON) 1 MG/ML PEDIATRIC INFUSION 8 ML,71.75,43.05,14.36,58.33,22 CDM,RX-40841368,FENTANYL (PF) 10 MCG/ML NEONATAL DILUTION INJECTION,27.75,16.65,2.6,22.56,24 CDM,RX-40841371,NITROGLYCERIN 2MG/20ML INTRAVENOUS SYRINGE,63.1,37.86,3.52,51.3,24 CDM,RX-40841372,BALANCED SALT IRRIGATION INTRAOCULAR SOLUTION 500ML,174.0,104.4,34.83,141.46,22 CDM,RX-40841377,FERRIC SUBSULFATE TOPICAL PASTE,64.0,38.4,12.81,52.03,22 CDM,RX-40841401,DEXMEDETOMIDINE 200 MCG/2 ML INTRANASAL SOLUTION,88.2,52.92,17.66,71.71,22 CDM,RX-40841433,MIDAZOLAM 1 MG/ML (COMBINED) INJECTION SOLUTION WRAPPER,22.475,13.485,0.354,18.29,48 CDM,RX-40841434,MIDAZOLAM 5 MG/ML (COMBINED) INJECTION SOLUTION WRAPPER,26.1,15.66,0.354,34.72,72 CDM,RX-40841476,ZOLEDRONIC ACID 4 MG/100 ML IN MANNITOL WRAPPER,273.0,163.8,11.94,221.95,24 CDM,RX-40841489,MAGNESIUM SULFATE 40 MG/ML (PERIPHERAL) PEDIATRIC IV,131.05,78.63,1.13,106.54,24 CDM,RX-40841493,MAGNESIUM SULFATE 100 MG/ML (CENTRAL) PEDIATRIC DILUTION,94.5,56.7,1.13,76.83,24 CDM,RX-40841516,ROCURONIUM 10 MG/ML INFUSION CSAC,139.65,83.79,27.96,113.54,22 CDM,RX-40841531,DEXAMETHASONE 4 MG/ML (FOR ORAL USE) INJECTION SOLUTION,29.15,17.49,0.2124,23.7,23 CDM,RX-40841532,PHYTONADIONE 1 MG/ML ORAL SUSPENSION,104.3,62.58,20.88,84.8,22 CDM,RX-40841534,VALACYCLOVIR 50MG/ML ORAL SUSPENSION,107.0,64.2,21.42,86.99,22 CDM,RX-40841538,DOBUTAMINE 50 MG/50 ML (1000MCG/ML) IN DEXTROSE 5% SYRINGE,81.9,49.14,16.4,66.58,24 CDM,RX-40841545,"HEPARIN, PORCINE (PF) 100 UNIT/ML ADDITIVE SYRINGE",17.75,10.65,0.0472,14.43,24 CDM,RX-40841547,FUROSEMIDE 2 MG/ML IV SYRINGE (NEONATAL-REX),68.3,40.98,0.0472,55.53,24 CDM,RX-40841569,IPRATROPIUM BROMIDE 0.02 % SOLN FOR CONTINUOUS NEBULIZATION,17.25,10.35,3.45,14.02,22 CDM,RX-40841572,SUCCINYLCHOLINE CHLORIDE 20MG/ML SYRINGE/VIAL WRAPPER,55.9,33.54,2.17,45.45,24 CDM,RX-40841589,"HEPARIN (PORCINE) 1,000 UNIT/500 ML IN 0.9% SODIUM CHLORIDE IV (COMBINED)",82.25,49.35,0.4956,66.87,24 CDM,RX-40841610,RIFAXIMIN 20 MG/ML ORAL SUSPENSION,106.35,63.81,21.29,86.46,22 CDM,RX-40841613,AMPICILLIN 30 MG/ML PEDIATRIC DILUTION,310.8,186.48,1.3,252.68,24 CDM,RX-40841619,ADENOSINE 300 MCG/ML SYRINGE (NEONATAL-REX),79.75,47.85,1.25,64.84,24 CDM,RX-40841626,LACOSAMIDE 10 MG/1 ML INTRAVENOUS SOLUTION (PEDS),319.25,191.55,0.472,259.55,23 CDM,RX-40841628,SODIUM CHLORIDE 3 % INTRAVENOUS BOLUS SOLUTION,75.0,45.0,0.2805,60.98,24 CDM,RX-40841771,INSULIN REGULAR 0.5 UNIT/ML NEONATAL 4 ML INFUSION,64.15,38.49,0.5428,52.15,24 CDM,RX-40841785,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION BUILDER,39.7,23.82,7.95,32.16,19 CDM,RX-40841793,METOCLOPRAMIDE 0.1 MG/ML IV SYRINGE NEONATAL,105.0,63.0,2.57,85.36,24 CDM,RX-40841794,ENALAPRILAT 125 MCG/ML IV SYRINGE NEONATAL,74.75,44.85,14.96,60.77,22 CDM,RX-40841797,MORPHINE 5 MG/ML IN 0.9 % SODIUM CHLORIDE 50 ML PCA,52.0,31.2,10.41,42.28,26 CDM,RX-40841845,AMPICILLIN-SULBACTAM DILUTION 25 MG AS AMPICILLIN/ML,161.6,96.96,3.28,131.38,24 CDM,RX-40841891,MORPHINE 0.4 MG/ML ORAL SOLUTION (NEONATAL),22.15,13.29,4.43,18.01,22 CDM,RX-40841935,STUDY UTX-TGR-304/204 UBLITUXIMAB 10 MG/ML INTRAVENOUS SOLUTION,0.2,0.12,0.04004,200.52,34 CDM,RX-40842218,NITROGLYCERIN 100 MCG/ML BOLUS INJECTION (10 ML SYRINGE),63.1,37.86,3.52,51.3,24 CDM,RX-40842262,FORMALIN 1 % IN SWFI 1000 ML,42.0,25.2,8.41,34.15,26 CDM,RX-40842263,ALTEPLASE 1 MG/ML INTRATHECAL INJECTION,451.85,271.11,90.46,367.35,34 CDM,RX-40842287,GENTAMICIN 40 MG/ML INJECTION IM USE ONLY,167.65,100.59,5.22,136.3,24 CDM,RX-40842331,NICARDIPINE 0.2 MG/ML IN NS 50 ML PEDIATRIC INFUSION,276.6,165.96,0.1652,224.88,24 CDM,RX-40842334,ARGININE HCL (L-ARGININE) 10 % INTRAVENOUS SOLUTION (PED),239.4,143.64,47.93,194.63,22 CDM,RX-40842343,VECURONIUM 1 MG/ML NEONATAL INJECTION,73.9,44.34,14.79,60.08,22 CDM,RX-40842356,DOPAMINE 3200 MCG/ML IN DEXTROSE 5% 8 ML PEDIATRIC,65.7,39.42,1.8,53.41,24 CDM,RX-40842357,DOPAMINE 3200 MCG/ML IN DEXTROSE 5% 50 ML PEDIATRIC,79.6,47.76,1.8,64.71,24 CDM,RX-40842448,STUDY UTX-TGR-304/204 UBLITUXIMAB 25 MG/ML INTRAVENOUS SOLUTION,0.2,0.12,0.04004,200.52,68 CDM,RX-408426030,CHOLESTYRAMINE-MAALOX PLUS-ZINC OXIDE OINTMENT,59.8,35.88,11.97,48.62,22 CDM,RX-408426045,METOPROLOL TARTRATE 6.25 MG SPLIT QUARTER TABLET,16.05,9.63,3.21,13.05,22 CDM,RX-408450043,MIDAZOLAM 5 MG/ML INFUSION (MAXIMUM CONCENTRATION),247.6,148.56,0.354,201.3,24 CDM,RX-408450147,"FACTOR XA,INACTIVATED-ZHZO (RECOMBINANT) 200 MG INTRAVENOUS BOLUS",10077.0,6046.2,127.44,8192.6,34 CDM,RX-408450163,CEFAZOLIN 2 GRAM SOLUTION FOR IVPB WRAPPER,87.6,52.56,1.89,71.22,24 CDM,RX-408450164,FLUCONAZOLE 2 MG/ML (ODD DOSE) IN SODIUM CHLORIDE 0.9% IVPB (120MIN ADMIN),150.4,90.24,5.33,122.28,24 CDM,RX-408450168,SODIUM BICARBONATE 150 MEQ/1000 ML IN DEXTROSE 5 % CONT INFUSION PREMIX,153.65,92.19,30.76,124.92,22 CDM,RX-408451019,ALTEPLASE 1 MG/1 ML SOLUTION FOR INJECTION,364.25,218.55,72.92,296.14,34 CDM,RX-408451156,STUDY S1914 ATEZOLIZUMAB 60 MG/ML IV SOLUTION,0.2,0.12,0.04004,215.56,29 CDM,RX-408451670,STUDY CIP0218 DEXAMETHASONE 4 MG/ML INJECTION SOLUTION,0.2,0.12,0.04004,0.33,24 CDM,RX-408453785,STUDY NSABP B-62/CAMBRIA-1 CAMIZESTRANT 75 MG TABLET,0.2,0.12,0.04004,0.162,19 CDM,RX-408453792,STUDY NSABP B-62/CAMBRIA-1 LEUPROLIDE 3.75 MG INTRAMUSCULAR INJECTION (1 MONTH),0.2,0.12,0.04004,4844.6,34 CDM,RX-408453793,STUDY NSABP B-62/CAMBRIA-1 LEUPROLIDE 11.25 MG INTRAMUSCULAR INJECTION (3 MONTH),0.2,0.12,0.04004,4844.6,34 CDM,RX-408453799,STUDY NRG-GU010-CIRB DAROLUTAMIDE 300 MG TABLET,0.2,0.12,0.04004,0.1626,22 CDM,RX-408453804,STUDY NRG-GU009 APALUTAMIDE 60 MG TABLET,0.2,0.12,0.04004,0.1626,22 CDM,RX-408453812,STUDY GS-US-595-6184 SACITUZUMAB GOVITECAN-HZIY 10 MG/ML INTRAVENOUS SOLUTION,0.2,0.12,0.04004,101.12,34 CDM,RX-408453830,STUDY S2206 DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION,0.2,0.12,0.04004,237.76,34 CDM,RX-408453866,STUDY EX6018-4979 ZILTIVEKIMAB C/PLACEBO 15 MG/0.5 ML SUBCUTANEOUS PEN,0.2,0.12,0.04004,0.162,19 CDM,RX-408454006,CARFILZOMIB (KYPROLIS) IVPB 2 MG/ML,15838.65,9503.19,53.98,12876.82,34 CDM,RX-408454014,CARBOPLATIN (PARAPLATIN) 10 MG/ML IVPB (BY AUC),439.35,263.61,5.74,456.05,96 CDM,RX-408454018,CISPLATIN (PLATINOL) IVPB 1 MG/ML,429.675,257.805,5.31,367.76,48 CDM,RX-408454030,CARBOPLATIN (PARAPLATIN) 10 MG/ML IVPB (BY MG/M2),425.75,255.45,5.74,456.05,96 CDM,RX-408454040,CYCLOPHOSPHAMIDE (POWDER) (CYTOXAN) 20 MG/ML IVPB,2740.6,1644.36,0.4656,2228.11,34 CDM,RX-40846025,"BUPROPION HCL SR 150 MG TABLET,SUSTAINED-RELEASE (COMBINED) WRAPPER",18.45,11.07,3.69,15.0,22 CDM,RX-40846030,LABETALOL 5 MG/ML INTRAVENOUS VIAL/SYRINGE WRAPPER,101.2,60.72,0.8024,82.28,24 CDM,RX-40846040,SODIUM POLYSTYRENE SULFONATE 15 GRAM/60 ML ORAL COMBINED WRAPPER,115.15,69.09,23.05,93.62,22 CDM,RX-40846063,CEFTRIAXONE 1 GRAM INJ COMBINED WRAPPER,25.1,15.06,1.01,20.41,24 CDM,RX-40846064,CEFTRIAXONE 2 GRAM INJ COMBINED WRAPPER,29.65,17.79,1.01,24.11,24 CDM,RX-40846071,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION (PED)",88.2,52.92,17.66,71.71,22 CDM,RX-40846089,ACETAZOLAMIDE 100 MG/ML IV PEDIATRIC,195.3,117.18,39.1,158.78,24 CDM,RX-40846097,HISTAMINE 1 MG/ML (2.75 MG/ML) PERCUTANEOUS SOLUTION,146.2,87.72,29.27,118.86,22 CDM,RX-40846245,STUDY NSABP B-61 GIREDESTRANT 30 MG CAPSULE,0.2,0.12,0.04004,0.162,21 CDM,RX-408470072,CEFTAROLINE FOSAMIL 1 MG/ML DESENSITIZATION SOLUTION,1144.35,686.61,4.1,930.36,34 CDM,RX-408470073,CEFTAROLINE FOSAMIL 0.1 MG/ML DESENSITIZATION SOLUTION,1144.35,686.61,4.1,930.36,34 CDM,RX-408470157,HYDROMORPHONE 1 MG/ML IN NS INFUSION WRAPPER,73.6,44.16,0.2124,59.84,24 CDM,RX-408470177,NITROGLYCERIN 200 MCG/ML IN D5W 8 ML PEDIATRIC INFUSION,64.45,38.67,3.52,52.4,24 CDM,RX-408470197,MIDAZOLAM 2 MG/ML ORAL LIQUID WRAPPER,226.25,135.75,8.08,335.08,44 CDM,RX-408470198,BUMETANIDE 20 MG/80 ML (0.25 MG/ML) INFUSION CSAC,173.25,103.95,0.3589,140.85,34 CDM,RX-408470212,NITROGLYCERIN 200 MCG/ML BOLUS INJECTION (VIR/CATH),63.2,37.92,3.52,51.38,24 CDM,RX-408470216,INSULIN REGULAR 100 UNIT/100 ML (1 UNIT/ML) COMPOUNDED PREMADE BAG,115.15,69.09,0.5428,93.62,23 CDM,RX-408470219,LIDOCAINE (PF) 20 MG/ML (2 %) ATOMIZED SOLUTION,32.35,19.41,5.16,39.76,66 CDM,RX-408470228,SELENIUM 12 MCG/ML DILUTION,1584.85,950.91,317.29,1288.48,22 CDM,RX-408470247,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE WRAPPER,38.75,23.25,1.13,31.5,24 CDM,RX-408470253,KETAMINE 1000 MG/100 ML (10 MG/ML) INFUSION (STRAIGHT DRUG),478.4,287.04,95.78,388.94,22 CDM,RX-408470277,FENTANYL (PF) 50 MCG/ML INFUSION,88.0,52.8,2.6,71.54,24 CDM,RX-408470296,REMDESIVIR 100 MG INTRAVENOUS POWDER FOR SOLUTION,2580.45,1548.27,6.53,2097.91,34 CDM,RX-408470311,"PENICILLIN G POTASSIUM 100,000 UNITS/ML IV (PED DILUTION)",17.2,10.32,1.86,13.98,24 CDM,RX-408470320,TRACE ELEMENTS ZN 3 MG-CU 0.3 MG-MN 55 MCG-SE 60 MCG/ML IV SOLUTION,144.3,86.58,28.89,117.32,22 CDM,RX-408470332,CISATRACURIUM 2 MG/ML CONTINUOUS INFUSION (2 MG/ML VIALS) (CSAC),1380.15,828.09,276.31,1122.06,22 CDM,RX-408470437,"PENICILLIN G POTASSIUM 100,000 UNITS/ML IM DILUTION",73.8,44.28,1.86,60.0,24 CDM,RX-408470469,REMIFENTANIL (50 MCG/ML) IN NS INFUSION (ANESTHESIA),215.0,129.0,43.04,174.79,22 CDM,RX-408470509,SODIUM FERRIC GLUCONATE 250 MG IN 100 ML PREMIX (SSC),597.25,358.35,4.77,485.56,24 CDM,RX-40847151,NAFCILLIN 1 GRAM INJ COMBINED WRAPPER,109.2,65.52,0.118,88.78,24 CDM,RX-40847152,NAFCILLIN 2 GRAM INJ COMBINED WRAPPER,115.5,69.3,0.118,93.9,24 CDM,RX-40847153,CEFEPIME 1 GRAM INJ COMBINED WRAPPER,43.3,25.98,2.88,35.2,24 CDM,RX-40847154,CEFEPIME 2 GRAM INJ COMBINED WRAPPER,65.35,39.21,2.88,53.13,24 CDM,RX-40847164,AMPICILLIN 1 GRAM INJ COMBINED WRAPPER,47.45,28.47,1.3,38.58,24 CDM,RX-40847165,AMPICILLIN 2 GRAM INJ COMBINED WRAPPER,66.05,39.63,1.3,53.7,24 CDM,RX-40847169,CEFTAZIDIME 1 GRAM INJECTION COMBINED WRAPPER,36.5,21.9,3.71,29.67,24 CDM,RX-40847170,CEFTAZIDIME 2 GRAM INJECTION COMBINED WRAPPER,66.05,39.63,3.71,53.7,24 CDM,RX-40847175,HYDROMORPHONE 10 MG/50 ML (0.2 MG/ML) IN NS PCA SYRINGE (WRAPPER),48.45,29.07,0.2124,39.39,24 CDM,RX-40847176,AMIKACIN 250 MG/ML INJECTION SOLUTION WRAPPER,88.8,53.28,1.49,72.19,24 CDM,RX-408480255,PHENYLEPHRINE 100 MG IN 250 ML NS (400 MCG/ML) (PMB),260.4,156.24,0.0236,211.71,24 CDM,RX-40849120,DEXMEDETOMIDINE 20 MCG/5 ML SYRINGE (OR),119.7,71.82,23.96,97.32,22 CDM,RX-40849124,EPI-SHUGARCAINE COMPOUNDED SYRINGE,118.25,70.95,1.13,96.14,24 CDM,RX-40849130,ASPIRIN ORAL DESENSITIZATION 1 MG/ML BULK SOLUTION,16.05,9.63,3.21,13.05,22 CDM,RX-40849151,PENTOBARBITAL 2500MG/50 ML ADULT INFUSION,6793.0,4075.8,127.13,5522.71,24 CDM,RX-40849164,BUPIVACAINE 0.125% IN NS EPIDURAL SYRINGE FOR OR,30.95,18.57,0.0236,25.16,24 CDM,RX-40849172,DEFEROXAMINE 500 MG SOLUTION FOR IV ADMIXTURE USE,83.25,49.95,16.67,67.68,24 CDM,RX-40849174,CUPRIC CHLORIDE 40 MCG/ML INTRAVENOUS DILUTION,65.1,39.06,13.03,52.93,22 CDM,RX-40849175,LEVOCARNITINE 25 MG/ML INTRAVENOUS DILUTION,178.35,107.01,35.71,145.0,24 CDM,RX-40849176,MAGNESIUM SULFATE 2.03 MEQ/ML INJECTION DILUTION,50.6,30.36,1.13,41.14,24 CDM,RX-40849177,ZINC CHLORIDE 0.5 MG/ML INTRAVENOUS DILUTION,231.7,139.02,46.39,188.37,22 CDM,RX-40849205,FLUCONAZOLE 800 MG/400 ML NS IVPB,237.75,142.65,5.33,193.29,24 CDM,RX-40849208,FLUCONAZOLE 2 MG/ML (ODD DOSE) IN SODIUM CHLORIDE 0.9% IVPB (60MIN ADMIN),150.4,90.24,5.33,122.28,24 CDM,RX-40849242,ARGATROBAN CRRT REGIONAL CIRCUIT INFUSION (50 MG/50 ML),483.0,289.8,0.776,392.68,34 CDM,RX-40849256,CEFAZOLIN 50 MG/0.5 ML (100 MG/ML) INTRAOCULAR INJECTION,68.25,40.95,1.89,55.49,24 CDM,RX-40849271,CEFUROXIME 5 MG/0.5 ML INTRAOCULAR INJECTION,22.1,13.26,4.37,17.97,24 CDM,RX-40849272,VANCOMYCIN 5 MG/0.5 ML INTRACAMERAL INJECTION,22.8,13.68,0.0708,18.54,24 CDM,RX-40849300,IC-GREEN 25 MG/25 ML IN DEXTROSE 5%,458.95,275.37,91.88,373.13,22 CDM,RX-40849309,FENTANYL (SUBLIMAZE) 100 MCG IN NS 50ML (REX OR),26.05,15.63,2.6,21.18,24 CDM,RX-40849314,MITOMYCIN 40 MG/40 ML (ONE-STEP BLADDER IRRIGATION),5836.45,3501.87,19.74,4745.03,34 CDM,RX-40849323,NOREPINEPHRINE 1 MCG/ML CATH/EP SOLUTION,63.05,37.83,12.62,51.26,22 CDM,RX-40849333,NICARDIPINE 10 MCG/ML INTRAVENOUS SOLUTION,63.15,37.89,0.1652,51.34,24 CDM,RX-40849336,NITROPRUSSIDE 10 MCG/ML INTRAVENOUS SOLUTION,63.25,37.95,12.66,51.42,22 CDM,RX-40849340,NITROGLYCERIN 100 MCG/ML INJECTION FOR VIR/CATH,63.3,37.98,3.52,51.46,24 CDM,RX-40849341,DILTIAZEM 100 MCG/ML IN NS,63.05,37.83,12.62,51.26,22 CDM,RX-40849344,BIVALIRUDIN 250 MG/50 ML INFUSION (CATH LAB),144.9,86.94,0.4012,117.8,24 CDM,RX-40849375,ALTEPLASE 125 MCG/ML INTRAOCULAR INJECTION,19.35,11.61,3.87,262.57,34 CDM,RX-40849378,AMPHOTERICIN B 50 MCG/ML INTRAOCULAR INJECTION,16.05,9.63,3.21,102.45,24 CDM,RX-40849382,PHENYLEPHRINE 1 MG/ML IV BOLUS (REX-JHH CATH),66.2,39.72,0.0236,53.82,24 CDM,RX-40849386,"LIPASE-PROTEASE-AMYLASE 24,000-76,000-120,000 UNIT CAPSULE,DELAYED REL (TUBE DECLOG)",50.05,30.03,10.02,40.69,22 CDM,RX-40849403,TRIAMCINOLONE (KENALOG) 40 MG IN NS (REX OR OSM),456.15,273.69,1.98,375.69,72 CDM,RX-40849406,GATIFLOXACIN WITH ATROPINE (REX OR OSM),79.8,47.88,15.98,64.88,22 CDM,RX-40849443,FACTOR VIIA RECOMB (NOVOSEVEN) INTERMITTENT INFUSION,88.25,52.95,2.58,71.75,34 CDM,RX-40849501,KETAMINE 10 MG/ML INJECTION SYRINGE WRAPPER,37.0,22.2,7.41,30.08,22 CDM,RX-40849530,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION NON-PVC,75.6,45.36,1.53,63.79,59 CDM,RX-40849580,AMPHOTERICIN B 100 MCG/ML INTRAOCULAR INJECTION,16.05,9.63,3.21,102.45,24 CDM,RX-40849737,"FENTANYL 12.5 MCG, BUPIVACAINE 0.2% (1.25 ML SYRINGE) CSE",22.65,13.59,4.53,18.41,22 CDM,RX-40849738,FENTANYL 50 MCG BUPIVACAINE 0.125% IN SODIUM CHLORIDE 0.9% (15 ML SYRINGE),24.85,14.91,2.6,20.2,24 CDM,RX-40849764,NALOXONE 1 MG/ML INTRANASAL SOLUTION,158.65,95.19,0.1888,128.98,24 CDM,RX-40849770,HUM PROTHROMBIN CPLX(PCC)4FACT 500 UNIT/20 ML IV KIT,88.95,53.37,2.08,72.32,34 CDM,RX-40849771,HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION INJ ACTOVIAL/VIAL WRAPPER,125.55,75.33,25.14,102.07,24 CDM,RX-40849802,EPINEPHRINE 1 MG/ML INJECTION WRAPPER,357.25,214.35,1.13,939.87,72 CDM,RX-40849811,MORPHINE 2 MG/ML INJECTION PF WRAPPER,26.35,15.81,5.28,22.13,24 CDM,RX-40849812,MORPHINE 4 MG/ML INJECTION WRAPPER,24.95,14.97,4.99,20.28,24 CDM,RX-40849827,RIFAMPIN 600 MG TOPICAL POWDER FOR AAA (REX OPTIME),730.25,438.15,0.3304,593.69,24 CDM,RX-40849835,CHOLESTYRAMINE 20% IN AQUAPHOR OINTMENT,101.7,61.02,20.36,82.68,22 CDM,RX-40849886,CEFAZOLIN 2 GRAM/50 ML IN DEXTROSE WRAPPER,64.0,38.4,1.89,52.03,24 CDM,RX-40849890,HEPATITIS B VACC RECMB(PF) 0.5 ML IM WRAPPER,103.5,62.1,20.72,88.33,26 CDM,RX-40849896,KETAMINE 100 MG/ML INTRANASAL SOLUTION,62.05,37.23,12.42,50.45,22 CDM,RX-40849902,MENTHOL LOZENGES WRAPPER,1.1,0.66,0.22022,0.8943,22 CDM,RX-40849905,AZTREONAM 1 GRAM SOLUTION FOR IV PUSH,151.25,90.75,5.97,122.97,24 CDM,RX-40849906,AZTREONAM 2 GRAM SOLUTION FOR IV PUSH,286.5,171.9,5.97,232.92,24 CDM,RX-40849909,CEFEPIME 1 GRAM SOLUTION FOR IV PUSH,39.0,23.4,2.88,31.71,24 CDM,RX-40849910,CEFEPIME 2 GRAM SOLUTION FOR IV PUSH',61.5,36.9,2.88,50.0,24 CDM,RX-40849916,CEFUROXIME SODIUM 750 MG SOLUTION FOR IV PUSH,26.4,15.84,4.37,21.46,24 CDM,RX-40849917,CEFUROXIME SODIUM 1.5 GRAM SOLUTION FOR IV PUSH,36.5,21.9,4.37,29.67,24 CDM,RX-40849918,DAPTOMYCIN 500 MG SOLUTION FOR IV PUSH,210.0,126.0,0.0708,170.73,24 CDM,RX-40849919,MEROPENEM 500 MG SOLUTION FOR IV PUSH,75.6,45.36,0.9912,61.46,24 CDM,RX-40849920,MEROPENEM 1 GRAM SOLUTION FOR IV PUSH,87.8,52.68,0.9912,71.38,24 CDM,RX-40849929,AMPICILLIN-SULBACTAM 3 GRAM MBP/ADV WRAPPER,82.3,49.38,3.28,66.91,24 CDM,RX-40849952,CEFTRIAXONE 1 GRAM SOLUTION FOR IV PUSH,25.1,15.06,1.01,20.41,24 CDM,RX-40849953,CEFTRIAXONE 2 GRAM SOLUTION FOR IV PUSH,29.65,17.79,1.01,24.11,24 CDM,RX-40849972,"DOBUTAMINE 32 MG/8 ML (4,000 MCG/ML) IN 5 % DEXTROSE (8 ML)",66.95,40.17,13.4,54.43,24 CDM,RX-40849973,"DOBUTAMINE 200 MG/50 ML (4,000 MCG/ML) IN 5 % DEXTROSE (50 ML)",84.0,50.4,16.71,68.29,24 CDM,RX-40849994,LORAZEPAM 2 MG/ML INJECTION WRAPPER,23.2,13.92,3.26,18.86,24 CDM,RX-40850049,HYDROCHLOROTHIAZIDE 5 MG/ML ORAL SUSPENSION,27.525,16.515,4.13,27.97,44 CDM,RX-40850068,MIDAZOLAM 5 MG/ML (COMBINED) INTRANASAL SOLUTION WRAPPER,42.7,25.62,0.354,34.72,24 CDM,RX-40850071,MIDAZOLAM 1 MG/ML (COMBINED) INTRANASAL SOLUTION WRAPPER,25.075,15.045,0.354,21.3,48 CDM,RX-40850075,CLONIDINE 20 MCG/ML ORAL SOLN,17.65,10.59,3.53,14.35,22 CDM,RX-40850084,HYDROCORTISONE 2 MG/ML ORAL SUSPENSION,16.35,9.81,3.27,13.29,22 CDM,RX-40850094,NAFCILLIN 20 MG/ML PEDIATRIC DILUTION,531.3,318.78,0.118,431.95,24 CDM,RX-40850128,STUDY J3M-MC-JZQB OLOMORASIB (LY3537982)/PLACEBO 25 MG CAPSULE,0.2,0.12,0.04004,0.162,21 CDM,RX-40850129,STUDY J3M-MC-JZQB OLOMORASIB (LY3537982)/PLACEBO 50 MG CAPSULE,0.2,0.12,0.04004,0.162,21 CDM,RX-40850334,STUDY NSABP-B-59/GBG-96 ATEZOLIZUMAB/PLACEBO 60 MG/ML INTRAVENOUS SOLUTION,0.2,0.12,0.04004,0.1626,26 CDM,RX-40850414,BETHANECHOL 5 MG/ML ORAL SUSPENSION,34.0,20.4,6.81,27.64,22 CDM,RX-40850415,RIFAMPIN 25 MG/ML ORAL SUSPENSION,88.0,52.8,17.62,71.54,22 CDM,RX-40850523,STUDY MK7902-010-WIRB PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,0.2,0.12,0.04004,163.33,34 CDM,RX-40850739,REMDESIVIR 100 MG INTRAVENOUS POWDER FOR SOLUTION (EUA),2580.45,1548.27,6.53,2097.91,34 CDM,RX-40850768,"BLINATUMOMAB 12.5 MCG/ML IV SOLN (5 MCG/M2/DAY, 24-HR INFUSION)",24724.8,14834.88,159.32,20101.26,34 CDM,RX-40850770,"BLINATUMOMAB 12.5 MCG/ML IV SOLN (15 MCG/M2/DAY, 24-HR INFUSION)",24724.8,14834.88,159.32,20101.26,34 CDM,RX-40850772,"BLINATUMOMAB 12.5 MCG/ML IV SOLN (5 MCG/M2/DAY, 48-HR INFUSION)",24724.8,14834.88,159.32,20101.26,34 CDM,RX-40850774,"BLINATUMOMAB 12.5 MCG/ML IV SOLN (15 MCG/M2/DAY, 48-HR INFUSION)",24724.8,14834.88,159.32,20101.26,34 CDM,RX-40850776,"BLINATUMOMAB 12.5 MCG/ML IV SOLN (15 MCG/M2/DAY, 7-DAY INFUSION)",24724.8,14834.88,159.32,20101.26,34 CDM,RX-408508256,TENECTEPLASE 50 MG INTRAVENOUS SOLUTION FOR STROKE,37768.55,22661.13,167.05,30705.83,34 CDM,RX-40850887,STUDY DF-HCC-20-347-ADEPT PERTUZUMAB 30 MG/ML INTRAVENOUS SOLUTION,0.2,0.12,0.04004,0.1626,22 CDM,RX-40850889,STUDY DF-HCC-20-347-ADEPT TRASTUZUMAB 21 MG/ML INTRAVENOUS SOLUTION,0.2,0.12,0.04004,212.46,34 CDM,RX-40850891,"STUDY DF-HCC-20-347-ADEPT TRASTUZUMAB 600 MG-HYALURONIDASE 10,000 UNITS/5 ML SUBCUTANEOUS SOLUTION",0.2,0.12,0.04004,175.62,34 CDM,RX-40850892,"STUDY DF-HCC-20-347-ADEPT PERTUZUMAB 1200 MG-TRASTUZUMAB 600 MG-HYALURONIDASE 30,000 UNITS/15 ML SUBCUTANEOUS SOLUTION",0.2,0.12,0.04004,176.79,34 CDM,RX-40850893,"STUDY DF-HCC-20-347-ADEPT PERTUZUMAB 600 MG-TRASTUZUMAB 600 MG-HYALURONIDASE 20,000 UNITS/10 ML SUBCUTANEOUS SOLUTION",0.2,0.12,0.04004,176.79,34 CDM,RX-40851400,FLUOROURACIL (ADRUCIL) 50 MG/ML IV SOLUTION WRAPPER (UNC HOMECARE),403.95,242.37,4.69,328.41,24 CDM,RX-40851417,STUDY J3M-MC-JZQB CARBOPLATIN 10 MG/ML IV SOLUTION,0.2,0.12,0.04004,5.83,24 CDM,RX-40851419,STUDY J3M-MC-JZQB CISPLATIN 1 MG/ML IV SOLUTION,0.2,0.12,0.04004,5.4,24 CDM,RX-40851421,STUDY J3M-MC-JZQB PEMETREXED 25 MG/ML IV SOLUTION,0.2,0.12,0.04004,10.4,34 CDM,RX-40851423,STUDY J3M-MC-JZQB PEMBROLIZUMAB 25 MG/ML IV SOLUTION,0.2,0.12,0.04004,163.33,34 CDM,RX-40851516,STUDY MK-2870-011 SACITUZUMAB TIRUMOTECAN 20 MG/ML IV SOLUTION,0.2,0.12,0.04004,0.162,21 CDM,RX-40851518,STUDY MK-2870-011 PEMBROLIZUMAB 25 MG/ML IV SOLUTION,0.2,0.12,0.04004,163.33,34 CDM,RX-40851520,STUDY MK-2870-011 DEXAMETHASONE 0.1 MG/ML ORAL SOLUTION,0.2,0.12,0.04004,0.1626,24 CDM,RX-40851523,STUDY RMC-6236-301 RMC-6236 20 MG TABLET,0.2,0.12,0.04004,0.162,21 CDM,RX-40851524,STUDY RMC-6236-301 RMC-6236 100 MG TABLET,0.2,0.12,0.04004,0.162,21 CDM,RX-40851525,STUDY RMC-6236-301 DOCETAXEL 10 MG/ML IV SOLUTION,0.2,0.12,0.04004,1.42,24 CDM,RX-40851526,STUDY RMC-6236-301 DOCETAXEL 20 MG/ML IV SOLUTION,0.2,0.12,0.04004,1.42,24 CDM,RX-40859208,FLUCONAZOLE 2 MG/ML (ODD DOSE IN BAG) IN SODIUM CHLORIDE 0.9% IVPB,106.7,64.02,5.33,86.75,24 CDM,RX-40860001,MEPERIDINE (PF) 25 MG/ML INJECTION WRAPPER,29.65,17.79,5.94,42.72,24 CDM,RX-40860003,HYDROMORPHONE 2 MG/ML INJECTION WRAPPER,23.05,13.83,0.2124,18.74,24 CDM,RX-40860004,EPHEDRINE 50 MG/ML INJECTION WRAPPER,148.15,88.89,29.66,120.45,22 CDM,RX-40860007,MEPERIDINE (PF) 50 MG/ML INJECTION WRAPPER,29.95,17.97,6.0,42.72,24 CDM,RX-40860008,WHITE PETROLATUM-MINERAL OIL-LANOLIN TOPICAL CREAM WRAPPER,12.4,7.44,2.48,10.08,22 CDM,RX-40860010,ARGATROBAN 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS WRAPPER,483.0,289.8,0.776,392.68,34 CDM,RX-40860011,COCAINE 4 % SOLUTION WRAPPER,757.0,454.2,4.06,615.44,23 CDM,RX-40860012,LIDOCAINE (PF) 20 MG/ML (2 %) INECTION SOLUTION WRAPPER,26.1,15.66,0.0236,39.76,72 CDM,RX-40860013,"HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR WRAPPER",278.25,166.95,55.71,226.22,25 CDM,RX-40860014,BACITRACIN 500 UNIT/GRAM TOPICAL PACKET WRAPPER,1.25,0.75,0.25025,1.02,22 CDM,RX-40860015,TIMOLOL MALEATE 0.5 % EYE DROPS WRAPPER,67.975,40.785,11.69,63.05,44 CDM,RX-40860017,HALOPERIDOL LACTATE 5 MG/ML INJECTION WRAPPER,16.85,10.11,1.89,13.7,24 CDM,RX-40860018,PEG-ELECTROLYTE ORAL SOLUTION WRAPPER,88.0,52.8,17.62,71.54,22 CDM,RX-40860021,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION WRAPPER",424.09999999999997,254.45999999999998,61.74,438.86,48 CDM,RX-40860022,ACETAMINOPHEN 650 MG/20.3 ML ORAL LIQUID WRAPPER,4.15,2.49,0.83083,3.37,22 CDM,RX-40860023,ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL LIQUID WRAPPER,2.8,1.68,0.56056,2.28,22 CDM,RX-40860221,VANCOMYCIN 1250 MG IN 250 ML NS IVPB PREMADE (287.5 ML TOTAL VOLUME),276.75,166.05,0.0708,225.0,24 CDM,RX-40860222,VANCOMYCIN 1500 MG IN 500 ML NS IVPB PREMADE (555 ML TOTAL VOLUME),298.45,179.07,0.0708,242.64,24 CDM,RX-40860223,VANCOMYCIN 1750 MG IN 500 ML NS IVPB PREMADE (557.5 ML TOTAL VOLUME),238.65,143.19,0.0708,194.02,24 CDM,RX-40860224,VANCOMYCIN 2000 MG IN 500 ML NS IVPB PREMADE (560 ML TOTAL VOLUME),260.6,156.36,0.0708,211.87,24 CDM,RX-4087108639,VITAMIN A ORAL SOLUTION 2500 MCG RAE/ML,2.25,1.35,0.45045,1.83,22 CDM,RX-40871198250,BEVACIZUMAB 2.25 MG/0.09 ML INTRAVITREAL SYRINGE,291.3,174.78,1.78,236.83,35 CDM,RX-40872,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,23.0,13.8,0.354,18.7,48 CDM,RX-408722020,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJ SOLN OSM,53.7,32.22,0.118,53.86,48 CDM,RX-408729001,ISRADIPINE 1 MG/ML ORAL SUSPENSION,77.8,46.68,15.58,63.25,22 CDM,RX-408880075,MERCAPTOPURINE 25 MG (ONCOLOGY) SPLIT TAB,28.7,17.22,5.75,23.33,22 CDM,RX-408880076,MERCAPTOPURINE 50 MG (ONCOLOGY) TABLET,37.7,22.62,7.55,30.65,22 CDM,RX-408880078,METHOTREXATE SODIUM 2.5 MG (ONCOLOGY) TABLET,37.2,22.32,0.4484,30.24,24 CDM,RX-408880146,GEMTUZUMAB OZOGAMICIN 4.5 MG (1 MG/ML INITIAL CONCENTRATION) IV SOLN,45136.0,27081.6,229.52,36695.57,34 CDM,RX-408880287,ATEZOLIZUMAB (TECENTRIQ) 60 MG/ML INJECTION SOLUTION WRAPPER,43619.25,26171.55,88.6,41681.05,68 CDM,RX-408880316,IMATINIB 50 MG SPLIT TABLET,27.45,16.47,5.5,22.32,22 CDM,RX-408880318,RUXOLITINIB 2.5 MG SPLIT TABLET,556.0,333.6,111.31,452.03,22 CDM,RX-408880328,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION FOR INTRATHECAL,314.75,188.85,6.15,342.52,72 CDM,RX-408880336,"DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN",46791.25,28074.75,53.9,38041.29,34 CDM,RX-408880458,CETUXIMAB IVPB OVER 2 HOURS,5795.9,3477.54,76.02,6208.23,68 CDM,RX-408880459,CETUXIMAB IVPB OVER 3 HOURS,5795.9,3477.54,76.02,6208.23,68 CDM,RX-408880460,CETUXIMAB IVPB OVER 1 HOUR,5795.9,3477.54,76.02,6208.23,68 CDM,RX-408880480,ALEMTUZUMAB (CAMPATH) SYRINGE 30 MG/ML (SOLID ORGAN TRANSPLANT),0.2,0.12,0.04004,6806.87,34 CDM,RX-408880530,FILGRASTIM-AAFI 300 MCG/ML SUBCUTANEOUS SOLUTION (COMPOUNDED SYRINGE),1012.45,607.47,0.2716,823.12,34 CDM,RX-408880697,ENFORTUMAB VEDOTIN-EJFV 30 MG INTRAVENOUS SOLUTION (MAX DOSE 100 MG),18814.4,11288.64,35.64,15296.11,34 CDM,RX-408880698,ENFORTUMAB VEDOTIN-EJFV 30 MG INTRAVENOUS SOLUTION (MAX DOSE 75 MG),18814.4,11288.64,35.64,15296.11,34 CDM,RX-408880699,ENFORTUMAB VEDOTIN-EJFV 30 MG INTRAVENOUS SOLUTION (MAX DOSE 50 MG),18814.4,11288.64,35.64,15296.11,34 CDM,RX-408880702,TALQUETAMAB-TGVS 40 MG/ML SUBCUTANEOUS SOLUTION (FOR 0.8 MG/KG DOSAGE),51108.35,30665.01,70.44,41551.09,34 CDM,RX-408880720,MELPHALAN (ALKERAN) SYRINGE,2475.0,1485.0,93.02,2012.17,34 CDM,RX-408880806,TOCILIZUMAB-AAZG (TYENNE) 20 MG/ML INJECTION WRAPPER,4175.65,2505.39,4.29,6738.39,102 CDM,RX-408880815,TOCILIZUMAB-AAZG (FOR COVID-19) 20 MG/ML INJECTION (EUA) WRAPPER,4175.65,2505.39,4.29,6738.39,102 CDM,RX-4088900119,FOSPHENYTOIN IV 500 MG PE NS 50 ML INFUSION (TOTAL VOLUME 67 ML),278.85,167.31,6.18,226.71,24 CDM,RX-40891712,GENTAMICIN SULFATE (PF) 20 MG/2 ML INJ SOLN WRAPPER,44.1,26.46,5.22,35.85,24 CDM,RX-4089308,BUMETANIDE 0.25 MG/ML INJECTION PEDIATRIC SYRINGE,29.75,17.85,0.3589,24.19,34 CDM,RX-40917,SODIUM BENZOATE 10 %-SODIUM PHENYLACETATE 10 % INTRAVENOUS SOLUTION,191837.95,115102.77,38405.96,155964.25,22 CDM,RX-40940147,SULFASALAZINE 100 MG/ML ORAL SUSP,128.9,77.34,25.81,104.8,22 CDM,RX-40940266,DEXTROSE 5% WATER (D5W) NON-PVC,74.25,44.55,4.27,60.75,78 CDM,RX-41294,FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION,1471.3,882.78,66.15,1196.17,34 CDM,RX-41382,FENTANYL 12 MCG/HR TRANSDERMAL PATCH,70.75,42.45,14.16,57.52,22 CDM,RX-41463,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION,20.3,12.18,3.85,17.48,66 CDM,RX-41673,VINORELBINE 50 MG/5 ML INTRAVENOUS SOLUTION,671.0,402.6,5.33,545.52,24 CDM,RX-41793,SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION,145.05,87.03,29.04,117.93,22 CDM,RX-41831,LIDOCAINE 5 % TOPICAL OINTMENT,736.0,441.6,147.35,598.37,22 CDM,RX-41832,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,263.45,158.07,52.74,214.18,22 CDM,RX-42164,PREGABALIN 75 MG CAPSULE,55.4,33.24,11.09,45.04,22 CDM,RX-42165,PREGABALIN 100 MG CAPSULE,55.4,33.24,11.09,45.04,22 CDM,RX-42219,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,9.024999999999999,5.415,1.02,10.53,44 CDM,RX-4236,KETAMINE 10 MG/ML INJECTION SOLUTION,79.9,47.94,16.0,64.96,22 CDM,RX-4237,KETAMINE 100 MG/ML INJECTION SOLUTION,60.25,36.15,12.06,48.98,22 CDM,RX-4294,CYSTEINE (L-CYSTEINE) 50 MG/ML INTRAVENOUS SOLUTION,460.75,276.45,92.24,374.59,22 CDM,RX-4318,LACTATED RINGERS INTRAVENOUS SOLUTION,78.0,46.8,5.69,63.18,20 CDM,RX-4319,LACTATED RINGERS IRRIGATION SOLUTION,81.0,48.6,16.22,65.61,19 CDM,RX-432,AMITRIPTYLINE 10 MG TABLET,16.6,9.96,3.32,13.5,22 CDM,RX-435,AMITRIPTYLINE 25 MG TABLET,17.15,10.29,3.43,13.94,22 CDM,RX-43547,LANTHANUM 750 MG CHEWABLE TABLET,59.2,35.52,11.85,48.13,22 CDM,RX-43548,"LANTHANUM 1,000 MG CHEWABLE TABLET",38.25,22.95,7.66,31.1,22 CDM,RX-43556,DIGOXIN 50 MCG/ML (0.05 MG/ML) ORAL SOLUTION,435.95,261.57,87.28,354.43,22 CDM,RX-436,AMITRIPTYLINE 50 MG TABLET,18.3,10.98,3.66,14.88,22 CDM,RX-43717,LIDOCAINE HCL 4 % LARYNGOTRACHEAL SOLUTION,106.6,63.96,21.34,86.67,22 CDM,RX-4392,LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION,107.0,64.2,7.6,86.99,24 CDM,RX-4393,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION,583.0,349.8,7.6,473.98,24 CDM,RX-4394,LEUCOVORIN CALCIUM 50 MG SOLUTION FOR INJECTION,313.75,188.25,7.6,255.08,24 CDM,RX-4397,LEUCOVORIN CALCIUM 25 MG TABLET,51.8,31.08,10.37,42.11,22 CDM,RX-4398,LEUCOVORIN CALCIUM 5 MG TABLET,20.4,12.24,4.08,16.59,22 CDM,RX-4420,LEVOTHYROXINE 25 MCG TABLET,17.8,10.68,3.56,14.47,22 CDM,RX-4421,LEVOTHYROXINE 50 MCG TABLET,18.0,10.8,3.6,14.63,22 CDM,RX-4422,LEVOTHYROXINE 75 MCG TABLET,18.2,10.92,3.64,14.8,22 CDM,RX-4423,LEVOTHYROXINE 100 MCG TABLET,17.7,10.62,3.54,14.39,22 CDM,RX-4424,LEVOTHYROXINE 125 MCG TABLET,18.0,10.8,3.6,14.63,22 CDM,RX-4425,LEVOTHYROXINE 150 MCG TABLET,22.65,13.59,4.53,18.41,22 CDM,RX-4426,LEVOTHYROXINE 200 MCG TABLET,18.45,11.07,3.69,15.0,22 CDM,RX-4450,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION,34.0,20.4,6.81,27.64,22 CDM,RX-4452,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,30.55,18.33,0.0236,24.88,48 CDM,RX-4454,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,34.15,20.49,0.0236,27.76,24 CDM,RX-4455,LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION,38.0,22.8,0.0236,30.89,24 CDM,RX-4457,LIDOCAINE (PF) 50 MG/5 ML (1 %) INTRAVENOUS SYRINGE,115.1,69.06,0.0236,93.58,24 CDM,RX-4459,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE,49.1,29.46,0.0236,39.92,24 CDM,RX-450,AMOXICILLIN 250 MG CAPSULE,16.25,9.75,3.25,13.21,22 CDM,RX-4504,LIOTHYRONINE 25 MCG TABLET,18.15,10.89,3.63,14.76,22 CDM,RX-451,AMOXICILLIN 500 MG CAPSULE,16.4,9.84,3.28,13.33,22 CDM,RX-4526,LISINOPRIL 20 MG TABLET,16.5,9.9,3.3,13.41,22 CDM,RX-4531,LITHIUM CARBONATE 300 MG TABLET,17.1,10.26,3.42,13.9,22 CDM,RX-454,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,16.475,9.885,3.29,13.41,44 CDM,RX-4560,LOPERAMIDE 2 MG CAPSULE,2.15,1.29,0.43043,1.75,22 CDM,RX-4571,LORAZEPAM 2 MG/ML ORAL CONCENTRATE,70.25,42.15,4.76,94.88,44 CDM,RX-464,AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION,234.4,140.64,46.93,190.57,24 CDM,RX-469,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,47.45,28.47,1.3,38.58,24 CDM,RX-4712,MAGNESIUM CITRATE ORAL SOLUTION,4.25,2.55,0.85085,3.46,22 CDM,RX-4719,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,91.0,54.6,1.13,73.98,24 CDM,RX-472,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,48.35,29.01,1.3,39.31,24 CDM,RX-4720,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,26.35,15.81,1.13,21.42,24 CDM,RX-473,AMPICILLIN 250 MG SOLUTION FOR INJECTION,31.25,18.75,1.3,25.41,24 CDM,RX-474,AMPICILLIN 500 MG SOLUTION FOR INJECTION,29.65,17.79,1.3,24.11,24 CDM,RX-4744,MANGANESE CHLORIDE 0.1 MG/ML INTRAVENOUS SOLUTION,185.65,111.39,37.17,150.93,22 CDM,RX-4749,MANNITOL 20 % INTRAVENOUS SOLUTION,77.15,46.29,0.1416,62.49,20 CDM,RX-4750,MANNITOL 25 % INTRAVENOUS SOLUTION,29.9,17.94,0.1416,24.22,20 CDM,RX-4854,MEDROXYPROGESTERONE 10 MG TABLET,17.1,10.26,3.42,13.9,22 CDM,RX-4855,MEDROXYPROGESTERONE 2.5 MG TABLET,16.6,9.96,3.32,13.5,22 CDM,RX-4903,MEPERIDINE (PF) 25 MG/ML INJECTION SOLUTION,29.65,17.79,5.94,42.72,24 CDM,RX-4904,MEPERIDINE (PF) 50 MG/ML INJECTION SOLUTION,29.95,17.97,6.0,42.72,24 CDM,RX-4914,MEPIVACAINE 1 % (10 MG/ML) INJECTION SOLUTION,87.25,52.35,9.32,70.93,24 CDM,RX-4915,MEPIVACAINE 2 % INJECTION SOLUTION,89.05,53.43,9.32,72.4,24 CDM,RX-4952,METHADONE 5 MG/5 ML ORAL SOLUTION,70.5,42.3,4.6,95.93,44 CDM,RX-4953,METHADONE 10 MG TABLET,23.4,14.04,4.68,19.02,22 CDM,RX-4970,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,53.55,32.13,10.72,43.54,24 CDM,RX-4971,METHOCARBAMOL 500 MG TABLET,16.35,9.81,3.27,13.29,22 CDM,RX-4973,METHOTREXATE SODIUM 2.5 MG TABLET,37.2,22.32,0.4484,30.24,24 CDM,RX-4974,METHOTREXATE SODIUM (CONTAINS PRESERVATIVES) 25 MG/ML INJECTION SOLUTION,307.0,184.2,6.15,249.59,24 CDM,RX-4975,METHOTREXATE SODIUM (PF) 1 GRAM SOLUTION FOR INJECTION,473.0,283.8,6.15,384.55,24 CDM,RX-4988,METHYLPHENIDATE 5 MG TABLET,22.6,13.56,4.52,18.37,22 CDM,RX-4995,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,28.95,17.37,0.1164,23.54,34 CDM,RX-4996,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,105.75,63.45,0.1164,85.97,34 CDM,RX-5005,METOCLOPRAMIDE 10 MG TABLET,19.2,11.52,3.84,15.61,22 CDM,RX-5006,METOCLOPRAMIDE 5 MG TABLET,19.05,11.43,3.81,15.49,22 CDM,RX-5007,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,20.55,12.33,0.2832,16.71,24 CDM,RX-5008,METOPROLOL TARTRATE 100 MG TABLET,16.5,9.9,3.3,13.41,22 CDM,RX-5009,METOPROLOL TARTRATE 50 MG TABLET,16.45,9.87,3.29,13.37,22 CDM,RX-5015,METRONIDAZOLE 250 MG TABLET,17.65,10.59,3.53,14.35,22 CDM,RX-5016,METRONIDAZOLE 500 MG TABLET,18.65,11.19,3.73,15.16,22 CDM,RX-5018,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,74.2,44.52,0.0708,60.32,24 CDM,RX-5040,MICONAZOLE NITRATE 2 % VAGINAL CREAM,13.5,8.1,2.7,10.98,22 CDM,RX-5111,MINOCYCLINE 50 MG CAPSULE,17.1,10.26,3.42,13.9,22 CDM,RX-5114,MINOXIDIL 10 MG TABLET,18.6,11.16,3.72,15.12,22 CDM,RX-5115,MINOXIDIL 2.5 MG TABLET,18.1,10.86,3.62,14.72,22 CDM,RX-5168,MORPHINE 10 MG/ML INJECTION SOLUTION,26.6,15.96,5.33,22.13,24 CDM,RX-5170,MORPHINE 2 MG/ML INJECTION SYRINGE,30.65,18.39,6.14,24.92,24 CDM,RX-5172,MORPHINE 4 MG/ML INJECTION SYRINGE,26.35,15.81,5.28,22.13,24 CDM,RX-5176,MORPHINE 10 MG/5 ML ORAL SOLUTION,26.1,15.66,4.42,73.98,66 CDM,RX-5178,MORPHINE 15 MG IMMEDIATE RELEASE TABLET,23.3,13.98,4.66,18.94,22 CDM,RX-5180,MORPHINE 10 MG RECTAL SUPPOSITORY,37.0,22.2,7.41,30.08,22 CDM,RX-5339,NALBUPHINE 10 MG/ML INJECTION SOLUTION,32.3,19.38,6.47,26.26,24 CDM,RX-5373,NALOXONE 0.4 MG/ML INJECTION SOLUTION,88.05,52.83,0.1888,71.58,24 CDM,RX-5374,NALOXONE 1 MG/ML INJECTION SYRINGE,166.15,99.69,0.1888,135.08,24 CDM,RX-5391,NAPROXEN 250 MG TABLET,17.05,10.23,3.41,13.86,22 CDM,RX-5393,NAPROXEN 500 MG TABLET,16.9,10.14,3.38,13.74,22 CDM,RX-5599,NITROGLYCERIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,128.35,77.01,3.52,104.35,24 CDM,RX-5604,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,53.7,32.22,10.75,43.66,22 CDM,RX-5606,NITROGLYCERIN 2 % TRANSDERMAL OINTMENT,25.7,15.42,5.15,20.89,22 CDM,RX-5674,NORTRIPTYLINE 10 MG CAPSULE,16.8,10.08,3.36,13.66,22 CDM,RX-5675,NORTRIPTYLINE 25 MG CAPSULE,17.1,10.26,3.42,13.9,22 CDM,RX-5749,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM",58.0,34.8,11.61,47.15,22 CDM,RX-5750,"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT",58.0,34.8,11.61,47.15,22 CDM,RX-5938,OXYBUTYNIN CHLORIDE 5 MG TABLET,18.4,11.04,3.68,14.96,22 CDM,RX-5940,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,23.25,13.95,4.65,18.9,22 CDM,RX-5943,OXYMETAZOLINE 0.05 % NASAL SPRAY,10.5,6.3,2.1,8.54,22 CDM,RX-5944,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,19.45,11.67,3.37,17.03,48 CDM,RX-6030,PAPAVERINE 30 MG/ML INJECTION SOLUTION,204.45,122.67,40.93,166.22,24 CDM,RX-6085,PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION,247.55,148.53,1.86,201.26,24 CDM,RX-6086,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,73.9,44.34,1.86,60.08,24 CDM,RX-6091,PENICILLIN V POTASSIUM 250 MG/5 ML ORAL SOLUTION,42.7,25.62,8.55,34.72,22 CDM,RX-6093,PENICILLIN V POTASSIUM 500 MG TABLET,16.8,10.08,3.36,13.66,22 CDM,RX-6097,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLUTION,6793.0,4075.8,127.13,5522.71,24 CDM,RX-6157,PERPHENAZINE 2 MG TABLET,17.85,10.71,3.57,14.51,22 CDM,RX-6193,PHENAZOPYRIDINE 100 MG TABLET,17.3,10.38,3.46,14.06,22 CDM,RX-6212,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,24.3,14.58,4.86,19.76,22 CDM,RX-6217,PHENOBARBITAL 32.4 MG TABLET,23.65,14.19,4.73,19.23,22 CDM,RX-6221,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION,227.2,136.32,45.49,184.71,24 CDM,RX-6224,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION,101.1,60.66,20.24,82.19,24 CDM,RX-6242,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,107.0,64.2,0.0236,172.93,72 CDM,RX-6243,PHENYLEPHRINE 0.25 % NASAL SPRAY,6.4,3.84,1.28,5.2,22 CDM,RX-6244,PHENYLEPHRINE 0.5 % NASAL SPRAY,6.4,3.84,1.28,5.2,22 CDM,RX-6246,PHENYLEPHRINE 2.5 % EYE DROPS,113.5,68.1,22.72,92.28,22 CDM,RX-6256,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION,22.35,13.41,1.06,18.17,24 CDM,RX-6257,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,23.65,14.19,4.73,19.23,22 CDM,RX-6271,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SYRINGE,72.3,43.38,6.44,58.78,24 CDM,RX-6279,PILOCARPINE 1 % EYE DROPS,252.6,151.56,50.57,205.36,22 CDM,RX-6280,PILOCARPINE 2 % EYE DROPS,258.0,154.8,51.65,209.75,22 CDM,RX-6282,PILOCARPINE 4 % EYE DROPS,269.7,161.82,53.99,219.27,22 CDM,RX-6420,POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,110.05,66.03,17.16,126.34,66 CDM,RX-6429,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,72.65,43.59,0.2596,59.06,24 CDM,RX-6432,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,189.15,113.49,37.87,153.78,22 CDM,RX-6434,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,44.85,26.91,8.98,36.46,22 CDM,RX-6455,POVIDONE-IODINE 10 % TOPICAL OINTMENT,3.85,2.31,0.77077,3.13,22 CDM,RX-6458,POVIDONE-IODINE 10 % TOPICAL SOLUTION,3.05,1.83,0.61061,2.48,22 CDM,RX-6462,PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION,410.5,246.3,82.18,333.74,24 CDM,RX-6468,PRAZOSIN 1 MG CAPSULE,22.05,13.23,4.41,17.93,22 CDM,RX-6469,PRAZOSIN 2 MG CAPSULE,24.45,14.67,4.89,19.88,22 CDM,RX-6487,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION",148.75,89.25,29.78,120.93,22 CDM,RX-6492,PREDNISONE 5 MG/5 ML ORAL SOLUTION,1256.0,753.6,0.0236,1021.13,24 CDM,RX-6493,PREDNISONE 1 MG TABLET,16.9,10.14,0.0236,13.74,24 CDM,RX-6494,PREDNISONE 10 MG TABLET,16.9,10.14,0.0236,13.74,24 CDM,RX-6496,PREDNISONE 20 MG TABLET,16.95,10.17,0.0236,13.78,24 CDM,RX-6497,PREDNISONE 5 MG TABLET,16.8,10.08,0.0236,13.66,24 CDM,RX-6541,PRIMAQUINE 15 MG TABLET,21.3,12.78,4.26,17.32,22 CDM,RX-6544,PRIMIDONE 250 MG TABLET,17.45,10.47,3.49,14.19,22 CDM,RX-6561,PROBENECID 500 MG TABLET,18.55,11.13,3.71,15.08,22 CDM,RX-6562,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION,202.5,121.5,40.54,695.47,34 CDM,RX-6580,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,22.2,13.32,4.27,18.05,24 CDM,RX-6583,PROCHLORPERAZINE MALEATE 5 MG TABLET,17.4,10.44,3.48,14.15,22 CDM,RX-6597,PROGESTERONE 50 MG/ML INTRAMUSCULAR OIL,17.55,10.53,1.65,14.27,24 CDM,RX-6618,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,24.45,14.67,4.89,19.88,24 CDM,RX-6621,PROMETHAZINE 12.5 MG TABLET,16.5,9.9,3.3,13.41,22 CDM,RX-6622,PROMETHAZINE 25 MG TABLET,17.7,10.62,3.54,14.39,22 CDM,RX-664,ASCORBIC ACID (VITAMIN C) 500 MG TABLET,1.05,0.63,0.21021,0.85365,22 CDM,RX-6644,PROPARACAINE 0.5 % EYE DROPS,121.3,72.78,24.28,98.62,22 CDM,RX-6654,PROPRANOLOL 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,161.5,96.9,32.33,131.3,22 CDM,RX-6656,PROPRANOLOL 10 MG TABLET,16.65,9.99,3.33,13.54,22 CDM,RX-6657,PROPRANOLOL 20 MG TABLET,17.4,10.44,3.48,14.15,22 CDM,RX-6658,PROPRANOLOL 40 MG TABLET,17.05,10.23,3.41,13.86,22 CDM,RX-6660,PROPRANOLOL 80 MG TABLET,18.45,11.07,3.69,15.0,22 CDM,RX-6677,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION,171.575,102.94500000000001,4.11,208.7,48 CDM,RX-6714,PSEUDOEPHEDRINE 30 MG TABLET,1.1,0.66,0.22022,0.8943,22 CDM,RX-6738,PYRAZINAMIDE 500 MG TABLET,25.2,15.12,5.05,20.49,22 CDM,RX-6744,PYRIDOXINE (VITAMIN B6) 100 MG/ML INJECTION SOLUTION,65.45,39.27,13.1,53.21,24 CDM,RX-6745,PYRIDOXINE (VITAMIN B6) 100 MG TABLET,1.4,0.84,0.28028,1.14,22 CDM,RX-6746,PYRIDOXINE (VITAMIN B6) 25 MG TABLET,1.05,0.63,0.21021,0.85365,22 CDM,RX-6748,PYRIDOXINE (VITAMIN B6) 50 MG TABLET,1.4,0.84,0.28028,1.14,22 CDM,RX-679,ASPIRIN 81 MG CHEWABLE TABLET,1.1,0.66,0.22022,0.8943,22 CDM,RX-681,ASPIRIN 325 MG TABLET,1.1,0.66,0.22022,0.8943,22 CDM,RX-685,"ASPIRIN 325 MG TABLET,DELAYED RELEASE",1.05,0.63,0.21021,0.85365,22 CDM,RX-693,ASPIRIN 300 MG RECTAL SUPPOSITORY,2.85,1.71,0.57057,2.32,22 CDM,RX-70255,POLYVINYL ALCOHOL-POVIDONE 0.5 %-0.6 % EYE DROPS,7.65,4.59,1.53,6.22,22 CDM,RX-70306,ARIPIPRAZOLE 2 MG TABLET,93.85,56.31,18.79,76.3,22 CDM,RX-7034,SALSALATE 500 MG TABLET,17.2,10.32,3.44,13.98,22 CDM,RX-7035,SALSALATE 750 MG TABLET,17.6,10.56,3.52,14.31,22 CDM,RX-70404,ANTIHEMOPHILIC FACTOR-VWF 250 UNIT-600 UNIT INTRAVENOUS SOLUTION,83.6,50.16,1.45,67.97,34 CDM,RX-70405,"ANTIHEMOPHILIC FACTOR-VWF 500 UNIT-1,200 UNIT INTRAVENOUS SOLUTION",83.6,50.16,1.45,67.97,34 CDM,RX-70406,"(VWF DOSING) ANTIHEMOPHILIC FACTOR-VWF 1,000 UNIT-2,400 UNIT INTRAVENOUS SOLUTION",83.6,50.16,1.45,67.97,34 CDM,RX-70424,SUNITINIB MALATE 12.5 MG CAPSULE,947.35,568.41,189.66,770.2,22 CDM,RX-70536,"FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION",22.2,13.32,4.44,18.05,22 CDM,RX-70545,METHOHEXITAL 500 MG SOLUTION FOR INJECTION,356.6,213.96,71.39,289.92,22 CDM,RX-70693,INSULIN LISPRO PROTAMINE-LISPRO 100 UNIT/ML (75-25) SUBCUTANEOUS SUSP,404.65,242.79,0.5428,328.98,24 CDM,RX-70838,CETIRIZINE 1 MG/ML ORAL SOLUTION,1.1749999999999998,0.705,0.23023,0.9756,44 CDM,RX-7139,SELENIUM 200 MCG TABLET,1.1,0.66,0.22022,0.8943,22 CDM,RX-717,ATENOLOL 25 MG TABLET,16.7,10.02,3.34,13.58,22 CDM,RX-718,ATENOLOL 50 MG TABLET,16.4,9.84,3.28,13.33,22 CDM,RX-7224,SILVER SULFADIAZINE 1 % TOPICAL CREAM,53.2,31.92,10.65,43.25,22 CDM,RX-7227,SIMETHICONE 80 MG CHEWABLE TABLET,1.1,0.66,0.22022,0.8943,22 CDM,RX-7228,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION",1.1,0.66,0.22022,0.8943,22 CDM,RX-730,ATROPINE 0.1 MG/ML INJECTION SYRINGE,102.375,61.425,0.198,85.16,48 CDM,RX-7301,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,67.0,40.2,13.41,54.47,22 CDM,RX-7302,SODIUM ACETATE 4 MEQ/ML INTRAVENOUS SOLUTION,100.0,60.0,20.02,81.3,22 CDM,RX-7306,SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) INTRAVENOUS SYRINGE,116.65,69.99,23.35,94.84,22 CDM,RX-7309,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE,112.05,67.23,22.43,91.1,22 CDM,RX-7312,SODIUM BICARBONATE 650 MG TABLET,1.1,0.66,0.22022,0.8943,22 CDM,RX-7318,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION,78.75,47.25,2.97,65.61,60 CDM,RX-7321,SODIUM CHLORIDE 3 % HYPERTONIC INTRAVENOUS INJECTION SOLUTION,82.5,49.5,0.2805,67.07,24 CDM,RX-7322,SODIUM CHLORIDE 23.4% (4 MEQ/ML) INTRAVENOUS SOLUTION,88.80000000000001,53.28,0.2805,77.36,48 CDM,RX-7327,SODIUM CHLORIDE 3 % FOR NEBULIZATION,18.7,11.22,3.74,15.2,22 CDM,RX-7351,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION,136.65,81.99,14.86,348.0,66 CDM,RX-7364,SODIUM THIOSULFATE 12.5 GRAM/50 ML (250 MG/ML) INTRAVENOUS SOLUTION,394.8,236.88,1.94,320.97,24 CDM,RX-7437,SPIRONOLACTONE 25 MG TABLET,16.95,10.17,3.39,13.78,22 CDM,RX-7485,"WATER FOR IRRIGATION, STERILE SOLUTION",70.5,42.3,13.81,58.54,44 CDM,RX-7554,SULFADIAZINE 500 MG TABLET,80.15,48.09,16.05,65.16,22 CDM,RX-7556,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,115.7,69.42,0.118,94.06,24 CDM,RX-7562,SULFASALAZINE 500 MG TABLET,16.8,10.08,3.36,13.66,22 CDM,RX-7578,SULINDAC 150 MG TABLET,16.9,10.14,3.38,13.74,22 CDM,RX-7579,SULINDAC 200 MG TABLET,17.25,10.35,3.45,14.02,22 CDM,RX-76334,DARBEPOETIN ALFA 500 MCG/ML IN POLYSORBATE INJECTION SYRINGE,5298.55,3179.13,2.84,4307.72,34 CDM,RX-76338,"HYALURONIDASE, HUMAN RECOMBINANT 150 UNIT/ML INJECTION SOLUTION",269.9,161.94,0.8496,219.43,24 CDM,RX-76364,DECITABINE 50 MG INTRAVENOUS SOLUTION,715.0,429.0,1.84,581.29,24 CDM,RX-76367,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 1,000 (+/-) UNIT IV SOLUTION",85.1,51.06,1.56,69.19,34 CDM,RX-76444,VARENICLINE TARTRATE 0.5 MG TABLET,45.7,27.42,9.15,37.15,22 CDM,RX-76445,VARENICLINE TARTRATE 1 MG TABLET,49.55,29.73,9.92,40.28,22 CDM,RX-76472,LORATADINE 5 MG/5 ML ORAL SOLUTION,1.55,0.93,0.31031,1.26,22 CDM,RX-76641,ACETYLCHOLINE CHLORIDE 1 % (20 MG/2 ML) INTRAOCULAR KIT,407.75,244.65,81.63,331.5,22 CDM,RX-76720,SODIUM HYPOCHLORITE 0.125 % SOLUTION,23.0,13.8,4.6,18.7,22 CDM,RX-76780,IBUPROFEN LYSINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,1979.25,1187.55,396.25,1609.13,22 CDM,RX-76843,APREPITANT 40 MG CAPSULE,367.8,220.68,6.44,299.02,24 CDM,RX-76950,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET",1.05,0.63,0.21021,0.85365,22 CDM,RX-76967,CAMPHOR-EUCALYPTUS OIL-MENTHOL 4.8 %-1.2 %-2.6 % TOPICAL OINTMENT,6.9,4.14,1.38,5.61,22 CDM,RX-76974,GLYCERIN (CHILD) RECTAL SUPPOSITORY,1.25,0.75,0.25025,1.02,22 CDM,RX-77009,MORPHINE (PF) 10 MG/ML INJECTION SOLUTION,646.0,387.6,28.44,525.2,24 CDM,RX-7711,TAMOXIFEN 10 MG TABLET,26.55,15.93,5.32,21.59,22 CDM,RX-77195,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,79.8,47.88,0.0944,64.88,24 CDM,RX-77371,POSACONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION,118.85,71.31,23.79,96.63,22 CDM,RX-7753,TEMAZEPAM 15 MG CAPSULE,22.3,13.38,4.46,18.13,22 CDM,RX-77581,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,94.8,56.88,18.98,77.07,22 CDM,RX-77685,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION,848.4,509.04,0.6136,689.75,24 CDM,RX-77725,METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION,32.2,19.32,6.45,26.18,22 CDM,RX-7784,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,28.325,16.994999999999997,0.0708,23.33,48 CDM,RX-7795,TETRACAINE 0.5 % EYE DROPS,286.0,171.6,57.26,232.52,22 CDM,RX-7800,TETRAHYDROZOLINE 0.05 % EYE DROPS,6.25,3.75,1.25,5.08,22 CDM,RX-7821,THEOPHYLLINE 80 MG/15 ML ORAL SOLUTION,25.05,15.03,5.02,20.37,44 CDM,RX-78310,"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE",53.45,32.07,10.7,43.45,22 CDM,RX-78420,AZACITIDINE (VIDAZA) SYRINGE 25 MG/ML,2850.1,1710.06,0.5775,2317.13,24 CDM,RX-78653,ALISKIREN 150 MG TABLET,62.05,37.23,12.42,50.45,22 CDM,RX-7876,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,22.8,13.68,4.3,18.54,24 CDM,RX-7902,THIOTHIXENE 1 MG CAPSULE,19.8,11.88,3.96,16.1,22 CDM,RX-7906,THIOTHIXENE 5 MG CAPSULE,23.65,14.19,4.73,19.23,22 CDM,RX-7995,TOBRAMYCIN 0.3 % EYE DROPS,62.5,37.5,12.51,50.81,22 CDM,RX-8083,TRAZODONE 100 MG TABLET,16.5,9.9,3.3,13.41,22 CDM,RX-8085,TRAZODONE 50 MG TABLET,16.55,9.93,3.31,13.46,22 CDM,RX-8113,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,25.0,15.0,5.0,20.32,22 CDM,RX-8114,TRIAMCINOLONE ACETONIDE 0.5 % TOPICAL CREAM,40.6,24.36,8.13,33.01,22 CDM,RX-8118,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,29.95,17.97,6.0,24.35,22 CDM,RX-8120,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,55.45,33.27,1.98,47.64,72 CDM,RX-8121,TRIAMCINOLONE ACETONIDE 0.1 % DENTAL PASTE,209.45,125.67,41.93,170.28,22 CDM,RX-8132,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET,17.1,10.26,3.42,13.9,22 CDM,RX-81426,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",25.95,15.57,5.2,21.1,22 CDM,RX-81453,BUDESONIDE-FORMOTEROL HFA 80 MCG-4.5 MCG/ACTUATION AEROSOL INHALER,431.25,258.75,86.34,350.61,22 CDM,RX-81454,BUDESONIDE-FORMOTEROL HFA 160 MCG-4.5 MCG/ACTUATION AEROSOL INHALER,493.6,296.16,98.82,401.3,22 CDM,RX-8166,TRIHEXYPHENIDYL 2 MG TABLET,16.6,9.96,3.32,13.5,22 CDM,RX-81696,ECULIZUMAB 300 MG/30 ML INTRAVENOUS SOLUTION,27459.6,16475.76,43.48,22324.65,34 CDM,RX-82085,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION,92.4,55.44,0.5192,75.12,24 CDM,RX-82134,SODIUM CHLORIDE 7 % FOR NEBULIZATION,18.7,11.22,3.74,15.2,22 CDM,RX-82200,FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION,290.05,174.03,4.69,235.81,24 CDM,RX-82204,FLUOROURACIL 1 GRAM/20 ML INTRAVENOUS SOLUTION,305.1,183.06,4.69,248.05,24 CDM,RX-82228,TEMSIROLIMUS 30 MG/3 ML (10 MG/ML) (FIRST DILUTION) INTRAVENOUS SOLN,9076.45,5445.87,25.91,7379.15,34 CDM,RX-82301,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,73.975,44.385,4.32,98.05,48 CDM,RX-8250,TROPICAMIDE 1 % EYE DROPS,106.0,63.6,21.22,86.18,22 CDM,RX-82504,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,107.5,64.5,21.52,87.4,22 CDM,RX-82505,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH,107.45,64.47,21.51,87.36,22 CDM,RX-8259,TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION,56.75,34.05,11.36,46.14,22 CDM,RX-8442,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",131.4,78.84,0.0708,106.83,24 CDM,RX-8443,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,97.3,58.38,0.0708,79.1,24 CDM,RX-8444,VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION,442.1,265.26,0.0708,359.43,24 CDM,RX-850,BACITRACIN 500 UNIT/GRAM TOPICAL OINTMENT,4.45,2.67,0.89089,3.62,22 CDM,RX-8527,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,53.35,32.01,9.05,50.0,44 CDM,RX-8528,VERAPAMIL 120 MG TABLET,16.4,9.84,3.28,13.33,22 CDM,RX-8530,VERAPAMIL 80 MG TABLET,17.25,10.35,3.45,14.02,22 CDM,RX-854,"NEOMYCIN-BACITRACN ZN-POLYMYX 3.5 MG-400 UNIT-5,000 UNIT/GRAM TOP OINT",5.25,3.15,1.05,4.27,22 CDM,RX-8594,VINBLASTINE 1 MG/ML INTRAVENOUS SOLUTION,511.55,306.93,12.51,415.89,24 CDM,RX-8597,VINCRISTINE 1 MG/ML INTRAVENOUS SOLUTION,353.1,211.86,19.4,287.07,24 CDM,RX-860,BACLOFEN 10 MG TABLET,17.9,10.74,3.58,14.55,22 CDM,RX-8639,"VITAMIN A CAPSULE 3,000 MCG RAE (10000 UNITS)",1.1,0.66,0.22022,0.8943,22 CDM,RX-8749,WARFARIN 2 MG TABLET,17.55,10.53,3.51,14.27,22 CDM,RX-8750,WARFARIN 2.5 MG TABLET,17.6,10.56,3.52,14.31,22 CDM,RX-8751,WARFARIN 5 MG TABLET,17.65,10.59,3.53,14.35,22 CDM,RX-8752,WARFARIN 7.5 MG TABLET,18.35,11.01,3.67,14.92,22 CDM,RX-87824,"MORPHINE ER 10 MG CAPSULE,EXTENDED RELEASE PELLETS",33.4,20.04,6.69,27.15,22 CDM,RX-87861,LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE,40477.65,24286.59,28.94,32908.33,34 CDM,RX-88010,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,567.95,340.77,6.18,461.74,24 CDM,RX-88011,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION,40.9,24.54,6.18,33.25,24 CDM,RX-88223,BUDESONIDE 1 MG/2 ML SUSPENSION FOR NEBULIZATION,98.1,58.86,19.64,79.76,22 CDM,RX-88376,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,429.675,257.805,5.31,367.76,48 CDM,RX-88608,RALTEGRAVIR 400 MG TABLET,154.9,92.94,31.01,125.93,22 CDM,RX-8865,ZINC CHLORIDE 1 MG/ML INTRAVENOUS SOLUTION,59.15,35.49,11.84,48.09,22 CDM,RX-88653,IXABEPILONE 45 MG INTRAVENOUS SOLUTION,26867.2,16120.32,135.03,21843.03,34 CDM,RX-88704,OSELTAMIVIR 30 MG CAPSULE,71.75,43.05,14.36,58.33,22 CDM,RX-88720,NILOTINIB HCL 200 MG CAPSULE,798.05,478.83,159.77,648.81,22 CDM,RX-8874,ZINC OXIDE 20 % TOPICAL OINTMENT,9.15,5.49,1.83,7.44,22 CDM,RX-8880,ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE,1.4,0.84,0.28028,1.14,22 CDM,RX-89346,CLOPIDOGREL 300 MG TABLET,99.1,59.46,19.84,80.57,22 CDM,RX-89350,PEMETREXED DISODIUM 100 MG INTRAVENOUS POWDER FOR SOLUTION,3832.85,2299.71,4.23,3116.11,34 CDM,RX-89412,ZINC OXIDE-VITAMIN B5-VIT E 11.3% TOPICAL CREAM,3.25,1.95,0.65065,2.64,22 CDM,RX-8946,ACETAMINOPHEN 80 MG RECTAL SUPPOSITORY,2.45,1.47,0.49049,1.99,22 CDM,RX-8963,ACETIC ACID 0.25 % IRRIGATION SOLUTION,90.0,54.0,18.02,73.17,22 CDM,RX-8970,ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION,1084.55,650.73,217.13,881.74,22 CDM,RX-89783,LISDEXAMFETAMINE 20 MG CAPSULE,40.65,24.39,8.14,33.05,22 CDM,RX-8979,ALBENDAZOLE 200 MG TABLET,136.0,81.6,27.23,110.57,22 CDM,RX-8981,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",424.09999999999997,254.45999999999998,61.74,438.86,48 CDM,RX-8982,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",437.0,262.2,51.49,355.28,68 CDM,RX-900004,STUDY RESEARCH STUDY DRUG FROM OUTSIDE FACILITY,0.2,0.12,0.04004,0.162,19 CDM,RX-9001,ALPROSTADIL 500 MCG/ML INJECTION SOLUTION,786.55,471.93,1.3,639.47,24 CDM,RX-9002,ALTEPLASE 100 MG INTRAVENOUS SOLUTION,40057.65,24034.59,91.62,32566.87,34 CDM,RX-9003,ALTEPLASE 50 MG INTRAVENOUS SOLUTION,20036.85,12022.11,91.62,16289.96,34 CDM,RX-9014,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 400 MG-400 MG-40 MG/5 ML ORAL SUSP,2.6,1.56,0.25025,3.21,44 CDM,RX-9020,"CALCIUM ACETATE 952 MG-ALUMINUM SULFATE 1,347 MG TOPICAL POWDER PACKET",2.0,1.2,0.4004,1.63,22 CDM,RX-9063,AMINOCAPROIC ACID 500 MG TABLET,101.95,61.17,20.41,82.89,22 CDM,RX-9066,AMIODARONE 200 MG TABLET,17.5,10.5,3.5,14.23,22 CDM,RX-9069,AMLODIPINE 10 MG TABLET,16.45,9.87,3.29,13.37,22 CDM,RX-9070,AMLODIPINE 2.5 MG TABLET,16.6,9.96,3.32,13.5,22 CDM,RX-9071,AMLODIPINE 5 MG TABLET,16.7,10.02,3.34,13.58,22 CDM,RX-9083,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,51.1,30.66,3.28,41.54,24 CDM,RX-9084,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,34.0,20.4,3.28,27.64,24 CDM,RX-90999,SODIUM CITRATE 4 GRAM/100 ML (4 %) SOLUTION,98.0,58.8,19.62,79.67,22 CDM,RX-91039,"CEFOXITIN 1 GRAM/50 ML IN DEXTROSE, ISO-OSMOTIC INTRAVENOUS PIGGYBACK",129.05,77.43,11.28,104.92,24 CDM,RX-91054,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,371.7,223.02,3.81,302.19,24 CDM,RX-9116,ANTITHROMBIN III (HUMAN) 500 (+/-) UNIT INTRAVENOUS SOLUTION,94.85,56.91,3.98,77.11,34 CDM,RX-9123,ARGININE HCL (L-ARGININE) 10 % INTRAVENOUS SOLUTION,210.0,126.0,42.04,170.73,22 CDM,RX-91278,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION,26.25,15.75,1.44,21.34,24 CDM,RX-91279,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION,49.95,29.97,1.44,40.61,24 CDM,RX-91281,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION,175.25,105.15,1.44,142.48,24 CDM,RX-91349,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,30.9,18.54,0.291,25.12,33 CDM,RX-91408,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,813.05,487.83,7.13,661.01,24 CDM,RX-9151,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",1.05,0.63,0.21021,0.85365,22 CDM,RX-91534,LUBIPROSTONE 8 MCG CAPSULE,20.0,12.0,4.0,16.26,22 CDM,RX-91651,METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SOLUTION,531.5,318.9,3.42,432.11,24 CDM,RX-9168,ATRACURIUM 10 MG/ML INTRAVENOUS SOLUTION,58.8,35.28,7.52,65.08,44 CDM,RX-9183,AZATHIOPRINE 50 MG TABLET,18.75,11.25,0.1416,15.24,24 CDM,RX-9185,AZTREONAM 1 GRAM SOLUTION FOR INJECTION,151.25,90.75,5.97,122.97,24 CDM,RX-9186,AZTREONAM 2 GRAM SOLUTION FOR INJECTION,276.3,165.78,5.97,224.63,24 CDM,RX-9260,BENZYLPENICILLOYL POLYLYSINE 0.25 ML INTRADERMAL INJECTION SOLUTION,48.35,29.01,9.68,39.31,22 CDM,RX-9266,BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION,266.4,159.84,16.43,216.58,24 CDM,RX-9281,BISACODYL 10 MG/30 ML ENEMA,4.05,2.43,0.81081,3.29,22 CDM,RX-9285,BISMUTH SUBSALICYLATE 262 MG CHEWABLE TABLET,1.15,0.69,0.23023,0.93495,22 CDM,RX-92851,DARUNAVIR 600 MG TABLET,159.9,95.94,32.01,130.0,22 CDM,RX-92853,"COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION",88.25,52.95,2.58,71.75,34 CDM,RX-92854,"COAGULATION FACTOR VIIA RECOMB 2 MG (2,000 MCG) INTRAVENOUS SOLUTION",88.25,52.95,2.58,71.75,34 CDM,RX-92855,"COAGULATION FACTOR VIIA RECOMB 5 MG (5,000 MCG) INTRAVENOUS SOLUTION",88.25,52.95,2.58,71.75,34 CDM,RX-9289,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION,526.7,316.02,50.79,428.21,24 CDM,RX-9297,BROMOCRIPTINE 2.5 MG TABLET,29.25,17.55,5.86,23.78,22 CDM,RX-93025,"ANTIHEMOPHILIC FACTOR VIII,REC B-DOMAIN DELETED 250 (+/-) UNIT IV SOLN",84.65,50.79,1.62,68.82,34 CDM,RX-93027,"ANTIHEMOPHILIC FACTOR VIII,REC B-DOMAIN DELETED 1,000 (+/-) UNIT IV SOLN",84.65,50.79,1.62,68.82,34 CDM,RX-93073,ACETAMINOPHEN 160 MG/5 ML ORAL SUSPENSION,5.25,3.15,1.05,4.27,22 CDM,RX-9308,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,29.75,17.85,0.3589,24.19,34 CDM,RX-93084,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,75.05,45.03,1.01,61.34,72 CDM,RX-9310,BUMETANIDE 1 MG TABLET,17.85,10.71,3.57,14.51,22 CDM,RX-9316,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION,29.0,17.4,0.0236,23.58,24 CDM,RX-9321,BUPROPION HCL 100 MG TABLET,17.5,10.5,3.5,14.23,22 CDM,RX-9322,BUPROPION HCL 75 MG TABLET,20.95,12.57,4.19,17.03,22 CDM,RX-9323,BUSPIRONE 10 MG TABLET,16.3,9.78,3.26,13.25,22 CDM,RX-9324,BUSPIRONE 5 MG TABLET,16.15,9.69,3.23,13.13,22 CDM,RX-9333,BUTORPHANOL 1 MG/ML INJECTION SOLUTION,39.05,23.43,7.82,31.75,24 CDM,RX-9347,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION,3656.0,2193.6,470.42,2972.33,34 CDM,RX-9350,CALCITRIOL 0.25 MCG CAPSULE,19.8,11.88,3.96,16.1,22 CDM,RX-93566,ROMIPLOSTIM (NPLATE) SYRINGE 500 MCG/ML (250 MCG),12542.25,7525.35,10.68,10196.85,34 CDM,RX-93567,ROMIPLOSTIM (NPLATE) INJECTION 500 MCG/ML (500 MCG),25068.4,15041.04,10.68,20380.61,34 CDM,RX-93747,MITOXANTRONE (NOVANTRONE) INJECTION,2753.3,1651.98,23.16,2504.04,102 CDM,RX-9385,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET,1.1,0.66,0.22022,0.8943,22 CDM,RX-93931,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,18.05,10.83,3.61,14.67,22 CDM,RX-93936,CLEVIDIPINE 25 MG/50 ML INTRAVENOUS EMULSION,433.25,259.95,2.76,352.23,34 CDM,RX-9401,CAPTOPRIL 12.5 MG TABLET,21.7,13.02,4.34,17.64,22 CDM,RX-9402,CAPTOPRIL 25 MG TABLET,22.2,13.32,4.44,18.05,22 CDM,RX-9406,CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET,17.05,10.23,3.41,13.86,22 CDM,RX-9407,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,17.5,10.5,3.5,14.23,22 CDM,RX-9413,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,653.0,391.8,49.52,530.89,34 CDM,RX-94158,"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET",1.15,0.69,0.23023,0.93495,22 CDM,RX-94220,LIDOCAINE (PF) 3.5 % EYE GEL,86.1,51.66,17.24,70.0,22 CDM,RX-9452,CEFOTAXIME 1 GRAM SOLUTION FOR INJECTION,60.6,36.36,12.13,49.27,24 CDM,RX-94576,NICARDIPINE 40 MG/200 ML(0.2 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN,745.95,447.57,0.1652,606.46,24 CDM,RX-9463,CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION,105.0,63.0,11.28,85.36,24 CDM,RX-9474,CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION,39.7,23.82,3.71,32.28,24 CDM,RX-9476,CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION,61.5,36.9,3.71,50.0,24 CDM,RX-9488,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,29.2,17.52,1.01,23.74,24 CDM,RX-9490,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,21.7,13.02,1.01,17.64,24 CDM,RX-9499,CEPHALEXIN 250 MG CAPSULE,16.7,10.02,3.34,13.58,22 CDM,RX-9500,CEPHALEXIN 500 MG CAPSULE,16.9,10.14,3.38,13.74,22 CDM,RX-9502,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,85.0,51.0,17.02,69.11,22 CDM,RX-9516,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,18.55,11.13,3.71,15.08,22 CDM,RX-9525,CHLOROTHIAZIDE 250 MG/5 ML ORAL SUSPENSION,222.95,133.77,44.63,181.26,22 CDM,RX-9526,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION,315.0,189.0,63.06,256.1,24 CDM,RX-95693,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS,14.8,8.88,2.96,12.03,22 CDM,RX-95794,ONABOTULINUMTOXINA 50 UNIT INTRAMUSCULAR SOLUTION,1663.1,997.86,6.3,1352.1,34 CDM,RX-95811,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,78.65,47.19,15.75,63.94,22 CDM,RX-9588,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET,24.2,14.52,4.84,19.67,22 CDM,RX-9610,CIPROFLOXACIN 0.3 % EYE DROPS,58.0,34.8,9.51,66.67,66 CDM,RX-9615,CLADRIBINE 10 MG/10 ML INTRAVENOUS SOLUTION,2189.0,1313.4,10.36,1779.66,34 CDM,RX-9617,CLARITHROMYCIN 500 MG TABLET,35.95,21.57,7.2,29.23,22 CDM,RX-9623,CLINDAMYCIN 1 % TOPICAL GEL,264.8,158.88,53.01,215.28,22 CDM,RX-9626,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,104.5,62.7,4.32,84.96,24 CDM,RX-9627,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,113.75,68.25,4.32,92.48,24 CDM,RX-9630,CLOBETASOL 0.05 % TOPICAL CREAM,46.05,27.63,9.22,37.44,22 CDM,RX-9637,CLONAZEPAM 0.5 MG TABLET,22.1,13.26,4.42,17.97,22 CDM,RX-9638,CLONAZEPAM 1 MG TABLET,22.35,13.41,4.47,18.17,22 CDM,RX-9644,CLOTRIMAZOLE 10 MG TROCHE,27.0,16.2,5.41,21.95,22 CDM,RX-9647,CLOZAPINE 100 MG TABLET,22.7,13.62,4.54,18.46,22 CDM,RX-9648,CLOZAPINE 25 MG TABLET,18.6,11.16,3.72,15.12,22 CDM,RX-9686,COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION,417.2,250.32,59.87,339.18,24 CDM,RX-9692,CROTAMITON 10 % TOPICAL CREAM,1533.8,920.28,307.07,1246.98,22 CDM,RX-96948,ARTEMETHER-LUMEFANTRINE 20 MG-120 MG TABLET,38.5,23.1,7.71,31.3,22 CDM,RX-96968,LACOSAMIDE 50 MG TABLET,61.85,37.11,12.38,50.28,22 CDM,RX-96969,LACOSAMIDE 100 MG TABLET,78.65,47.19,15.75,63.94,22 CDM,RX-96972,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,96.35,57.81,0.472,78.33,23 CDM,RX-96982,CYTARABINE (PF) 100 MG/5 ML (20 MG/ML) INJECTION SOLUTION,302.95,181.77,1.96,246.3,24 CDM,RX-96987,DEGARELIX 120 MG SUBCUTANEOUS SOLUTION,3628.2,2176.92,4.32,2949.73,34 CDM,RX-9701,CYCLOPENTOLATE-PHENYLEPHRINE 0.2 %-1 % EYE DROPS,169.125,101.475,25.45,171.66,44 CDM,RX-9706,CYCLOSPORINE 100 MG CAPSULE,89.05,53.43,4.81,72.4,24 CDM,RX-9707,CYCLOSPORINE 25 MG CAPSULE,34.3,20.58,1.89,27.89,24 CDM,RX-97133,FEBUXOSTAT 40 MG TABLET,60.05,36.03,12.02,48.82,22 CDM,RX-9714,DANAZOL 100 MG CAPSULE,31.25,18.75,6.26,25.41,22 CDM,RX-9722,DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION,201.3,120.78,21.26,163.66,24 CDM,RX-9723,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION,174.05,104.43,21.26,141.5,24 CDM,RX-97252,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,64.7,38.82,0.0708,52.72,72 CDM,RX-97343,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION,238.95,143.37,47.84,445.83,24 CDM,RX-97371,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,91.1,54.66,0.0708,74.06,24 CDM,RX-97463,"CHOLECALCIFEROL (VITAMIN D3) 125 MCG (5,000 UNIT) TABLET",1.45,0.87,0.29029,1.18,22 CDM,RX-9747,DESFLURANE 100 % INHALATION LIQUID,661.3,396.78,132.39,537.64,22 CDM,RX-9748,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,1099.225,659.5350000000001,3.41,1474.17,68 CDM,RX-97682,"FACTOR IX COMPLEX NO.4, 3-FACTOR 1,500 (+/-) UNIT INTRAVENOUS SOLUTION",82.95,49.77,1.65,67.44,34 CDM,RX-9774,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP,4.6,2.76,0.92092,3.74,22 CDM,RX-9788,DEXTROSE 5 % AND LACTATED RINGERS INTRAVENOUS SOLUTION,81.0,48.6,16.22,65.61,40 CDM,RX-97894,TOLVAPTAN 30 MG TABLET,2174.6,1304.76,435.35,1767.95,22 CDM,RX-9795,POTASSIUM CHLORIDE 20 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,101.5,60.9,0.2596,82.52,24 CDM,RX-9796,POTASSIUM CHLORIDE 40 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,98.0,58.8,0.2596,79.67,24 CDM,RX-9799,POTASSIUM CHLORIDE 10 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,93.0,55.8,0.2596,75.33,20 CDM,RX-9800,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.2 % SODIUM CHLORIDE IV,94.5,56.7,0.2596,76.83,24 CDM,RX-9801,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,84.0,50.4,0.2596,68.29,24 CDM,RX-98034,"LIPASE-PROTEASE-AMYLASE (PORK)6,000-19,000-30,000 UNIT CAPSULE,DEL REL",24.6,14.76,4.92,20.0,22 CDM,RX-98035,"LIPASE-PROTEASE-AMYLASE(PORK)12,000-38,000-60,000 UNIT CAPSULE,DEL REL",33.2,19.92,6.65,26.99,22 CDM,RX-98036,"LIPASE-PROTEASE-AMYLAS(PORK)24,000-76,000-120,000 UNIT CAPSULE,DEL REL",50.05,30.03,10.02,40.69,22 CDM,RX-9804,POTASSIUM CHLORIDE 30 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,98.0,58.8,0.2596,79.67,24 CDM,RX-9807,POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,98.0,58.8,0.2596,79.67,24 CDM,RX-9812,DEXTROSE 5 % AND 0.2 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,81.0,48.6,16.22,65.61,19 CDM,RX-9814,DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,81.0,48.6,16.22,65.61,19 CDM,RX-9815,DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,78.75,47.25,3.33,65.61,40 CDM,RX-98249,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,356.0,213.6,4.69,289.43,24 CDM,RX-98253,TAPENTADOL 50 MG TABLET,58.55,35.13,11.72,47.6,22 CDM,RX-98254,TAPENTADOL 75 MG TABLET,48.95,29.37,9.8,39.8,22 CDM,RX-98312,FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION,5076.25,3045.75,0.3104,4126.99,35 CDM,RX-98329,DRONEDARONE 400 MG TABLET,70.0,42.0,14.01,56.91,22 CDM,RX-98372,PRASUGREL HCL 5 MG TABLET,20.0,12.0,4.0,16.26,22 CDM,RX-98373,PRASUGREL HCL 10 MG TABLET,19.3,11.58,3.86,15.69,22 CDM,RX-9853,DIGOXIN 100 MCG/ML (0.1 MG/ML) INJECTION SOLUTION,642.7,385.62,10.89,522.52,24 CDM,RX-9859,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION,254.9,152.94,51.03,264.28,24 CDM,RX-988,BENZONATATE 100 MG CAPSULE,17.2,10.32,3.44,13.98,22 CDM,RX-9892,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION,95.55,57.33,16.71,77.68,24 CDM,RX-9902,DOXYCYCLINE MONOHYDRATE 25 MG/5 ML ORAL SUSPENSION,25.15,15.09,5.04,20.45,22 CDM,RX-9915,ECONAZOLE NITRATE 1 % TOPICAL CREAM,166.25,99.75,33.28,135.16,22 CDM,RX-9929,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION,94.07499999999999,56.445,17.08,83.62,44 CDM,RX-99405,OPIUM TINCTURE 10 MG/ML (MORPHINE) ORAL,25.45,15.27,5.1,20.69,22 CDM,RX-9943,"ERGOCALCIFEROL (VITAMIN D2) 200 MCG/ML (8,000 UNIT/ML) ORAL DROPS",1.4,0.84,0.28028,1.14,22 CDM,RX-99443,VALGANCICLOVIR 50 MG/ML ORAL SOLUTION,2416.85,1450.11,483.85,1964.9,22 CDM,RX-99465,ABOBOTULINUMTOXINA 500 UNIT INTRAMUSCULAR SOLUTION,4022.3,2413.38,8.49,3270.13,34 CDM,RX-99610,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,486.2,291.72,0.1888,395.28,24 CDM,RX-99612,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,715.0,429.0,0.1888,581.29,24 CDM,RX-9967,ESTRADIOL 1 MG TABLET,17.25,10.35,3.45,14.02,22 CDM,RX-9969,ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM,1050.3,630.18,210.27,853.89,22 CDM,RX-99694,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,53.85,32.31,10.78,43.78,22 CDM,RX-9972,CONJUGATED ESTROGENS 25 MG SOLUTION FOR INJECTION,1730.85,1038.51,346.52,1407.18,34 CDM,RX-9973,CONJUGATED ESTROGENS 0.3 MG TABLET,44.3,26.58,8.87,36.02,22 CDM,RX-9974,CONJUGATED ESTROGENS 0.625 MG TABLET,44.3,26.58,8.87,36.02,22 CDM,RX-9980,ETHACRYNIC ACID 25 MG TABLET,113.8,68.28,22.78,92.52,22 CDM,RX-9982,ETHAMBUTOL 100 MG TABLET,17.85,10.71,3.57,14.51,22 CDM,RX-9984,ETHANOLAMINE OLEATE 5 % INTRAVENOUS SOLUTION,1650.3,990.18,330.39,1448.89,34 CDM,SUP-133921,GRAFT INTEGRA BILAYER MESHED W,45414.56,27248.74,162.39,36922.04,24 CDM,SUP-148836,MEMBRANE AUTOLOGOUS CULTURED CHONDROCYTES,156212.38,93727.43,31273.72,215040.47,24 CDM,SUP-149784,MEMBRANE 2 AUTOLOGOUS CULTURED CHONDROCYTES,257500.0,154500.0,51551.5,215040.47,24 CDM,SUP-239665,SKIN GRAFT SOFT TISS 3X6CM STRAVIX,11159.74,6695.84,327.43,9072.87,25 CDM,SUP-239666,SKIN GRAFT SOFT TISS 2X4CM STRAVIX,7390.2,4434.12,327.43,6008.23,25 CPT,0042T,HC CT CEREBRAL PERFUSION STUDY,2800.0,1680.0,560.56,2905.0,23 CPT,0075T,HC STENT ECV IT CAROTID W S AND I FIRST VESSEL,528.0,316.8,105.71,9423.0,46 CPT,0076T,HC STENT ECV IT CAROTID W S AND I EACH ADDITIONAL VESSEL,528.0,316.8,105.71,9423.0,23 CPT,0184T,"EXCISION OF RECTAL TUMOR, TRANSANAL ENDOSCOPIC MICROSURGICAL APPROACH (IE, TEMS), INCLUDING MUSCULARIS PROPRIA (IE, FULL THICKNESS)",,,5219.0,8045.0,13 CPT,0200T,HC PERC AUGMENT SACRAL INJ UNIL 1 OR MORE NEEDLES W BIOPSY W IMAGE GUIDANCE,2841.0,1704.6,568.77,12408.0,32 CPT,0200T,HC SACROPLASTY,777.0,466.2,155.56,12408.0,32 CPT,0201T,HC PERC AUGMENT SACRAL INJ BIL 2 OR MORE NEEDLES W BIOPSY W IMAGE GUIDANCE,2990.0,1794.0,598.6,17457.0,32 CPT,0202T,"POSTERIOR VERTEBRAL JOINT(S) ARTHROPLASTY (EG, FACET JOINT[S] REPLACEMENT), INCLUDING FACETECTOMY, LAMINECTOMY, FORAMINOTOMY, AND VERTEBRAL COLUMN FIXATION, INJECTION OF BONE CEMENT, WHEN PERFORMED, I",,,8612.0,13852.0,3 CPT,0202U,HC BIOFIRE RESPIRATORY PANEL 2.1 RP2.1 TEST,907.0,544.2,181.58,734.67,32 CPT,0235T,HC ATHERECTOMY VISCERAL W S AND I EACH VESSEL,20137.0,12082.2,2025.0,16310.97,23 CPT,0237T,HC ATHERECTOMY BRACHCPHLC BRCH W S AND I,20137.0,12082.2,4031.43,24600.0,33 CPT,0237T,HC CT RENAL BIOPSY,10706.0,6423.6,2143.34,24600.0,33 CPT,0238T,HC REVASC ATHERECTOMY ILIAC ARTERY INCLD S AND I EACH VESSEL,7882.0,4729.2,1577.98,24600.0,66 CPT,0238T,"TRANSLUMINAL PERIPHERAL ATHERECTOMY, OPEN OR PERCUTANEOUS, INCLUDING RADIOLOGICAL SUPERVISION AND INTERPRETATION; ILIAC ARTERY, EACH VESSEL",,,12247.0,24600.0,13 CPT,0241U,HC RAPID RSFLU COVID FLURVID CEPHEID - INACTIVE,275.0,165.0,55.05,222.75,21 CPT,0266T,"IMPLANTATION OR REPLACEMENT OF CAROTID SINUS BAROREFLEX ACTIVATION DEVICE; TOTAL SYSTEM (INCLUDES GENERATOR PLACEMENT, UNILATERAL OR BILATERAL LEAD PLACEMENT, INTRA-OPERATIVE INTERROGATION, PROGRAMMIN",,,34125.0,52940.0,12 CPT,0275T,"PERCUTANEOUS LAMINOTOMY/LAMINECTOMY (INTERLAMINAR APPROACH) FOR DECOMPRESSION OF NEURAL ELEMENTS, (WITH OR WITHOUT LIGAMENTOUS RESECTION, DISCECTOMY, FACETECTOMY AND/OR FORAMINOTOMY), ANY METHOD, UNDE",,,6872.88,13852.0,13 CPT,0339T,HC TRANSCATHETER RENAL SYMPATHETIC DENERVATION BILATERAL INCL FLUORO W S AND I,10837.0,6502.2,2169.57,12247.0,33 CPT,0408T,HC INSERT OR REPLACE PERM CARDIAC CCM SYSTEM,9476.0,5685.6,1897.1,82346.0,33 CPT,0421T,"TRANSURETHRAL WATERJET ABLATION OF PROSTATE, INCLUDING CONTROL OF POST-OPERATIVE BLEEDING, INCLUDING ULTRASOUND GUIDANCE, COMPLETE (VASECTOMY, MEATOTOMY, CYSTOURETHROSCOPY, URETHRAL CALIBRATION AND/OR",,,4376.0,10022.0,13 CPT,0442T,HC CRYOABL NERVE PLEXUS OR TRUNCAL NERVE INCL GUIDANCE,6092.0,3655.2,1219.62,10022.0,33 CPT,0483T,HC TMVR IMPLANT OR REPLACE PERCUTANEOUS,32373.0,19423.8,2025.0,26222.13,23 CPT,0523T,HC INTRAPROCEDURAL CORONARY FFR W 3D MAP FOR COR TREE REAL TIME REVIEW AND INTERP POSS STENT INTERV ADD ON,3304.0,1982.4,442.08,7039.0,23 CPT,0571T,HC INSERT OR REPLACE IMPL DEFIB SYSTEM W SUBSTERNAL ELECTRODES,61737.0,37042.2,7039.0,82346.0,33 CPT,0619T,"CYSTOURETHROSCOPY WITH TRANSURETHRAL ANTERIOR PROSTATE COMMISSUROTOMY AND DRUG DELIVERY, INCLUDING TRANSRECTAL ULTRASOUND AND FLUOROSCOPY, WHEN PERFORMED",,,3788.0,17457.0,14 CPT,0624T,HC AUTOMATED QUANTIFICATION CT ANGIO CORONARY ATHEROSCLEROTIC PLAQUE ANALYSIS DATA PREP AND TRANSMISSION,1901.0,1140.6,380.58,2905.0,23 CPT,0625T,HC AUTOMATED QUANTIFICATION CT ANGIO CORONARY ATHEROSCLEROTIC PLAQUE COMPUTERIZED ANALYSIS OF DATA,475.0,285.0,95.09,2905.0,32 CPT,0633T,HC CT BREAST W 3D RENDERING UNIL WO CONT,1173.0,703.8,102.31,2905.0,32 CPT,0634T,HC CT BREAST W 3D RENDERING UNIL W CONT,1332.0,799.2,171.27,2905.0,32 CPT,0635T,HC CT BREAST W 3D RENDERING UNIL WO CONT FLD W CONT,1332.0,799.2,171.27,2905.0,32 CPT,0636T,HC CT BREAST W 3D RENDERING BIL WO CONT,1450.0,870.0,232.56,2905.0,32 CPT,0637T,HC CT BREAST W 3D RENDERING BIL W CONT,1764.0,1058.4,343.59,2905.0,32 CPT,0638T,HC CT BREAST W 3D RENDERING BIL WO CONT FLD CONT,1764.0,1058.4,343.59,2905.0,32 CPT,0646T,HC TTVI PERC INCLD PROSTHETIC VALVE RHC TEMP PACER RA RV ANGIO,2399.0,1439.4,480.28,9423.0,23 CPT,0913T,HC PERC TRANSCATH THERAPY RX INTRACORONARY BALLOON INCL MECH DILATION BY NON RX DELIVERY BALLOON ANGIO IMG USING IVUS OR OCT INCL SINGLE MAJOR CORONARY ARTERY OR BRANCH,11403.0,6841.8,2282.88,13852.0,33 CPT,0914T,HC PERC TRANSCATH THERAPY RX INTRAC BALLOON DONE ON SEP TARGET LESION INCL MECH DILATION BY NON RX DEL BALLOON ANGIO IMG USING IVUS OR OCT INCL SINGLE MAJOR CORONARY ARTERY OR BRANCH,2851.0,1710.6,173.0,9423.0,24 CPT,10004,HC FNA BIOPSY W OUT GUIDANCE EACH ADDL LESION,1331.0,798.6,173.0,7039.0,24 CPT,10005,"FINE NEEDLE ASPIRATION BIOPSY, INCLUDING ULTRASOUND GUIDANCE; FIRST LESION",,,676.91,4311.0,14 CPT,10005,HC FNA BIOPSY INCL US GUIDANCE 1ST LESION,2561.0,1536.6,512.71,7039.0,33 CPT,10006,"FINE NEEDLE ASPIRATION BIOPSY, INCLUDING ULTRASOUND GUIDANCE; EACH ADDITIONAL LESION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,173.0,4311.0,3 CPT,10006,HC FNA BIOPSY INCL US GUIDANCE EA ADDL LESION,2561.0,1536.6,173.0,7039.0,24 CPT,10007,HC FNA BX INCL FLUORO GUIDANCE 1ST LESION,1895.0,1137.0,379.38,7039.0,33 CPT,10008,HC FNA BX INCL FLUORO GUIDANCE EA ADDL LESION,1895.0,1137.0,173.0,7039.0,24 CPT,10009,HC FNA BX INCL CT GUIDANCE 1ST LESION,3456.0,2073.6,676.91,7039.0,33 CPT,10010,HC FNA BX INCL CT GUIDANCE EA ADDL LESION,3456.0,2073.6,173.0,7039.0,24 CPT,10011,HC FNA BX INCL MR GUIDANCE 1ST LESION,2561.0,1536.6,512.71,7039.0,33 CPT,10012,HC FNA BX INCL MR GUIDANCE EA ADDL LESION,2561.0,1536.6,173.0,7039.0,24 CPT,10021,"FINE NEEDLE ASPIRATION BIOPSY, WITHOUT IMAGING GUIDANCE; FIRST LESION",,,173.0,4311.0,13 CPT,10030,HC DRAIN CATH PLMT OTHER,842.0,505.2,168.57,7039.0,33 CPT,10035,HC NEEDLE LOC BREAST INITIAL,1074.0,644.4,215.01,7039.0,33 CPT,10040,"ACNE SURGERY (EG, MARSUPIALIZATION, OPENING OR REMOVAL OF MULTIPLE MILIA, COMEDONES, CYSTS, PUSTULES)",,,173.0,832.0,12 CPT,10060,HC INCISION AND DRAINAGE ABSCESS SIMPLE SINGLE,479.0,287.4,90.29,4311.0,33 CPT,10060,"INCISION AND DRAINAGE OF ABSCESS (EG, CARBUNCLE, SUPPURATIVE HIDRADENITIS, CUTANEOUS OR SUBCUTANEOUS ABSCESS, CYST, FURUNCLE, OR PARONYCHIA); SIMPLE OR SINGLE",,,173.0,4311.0,13 CPT,10061,"INCISION AND DRAINAGE OF ABSCESS (EG, CARBUNCLE, SUPPURATIVE HIDRADENITIS, CUTANEOUS OR SUBCUTANEOUS ABSCESS, CYST, FURUNCLE, OR PARONYCHIA); COMPLICATED OR MULTIPLE",,,173.0,4311.0,14 CPT,10081,INCISION AND DRAINAGE OF PILONIDAL CYST; COMPLICATED,,,676.91,4311.0,13 CPT,10120,HC INCISE AND REMOVE FOREIGN BODY SUBQ TISSUE SIMPLE,246.0,147.6,46.37,4311.0,33 CPT,10120,"INCISION AND REMOVAL OF FOREIGN BODY, SUBCUTANEOUS TISSUES; SIMPLE",,,173.0,4311.0,13 CPT,10121,HC INCISE AND REMOVE FOREIGN BODY SUBQ TISSUE COMPLICATED,2577.0,1546.2,485.76,4376.0,33 CPT,10121,"INCISION AND REMOVAL OF FOREIGN BODY, SUBCUTANEOUS TISSUES; COMPLICATED",,,1558.81,5152.0,14 CPT,10140,HC INCISION AND DRAINAGE HEMATOMA SEROMA OR FLUID,2744.0,1646.4,517.24,7039.0,66 CPT,10140,"INCISION AND DRAINAGE OF HEMATOMA, SEROMA OR FLUID COLLECTION",,,1558.81,4311.0,13 CPT,10160,HC ASPIR HEMATOMA ABCES BUL CYST,155.0,93.0,29.22,7039.0,66 CPT,10160,"PUNCTURE ASPIRATION OF ABSCESS, HEMATOMA, BULLA, OR CYST",,,173.0,4311.0,13 CPT,10180,HC INCISION AND DRAINAGE POSTOP WOUND INFECTION COMPLEX,3875.0,2325.0,730.44,4376.0,33 CPT,10180,HC INPT COMPLEX DRAINAGE WOUND,3875.0,2325.0,730.44,4376.0,33 CPT,10180,"INCISION AND DRAINAGE, COMPLEX, POSTOPERATIVE WOUND INFECTION",,,2753.54,5754.0,14 CPT,11004,"DEBRIDEMENT OF SKIN, SUBCUTANEOUS TISSUE, MUSCLE AND FASCIA FOR NECROTIZING SOFT TISSUE INFECTION; EXTERNAL GENITALIA AND PERINEUM",,,2025.0,4681.0,2 CPT,11005,"DEBRIDEMENT OF SKIN, SUBCUTANEOUS TISSUE, MUSCLE AND FASCIA FOR NECROTIZING SOFT TISSUE INFECTION; ABDOMINAL WALL, WITH OR WITHOUT FASCIAL CLOSURE",,,2025.0,4681.0,2 CPT,11010,"DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN MATERIAL AT THE SITE OF AN OPEN FRACTURE AND/OR AN OPEN DISLOCATION (EG, EXCISIONAL DEBRIDEMENT); SKIN AND SUBCUTANEOUS TISSUES",,,676.91,5152.0,14 CPT,11011,"DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN MATERIAL AT THE SITE OF AN OPEN FRACTURE AND/OR AN OPEN DISLOCATION (EG, EXCISIONAL DEBRIDEMENT); SKIN, SUBCUTANEOUS TISSUE, MUSCLE FASCIA, AND MUSCLE",,,676.91,5152.0,14 CPT,11012,"DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN MATERIAL AT THE SITE OF AN OPEN FRACTURE AND/OR AN OPEN DISLOCATION (EG, EXCISIONAL DEBRIDEMENT); SKIN, SUBCUTANEOUS TISSUE, MUSCLE FASCIA, MUSCLE, AND BONE",,,990.0,5152.0,14 CPT,11042,"DEBRIDEMENT, SUBCUTANEOUS TISSUE (INCLUDES EPIDERMIS AND DERMIS, IF PERFORMED); FIRST 20 SQ CM OR LESS",,,173.0,5152.0,14 CPT,11042,HC DEBRIDEMENT SQ TISSUE SKIN 1ST 20SQCM,919.0,551.4,173.0,7039.0,66 CPT,11042,HC INPT DEBRIDE SQ TISSUE FIRST 20 SQCM OR LESS,681.0,408.6,128.37,4376.0,33 CPT,11043,"DEBRIDEMENT, MUSCLE AND/OR FASCIA (INCLUDES EPIDERMIS, DERMIS, AND SUBCUTANEOUS TISSUE, IF PERFORMED); FIRST 20 SQ CM OR LESS",,,173.0,5152.0,14 CPT,11043,HC DEBRIDEMENT MUSCLE SKIN TISSUE 1ST 20SQCM,1085.0,651.0,173.0,7039.0,66 CPT,11044,"DEBRIDEMENT, BONE (INCLUDES EPIDERMIS, DERMIS, SUBCUTANEOUS TISSUE, MUSCLE AND/OR FASCIA, IF PERFORMED); FIRST 20 SQ CM OR LESS",,,990.0,5152.0,14 CPT,11044,HC DEBRIDEMENT BONE SKIN TISSUE MUSCLE 1ST 20SQCM,2464.0,1478.4,464.46,4376.0,33 CPT,11045,"DEBRIDEMENT, SUBCUTANEOUS TISSUE (INCLUDES EPIDERMIS AND DERMIS, IF PERFORMED); EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,173.0,4311.0,3 CPT,11045,HC DEBRIDEMENT TISSUE SKIN ADD 20SQCM,1039.0,623.4,195.85,4311.0,24 CPT,11045,HC INPT DEBRIDE SQ TISSUE EA ADD 20 SQCM,771.0,462.6,145.33,4311.0,24 CPT,11046,"DEBRIDEMENT, MUSCLE AND/OR FASCIA (INCLUDES EPIDERMIS, DERMIS, AND SUBCUTANEOUS TISSUE, IF PERFORMED); EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCED",,,173.0,4311.0,3 CPT,11046,HC DEBRIDEMENT MUSCLE SKIN TISSUE ADD 20SQCM,1039.0,623.4,195.85,4311.0,24 CPT,11047,"DEBRIDEMENT, BONE (INCLUDES EPIDERMIS, DERMIS, SUBCUTANEOUS TISSUE, MUSCLE AND/OR FASCIA, IF PERFORMED); EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROC",,,173.0,4311.0,3 CPT,11047,HC DEBRIDEMENT BONE SKIN TISSUE MUSCLE ADD 20SQCM,3190.0,1914.0,601.32,4311.0,24 CPT,11055,HC PARING BENIGN LESION SINGLE,430.0,258.0,81.06,4311.0,33 CPT,11056,HC PARING BENIGN LESION 2-4,480.0,288.0,90.48,4311.0,33 CPT,11057,HC PARING BENIGN LESION GREATER THAN 4,536.0,321.6,101.04,4311.0,33 CPT,11102,HC TANGENTIAL BIOPSY OF SKIN SINGLE LESION,315.0,189.0,59.38,4311.0,33 CPT,11102,"TANGENTIAL BIOPSY OF SKIN (EG, SHAVE, SCOOP, SAUCERIZE, CURETTE); SINGLE LESION",,,173.0,4311.0,13 CPT,11103,HC TANGENTIAL BIOPSY OF SKIN EA SEPARATE ADDL LESION,195.0,117.0,36.76,4311.0,24 CPT,11104,HC PUNCH BIOPSY OF SKIN SINGLE LESION,315.0,189.0,59.38,4311.0,33 CPT,11104,"PUNCH BIOPSY OF SKIN (INCLUDING SIMPLE CLOSURE, WHEN PERFORMED); SINGLE LESION",,,173.0,4311.0,13 CPT,11105,HC PUNCH BIOPSY OF SKIN EA SEPARATE ADDL LESION,195.0,117.0,36.76,4311.0,24 CPT,11106,HC INCISIONAL BIOPSY OF SKIN W SIMPLE CLOSURE SINGLE LESION,315.0,189.0,59.38,4311.0,33 CPT,11106,"INCISIONAL BIOPSY OF SKIN (EG, WEDGE) (INCLUDING SIMPLE CLOSURE, WHEN PERFORMED); SINGLE LESION",,,588.93,4311.0,14 CPT,11107,HC INCISIONAL BIOPSY OF SKIN W SIMPLE CLOSURE EACH SEPARATE ADDL LESION,195.0,117.0,36.76,4311.0,24 CPT,11107,"INCISIONAL BIOPSY OF SKIN (EG, WEDGE) (INCLUDING SIMPLE CLOSURE, WHEN PERFORMED); EACH SEPARATE/ADDITIONAL LESION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,173.0,4311.0,3 CPT,11200,"REMOVAL OF SKIN TAGS, MULTIPLE FIBROCUTANEOUS TAGS, ANY AREA; UP TO AND INCLUDING 15 LESIONS",,,173.0,4311.0,13 CPT,11400,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 0.5 CM OR LESS",,,676.91,4311.0,14 CPT,11401,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 0.6 TO 1.0 CM",,,173.0,4311.0,14 CPT,11401,HC EXCISION BENIGN LESION T A L 0.6 TO 1 CM,458.0,274.8,86.33,4311.0,33 CPT,11402,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 1.1 TO 2.0 CM",,,676.91,4311.0,14 CPT,11403,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 2.1 TO 3.0 CM",,,676.91,4311.0,14 CPT,11404,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 3.1 TO 4.0 CM",,,1558.81,4311.0,14 CPT,11406,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER OVER 4.0 CM",,,1558.81,5152.0,14 CPT,11420,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 0.5 CM OR LESS",,,990.0,4376.0,28 CPT,11421,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 0.6 TO 1.0 CM",,,676.91,4376.0,14 CPT,11422,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 1.1 TO 2.0 CM",,,990.0,4311.0,14 CPT,11423,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 2.1 TO 3.0 CM",,,1558.81,4311.0,14 CPT,11424,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 3.1 TO 4.0 CM",,,1558.81,5152.0,14 CPT,11426,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER OVER 4.0 CM",,,2753.54,5754.0,14 CPT,11440,"EXCISION, OTHER BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; EXCISED DIAMETER 0.5 CM OR LESS",,,676.91,4376.0,14 CPT,11441,"EXCISION, OTHER BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; EXCISED DIAMETER 0.6 TO 1.0 CM",,,676.91,4376.0,14 CPT,11442,"EXCISION, OTHER BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; EXCISED DIAMETER 1.1 TO 2.0 CM",,,676.91,4311.0,14 CPT,11443,"EXCISION, OTHER BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; EXCISED DIAMETER 2.1 TO 3.0 CM",,,990.0,4311.0,14 CPT,11446,"EXCISION, OTHER BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; EXCISED DIAMETER OVER 4.0 CM",,,2753.54,5754.0,14 CPT,11450,"EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, AXILLARY; WITH SIMPLE OR INTERMEDIATE REPAIR",,,2753.54,5754.0,14 CPT,11451,"EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, AXILLARY; WITH COMPLEX REPAIR",,,2753.54,5754.0,14 CPT,11462,"EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, INGUINAL; WITH SIMPLE OR INTERMEDIATE REPAIR",,,2753.54,5754.0,14 CPT,11470,"EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, PERIANAL, PERINEAL, OR UMBILICAL; WITH SIMPLE OR INTERMEDIATE REPAIR",,,2753.54,5754.0,14 CPT,11601,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 0.6 TO 1.0 CM",,,676.91,4311.0,14 CPT,11602,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 1.1 TO 2.0 CM",,,173.0,4311.0,14 CPT,11603,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 2.1 TO 3.0 CM",,,676.91,4311.0,14 CPT,11604,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 3.1 TO 4.0 CM",,,676.91,5152.0,14 CPT,11606,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER OVER 4.0 CM",,,1558.81,5152.0,14 CPT,11620,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 0.5 CM OR LESS",,,990.0,4311.0,14 CPT,11621,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 0.6 TO 1.0 CM",,,676.91,4311.0,14 CPT,11622,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 1.1 TO 2.0 CM",,,676.91,4311.0,14 CPT,11623,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 2.1 TO 3.0 CM",,,990.0,4311.0,13 CPT,11626,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER OVER 4.0 CM",,,2753.54,5754.0,14 CPT,11641,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER 0.6 TO 1.0 CM",,,676.91,4376.0,14 CPT,11642,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER 1.1 TO 2.0 CM",,,676.91,4376.0,14 CPT,11646,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER OVER 4.0 CM",,,2753.54,5754.0,14 CPT,11719,HC TRIM NONDYSTROPHIC NAILS,119.0,71.4,22.43,96.75,33 CPT,11720,HC DEBRID NAILS ANY METHOD 1-5,129.0,77.4,24.32,4311.0,33 CPT,11721,HC DEBRID NAILS ANY METHOD 6 AND GREATER,129.0,77.4,24.32,4311.0,33 CPT,11730,HC AVULSION NAIL PLATE P C S SNGL,208.0,124.8,39.21,4311.0,33 CPT,11732,HC AVULSION NAIL PLATE EA ADD,163.0,97.8,30.73,4311.0,24 CPT,11750,"EXCISION OF NAIL AND NAIL MATRIX, PARTIAL OR COMPLETE (EG, INGROWN OR DEFORMED NAIL), FOR PERMANENT REMOVAL",,,173.0,4311.0,14 CPT,11760,REPAIR OF NAIL BED,,,173.0,4311.0,13 CPT,11765,HC EXCISION OF NAIL FOLD TOE,352.0,211.2,66.35,4311.0,33 CPT,11770,EXCISION OF PILONIDAL CYST OR SINUS; SIMPLE,,,2753.54,6735.0,14 CPT,11771,EXCISION OF PILONIDAL CYST OR SINUS; EXTENSIVE,,,2753.54,6735.0,14 CPT,11772,EXCISION OF PILONIDAL CYST OR SINUS; COMPLICATED,,,2753.54,6735.0,14 CPT,11900,HC INJECTION INTRALESIONAL 10 MINS,63.0,37.8,10.97,1090.0,32 CPT,99441,HC JV PHYS TELEPHONE EVAL 5-10 MINS GL,49.0,29.4,8.53,134.0,22 CPT,99442,HC JV PHYS TELEPHONE EVAL 11-20 MINS GL,93.0,55.8,16.19,134.0,22 CPT,99443,HC JV PHYS TELEPHONE EVAL 21-30 MINS GL,137.0,82.2,23.85,134.0,22 CPT,A4648,HC TISSUE MARKER,537.0,322.2,68.2,445.71,25 CPT,A6456,HC UNA BOOT WITH CALAMINE,28.0,16.8,5.61,22.76,23 CPT,A9500,HC TC99M SESTAMIBI DX PSD,82.0,49.2,16.42,1226.71,24 CPT,A9503,HC TC99M MEDRONATE DX PSD UP TO 30MCI,42.0,25.2,8.41,161.14,24 CPT,A9505,HC TL201 THALLOUS CHLORIDE DX PER MCI,122.0,73.2,24.42,132.97,24 CPT,A9509,HC I123 SOD IODIDE DX PER MCI,584.0,350.4,116.92,474.79,24 CPT,A9512,HC TC99M PERTECHNETATE DX PER MCI,6.0,3.6,1.2,29.06,24 CPT,A9516,HC I123 SODIUM IODIDE DX PER 100MICRO UP TO 999MICRO,119.0,71.4,23.82,318.78,25 CPT,A9517,HC I131 SODIUM IODIDE CAPSULE TX PER MCI,51.0,30.6,10.21,208.95,34 CPT,A9520,HC TECHNETIUM TC99M TILMANOCEPT DX UP TO 0.5MCI,1343.0,805.8,268.87,1592.55,23 CPT,A9528,HC I131 SODIUM IODIDE CAPSULE DX PER MCI,323.0,193.8,64.66,262.6,24 CPT,A9531,HC I131 SODIUM IODIDE DX PER MICRO UP TO 100UCI,44.0,26.4,8.43,35.77,24 CPT,A9537,HC TC99M MEBROFENIN DX PSD UP TO 15MCI,77.0,46.2,15.42,308.9,24 CPT,A9538,HC TC99M PYROPHOSPHATE DX PSD UP TO 25MCI,99.0,59.4,19.82,154.18,24 CPT,A9539,HC TC99M PENTETATE DX PSD UP TO 25 MCI,163.0,97.8,32.63,132.52,24 CPT,A9540,HC TC99M MACROAGGREGATED ALBUMIN DX PSD UP TO 10MCI,277.0,166.2,55.46,225.2,24 CPT,A9541,HC TC99M SULFUR COLLOID DX PSD UP TO 20MCI,87.0,52.2,17.42,2045.69,24 CPT,A9543,HC NM PHARM S1001 TRIAL,1.01,0.61,0.2022,163224.3,29 CPT,A9548,HC IN111 PENETETATE DX PER 0.5MCI,2030.0,1218.0,406.41,2131.58,34 CPT,A9552,HC F18FDG DX PSD UP TO 45MCI,878.0,526.8,175.78,1136.88,23 CPT,A9555,HC RB82 DX PSD UP TO 60MCI,988.0,592.8,197.8,1410.77,24 CPT,A9556,HC GA67 CITRATE DX PER MCI,107.0,64.2,21.42,325.02,24 CPT,A9558,HC XE133 GAS DX PER 10MCI,208.0,124.8,41.64,807.54,24 CPT,A9560,HC TC99M LABELED RBC DX PSD UP TO 30 MCI,254.0,152.4,50.85,287.08,24 CPT,A9561,HC TC99M OXIDRONATE DX PSD UP TO 30MCI,183.0,109.8,36.64,148.78,24 CPT,A9562,HC TC99M MERTIATIDE DX PSD UP TO 15MCI,649.0,389.4,129.93,2091.51,23 CPT,A9567,HC TC99M PENTETATE AEROSOL DX PSD UP TO 75MCI,188.0,112.8,37.64,152.84,24 CPT,A9570,HC IN111 AUTO WBC DX PSD,5280.0,3168.0,1000.45,10134.22,34 CPT,A9572,HC IN111 PENTETRE PENTETREOTIDE DX PSD UP TO 6MCI,2794.0,1676.4,559.36,9315.86,34 CPT,A9580,HC F18 SODIUM FLUORIDE DX PSD UP TO 30MCI,305.0,183.0,61.06,722.16,24 CPT,A9580,HC PET PHARM NAF18,305.0,183.0,61.06,722.16,24 CPT,A9582,HC I123 IOBENGUANE DX PSD UP TO 15MCI,12493.0,7495.8,2012.57,12296.97,34 CPT,A9586,HC F18 FLORBETAPIR DX PSD UP TO 10MCI AMYVID INJ,6058.0,3634.8,1212.81,6878.34,34 CPT,A9587,HC GALLIUM GA 68 DOTATATE DX 0.1 MCI,209.0,125.4,41.84,169.92,34 CPT,A9588,HC FLUCICLOVINE F18 DX 1MCI,487.0,292.2,97.5,1243.67,34 CPT,A9591,HC FLUOROESTRADIOL F18 DX 1 MCI,1309.0,785.4,262.06,1851.54,35 CPT,A9592,HC COPPER CU64 DOTATATE DX 1 MCI,1929.0,1157.4,386.19,2316.93,35 CPT,A9595,HC F18 PIFLUFOLASTAT PYLARIFY PER MCI,1069.0,641.4,214.01,1480.57,35 CPT,A9604,HC SM153 LEXIDRONAM TX PTD UP TO 150MCI,12371.0,7422.6,2476.67,39196.15,34 CPT,A9606,HC RADIUM RA223 DICHLORIDE TX PER MICROCURIE,305.0,183.0,61.06,479.07,34 CPT,A9608,HC F18 FLOTUFOLASTAT POSLUMA DX 1 MCI,1230.0,738.0,246.25,1871.97,35 CPT,A9800,HC LOCAMETZ GALLIUM GA 68 PSMA DX PER MCI,1908.0,1144.8,369.58,2435.93,35 CPT,C1717,HC BRACHYTX HDR IR-192 NON STRANDED,637.0,382.2,80.9,528.71,35 CPT,C1724,HC COAST IDE G090106,3795.0,2277.0,759.76,3073.95,21 CPT,C1725,HC MEDTRONIC ADMIRAL DEB IDE G11020,1.01,0.61,0.2022,0.8181,21 CPT,C1729,HC CHEST TUBE INSERTION,273.0,163.8,34.67,226.59,26 CPT,C1729,HC PLEURX CATHETER UNC,1349.0,809.4,171.32,1119.67,26 CPT,C1729,HC PLEURX PLEURAL CATHETER,600.0,360.0,76.2,498.0,26 CPT,C1729,HC REX PLEURX PLEURAL CATHETER KIT,600.0,360.0,76.2,498.0,26 CPT,C1748,HC REX IP AMBU LARGE DISPOSABLE ENDOSCOPE,1415.0,849.0,283.28,1150.39,24 CPT,C1748,HC REX IP AMBU REGULAR DISPOSABLE ENDOSCOPE,1507.0,904.2,301.7,1225.19,24 CPT,C1748,HC REX IP AMBU SLIM DISPOSABLE ENDOSCOPE,1370.0,822.0,274.27,1113.81,24 CPT,C1748,HC REX IP STORZ DISPOSABLE ENDOSCOPE,1172.0,703.2,234.63,952.84,24 CPT,C1751,HC 24CMSCHONXL CATHETER D LUMEN,948.0,568.8,120.4,786.84,26 CPT,C1751,HC 3F POLY SINGLE LUMEN PICC CATH,126.0,75.6,16.0,104.58,26 CPT,C1751,HC 4F POLY DUAL LUMEN PICC CATH,295.0,177.0,37.47,244.85,26 CPT,C1751,HC 4F POLY SINGLE LUMEN PICC CATH,151.0,90.6,19.18,125.33,26 CPT,C1751,HC 5F POLY DUAL LUMEN PICC CATH,355.0,213.0,45.09,294.65,26 CPT,C1751,HC 5F POLY SINGLE LUMEN PICC CATH,184.0,110.4,23.37,152.72,26 CPT,C1751,HC ACCUCATH INTRAVASCULAR CATHETER 10G BY 2.25 IN,263.0,157.8,33.4,218.29,26 CPT,C1751,HC ANESTHESIA CVP CATH MULTILUMEN,318.0,190.8,40.39,263.94,26 CPT,C1751,HC ANESTHESIA CVP CATH S LUMEN,103.0,61.8,13.08,85.49,26 CPT,C1751,HC ANESTHESIA CVP DOUBLE LUMEN,209.0,125.4,26.54,173.47,26 CPT,C1751,HC CATHETER D LUMEN 24CMSCHONXL,1073.0,643.8,136.27,890.59,26 CPT,C1751,HC CVP CATH MULTILUMEN,318.0,190.8,40.39,263.94,26 CPT,C1751,HC CVP CATH S LUMEN,103.0,61.8,13.08,85.49,26 CPT,C1751,HC CVP DOUBLE LUMEN,1048.0,628.8,133.1,869.84,26 CPT,C1751,HC CVW IP DUAL PICC CATHETER,535.0,321.0,67.94,444.05,26 CPT,C1751,HC CVW IP TRIPLE PICC CATHETER,535.0,321.0,67.94,444.05,26 CPT,C1751,HC CVW SINGLE PICC CATHETER,535.0,321.0,67.94,444.05,26 CPT,C1751,HC OPTI Q SO2 CCO PA HEP,746.0,447.6,94.74,619.18,26 CPT,C1751,HC OPTI Q SO2 CCO PA HEP J TIP,746.0,447.6,94.74,619.18,26 CPT,C1751,HC PICC CATHETER TRIPLE LUMEN BARD,145.0,87.0,18.41,120.35,26 CPT,C1751,HC POWERGLIDE PRO MIDLINE CATHETER 18G 10 CM,281.0,168.6,35.69,233.23,26 CPT,C1751,HC POWERGLIDE PRO MIDLINE CATHETER 20G 10 CM,281.0,168.6,35.69,233.23,26 CPT,C1751,HC REX OPTI-Q SO2 CCO PA CATHETER HEP,746.0,447.6,94.74,619.18,26 CPT,C1751,HC SUP ARROW TRIPLE LUMEN CVA CATH,503.0,301.8,63.88,417.49,26 CPT,C1751,HC ULTRAFILTRATION CATHETER,774.0,464.4,98.3,642.42,26 CPT,C1751,HC VAT 3FR SINGLE LUMEN BARD PICC,425.0,255.0,53.98,352.75,26 CPT,C1751,HC VAT 4FR DL BARD PROVENA PICC,1379.0,827.4,175.13,1144.57,26 CPT,C1751,HC VAT 4FR SL BARD PROVENA PICC,1215.0,729.0,154.31,1008.45,26 CPT,C1751,HC VAT 5FR TL BARD PROVENA PICC,1484.0,890.4,188.47,1231.72,26 CPT,C1751,HC VAT 5FR TRIPLE 3 CG POWER BARD CATHETER,1631.0,978.6,207.14,1353.73,26 CPT,C1751,HC VAT ACCUCATH INTRAVASCULAR CATHETER 18G BY 2.25 IN,263.0,157.8,33.4,218.29,26 CPT,C1751,HC VAT ACCUCATH INTRAVASCULAR CATHETER 20G BY 2.25 IN,263.0,157.8,33.4,218.29,26 CPT,C1751,HC VAT POWER PRO 18GA 10CM BARD,58.0,34.8,7.37,48.14,26 CPT,C1751,HC VAT POWER PRO 18GA 8CM BARD,58.0,34.8,7.37,48.14,26 CPT,C1751,HC VAT POWER PRO 20GA 10CM BARD,58.0,34.8,7.37,48.14,26 CPT,C1751,HC VAT POWER PRO 20GA 8CM BARD,58.0,34.8,7.37,48.14,26 CPT,C1752,HC BARD POWER TRIALYSIS DIALYSIS CATH 15CM,922.0,553.2,117.09,765.26,26 CPT,C1752,HC BARD POWER TRIALYSIS DIALYSIS CATH 20CM,922.0,553.2,117.09,765.26,26 CPT,C1752,HC BARD POWER TRIALYSIS DIALYSIS CATH 24CM,922.0,553.2,117.09,765.26,26 CPT,C1752,HC SCHON XL DIALYSIS CATH 14FR 20CM,1024.0,614.4,130.05,849.92,26 CPT,C1754,HC CATHETER DECOMPRESSION,6720.0,4032.0,853.44,5577.6,26 CPT,C1754,HC GRAFT GORE PROPATEN TW H470045A,6131.0,3678.6,778.64,5088.73,26 CPT,C1762,HC GRAFT MATRISTEM MICRO PART 100MG,1734.0,1040.4,347.15,1409.74,24 CPT,C1762,HC GRAFT MATRISTEM MICRO PART 200MG,3295.0,1977.0,659.66,2678.84,24 CPT,C1762,HC GRAFT MATRISTEM TISS MATX 20X30C,40220.0,24132.0,8052.04,32698.86,24 CPT,C1762,HC GRAFT MATRISTEM TISSUE MATRIX 8C,12517.0,7510.2,2505.9,10176.32,24 CPT,C1762,HC GRFT DURAL MATRX DURAGEN PLUS 1X,2639.0,1583.4,528.33,2145.51,24 CPT,C1762,HC GRFT MATRISTEM TISSUE MATRIX 6X1,11117.0,6670.2,2225.62,9038.12,24 CPT,C1762,HC GRFT MATRISTEM TISSUE MATRIX10X1,16042.0,9625.2,3211.61,13042.15,24 CPT,C1762,HC Q GUIDE ELECTRODE INSERTION TOOL,5120.0,3072.0,1025.02,4162.56,24 CPT,C1763,HC ELEV SYST W INTEXEN GFT POST REP,9476.0,5685.6,1203.45,7865.08,26 CPT,C1763,HC ENDURAGEN COLLAGEN 2CMX 5CMX1MM,2696.0,1617.6,342.39,2237.68,50 CPT,C1763,HC GRAFT DURAL MAT DURAGEN SUT 1X3,1919.0,1151.4,384.18,1560.15,24 CPT,C1763,HC GRAFT DURAL MATRIX DURAGEN XS,7252.0,4351.2,1451.85,5895.88,24 CPT,C1763,HC GRAFT MATRISTEM3L TISSMATRIX10X1,11120.0,6672.0,2226.22,9040.56,24 CPT,C1763,HC GRAFT SURGICAL HERNIA REPAIR 12X15C,15665.0,9399.0,3136.13,12735.65,24 CPT,C1763,HC GRAFT SURGISIS HERNIA REP 20X30C,31578.0,18946.8,6321.92,25672.91,24 CPT,C1763,HC MATRISTEM TISSUE MATRIX 7CMX10,8366.0,5019.6,1674.87,6801.56,24 CPT,C1778,HC LEAD 8-CONTACT PRECISION 50CM,8418.0,5050.8,1069.09,6986.94,26 CPT,C1778,HC LEAD 8-CONTACT PRECISION TRIAL,7438.0,4462.8,944.63,6173.54,26 CPT,C1778,HC LEAD RESTORE TRIAL COMPACT,5120.0,3072.0,650.24,4249.6,26 CPT,C1778,HC LEAD RESTORE TRIAL STANDARD,5120.0,3072.0,650.24,4249.6,26 CPT,C1778,HC LEAD TRIAL PERCUT OCTRODE 60CM,4954.0,2972.4,629.16,4111.82,26 CPT,C1778,HC NEUROSTIM IMPL LEAD 8CH60CM T SJMG DPP HR NONM GEN3 PR,940.0,564.0,119.38,780.2,26 CPT,C1778,HC REX CABLE MULTI-LEAD TRIAL,1375.0,825.0,174.62,1141.25,26 CPT,C1778,HC REX CABLE TRIAL,19569.0,11741.4,2485.26,16242.27,26 CPT,C1778,HC REX LEAD 16-CONTACT TRIAL 50CM,9120.0,5472.0,1158.24,7569.6,26 CPT,C1778,HC TRIAL LEAD NEVRO,3125.0,1875.0,396.88,2593.75,26 CPT,C1778,HC VECTRIS SUBCOMPACT TRIAL LEAD KT,5270.0,3162.0,669.29,4374.1,26 CPT,C1781,HC GFT ARTHROFLEX HUMAN DERM 15X140,8920.0,5352.0,1785.78,7251.96,24 CPT,C1781,HC GFT ARTHROFLEX HUMAN DERM 40X70,11277.0,6766.2,2257.66,9168.2,24 CPT,C1819,HC NEEDLE LOCALIZATION SUPPLY,0.01,0.01,0.002,0.00813,24 CPT,C1831,"PERSONALIZED, ANTERIOR AND LATERAL INTERBODY CAGE (IMPLANTABLE)",,,,,0 CPT,C1876,HC DURABILITY PAS IDE P110023,6335.0,3801.0,1268.27,5131.35,21 CPT,C1876,HC ROADSAVER CAROTID ARTERY STENT SYSTEM IDE G140240,1.01,0.61,0.2022,0.8181,21 CPT,C1876,HC SCAFFOLD TRIAL IDE G110127,9964.0,5978.4,1994.79,8070.84,21 CPT,C1883,HC NEUROSTIM 3013 MULTI LEAD TRIALCABLE,220.0,132.0,27.94,182.6,26 CPT,C1884,HC NANOPARASOL EMBOLIC PROTECTION DEVICE IDE G140240,1.01,0.61,0.2022,0.8181,21 CPT,C1887,HC CATHETER DIAG,452.0,271.2,90.49,367.48,24 CPT,C1889,HC EXTERNAL PULSE GENERATOR 2 PORT HEADER ABBOTT 3032ANS TRIAL KIT,2899.0,1739.4,580.38,2356.89,24 CPT,C1889,HC SPACEOAR HYDROGEL,0.01,0.01,0.00127,0.0083,26 CPT,C1897,HC INFINION 16 TRIAL LEAD SYSTEM 50 CM,5436.0,3261.6,690.37,4511.88,26 CPT,C1897,HC LEAD NEUROSTIM TEST KIT,5270.0,3162.0,669.29,4374.1,26 CPT,C1897,HC LEAD TRIAL 50CM,6348.0,3808.8,806.2,5268.84,26 CPT,C1897,HC LEAD TRIAL SUBCOMPACT 3875-60,5120.0,3072.0,650.24,4249.6,26 CPT,C1897,HC NEUROSTIM C65EPG TRIAL NON CE BURST,555.0,333.0,70.48,460.65,26 CPT,C2616,HC BRACHYTHERAPY Y90 NS PER SOURCE,37500.0,22500.0,4762.5,31125.0,35 CPT,C2616,HC NM Y90 BRACHYTHERAPY,40000.0,24000.0,5080.0,33200.0,35 CPT,C2618,HC CT BOSTON CRYO PROBE NEEDLE EACH,6720.0,4032.0,1345.34,5463.36,24 CPT,C2638,HC BRACHYTHERAPY SEED STRANDED IODINE 125 PER SOURCE,1255.0,753.0,35.64,1041.65,35 CPT,C2639,HC BRACHYTX IODINE 125 NON STRANDED,297.0,178.2,33.78,246.51,35 CPT,C2639,HC BRACHYTX PALLADIUM 103 NON STRAN,308.0,184.8,33.78,255.64,35 CPT,C5275,"APPLICATION OF LOW COST SKIN SUBSTITUTE GRAFT TO FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, FEET, AND/OR MULTIPLE DIGITS, TOTAL WOUND SURFACE AREA UP TO 100 SQ CM; FIRST 25 SQ ",,,173.0,4376.0,14 CPT,C5275,HC APPLICATION SKIN SUB F S G H F 1ST 25 SQCM LC,1197.0,718.2,225.63,4376.0,33 CPT,C5276,"APPLICATION OF LOW COST SKIN SUBSTITUTE GRAFT TO FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, FEET, AND/OR MULTIPLE DIGITS, TOTAL WOUND SURFACE AREA UP TO 100 SQ CM; EACH ADDITIO",,,173.0,4311.0,3 CPT,C7555,"THYROIDECTOMY, TOTAL OR COMPLETE WITH PARATHYROID AUTOTRANSPLANTATION",,,2025.0,12247.0,3 CPT,C8957,HC PROLONGED IV INFUS REQUIRING PUM,652.0,391.2,113.51,759.0,32 CPT,C9360,HC GRAFT SURGIMEND 20X30,39570.0,23742.0,7921.91,32170.41,24 CPT,C9363,HC INTEGRA BILAYER WOUND MATRIX 20SQCM 4X5 PER SQ CM,2078.0,1246.8,162.39,1689.41,24 CPT,C9363,HC MATRIX WOUND MESHED BILAYER,17004.0,10202.4,162.39,13824.25,24 CPT,C9600,"PERCUTANEOUS TRANSCATHETER PLACEMENT OF DRUG ELUTING INTRACORONARY STENT(S), WITH CORONARY ANGIOPLASTY WHEN PERFORMED; SINGLE MAJOR CORONARY ARTERY OR BRANCH",,,9503.0,27871.0,14 CPT,C9601,"PERCUTANEOUS TRANSCATHETER PLACEMENT OF DRUG-ELUTING INTRACORONARY STENT(S), WITH CORONARY ANGIOPLASTY WHEN PERFORMED; EACH ADDITIONAL BRANCH OF A MAJOR CORONARY ARTERY (LIST SEPARATELY IN ADDITION TO",,,173.0,27871.0,4 CPT,C9602,"PERCUTANEOUS TRANSLUMINAL CORONARY ATHERECTOMY, WITH DRUG ELUTING INTRACORONARY STENT, WITH CORONARY ANGIOPLASTY WHEN PERFORMED; SINGLE MAJOR CORONARY ARTERY OR BRANCH",,,9503.0,27871.0,14 CPT,C9604,"PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF OR THROUGH CORONARY ARTERY BYPASS GRAFT (INTERNAL MAMMARY, FREE ARTERIAL, VENOUS), ANY COMBINATION OF DRUG-ELUTING INTRACORONARY STENT, ATHERECTOMY AND A",,,9503.0,27871.0,14 CPT,C9605,"PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF OR THROUGH CORONARY ARTERY BYPASS GRAFT (INTERNAL MAMMARY, FREE ARTERIAL, VENOUS), ANY COMBINATION OF DRUG-ELUTING INTRACORONARY STENT, ATHERECTOMY AND A",,,173.0,27871.0,3 CPT,C9607,"PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF CHRONIC TOTAL OCCLUSION, CORONARY ARTERY, CORONARY ARTERY BRANCH, OR CORONARY ARTERY BYPASS GRAFT, ANY COMBINATION OF DRUG-ELUTING INTRACORONARY STENT, A",,,9503.0,27871.0,14 CPT,C9739,"CYSTOURETHROSCOPY, WITH INSERTION OF TRANSPROSTATIC IMPLANT; 1 TO 3 IMPLANTS",,,3788.0,17457.0,14 CPT,C9740,"CYSTOURETHROSCOPY, WITH INSERTION OF TRANSPROSTATIC IMPLANT; 4 OR MORE IMPLANTS",,,8612.0,13852.0,13 CPT,C9761,"CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY, WITH LITHOTRIPSY, AND URETERAL CATHETERIZATION FOR STEERABLE VACUUM ASPIRATION OF THE KIDNEY, COLLECTING SYSTEM, URETER, BLADDER, AND URETHRA IF",,,3788.0,17457.0,14 CPT,C9764,HC INTRAVASCULAR LITHOTRIPSY LE ARTERY OTHER THAN TIBIAL PERONEAL INCL ANGIOPLASTY SAME VSL,13301.0,7980.6,2662.86,13852.0,33 CPT,C9765,HC INTRAVASCULAR LITHOTRIPSY LE ARTERY OTHER THAN TIBIAL PERONEAL W STENT INCL ANGIOPLASTY SAME VESSEL,26602.0,15961.2,5325.72,24600.0,33 CPT,C9766,HC INTRAVASCULAR LITHOTRIPSY AND ATHERECTOMY LE ARTERY OTHER THAN TIBIAL PERONEAL INCL ANGIOPLASTY SAME VSL,26602.0,15961.2,5325.72,24600.0,33 CPT,C9767,HC INTRAVASCULAR LITHOTRIPSY STENT ATHERECTOMY LE ARTERY OTHER THAN TIBIAL PERONEAL INCL ANGIOPLASTY SAME VSL,42829.0,25697.4,7039.0,34691.49,33 CPT,C9772,HC INTRAVASCULAR LITHOTRIPSY TIBIAL PERONEAL ART INCL ANGIOPLASTY SAME VSL,21406.0,12843.6,4285.48,24600.0,33 CPT,C9773,HC INTRAVASCULAR LITHOTRIPSY TIBIAL PERONEAL ART W/STENT INCL ANGIOPLASTY SAME VSL,34241.0,20544.6,6855.05,27735.21,33 CPT,C9774,HC INTRAVASCULAR LITHOTRIPSY AND ATHERECTOMY TIBIAL PERONEAL ART INCL ANGIOPLASTY SAME VSL,34241.0,20544.6,6855.05,27735.21,33 CPT,C9775,HC INTRAVASCULAR LITHOTRIPSY STENT ATHERECTOMY TIBIAL PERONEAL ART INCL ANGIOPLASTY SAME VSL,34241.0,20544.6,6855.05,27735.21,33 CPT,C9776,"INTRAOPERATIVE NEAR-INFRARED FLUORESCENCE IMAGING OF MAJOR EXTRA-HEPATIC BILE DUCT(S) (E.G., CYSTIC DUCT, COMMON BILE DUCT AND COMMON HEPATIC DUCT) WITH INTRAVENOUS ADMINISTRATION OF INDOCYANINE GREEN",,,,,0 CPT,G0104,COLORECTAL CANCER SCREENING; FLEXIBLE SIGMOIDOSCOPY,,,877.14,4311.0,13 CPT,G0105,COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK,,,877.14,5152.0,28 CPT,G0108,HC DIABETIC SELF MGMT INDIV 30MIN,150.0,90.0,26.11,1090.0,23 CPT,G0109,HC DIABETIC SELF MGMT GROUP 30MIN,85.0,51.0,14.8,1090.0,23 CPT,G0121,COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK,,,877.14,5152.0,28 CPT,G0237,HC THERAPY STRENGTH ENDURANCE IND 1,58.0,34.8,10.1,440.0,32 CPT,G0238,HC RT THERAPY OTHER IND 15 MIN,56.0,33.6,9.75,440.0,32 CPT,G0239,HC THERAPY STRENGTH ENDUR GROUP,109.0,65.4,18.98,440.0,32 CPT,G0269,HC PLACE OCCLUSIVE DEVICE,285.0,171.0,57.06,7039.0,23 CPT,G0277,HC HYPERBARIC OXYGEN TX FBC 30MIN,711.0,426.6,123.79,1912.0,32 CPT,G0278,HC ANGIO ILIAC ARTERY W CATH,1404.0,842.4,281.08,9423.0,21 CPT,G0283,HC PT E STIM UNATTENDED,139.0,83.4,21.66,276.0,23 CPT,G0288,HC CTA RECONS AORTA SURG PLAN MMS,1269.0,761.4,254.05,2905.0,23 CPT,G0378,HC REX INTENSIVE OBSERVATION CARE PER HOUR,183.0,109.8,34.5,7281.0,23 CPT,G0378,HC REX INTERMEDIATE OBSERVATION CARE PER HOUR,86.0,51.6,16.21,7281.0,23 CPT,G0378,HC REX OBSERVATION CARE PER HOUR,56.0,33.6,10.56,7281.0,23 CPT,G0378,HC REX SPECIAL CARE NURSERY OBSERVATION CARE PER HOUR,100.0,60.0,18.85,7281.0,23 CPT,G0379,HC REX OBSERVATION DIRECT ADMISSION,99.0,59.4,18.66,7281.0,32 CPT,G0399,HC HOME SLEEP TEST,373.0,223.8,74.67,1990.0,32 CPT,G0498,HC CHEMO INFUSION PROLONGED 8+ HRS INCLUDING EQUIPMENT,455.0,273.0,91.09,3466.0,32 CPT,G2211,HC JV COMPLEX E/M VISIT ADD ON GL,48.0,28.8,8.36,134.0,22 CPT,G6002,HC JV STEREOSCOPIC XRAY GUIDANCE GL,405.0,243.0,81.08,1067.0,23 CPT,G6002,HC STEREOSCOPIC XRAY GUIDANCE,343.0,205.8,68.67,1067.0,46 CPT,G6005,HC RT TRMT-INTER,641.0,384.6,128.33,1067.0,23 CPT,G6008,HC DAILY TX MGMT INTERMED 6-10 MV/MEV,648.0,388.8,129.73,1067.0,23 CPT,G6009,HC DAILY TX MGMT INTERMED 11-19 MEV,708.0,424.8,141.74,1067.0,23 CPT,G6011,HC DAILY TX MGMT COMPLEX LESS THAN OR EQUAL TO MV/MEV,1225.0,735.0,245.25,1067.0,23 CPT,G6012,HC DAILY TX MGMT COMPLEX 2ND VISIT,860.0,516.0,172.17,1067.0,23 CPT,G6012,HC DAILY TX MGMT COMPLEX <=5 MV/MEV,860.0,516.0,172.17,1067.0,23 CPT,G6013,HC DAILY MGMT COMPLEX 2ND VISIT,914.0,548.4,182.98,1067.0,23 CPT,G6013,HC DAILY TX MGMT COMPLEX 11-19 MV/MEV,914.0,548.4,182.98,1067.0,23 CPT,G6014,HC DAILY TX MGMT COMPLEX GREATER THAN OR EQUAL TO 20 MV/MEV,938.0,562.8,187.79,1067.0,23 CPT,G6015,HC IMRT COMPLEX,1865.0,1119.0,373.37,1510.65,46 CPT,G6015,HC IMRT COMPLEX 2ND VISIT,1865.0,1119.0,373.37,1510.65,46 CPT,G6015,HC IMRT SIMPLE,1865.0,1119.0,373.37,1510.65,23 CPT,G6015,HC IMRT SIMPLE 2ND VISIT,1865.0,1119.0,373.37,1510.65,23 CPT,J3490,HC NXSTAGE THERAPY SOLUTION,182.0,109.2,36.44,147.97,22 CPT,L1812,HC KNEE IMMOBILIZER HINGED PREFABRICATED,166.0,99.6,21.08,137.78,26 CPT,L1830,HC KNEE IMMOBILIZER PREFABRICATED,95.0,57.0,12.06,78.85,26 CPT,L1941,HC ANTERIOR AFO,110.0,66.0,13.97,91.3,26 CPT,L3809,HC WRIST FX VELCRO SPLINT,350.0,210.0,44.45,290.5,26 CPT,L3908,HC WRIST SPLINT PREFABRICATED,91.0,54.6,11.56,75.53,26 CPT,L3980,HC HUMERAL FRACTURE ORTHOTIC,463.0,277.8,58.8,384.29,26 CPT,L3984,HC WRIST FX SPLINT PREFABRICATED,350.0,210.0,44.45,290.5,26 CPT,L4350,HC ANKLE STIRRUP PREFABRICATED,101.0,60.6,12.83,83.83,26 CPT,L4387,HC WALKING BOOT PREFABRICATED,140.0,84.0,17.78,116.2,26 CPT,L8680,HC ENDURA SINGLE LEAD SYSTEM 92446001,19845.0,11907.0,2520.32,16471.35,26 CPT,L8680,HC EXTENSA DUAL LEAD SYSTEM 92446002,27390.0,16434.0,3478.53,22733.7,26 CPT,M0220,HC INJ IM ADMIN EVUSHELD TIXAGEVIMAB CILGAVIMAB INCL POST ADMIN MONITORING,775.0,465.0,26.0,627.75,23 CPT,M0222,HC IV INJ ADMIN BEBTELOVIMAB INCL POST ADMIN MONITORING,775.0,465.0,26.0,627.75,23 CPT,M0240,HC IV OR SQ INJ ADMIN CASIRIVIMAB/IMDEVIMAB INCL POST ADMIN MONITOR REPEAT DOSES,775.0,465.0,134.93,759.0,23 CPT,M0243,HC IV OR SQ INJ ADMIN CASIRIVIMAB/IMDEVIMAB INCL POST ADMIN MONITORING,775.0,465.0,134.93,759.0,23 CPT,M0245,HC IV ADMIN BAMLANIVIMAB AND ETESEVIMAB INCL POST ADMIN MONITORING,775.0,465.0,134.93,759.0,23 CPT,M0247,HC IV ADMIN SOTROVIMAB INCL POST ADMIN MONITORING,775.0,465.0,134.93,759.0,23 CPT,P9012,HC CRYOPRECIPITATE,62.0,37.2,10.79,2907.0,32 CPT,P9012,HC CRYOPRECIPITATE 5 EXP,62.0,37.2,10.79,2907.0,32 CPT,P9012,HC CRYOPRECIPITATE A,62.0,37.2,10.79,2907.0,32 CPT,P9012,HC CRYOPRECIPITATE B,62.0,37.2,10.79,2907.0,32 CPT,P9012,HC CRYOPRECIPITATE C,62.0,37.2,10.79,2907.0,32 CPT,P9012,HC CRYOPRECIPITATE D,62.0,37.2,10.79,2907.0,32 CPT,P9016,HC RBC ALIQUOT,277.0,166.2,48.23,2907.0,32 CPT,P9016,HC RBC LEUKO REDUCED,566.0,339.6,98.54,2907.0,32 CPT,P9016,HC RED CELLS ER LEUKOCYTE REDUCED,300.0,180.0,52.23,2907.0,32 CPT,P9016,HC RED CELLS LEUKOCYTE REDUCED,300.0,180.0,52.23,2907.0,32 CPT,P9017,HC FFP ALIQUOT,91.0,54.6,15.84,2907.0,32 CPT,P9017,HC FRESH FROZEN PLASMA,57.0,34.2,9.92,2907.0,32 CPT,P9017,HC PHERESIS FFP,91.0,54.6,15.84,2907.0,32 CPT,P9021,HC RBC AUTOLOGOUS,679.0,407.4,118.21,2907.0,32 CPT,P9022,HC WASHED RED BLOOD CELLS EACH UNIT,651.0,390.6,113.34,2907.0,32 CPT,P9035,HC PLATELET PHERESIS LEUKOCYTE REDUCED EACH UNIT,1041.0,624.6,181.24,2907.0,32 CPT,P9035,HC PLT PHERESIS LEUKO RED WASH EXP,1041.0,624.6,181.24,2907.0,32 CPT,P9035,HC PLT PHERESIS LEUKO REDUCED EXP,1041.0,624.6,181.24,2907.0,32 CPT,P9037,HC PLATELET PHERESIS LR ONE FOURTH IRRADIATED,1070.0,642.0,186.29,2907.0,32 CPT,P9037,HC PLT PHERESIS LEUKOREDUCD IRRAD EXP,1160.0,696.0,201.96,2907.0,32 CPT,P9039,HC DEGLYCERLIZED RED CELLS,215.0,129.0,37.43,2907.0,32 CPT,P9040,HC RBC LEUKO REDUCED IRRADIATED,419.0,251.4,72.95,2907.0,32 CPT,P9044,HC CRYO POOR PLASMA,294.0,176.4,51.19,2907.0,32 CPT,P9050,HC GRANULOCYTES PHERESIS EACH UNIT,949.0,569.4,165.22,2907.0,23 CPT,P9052,HC PLATELET APHERESIS HLA MATCH,1240.0,744.0,215.88,2907.0,32 CPT,P9054,HC RBC LEUKOREDUCED WASHED,600.0,360.0,104.46,2907.0,32 CPT,P9059,HC PLASMA,91.0,54.6,15.84,2907.0,32 CPT,P9073,HC PATHOGEN REDUCED PAS APHERESIS PLTS,1528.0,916.8,266.02,2907.0,32 CPT,P9612,HC CATHETERIZATION FOR COLLECTION OF SPECIMEN SINGLE PATIENT ALL POS,116.0,69.6,4.18,4311.0,32 CPT,Q4100,HC SERI SCAFFOLD 250SQCM 10X25,15495.0,9297.0,3102.1,12597.43,24 CPT,Q4101,HC APLIGRAF PER SQ CM,130.0,78.0,26.03,105.69,25 CPT,Q4101,HC DISCARDED APLIGRAF PER SQ CM,132.0,79.2,26.43,107.32,24 CPT,Q4102,HC DISCARDED OASIS WOUND MATRIX 11 SQ CM 3 X 3.5 PER SQ CM,65.0,39.0,13.01,52.84,24 CPT,Q4102,HC OASIS TISSUE NONHUM PER SQ CM,25.0,15.0,5.0,31.86,25 CPT,Q4102,HC OASIS WOUND MATRIX 11 SQ CM 3 X 3.5 PER SQ CM,65.0,39.0,13.01,52.84,25 CPT,Q4104,HC INTEGRA BILAYER MATRIX WOUND DRESSING 4SQCM 2X2 PER SQ CM,5187.0,3112.2,120.36,4217.03,25 CPT,Q4106,HC DERMAGRAFT PER SQ CM,95.0,57.0,19.02,138.68,25 CPT,Q4106,HC DISCARDED DERMAGRAFT PER SQ CM,95.0,57.0,19.02,106.06,24 CPT,Q4107,HC GRAFT JACKET PER SQ CM,142.0,85.2,28.43,371.55,25 CPT,Q4110,HC DISCARDED PRIMATRIX 18MM DISC,2363.0,1417.8,154.34,1921.12,24 CPT,Q4110,HC DISCARDED PRIMATRIX 2CMX2CM PER SQ CM,571.0,342.6,114.31,464.22,24 CPT,Q4110,HC DISCARDED PRIMATRIX 3CMX3CM PER SQ CM,313.0,187.8,62.66,254.47,24 CPT,Q4110,HC DISCARDED PRIMATRIX 4CMX4CM PER SQ CM,262.0,157.2,52.45,213.01,24 CPT,Q4110,HC PRIMATRIX 16SQCM 4X4 PER SQ CM,262.0,157.2,52.45,213.01,25 CPT,Q4110,HC PRIMATRIX 3CMX3CM,313.0,187.8,62.66,254.47,25 CPT,Q4110,HC PRIMATRIX 4SQCM 2X2 PER SQ CM,571.0,342.6,114.31,464.22,25 CPT,Q4118,HC MATRISTEM MICROMATRIX 1 MG,54.0,32.4,5.99,43.9,25 CPT,Q4118,HC MATRISTEM MICROMATRIX 1000MG PER 1 MG,10.0,6.0,2.0,8.13,25 CPT,Q4121,HC DISCARDED THERASKIN PER SQ CM,123.0,73.8,24.62,124.49,24 CPT,Q4121,HC MATRISTEM WOUND MATRIX PER SQ C,275.0,165.0,34.92,228.25,26 CPT,Q4121,HC THERASKIN 7.6CM X 15.2CM PER SQ CM,123.0,73.8,24.62,132.99,25 CPT,Q4121,HC THERASKIN PER SQ CM,123.0,73.8,24.62,132.99,25 CPT,Q4124,HC DISCARDED OASIS ULTRA TRI LAYER MATRIX 3X3.5 CM PAD PER SQ CM,455.0,273.0,5.88,369.92,24 CPT,Q4124,HC DISCARDED OASIS ULTRA TRI LAYER MATRIX 3X7 CM PAD PER SQ CM,911.0,546.6,5.88,740.64,24 CPT,Q4124,HC OASIS ULTRA TRI LAYER MATRIX 3X3.5 CM PAD,455.0,273.0,5.88,369.92,25 CPT,Q4124,HC OASIS ULTRA TRI LAYER MATRIX 3X7 CM PAD,911.0,546.6,5.88,740.64,25 CPT,Q4127,HC DISCARDED TALYMED PER SQ CM,200.0,120.0,40.04,162.6,24 CPT,Q4127,HC TALYMED PER SQ CM USED,200.0,120.0,40.04,186.47,25 CPT,Q4128,HC ALLOPATCH 1.5 CM X 1.5 CM PER SQ CM,428.0,256.8,70.59,347.96,25 CPT,Q4128,HC ALLOPATCH 2 CM X 2 CM PER SQ CM,483.0,289.8,70.59,392.68,25 CPT,Q4128,HC ALLOPATCH 4 CM X 4 CM PER SQ CM,342.0,205.2,68.47,278.05,25 CPT,Q4128,HC DISCARDED ALLOPATCH 1.5 CM X 1.5 CM PER SQ CM,428.0,256.8,70.59,347.96,24 CPT,Q4128,HC DISCARDED ALLOPATCH 2 CM X 2 CM PER SQ CM,483.0,289.8,70.59,392.68,24 CPT,Q4128,HC DISCARDED ALLOPATCH 4 CM X 4 CM PER SQ CM,342.0,205.2,68.47,278.05,24 CPT,Q4133,HC DISCARDED GRAFIX PL 1.5X2 PER SQ CM,1546.0,927.6,309.51,1256.9,24 CPT,Q4133,HC GRAFIX PL 1.5X2 PER SQ CM,1546.0,927.6,309.51,1256.9,25 CPT,Q4133,HC GRAFIX PL 16 MM DISC,3094.0,1856.4,327.43,2515.42,25 CPT,Q4137,HC AMNIOEXCEL 1.5X1.5CM PER SQ CM,1252.0,751.2,240.06,1017.88,25 CPT,Q4137,HC AMNIOEXCEL 15MM DISC,1575.0,945.0,240.06,1280.47,25 CPT,Q4137,HC AMNIOEXCEL 2X3CM PER SQ CM,641.0,384.6,128.33,521.13,25 CPT,Q4137,HC AMNIOEXCEL 3.5X3.5CM PER SQ CM,340.0,204.0,68.07,276.42,25 CPT,Q4137,HC AMNIOEXCEL 4X4CM PER SQ CM,272.0,163.2,54.45,274.21,25 CPT,Q4137,HC AMNIOEXCEL OR BIODEXCEL 18MM DISK,2562.0,1537.2,240.06,2082.91,25 CPT,Q4137,HC AMNIOEXCEL PLUS 17MM DISC,2754.0,1652.4,240.06,2239.0,25 CPT,Q4137,HC AMNIOEXCEL PLUS 2CM X 2 CM PER SQ CM,1216.0,729.6,240.06,988.61,25 CPT,Q4137,HC AMNIOEXCEL PLUS 3CM X 3CM PER SQ CM,616.0,369.6,123.32,500.81,25 CPT,Q4137,HC DISCARDED AMNIOEXCEL 1.5X1.5CM PER SQ CM,1252.0,751.2,240.06,1017.88,24 CPT,Q4137,HC DISCARDED AMNIOEXCEL 15MM DISC PER CM,1575.0,945.0,240.06,1280.47,24 CPT,Q4137,HC DISCARDED AMNIOEXCEL 2X3CM PER SQ CM,641.0,384.6,128.33,521.13,24 CPT,Q4137,HC DISCARDED AMNIOEXCEL 3.5X3.5CM PER SQ CM,340.0,204.0,68.07,276.42,24 CPT,Q4137,HC DISCARDED AMNIOEXCEL 4X4CM PER SQ CM,272.0,163.2,54.45,240.06,24 CPT,Q4137,HC DISCARDED AMNIOEXCEL PLUS 17MM DISC,2754.0,1652.4,240.06,2239.0,24 CPT,Q4137,HC DISCARDED AMNIOEXCEL PLUS 2CM X 2 CM PER SQ CM,1216.0,729.6,240.06,988.61,24 CPT,Q4137,HC DISCARDED AMNIOEXCEL PLUS 3CM X 3CM PER SQ CM,616.0,369.6,123.32,500.81,24 CPT,Q4148,HC DISCARDED NEOX 1K 2.0X1.0CM PER SQ CM,1235.0,741.0,247.25,1004.05,24 CPT,Q4148,HC DISCARDED NEOX 1K 2.0X2.0CM PER SQ CM,1048.0,628.8,209.81,852.02,24 CPT,Q4148,HC DISCARDED NEOX 1K 3.0X2.0CM PER SQ CM,707.0,424.2,141.54,574.79,24 CPT,Q4148,HC DISCARDED NEOX 1K 3.0X3.0CM PER SQ CM,550.0,330.0,110.11,447.15,24 CPT,Q4148,HC DISCARDED NEOX 1K 4.0X3.0CM PER SQ CM,442.0,265.2,88.49,359.35,24 CPT,Q4148,HC DISCARDED NEOX 1K 6.0X3.0CM PER SQ CM,466.0,279.6,93.29,378.86,24 CPT,Q4148,HC NEOX 1K 2.0X1.0CM PER SQ CM,1235.0,741.0,247.25,1004.05,25 CPT,Q4148,HC NEOX 1K 2.0X2.0CM PER SQ CM,1048.0,628.8,209.81,852.02,25 CPT,Q4148,HC NEOX 1K 3.0X2.0CM PER SQ CM,707.0,424.2,141.54,574.79,25 CPT,Q4148,HC NEOX 1K 3.0X3.0CM PER SQ CM,550.0,330.0,110.11,447.15,25 CPT,Q4148,HC NEOX 1K 4.0X3.0CM PER SQ CM,442.0,265.2,88.49,359.35,25 CPT,Q4148,HC NEOX 1K 6.0X3.0CM PER SQ CM,466.0,279.6,93.29,378.86,25 CPT,Q4160,HC DISCARDED NUSHIELD 2X3 PER SQ CM,698.0,418.8,139.74,6571.14,24 CPT,Q4160,HC DISCARDED NUSHIELD 2X4 PER SQ CM,626.0,375.6,125.33,6571.14,24 CPT,Q4160,HC DISCARDED NUSHIELD 3X4 PER SQ CM,615.0,369.0,123.12,6571.14,24 CPT,Q4160,HC DISCARDED NUSHIELD 4X6 PER SQ CM,439.0,263.4,87.89,6571.14,24 CPT,Q4160,HC DISCARDED NUSHIELD 6X6 PER SQ CM,399.0,239.4,79.88,6571.14,24 CPT,Q4160,HC NUSHIELD 2X3 PER SQ CM,698.0,418.8,139.74,6571.14,25 CPT,Q4160,HC NUSHIELD 2X4 PER SQ CM,626.0,375.6,125.33,6571.14,25 CPT,Q4160,HC NUSHIELD 3X4 PER SQ CM,615.0,369.0,123.12,6571.14,25 CPT,Q4160,HC NUSHIELD 4X6 PER SQ CM,439.0,263.4,87.89,6571.14,25 CPT,Q4160,HC NUSHIELD 6X6 PER SQ CM,399.0,239.4,79.88,6571.14,25 CPT,Q4160,HC NUSHIELD DISC 1.6 PER SQ CM,2469.0,1481.4,494.29,6571.14,25 CPT,Q4196,HC DISCARDED PURAPLY AM 25SQCM 5X5 PER SQ CM,273.0,163.8,54.65,238.43,24 CPT,Q4196,HC DISCARDED PURAPLY AM 4SQCM 2X2 PER SQ CM,988.0,592.8,197.8,803.24,24 CPT,Q4196,HC PURAPLY AM 1.6CM DISC,2813.0,1687.8,238.43,2286.97,25 CPT,Q4196,HC PURAPLY AM 25SQCM 5X5 PER SQ CM,273.0,163.8,54.65,268.27,25 CPT,Q4196,HC PURAPLY AM 4SQCM 2X2 PER SQ CM,988.0,592.8,197.8,803.24,25 CPT,Q4196,HC PURAPLY AM 8SQCM 2X4 PER SQ CM,626.0,375.6,125.33,508.94,25 CPT,Q4282,HC CYGNUS DUAL 16 SQ CM 4 X 4 PER SQ CM,2025.0,1215.0,405.4,1646.33,25 CPT,Q4282,HC CYGNUS DUAL 24 SQ CM 4 X 6 PER SQ CM,1708.0,1024.8,341.94,1388.6,25 CPT,Q4282,HC CYGNUS DUAL 6 SQ CM 2 X 3 PER SQ CM,2498.0,1498.8,500.1,2030.87,25 CPT,Q4282,HC DISCARDED CYGNUS DUAL 16 SQ CM 4 X 4 PER SQ CM,2025.0,1215.0,405.4,1646.33,24 CPT,Q4282,HC DISCARDED CYGNUS DUAL 24 SQ CM 4 X 6 PER SQ CM,1708.0,1024.8,341.94,1388.6,24 CPT,Q4282,HC DISCARDED CYGNUS DUAL 6 SQ CM 2 X 3 PER SQ CM,2498.0,1498.8,500.1,2030.87,24 CPT,S2112,"ARTHROSCOPY, KNEE, SURGICAL FOR HARVESTING OF CARTILAGE (CHONDROCYTE CELLS)",,,,,0 CPT,S2900,SURGICAL TECHNIQUES REQUIRING USE OF ROBOTIC SURGICAL SYSTEM (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE),,,,,0 CPT,S9455,HC NUTRITION COUNSELING GROUP BCBS,292.0,175.2,50.84,1090.0,23 CPT,S9465,HC DIETICIAN VISIT BCBS,294.0,176.4,51.19,1090.0,23 CPT,V2785,HC CORNEAL TISSUE,4232.0,2539.2,736.79,3440.62,24 CPT,V2785,HC ENDOTHELIAL CORNEA TISSUE,19132.0,11479.2,3330.88,15554.32,24 HCPCS,10035,HC PLACE SOFT TISSUE MARKER 1ST LESION,2607.0,1564.2,521.92,7039.0,33 HCPCS,20983,HC CRYOABL BONE TUMOR PERCUT W IMAGE GUIDE,7984.0,4790.4,1598.4,13852.0,33 HCPCS,31652,HC BRONCHOSCOPY W EBUS SAMPLE 1-2 NODES,6499.0,3899.4,1301.1,17457.0,33 HCPCS,33271,HC INSERT SUBQ DEFIB ELECTRODE,2111.0,1266.6,422.62,24600.0,33 HCPCS,33272,HC REMOVAL SUBQ DEFIB ELECTRODE,2111.0,1266.6,422.62,8045.0,33 HCPCS,33273,HC REPOS SUBQ IMPLT DEFIB ELECTRODE AND PLS GEN,2111.0,1266.6,422.62,17457.0,33 HCPCS,36571,HC PERIPHERAL INSERTED CVAD W SUBQ PORT 5 YRS AND OLDER,3624.0,2174.4,725.52,8045.0,33 HCPCS,90371,HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5 ML INTRAMUSCULAR SYRINGE,430.8,258.48,86.25,417.81,35 HCPCS,90375,RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR - 1 ML VIALS,2799.0,1679.4,271.45,2275.59,35 HCPCS,90375,RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR - 5 ML VIALS,13686.9,8212.14,271.45,11127.45,35 HCPCS,90380,NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE,2546.4,1527.84,509.79,2070.22,25 HCPCS,90381,NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE,2546.45,1527.87,509.8,2070.26,25 HCPCS,90619,Menacwy-Tt Conj Vacc Serogroups Acwy for Im Use,192.61,115.57,38.56,454.56,24 HCPCS,90620,"MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE",731.15,438.69,146.38,774.28,25 HCPCS,90620,Menb-4c Recombnt Prot & Outer Memb Vesic Vacc Im,216.17,129.7,43.28,774.28,25 HCPCS,90630,Influenza Vacc Iiv4 Split Virus Prsrv Free ID,20.34,12.2,4.07,16.54,26 HCPCS,90632,"HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR WRAPPER",278.25,166.95,55.71,226.22,25 HCPCS,90632,Hepa Vaccine Adult Dose for Intramuscular Use,81.13,48.68,16.24,221.32,25 HCPCS,90633,Hepa Vaccine 2 Dose Schedule Ped/Adolesc Im Use,53.52,32.11,10.71,115.22,25 HCPCS,90636,Hepa/Hepb Vaccine Adult Im,126.03,75.62,25.23,431.84,25 HCPCS,90647,Hib Prp-Omp Vaccine 3 Dose Schedule Im Use,30.86,18.52,6.18,99.48,25 HCPCS,90648,HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN,60.0,36.0,12.01,48.78,25 HCPCS,90648,Hib Prp-T Vaccine 4 Dose Schedule Im Use,16.63,9.98,3.33,42.98,25 HCPCS,90651,9vhpv Vacc 2/3 Dose Sched Im Use,278.96,167.38,55.85,1004.55,25 HCPCS,90653,FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE,257.3,154.38,51.51,232.85,26 HCPCS,90653,Iiv Adjuvanted Vaccine for Intramuscular Use,54.96,32.98,11.0,232.85,26 HCPCS,90656,FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE,81.25,48.75,16.27,66.06,26 HCPCS,90656,Iiv3 Vacc Preservative Free Im Use,22.1,13.26,4.42,62.32,26 HCPCS,90661,Cciiv3 Vac Abx Fr 0.5 Ml Im,36.34,21.8,7.28,115.07,26 HCPCS,90662,Iiv Vaccine Preserv Free Increased Ag Count Im,65.26,39.16,13.07,232.85,26 HCPCS,90670,Pcv13 Vaccine for Intramuscular Use,249.07,149.44,49.86,719.5,26 HCPCS,90671,Pcv15 Vaccine for Intramuscular Use,237.69,142.61,47.59,728.32,26 HCPCS,90673,Riv3 Vaccine Preservative Free for Im Use,40.61,24.37,8.13,232.85,26 HCPCS,90674,Cciiv4 Vaccine Preservative Free 0.5 Ml Im Use,31.28,18.77,6.26,79.56,26 HCPCS,90677,PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE,869.4,521.64,174.05,872.64,26 HCPCS,90677,Pcv20 Vaccine for Intramuscular Use,273.9,164.34,54.83,872.64,26 HCPCS,90678,"RESP SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION",942.4,565.44,188.67,1002.31,25 HCPCS,90678,Rsv Vaccine Pref Subunit Bivalent for Im Use,330.4,198.24,66.15,1002.31,25 HCPCS,90679,Rsv Vacc Pref Recombinant Adjuvanted for Im Use,329.28,197.57,65.92,1000.84,25 HCPCS,90681,Rv1 Vaccine 2 Dose Schedule Live for Oral Use,143.9,86.34,28.81,479.9,25 HCPCS,90682,Riv4 Vacc Recombinant Dna Prsrv Antibio Free Im,65.26,39.16,13.07,170.51,26 HCPCS,90684,PNEUMOCOCCAL 21-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE,883.0,529.8,176.78,914.46,26 HCPCS,90684,PR Pcv21 Vaccine Im,322.28,193.37,64.52,914.46,26 HCPCS,90685,Iiv4 Presrv Free Vacc Child 6-35 Mo for Im Use,21.64,12.98,4.33,50.5,26 HCPCS,90686,Iiv4 Vacc Presrv Free 6 Mos & Older Im Use,21.42,12.85,4.29,52.16,26 HCPCS,90687,Iiv4 Vaccine Child 6-35 Mo for Im Use,20.37,12.22,4.08,24.38,26 HCPCS,90688,Iiv4 Vaccine 3 Yrs & Older for Im Use,19.9,11.94,3.98,48.73,26 HCPCS,90694,Aiiv4 Vacc Inactivated Prsrv Fr 0.5ml Dos Im Use,66.43,39.86,13.3,179.69,26 HCPCS,90696,Dtap-Ipv Vaccine Child 4-6 Yrs for Im Use,63.57,38.14,12.73,208.49,25 HCPCS,90697,Dtap-Ipv-Hib-Hepb Vaccine Intramuscular,153.8,92.28,30.79,509.36,25 HCPCS,90698,Dtap-Ipv/Hib Vaccine for Intramuscular Use,116.79,70.07,23.38,367.5,25 HCPCS,90700,"DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE",104.05,62.43,20.83,97.2,25 HCPCS,90700,"Dtap Vaccine, Im",33.65,20.19,6.74,97.2,25 HCPCS,90707,"MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT",300.9,180.54,60.24,309.79,25 HCPCS,90707,"Mmr Vaccine, Subq",96.04,57.62,19.23,309.79,25 HCPCS,90710,"Mmrv Vaccine, Subq",275.02,165.01,55.06,907.1,25 HCPCS,90713,POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION,153.95,92.37,30.82,145.73,25 HCPCS,90713,"Poliovirus, Ipv, Subq",42.62,25.57,8.53,145.73,25 HCPCS,90714,TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE,144.25,86.55,28.88,117.28,25 HCPCS,90714,Td Vaccine Prsrv Free 7 Yrs or Older for Im Use,33.35,20.01,6.68,111.68,25 HCPCS,90715,"DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE",161.5,96.9,32.33,131.3,25 HCPCS,90715,Tdap Vacc Ind 7 Years/Older Im,51.42,30.85,10.29,128.86,25 HCPCS,90716,"VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP",568.8,341.28,113.87,597.45,25 HCPCS,90716,Var Vaccine Live for Subcutaneous Use,166.08,99.65,33.25,597.45,25 HCPCS,90723,HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE,321.65,192.99,64.39,336.47,25 HCPCS,90732,Ppsv23 Vaccine 2 Yrs or Older for Subq/Im Use,128.79,77.27,25.78,372.23,26 HCPCS,90734,"MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION",520.0,312.0,104.1,544.37,25 HCPCS,90734,Menacwyd/Menacwy-CRM Conj Vacc Grps Acwy Im Use,154.18,92.51,30.87,544.37,25 HCPCS,90739,HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE,489.25,293.55,97.95,495.21,26 HCPCS,90739,Hepb Vaccine Adult 2/4 Dose Schedule for Im Use,139.15,83.49,27.86,495.21,26 HCPCS,90740,Hepb Vaccine Dialysis/Immunsup Pat 3 Dose Im,146.33,87.8,29.3,518.3,26 HCPCS,90743,Hepb Vaccine Adolescent 2 Dose Schedule Im,26.14,15.68,5.23,209.59,26 HCPCS,90744,HEPATITIS B VACC RECMB(PF) 0.5 ML IM WRAPPER,103.5,62.1,20.72,88.33,26 HCPCS,90744,Hepb Vaccine Ped/Adolesc 3 Dose Schedule Im,28.56,17.14,5.72,88.33,26 HCPCS,90746,HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE,236.5,141.9,47.35,196.28,26 HCPCS,90746,Hepb Vaccine Adult 3 Dose Schedule for Im Use,68.05,40.83,13.62,196.28,26 HCPCS,90747,Hepb Vaccine Dialysis/Immunsup Pat 4 Dose Im,140.75,84.45,28.18,392.53,26 HCPCS,90750,Hzv Zoster Vacc Recombinant Adjuvanted Im Njx,178.21,106.93,35.68,569.63,24 HCPCS,90750,"VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT",668.55,401.13,133.84,569.63,24 HCPCS,90756,Cciiv4 Vaccine Antibiotic Free 0.5 Ml Dos Im Use,29.65,17.79,5.94,75.38,26 HCPCS,91300,Sarscov2 Vaccine Dil Recon 30 Mcg/0.3 Ml Im Use,0.01,0.01,0.002,0.00813,26 HCPCS,91301,Sarscov2 Vaccine 100 Mcg/0.5 Ml Im Use,0.01,0.01,0.002,0.00813,26 HCPCS,91302,Sarscov2 Vaccine Chadox1 5x1010 Vp/0.5ml Im Use,0.01,0.01,0.002,0.00813,26 HCPCS,91304,Sarscov2 Vacc Saponin-Bsd Adjt 5mcg/0.5ml Im Use,158.7,95.22,31.77,450.52,26 HCPCS,91305,Sarscov2 Vaccine 30mcg/0.3ml Tris-Sucrose Im Use,0.01,0.01,0.002,0.00813,26 HCPCS,91306,Sarscov2 Vaccine 50 Mcg/0.25 Ml Im Use,0.01,0.01,0.002,0.00813,26 HCPCS,91307,Sarscov2 Vaccine 10mcg/0.2ml Tris-Sucrose Im Use,0.01,0.01,0.002,0.00813,26 HCPCS,91308,Sarscov2 Vaccine 3mcg/0.2ml Tris-Sucrose Im Use,0.01,0.01,0.002,0.00813,26 HCPCS,91320,COVID VACC 2025-2026 (12 YRS UP) (PFIZER)(PF) 30 MCG/0.3 ML IM SYRINGE,465.1,279.06,93.11,434.78,26 HCPCS,91320,Sarscv2 Vac 30mcg Trs-Suc Im,153.16,91.9,30.66,434.78,26 HCPCS,91322,Sarscov2 Vac 50 Mcg/0.5ml Im,158.82,95.29,31.8,450.83,26 HCPCS,A4217,"STUDY WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION",0.2,0.12,0.04004,0.1626,48 HCPCS,A4722,PERITON. DIALYSIS SOLN 3-4.25 % DEXTROSE CALC 3.5 MEQ/L-MAG 0.5 MEQ/L,195.65,117.39,39.17,159.06,23 HCPCS,A4722,PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,180.85,108.51,36.21,147.03,23 HCPCS,A4722,PERITONEAL DIALYSIS SOLN 4-1.5 % DEXTR CA+ 3.5 MEQ/L-LOW MAG 0.5 MEQ/L,180.85,108.51,36.21,147.03,23 HCPCS,A4722,PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,194.5,116.7,38.94,158.13,23 HCPCS,A9270,ALUMINUM-MAGNESIUM HYDROXIDE 200 MG-200 MG/5 ML ORAL SUSPENSION,8.35,5.01,1.67,6.79,23 HCPCS,A9270,STUDY CL7018 RELEIVE-HF ASPIRIN EC 81 MG TABLET,0.2,0.12,0.04004,0.1626,23 HCPCS,A9270,STUDY ISSBRIL0345 ASPIRIN TABLET 81 MG,0.2,0.12,0.04004,0.1626,23 HCPCS,A9270,STUDY ISSBRIL0345 ASPIRIN/PLACEBO TABLET 81 MG,0.2,0.12,0.04004,0.1626,23 HCPCS,A9270,STUDY ISSBRIL0345 TICAGRELOR TABLET 90 MG,0.2,0.12,0.04004,0.1626,23 HCPCS,A9270,STUDY RIVAROXDVT3002 RIVAROXABAN PLACEBO TABLET 7.5 MG,0.2,0.12,0.04004,0.1626,23 HCPCS,A9270,STUDY RIVAROXDVT3002 RIVAROXABAN/PLACEBO TABLET 10 MG,0.2,0.12,0.04004,0.1626,23 HCPCS,A9543,HC NM Pharm S1001 Trial,1.01,0.61,0.2022,163224.3,29 HCPCS,A9585,GADOBUTROL 1 MMOL/ML INTRAVENOUS WRAPPER,11.75,7.05,0.6372,9.55,92 HCPCS,A9612,FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION,304.25,182.55,0.8968,247.36,26 HCPCS,C1762,HC Graft Matristem Micro Part 100mg,1734.0,1040.4,347.15,1409.74,24 HCPCS,C1762,HC Graft Matristem Micro Part 200mg,3295.0,1977.0,659.66,2678.84,24 HCPCS,C1762,HC Graft Matristem Tiss Matx 20x30c,40220.0,24132.0,8052.04,32698.86,24 HCPCS,C1762,HC Graft Matristem Tissue Matrix 8c,12517.0,7510.2,2505.9,10176.32,24 HCPCS,C1762,HC Grft Dural Matrx Duragen Plus 1x,2639.0,1583.4,528.33,2145.51,24 HCPCS,C1762,HC Grft Matristem Tissue Matrix 6x1,11117.0,6670.2,2225.62,9038.12,24 HCPCS,C1762,HC Grft Matristem Tissue Matrix10x1,16042.0,9625.2,3211.61,13042.15,24 HCPCS,C1763,HC Enduragen Collagen 2cmx 5cmx1mm,2696.0,1617.6,539.74,2191.85,24 HCPCS,C1763,HC Graft Dural Mat Duragen Sut 1x3,1919.0,1151.4,384.18,1560.15,24 HCPCS,C1763,HC Graft Dural Matrix Duragen Xs,7252.0,4351.2,1451.85,5895.88,24 HCPCS,C1763,HC Graft Matristem3l Tissmatrix10x1,11120.0,6672.0,2226.22,9040.56,24 HCPCS,C1763,HC Graft Surgical Hernia Repair 12x15c,15665.0,9399.0,3136.13,12735.65,24 HCPCS,C1763,HC Graft Surgisis Hernia Rep 20x30c,31578.0,18946.8,6321.92,25672.91,24 HCPCS,C1763,HC Matristem Tissue Matrix 7cmx10,8366.0,5019.6,1674.87,6801.56,24 HCPCS,C1781,HC Gft Arthroflex Human Derm 15x140,8920.0,5352.0,1785.78,7251.96,24 HCPCS,C1781,HC Gft Arthroflex Human Derm 40x70,11277.0,6766.2,2257.66,9168.2,24 HCPCS,C9046,COCAINE 4 % SOLUTION WRAPPER,757.0,454.2,4.06,615.44,23 HCPCS,C9047,CAPLACIZUMAB-YHDP 11 MG INJECTION KIT,36064.1,21638.46,1875.8,29320.11,23 HCPCS,C9250,THROMBIN(HUM PLAS)-FIBRIN-APROT-CA 2.5 TO 6.5 UNIT/ML(2ML) TOPICAL SYR,984.9,590.94,137.63,800.72,33 HCPCS,C9254,LACOSAMIDE 10 MG/1 ML INTRAVENOUS SOLUTION (PEDS),319.25,191.55,0.472,259.55,23 HCPCS,C9254,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,96.35,57.81,0.472,78.33,23 HCPCS,C9257,BEVACIZUMAB 2.25 MG/0.09 ML INTRAVITREAL SYRINGE,291.3,174.78,1.78,236.83,35 HCPCS,C9257,BEVACIZUMAB 2.5 MG/0.1 ML INTRAVITREAL SYRINGE,61.35,36.81,1.78,49.88,35 HCPCS,C9257,BEVACIZUMAB 2.75 MG/0.11 ML INTRAVITREAL SYRINGE,352.45,211.47,1.78,286.54,35 HCPCS,C9360,HC Graft Surgimend 20x30,39570.0,23742.0,7921.91,32170.41,24 HCPCS,C9363,GRAFT INTEGRA BILAYER MESHED W,45414.56,27248.74,162.39,36922.04,24 HCPCS,C9363,HC Integra Bilayer Wound Matrix 20sqcm 4x5 per Sq Cm,2078.0,1246.8,162.39,1689.41,24 HCPCS,C9363,HC Matrix Wound Meshed Bilayer,17004.0,10202.4,162.39,13824.25,24 HCPCS,C9460,CANGRELOR 50 MG INTRAVENOUS SOLUTION,4571.5,2742.9,19.38,3716.63,34 HCPCS,J0122,ERAVACYCLINE 50 MG INTRAVENOUS SOLUTION,344.75,206.85,3.14,280.28,24 HCPCS,J0131,ACETAMINOPHEN (OFIRMEV) 10 MG/ML INJECTION,103.35,62.01,0.132,84.02,24 HCPCS,J0131,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",101.15,60.69,0.132,82.23,24 HCPCS,J0132,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,109.25,65.55,0.8968,88.82,24 HCPCS,J0139,ADALIMUMAB 40 MG/0.8 ML SUBCUTANEOUS PEN KIT,15765.0,9459.0,88.98,12816.94,33 HCPCS,J0153,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,680.3,408.17999999999995,1.25,738.04,48 HCPCS,J0153,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION,40.95,24.57,1.25,33.29,24 HCPCS,J0153,ADENOSINE 300 MCG/ML SYRINGE (NEONATAL-REX),79.75,47.85,1.25,64.84,24 HCPCS,J0165,EPI-SHUGARCAINE COMPOUNDED SYRINGE,118.25,70.95,1.13,96.14,24 HCPCS,J0165,"EPINEPHRINE (JR) 0.15 MG/0.3 ML INJECTION,AUTO-INJECTOR",698.5,419.1,1.13,567.88,24 HCPCS,J0165,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE WRAPPER,38.75,23.25,1.13,31.5,24 HCPCS,J0165,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",84.1,50.46,1.13,68.37,24 HCPCS,J0165,EPINEPHRINE 0.3MG/0.3ML OPHTH INJECTION,17.55,10.53,1.13,14.27,24 HCPCS,J0165,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION,22.85,13.71,1.13,18.58,24 HCPCS,J0165,EPINEPHRINE 1 MG/ML INJECTION SOLUTION,1156.05,693.63,1.13,939.87,24 HCPCS,J0165,EPINEPHRINE 1 MG/ML INJECTION WRAPPER,620.0749999999999,372.045,1.13,939.87,48 HCPCS,J0165,EPINEPHRINE HCL 100 MCG/10 ML (10 MCG/ML) IN D5W INTRAVENOUS SYRINGE,18.4,11.04,1.13,14.96,24 HCPCS,J0166,EPINEPHRINE 1 MG/ML INJECTION SOLUTION,357.25,214.35,2.5,290.44,24 HCPCS,J0166,EPINEPHRINE 1 MG/ML INJECTION WRAPPER,357.25,214.35,2.5,290.44,24 HCPCS,J0166,EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION,21.05,12.63,2.5,17.11,24 HCPCS,J0185,APREPITANT 130 MG/18 ML (7.2 MG/ML) INTRAVENOUS EMULSION,1972.25,1183.35,1.59,1603.44,34 HCPCS,J0202,ALEMTUZUMAB (CAMPATH) SYRINGE 30 MG/ML (ONCOLOGY),0.2,0.12,0.04004,6806.87,34 HCPCS,J0202,ALEMTUZUMAB (CAMPATH) SYRINGE 30 MG/ML (SOLID ORGAN TRANSPLANT),0.2,0.12,0.04004,6806.87,34 HCPCS,J0209,SODIUM THIOSULFATE 12.5 GRAM/50 ML (250 MG/ML) INTRAVENOUS SOLUTION,394.8,236.88,1.94,320.97,24 HCPCS,J0211,SODIUM NITRITE-SODIUM THIOSULFATE 300 MG/10 ML-12.5 GRAM/50 ML IV SOLN,709.9,425.94,2.16,577.15,34 HCPCS,J0248,REMDESIVIR 100 MG INTRAVENOUS POWDER FOR SOLUTION,2580.45,1548.27,6.53,2097.91,34 HCPCS,J0248,REMDESIVIR 100 MG INTRAVENOUS POWDER FOR SOLUTION (EUA),2580.45,1548.27,6.53,2097.91,34 HCPCS,J0270,ALPROSTADIL 500 MCG/ML INJECTION SOLUTION,786.55,471.93,1.3,639.47,24 HCPCS,J0278,AMIKACIN 250 MG/ML INJECTION SOLUTION WRAPPER,88.8,53.28,1.49,72.19,24 HCPCS,J0280,AMINOPHYLLINE 250 MG/10 ML INTRAVENOUS SOLUTION,107.0,64.2,21.42,86.99,24 HCPCS,J0281,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION,22.65,13.59,4.04,18.41,24 HCPCS,J0282,AMIODARONE 450 MG/250 ML (1.8 MG/ML) IN DEXTROSE 5 % INTRAVENOUS SOLN,80.5,48.3,1.01,65.45,24 HCPCS,J0282,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,75.05,45.03,1.01,61.34,72 HCPCS,J0283,"AMIODARONE 150 MG/100 ML (1.5 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV",184.45,110.67,6.16,149.96,24 HCPCS,J0283,"AMIODARONE 360 MG/200 ML (1.8 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV",224.7,134.82,6.16,182.68,24 HCPCS,J0285,AMPHOTERICIN B 100 MCG/ML INTRAOCULAR INJECTION,16.05,9.63,3.21,102.45,24 HCPCS,J0285,AMPHOTERICIN B 50 MCG/ML INTRAOCULAR INJECTION,16.05,9.63,3.21,102.45,24 HCPCS,J0285,AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION,234.4,140.64,46.93,190.57,24 HCPCS,J0289,AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION,1399.95,839.97,20.84,1138.16,34 HCPCS,J0290,AMPICILLIN 1 GRAM INJ COMBINED WRAPPER,47.45,28.47,1.3,38.58,24 HCPCS,J0290,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,47.45,28.47,1.3,38.58,24 HCPCS,J0290,AMPICILLIN 2 GRAM INJ COMBINED WRAPPER,66.05,39.63,1.3,53.7,24 HCPCS,J0290,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,48.35,29.01,1.3,39.31,24 HCPCS,J0290,AMPICILLIN 250 MG SOLUTION FOR INJECTION,31.25,18.75,1.3,25.41,24 HCPCS,J0290,AMPICILLIN 30 MG/ML PEDIATRIC DILUTION,310.8,186.48,1.3,252.68,24 HCPCS,J0290,AMPICILLIN 500 MG SOLUTION FOR INJECTION,29.65,17.79,1.3,24.11,24 HCPCS,J0290,AMPICILLIN SODIUM 2 GRAM INJ SOLR IM,48.35,29.01,1.3,39.31,24 HCPCS,J0290,AMPICILLIN SODIUM 250 MG INJ SOLR IM,28.2,16.92,1.3,22.93,24 HCPCS,J0295,AMPICILLIN-SULBACTAM 1.5 GRAM MBP/ADV WRAPPER,51.1,30.66,3.28,41.54,24 HCPCS,J0295,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,51.1,30.66,3.28,41.54,24 HCPCS,J0295,AMPICILLIN-SULBACTAM 3 GRAM MBP/ADV WRAPPER,82.3,49.38,3.28,66.91,24 HCPCS,J0295,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,34.0,20.4,3.28,27.64,24 HCPCS,J0295,AMPICILLIN-SULBACTAM DILUTION 25 MG AS AMPICILLIN/ML,161.6,96.96,3.28,131.38,24 HCPCS,J0330,SUCCINYLCHOLINE CHLORIDE 100 MG/5 ML (20 MG/ML) INTRAVENOUS SYRINGE,99.8,59.88,2.17,81.14,24 HCPCS,J0330,SUCCINYLCHOLINE CHLORIDE 20MG/ML SYRINGE/VIAL WRAPPER,55.9,33.54,2.17,45.45,24 HCPCS,J0360,HYDRALAZINE 0.5 MG/ML PEDIATRIC DILUTION,72.475,43.485,13.22,63.54,48 HCPCS,J0360,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,70.6,42.36,13.22,57.4,24 HCPCS,J0401,Injection Aripiprazole Ext Rel 1mg-J0401,6.33,3.8,1.27,20.19,34 HCPCS,J0456,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,94.25,56.55,4.81,76.63,24 HCPCS,J0457,AZTREONAM 1 GRAM SOLUTION FOR INJECTION,151.25,90.75,5.97,122.97,24 HCPCS,J0457,AZTREONAM 1 GRAM SOLUTION FOR IV PUSH,151.25,90.75,5.97,122.97,24 HCPCS,J0457,AZTREONAM 2 GRAM SOLUTION FOR IM,286.5,171.9,5.97,232.92,24 HCPCS,J0457,AZTREONAM 2 GRAM SOLUTION FOR INJECTION,276.3,165.78,5.97,224.63,24 HCPCS,J0457,AZTREONAM 2 GRAM SOLUTION FOR IV PUSH,286.5,171.9,5.97,232.92,24 HCPCS,J0461,ATROPINE 0.1 MG/ML INJECTION SYRINGE,102.375,61.425,0.198,85.16,48 HCPCS,J0461,ATROPINE 0.8 MG/2 ML (0.4 MG/ML) INTRAVENOUS SYRINGE,70.45,42.27,0.198,57.28,24 HCPCS,J0461,ATROPINE 1.2 MG/3 ML (0.4 MG/ML) IN 0.9 % SODIUM CHLORIDE IV SYRINGE,65.65,39.39,0.198,53.37,24 HCPCS,J0475,BACLOFEN 500 MCG/ML INTRATHECAL SOLUTION,18.7,11.22,3.74,490.35,34 HCPCS,J0476,BACLOFEN 50 MCG/ML INTRATHECAL SOLUTION,91.05,54.63,18.23,182.95,24 HCPCS,J0517,BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE,26620.1,15972.06,159.65,21642.14,34 HCPCS,J0561,Injection Penicillin,15.12,9.07,3.03,70.82,32 HCPCS,J0561,"PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSCULAR SYRINGE",1695.15,1017.09,29.11,1378.16,34 HCPCS,J0561,"PENICILLIN G BENZATHINE 600,000 UNIT/ML INTRAMUSCULAR SYRINGE",985.5,591.3,29.11,801.21,34 HCPCS,J0565,BEZLOTOXUMAB 25 MG/ML INTRAVENOUS SOLUTION,16023.0,9613.8,38.64,13026.7,34 HCPCS,J0572,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM,37.05,22.23,7.42,30.12,22 HCPCS,J0574,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM,37.25,22.35,7.46,30.28,22 HCPCS,J0574,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET,37.1,22.26,7.43,30.16,23 HCPCS,J0583,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,357.25,214.35,0.4012,290.44,24 HCPCS,J0583,BIVALIRUDIN 250 MG/50 ML INFUSION (CATH LAB),144.9,86.94,0.4012,117.8,24 HCPCS,J0585,ONABOTULINUMTOXINA 100 UNIT SOLUTION FOR INJECTION,2978.05,1786.83,6.3,2421.15,34 HCPCS,J0585,ONABOTULINUMTOXINA 50 UNIT INTRAMUSCULAR SOLUTION,1663.1,997.86,6.3,1352.1,34 HCPCS,J0586,ABOBOTULINUMTOXINA 300 UNIT INTRAMUSCULAR SOLUTION,2420.7,1452.42,8.49,1968.03,34 HCPCS,J0586,ABOBOTULINUMTOXINA 500 UNIT INTRAMUSCULAR SOLUTION,4022.3,2413.38,8.49,3270.13,34 HCPCS,J0588,INCOBOTULINUMTOXINA 100 UNIT INTRAMUSCULAR SOLUTION,2341.05,1404.63,5.4,1903.27,34 HCPCS,J0588,INCOBOTULINUMTOXINA 50 UNIT INTRAMUSCULAR SOLUTION,1235.4,741.24,5.4,1004.38,34 HCPCS,J0595,BUTORPHANOL 1 MG/ML INJECTION SOLUTION,39.05,23.43,7.82,31.75,24 HCPCS,J0597,C1 ESTERASE INHIBITOR 500 UNIT (10 ML) INTRAVENOUS KIT,19451.85,11671.11,73.58,15814.35,34 HCPCS,J0597,C1 ESTERASE INHIBITOR 500 UNIT (10 ML) INTRAVENOUS SOLUTION,19451.85,11671.11,73.58,15814.35,34 HCPCS,J0612,CALCIUM GLUCONATE (PICU-UNC) 100 MG/ML PEDIATRIC BOLUS,176.4,105.84,0.0944,235.61,72 HCPCS,J0612,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,79.19999999999999,47.519999999999996,0.0944,68.33,72 HCPCS,J0613,"CALCIUM GLUCONATE 1 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION",107.45,64.47,0.2124,87.36,24 HCPCS,J0613,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION",201.25,120.75,0.2124,163.62,24 HCPCS,J0616,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,20.55,12.33,0.2832,16.71,24 HCPCS,J0618,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,147.95,88.77,0.0708,120.28,24 HCPCS,J0618,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE,93.85,56.31,0.0708,76.3,24 HCPCS,J0630,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION,3656.0,2193.6,470.42,2972.33,34 HCPCS,J0638,CANAKINUMAB (PF) 150 MG/ML SUBCUTANEOUS SOLUTION,89877.3,53926.38,137.35,73070.24,34 HCPCS,J0640,LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION,107.0,64.2,7.6,86.99,24 HCPCS,J0640,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION,583.0,349.8,7.6,473.98,24 HCPCS,J0640,LEUCOVORIN CALCIUM 50 MG SOLN FOR INJ (10 MG/ML),319.0,191.4,7.6,259.35,24 HCPCS,J0640,LEUCOVORIN CALCIUM 50 MG SOLUTION FOR INJECTION,313.75,188.25,7.6,255.08,24 HCPCS,J0640,LEUCOVORIN CALCIUM 500 MG SOL FOR INJ (10 MG/ML),292.85,175.71,7.6,238.09,24 HCPCS,J0640,LEUCOVORIN CALCIUM 500 MG SOLUTION FOR INJECTION,654.25,392.55,7.6,531.91,24 HCPCS,J0651,LEVOTHYROXINE 20 MCG/ML INTRAVENOUS SOLUTION,419.55,251.73,6.63,341.09,34 HCPCS,J0665,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,25.375,15.224999999999998,0.0236,21.79,48 HCPCS,J0665,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,33.9,20.34,0.0236,32.24,48 HCPCS,J0665,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION,29.0,17.4,0.0236,23.58,24 HCPCS,J0665,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,48.275000000000006,28.965,0.0236,43.45,48 HCPCS,J0665,BUPIVACAINE 0.125% IN NS EPIDURAL SYRINGE FOR OR,30.95,18.57,0.0236,25.16,24 HCPCS,J0665,BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION,32.2,19.32,0.0236,26.18,24 HCPCS,J0665,BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION,29.45,17.67,0.0236,23.94,24 HCPCS,J0665,"Inj, bupivacaine, nos, 0.5mg",0.01,0.01,0.002,0.033,24 HCPCS,J0666,BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION,1471.95,883.1700000000001,1.42,1487.79,66 HCPCS,J0670,MEPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,66.65,39.99,9.32,54.19,24 HCPCS,J0670,MEPIVACAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION,84.8,50.88,9.32,68.94,24 HCPCS,J0670,MEPIVACAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,72.25,43.35,9.32,58.74,24 HCPCS,J0670,MEPIVACAINE 1 % (10 MG/ML) INJECTION SOLUTION,87.25,52.35,9.32,70.93,24 HCPCS,J0670,MEPIVACAINE 2 % INJECTION SOLUTION,89.05,53.43,9.32,72.4,24 HCPCS,J0675,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,653.0,391.8,49.52,530.89,34 HCPCS,J0689,CEFAZOLIN 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,81.4,48.84,3.07,66.18,24 HCPCS,J0690,CEFAZOLIN (ANCEF) 100 MG/ML SYRINGE (PEDIATRIC),65.25,39.15,1.89,53.05,24 HCPCS,J0690,CEFAZOLIN 1 GRAM INJ SOLR IM,20.8,12.48,1.89,16.91,24 HCPCS,J0690,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,70.35,42.21,1.89,57.19,24 HCPCS,J0690,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION,66.3,39.78,1.89,53.9,24 HCPCS,J0690,CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION,87.6,52.56,1.89,71.22,24 HCPCS,J0690,CEFAZOLIN 2 GRAM SOLUTION FOR IVPB WRAPPER,87.6,52.56,1.89,71.22,24 HCPCS,J0690,CEFAZOLIN 2 GRAM/100 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,76.65,45.99,1.89,62.32,24 HCPCS,J0690,CEFAZOLIN 2 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,64.0,38.4,1.89,52.03,24 HCPCS,J0690,CEFAZOLIN 2 GRAM/50 ML IN DEXTROSE WRAPPER,64.0,38.4,1.89,52.03,24 HCPCS,J0690,CEFAZOLIN 3 GRAM/100 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,94.5,56.7,1.89,76.83,24 HCPCS,J0690,CEFAZOLIN 50 MG/0.5 ML (100 MG/ML) INTRAOCULAR INJECTION,68.25,40.95,1.89,55.49,24 HCPCS,J0692,CEFEPIME 1 GRAM INJ COMBINED WRAPPER,43.3,25.98,2.88,35.2,24 HCPCS,J0692,CEFEPIME 1 GRAM INJ SOLR IM,43.3,25.98,2.88,35.2,24 HCPCS,J0692,CEFEPIME 1 GRAM SOLUTION FOR IV PUSH,39.0,23.4,2.88,31.71,24 HCPCS,J0692,CEFEPIME 2 GRAM INJ COMBINED WRAPPER,65.35,39.21,2.88,53.13,24 HCPCS,J0692,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,65.35,39.21,2.88,53.13,24 HCPCS,J0692,CEFEPIME 2 GRAM SOLUTION FOR IV PUSH',61.5,36.9,2.88,50.0,24 HCPCS,J0692,CEFEPIME 40 MG/ML PEDIATRIC DILUTION,478.8,287.28,2.88,389.26,24 HCPCS,J0694,"CEFOXITIN 1 GRAM/50 ML IN DEXTROSE, ISO-OSMOTIC INTRAVENOUS PIGGYBACK",129.05,77.43,11.28,104.92,24 HCPCS,J0694,CEFOXITIN 100 MG/ML SYRINGE PEDIATRIC,96.6,57.96,11.28,78.54,24 HCPCS,J0694,CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION,105.0,63.0,11.28,85.36,24 HCPCS,J0695,CEFTOLOZANE-TAZOBACTAM 1.5 GRAM INTRAVENOUS SOLUTION,809.35,485.61,8.8,658.0,34 HCPCS,J0696,CEFTRIAXONE 1 GRAM INJ COMBINED WRAPPER,25.1,15.06,1.01,20.41,24 HCPCS,J0696,CEFTRIAXONE 1 GRAM INJ SOLR IM,25.1,15.06,1.01,20.41,24 HCPCS,J0696,CEFTRIAXONE 1 GRAM SOLUTION FOR IV PUSH,25.1,15.06,1.01,20.41,24 HCPCS,J0696,CEFTRIAXONE 2 GRAM INJ COMBINED WRAPPER,29.65,17.79,1.01,24.11,24 HCPCS,J0696,CEFTRIAXONE 2 GRAM INJ SOLR IM,29.2,17.52,1.01,23.74,24 HCPCS,J0696,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,29.2,17.52,1.01,23.74,24 HCPCS,J0696,CEFTRIAXONE 2 GRAM SOLUTION FOR IV PUSH,29.65,17.79,1.01,24.11,24 HCPCS,J0696,CEFTRIAXONE 250 MG INJ SOLR IM,19.5,11.7,1.01,15.85,24 HCPCS,J0696,CEFTRIAXONE 40 MG/ML PEDIATRIC DILUTION,218.5,131.1,1.01,177.64,24 HCPCS,J0696,CEFTRIAXONE 500 MG INJ SOLR IM,19.25,11.55,1.01,15.65,24 HCPCS,J0696,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,21.7,13.02,1.01,17.64,24 HCPCS,J0696,Injection Ceftriaxone Sodium,0.51,0.31,0.1021,1.3,24 HCPCS,J0697,CEFUROXIME (ZINACEF) 90 MG/ML SYRINGE (PEDIATRIC),81.95,49.17,4.37,66.63,24 HCPCS,J0697,CEFUROXIME 1.5 GRAM (COMBINED) INJECTION WRAPPER,36.5,21.9,4.37,29.67,24 HCPCS,J0697,CEFUROXIME 5 MG/0.5 ML INTRAOCULAR INJECTION,22.1,13.26,4.37,17.97,24 HCPCS,J0697,CEFUROXIME SODIUM 1.5 GRAM SOLUTION FOR IV PUSH,36.5,21.9,4.37,29.67,24 HCPCS,J0697,CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION,29.3,17.58,4.37,23.82,24 HCPCS,J0697,CEFUROXIME SODIUM 750 MG SOLUTION FOR IV PUSH,26.4,15.84,4.37,21.46,24 HCPCS,J0698,CEFOTAXIME 1 GRAM SOLUTION FOR INJECTION,60.6,36.36,12.13,49.27,24 HCPCS,J0698,CEFOTAXIME 100 MG/ML IV PEDIATRIC,92.92500000000001,55.754999999999995,16.4,84.51,48 HCPCS,J0702,BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION,266.4,159.84,16.43,216.58,24 HCPCS,J0706,CAFFEINE CITRATE 20 MG/ML (FOR ORAL USE) INJECTION SOLUTION,109.4,65.64,2.9,88.94,23 HCPCS,J0706,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION,193.8,116.28,2.9,157.56,24 HCPCS,J0712,CEFTAROLINE FOSAMIL 0.1 MG/ML DESENSITIZATION SOLUTION,1144.35,686.61,4.1,930.36,34 HCPCS,J0712,CEFTAROLINE FOSAMIL 1 MG/ML DESENSITIZATION SOLUTION,1144.35,686.61,4.1,930.36,34 HCPCS,J0712,CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION,1144.35,686.61,4.1,930.36,34 HCPCS,J0712,CEFTAROLINE FOSAMIL 600 MG/20ML IV WETTED VIAL,1144.35,686.61,4.1,930.36,34 HCPCS,J0713,CEFTAZIDIME 1 GRAM INJECTION COMBINED WRAPPER,36.5,21.9,3.71,29.67,24 HCPCS,J0713,CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION,39.7,23.82,3.71,32.28,24 HCPCS,J0713,CEFTAZIDIME 100 MG/ML SYRINGE PEDIATRIC,109.2,65.52,3.71,88.78,24 HCPCS,J0713,CEFTAZIDIME 2 GRAM INJECTION COMBINED WRAPPER,66.05,39.63,3.71,53.7,24 HCPCS,J0713,CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION,61.5,36.9,3.71,50.0,24 HCPCS,J0713,CEFTAZIDIME 2.25% (22.5 MG/ML) INTRAOCULAR SYRINGE,63.05,37.83,3.71,51.26,24 HCPCS,J0714,CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION,1807.55,1084.53,101.59,1469.54,34 HCPCS,J0735,"CLONIDINE (PF) 1,000 MCG/10 ML (100 MCG/ML) EPIDURAL SOLUTION",82.75,49.65,16.57,67.28,48 HCPCS,J0735,"CLONIDINE (PF) 5,000 MCG/10 ML EPIDURAL SOLUTION",39.9,23.94,7.99,48.11,24 HCPCS,J0735,Inj Clonidine Hydrochlorid 1,26.23,15.74,5.25,48.11,24 HCPCS,J0736,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,73.975,44.385,4.32,98.05,48 HCPCS,J0736,CLINDAMYCIN 18 MG/ML SYRINGE PEDIATRIC,117.85,70.71,4.32,95.81,24 HCPCS,J0736,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,104.5,62.7,4.32,84.96,24 HCPCS,J0736,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,113.75,68.25,4.32,92.48,24 HCPCS,J0750,EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,23.8,14.28,1.68,19.35,34 HCPCS,J0751,EMTRICITABINE 200 MG-TENOFOVIR ALAFENAMIDE FUMARATE 25 MG TABLET,309.65,185.79,61.99,251.75,34 HCPCS,J0759,CLEVIDIPINE 25 MG/50 ML INTRAVENOUS EMULSION,433.25,259.95,2.76,352.23,34 HCPCS,J0759,CLEVIDIPINE 50 MG/100 ML INTRAVENOUS EMULSION,818.2,490.92,2.76,665.2,34 HCPCS,J0780,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,22.2,13.32,4.27,18.05,24 HCPCS,J0791,CRIZANLIZUMAB-TMCA 10 MG/ML INTRAVENOUS SOLUTION,10365.35,6219.21,125.6,8427.03,34 HCPCS,J0834,COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION,417.2,250.32,59.87,339.18,24 HCPCS,J0834,COSYNTROPIN 2.5 MCG/ML DILUTION INJECTION,64.0,38.4,12.81,76.28,24 HCPCS,J0840,CROTALIDAE POLYVAL IMMUNE FAB SOLUTION FOR INJECTION,12869.0,7721.4,1773.86,10462.5,34 HCPCS,J0870,IMETELSTAT 188 MG INTRAVENOUS SOLUTION,43783.25,26269.95,55.32,35595.78,34 HCPCS,J0870,IMETELSTAT 47 MG INTRAVENOUS SOLUTION,10993.1,6595.86,55.32,8937.39,34 HCPCS,J0875,DALBAVANCIN 500 MG INTRAVENOUS SOLUTION,8111.05,4866.63,15.14,6594.28,34 HCPCS,J0878,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,483.0,289.8,0.0708,392.68,24 HCPCS,J0878,DAPTOMYCIN 500 MG SOLUTION FOR IV PUSH,210.0,126.0,0.0708,170.73,24 HCPCS,J0881,DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE,3537.7,2122.62,2.84,2876.15,34 HCPCS,J0881,DARBEPOETIN ALFA 200 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE,7059.4,4235.64,2.84,5739.29,34 HCPCS,J0881,DARBEPOETIN ALFA 25 MCG/0.42 ML IN POLYSORBATE INJECTION SYRINGE,896.45,537.87,2.84,728.81,34 HCPCS,J0881,DARBEPOETIN ALFA 300 MCG/0.6 ML IN POLYSORBATE INJECTION SYRINGE,10581.1,6348.66,2.84,8602.43,34 HCPCS,J0881,DARBEPOETIN ALFA 40 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE,1424.7,854.82,2.84,1158.28,34 HCPCS,J0881,DARBEPOETIN ALFA 500 MCG/ML IN POLYSORBATE INJECTION SYRINGE,5298.55,3179.13,2.84,4307.72,34 HCPCS,J0881,DARBEPOETIN ALFA 60 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE,2129.05,1277.43,2.84,1730.92,34 HCPCS,J0883,ARGATROBAN 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS WRAPPER,483.0,289.8,0.776,392.68,34 HCPCS,J0883,ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION,1204.1,722.46,0.776,978.93,34 HCPCS,J0883,ARGATROBAN CRRT REGIONAL CIRCUIT INFUSION (50 MG/50 ML),483.0,289.8,0.776,392.68,34 HCPCS,J0893,DECITABINE 50 MG INTRAVENOUS SOLUTION,715.0,429.0,1.84,581.29,24 HCPCS,J0894,DECITABINE (DACOGEN) SYRINGE 10 MG/ML,7030.6,4218.36,2.88,5715.88,24 HCPCS,J0895,DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION,201.3,120.78,21.26,163.66,24 HCPCS,J0895,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION,174.05,104.43,21.26,141.5,24 HCPCS,J0895,DEFEROXAMINE 500 MG SOLUTION FOR IV ADMIXTURE USE,83.25,49.95,16.67,67.68,24 HCPCS,J0896,LUSPATERCEPT-AAMT 25 MG SUBCUTANEOUS SOLUTION,17338.2,10402.92,40.72,14095.96,34 HCPCS,J0896,LUSPATERCEPT-AAMT 75 MG SUBCUTANEOUS SOLUTION,51888.4,31133.04,40.72,42185.27,34 HCPCS,J0897,Prolia 60mg,22.07,13.24,4.42,81.55,34 HCPCS,J1010,"Injection, methylprednisolone acetate, 1 mg",0.12,0.07,0.02402,0.2832,32 HCPCS,J1010,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,28.95,17.37,0.1164,23.54,34 HCPCS,J1010,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,105.75,63.45,0.1164,85.97,34 HCPCS,J1030,Inj Methylprdnisolone Actat,5.92,3.55,1.19,4.81,25 HCPCS,J1040,Inj Methylprdnisolone Actat,10.52,6.31,2.11,8.55,23 HCPCS,J1050,Inj Mdrxyprgestron Actat,0.14,0.08,0.02803,1.47,24 HCPCS,J1050,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,255.5,153.3,1.35,207.72,24 HCPCS,J1071,Inj testosterone cypionate,0.03,0.02,0.00601,0.0825,24 HCPCS,J1071,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,28.325,16.994999999999997,0.0708,23.33,48 HCPCS,J1096,DEXAMETHASONE 0.4 MG INTRACANALICULAR INSERT,2928.0,1756.8,99.04,2380.46,33 HCPCS,J1100,DEXAMETHASONE 0.2 MG/ML PEDIATRIC DILUTION,99.55,59.73,0.2124,80.93,24 HCPCS,J1100,DEXAMETHASONE 24 MG/ML INJECTION,114.75,68.85,0.2124,93.29,24 HCPCS,J1100,DEXAMETHASONE 4 MG/ML (FOR ORAL USE) INJECTION SOLUTION,29.15,17.49,0.2124,23.7,23 HCPCS,J1100,DEXAMETHASONE 4 MG/ML IV PEDIATRIC,75.1,45.06,0.2124,61.06,24 HCPCS,J1100,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION,36.05,21.63,0.2124,29.31,24 HCPCS,J1100,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,24.9,14.94,0.2124,20.24,24 HCPCS,J1100,Inj Dexethosone Sodim Phosha,0.11,0.07,0.02202,0.33,24 HCPCS,J1100,STUDY CIP0218 DEXAMETHASONE 4 MG/ML INJECTION SOLUTION,0.2,0.12,0.04004,0.33,24 HCPCS,J1100,STUDY DEXAMETHASONE 4 MG/ML INJECTION SOLUTION,0.2,0.12,0.04004,0.33,24 HCPCS,J1100,STUDY LIMBO-ATX DEXAMETHASONE 4MG/ML,0.2,0.12,0.04004,0.33,24 HCPCS,J1110,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION,254.9,152.94,51.03,264.28,24 HCPCS,J1120,ACETAZOLAMIDE 100 MG/ML IV PEDIATRIC,195.3,117.18,39.1,158.78,24 HCPCS,J1120,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION,159.35,95.61,31.9,129.55,24 HCPCS,J1160,DIGOXIN 100 MCG/ML (0.1 MG/ML) INJECTION SOLUTION,642.7,385.62,10.89,522.52,24 HCPCS,J1160,DIGOXIN 25 MCG/ML NEONATAL DILUTION,66.2,39.72,10.89,53.82,24 HCPCS,J1160,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION,22.3,13.38,4.46,21.36,24 HCPCS,J1162,DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION,19973.0,11983.8,3998.59,16238.05,34 HCPCS,J1163,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,64.7,38.82,0.0708,52.72,72 HCPCS,J1165,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION,22.35,13.41,1.06,18.17,24 HCPCS,J1171,HYDROMORPHONE (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLN,80.05,48.03,0.2124,65.08,24 HCPCS,J1171,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,72.05,43.23,0.2124,58.58,24 HCPCS,J1171,HYDROMORPHONE 0.5 MG/0.5 ML INJECTION SYRINGE WRAPPER,31.55,18.93,0.2124,25.65,24 HCPCS,J1171,HYDROMORPHONE 1 MG/ML IN NS INFUSION WRAPPER,73.6,44.16,0.2124,59.84,24 HCPCS,J1171,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE,29.8,17.88,0.2124,24.23,24 HCPCS,J1171,HYDROMORPHONE 1 MG/ML INJECTION WRAPPER,29.8,17.88,0.2124,24.23,24 HCPCS,J1171,HYDROMORPHONE 10 MG/50 ML (0.2 MG/ML) IN NS PCA SYRINGE (WRAPPER),48.45,29.07,0.2124,39.39,24 HCPCS,J1171,HYDROMORPHONE 2 MG/ML INJECTION SOLUTION,23.3,13.98,0.2124,18.94,24 HCPCS,J1171,HYDROMORPHONE 2 MG/ML INJECTION SYRINGE,32.1,19.26,0.2124,26.1,24 HCPCS,J1171,HYDROMORPHONE 2 MG/ML INJECTION WRAPPER,23.05,13.83,0.2124,18.74,24 HCPCS,J1190,DEXRAZOXANE HCL 250 MG INTRAVENOUS SOLUTION,1263.9,758.34,61.17,1027.55,34 HCPCS,J1200,DIPHENHYDRAMINE 50 MG VIAL/SYRINGE WRAPPER,17.35,10.41,1.79,14.11,24 HCPCS,J1200,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,29.7,17.82,1.79,24.15,24 HCPCS,J1200,Inj Diphenhydramine Hcl,0.8,0.48,0.16016,2.46,24 HCPCS,J1200,STUDY DIPHENHYDRAMINE 50 MG/ML INJECTION,0.2,0.12,0.04004,2.46,24 HCPCS,J1205,CHLOROTHIAZIDE SODIUM 28 MG/ML (PEDIATRIC),735.15,441.09,93.1,597.68,24 HCPCS,J1205,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION,315.0,189.0,63.06,256.1,24 HCPCS,J1212,DIMETHYL SULFOXIDE 50 % INTRAVESICAL SOLUTION,3336.4,2001.84,667.95,2712.49,34 HCPCS,J1246,DINUTUXIMAB 3.5 MG/ML INTRAVENOUS SOLUTION,84083.0,50449.8,16833.42,68359.48,25 HCPCS,J1250,"DOBUTAMINE 1,000 MG/250 ML(4,000 MCG/ML) IN 5 % DEXTROSE IV",164.5,98.7,16.71,133.74,24 HCPCS,J1250,"DOBUTAMINE 200 MG/50 ML (4,000 MCG/ML) IN 5 % DEXTROSE (50 ML)",84.0,50.4,16.71,68.29,24 HCPCS,J1250,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION,95.55,57.33,16.71,77.68,24 HCPCS,J1250,DOBUTAMINE 250 MG/250 ML (1 MG/ML) IN 5 % DEXTROSE INTRAVENOUS,141.75,85.05,16.71,115.24,24 HCPCS,J1250,"DOBUTAMINE 32 MG/8 ML (4,000 MCG/ML) IN 5 % DEXTROSE (8 ML)",66.95,40.17,13.4,54.43,24 HCPCS,J1250,DOBUTAMINE 50 MG/50 ML (1000MCG/ML) IN DEXTROSE 5% SYRINGE,81.9,49.14,16.4,66.58,24 HCPCS,J1250,"DOBUTAMINE 500 MG/250 ML (2,000 MCG/ML) IN 5 % DEXTROSE IV",199.5,119.7,16.71,162.19,24 HCPCS,J1265,DOPAMINE 1600 MCG/ML IN DEXTROSE 5% 50 ML PEDIATRIC,72.7,43.62,1.8,59.11,24 HCPCS,J1265,DOPAMINE 1600 MCG/ML IN DEXTROSE 5% 8 ML PEDIATRIC,64.55,38.73,1.8,52.48,24 HCPCS,J1265,DOPAMINE 200 MG/5 ML (40 MG/ML) INTRAVENOUS SOLUTION,79.85,47.91,1.8,64.92,24 HCPCS,J1265,DOPAMINE 3200 MCG/ML IN DEXTROSE 5% 50 ML PEDIATRIC,79.6,47.76,1.8,64.71,24 HCPCS,J1265,DOPAMINE 3200 MCG/ML IN DEXTROSE 5% 8 ML PEDIATRIC,65.7,39.42,1.8,53.41,24 HCPCS,J1265,DOPAMINE 400 MG/10 ML (40 MG/ML) INTRAVENOUS SOLUTION,87.5,52.5,1.8,71.14,24 HCPCS,J1265,"DOPAMINE 400 MG/250 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN",112.9,67.74,1.8,91.79,24 HCPCS,J1265,"DOPAMINE 800 MG/250 ML (3,200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN",132.15,79.29,1.8,107.44,24 HCPCS,J1271,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,164.5,98.7,0.2596,133.74,24 HCPCS,J1299,ECULIZUMAB 300 MG/30 ML INTRAVENOUS SOLUTION,27459.6,16475.76,43.48,22324.65,34 HCPCS,J1303,RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION,64077.4,38446.44,218.36,81834.18,68 HCPCS,J1306,INCLISIRAN 284 MG/1.5 ML SUBCUTANEOUS SYRINGE,16340.2,9804.12,11.95,13284.58,34 HCPCS,J1308,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,64.9,38.94,0.0236,52.76,24 HCPCS,J1308,FAMOTIDINE 10 MG/ML INTRAVENOUS SOLUTION,64.9,38.94,0.0236,52.76,48 HCPCS,J1308,FAMOTIDINE 2 MG/ML PEDIATRIC DILUTION,170.95,102.57,0.0236,138.98,24 HCPCS,J1308,STUDY FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,0.2,0.12,0.0236,0.1626,24 HCPCS,J1322,ELOSULFASE ALFA 5 MG/5 ML (1 MG/ML) INTRAVENOUS SOLUTION,6392.4,3835.44,299.42,5197.02,34 HCPCS,J1325,EPOPROSTENOL 1.5 MG INTRAVENOUS SOLUTION,249.9,149.94,38.23,203.17,24 HCPCS,J1326,ZOLBETUXIMAB-CLZB 100 MG INTRAVENOUS SOLUTION,7315.0,4389.0,32.43,5947.1,34 HCPCS,J1327,EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION,1113.0,667.8,24.07,904.87,24 HCPCS,J1364,ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION,523.95,314.37,104.89,425.97,24 HCPCS,J1410,CONJUGATED ESTROGENS 25 MG SOLUTION FOR INJECTION,1730.85,1038.51,346.52,1407.18,34 HCPCS,J1430,ETHANOLAMINE OLEATE 5 % INTRAVENOUS SOLUTION,1650.3,990.18,330.39,1448.89,34 HCPCS,J1447,FILGRASTIM-AAFI 300 MCG/ML SUBCUTANEOUS SOLUTION (COMPOUNDED SYRINGE),1012.45,607.47,0.2716,823.12,34 HCPCS,J1448,TRILACICLIB 300 MG INTRAVENOUS SOLUTION,6743.5,4046.1,5.3,5482.47,34 HCPCS,J1450,FLUCONAZOLE 2 MG/ML (ODD DOSE IN BAG) IN SODIUM CHLORIDE 0.9% IVPB,106.7,64.02,5.33,86.75,24 HCPCS,J1450,FLUCONAZOLE 2 MG/ML (ODD DOSE) IN SODIUM CHLORIDE 0.9% IVPB (120MIN ADMIN),150.4,90.24,5.33,122.28,24 HCPCS,J1450,FLUCONAZOLE 2 MG/ML (ODD DOSE) IN SODIUM CHLORIDE 0.9% IVPB (60MIN ADMIN),150.4,90.24,5.33,122.28,24 HCPCS,J1450,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK,128.45,77.07,5.33,104.43,24 HCPCS,J1450,FLUCONAZOLE 800 MG/400 ML NS IVPB,237.75,142.65,5.33,193.29,24 HCPCS,J1451,FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION,6363.0,3817.8,6.09,5173.12,34 HCPCS,J1453,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,168.0,100.8,0.236,136.58,24 HCPCS,J1459,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",3914.2,2348.52,49.22,3182.24,34 HCPCS,J1460,"IMMUNE GLOB,GAMMA(IGG) 15 %-18 % RANGE-GLYCINE INTRAMUSCULAR SOLUTION",1235.8999999999999,741.5400000000001,47.56,1608.6,68 HCPCS,J1561,IMMUNE GLOB G 20 GRAM/200 ML(10%)-GLY-IGA AVE 46 MCG/ML INFUSION SOLN,11976.2,7185.72,47.49,9736.65,34 HCPCS,J1566,"IMMUNE GLOB,GAMMA(IGG) 10 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML IV SOLUTION",9181.8,5509.08,76.44,7464.8,34 HCPCS,J1566,"IMMUNE GLOB,GAMMA(IGG) 5 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML IV SOLUTION",4629.4,2777.64,76.44,3763.7,34 HCPCS,J1570,GANCICLOVIR 2 MG/0.1 ML OPHTHALMIC INJECTION,77.55,46.53,15.53,107.86,24 HCPCS,J1570,GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION,471.55,282.93,93.31,383.37,24 HCPCS,J1571,HEPATITIS B IMMUNE GLOBULIN-MALTOSE (HEPAGAM B) >312 UNIT/ML (5 ML) INJECTION SOLN,3636.8,2182.08,64.64,2956.72,34 HCPCS,J1580,GENTAMICIN 40 MG/ML INJECTION IM USE ONLY,167.65,100.59,5.22,136.3,24 HCPCS,J1580,GENTAMICIN 40 MG/ML INJECTION SOLUTION,102.4,61.44,5.22,136.3,48 HCPCS,J1580,GENTAMICIN SULFATE (PF) 20 MG/2 ML INJ SOLN WRAPPER,44.1,26.46,5.22,35.85,24 HCPCS,J1595,GLATIRAMER 20 MG/ML SUBCUTANEOUS SYRINGE,1095.0,657.0,150.45,890.24,34 HCPCS,J1596,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,27.85,16.71,0.4462,22.64,34 HCPCS,J1610,GLUCAGON 1 MG/ML IV PEDIATRIC,1242.4,745.44,176.98,1010.07,34 HCPCS,J1611,GLUCAGON 1 MG SOLUTION FOR INJECTION (COMBINED VIALS) WRAPPER,1165.7,699.42,144.52,947.71,34 HCPCS,J1628,GUSELKUMAB 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION,61242.05,36745.23,73.69,49789.79,34 HCPCS,J1630,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION,17.65,10.59,1.89,14.35,24 HCPCS,J1630,HALOPERIDOL LACTATE 5 MG/ML INJECTION WRAPPER,16.85,10.11,1.89,13.7,24 HCPCS,J1631,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION,79.9,47.94,10.38,64.96,24 HCPCS,J1631,Inj Haloperidol Decanoate,7.76,4.66,1.55,12.74,24 HCPCS,J1642,"HEPARIN, PORCINE (PF) 100 UNIT/ML ADDITIVE SYRINGE",17.75,10.65,0.0472,14.43,24 HCPCS,J1644,"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV",87.5,52.5,0.4956,71.14,24 HCPCS,J1644,"HEPARIN (PORCINE) 1,000 UNIT/500 ML IN 0.9% SODIUM CHLORIDE IV (COMBINED)",82.25,49.35,0.4956,66.87,24 HCPCS,J1644,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",34.85,20.91,0.4956,38.21,72 HCPCS,J1644,"HEPARIN (PORCINE) 10,000 UNIT/1,000 ML IN 0.9 % SOD. CHLORIDE IV SOLN",84.0,50.4,0.4956,68.29,24 HCPCS,J1644,"HEPARIN (PORCINE) 4,000 UNIT/1,000 ML (4 UNIT/ML) IN 0.9% NACL IV SOLN",122.5,73.5,0.4956,99.59,24 HCPCS,J1644,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",22.525,13.515,0.4956,20.49,48 HCPCS,J1644,HEPARIN 100 UNITS/ML IN SODIUM CHLORIDE 0.45% 50 ML PEDIATRIC,75.0,45.0,0.4956,60.98,24 HCPCS,J1644,HEPARIN 500 UNITS IN 500 ML NS (FOR VASCULAR SERVICE),94.5,56.7,0.4956,76.83,24 HCPCS,J1644,"HEPARIN, PORCINE (PF) 5,000 UNIT/0.5 ML INJECTION SOLUTION",34.2,20.52,0.4956,27.8,24 HCPCS,J1644,"HEPARIN, PORCINE (PF) 5,000 UNIT/0.5 ML INJECTION WRAPPER",34.85,20.91,0.4956,28.33,24 HCPCS,J1644,"STUDY HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",0.2,0.12,0.04004,0.594,24 HCPCS,J1645,"DALTEPARIN (PORCINE) 18,000 ANTI-XA UNIT/0.72 ML SUBCUTANEOUS SYRINGE",881.5,528.9,39.03,716.66,24 HCPCS,J1650,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,129.05,77.43,1.39,104.92,24 HCPCS,J1650,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,70.85,42.51,1.39,57.6,24 HCPCS,J1650,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,84.55,50.73,1.39,68.74,24 HCPCS,J1650,ENOXAPARIN 20 MG/ML DILUTION PEDIATRIC INJECTION,120.55,72.33,1.39,98.01,24 HCPCS,J1650,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,49.9,29.94,1.39,40.57,24 HCPCS,J1650,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,61.2,36.72,1.39,49.76,24 HCPCS,J1650,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,83.85,50.31,1.39,68.17,24 HCPCS,J1650,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,106.45,63.87,1.39,86.54,24 HCPCS,J1650,Injection Enoxaparin Sodium,0.79,0.47,0.15816,1.55,24 HCPCS,J1652,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE,263.2,157.92,1.7,213.98,24 HCPCS,J1652,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE,121.05,72.63,1.7,98.41,24 HCPCS,J1652,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,263.2,157.92,1.7,213.98,24 HCPCS,J1670,TETANUS IMMUNE GLOBULIN (PF) 250 UNIT/ML INTRAMUSCULAR SYRINGE,2673.7,1604.22,535.27,2173.72,34 HCPCS,J1720,HYDROCORTISONE SOD SUCCINATE (PF) 1 MG/ML PEDIATRIC DILUTION,71.4,42.84,14.29,58.05,24 HCPCS,J1720,HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION INJ ACTOVIAL/VIAL WRAPPER,125.55,75.33,25.14,102.07,24 HCPCS,J1720,HYDROCORTISONE SOD SUCCINATE (PF) 250 MG/2 ML SOLUTION FOR INJECTION,218.65,131.19,43.77,177.76,24 HCPCS,J1720,HYDROCORTISONE SOD SUCCINATE (PF) 50 MG/ML PEDIATRIC,103.15,61.89,20.65,83.86,24 HCPCS,J1726,"Makena, 10 mg",27.47,16.48,5.5,79.91,23 HCPCS,J1742,IBUTILIDE FUMARATE 0.1 MG/ML INTRAVENOUS SOLUTION,2414.3,1448.58,167.14,1962.83,34 HCPCS,J1745,INFLIXIMAB 100 MG INTRAVENOUS SOLUTION,2058.0,1234.8,30.16,1673.15,34 HCPCS,J1750,IRON DEXTRAN 2.5 MG/ML DILUTION,835.0,501.0,17.57,678.86,34 HCPCS,J1750,IRON DEXTRAN 50 MG/ML INJECTION SOLUTION,58.45,35.07,11.7,50.28,34 HCPCS,J1756,IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION,335.8,201.48,0.5428,273.01,24 HCPCS,J1786,IMIGLUCERASE 400 UNIT INTRAVENOUS SOLUTION,7346.35,4407.81,41.89,5972.58,34 HCPCS,J1790,DROPERIDOL 2.5 MG/ML INJECTION SOLUTION,28.1,16.86,5.63,22.85,24 HCPCS,J1800,PROPRANOLOL 0.05 MG/ML PEDIATRIC DILUTION,130.7,78.42,21.65,124.59,48 HCPCS,J1800,PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION,52.4,31.44,10.49,42.6,24 HCPCS,J1805,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION,92.4,55.44,0.5192,75.12,24 HCPCS,J1805,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",693.0,415.8,0.5192,563.41,24 HCPCS,J1805,ESMOLOL 500 MG/50 ML NS SYRINGE,171.8,103.08,0.5192,139.67,24 HCPCS,J1808,FOLIC ACID 5 MG/ML INJECTION SOLUTION,18.45,11.07,0.1416,15.0,24 HCPCS,J1815,INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,308.4,185.04,0.5428,250.73,24 HCPCS,J1815,INSULIN HUMAN U-100 NPH-REGULR 70-30 MIX 100 UNIT/ML SUBCUTANEOUS SUSP,219.0,131.4,0.5428,178.05,24 HCPCS,J1815,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,462.25,277.35,0.5428,375.81,24 HCPCS,J1815,INSULIN LISPRO 100 UNIT/ML PERCENTAGE MEAL EATEN ADULT,318.15,190.89,0.5428,258.66,24 HCPCS,J1815,INSULIN LISPRO PROTAMINE-LISPRO 100 UNIT/ML (75-25) SUBCUTANEOUS SUSP,404.65,242.79,0.5428,328.98,24 HCPCS,J1815,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION,219.0,131.4,0.5428,178.05,24 HCPCS,J1815,INSULIN REGULAR 0.5 UNIT/ML NEONATAL 4 ML INFUSION,64.15,38.49,0.5428,52.15,24 HCPCS,J1815,INSULIN REGULAR 0.5 UNIT/ML PEDIATRIC DILUTION,75.6,45.36,0.5428,61.46,24 HCPCS,J1815,INSULIN REGULAR 100 UNIT/100 ML (1 UNIT/ML) COMPOUNDED PREMADE BAG,115.15,69.09,0.5428,93.62,23 HCPCS,J1815,INSULIN REGULAR 100 UNIT/ML CORRECTION SCALE ADULT,219.0,131.4,0.5428,178.05,24 HCPCS,J1815,INSULIN REGULAR 100 UNIT/ML PERCENTAGE MEAL EATEN ADULT,219.0,131.4,0.5428,178.05,24 HCPCS,J1815,INSULIN REGULAR HUMAN 100 UNIT/ML INJECTION (IV USE),250.4,150.24,0.5428,203.58,24 HCPCS,J1815,INSULIN REGULAR HUMAN U-500 (CONCENTRATE) 500 UNIT/ML(3 ML) SUBCUT PEN,877.3,526.38,0.5428,713.24,24 HCPCS,J1815,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION,219.0,131.4,0.5428,178.05,24 HCPCS,J1830,INTERFERON BETA-1B 0.3 MG SUBCUTANEOUS KIT,1360.75,816.45,272.42,1710.46,24 HCPCS,J1836,METRONIDAZOLE 5 MG/ML IN SODIUM CHLORIDE (ODD DOSE),70.35,42.21,0.0708,57.19,24 HCPCS,J1836,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,74.2,44.52,0.0708,60.32,24 HCPCS,J1885,Inj Ketorolac Tromethamine,0.47,0.28,0.09409,0.957,33 HCPCS,J1885,KETOROLAC 15 MG/ML INJECTION SOLUTION WRAPPER,19.25,11.55,0.291,15.65,33 HCPCS,J1885,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,45.75,27.45,0.291,37.19,33 HCPCS,J1885,KETOROLAC 30 MG/ML INJECTION WRAPPER,45.75,27.45,0.291,37.19,33 HCPCS,J1885,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,30.9,18.54,0.291,25.12,33 HCPCS,J1920,LABETALOL 5 MG/ML INTRAVENOUS VIAL/SYRINGE WRAPPER,101.2,60.72,0.8024,82.28,24 HCPCS,J1920,LABETALOL 5 MG/ML PEDIATRIC SYRINGE,79.65,47.79,0.8024,64.76,24 HCPCS,J1932,LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE,40477.65,24286.59,28.94,32908.33,34 HCPCS,J1938,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,35.05,21.03,0.0472,34.63,72 HCPCS,J1938,FUROSEMIDE 10 MG/ML PEDIATRIC SYRINGE,34.75,20.85,0.0472,28.25,24 HCPCS,J1938,FUROSEMIDE 2 MG/ML IV SYRINGE (NEONATAL-REX),68.3,40.98,0.0472,55.53,24 HCPCS,J1938,STUDY RGS001D FUROSEMIDE 10 MG/ML OTO,0.2,0.12,0.04004,0.1626,24 HCPCS,J1938,STUDY RGS001D FUROSEMIDE 10 MG/ML PRN,0.2,0.12,0.04004,0.1626,24 HCPCS,J1939,BUMETANIDE 0.25 MG/ML INJECTION PEDIATRIC SYRINGE,29.75,17.85,0.3589,24.19,34 HCPCS,J1939,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,29.75,17.85,0.3589,24.19,34 HCPCS,J1939,BUMETANIDE 20 MG/80 ML (0.25 MG/ML) INFUSION CSAC,173.25,103.95,0.3589,140.85,34 HCPCS,J1940,Injection Furosemide,0.64,0.38,0.12813,0.52032,25 HCPCS,J1944,Aripirazole lauroxil 1 mg,3.1,1.86,0.62062,9.29,34 HCPCS,J1950,Injection Leuprolide Actat,1666.78,1000.07,333.69,4844.6,34 HCPCS,J1950,LEUPROLIDE 3.75 MG INTRAMUSCULAR SYRINGE KIT,8199.9,4919.94,1641.62,6666.52,34 HCPCS,J1950,STUDY NSABP B-62/CAMBRIA-1 LEUPROLIDE 11.25 MG INTRAMUSCULAR INJECTION (3 MONTH),0.2,0.12,0.04004,4844.6,34 HCPCS,J1950,STUDY NSABP B-62/CAMBRIA-1 LEUPROLIDE 3.75 MG INTRAMUSCULAR INJECTION (1 MONTH),0.2,0.12,0.04004,4844.6,34 HCPCS,J1953,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",168.0,100.8,0.0944,136.58,24 HCPCS,J1953,LEVETIRACETAM 10 MG/ML IV PEDIATRIC,153.3,91.98,0.0944,124.63,24 HCPCS,J1953,LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK,112.0,67.2,0.0944,91.06,24 HCPCS,J1953,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,79.8,47.88,0.0944,64.88,24 HCPCS,J1955,LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION,192.9,115.74,38.62,156.83,24 HCPCS,J1955,LEVOCARNITINE 25 MG/ML INTRAVENOUS DILUTION,178.35,107.01,35.71,145.0,24 HCPCS,J1956,LEVOFLOXACIN 5 MG/ML IN 5 % DEXTROSE PEDIATRIC,80.65,48.39,5.33,65.57,24 HCPCS,J1956,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,83.3,49.98,5.33,67.72,24 HCPCS,J1956,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,101.35,60.81,5.33,82.4,24 HCPCS,J2001,Injection Lido Hcl IV Infusion,0.02,0.01,0.004,0.01626,25 HCPCS,J2002,LIDOCAINE (PF) 8 MG/ML (0.8 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION,90.15,54.09,0.0236,73.29,24 HCPCS,J2002,LIDOCAINE (PF) 8 MG/ML (0.8 %) PEDIATRIC INJECTION,115.5,69.3,0.0236,93.9,24 HCPCS,J2002,LIDOCAINE (PF) 8 MG/ML IN DEXTROSE 5% 50 ML PEDIATRIC INFUSION,64.9,38.94,0.0236,52.76,24 HCPCS,J2002,LIDOCAINE (PF) 8 MG/ML IN DEXTROSE 5% 8 ML PEDIATRIC INFUSION,63.85,38.31,0.0236,51.91,24 HCPCS,J2003,"Inj, lidocaine hcl, 1 mg",0.01,0.01,0.002,0.165,24 HCPCS,J2003,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,26.75,16.05,0.0236,25.12,72 HCPCS,J2003,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE,49.1,29.46,0.0236,39.92,24 HCPCS,J2003,LIDOCAINE (PF) 20 MG/ML (2 %) INECTION SOLUTION WRAPPER,26.1,15.66,0.0236,39.76,72 HCPCS,J2003,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,32.35,19.41,0.0236,38.66,72 HCPCS,J2003,LIDOCAINE (PF) 20 MG/ML (2 %) INTRAVENOUS SOLUTION,33.1,19.86,0.0236,26.91,24 HCPCS,J2003,LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION,38.0,22.8,0.0236,30.89,24 HCPCS,J2003,LIDOCAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,35.6,21.36,0.0236,28.94,24 HCPCS,J2003,LIDOCAINE (PF) 50 MG/5 ML (1 %) INTRAVENOUS SYRINGE,115.1,69.06,0.0236,93.58,24 HCPCS,J2003,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,30.55,18.33,0.0236,24.88,48 HCPCS,J2003,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,34.15,20.49,0.0236,27.76,24 HCPCS,J2004,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",17.25,10.350000000000001,0.0236,14.43,48 HCPCS,J2004,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION",17.0,10.2,0.0236,13.82,24 HCPCS,J2004,"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION",19.85,11.91,0.0236,17.03,48 HCPCS,J2004,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION",21.35,12.81,0.0236,17.36,24 HCPCS,J2020,LINEZOLID (ZYVOX) 2 MG/ML IVPB,222.6,133.56,8.43,180.97,24 HCPCS,J2020,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,178.5,107.1,8.43,145.12,24 HCPCS,J2060,LORAZEPAM 2 MG/ML INJECTION SOLUTION,22.975,13.785,3.26,18.86,48 HCPCS,J2060,LORAZEPAM 2 MG/ML INJECTION SYRINGE,24.7,14.82,3.26,20.08,24 HCPCS,J2060,LORAZEPAM 2 MG/ML INJECTION WRAPPER,23.2,13.92,3.26,18.86,24 HCPCS,J2151,MANNITOL 20 % INTRAVENOUS SOLUTION,77.15,46.29,0.1416,62.49,20 HCPCS,J2151,MANNITOL 25 % INTRAVENOUS SOLUTION,29.9,17.94,0.1416,24.22,20 HCPCS,J2175,MEPERIDINE (PF) 100 MG/ML INJECTION SYRINGE,36.4,21.84,7.29,42.72,24 HCPCS,J2175,MEPERIDINE (PF) 25 MG/ML INJECTION SOLUTION,29.65,17.79,5.94,42.72,24 HCPCS,J2175,MEPERIDINE (PF) 25 MG/ML INJECTION SYRINGE,40.15,24.09,8.04,42.72,24 HCPCS,J2175,MEPERIDINE (PF) 25 MG/ML INJECTION WRAPPER,29.65,17.79,5.94,42.72,24 HCPCS,J2175,MEPERIDINE (PF) 50 MG/ML INJECTION SOLUTION,29.95,17.97,6.0,42.72,24 HCPCS,J2175,MEPERIDINE (PF) 50 MG/ML INJECTION SYRINGE,44.7,26.82,8.95,42.72,24 HCPCS,J2175,MEPERIDINE (PF) 50 MG/ML INJECTION WRAPPER,29.95,17.97,6.0,42.72,24 HCPCS,J2182,MEPOLIZUMAB 100 MG SUBCUTANEOUS SOLUTION,16408.85,9845.31,30.33,13340.4,34 HCPCS,J2185,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,87.8,52.68,0.9912,71.38,24 HCPCS,J2185,MEROPENEM 1 GRAM SOLUTION FOR IV PUSH,87.8,52.68,0.9912,71.38,24 HCPCS,J2185,MEROPENEM 20 MG/ML PEDIATRIC DILUTION,567.0,340.2,0.9912,460.97,24 HCPCS,J2185,MEROPENEM 500 MG INTRAVENOUS SOLUTION,75.6,45.36,0.9912,61.46,24 HCPCS,J2185,MEROPENEM 500 MG SOLUTION FOR IV PUSH,75.6,45.36,0.9912,61.46,24 HCPCS,J2186,MEROPENEM-VABORBACTAM 2 GRAM INTRAVENOUS SOLUTION,997.5,598.5,2.11,810.97,34 HCPCS,J2210,METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION,158.35,95.01,31.7,128.74,24 HCPCS,J2212,METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SOLUTION,531.5,318.9,3.42,432.11,24 HCPCS,J2248,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION,848.4,509.04,0.6136,689.75,24 HCPCS,J2250,"MIDAZOLAM (PF) 1 MG/ML IN SODIUM CHLORIDE,ISO-OSM INTRAVENOUS SOLUTION",88.0,52.8,0.354,71.54,24 HCPCS,J2250,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION,22.35,13.41,0.354,18.17,24 HCPCS,J2250,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION,26.1,15.66,0.354,21.22,24 HCPCS,J2250,MIDAZOLAM 1 MG/ML (COMBINED) INJECTION SOLUTION WRAPPER,22.475,13.485,0.354,18.29,48 HCPCS,J2250,MIDAZOLAM 1 MG/ML (COMBINED) INTRANASAL SOLUTION WRAPPER,25.075,15.045,0.354,21.3,48 HCPCS,J2250,MIDAZOLAM 1 MG/ML INFUSION WRAPPER,76.0,45.6,0.354,61.79,24 HCPCS,J2250,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,23.0,13.8,0.354,18.7,48 HCPCS,J2250,MIDAZOLAM 5 MG/ML (COMBINED) INJECTION SOLUTION WRAPPER,26.1,15.66,0.354,34.72,72 HCPCS,J2250,MIDAZOLAM 5 MG/ML (COMBINED) INTRANASAL SOLUTION WRAPPER,42.7,25.62,0.354,34.72,24 HCPCS,J2250,MIDAZOLAM 5 MG/ML INFUSION (MAXIMUM CONCENTRATION),247.6,148.56,0.354,201.3,24 HCPCS,J2250,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,42.7,25.62,0.354,34.72,24 HCPCS,J2251,MIDAZOLAM (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,82.0,49.2,0.462,71.54,48 HCPCS,J2260,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,101.6,60.96,3.42,119.51,72 HCPCS,J2260,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION (FOR NEBULIZATION),28.5,17.1,3.42,23.17,24 HCPCS,J2260,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK,180.95,108.57,3.42,147.11,24 HCPCS,J2260,MILRINONE 200 MCG/ML IN DEXTROSE 5% 50 ML PEDIATRIC,96.6,57.96,3.42,78.54,24 HCPCS,J2260,MILRINONE 200 MCG/ML IN DEXTROSE 5% 8 ML PEDIATRIC,68.4,41.04,3.42,55.61,24 HCPCS,J2270,MORPHINE 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS WRAPPER,61.0,36.6,5.14,49.59,24 HCPCS,J2270,MORPHINE 10 MG/ML INTRAVENOUS SOLUTION,25.85,15.51,5.14,21.02,24 HCPCS,J2270,MORPHINE 2 MG/ML INTRAVENOUS SYRINGE,28.4,17.04,5.14,23.09,24 HCPCS,J2270,MORPHINE 30 MG/30 ML (1 MG/ML) IN 0.9 % SODIUM CHLORIDE IV PCA SYRINGE,46.3,27.78,5.14,37.64,24 HCPCS,J2270,MORPHINE 4 MG/ML INJECTION WRAPPER,24.95,14.97,4.99,20.28,24 HCPCS,J2272,MORPHINE 10 MG/ML INJECTION SOLUTION,26.6,15.96,5.33,22.13,24 HCPCS,J2272,MORPHINE 2 MG/ML INJECTION PF WRAPPER,26.35,15.81,5.28,22.13,24 HCPCS,J2272,MORPHINE 2 MG/ML INJECTION SOLUTION,26.35,15.81,5.28,22.13,24 HCPCS,J2272,MORPHINE 2 MG/ML INJECTION SYRINGE,30.65,18.39,6.14,24.92,24 HCPCS,J2272,MORPHINE 4 MG/ML INJECTION SOLUTION,26.35,15.81,5.28,22.13,24 HCPCS,J2272,MORPHINE 4 MG/ML INJECTION SYRINGE,26.35,15.81,5.28,22.13,24 HCPCS,J2274,MORPHINE (PF) 0.5 MG/ML INJECTION SOLUTION WRAPPER,30.7,18.42,6.15,29.37,24 HCPCS,J2274,MORPHINE (PF) 0.5MG/0.5ML INJECTION SOLUTION,25.15,15.09,5.04,29.37,24 HCPCS,J2274,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION,28.3,16.98,5.67,29.37,24 HCPCS,J2274,MORPHINE (PF) 10 MG/ML INJECTION SOLUTION,646.0,387.6,28.44,525.2,24 HCPCS,J2274,MORPHINE (PF) 25 MG/ML INJECTION SOLUTION,1179.5,707.7,28.44,958.93,24 HCPCS,J2278,ZICONOTIDE 100 MCG/ML INTRATHECAL SOLUTION,16029.4,9617.64,9.84,21518.77,68 HCPCS,J2278,ZICONOTIDE 25 MCG/ML INTRATHECAL SOLUTION,26468.35,15881.01,9.84,21518.77,34 HCPCS,J2290,NAFCILLIN 1 GRAM INJ COMBINED WRAPPER,109.2,65.52,0.118,88.78,24 HCPCS,J2290,NAFCILLIN 2 GRAM INJ COMBINED WRAPPER,115.5,69.3,0.118,93.9,24 HCPCS,J2290,NAFCILLIN 20 MG/ML PEDIATRIC DILUTION,531.3,318.78,0.118,431.95,24 HCPCS,J2300,NALBUPHINE 10 MG/ML INJECTION SOLUTION,32.3,19.38,6.47,26.26,24 HCPCS,J2305,NITROGLYCERIN 100 MCG/ML BOLUS INJECTION (10 ML SYRINGE),63.1,37.86,3.52,51.3,24 HCPCS,J2305,NITROGLYCERIN 100 MCG/ML INJECTION FOR VIR/CATH,63.3,37.98,3.52,51.46,24 HCPCS,J2305,NITROGLYCERIN 200 MCG/ML BOLUS INJECTION (VIR/CATH),63.2,37.92,3.52,51.38,24 HCPCS,J2305,NITROGLYCERIN 200 MCG/ML IN D5W 8 ML PEDIATRIC INFUSION,64.45,38.67,3.52,52.4,24 HCPCS,J2305,NITROGLYCERIN 25 MG/250 ML (100 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,134.75,80.85,3.52,109.55,24 HCPCS,J2305,NITROGLYCERIN 2MG/20ML INTRAVENOUS SYRINGE,63.1,37.86,3.52,51.3,24 HCPCS,J2305,NITROGLYCERIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,128.35,77.01,3.52,104.35,24 HCPCS,J2305,NITROGLYCERIN 50 MG/250 ML (200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,141.75,85.05,3.52,115.24,24 HCPCS,J2305,STUDY NITROGLYCERIN 100 MG/250 ML (400 MCG/ML) IN 5 % DEXTROSE,0.2,0.12,0.04004,3.86,24 HCPCS,J2312,NALOXONE 0.4 MG/ML INJ SOLUTION (COMBINED) WRAPPER,88.05,52.83,0.1888,71.58,24 HCPCS,J2312,NALOXONE 0.4 MG/ML INJECTION SOLUTION,88.05,52.83,0.1888,71.58,24 HCPCS,J2312,NALOXONE 1 MG/ML INJECTION SYRINGE,166.15,99.69,0.1888,135.08,24 HCPCS,J2312,NALOXONE 1 MG/ML INTRANASAL SOLUTION,158.65,95.19,0.1888,128.98,24 HCPCS,J2329,STUDY UTX-TGR-304/204 UBLITUXIMAB 10 MG/ML INTRAVENOUS SOLUTION,0.2,0.12,0.04004,200.52,34 HCPCS,J2329,STUDY UTX-TGR-304/204 UBLITUXIMAB 25 MG/ML INTRAVENOUS SOLUTION,0.2,0.12,0.04004,200.52,68 HCPCS,J2350,OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION,86755.05,52053.03,57.63,70531.86,34 HCPCS,J2353,"OCTREOTIDE,MICROSPHERES ER 10 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",16047.65,9628.59,197.47,13046.74,34 HCPCS,J2353,"OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",21020.2,12612.12,197.47,17089.42,34 HCPCS,J2353,"OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",31468.15,18880.89,197.47,25583.61,34 HCPCS,J2354,OCTREOTIDE ACETATE 100 MCG/ML (1 ML) INJECTION SYRINGE,23.65,14.19,1.44,19.23,24 HCPCS,J2354,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION,49.95,29.97,1.44,40.61,24 HCPCS,J2354,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION,26.25,15.75,1.44,21.34,24 HCPCS,J2354,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION,175.25,105.15,1.44,142.48,24 HCPCS,J2357,OMALIZUMAB 150 MG SUBCUTANEOUS SOLUTION,6248.6,3749.16,43.26,5080.11,34 HCPCS,J2359,OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION,143.75,86.25,2.05,116.87,24 HCPCS,J2371,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV WRAPPER,19.05,11.43,0.0236,15.49,24 HCPCS,J2371,PHENYLEPHRINE 1 MG/ML IV BOLUS (REX-JHH CATH),66.2,39.72,0.0236,53.82,24 HCPCS,J2371,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,107.0,64.2,0.0236,172.93,72 HCPCS,J2371,PHENYLEPHRINE 100 MG IN 250 ML NS (400 MCG/ML) (PMB),260.4,156.24,0.0236,211.71,24 HCPCS,J2371,PHENYLEPHRINE 20 MG/250 ML (80 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,137.85,82.71,0.0236,112.07,24 HCPCS,J2371,PHENYLEPHRINE 4 MG/50 ML (80 MCG/ML) IN 0.9% SODIUM CHLORIDE,71.4,42.84,0.0236,58.05,24 HCPCS,J2371,PHENYLEPHRINE FOR PRIAPISM 100 MCG/ML VIAL/SYRINGE WRAPPER,46.5,27.9,0.0236,37.8,24 HCPCS,J2401,CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,113.05,67.83,0.0944,91.91,24 HCPCS,J2401,CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION,117.85,70.71,0.0944,95.81,24 HCPCS,J2404,NICARDIPINE 0.2 MG/ML IN NS 50 ML PEDIATRIC INFUSION,276.6,165.96,0.1652,224.88,24 HCPCS,J2404,NICARDIPINE 10 MCG/ML INTRAVENOUS SOLUTION,63.15,37.89,0.1652,51.34,24 HCPCS,J2404,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION,170.2,102.12,0.1652,138.37,24 HCPCS,J2404,NICARDIPINE 40 MG/200 ML(0.2 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN,745.95,447.57,0.1652,606.46,24 HCPCS,J2405,Injection Ondansetron Hcl,0.09,0.05,0.01802,1.94,23 HCPCS,J2405,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,21.5,12.9,0.2475,17.48,24 HCPCS,J2405,ONDANSETRON HCL 2 MG/ML (COMBINED) INJECTION SOLUTION WRAPPER,20.725,12.434999999999999,0.2475,17.76,48 HCPCS,J2405,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION,64.55,38.73,0.2475,52.48,24 HCPCS,J2426,"Inj, invega sustenna, 1 mg",13.35,8.01,2.67,42.05,34 HCPCS,J2430,PAMIDRONATE 30 MG INTRAVENOUS SOLUTION,141.95,85.17,22.75,115.41,24 HCPCS,J2430,PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION,93.35,56.01,18.69,75.89,24 HCPCS,J2430,PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION,128.65,77.19,22.75,104.59,24 HCPCS,J2440,PAPAVERINE 30 MG/ML INJECTION SOLUTION,204.45,122.67,40.93,166.22,24 HCPCS,J2470,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,84.35,50.61,4.55,68.58,24 HCPCS,J2501,PARICALCITOL 5 MCG/ML INTRAVENOUS SOLUTION,126.65,75.99,1.83,102.97,24 HCPCS,J2506,PEGFILGRASTIM 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUTANEOUS INJECTOR,29217.9,17530.74,86.66,23754.15,34 HCPCS,J2506,PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,29217.9,17530.74,86.66,23754.15,34 HCPCS,J2515,PENTOBARBITAL (NEMBUTAL) 50 MG/ML BOLUS FROM INFUSION,0.2,0.12,0.04004,173.61,24 HCPCS,J2515,PENTOBARBITAL 2500MG/50 ML ADULT INFUSION,6793.0,4075.8,127.13,5522.71,24 HCPCS,J2515,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLUTION,6793.0,4075.8,127.13,5522.71,24 HCPCS,J2540,PENICILLIN G POT 3 MILLION UNIT/50 ML-DEXTROSE INTRAVENOUS PIGGYBACK,100.65,60.39,1.86,81.83,24 HCPCS,J2540,"PENICILLIN G POTASSIUM 100,000 UNITS/ML IM DILUTION",73.8,44.28,1.86,60.0,24 HCPCS,J2540,"PENICILLIN G POTASSIUM 100,000 UNITS/ML IV (PED DILUTION)",17.2,10.32,1.86,13.98,24 HCPCS,J2540,PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION,247.55,148.53,1.86,201.26,24 HCPCS,J2540,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,73.9,44.34,1.86,60.08,24 HCPCS,J2543,PIPERACILLIN-TAZOBACTAM (200 MG OF PIPERACILLIN/ML) PEDIATRIC,90.3,54.18,2.53,73.41,24 HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 3.375 GRAM SOLUTION FOR IV PUSH,63.6,38.16,2.53,51.71,24 HCPCS,J2543,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,90.3,54.18,2.53,73.41,24 HCPCS,J2550,Injection Promethazine Hcl,2.57,1.54,0.51451,6.96,23 HCPCS,J2550,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,24.45,14.67,4.89,19.88,24 HCPCS,J2560,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION,227.2,136.32,45.49,184.71,24 HCPCS,J2560,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION,101.1,60.66,20.24,82.19,24 HCPCS,J2590,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,19.45,11.67,3.37,17.03,48 HCPCS,J2590,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,84.0,50.4,3.37,68.29,23 HCPCS,J2597,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,1099.225,659.5350000000001,3.41,1474.17,68 HCPCS,J2598,VASOPRESSIN 0.2 UNIT/ML INTRAVENOUS SOLUTION,273.0,163.8,2.19,221.95,24 HCPCS,J2598,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,38.75,23.25,2.19,31.5,48 HCPCS,J2675,PROGESTERONE 50 MG/ML INTRAMUSCULAR OIL,17.55,10.53,1.65,14.27,24 HCPCS,J2679,FLUPHENAZINE 2.5 MG/ML INJECTION SOLUTION,59.7,35.82,7.12,48.54,34 HCPCS,J2690,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION,202.5,121.5,40.54,695.47,34 HCPCS,J2704,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,48.775,29.265,0.2124,57.4,48 HCPCS,J2704,PROPOFOL INFUSION 10 MG/ML,153.75,92.25,0.2124,125.0,24 HCPCS,J2710,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,97.9,58.74,1.82,79.59,24 HCPCS,J2720,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION,171.575,102.94500000000001,4.11,208.7,48 HCPCS,J2730,PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION,410.5,246.3,82.18,333.74,24 HCPCS,J2760,PHENTOLAMINE 5 MG INJECTION SOLUTION,2245.35,1347.21,419.06,1825.47,34 HCPCS,J2765,METOCLOPRAMIDE 0.1 MG/ML IV SYRINGE NEONATAL,105.0,63.0,2.57,85.36,24 HCPCS,J2783,RASBURICASE 1.5 MG INTRAVENOUS SOLUTION,4712.4,2827.44,366.19,3831.18,34 HCPCS,J2785,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,813.05,487.83,7.13,661.01,24 HCPCS,J2788,Inj Rho D Ig Humn Minidose,25.77,15.46,5.16,75.85,24 HCPCS,J2790,Inj Rho D Ig Humn Full Dose,81.46,48.88,16.31,224.38,24 HCPCS,J2791,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG)/2 ML INJECTION SYRINGE",757.6,454.56,11.47,615.93,24 HCPCS,J2795,Inj Ropivacaine Hydrochlorid,0.07,0.04,0.01401,0.165,24 HCPCS,J2795,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJ SOLN OSM,53.7,32.22,0.118,53.86,48 HCPCS,J2795,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,128.95,77.37,0.118,298.61,96 HCPCS,J2795,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,39.9,23.94,0.118,46.75,72 HCPCS,J2799,RISPERIDONE ER 100 MG/0.28 ML SUBCUTANEOUS EXTEND RELEASE SUSP SYRINGE,11967.5,7180.5,24.29,9729.58,34 HCPCS,J2799,RISPERIDONE ER 200 MG/0.56 ML SUBCUTANEOUS EXTEND RELEASE SUSP SYRINGE,23918.1,14350.86,24.29,19445.42,34 HCPCS,J2799,RISPERIDONE ER 250 MG/0.7 ML SUBCUTANEOUS EXTEND RELEASE SUSP SYRINGE,29894.05,17936.43,24.29,24303.86,34 HCPCS,J2800,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,53.55,32.13,10.72,43.54,24 HCPCS,J2802,ROMIPLOSTIM (NPLATE) INJECTION 500 MCG/ML (500 MCG),25068.4,15041.04,10.68,20380.61,34 HCPCS,J2802,ROMIPLOSTIM (NPLATE) SYRINGE 500 MCG/ML (250 MCG),12542.25,7525.35,10.68,10196.85,34 HCPCS,J2802,ROMIPLOSTIM 125 MCG SUBCUTANEOUS SOLUTION,6279.25,3767.55,10.68,5105.03,34 HCPCS,J2804,RIFAMPIN 600 MG INTRAVENOUS SOLUTION,710.25,426.15,0.3304,577.43,24 HCPCS,J2804,RIFAMPIN 600 MG TOPICAL POWDER FOR AAA (REX OPTIME),730.25,438.15,0.3304,593.69,24 HCPCS,J2805,SINCALIDE 5 MCG SOLUTION FOR INJECTION,609.65,365.79,122.05,495.65,24 HCPCS,J2865,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,115.7,69.42,0.118,94.06,24 HCPCS,J2916,SODIUM FERRIC GLUCONATE 250 MG IN 100 ML PREMIX (SSC),597.25,358.35,4.77,485.56,24 HCPCS,J2916,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS,196.6,117.96,4.77,159.84,24 HCPCS,J2919,"Injection, methylprednisolone sodium succinate, 5 mg",0.27,0.16,0.05405,0.4956,32 HCPCS,J2919,"METHYLPREDNISOLONE SOD SUCC (PF) 1,000 MG/8 ML INTRAVENOUS SOLUTION",352.5,211.5,0.2037,286.58,34 HCPCS,J2919,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION,63.45,38.07,0.2037,51.58,34 HCPCS,J2919,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION,45.45,27.27,0.2037,36.95,34 HCPCS,J2919,METHYLPREDNISOLONE SOD SUCC (PF) 500 MG/4 ML INTRAVENOUS SOLUTION,262.0,157.2,0.2037,213.01,34 HCPCS,J2919,METHYLPREDNISOLONE SOD SUCC 125 MG/2 ML SOLUTION FOR INJECTION WRAPPER,63.45,38.07,0.2037,51.58,34 HCPCS,J2919,METHYLPREDNISOLONE SOD SUCC 4 MG/ML PEDIATRIC DILUTION,1785.0,1071.0,0.2037,1451.2,34 HCPCS,J2919,METHYLPREDNISOLONE SOD SUCC 40 MG/ML SOLUTION FOR INJECTION WRAPPER,45.45,27.27,0.2037,36.95,34 HCPCS,J2919,METHYLPREDNISOLONE SOD SUCC 62.5 MG/ML IV PEDIATRIC,247.75,148.65,0.2037,201.42,34 HCPCS,J2919,METHYLPREDNISOLONE SODIUM SUCCINATE 2 GRAM INTRAVENOUS SOLUTION,520.25,312.15,0.2037,422.96,34 HCPCS,J2919,STUDY METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2ML SOLUTION FOR INJECTION,0.2,0.12,0.04004,0.7181,34 HCPCS,J2920,Inj Methylprdnisolon Sodim,4.25,2.55,0.85085,3.46,25 HCPCS,J2930,Inj Methylprdnisln Sodim,6.12,3.67,1.23,4.98,25 HCPCS,J2997,ALTEPLASE 1 MG/1 ML SOLUTION FOR INJECTION,364.25,218.55,72.92,296.14,34 HCPCS,J2997,ALTEPLASE 1 MG/ML INTRATHECAL INJECTION,451.85,271.11,90.46,367.35,34 HCPCS,J2997,ALTEPLASE 100 MG INTRAVENOUS SOLUTION,40057.65,24034.59,91.62,32566.87,34 HCPCS,J2997,ALTEPLASE 125 MCG/ML INTRAOCULAR INJECTION,19.35,11.61,3.87,262.57,34 HCPCS,J2997,ALTEPLASE 2 MG INTRA-CATHETER SOLUTION,858.55,515.13,91.62,698.0,34 HCPCS,J2997,ALTEPLASE 50 MG INTRAVENOUS SOLUTION,20036.85,12022.11,91.62,16289.96,34 HCPCS,J3010,FENTANYL (PF) 10 MCG/ML IN 0.9 % SODIUM CHLORIDE 1 ML INFUSION,27.75,16.65,2.6,22.56,24 HCPCS,J3010,FENTANYL (PF) 10 MCG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,94.0,56.4,2.6,76.42,24 HCPCS,J3010,FENTANYL (PF) 10 MCG/ML NEONATAL DILUTION INJECTION,27.75,16.65,2.6,22.56,24 HCPCS,J3010,FENTANYL (PF) 10 MCG/ML PEDIATRIC BOLUS FROM INFUSION (CSAC),0.2,0.12,0.04004,2.61,24 HCPCS,J3010,FENTANYL (PF) 250 MCG/5 ML (50 MCG/ML) INTRAVENOUS SYRINGE,38.4,23.04,2.6,31.22,24 HCPCS,J3010,FENTANYL (PF) 50 MCG/ML BOLUS FROM INFUSION,0.2,0.12,0.04004,2.61,24 HCPCS,J3010,FENTANYL (PF) 50 MCG/ML INFUSION,88.0,52.8,2.6,71.54,24 HCPCS,J3010,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,31.0,18.6,2.6,43.45,120 HCPCS,J3010,FENTANYL (PF) 50 MCG/ML INTRAVENOUS SOLUTION,155.95,93.57,2.6,126.79,24 HCPCS,J3010,FENTANYL (SUBLIMAZE) 100 MCG IN NS 50ML (REX OR),26.05,15.63,2.6,21.18,24 HCPCS,J3010,FENTANYL 50 MCG BUPIVACAINE 0.125% IN SODIUM CHLORIDE 0.9% (15 ML SYRINGE),24.85,14.91,2.6,20.2,24 HCPCS,J3010,FENTANYL 50 MCG/ML INTRANASAL SOLUTION,28.4,17.04,2.6,23.09,24 HCPCS,J3030,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION,238.95,143.37,47.84,445.83,24 HCPCS,J3032,EPTINEZUMAB-JJMR 100 MG/ML INTRAVENOUS SOLUTION,8211.3,4926.78,19.37,6675.79,34 HCPCS,J3055,TALQUETAMAB-TGVS 2 MG/ML SUBCUTANEOUS SOLUTION,4087.55,2452.53,70.44,3323.18,34 HCPCS,J3055,TALQUETAMAB-TGVS 40 MG/ML SUBCUTANEOUS SOLUTION,51108.35,30665.01,70.44,41551.09,34 HCPCS,J3055,TALQUETAMAB-TGVS 40 MG/ML SUBCUTANEOUS SOLUTION (FOR 0.8 MG/KG DOSAGE),51108.35,30665.01,70.44,41551.09,34 HCPCS,J3101,TENECTEPLASE 25 MG INTRAVENOUS SOLUTION FOR STROKE,37768.55,22661.13,167.05,30705.83,34 HCPCS,J3101,TENECTEPLASE 50 MG INTRAVENOUS SOLUTION FOR STROKE,37768.55,22661.13,167.05,30705.83,34 HCPCS,J3101,TENECTEPLASE 50 MG INTRAVENOUS SOLUTION WRAPPER FOR MI,37768.55,22661.13,167.05,30705.83,34 HCPCS,J3105,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION,34.2,20.52,6.85,27.8,24 HCPCS,J3111,Inj. romosozumab-aqqg 1 mg,9.84,5.9,1.97,33.47,34 HCPCS,J3230,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,147.45,88.47,29.52,119.88,24 HCPCS,J3240,THYROTROPIN ALFA 0.9 MG INTRAMUSCULAR SOLUTION,9216.7,5530.02,1845.18,7493.18,34 HCPCS,J3241,TEPROTUMUMAB-TRBW 500 MG INTRAVENOUS SOLUTION,75742.6,45445.56,348.41,61578.73,34 HCPCS,J3260,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,380.0,228.0,5.59,308.94,24 HCPCS,J3260,TOBRAMYCIN 40 MG/ML INJECTION FOR ORAL USE,20.65,12.39,4.13,16.79,24 HCPCS,J3260,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,70.575,42.345,5.02,94.39,48 HCPCS,J3262,TOCILIZUMAB (ACTEMRA) 20 MG/ML INJECTION WRAPPER,8428.85,5057.31,5.54,9119.79,68 HCPCS,J3262,TOCILIZUMAB 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION,5640.25,3384.15,5.54,4585.52,34 HCPCS,J3262,TOCILIZUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION,11217.45,6730.47,5.54,9119.79,34 HCPCS,J3285,TREPROSTINIL SODIUM 1 MG/ML INJECTION SOLUTION,5230.3,3138.18,53.07,4252.23,34 HCPCS,J3285,TREPROSTINIL SODIUM 10 MG/ML INJECTION SOLUTION,52158.5,31295.1,53.07,42404.86,34 HCPCS,J3285,TREPROSTINIL SODIUM 2.5 MG/ML INJECTION SOLUTION,13051.7,7831.02,53.07,10611.03,34 HCPCS,J3285,TREPROSTINIL SODIUM 5 MG/ML INJECTION SOLUTION,26087.25,15652.35,53.07,21208.93,34 HCPCS,J3301,Inj Triamcinolone Acetonide,1.12,0.67,0.22422,2.34,24 HCPCS,J3301,TRIAMCINOLONE (KENALOG) 40 MG IN NS (REX OR OSM),456.15,273.69,1.98,375.69,72 HCPCS,J3301,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,55.45,33.27,1.98,47.64,72 HCPCS,J3360,DIAZEPAM 5 MG/ML INJECTION SYRINGE,123.0,73.8,16.8,100.0,24 HCPCS,J3373,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",131.4,78.84,0.0708,106.83,24 HCPCS,J3373,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,961.85,577.11,0.0708,781.98,24 HCPCS,J3373,VANCOMYCIN 10 MG/ML (CENTRAL) PEDIATRIC DILUTION,961.8,577.08,0.0708,781.94,24 HCPCS,J3373,VANCOMYCIN 1250 MG IN 250 ML NS IVPB PREMADE (287.5 ML TOTAL VOLUME),276.75,166.05,0.0708,225.0,24 HCPCS,J3373,VANCOMYCIN 1500 MG IN 500 ML NS IVPB PREMADE (555 ML TOTAL VOLUME),298.45,179.07,0.0708,242.64,24 HCPCS,J3373,VANCOMYCIN 1750 MG IN 500 ML NS IVPB PREMADE (557.5 ML TOTAL VOLUME),238.65,143.19,0.0708,194.02,24 HCPCS,J3373,VANCOMYCIN 2000 MG IN 500 ML NS IVPB PREMADE (560 ML TOTAL VOLUME),260.6,156.36,0.0708,211.87,24 HCPCS,J3373,VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION,442.1,265.26,0.0708,359.43,24 HCPCS,J3373,VANCOMYCIN 5 MG/0.5 ML INTRACAMERAL INJECTION,22.8,13.68,0.0708,18.54,24 HCPCS,J3373,VANCOMYCIN 5 MG/ML PEDIATRIC DILUTION,512.4,307.44,0.0708,416.58,24 HCPCS,J3373,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,97.3,58.38,0.0708,79.1,24 HCPCS,J3373,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,91.1,54.66,0.0708,74.06,24 HCPCS,J3373,VANCOMYCIN OPHTH 10MG/0.2ML INJECTION,63.45,38.07,0.0708,51.58,24 HCPCS,J3380,VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION,39374.65,23624.79,20.67,32011.59,34 HCPCS,J3410,HYDROXYZINE HCL 50 MG/ML INTRAMUSCULAR SOLUTION,169.4,101.64,33.91,137.72,24 HCPCS,J3411,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,22.8,13.68,4.3,18.54,24 HCPCS,J3415,PYRIDOXINE (VITAMIN B6) 100 MG/ML INJECTION SOLUTION,65.45,39.27,13.1,53.21,24 HCPCS,J3420,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",16.9,10.14,2.36,13.86,72 HCPCS,J3420,Inj Vit B-12 Cynocoblmn,1.61,0.97,0.32232,2.59,24 HCPCS,J3424,HYDROXOCOBALAMIN 5 GRAM INTRAVENOUS SOLUTION,4464.6,2678.76,5.03,3629.72,34 HCPCS,J3430,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SYRINGE,72.3,43.38,6.44,58.78,24 HCPCS,J3430,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,60.6,36.36,6.44,49.27,24 HCPCS,J3430,PHYTONADIONE 1 MG/0.5 ML INJ SOLUTION (MULTI-VIAL SIZE),128.55,77.13,6.44,104.51,23 HCPCS,J3465,VORICONAZOLE 200 MG INTRAVENOUS SOLUTION,316.3,189.78,1.82,257.15,24 HCPCS,J3473,"HYALURONIDASE, HUMAN RECOMBINANT 150 UNIT/ML INJECTION SOLUTION",269.9,161.94,0.8496,219.43,24 HCPCS,J3475,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,91.7,55.02,1.13,74.55,24 HCPCS,J3475,MAGNESIUM SULFATE 100 MG/ML (CENTRAL) PEDIATRIC DILUTION,94.5,56.7,1.13,76.83,24 HCPCS,J3475,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,108.0,64.8,1.13,87.8,24 HCPCS,J3475,MAGNESIUM SULFATE 2.03 MEQ/ML INJECTION DILUTION,50.6,30.36,1.13,41.14,24 HCPCS,J3475,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,91.0,54.6,1.13,73.98,24 HCPCS,J3475,MAGNESIUM SULFATE 4 MEQ/ML (50 %) INJECTION WRAPPER,20.25,12.15,1.13,21.42,72 HCPCS,J3475,MAGNESIUM SULFATE 40 MG/ML (PERIPHERAL) PEDIATRIC IV,131.05,78.63,1.13,106.54,24 HCPCS,J3475,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,26.35,15.81,1.13,21.42,24 HCPCS,J3475,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SYRINGE,53.1,31.86,1.13,43.17,24 HCPCS,J3480,POTASSIUM CHLORIDE 0.1 MEQ/ML (PERIPHERAL LINE) IV PEDIATRIC,83.6,50.16,0.2596,67.72,20 HCPCS,J3480,POTASSIUM CHLORIDE 0.2 MEQ/ML (CENTRAL LINE) IV PEDIATRIC,74.35,44.61,0.2596,60.45,24 HCPCS,J3480,POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,80.15,48.09,0.2596,64.92,20 HCPCS,J3480,POTASSIUM CHLORIDE 10 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,93.0,55.8,0.2596,75.33,20 HCPCS,J3480,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,72.65,43.59,0.2596,59.06,24 HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,77.35,46.41,0.2596,62.89,24 HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/50 ML IN STERILE WATER INTRAVENOUS PIGGYBACK,76.3,45.78,0.2596,62.03,24 HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/L IN 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLN,87.5,52.5,0.2596,71.14,24 HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,101.5,60.9,0.2596,82.52,24 HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,101.5,60.9,0.2596,82.52,24 HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.2 % SODIUM CHLORIDE IV,94.5,56.7,0.2596,76.83,24 HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,84.0,50.4,0.2596,68.29,24 HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/L-LACTATED RINGERS-5 % DEXTROSE INTRAVENOUS,101.5,60.9,0.2596,82.52,24 HCPCS,J3480,POTASSIUM CHLORIDE 30 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,98.0,58.8,0.2596,79.67,24 HCPCS,J3480,POTASSIUM CHLORIDE 40 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,77.35,46.41,0.2596,62.89,24 HCPCS,J3480,POTASSIUM CHLORIDE 40 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,105.0,63.0,0.2596,85.36,24 HCPCS,J3480,POTASSIUM CHLORIDE 40 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,98.0,58.8,0.2596,79.67,24 HCPCS,J3480,POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,98.0,58.8,0.2596,79.67,24 HCPCS,J3485,ZIDOVUDINE 10 MG/ML INTRAVENOUS SOLUTION,185.65,111.39,3.56,150.93,24 HCPCS,J3489,ZOLEDRONIC ACID 4 MG/100 ML IN MANNITOL WRAPPER,273.0,163.8,11.94,221.95,24 HCPCS,J3489,ZOLEDRONIC ACID 4 MG/100 ML-MANNITOL-0.9 % NACL INTRAVENOUS PIGGYBACK,273.0,163.8,11.94,221.95,24 HCPCS,J3489,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,252.0,151.2,11.94,204.88,24 HCPCS,J3490,ABACAVIR 300 MG TABLET,50.7,30.42,10.15,41.22,22 HCPCS,J3490,ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY,1.5,0.9,0.3003,1.22,22 HCPCS,J3490,ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL LIQUID WRAPPER,2.8,1.68,0.56056,2.28,22 HCPCS,J3490,ACETAMINOPHEN 160 MG/5 ML ORAL SUSPENSION,5.25,3.15,1.05,4.27,22 HCPCS,J3490,ACETAMINOPHEN 325 MG RECTAL SUPPOSITORY,2.6,1.56,0.52052,2.11,22 HCPCS,J3490,ACETAMINOPHEN 325 MG TABLET,1.1,0.66,0.22022,0.8943,22 HCPCS,J3490,ACETAMINOPHEN 325 MG/10.15 ML ORAL SOLUTION,3.85,2.31,0.77077,3.13,22 HCPCS,J3490,ACETAMINOPHEN 500 MG TABLET,1.05,0.63,0.21021,0.85365,22 HCPCS,J3490,ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY,1.45,0.87,0.29029,1.18,22 HCPCS,J3490,ACETAMINOPHEN 650 MG/20.3 ML ORAL LIQUID WRAPPER,4.15,2.49,0.83083,3.37,22 HCPCS,J3490,ACETAMINOPHEN 80 MG RECTAL SUPPOSITORY,2.45,1.47,0.49049,1.99,22 HCPCS,J3490,ACETAZOLAMIDE 25 MG/ML ORAL SUSPENSION,155.0,93.0,31.03,126.02,22 HCPCS,J3490,ACETIC ACID 0.25 % IRRIGATION SOLUTION,90.0,54.0,18.02,73.17,22 HCPCS,J3490,ACETYLCHOLINE CHLORIDE 1 % (20 MG/2 ML) INTRAOCULAR KIT,407.75,244.65,81.63,331.5,22 HCPCS,J3490,ACETYLCYSTEINE 200 MG/ML (20 %) INHALATION SOLUTION,34.5,20.7,4.56,37.56,44 HCPCS,J3490,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION,44.575,26.744999999999997,5.59,49.8,44 HCPCS,J3490,ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION,1084.55,650.73,217.13,881.74,22 HCPCS,J3490,ALBENDAZOLE 200 MG TABLET,136.0,81.6,27.23,110.57,22 HCPCS,J3490,ALBUTEROL SULFATE 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,21.35,12.81,4.27,17.36,22 HCPCS,J3490,ALBUTEROL SULFATE 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,21.35,12.81,4.27,17.36,22 HCPCS,J3490,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,17.0,10.2,3.4,13.82,22 HCPCS,J3490,ALBUTEROL SULFATE CONCENTRATE 2.5 MG/0.5 ML SOLUTION FOR NEBULIZATION,18.0,10.8,3.6,14.63,22 HCPCS,J3490,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER,84.2,50.52,16.86,68.45,22 HCPCS,J3490,ALISKIREN 150 MG TABLET,62.05,37.23,12.42,50.45,22 HCPCS,J3490,ALLOPURINOL 100 MG TABLET,17.3,10.38,3.46,14.06,22 HCPCS,J3490,ALLOPURINOL 300 MG TABLET,18.55,11.13,3.71,15.08,22 HCPCS,J3490,ALPRAZOLAM 0.25 MG TABLET,22.15,13.29,4.43,18.01,22 HCPCS,J3490,ALPRAZOLAM 0.5 MG TABLET,22.35,13.41,4.47,18.17,22 HCPCS,J3490,ALUMINUM HYDROX-MAGNESIUM CARB 95 MG-358 MG/15 ML ORAL SUSPENSION,1.25,0.75,0.25025,1.02,22 HCPCS,J3490,ALUMINUM HYDROXIDE GEL 320 MG/5 ML ORAL SUSPENSION,11.3,6.78,2.26,9.19,22 HCPCS,J3490,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP,2.375,1.425,0.25025,2.85,44 HCPCS,J3490,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 400 MG-400 MG-40 MG/5 ML ORAL SUSP,2.6,1.56,0.25025,3.21,44 HCPCS,J3490,AMANTADINE HCL 100 MG CAPSULE,24.0,14.4,4.8,19.51,22 HCPCS,J3490,AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION,96.9,58.14,19.4,78.78,22 HCPCS,J3490,AMILORIDE 5 MG TABLET,16.9,10.14,3.38,13.74,22 HCPCS,J3490,AMINO ACID 5 % NO.6-DEXTROSE 15 %-ELECTROLYTES NO.23 IV SOLUTION,220.75,132.45,44.19,179.47,22 HCPCS,J3490,AMINOCAPROIC ACID 500 MG TABLET,101.95,61.17,20.41,82.89,22 HCPCS,J3490,AMIODARONE 200 MG TABLET,17.5,10.5,3.5,14.23,22 HCPCS,J3490,AMITRIPTYLINE 10 MG TABLET,16.6,9.96,3.32,13.5,22 HCPCS,J3490,AMITRIPTYLINE 25 MG TABLET,17.15,10.29,3.43,13.94,22 HCPCS,J3490,AMITRIPTYLINE 50 MG TABLET,18.3,10.98,3.66,14.88,22 HCPCS,J3490,AMLODIPINE 10 MG TABLET,16.45,9.87,3.29,13.37,22 HCPCS,J3490,AMLODIPINE 2.5 MG TABLET,16.6,9.96,3.32,13.5,22 HCPCS,J3490,AMLODIPINE 5 MG TABLET,16.7,10.02,3.34,13.58,22 HCPCS,J3490,AMLODIPINE BENZOATE 1 MG/ML ORAL SUSPENSION,48.0,28.8,9.61,39.02,22 HCPCS,J3490,AMMONIUM LACTATE 12 % LOTION,7.0,4.2,1.4,5.69,22 HCPCS,J3490,AMOXICILLIN 250 MG CAPSULE,16.25,9.75,3.25,13.21,22 HCPCS,J3490,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,16.475,9.885,3.29,13.41,44 HCPCS,J3490,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,49.425,29.655,9.69,41.02,44 HCPCS,J3490,AMOXICILLIN 500 MG CAPSULE,16.4,9.84,3.28,13.33,22 HCPCS,J3490,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,17.8,10.68,3.56,14.47,22 HCPCS,J3490,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION,20.5,12.3,4.1,16.67,22 HCPCS,J3490,ANAGRELIDE 0.5 MG CAPSULE,49.1,29.46,9.83,39.92,22 HCPCS,J3490,ANASTROZOLE 1 MG TABLET,26.2,15.72,5.25,21.3,22 HCPCS,J3490,"ANTIVENIN LATRODECTUS MACTANS 6,000 UNIT SOLUTION FOR INJECTION",142.1,85.26,28.45,115.53,22 HCPCS,J3490,APIXABAN 2.5 MG TABLET,56.45,33.87,11.3,45.89,22 HCPCS,J3490,APIXABAN 5 MG TABLET,56.45,33.87,11.3,45.89,22 HCPCS,J3490,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,94.8,56.88,18.98,77.07,22 HCPCS,J3490,ARGININE (L) 5 GRAM POWDER (100 MG/ML) FOR ORAL SOLN,23.35,14.01,4.67,18.98,22 HCPCS,J3490,ARGININE 7 GRAM-GLUTAM 7 GRAM-CAHMB 1.5 GRAM-COLLA-MV-MIN ORAL PWD PKT,4.7,2.82,0.94094,3.82,22 HCPCS,J3490,ARGININE HCL (L-ARGININE) 10 % INTRAVENOUS SOLUTION,210.0,126.0,42.04,170.73,22 HCPCS,J3490,ARGININE HCL (L-ARGININE) 10 % INTRAVENOUS SOLUTION (PED),239.4,143.64,47.93,194.63,22 HCPCS,J3490,ARIPIPRAZOLE 10 MG TABLET,48.9,29.34,9.79,39.76,22 HCPCS,J3490,ARIPIPRAZOLE 2 MG TABLET,93.85,56.31,18.79,76.3,22 HCPCS,J3490,ARIPIPRAZOLE 5 MG TABLET,48.9,29.34,9.79,39.76,22 HCPCS,J3490,ARTEMETHER-LUMEFANTRINE 20 MG-120 MG TABLET,38.5,23.1,7.71,31.3,22 HCPCS,J3490,ARTIFICIAL TEARS (HYPROMELLOSE) 0.3 % EYE GEL,11.1,6.66,2.22,9.02,22 HCPCS,J3490,ASCORBIC ACID (VITAMIN C) 500 MG TABLET,1.05,0.63,0.21021,0.85365,22 HCPCS,J3490,"ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE",20.0,12.0,4.0,16.26,22 HCPCS,J3490,ASPIRIN 300 MG RECTAL SUPPOSITORY,2.85,1.71,0.57057,2.32,22 HCPCS,J3490,ASPIRIN 325 MG TABLET,1.1,0.66,0.22022,0.8943,22 HCPCS,J3490,"ASPIRIN 325 MG TABLET,DELAYED RELEASE",1.05,0.63,0.21021,0.85365,22 HCPCS,J3490,ASPIRIN 81 MG CHEWABLE TABLET,1.1,0.66,0.22022,0.8943,22 HCPCS,J3490,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",1.05,0.63,0.21021,0.85365,22 HCPCS,J3490,ASPIRIN ORAL DESENSITIZATION 1 MG/ML BULK SOLUTION,16.05,9.63,3.21,13.05,22 HCPCS,J3490,ATENOLOL 25 MG TABLET,16.7,10.02,3.34,13.58,22 HCPCS,J3490,ATENOLOL 50 MG TABLET,16.4,9.84,3.28,13.33,22 HCPCS,J3490,ATORVASTATIN 10 MG TABLET,17.5,10.5,3.5,14.23,22 HCPCS,J3490,ATORVASTATIN 20 MG TABLET,17.0,10.2,3.4,13.82,22 HCPCS,J3490,ATORVASTATIN 80 MG TABLET,18.1,10.86,3.62,14.72,22 HCPCS,J3490,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,148.65,89.19,29.76,120.85,22 HCPCS,J3490,ATRACURIUM 10 MG/ML INTRAVENOUS SOLUTION,58.8,35.28,7.52,65.08,44 HCPCS,J3490,AVACOPAN 10 MG CAPSULE,413.35,248.01,82.75,336.05,22 HCPCS,J3490,AZELASTINE 137 MCG (0.1 %) NASAL SPRAY,81.25,48.75,16.27,66.06,22 HCPCS,J3490,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,94.55,56.73,18.93,76.87,22 HCPCS,J3490,"BACITRACIN 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOPICAL OINTMENT (+/- ZINC) WRAPPER",7.1,4.26,1.42,5.77,22 HCPCS,J3490,BACITRACIN 500 UNIT/GRAM TOPICAL OINTMENT,4.45,2.67,0.89089,3.62,22 HCPCS,J3490,BACITRACIN 500 UNIT/GRAM TOPICAL PACKET,1.25,0.75,0.25025,1.02,22 HCPCS,J3490,BACITRACIN 500 UNIT/GRAM TOPICAL PACKET WRAPPER,1.25,0.75,0.25025,1.02,22 HCPCS,J3490,BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT IN PACKET,1.25,0.75,0.25025,1.02,22 HCPCS,J3490,BACLOFEN 10 MG TABLET,17.9,10.74,3.58,14.55,22 HCPCS,J3490,BACLOFEN 25 MG/5 ML (5 MG/ML) ORAL SUSPENSION,34.15,20.49,6.84,27.76,22 HCPCS,J3490,BALANCED SALT IRRIGATION INTRAOCULAR SOLUTION 500ML,174.0,104.4,34.83,141.46,22 HCPCS,J3490,BALANCED SALT IRRIGATION INTRAOCULAR SOLUTION COMBINATION NO.1,373.5,224.1,74.77,303.66,22 HCPCS,J3490,BALANCED SALT IRRIGATION SOLUTION (BSS PLAIN),139.725,83.835,20.21,145.12,44 HCPCS,J3490,BARICITINIB 2 MG TABLET,385.0,231.0,77.08,313.0,22 HCPCS,J3490,BENZOCAINE 20 %-MENTHOL 0.5 % TOPICAL AEROSOL,8.05,4.83,1.61,6.54,22 HCPCS,J3490,BENZONATATE 100 MG CAPSULE,17.2,10.32,3.44,13.98,22 HCPCS,J3490,BENZYLPENICILLOYL POLYLYSINE 0.25 ML INTRADERMAL INJECTION SOLUTION,48.35,29.01,9.68,39.31,22 HCPCS,J3490,BETHANECHOL 5 MG/ML ORAL SUSPENSION,34.0,20.4,6.81,27.64,22 HCPCS,J3490,BETHANECHOL CHLORIDE 10 MG TABLET,18.55,11.13,3.71,15.08,22 HCPCS,J3490,BICTEGRAVIR 50 MG-EMTRICITABINE 200 MG-TENOFOVIR ALAFENAM 25 MG TABLET,578.15,346.89,115.75,470.04,22 HCPCS,J3490,BISACODYL 10 MG RECTAL SUPPOSITORY,1.55,0.93,0.31031,1.26,22 HCPCS,J3490,BISACODYL 10 MG/30 ML ENEMA,4.05,2.43,0.81081,3.29,22 HCPCS,J3490,"BISACODYL 5 MG TABLET,DELAYED RELEASE",1.05,0.63,0.21021,0.85365,22 HCPCS,J3490,BISMUTH SUBSALICYLATE 262 MG CHEWABLE TABLET,1.15,0.69,0.23023,0.93495,22 HCPCS,J3490,BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION,1.725,1.0350000000000001,0.32032,1.63,88 HCPCS,J3490,BRIMONIDINE 0.2 % EYE DROPS,97.75,58.65,11.91,119.75,66 HCPCS,J3490,BRIVARACETAM 50 MG TABLET,95.65,57.39,19.15,77.76,22 HCPCS,J3490,BRIVARACETAM 50 MG/5 ML INTRAVENOUS SOLUTION,211.4,126.84,42.32,171.87,22 HCPCS,J3490,BROMOCRIPTINE 2.5 MG TABLET,29.25,17.55,5.86,23.78,22 HCPCS,J3490,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,46.15,27.69,9.24,37.52,22 HCPCS,J3490,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,51.5,30.9,10.31,41.87,22 HCPCS,J3490,BUDESONIDE 1 MG/2 ML SUSPENSION FOR NEBULIZATION,98.1,58.86,19.64,79.76,22 HCPCS,J3490,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE",33.8,20.28,6.77,27.48,22 HCPCS,J3490,BUDESONIDE-FORMOTEROL HFA 160 MCG-4.5 MCG/ACTUATION AEROSOL INHALER,493.6,296.16,98.82,401.3,22 HCPCS,J3490,BUDESONIDE-FORMOTEROL HFA 80 MCG-4.5 MCG/ACTUATION AEROSOL INHALER,431.25,258.75,86.34,350.61,22 HCPCS,J3490,BUMETANIDE 1 MG TABLET,17.85,10.71,3.57,14.51,22 HCPCS,J3490,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",59.849999999999994,35.910000000000004,10.18,55.98,44 HCPCS,J3490,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",33.7,20.22,6.68,27.68,44 HCPCS,J3490,"BUPIVACAINE-EPINEPHRINE 0.25 %-1:200,000 INJECTION SOLUTION",104.3,62.58,20.88,84.8,22 HCPCS,J3490,"BUPIVACAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION",20.25,12.15,4.05,16.46,22 HCPCS,J3490,BUPRENORPHINE 10 MCG/HOUR WEEKLY TRANSDERMAL PATCH,260.3,156.18,52.11,211.62,22 HCPCS,J3490,BUPRENORPHINE 5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,180.9,108.54,36.22,147.07,22 HCPCS,J3490,BUPRENORPHINE 7.5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,247.5,148.5,49.55,201.22,22 HCPCS,J3490,BUPRENORPHINE HCL 150 MCG BUCCAL FILM,44.6,26.76,8.93,36.26,22 HCPCS,J3490,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET,21.5,12.9,4.3,17.48,22 HCPCS,J3490,BUPRENORPHINE HCL 300 MCG BUCCAL FILM,57.5,34.5,11.51,46.75,22 HCPCS,J3490,BUPRENORPHINE HCL 75 MCG BUCCAL FILM,44.6,26.76,8.93,36.26,22 HCPCS,J3490,BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET,26.25,15.75,5.26,21.34,22 HCPCS,J3490,BUPROPION HCL 100 MG TABLET,17.5,10.5,3.5,14.23,22 HCPCS,J3490,BUPROPION HCL 75 MG TABLET,20.95,12.57,4.19,17.03,22 HCPCS,J3490,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",19.1,11.46,3.82,15.53,22 HCPCS,J3490,"BUPROPION HCL SR 150 MG TABLET,SUSTAINED-RELEASE (COMBINED) WRAPPER",18.45,11.07,3.69,15.0,22 HCPCS,J3490,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",21.25,12.75,4.25,17.28,22 HCPCS,J3490,BUSPIRONE 10 MG TABLET,16.3,9.78,3.26,13.25,22 HCPCS,J3490,BUSPIRONE 15 MG TABLET,16.4,9.84,3.28,13.33,22 HCPCS,J3490,BUSPIRONE 5 MG TABLET,16.15,9.69,3.23,13.13,22 HCPCS,J3490,BUSPIRONE 7.5 MG TABLET,17.05,10.23,3.41,13.86,22 HCPCS,J3490,CAFFEINE 200 MG TABLET,1.1,0.66,0.22022,0.8943,22 HCPCS,J3490,CALCITONIN (SALMON) 200 UNIT/ACTUATION NASAL SPRAY,240.65,144.39,48.18,195.65,22 HCPCS,J3490,CALCITRIOL 0.25 MCG CAPSULE,19.8,11.88,3.96,16.1,22 HCPCS,J3490,CALCITRIOL 1 MCG/ML ORAL SOLUTION,23.2,13.92,4.64,18.86,22 HCPCS,J3490,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET,1.1,0.66,0.22022,0.8943,22 HCPCS,J3490,CALCIUM 200 MG (AS CALCIUM CITRATE 950 MG) TABLET,1.1,0.66,0.22022,0.8943,22 HCPCS,J3490,"CALCIUM 500 MG/5 ML (AS CALCIUM CARB 1,250 MG/5 ML) ORAL SUSPENSION",4.325,2.595,0.26026,5.98,44 HCPCS,J3490,"CALCIUM 600 MG (AS CALCIUM CARBONATE 1,500 MG) TABLET",1.05,0.63,0.21021,0.85365,22 HCPCS,J3490,"CALCIUM ACETATE 952 MG-ALUMINUM SULFATE 1,347 MG TOPICAL POWDER PACKET",2.0,1.2,0.4004,1.63,22 HCPCS,J3490,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,18.55,11.13,3.71,15.08,22 HCPCS,J3490,CAMPHOR-EUCALYPTUS OIL-MENTHOL 4.8 %-1.2 %-2.6 % TOPICAL OINTMENT,6.9,4.14,1.38,5.61,22 HCPCS,J3490,CAMPHOR-MENTHOL 0.5 %-0.5 % LOTION,9.65,5.79,1.93,7.85,22 HCPCS,J3490,CANNABIDIOL 100 MG/ML ORAL SOLUTION,5146.0,3087.6,1030.23,4183.7,22 HCPCS,J3490,CAPSAICIN 0.025 % TOPICAL CREAM,11.8,7.08,2.36,9.59,22 HCPCS,J3490,CAPTOPRIL 12.5 MG TABLET,21.7,13.02,4.34,17.64,22 HCPCS,J3490,CAPTOPRIL 25 MG TABLET,22.2,13.32,4.44,18.05,22 HCPCS,J3490,CARBACHOL 0.01 % INTRAOCULAR SOLUTION,62.5,37.5,12.51,50.81,22 HCPCS,J3490,CARBAMAZEPINE 100 MG CHEWABLE TABLET,18.05,10.83,3.61,14.67,22 HCPCS,J3490,CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION,22.65,13.59,4.53,18.41,22 HCPCS,J3490,CARBAMAZEPINE 200 MG TABLET,17.65,10.59,3.53,14.35,22 HCPCS,J3490,"CARBAMAZEPINE ER 100 MG CAPSULE,EXTENDED RELEASE 12HR",22.55,13.53,4.51,18.33,22 HCPCS,J3490,"CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR",22.65,13.59,4.53,18.41,22 HCPCS,J3490,"CARBAMAZEPINE ER 300 MG CAPSULE,EXTENDED RELEASE 12HR",23.1,13.86,4.62,18.78,22 HCPCS,J3490,CARBAMIDE PEROXIDE 6.5 % EAR DROPS,11.05,6.63,2.21,8.98,22 HCPCS,J3490,CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET,17.05,10.23,3.41,13.86,22 HCPCS,J3490,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,17.5,10.5,3.5,14.23,22 HCPCS,J3490,CARBOXYMETHYLCELLULOSE SODIUM 0.25 % EYE DROPS,13.4,8.04,2.68,10.89,22 HCPCS,J3490,CARBOXYMETHYLCELLULOSE SODIUM 0.5 % EYE DROPS IN A DROPPERETTE,1.45,0.87,0.29029,1.18,22 HCPCS,J3490,CARBOXYMETHYLCELLULOSE SODIUM 1 % EYE GEL IN A DROPPERETTE,1.6,0.96,0.32032,1.3,22 HCPCS,J3490,CARDIOPLEGIC SOLUTION 16 MEQ/L (POTASSIUM) FOR PERFUSION,420.0,252.0,84.08,341.46,22 HCPCS,J3490,CARIPRAZINE 1.5 MG CAPSULE,218.55,131.13,43.75,177.68,22 HCPCS,J3490,CARVEDILOL 12.5 MG TABLET,16.55,9.93,3.31,13.46,22 HCPCS,J3490,CARVEDILOL 3.125 MG TABLET,16.55,9.93,3.31,13.46,22 HCPCS,J3490,CARVEDILOL 6.25 MG TABLET,16.25,9.75,3.25,13.21,22 HCPCS,J3490,CEFDINIR 125 MG/5 ML ORAL SUSPENSION,121.95,73.17,9.23,160.81,44 HCPCS,J3490,CEFDINIR 300 MG CAPSULE,18.7,11.22,3.74,15.2,22 HCPCS,J3490,CELECOXIB 200 MG CAPSULE,24.0,14.4,4.8,19.51,22 HCPCS,J3490,CENOBAMATE 200 MG TABLET,143.55,86.13,28.74,116.71,22 HCPCS,J3490,CENOBAMATE 50 MG TABLET,143.55,86.13,28.74,116.71,22 HCPCS,J3490,CEPHALEXIN 250 MG CAPSULE,16.7,10.02,3.34,13.58,22 HCPCS,J3490,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,85.0,51.0,17.02,69.11,22 HCPCS,J3490,CEPHALEXIN 500 MG CAPSULE,16.9,10.14,3.38,13.74,22 HCPCS,J3490,CETIRIZINE 1 MG/ML ORAL SOLUTION,1.1749999999999998,0.705,0.23023,0.9756,44 HCPCS,J3490,CEVIMELINE 30 MG CAPSULE,26.35,15.81,5.28,21.42,22 HCPCS,J3490,CHERRY FLAVOR (BULK) ORAL LIQUID,1.725,1.0350000000000001,0.34034,1.42,44 HCPCS,J3490,CHLORDIAZEPOXIDE 10 MG CAPSULE,23.5,14.1,4.7,19.11,22 HCPCS,J3490,CHLORDIAZEPOXIDE 25 MG CAPSULE,22.5,13.5,4.5,18.29,22 HCPCS,J3490,CHLORDIAZEPOXIDE 5 MG CAPSULE,22.6,13.56,4.52,18.37,22 HCPCS,J3490,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,18.55,11.13,3.71,15.08,22 HCPCS,J3490,CHLOROTHIAZIDE 250 MG/5 ML ORAL SUSPENSION,222.95,133.77,44.63,181.26,22 HCPCS,J3490,CHLORPROMAZINE 100 MG TABLET,25.05,15.03,5.02,20.37,22 HCPCS,J3490,CHLORPROMAZINE 25 MG TABLET,41.5,24.9,8.31,33.74,22 HCPCS,J3490,CHLORTHALIDONE 25 MG TABLET,23.7,14.22,4.74,19.27,22 HCPCS,J3490,CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET,1.05,0.63,0.21021,0.85365,22 HCPCS,J3490,"CHOLECALCIFEROL (VITAMIN D3) 125 MCG (5,000 UNIT) TABLET",1.45,0.87,0.29029,1.18,22 HCPCS,J3490,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET",1.05,0.63,0.21021,0.85365,22 HCPCS,J3490,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET,24.2,14.52,4.84,19.67,22 HCPCS,J3490,CHOLESTYRAMINE 20% IN AQUAPHOR OINTMENT,101.7,61.02,20.36,82.68,22 HCPCS,J3490,CHOLESTYRAMINE-MAALOX PLUS-ZINC OXIDE OINTMENT,59.8,35.88,11.97,48.62,22 HCPCS,J3490,CHROMIUM CHLORIDE 4 MCG/ML INTRAVENOUS SOLUTION,94.25,56.55,18.87,76.63,22 HCPCS,J3490,CILOSTAZOL 100 MG TABLET,17.5,10.5,3.5,14.23,22 HCPCS,J3490,CINACALCET 30 MG TABLET,18.0,10.8,3.6,14.63,22 HCPCS,J3490,CINACALCET 60 MG TABLET,231.15,138.69,46.28,187.92,22 HCPCS,J3490,CIPROFLOXACIN 0.3 % EYE DROPS,58.0,34.8,9.51,66.67,66 HCPCS,J3490,CIPROFLOXACIN 250 MG TABLET,17.25,10.35,3.45,14.02,22 HCPCS,J3490,CIPROFLOXACIN 500 MG TABLET,16.8,10.08,3.36,13.66,22 HCPCS,J3490,CIPROFLOXACIN 500 MG/5 ML ORAL SUSPENSION,472.9,283.74,94.67,384.47,22 HCPCS,J3490,CISATRACURIUM (NIMBEX) 2 MG/ML PEDIATRIC BOLUS FROM INFUSION (CSAC),0.2,0.12,0.04004,0.1626,22 HCPCS,J3490,CISATRACURIUM 2 MG/ML CONTINUOUS INFUSION (2 MG/ML VIALS) (CSAC),1380.15,828.09,276.31,1122.06,22 HCPCS,J3490,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,79.7,47.82,15.96,64.8,22 HCPCS,J3490,CISATRACURIUM 2 MG/ML PEDIATRIC INFUSION (CSAC),168.4,101.04,33.71,136.91,22 HCPCS,J3490,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,471.0,282.6,94.29,382.92,22 HCPCS,J3490,CITALOPRAM 20 MG TABLET,16.25,9.75,3.25,13.21,22 HCPCS,J3490,CLARITHROMYCIN 250 MG/5 ML ORAL SUSPENSION,298.6,179.16,59.78,242.76,22 HCPCS,J3490,CLARITHROMYCIN 500 MG TABLET,35.95,21.57,7.2,29.23,22 HCPCS,J3490,CLINDAMYCIN 1 % TOPICAL GEL,264.8,158.88,53.01,215.28,22 HCPCS,J3490,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION,113.5,68.1,22.72,92.28,22 HCPCS,J3490,CLINDAMYCIN HCL 150 MG CAPSULE,17.8,10.68,3.56,14.47,22 HCPCS,J3490,CLOBAZAM 10 MG TABLET,29.8,17.88,5.97,24.23,22 HCPCS,J3490,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION,24.05,14.43,4.81,19.55,22 HCPCS,J3490,CLOBAZAM 5 MG SPLIT TABLET,23.95,14.37,4.79,19.47,22 HCPCS,J3490,CLOBETASOL 0.05 % TOPICAL CREAM,46.05,27.63,9.22,37.44,22 HCPCS,J3490,CLONAZEPAM 0.125 MG DISINTEGRATING TABLET,24.85,14.91,4.97,20.2,22 HCPCS,J3490,CLONAZEPAM 0.25 MG DISINTEGRATING TABLET,24.8,14.88,4.96,20.16,22 HCPCS,J3490,CLONAZEPAM 0.5 MG TABLET,22.1,13.26,4.42,17.97,22 HCPCS,J3490,CLONAZEPAM 1 MG TABLET,22.35,13.41,4.47,18.17,22 HCPCS,J3490,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH,263.6,158.16,52.77,214.31,22 HCPCS,J3490,CLONIDINE 20 MCG/ML ORAL SOLN,17.65,10.59,3.53,14.35,22 HCPCS,J3490,CLONIDINE HCL 0.1 MG TABLET,16.2,9.72,3.24,13.17,22 HCPCS,J3490,CLONIDINE HCL 0.2 MG TABLET,16.25,9.75,3.25,13.21,22 HCPCS,J3490,CLOPIDOGREL 300 MG TABLET,99.1,59.46,19.84,80.57,22 HCPCS,J3490,CLOPIDOGREL 75 MG TABLET,17.05,10.23,3.41,13.86,22 HCPCS,J3490,CLORAZEPATE DIPOTASSIUM 3.75 MG TABLET,25.0,15.0,5.0,20.32,22 HCPCS,J3490,CLOTRIMAZOLE 1 % TOPICAL CREAM,8.1,4.86,1.62,6.59,22 HCPCS,J3490,CLOTRIMAZOLE 10 MG TROCHE,27.0,16.2,5.41,21.95,22 HCPCS,J3490,CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM,66.6,39.96,13.33,54.15,22 HCPCS,J3490,CLOZAPINE 100 MG TABLET,22.7,13.62,4.54,18.46,22 HCPCS,J3490,CLOZAPINE 25 MG TABLET,18.6,11.16,3.72,15.12,22 HCPCS,J3490,COBICISTAT 150 MG TABLET,58.0,34.8,11.61,47.15,22 HCPCS,J3490,COLCHICINE 0.3 MG SPLIT TABLET,53.2,31.92,10.65,43.25,22 HCPCS,J3490,COLCHICINE 0.6 MG TABLET,44.8,26.88,8.97,36.42,22 HCPCS,J3490,COLESTIPOL 1 GRAM TABLET,20.15,12.09,4.03,16.38,22 HCPCS,J3490,CONJUGATED ESTROGENS 0.3 MG TABLET,44.3,26.58,8.87,36.02,22 HCPCS,J3490,CONJUGATED ESTROGENS 0.625 MG TABLET,44.3,26.58,8.87,36.02,22 HCPCS,J3490,CORTISONE 25 MG TABLET,76.0,45.6,15.22,61.79,22 HCPCS,J3490,CROTAMITON 10 % TOPICAL CREAM,1533.8,920.28,307.07,1246.98,22 HCPCS,J3490,CUPRIC CHLORIDE 0.4 MG/ML INTRAVENOUS SOLUTION,196.2,117.72,39.28,159.51,22 HCPCS,J3490,CUPRIC CHLORIDE 40 MCG/ML INTRAVENOUS DILUTION,65.1,39.06,13.03,52.93,22 HCPCS,J3490,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET",1.35,0.81,0.27027,1.1,22 HCPCS,J3490,CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET,1.3,0.78,0.26026,1.06,22 HCPCS,J3490,CYCLOBENZAPRINE 10 MG TABLET,16.25,9.75,3.25,13.21,22 HCPCS,J3490,CYCLOPENTOLATE-PHENYLEPHRINE 0.2 %-1 % EYE DROPS,169.125,101.475,25.45,171.66,44 HCPCS,J3490,CYPROHEPTADINE 4 MG TABLET,16.25,9.75,3.25,13.21,22 HCPCS,J3490,CYSTEINE (L-CYSTEINE) 50 MG/ML INTRAVENOUS SOLUTION,460.75,276.45,92.24,374.59,22 HCPCS,J3490,DABIGATRAN ETEXILATE 150 MG CAPSULE,29.25,17.55,5.86,23.78,22 HCPCS,J3490,DABIGATRAN ETEXILATE 75 MG CAPSULE,29.25,17.55,5.86,23.78,22 HCPCS,J3490,DANAZOL 100 MG CAPSULE,31.25,18.75,6.26,25.41,22 HCPCS,J3490,DANTROLENE 250 MG INTRAVENOUS SUSPENSION,13983.35,8390.01,2799.47,11368.46,22 HCPCS,J3490,DAPSONE 100 MG TABLET,27.2,16.32,5.45,22.11,22 HCPCS,J3490,DARUNAVIR 600 MG TABLET,159.9,95.94,32.01,130.0,22 HCPCS,J3490,DARUNAVIR 800 MG TABLET,303.8,182.28,60.82,246.99,22 HCPCS,J3490,DESFLURANE 100 % INHALATION LIQUID,661.3,396.78,132.39,537.64,22 HCPCS,J3490,DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASAL SPRAY,607.05,364.23,121.53,493.53,22 HCPCS,J3490,DEXAMETHASONE 2 MG TABLET,18.0,10.8,3.6,14.63,22 HCPCS,J3490,DEXAMETHASONE SODIUM PHOSPHATE 0.1 % EYE DROPS,177.7,106.62,35.58,144.47,22 HCPCS,J3490,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,88.2,52.92,17.66,71.71,22 HCPCS,J3490,DEXMEDETOMIDINE 20 MCG/5 ML SYRINGE (OR),119.7,71.82,23.96,97.32,22 HCPCS,J3490,DEXMEDETOMIDINE 200 MCG/2 ML INTRANASAL SOLUTION,88.2,52.92,17.66,71.71,22 HCPCS,J3490,DEXMEDETOMIDINE 200 MCG/50 ML (4 MCG/ML) NS PEDIATRIC INFUSION,180.6,108.36,36.16,146.83,22 HCPCS,J3490,DEXMEDETOMIDINE 4 MCG/ML BOLUS FROM INFUSION (CSAC),0.2,0.12,0.04004,0.1626,22 HCPCS,J3490,DEXMEDETOMIDINE 80 MCG/20 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,109.3,65.58,21.88,88.86,22 HCPCS,J3490,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET,24.6,14.76,4.92,20.0,22 HCPCS,J3490,"DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULE,EXTEND RELEASE",25.5,15.3,5.11,20.73,22 HCPCS,J3490,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP,4.6,2.76,0.92092,3.74,22 HCPCS,J3490,DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR,1.9,1.14,0.38038,1.54,22 HCPCS,J3490,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,81.75,49.05,16.22,70.47,57 HCPCS,J3490,DEXTROSE 10 % IV BOLUS,69.75,41.85,13.36,63.79,57 HCPCS,J3490,DEXTROSE 2.45 GRAM-SOD CITRATE 2.2 GRAM-CITRIC AC 730 MG/100 ML SOLN,153.0,91.8,30.63,124.39,22 HCPCS,J3490,DEXTROSE 20 % IN WATER (D20W) INTRAVENOUS SOLUTION,106.5,63.9,21.32,86.27,19 HCPCS,J3490,DEXTROSE 25 % IN WATER (D25W) INTRAVENOUS SYRINGE,109.7,65.82,21.96,89.19,22 HCPCS,J3490,DEXTROSE 40 % ORAL GEL,5.9,3.54,1.18,4.8,22 HCPCS,J3490,DEXTROSE 40 % ORAL GEL (NEONATAL) WRAPPER,5.9,3.54,1.18,4.8,22 HCPCS,J3490,DEXTROSE 5 % AND 0.2 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,81.0,48.6,16.22,65.61,19 HCPCS,J3490,DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,81.0,48.6,16.22,65.61,19 HCPCS,J3490,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,71.475,42.885000000000005,14.23,63.79,76 HCPCS,J3490,DEXTROSE 5 % IV BOLUS,111.75,67.05,14.71,121.5,38 HCPCS,J3490,DEXTROSE 5% WATER (D5W) NON-PVC,72.375,43.425,14.11,60.14,38 HCPCS,J3490,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION,39.7,23.82,7.95,32.16,19 HCPCS,J3490,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION BUILDER,39.7,23.82,7.95,32.16,19 HCPCS,J3490,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,60.85,36.51,12.18,49.47,22 HCPCS,J3490,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE/VIAL WRAPPER,57.75,34.65,11.56,46.95,22 HCPCS,J3490,DEXTROSE 70 % IN WATER (D70W) INTRAVENOUS SOLUTION,78.0,46.8,15.62,63.18,19 HCPCS,J3490,DIAZEPAM 10 MG TABLET,22.25,13.35,4.45,18.09,22 HCPCS,J3490,DIAZEPAM 5 MG TABLET,22.25,13.35,4.45,18.09,22 HCPCS,J3490,DIAZOXIDE 50 MG/ML ORAL SUSPENSION,1475.8,885.48,295.46,1199.83,22 HCPCS,J3490,DIBUCAINE 1 % TOPICAL OINTMENT,8.6,5.16,1.72,6.99,22 HCPCS,J3490,DICLOXACILLIN 250 MG CAPSULE,18.75,11.25,3.75,15.24,22 HCPCS,J3490,DICYCLOMINE 10 MG CAPSULE,18.0,10.8,3.6,14.63,22 HCPCS,J3490,DICYCLOMINE 20 MG TABLET,16.65,9.99,3.33,13.54,22 HCPCS,J3490,DIGOXIN 125 MCG (0.125 MG) TABLET,88.65,53.19,17.75,72.07,22 HCPCS,J3490,DIGOXIN 250 MCG (0.25 MG) TABLET,21.4,12.84,4.28,17.4,22 HCPCS,J3490,DIGOXIN 50 MCG/ML (0.05 MG/ML) ORAL SOLUTION,435.95,261.57,87.28,354.43,22 HCPCS,J3490,DILTIAZEM 100 MCG/ML IN NS,63.05,37.83,12.62,51.26,22 HCPCS,J3490,DILTIAZEM 100 MG INTRAVENOUS SOLUTION,67.95,40.77,13.6,55.24,22 HCPCS,J3490,DILTIAZEM 30 MG TABLET,16.6,9.96,3.32,13.5,22 HCPCS,J3490,DILTIAZEM 60 MG TABLET,21.25,12.75,4.25,17.28,22 HCPCS,J3490,DILTIAZEM 90 MG TABLET,17.5,10.5,3.5,14.23,22 HCPCS,J3490,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR",19.1,11.46,3.82,15.53,22 HCPCS,J3490,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR",19.25,11.55,3.85,15.65,22 HCPCS,J3490,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR",21.35,12.81,4.27,17.36,22 HCPCS,J3490,DILUENT FOR MITOMYCIN INTRA-PYELOCALYCEAL SOLUTION,0.2,0.12,0.04004,0.1626,22 HCPCS,J3490,"DINOPROSTONE ER 10 MG VAGINAL INSERT,CONTROLLED RELEASE",2216.75,1330.05,443.79,1802.22,22 HCPCS,J3490,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL ELIXIR,7.5,4.5,1.5,6.1,22 HCPCS,J3490,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,12.475,7.485,2.0,12.15,44 HCPCS,J3490,DIPHENHYDRAMINE-ZINC ACETATE 2 %-0.1 % TOPICAL CREAM,4.25,2.55,0.85085,3.46,22 HCPCS,J3490,DIPYRIDAMOLE 25 MG TABLET,20.75,12.45,4.15,16.87,22 HCPCS,J3490,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE",19.4,11.64,3.88,15.77,22 HCPCS,J3490,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE",16.3,9.78,3.26,13.25,22 HCPCS,J3490,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",16.5,9.9,3.3,13.41,22 HCPCS,J3490,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",21.9,13.14,4.38,17.8,22 HCPCS,J3490,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",25.95,15.57,5.2,21.1,22 HCPCS,J3490,DOCOSANOL 10 % TOPICAL CREAM,28.45,17.07,5.7,23.13,22 HCPCS,J3490,DOCUSATE SODIUM 100 MG CAPSULE,1.3,0.78,0.26026,1.06,22 HCPCS,J3490,DOCUSATE SODIUM 50 MG/5 ML ORAL LIQUID,1.5,0.9,0.3003,1.22,22 HCPCS,J3490,DOLUTEGRAVIR 50 MG TABLET,326.05,195.63,65.28,265.08,22 HCPCS,J3490,DONEPEZIL 10 MG TABLET,16.6,9.96,3.32,13.5,22 HCPCS,J3490,DONEPEZIL 5 MG TABLET,17.8,10.68,3.56,14.47,22 HCPCS,J3490,DORNASE ALFA 1 MG/ML SOLUTION FOR CHEST TUBE,1086.2,651.72,217.46,883.08,22 HCPCS,J3490,DORNASE ALFA 1 MG/ML SOLUTION FOR INHALATION,551.1,330.66,110.33,448.04,22 HCPCS,J3490,DORZOLAMIDE 2 % EYE DROPS,91.0,54.6,18.22,73.98,22 HCPCS,J3490,DOXEPIN 10 MG CAPSULE,18.15,10.89,3.63,14.76,22 HCPCS,J3490,DOXEPIN 25 MG CAPSULE,18.85,11.31,3.77,15.33,22 HCPCS,J3490,DOXEPIN 50 MG CAPSULE,19.9,11.94,3.98,16.18,22 HCPCS,J3490,DOXYCYCLINE HYCLATE 100 MG TABLET,31.35,18.81,6.28,25.49,22 HCPCS,J3490,DOXYCYCLINE MONOHYDRATE 25 MG/5 ML ORAL SUSPENSION,25.15,15.09,5.04,20.45,22 HCPCS,J3490,DOXYLAMINE SUCCINATE 25 MG TABLET,1.4,0.84,0.28028,1.14,22 HCPCS,J3490,DR. IRON'S DIAPER RASH CREAM,47.5,28.5,9.51,38.62,22 HCPCS,J3490,DRONEDARONE 400 MG TABLET,70.0,42.0,14.01,56.91,22 HCPCS,J3490,DROXIDOPA 100 MG CAPSULE,20.45,12.27,4.09,16.63,22 HCPCS,J3490,DROXIDOPA 200 MG CAPSULE,357.15,214.29,71.5,290.36,22 HCPCS,J3490,DROXIDOPA 300 MG CAPSULE,527.7,316.62,105.65,429.02,22 HCPCS,J3490,ECONAZOLE NITRATE 1 % TOPICAL CREAM,166.25,99.75,33.28,135.16,22 HCPCS,J3490,ELECTROLYTE-A INTRAVENOUS SOLUTION,114.0,68.4,22.82,92.68,22 HCPCS,J3490,ELVITEG 150 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO ALAFENAM 10 MG TABLET,578.15,346.89,115.75,470.04,22 HCPCS,J3490,EMPAGLIFLOZIN 10 MG TABLET,99.95,59.97,20.01,81.26,22 HCPCS,J3490,EMPAGLIFLOZIN 25 MG TABLET,99.95,59.97,20.01,81.26,22 HCPCS,J3490,EMTRICITABINE 200 MG CAPSULE,87.55,52.53,17.53,71.18,22 HCPCS,J3490,ENALAPRIL MALEATE 1 MG/ML ORAL SOLUTION,61.3,36.78,12.27,49.84,22 HCPCS,J3490,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION,94.07499999999999,56.445,17.08,83.62,44 HCPCS,J3490,ENALAPRILAT 125 MCG/ML IV SYRINGE NEONATAL,74.75,44.85,14.96,60.77,22 HCPCS,J3490,EPHEDRINE (PF) 25 MG/5 ML (5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SYRINGE WRAPPER,105.35,63.21,21.09,85.65,22 HCPCS,J3490,EPHEDRINE (PF) 50 MG/5 ML (10 MG/ML) IN 0.9% SOD. CHLORIDE IV SYRINGE,217.35,130.41,43.51,176.71,22 HCPCS,J3490,EPHEDRINE 50 MG/ML INJECTION WRAPPER,148.15,88.89,29.66,120.45,22 HCPCS,J3490,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,148.15,88.89,29.66,120.45,22 HCPCS,J3490,EPINEPHRINE HCL 8 MG/250 ML (32 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,97.15,58.29,19.45,78.98,22 HCPCS,J3490,EPLERENONE 25 MG TABLET,28.4,17.04,5.69,23.09,22 HCPCS,J3490,"ERGOCALCIFEROL (VITAMIN D2) 200 MCG/ML (8,000 UNIT/ML) ORAL DROPS",1.4,0.84,0.28028,1.14,22 HCPCS,J3490,ERYTHROMYCIN 250 MG TABLET,62.45,37.47,12.5,50.77,22 HCPCS,J3490,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,37.75,22.65,7.56,30.69,22 HCPCS,J3490,ERYTHROMYCIN ETHYLSUCCINATE 400 MG/5 ML ORAL POWDER FOR SUSPENSION,115.25,69.15,23.07,93.7,22 HCPCS,J3490,ESCITALOPRAM 10 MG TABLET,17.0,10.2,3.4,13.82,22 HCPCS,J3490,ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM,1050.3,630.18,210.27,853.89,22 HCPCS,J3490,ESTRADIOL 0.05 MG/24 HR WEEKLY TRANSDERMAL PATCH,92.3,55.38,18.48,75.04,22 HCPCS,J3490,ESTRADIOL 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,90.3,54.18,18.08,73.41,22 HCPCS,J3490,ESTRADIOL 0.5 MG TABLET,16.3,9.78,3.26,13.25,22 HCPCS,J3490,ESTRADIOL 1 MG TABLET,17.25,10.35,3.45,14.02,22 HCPCS,J3490,ETHACRYNIC ACID 25 MG TABLET,113.8,68.28,22.78,92.52,22 HCPCS,J3490,ETHAMBUTOL 100 MG TABLET,17.85,10.71,3.57,14.51,22 HCPCS,J3490,ETHYL ALCOHOL 99 % INTRA-ARTERIAL SOLUTION,4543.25,2725.95,909.56,3693.66,22 HCPCS,J3490,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,89.15,53.49,17.85,72.48,22 HCPCS,J3490,ETRAVIRINE 200 MG TABLET,115.9,69.54,23.2,94.23,22 HCPCS,J3490,EXEMESTANE 25 MG TABLET,31.7,19.02,6.35,25.77,22 HCPCS,J3490,EZETIMIBE 10 MG TABLET,57.35,34.41,11.48,46.63,22 HCPCS,J3490,FAMOTIDINE 20 MG TABLET,1.2,0.72,0.24024,0.9756,22 HCPCS,J3490,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION,47.5,28.5,9.51,38.62,22 HCPCS,J3490,FEBUXOSTAT 40 MG TABLET,60.05,36.03,12.02,48.82,22 HCPCS,J3490,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET,18.65,11.19,3.73,15.16,22 HCPCS,J3490,FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET,17.45,10.47,3.49,14.19,22 HCPCS,J3490,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.125 %-NACL INJECTION SOLUTION,86.5,51.9,17.32,70.32,22 HCPCS,J3490,FENTANYL 100 MCG/HR TRANSDERMAL PATCH,104.7,62.82,20.96,85.12,22 HCPCS,J3490,FENTANYL 12 MCG/HR TRANSDERMAL PATCH,70.75,42.45,14.16,57.52,22 HCPCS,J3490,"FENTANYL 12.5 MCG, BUPIVACAINE 0.2% (1.25 ML SYRINGE) CSE",22.65,13.59,4.53,18.41,22 HCPCS,J3490,FENTANYL 25 MCG/HR TRANSDERMAL PATCH,43.4,26.04,8.69,35.28,22 HCPCS,J3490,FENTANYL 50 MCG/HR TRANSDERMAL PATCH,60.0,36.0,12.01,48.78,22 HCPCS,J3490,FENTANYL 75 MCG/HR TRANSDERMAL PATCH,82.1,49.26,16.44,66.75,22 HCPCS,J3490,FERRIC SUBSULFATE (BULK) 20 TO 22 GRAM/100 ML SOLUTION,119.9,71.94,24.0,97.48,22 HCPCS,J3490,FERRIC SUBSULFATE TOPICAL PASTE,64.0,38.4,12.81,52.03,22 HCPCS,J3490,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS,14.8,8.88,2.96,12.03,22 HCPCS,J3490,FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID,6.3,3.78,1.26,5.12,22 HCPCS,J3490,FERROUS SULFATE 325 MG (65 MG IRON) TABLET,1.05,0.63,0.21021,0.85365,22 HCPCS,J3490,FIDAXOMICIN 200 MG TABLET,1057.0,634.2,211.61,859.34,22 HCPCS,J3490,FINASTERIDE 5 MG TABLET,16.55,9.93,3.31,13.46,22 HCPCS,J3490,FLECAINIDE 100 MG TABLET,19.8,11.88,3.96,16.1,22 HCPCS,J3490,FLECAINIDE 50 MG TABLET,18.3,10.98,3.66,14.88,22 HCPCS,J3490,FLUCONAZOLE 100 MG TABLET,20.0,12.0,4.0,16.26,22 HCPCS,J3490,FLUCONAZOLE 150 MG TABLET,24.1,14.46,4.82,19.59,22 HCPCS,J3490,FLUCONAZOLE 200 MG TABLET,21.35,12.81,4.27,17.36,22 HCPCS,J3490,FLUCONAZOLE 40 MG/ML ORAL SUSPENSION,192.55,115.53,38.55,156.54,22 HCPCS,J3490,FLUCYTOSINE 250 MG CAPSULE,350.7,210.42,70.21,285.12,22 HCPCS,J3490,FLUCYTOSINE 500 MG CAPSULE,385.55,231.33,77.19,313.45,22 HCPCS,J3490,FLUDROCORTISONE 0.1 MG TABLET,19.4,11.64,3.88,15.77,22 HCPCS,J3490,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,103.94999999999999,62.370000000000005,18.08,95.61,44 HCPCS,J3490,FLUOCINOLONE 0.01 % TOPICAL SOLUTION,116.3,69.78,23.28,94.55,22 HCPCS,J3490,FLUOCINONIDE 0.05 % TOPICAL CREAM,125.35,75.21,25.1,101.91,22 HCPCS,J3490,FLUOCINONIDE 0.05 % TOPICAL OINTMENT,71.5,42.9,14.31,58.13,22 HCPCS,J3490,FLUOCINONIDE 0.05 % TOPICAL SOLUTION,190.1,114.06,38.06,154.55,22 HCPCS,J3490,FLUORESCEIN 0.25 %-PROPARACAINE 0.5 % EYE DROPS,43.45,26.07,8.7,35.32,22 HCPCS,J3490,"FLUOROMETHOLONE 0.1 % EYE DROPS,SUSPENSION",521.3,312.78,104.36,423.82,22 HCPCS,J3490,FLUOXETINE 10 MG CAPSULE,16.25,9.75,3.25,13.21,22 HCPCS,J3490,FLUOXETINE 20 MG CAPSULE,16.2,9.72,3.24,13.17,22 HCPCS,J3490,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,23.799999999999997,14.280000000000001,4.04,22.28,44 HCPCS,J3490,FLUPHENAZINE 1 MG TABLET,22.0,13.2,4.4,17.89,22 HCPCS,J3490,FLUPHENAZINE 5 MG TABLET,28.6,17.16,5.73,23.25,22 HCPCS,J3490,FLUTICASONE FUROATE 100 MCG-VILANTEROL 25 MCG/DOSE INHALATION POWDER,486.7,292.02,97.44,395.69,22 HCPCS,J3490,FLUTICASONE FUROATE 100 MCG/ACTUATION BLISTER POWDER FOR INHALATION,307.9,184.74,61.64,250.32,22 HCPCS,J3490,FLUTICASONE FUROATE 200 MCG-VILANTEROL 25 MCG/DOSE INHALATION POWDER,486.7,292.02,97.44,395.69,22 HCPCS,J3490,FLUTICASONE FUROATE 200 MCG/ACTUATION BLISTER POWDER FOR INHALATION,406.8,244.08,81.44,330.73,22 HCPCS,J3490,"FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION",22.2,13.32,4.44,18.05,22 HCPCS,J3490,FLUVOXAMINE 50 MG TABLET,18.05,10.83,3.61,14.67,22 HCPCS,J3490,FOLIC ACID 1 MG TABLET,16.8,10.08,3.36,13.66,22 HCPCS,J3490,FUROSEMIDE 10 MG/ML ORAL SOLUTION,45.725,27.435,7.25,44.92,44 HCPCS,J3490,FUROSEMIDE 40 MG TABLET,16.8,10.08,3.36,13.66,22 HCPCS,J3490,GABAPENTIN 100 MG CAPSULE,27.85,16.71,5.58,22.64,22 HCPCS,J3490,GABAPENTIN 250 MG/5 ML ORAL SOLUTION,349.5,209.7,69.97,284.14,22 HCPCS,J3490,GABAPENTIN 300 MG CAPSULE,16.7,10.02,3.34,13.58,22 HCPCS,J3490,GABAPENTIN 400 MG CAPSULE,16.85,10.11,3.37,13.7,22 HCPCS,J3490,GATIFLOXACIN 0.5 % EYE DROPS,157.85,94.71,31.6,128.33,22 HCPCS,J3490,GATIFLOXACIN WITH ATROPINE (REX OR OSM),79.8,47.88,15.98,64.88,22 HCPCS,J3490,GELATIN ABSORBABLE EYE FILM,1011.8,607.08,202.56,822.59,22 HCPCS,J3490,GEMFIBROZIL 600 MG TABLET,17.05,10.23,3.41,13.86,22 HCPCS,J3490,GENTAMICIN 0.1 % TOPICAL CREAM,134.5,80.7,26.93,109.35,22 HCPCS,J3490,GLIPIZIDE 10 MG TABLET,18.55,11.13,3.71,15.08,22 HCPCS,J3490,GLIPIZIDE 5 MG TABLET,17.3,10.38,3.46,14.06,22 HCPCS,J3490,GLUCOSE 4 GRAM CHEWABLE TABLET,1.1,0.66,0.22022,0.8943,22 HCPCS,J3490,GLYBURIDE 2.5 MG TABLET,16.85,10.11,3.37,13.7,22 HCPCS,J3490,GLYCERIN (CHILD) RECTAL SUPPOSITORY,1.25,0.75,0.25025,1.02,22 HCPCS,J3490,GLYCOPYRROLATE 1 MG TABLET,16.55,9.93,3.31,13.46,22 HCPCS,J3490,GLYCOPYRROLATE 1 MG/5 ML (0.2 MG/ML) ORAL SOLUTION,525.45,315.27,105.2,427.19,22 HCPCS,J3490,GLYCOPYRROLATE 9 MCG-FORMOTEROL 4.8 MCG HFA AEROSOL INHALER,1350.15,810.09,270.3,1097.67,22 HCPCS,J3490,GUAIFENESIN 100 MG/5 ML ORAL LIQUID,1.375,0.825,0.22022,1.34,44 HCPCS,J3490,"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR",1.7,1.02,0.34034,1.38,22 HCPCS,J3490,GUANFACINE 1 MG TABLET,16.85,10.11,3.37,13.7,22 HCPCS,J3490,GUAR GUM ORAL PACKET,1.75,1.05,0.35035,1.42,22 HCPCS,J3490,HALOPERIDOL 1 MG TABLET,17.65,10.59,3.53,14.35,22 HCPCS,J3490,HALOPERIDOL 2 MG TABLET,18.25,10.95,3.65,14.84,22 HCPCS,J3490,HALOPERIDOL 5 MG TABLET,19.65,11.79,3.93,15.98,22 HCPCS,J3490,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE,18.1,10.86,3.35,16.42,66 HCPCS,J3490,HC Nxstage Therapy Solution,182.0,109.2,36.44,147.97,22 HCPCS,J3490,HISTAMINE 1 MG/ML (2.75 MG/ML) PERCUTANEOUS SOLUTION,146.2,87.72,29.27,118.86,22 HCPCS,J3490,HYDRALAZINE 10 MG TABLET,16.95,10.17,3.39,13.78,22 HCPCS,J3490,HYDRALAZINE 25 MG TABLET,16.9,10.14,3.38,13.74,22 HCPCS,J3490,HYDRALAZINE 4 MG/ML ORAL SOLN,803.5,482.1,160.86,653.25,22 HCPCS,J3490,HYDROCHLOROTHIAZIDE 25 MG TABLET,16.2,9.72,3.24,13.17,22 HCPCS,J3490,HYDROCHLOROTHIAZIDE 5 MG/ML ORAL SUSPENSION,27.525,16.515,4.13,27.97,44 HCPCS,J3490,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,24.1,14.46,4.82,19.59,22 HCPCS,J3490,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,22.5,13.5,4.5,18.29,22 HCPCS,J3490,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET,22.9,13.74,4.58,18.62,22 HCPCS,J3490,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,31.35,18.81,6.28,25.49,22 HCPCS,J3490,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML ORAL SOLUTION,23.6,14.16,4.72,19.19,22 HCPCS,J3490,HYDROCORTISONE 1 % TOPICAL CREAM,4.3,2.58,0.86086,3.5,22 HCPCS,J3490,HYDROCORTISONE 1 % TOPICAL OINTMENT,4.3,2.58,0.86086,3.5,22 HCPCS,J3490,HYDROCORTISONE 1 %-PRAMOXINE 1 % RECTAL FOAM,599.15,359.49,119.95,487.11,22 HCPCS,J3490,HYDROCORTISONE 10 MG TABLET,17.15,10.29,3.43,13.94,22 HCPCS,J3490,HYDROCORTISONE 100 MG/60 ML ENEMA,80.3,48.18,16.08,65.28,22 HCPCS,J3490,HYDROCORTISONE 2 MG/ML ORAL SUSPENSION,16.35,9.81,3.27,13.29,22 HCPCS,J3490,HYDROCORTISONE 2.5 % TOPICAL CREAM,27.45,16.47,5.5,22.32,22 HCPCS,J3490,HYDROCORTISONE 2.5 % TOPICAL OINTMENT,25.9,15.54,5.19,21.06,22 HCPCS,J3490,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,62.0,37.2,12.41,50.41,22 HCPCS,J3490,HYDROCORTISONE-ACETIC ACID 1 %-2 % EAR DROPS,422.4,253.44,84.56,343.41,22 HCPCS,J3490,HYDROGEN PEROXIDE 3 % SOLUTION,1.75,1.05,0.35035,1.42,22 HCPCS,J3490,HYDROMORPHONE 1 MG/ML ORAL LIQUID,32.4,19.44,6.49,26.34,22 HCPCS,J3490,HYDROMORPHONE 2 MG TABLET,22.55,13.53,4.51,18.33,22 HCPCS,J3490,HYDROMORPHONE 4 MG TABLET,22.7,13.62,4.54,18.46,22 HCPCS,J3490,HYDROXYCHLOROQUINE 200 MG TABLET,23.8,14.28,4.76,19.35,22 HCPCS,J3490,HYDROXYUREA 500 MG CAPSULE,28.7,17.22,5.75,23.33,22 HCPCS,J3490,"HYOSCYAMINE ER 0.375 MG TABLET,EXTENDED RELEASE,12 HR",17.2,10.32,3.44,13.98,22 HCPCS,J3490,HYOSCYAMINE SULFATE 0.125 MG TABLET,27.85,16.71,5.58,22.64,22 HCPCS,J3490,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,2.25,1.35,0.45045,1.83,22 HCPCS,J3490,IBUPROFEN 200 MG TABLET,1.15,0.69,0.23023,0.93495,22 HCPCS,J3490,IBUPROFEN 800 MG TABLET,16.3,9.78,3.26,13.25,22 HCPCS,J3490,IBUPROFEN LYSINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,1979.25,1187.55,396.25,1609.13,22 HCPCS,J3490,IC-GREEN 25 MG/25 ML IN DEXTROSE 5%,458.95,275.37,91.88,373.13,22 HCPCS,J3490,IMATINIB 100 MG TABLET,399.6,239.76,80.0,324.87,22 HCPCS,J3490,IMATINIB 50 MG SPLIT TABLET,27.45,16.47,5.5,22.32,22 HCPCS,J3490,INDOMETHACIN 1 MG INTRAVENOUS SOLUTION,2284.55,1370.73,457.37,1857.34,22 HCPCS,J3490,INDOMETHACIN 25 MG CAPSULE,16.9,10.14,3.38,13.74,22 HCPCS,J3490,INDOMETHACIN 50 MG RECTAL SUPPOSITORY,1391.25,834.75,278.53,1131.09,22 HCPCS,J3490,IODINE STRONG (LUGOLS) 5 % ORAL SOLUTION,18.1,10.86,3.62,14.72,22 HCPCS,J3490,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,18.05,10.83,3.61,14.67,22 HCPCS,J3490,IPRATROPIUM BROMIDE 0.02 % SOLN FOR CONTINUOUS NEBULIZATION,17.25,10.35,3.45,14.02,22 HCPCS,J3490,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,17.2,10.32,3.44,13.98,22 HCPCS,J3490,IPRATROPIUM BROMIDE 21 MCG (0.03 %) NASAL SPRAY,124.0,74.4,24.82,100.81,22 HCPCS,J3490,IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASAL SPRAY,124.0,74.4,24.82,100.81,22 HCPCS,J3490,ISOFLURANE 99.9 % INHALATION LIQUID,180.0,108.0,36.04,146.34,22 HCPCS,J3490,ISONIAZID 50 MG/5 ML ORAL SOLUTION,1023.5,614.1,204.9,832.11,22 HCPCS,J3490,ISOPROPYL ALCOHOL 70 % SOLUTION,3.2,1.92,0.64064,2.6,22 HCPCS,J3490,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,2404.75,1442.85,413.11,2232.5,44 HCPCS,J3490,ISOSORBIDE DINITRATE 10 MG TABLET,18.45,11.07,3.69,15.0,22 HCPCS,J3490,ISOSORBIDE DINITRATE 20 MG TABLET,18.9,11.34,3.78,15.37,22 HCPCS,J3490,ISOSORBIDE DINITRATE 5 MG TABLET,19.2,11.52,3.84,15.61,22 HCPCS,J3490,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",17.55,10.53,3.51,14.27,22 HCPCS,J3490,ISRADIPINE 1 MG/ML ORAL SUSPENSION,77.8,46.68,15.58,63.25,22 HCPCS,J3490,ISRADIPINE 2.5 MG CAPSULE,21.8,13.08,4.36,17.72,22 HCPCS,J3490,ITRACONAZOLE 100 MG CAPSULE,28.0,16.8,5.61,22.76,22 HCPCS,J3490,IVABRADINE 5 MG TABLET,57.75,34.65,11.56,46.95,22 HCPCS,J3490,IVABRADINE 5 MG/5 ML ORAL SOLUTION,23.85,14.31,4.77,19.39,22 HCPCS,J3490,IVABRADINE 7.5 MG TABLET,57.75,34.65,11.56,46.95,22 HCPCS,J3490,IVERMECTIN 3 MG TABLET,32.6,19.56,6.53,26.5,22 HCPCS,J3490,KETAMINE 10 MG/ML INJECTION SOLUTION,79.9,47.94,16.0,64.96,22 HCPCS,J3490,KETAMINE 10 MG/ML INJECTION SYRINGE WRAPPER,37.0,22.2,7.41,30.08,22 HCPCS,J3490,KETAMINE 100 MG/ML INJECTION SOLUTION,60.25,36.15,12.06,48.98,22 HCPCS,J3490,KETAMINE 100 MG/ML INTRANASAL SOLUTION,62.05,37.23,12.42,50.45,22 HCPCS,J3490,KETAMINE 1000 MG/100 ML (10 MG/ML) INFUSION (STRAIGHT DRUG),478.4,287.04,95.78,388.94,22 HCPCS,J3490,KETAMINE 50 MG/5 ML (10 MG/ML) IN SODIUM CHLORIDE IV SYRINGE WRAPPER,44.5,26.7,8.91,36.18,22 HCPCS,J3490,KETOCONAZOLE 200 MG TABLET,24.65,14.79,4.93,20.04,22 HCPCS,J3490,KETOROLAC 0.5 % EYE DROPS,154.2,92.52000000000001,20.02,169.43,44 HCPCS,J3490,KETOTIFEN 0.025 % (0.035 %) EYE DROPS,14.4,8.64,2.88,11.71,22 HCPCS,J3490,LABETALOL 100 MG TABLET,17.85,10.71,3.57,14.51,22 HCPCS,J3490,LABETALOL 200 MG TABLET,18.55,11.13,3.71,15.08,22 HCPCS,J3490,LABETALOL 40 MG/ML ORAL SUSP,25.0,15.0,5.0,20.32,22 HCPCS,J3490,LACOSAMIDE 100 MG TABLET,78.65,47.19,15.75,63.94,22 HCPCS,J3490,LACOSAMIDE 50 MG TABLET,61.85,37.11,12.38,50.28,22 HCPCS,J3490,"LACTASE 3,000 UNIT TABLET",1.15,0.69,0.23023,0.93495,22 HCPCS,J3490,LACTATED RINGERS IRRIGATION SOLUTION,81.0,48.6,16.22,65.61,19 HCPCS,J3490,LACTULOSE ENEMA 200 G/300 ML,34.0,20.4,6.81,27.64,22 HCPCS,J3490,LAMIVUDINE 10 MG/ML ORAL SOLUTION,348.65,209.19,69.8,283.45,22 HCPCS,J3490,LAMIVUDINE 150 MG TABLET,43.75,26.25,8.76,35.57,22 HCPCS,J3490,LAMOTRIGINE 1 MG/ML ORAL SOLN,19.0,11.4,3.8,15.45,22 HCPCS,J3490,LAMOTRIGINE 100 MG TABLET,61.7,37.02,12.35,50.16,22 HCPCS,J3490,LAMOTRIGINE 25 MG TABLET,16.75,10.05,3.35,13.62,22 HCPCS,J3490,"LANTHANUM 1,000 MG CHEWABLE TABLET",38.25,22.95,7.66,31.1,22 HCPCS,J3490,LANTHANUM 750 MG CHEWABLE TABLET,59.2,35.52,11.85,48.13,22 HCPCS,J3490,LATANOPROST 0.005 % EYE DROPS,48.1,28.86,9.63,39.11,22 HCPCS,J3490,LEECH,64.35,38.61,12.88,52.32,22 HCPCS,J3490,LEFLUNOMIDE 10 MG TABLET,20.4,12.24,4.08,16.59,22 HCPCS,J3490,LEFLUNOMIDE 20 MG TABLET,20.4,12.24,4.08,16.59,22 HCPCS,J3490,LETROZOLE 2.5 MG TABLET,26.2,15.72,5.25,21.3,22 HCPCS,J3490,LEUCOVORIN CALCIUM 25 MG TABLET,51.8,31.08,10.37,42.11,22 HCPCS,J3490,LEUCOVORIN CALCIUM 5 MG TABLET,20.4,12.24,4.08,16.59,22 HCPCS,J3490,LEVALBUTEROL 0.31 MG/3 ML SOLUTION FOR NEBULIZATION,36.65,21.99,7.34,29.8,22 HCPCS,J3490,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,22.4,13.44,4.48,18.21,22 HCPCS,J3490,LEVETIRACETAM 100 MG/ML ORAL SOLUTION,105.4,63.24,21.1,85.69,22 HCPCS,J3490,LEVETIRACETAM 250 MG TABLET,17.0,10.2,3.4,13.82,22 HCPCS,J3490,LEVETIRACETAM 500 MG TABLET,16.85,10.11,3.37,13.7,22 HCPCS,J3490,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,39.2,23.52,7.85,31.87,22 HCPCS,J3490,LEVOCARNITINE 330 MG TABLET,2.95,1.77,0.59059,2.4,22 HCPCS,J3490,LEVOFLOXACIN 250 MG TABLET,16.9,10.14,3.38,13.74,22 HCPCS,J3490,LEVOFLOXACIN 250 MG/10 ML ORAL SOLUTION,1146.7,688.02,137.38,1306.65,44 HCPCS,J3490,LEVOFLOXACIN 500 MG TABLET,17.0,10.2,3.4,13.82,22 HCPCS,J3490,LEVOFLOXACIN 750 MG TABLET,17.8,10.68,3.56,14.47,22 HCPCS,J3490,LEVOTHYROXINE 100 MCG TABLET,17.7,10.62,3.54,14.39,22 HCPCS,J3490,LEVOTHYROXINE 112 MCG TABLET,18.4,11.04,3.68,14.96,22 HCPCS,J3490,LEVOTHYROXINE 125 MCG TABLET,18.0,10.8,3.6,14.63,22 HCPCS,J3490,LEVOTHYROXINE 150 MCG TABLET,22.65,13.59,4.53,18.41,22 HCPCS,J3490,LEVOTHYROXINE 200 MCG TABLET,18.45,11.07,3.69,15.0,22 HCPCS,J3490,LEVOTHYROXINE 25 MCG TABLET,17.8,10.68,3.56,14.47,22 HCPCS,J3490,LEVOTHYROXINE 50 MCG TABLET,18.0,10.8,3.6,14.63,22 HCPCS,J3490,LEVOTHYROXINE 75 MCG TABLET,18.2,10.92,3.64,14.8,22 HCPCS,J3490,LEVOTHYROXINE 88 MCG TABLET,18.05,10.83,3.61,14.67,22 HCPCS,J3490,LIDOCAINE (PF) 20 MG/ML (2 %) ATOMIZED SOLUTION,32.35,19.41,5.16,39.76,66 HCPCS,J3490,LIDOCAINE (PF) 3.5 % EYE GEL,86.1,51.66,17.24,70.0,22 HCPCS,J3490,LIDOCAINE 1 %-PHENYLEPHRINE 1.5 % IN STERILE WATER INTRAOCULAR SOLN,131.6,78.96,26.35,106.99,22 HCPCS,J3490,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR,27.275,16.365,4.73,25.12,44 HCPCS,J3490,LIDOCAINE 4 % TOPICAL CREAM,11.85,7.11,2.37,9.63,22 HCPCS,J3490,LIDOCAINE 4 % TOPICAL PATCH,2.7,1.62,0.54054,2.2,22 HCPCS,J3490,LIDOCAINE 4 %-RACEPINEPHRINE 0.05 %-TETRACAINE 0.5 % TOPICAL GEL,47.8,28.68,9.57,38.86,22 HCPCS,J3490,LIDOCAINE 5 % TOPICAL OINTMENT,736.0,441.6,147.35,598.37,22 HCPCS,J3490,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,16.35,9.81,3.27,13.29,22 HCPCS,J3490,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION,34.0,20.4,6.81,27.64,22 HCPCS,J3490,LIDOCAINE HCL 4 % LARYNGOTRACHEAL SOLUTION,106.6,63.96,21.34,86.67,22 HCPCS,J3490,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,40.8,24.48,8.17,33.17,22 HCPCS,J3490,LINAGLIPTIN 5 MG TABLET,86.05,51.63,17.23,69.96,22 HCPCS,J3490,LINEZOLID 100 MG/5 ML ORAL SUSPENSION,752.65,451.59,150.68,611.9,22 HCPCS,J3490,LINEZOLID 600 MG TABLET,30.0,18.0,6.01,24.39,22 HCPCS,J3490,LIOTHYRONINE 10 MCG/ML INTRAVENOUS SOLUTION,1839.6,1103.76,368.29,1495.59,22 HCPCS,J3490,LIOTHYRONINE 25 MCG TABLET,18.15,10.89,3.63,14.76,22 HCPCS,J3490,LIOTHYRONINE 5 MCG TABLET,18.55,11.13,3.71,15.08,22 HCPCS,J3490,"LIPASE-PROTEASE-AMYLAS(PORK)24,000-76,000-120,000 UNIT CAPSULE,DEL REL",50.05,30.03,10.02,40.69,22 HCPCS,J3490,"LIPASE-PROTEASE-AMYLASE (PORK)6,000-19,000-30,000 UNIT CAPSULE,DEL REL",24.6,14.76,4.92,20.0,22 HCPCS,J3490,"LIPASE-PROTEASE-AMYLASE 24,000-76,000-120,000 UNIT CAPSULE,DELAYED REL (TUBE DECLOG)",50.05,30.03,10.02,40.69,22 HCPCS,J3490,"LIPASE-PROTEASE-AMYLASE(PORK)12,000-38,000-60,000 UNIT CAPSULE,DEL REL",33.2,19.92,6.65,26.99,22 HCPCS,J3490,LISDEXAMFETAMINE 20 MG CAPSULE,40.65,24.39,8.14,33.05,22 HCPCS,J3490,LISINOPRIL 1 MG/ML ORAL SOLUTION,2747.2,1648.32,549.99,2233.47,22 HCPCS,J3490,LISINOPRIL 10 MG TABLET,16.5,9.9,3.3,13.41,22 HCPCS,J3490,LISINOPRIL 20 MG TABLET,16.5,9.9,3.3,13.41,22 HCPCS,J3490,LISINOPRIL 5 MG TABLET,16.15,9.69,3.23,13.13,22 HCPCS,J3490,LITHIUM CARBONATE 300 MG TABLET,17.1,10.26,3.42,13.9,22 HCPCS,J3490,"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE",17.35,10.41,3.47,14.11,22 HCPCS,J3490,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE",17.75,10.65,3.55,14.43,22 HCPCS,J3490,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,9.024999999999999,5.415,1.02,10.53,44 HCPCS,J3490,LOPERAMIDE 2 MG CAPSULE,2.15,1.29,0.43043,1.75,22 HCPCS,J3490,LOPINAVIR-RITONAVIR 400 MG-100 MG/5 ML ORAL SOLUTION,1552.0,931.2,310.71,1261.78,22 HCPCS,J3490,LORATADINE 10 MG TABLET,1.65,0.99,0.33033,1.34,22 HCPCS,J3490,LORATADINE 5 MG/5 ML ORAL SOLUTION,1.55,0.93,0.31031,1.26,22 HCPCS,J3490,LORAZEPAM 2 MG/ML ORAL CONCENTRATE,70.25,42.15,4.76,94.88,44 HCPCS,J3490,LOSARTAN 100 MG TABLET,18.8,11.28,3.76,15.28,22 HCPCS,J3490,LOSARTAN 2.5 MG/ML ORAL SUSP,70.0,42.0,14.01,56.91,22 HCPCS,J3490,LOSARTAN 25 MG TABLET,16.35,9.81,3.27,13.29,22 HCPCS,J3490,LOSARTAN 50 MG TABLET,18.45,11.07,3.69,15.0,22 HCPCS,J3490,LUBIPROSTONE 8 MCG CAPSULE,20.0,12.0,4.0,16.26,22 HCPCS,J3490,LURASIDONE 20 MG TABLET,205.2,123.12,41.08,166.83,22 HCPCS,J3490,LURASIDONE 40 MG TABLET,205.2,123.12,41.08,166.83,22 HCPCS,J3490,MAGIC MOUTHWASH ORAL SUSPENSION,16.15,9.69,3.23,13.13,22 HCPCS,J3490,MAGNESIUM CITRATE ORAL SOLUTION,4.25,2.55,0.85085,3.46,22 HCPCS,J3490,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION,1.3,0.78,0.21021,1.26,44 HCPCS,J3490,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET,1.1,0.66,0.22022,0.8943,22 HCPCS,J3490,MANGANESE CHLORIDE 0.1 MG/ML INTRAVENOUS SOLUTION,185.65,111.39,37.17,150.93,22 HCPCS,J3490,MECLIZINE 12.5 MG TABLET,1.75,1.05,0.35035,1.42,22 HCPCS,J3490,MEDROXYPROGESTERONE 10 MG TABLET,17.1,10.26,3.42,13.9,22 HCPCS,J3490,MEDROXYPROGESTERONE 2.5 MG TABLET,16.6,9.96,3.32,13.5,22 HCPCS,J3490,MELATONIN 3 MG TABLET,1.1,0.66,0.22022,0.8943,22 HCPCS,J3490,MELOXICAM 15 MG TABLET,16.2,9.72,3.24,13.17,22 HCPCS,J3490,MELOXICAM 7.5 MG TABLET,16.7,10.02,3.34,13.58,22 HCPCS,J3490,MEMANTINE 10 MG TABLET,18.7,11.22,3.74,15.2,22 HCPCS,J3490,MEMANTINE 5 MG TABLET,17.95,10.77,3.59,14.59,22 HCPCS,J3490,MENTHOL LOZENGES WRAPPER,1.1,0.66,0.22022,0.8943,22 HCPCS,J3490,MERCAPTOPURINE 25 MG (ONCOLOGY) SPLIT TAB,28.7,17.22,5.75,23.33,22 HCPCS,J3490,MERCAPTOPURINE 25 MG SPLIT TAB,28.7,17.22,5.75,23.33,22 HCPCS,J3490,MERCAPTOPURINE 50 MG (ONCOLOGY) TABLET,37.7,22.62,7.55,30.65,22 HCPCS,J3490,MERCAPTOPURINE 50 MG TABLET,37.7,22.62,7.55,30.65,22 HCPCS,J3490,"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE",53.45,32.07,10.7,43.45,22 HCPCS,J3490,MESALAMINE 4 GRAM/60 ML ENEMA,46.1,27.66,9.23,37.48,22 HCPCS,J3490,"METFORMIN 1,000 MG TABLET",16.7,10.02,3.34,13.58,22 HCPCS,J3490,METFORMIN 500 MG TABLET,16.2,9.72,3.24,13.17,22 HCPCS,J3490,METFORMIN 850 MG TABLET,16.9,10.14,3.38,13.74,22 HCPCS,J3490,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",18.0,10.8,3.6,14.63,22 HCPCS,J3490,"METFORMIN ER 750 MG TABLET,EXTENDED RELEASE 24 HR",17.7,10.62,3.54,14.39,22 HCPCS,J3490,METHADONE 10 MG TABLET,23.4,14.04,4.68,19.02,22 HCPCS,J3490,METHADONE 10 MG/ML ORAL CONCENTRATE,175.0,105.0,35.03,142.28,22 HCPCS,J3490,METHADONE 5 MG/5 ML ORAL SOLUTION,70.5,42.3,4.6,95.93,44 HCPCS,J3490,METHIMAZOLE 2.5 MG SPLIT TABLET,16.2,9.72,3.24,13.17,22 HCPCS,J3490,METHOCARBAMOL 500 MG TABLET,16.35,9.81,3.27,13.29,22 HCPCS,J3490,METHOHEXITAL 500 MG SOLUTION FOR INJECTION,356.6,213.96,71.39,289.92,22 HCPCS,J3490,METHYLERGONOVINE 0.2 MG TABLET,231.15,138.69,46.28,187.92,22 HCPCS,J3490,METHYLPHENIDATE 5 MG TABLET,22.6,13.56,4.52,18.37,22 HCPCS,J3490,METOCLOPRAMIDE 10 MG TABLET,19.2,11.52,3.84,15.61,22 HCPCS,J3490,METOCLOPRAMIDE 5 MG TABLET,19.05,11.43,3.81,15.49,22 HCPCS,J3490,METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION,32.2,19.32,6.45,26.18,22 HCPCS,J3490,METOLAZONE 10 MG TABLET,19.6,11.76,3.92,15.93,22 HCPCS,J3490,METOLAZONE 2.5 MG TABLET,27.0,16.2,5.41,21.95,22 HCPCS,J3490,METOLAZONE 5 MG TABLET,28.45,17.07,5.7,23.13,22 HCPCS,J3490,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",21.6,12.96,4.32,17.56,22 HCPCS,J3490,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",19.5,11.7,3.9,15.85,22 HCPCS,J3490,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",19.5,11.7,3.9,15.85,22 HCPCS,J3490,METOPROLOL TARTRATE 10 MG/ML ORAL SOLN,88.0,52.8,17.62,71.54,22 HCPCS,J3490,METOPROLOL TARTRATE 100 MG TABLET,16.5,9.9,3.3,13.41,22 HCPCS,J3490,METOPROLOL TARTRATE 25 MG TABLET,16.1,9.66,3.22,13.09,22 HCPCS,J3490,METOPROLOL TARTRATE 50 MG TABLET,16.45,9.87,3.29,13.37,22 HCPCS,J3490,METOPROLOL TARTRATE 6.25 MG SPLIT QUARTER TABLET,16.05,9.63,3.21,13.05,22 HCPCS,J3490,METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL,76.1,45.66,15.24,61.87,22 HCPCS,J3490,METRONIDAZOLE 250 MG TABLET,17.65,10.59,3.53,14.35,22 HCPCS,J3490,METRONIDAZOLE 50 MG/ML ORAL SUSP,74.8,44.88,14.97,60.81,22 HCPCS,J3490,METRONIDAZOLE 500 MG TABLET,18.65,11.19,3.73,15.16,22 HCPCS,J3490,MEXILETINE 150 MG CAPSULE,21.2,12.72,4.24,17.24,22 HCPCS,J3490,MEXILETINE 200 MG CAPSULE,19.8,11.88,3.96,16.1,22 HCPCS,J3490,MICONAZOLE NITRATE 2 % TOPICAL POWDER,8.5,5.1,1.7,6.91,22 HCPCS,J3490,MICONAZOLE NITRATE 2 % VAGINAL CREAM,13.5,8.1,2.7,10.98,22 HCPCS,J3490,MICONAZOLE NITRATE 200 MG VAGINAL SUPPOSITORY,207.05,124.23,41.45,168.33,22 HCPCS,J3490,MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP,40.35,24.21,8.08,32.8,22 HCPCS,J3490,MIDAZOLAM 2 MG/ML ORAL LIQUID WRAPPER,226.25,135.75,8.08,335.08,44 HCPCS,J3490,MIDODRINE 10 MG TABLET,18.4,11.04,3.68,14.96,22 HCPCS,J3490,MIDODRINE 2.5 MG TABLET,17.0,10.2,3.4,13.82,22 HCPCS,J3490,MIDODRINE 5 MG TABLET,20.6,12.36,4.12,16.75,22 HCPCS,J3490,MIDOSTAURIN 25 MG CAPSULE,896.7,538.02,179.52,729.02,22 HCPCS,J3490,MIFEPRISTONE 200 MG TABLET,216.0,129.6,43.24,175.61,22 HCPCS,J3490,"MINERAL OIL, LIGHT STERILE",107.15,64.29,21.45,87.11,22 HCPCS,J3490,MINOCYCLINE 50 MG CAPSULE,17.1,10.26,3.42,13.9,22 HCPCS,J3490,MINOXIDIL 10 MG TABLET,18.6,11.16,3.72,15.12,22 HCPCS,J3490,MINOXIDIL 2.5 MG TABLET,18.1,10.86,3.62,14.72,22 HCPCS,J3490,"MIRABEGRON ER 25 MG TABLET,EXTENDED RELEASE 24 HR",77.4,46.44,15.5,62.93,22 HCPCS,J3490,MIRTAZAPINE 15 MG DISINTEGRATING TABLET,17.75,10.65,3.55,14.43,22 HCPCS,J3490,MISOPROSTOL 25 MCG SPLIT TABLET,16.7,10.02,3.34,13.58,22 HCPCS,J3490,MODAFINIL 200 MG TABLET,90.95,54.57,18.21,73.94,22 HCPCS,J3490,MONTELUKAST 10 MG TABLET,17.35,10.41,3.47,14.11,22 HCPCS,J3490,MONTELUKAST 5 MG CHEWABLE TABLET,19.8,11.88,3.96,16.1,22 HCPCS,J3490,MORPHINE 0.4 MG/ML ORAL SOLUTION (NEONATAL),22.15,13.29,4.43,18.01,22 HCPCS,J3490,MORPHINE 10 MG RECTAL SUPPOSITORY,37.0,22.2,7.41,30.08,22 HCPCS,J3490,MORPHINE 10 MG/5 ML ORAL SOLUTION,26.1,15.66,4.42,73.98,66 HCPCS,J3490,MORPHINE 15 MG IMMEDIATE RELEASE TABLET,23.3,13.98,4.66,18.94,22 HCPCS,J3490,MORPHINE CONCENTRATE 20 MG/ML ORAL SOLUTION WRAPPER,22.9,13.74,4.58,18.62,22 HCPCS,J3490,"MORPHINE ER 10 MG CAPSULE,EXTENDED RELEASE PELLETS",33.4,20.04,6.69,27.15,22 HCPCS,J3490,"MORPHINE ER 100 MG TABLET,EXTENDED RELEASE",38.45,23.07,7.7,31.26,22 HCPCS,J3490,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",23.45,14.07,4.69,19.06,22 HCPCS,J3490,"MORPHINE ER 30 MG CAPSULE,EXTENDED RELEASE 24 HR MULTIPHASE",35.8,21.48,7.17,29.11,22 HCPCS,J3490,"MORPHINE ER 30 MG CAPSULE,EXTENDED RELEASE PELLETS",35.65,21.39,7.14,28.98,22 HCPCS,J3490,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",27.25,16.35,5.46,22.15,22 HCPCS,J3490,"MORPHINE ER 60 MG TABLET,EXTENDED RELEASE",32.2,19.32,6.45,26.18,22 HCPCS,J3490,MULTIVIT AND MINERALS-FERROUS GLUCONATE 9 MG IRON/15 ML ORAL LIQUID,1.6,0.96,0.28028,1.34,66 HCPCS,J3490,MULTIVITAMIN-IRON 9 MG-FOLIC ACID 400 MCG-CALCIUM AND MINERALS TABLET,1.25,0.75,0.25025,1.02,22 HCPCS,J3490,"MVI, ADULT NO.4, VIT K (VIAL 2 OF 2) 600 MCG-60 MCG-5 MCG/5 ML IV SOLN",95.3,57.18,19.08,77.48,22 HCPCS,J3490,"MVI, PEDI NO.1 WITH VIT K 80 MG-400 UNIT-200 MCG/5 ML INTRAVENOUS SOLN",438.15000000000003,262.89,25.12,610.44,44 HCPCS,J3490,"MVI,ADULT NO.4 WITH VIT K 3300 UNIT-150 MCG/10 ML INTRAVENOUS SOLUTION",83.375,50.025000000000006,16.17,69.92,44 HCPCS,J3490,"MVI,ADULT NO.4,VIT K,COMP(VIAL 1 OF 2) 3,300 UNIT-150 MCG/5 ML IV SOLN",95.3,57.18,19.08,77.48,22 HCPCS,J3490,NALOXEGOL 12.5 MG TABLET,74.2,44.52,14.85,60.32,22 HCPCS,J3490,NALOXEGOL 25 MG TABLET,74.2,44.52,14.85,60.32,22 HCPCS,J3490,NALTREXONE 50 MG TABLET,27.55,16.53,5.52,22.4,22 HCPCS,J3490,NAPROXEN 250 MG TABLET,17.05,10.23,3.41,13.86,22 HCPCS,J3490,NAPROXEN 500 MG TABLET,16.9,10.14,3.38,13.74,22 HCPCS,J3490,"NEOMYCIN 3.5 MG-POLYMYXIN 10,000 UNIT-HYDROCORT 10 MG/ML EYE DROP,SUSP",465.05,279.03,93.1,378.09,22 HCPCS,J3490,"NEOMYCIN 3.5 MG/G-POLYMYXIN B 10,000 UNIT/G-DEXAMETH 0.1 % EYE OINT",70.05,42.03,14.02,56.95,22 HCPCS,J3490,"NEOMYCIN-BACITRACN ZN-POLYMYX 3.5 MG-400 UNIT-5,000 UNIT/GRAM TOP OINT",5.25,3.15,1.05,4.27,22 HCPCS,J3490,"NEOMYCIN-BACITRACN ZN-POLYMYXN 3.5 MG-400 UNIT-5,000 UNIT TOP OINT PKT",2.9,1.74,0.58058,2.36,22 HCPCS,J3490,"NEOMYCIN-POLYMYXIN-DEXAMETH 3.5 MG/ML-10,000 UNIT/ML-0.1% EYE DROPS",63.7,38.22,12.75,51.79,22 HCPCS,J3490,"NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG-10,000 UNIT/ML-1 % EAR DROPS,SUSP",267.7,160.62,53.59,217.64,22 HCPCS,J3490,NEONATAL AA 3.75%/HEPARIN 0.5 UNIT/ML/ D10W 200ML,78.35,47.01,15.69,63.7,22 HCPCS,J3490,NEONATAL AA ISOTONIC 3.6%/HEPARIN 1 UNIT/ML,215.6,129.36,43.16,175.28,22 HCPCS,J3490,NEVIRAPINE 50 MG/5 ML ORAL SUSPENSION,53.9,32.34,10.79,43.82,22 HCPCS,J3490,NICOTINE (POLACRILEX) 2 MG GUM,1.5,0.9,0.3003,1.22,22 HCPCS,J3490,NICOTINE (POLACRILEX) 4 MG GUM,1.45,0.87,0.29029,1.18,22 HCPCS,J3490,NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH,3.7,2.22,0.74074,3.01,22 HCPCS,J3490,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH,3.9,2.34,0.78078,3.17,22 HCPCS,J3490,NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH,3.7,2.22,0.74074,3.01,22 HCPCS,J3490,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",20.3,12.18,4.06,16.5,22 HCPCS,J3490,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",25.9,15.54,5.19,21.06,22 HCPCS,J3490,NILOTINIB HCL 150 MG CAPSULE,798.05,478.83,159.77,648.81,22 HCPCS,J3490,NILOTINIB HCL 200 MG CAPSULE,798.05,478.83,159.77,648.81,22 HCPCS,J3490,NIMODIPINE 30 MG CAPSULE,27.5,16.5,5.51,22.36,22 HCPCS,J3490,NIMODIPINE 60 MG/10 ML ORAL SYRINGE (FOR ORAL USE ONLY),176.25,105.75,35.29,143.29,22 HCPCS,J3490,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,31.45,18.87,6.3,25.57,22 HCPCS,J3490,NITROGLYCERIN 0.1 MG/HR TRANSDERMAL 24 HOUR PATCH,18.45,11.07,3.69,15.0,22 HCPCS,J3490,NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH,18.85,11.31,3.77,15.33,22 HCPCS,J3490,NITROGLYCERIN 0.3 MG/HR TRANSDERMAL 24 HOUR PATCH,228.0,136.8,45.65,185.36,22 HCPCS,J3490,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,53.7,32.22,10.75,43.66,22 HCPCS,J3490,NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH,19.3,11.58,3.86,15.69,22 HCPCS,J3490,NITROGLYCERIN 0.6 MG/HR TRANSDERMAL 24 HOUR PATCH,20.15,12.09,4.03,16.38,22 HCPCS,J3490,NITROGLYCERIN 2 % TRANSDERMAL OINTMENT,25.7,15.42,5.15,20.89,22 HCPCS,J3490,NITROPRUSSIDE 10 MCG/ML INTRAVENOUS SOLUTION,63.25,37.95,12.66,51.42,22 HCPCS,J3490,NOREPINEPHRINE 1 MCG/ML CATH/EP SOLUTION,63.05,37.83,12.62,51.26,22 HCPCS,J3490,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,157.4,94.44,31.51,127.97,22 HCPCS,J3490,NOREPINEPHRINE BITARTRATE 8 MG/250 ML (32 MCG/ML) IN DEXTROSE 5 % IV,179.4,107.64,35.92,145.85,22 HCPCS,J3490,NORETHINDRONE (CONTRACEPTIVE) 0.35 MG TABLET,30.9,18.54,6.19,25.12,22 HCPCS,J3490,NORETHINDRONE ACETATE 5 MG TABLET,23.45,14.07,4.69,19.06,22 HCPCS,J3490,NORFLURANE-PENTAFLUOROPROPANE TOPICAL SPRAY,16.05,9.63,3.21,13.05,22 HCPCS,J3490,NORGESTIMATE 0.25 MG-ETHINYL ESTRADIOL 0.035 MG TABLET,102.95,61.77,20.61,83.7,22 HCPCS,J3490,NORTRIPTYLINE 10 MG CAPSULE,16.8,10.08,3.36,13.66,22 HCPCS,J3490,NORTRIPTYLINE 10 MG/5 ML ORAL SOLUTION,585.05,351.03,117.13,475.65,22 HCPCS,J3490,NORTRIPTYLINE 25 MG CAPSULE,17.1,10.26,3.42,13.9,22 HCPCS,J3490,NXSTAGE RFP 400 (+/- BB) - CONTAINS 2 MEQ/L POTASSIUM,243.0,145.8,48.65,197.56,22 HCPCS,J3490,NXSTAGE RFP 402 - CONTAINS NO POTASSIUM,243.0,145.8,48.65,197.56,22 HCPCS,J3490,NXSTAGE RFP 404 - CONTAINS 4 MEQ/L POTASSIUM,243.0,145.8,48.65,197.56,22 HCPCS,J3490,NXSTAGE RFP 453 - CONTAINS POTASSIUM 2 MEQ/L (CALCIUM FREE),273.0,163.8,54.65,221.95,22 HCPCS,J3490,NXSTAGE RFP 454 - CONTAINS POTASSIUM 4 MEQ/L (CALCIUM FREE),273.0,163.8,54.65,221.95,22 HCPCS,J3490,NXSTAGE/MULTIBIC RFP 401 (+/- BB) - CONTAINS 4 MEQ/L POTASSIUM,273.0,163.8,54.65,221.95,22 HCPCS,J3490,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM",58.0,34.8,11.61,47.15,22 HCPCS,J3490,"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT",58.0,34.8,11.61,47.15,22 HCPCS,J3490,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",37.05,22.23,7.42,30.12,22 HCPCS,J3490,OFLOXACIN 0.3 % EYE DROPS,106.0,63.6,21.22,86.18,22 HCPCS,J3490,OLANZAPINE 10 MG DISINTEGRATING TABLET,26.5,15.9,5.31,21.54,22 HCPCS,J3490,OLANZAPINE 10 MG TABLET,19.15,11.49,3.83,15.57,22 HCPCS,J3490,OLANZAPINE 5 MG DISINTEGRATING TABLET,23.15,13.89,4.63,18.82,22 HCPCS,J3490,ONDANSETRON 4 MG DISINTEGRATING TABLET,18.45,11.07,3.69,15.0,22 HCPCS,J3490,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,28.6,17.16,5.73,23.25,22 HCPCS,J3490,ONDANSETRON HCL 8 MG TABLET,18.2,10.92,3.64,14.8,22 HCPCS,J3490,OPIUM TINCTURE 10 MG/ML (MORPHINE) ORAL,25.45,15.27,5.1,20.69,22 HCPCS,J3490,OSELTAMIVIR 30 MG CAPSULE,71.75,43.05,14.36,58.33,22 HCPCS,J3490,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION,471.6,282.96,94.41,383.41,22 HCPCS,J3490,OSELTAMIVIR 75 MG CAPSULE,76.8,46.08,15.38,62.44,22 HCPCS,J3490,OXCARBAZEPINE 300 MG TABLET,19.55,11.73,3.91,15.89,22 HCPCS,J3490,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,25.95,15.57,5.2,21.1,22 HCPCS,J3490,OXYBUTYNIN CHLORIDE 5 MG TABLET,18.4,11.04,3.68,14.96,22 HCPCS,J3490,OXYBUTYNIN CHLORIDE 5 MG/5 ML ORAL SYRUP,16.3,9.78,3.26,13.25,22 HCPCS,J3490,OXYCODONE 5 MG TABLET,23.35,14.01,4.67,18.98,22 HCPCS,J3490,OXYCODONE 5 MG/5 ML ORAL SOLUTION,23.0,13.8,4.6,18.7,22 HCPCS,J3490,"OXYCODONE ER 10 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",39.5,23.7,7.91,32.11,22 HCPCS,J3490,"OXYCODONE ER 15 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",47.7,28.62,9.55,38.78,22 HCPCS,J3490,"OXYCODONE ER 20 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",54.55,32.73,10.92,44.35,22 HCPCS,J3490,"OXYCODONE ER 40 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",77.7,46.62,15.56,63.17,22 HCPCS,J3490,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,29.9,17.94,5.99,24.31,22 HCPCS,J3490,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,23.25,13.95,4.65,18.9,22 HCPCS,J3490,OXYMETAZOLINE 0.05 % NASAL SPRAY,10.5,6.3,2.1,8.54,22 HCPCS,J3490,PANTOPRAZOLE 2 MG/ML ORAL SUSPENSION,27.05,16.23,5.42,21.99,22 HCPCS,J3490,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE",16.45,9.87,3.29,13.37,22 HCPCS,J3490,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",17.2,10.32,3.44,13.98,22 HCPCS,J3490,PARENTERAL AMINO ACID 10 % COMBINATION NO.7 INTRAVENOUS SOLUTION,289.8,173.88,58.02,235.61,22 HCPCS,J3490,PARENTERAL AMINO ACID 15 % COMBINATION NO.5 INTRAVENOUS SOLUTION,525.0,315.0,105.11,426.82,22 HCPCS,J3490,PARENTERAL AMINO ACID 15 % COMBINATION NO.6 INTRAVENOUS SOLUTION,245.0,147.0,40.64,233.33,44 HCPCS,J3490,PAROXETINE 10 MG TABLET,19.2,11.52,3.84,15.61,22 HCPCS,J3490,PAROXETINE 20 MG TABLET,17.3,10.38,3.46,14.06,22 HCPCS,J3490,PEDIATRIC MULTIVITAMIN ORAL DROPS WRAPPER,1.1,0.66,0.22022,0.8943,66 HCPCS,J3490,PEDIATRIC MULTIVITAMIN-FERROUS SULFATE 11 MG/ML ORAL DROPS WRAPPER,1.1,0.66,0.22022,0.8943,22 HCPCS,J3490,PEG-ELECTROLYTE ORAL SOLUTION WRAPPER,88.0,52.8,17.62,71.54,22 HCPCS,J3490,PENICILLIN V POTASSIUM 250 MG/5 ML ORAL SOLUTION,42.7,25.62,8.55,34.72,22 HCPCS,J3490,PENICILLIN V POTASSIUM 500 MG TABLET,16.8,10.08,3.36,13.66,22 HCPCS,J3490,"PENTOXIFYLLINE ER 400 MG TABLET,EXTENDED RELEASE",17.25,10.35,3.45,14.02,22 HCPCS,J3490,PERAMPANEL 2 MG TABLET,84.1,50.46,16.84,68.37,22 HCPCS,J3490,PERMETHRIN 1 % TOPICAL LIQUID,13.75,8.25,2.75,11.18,22 HCPCS,J3490,PERMETHRIN 5 % TOPICAL CREAM,106.0,63.6,21.22,86.18,22 HCPCS,J3490,PERPHENAZINE 2 MG TABLET,17.85,10.71,3.57,14.51,22 HCPCS,J3490,PHENAZOPYRIDINE 100 MG TABLET,17.3,10.38,3.46,14.06,22 HCPCS,J3490,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,24.3,14.58,4.86,19.76,22 HCPCS,J3490,PHENOBARBITAL 32.4 MG TABLET,23.65,14.19,4.73,19.23,22 HCPCS,J3490,PHENOL 1.4 % MUCOSAL AEROSOL SPRAY,4.85,2.91,0.97097,3.94,22 HCPCS,J3490,PHENYLEPHRINE 0.25 % NASAL SPRAY,6.4,3.84,1.28,5.2,22 HCPCS,J3490,PHENYLEPHRINE 0.25 %-COCOA BUTTER 88.44 % RECTAL SUPPOSITORY,1.85,1.11,0.37037,1.5,22 HCPCS,J3490,PHENYLEPHRINE 0.25 %-MINERAL OIL 14 %-PETROLATM 74.9 % RECTAL OINTMENT,4.8,2.88,0.96096,3.9,22 HCPCS,J3490,PHENYLEPHRINE 0.5 % NASAL SPRAY,6.4,3.84,1.28,5.2,22 HCPCS,J3490,PHENYLEPHRINE 2.5 % EYE DROPS,113.5,68.1,22.72,92.28,22 HCPCS,J3490,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,23.65,14.19,4.73,19.23,22 HCPCS,J3490,PHYTONADIONE 1 MG/ML ORAL SUSPENSION,104.3,62.58,20.88,84.8,22 HCPCS,J3490,PILOCARPINE 1 % EYE DROPS,252.6,151.56,50.57,205.36,22 HCPCS,J3490,PILOCARPINE 2 % EYE DROPS,258.0,154.8,51.65,209.75,22 HCPCS,J3490,PILOCARPINE 4 % EYE DROPS,269.7,161.82,53.99,219.27,22 HCPCS,J3490,PILOCARPINE 5 MG TABLET,25.1,15.06,5.03,20.41,22 HCPCS,J3490,PIOGLITAZONE 15 MG TABLET,22.5,13.5,4.5,18.29,22 HCPCS,J3490,POLIDOCANOL 1 % (20 MG/2 ML) INTRAVENOUS SOLUTION,67.75,40.65,13.56,55.08,22 HCPCS,J3490,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,3.35,2.01,0.67067,2.72,22 HCPCS,J3490,POLYETHYLENE GLYCOL 3350 ORAL PACKET FOR LARGE DOSE,2.8,1.68,0.56056,2.28,22 HCPCS,J3490,POLYSACCHARIDE IRON COMPLEX 150 MG IRON CAPSULE,1.2,0.72,0.24024,0.9756,22 HCPCS,J3490,POLYVINYL ALCOHOL-POVIDONE 0.5 %-0.6 % EYE DROPS,7.65,4.59,1.53,6.22,22 HCPCS,J3490,PORACTANT ALFA 120 MG/1.5 ML INTRATRACHEAL SUSPENSION,2741.3,1644.78,548.81,2228.68,22 HCPCS,J3490,PORACTANT ALFA 240 MG/3 ML INTRATRACHEAL SUSPENSION,5389.95,3233.97,1079.07,4382.03,22 HCPCS,J3490,POSACONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION,118.85,71.31,23.79,96.63,22 HCPCS,J3490,POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,110.05,66.03,17.16,126.34,66 HCPCS,J3490,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,44.85,26.91,8.98,36.46,22 HCPCS,J3490,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,189.15,113.49,37.87,153.78,22 HCPCS,J3490,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",18.0,10.8,3.6,14.63,22 HCPCS,J3490,POTASSIUM PHOSPHATE 3 MMOL/ML ORAL SOLN,60.4,36.24,12.09,49.11,22 HCPCS,J3490,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION WRAPPER,87.95,52.77,12.09,302.52,66 HCPCS,J3490,POVIDONE-IODINE 10 % TOPICAL OINTMENT,3.85,2.31,0.77077,3.13,22 HCPCS,J3490,POVIDONE-IODINE 10 % TOPICAL SOLUTION,3.05,1.83,0.61061,2.48,22 HCPCS,J3490,POVIDONE-IODINE 5 % EYE SOLUTION,69.3,41.58,13.87,56.34,22 HCPCS,J3490,PRAMIPEXOLE 0.125 MG TABLET,16.6,9.96,3.32,13.5,22 HCPCS,J3490,PRAMIPEXOLE 0.5 MG TABLET,16.6,9.96,3.32,13.5,22 HCPCS,J3490,PRASUGREL HCL 10 MG TABLET,19.3,11.58,3.86,15.69,22 HCPCS,J3490,PRASUGREL HCL 5 MG TABLET,20.0,12.0,4.0,16.26,22 HCPCS,J3490,PRAVASTATIN 20 MG TABLET,18.3,10.98,3.66,14.88,22 HCPCS,J3490,PRAZIQUANTEL 600 MG TABLET,281.75,169.05,56.41,229.06,22 HCPCS,J3490,PRAZOSIN 1 MG CAPSULE,22.05,13.23,4.41,17.93,22 HCPCS,J3490,PRAZOSIN 2 MG CAPSULE,24.45,14.67,4.89,19.88,22 HCPCS,J3490,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION",148.75,89.25,29.78,120.93,22 HCPCS,J3490,PREGABALIN 100 MG CAPSULE,55.4,33.24,11.09,45.04,22 HCPCS,J3490,PREGABALIN 75 MG CAPSULE,55.4,33.24,11.09,45.04,22 HCPCS,J3490,PRENATAL VITAMINS WITH CALCIUM NO.72-IRON 27 MG-FOLIC ACID 1 MG TABLET,1.15,0.69,0.23023,0.93495,22 HCPCS,J3490,PRIMAQUINE 15 MG TABLET,21.3,12.78,4.26,17.32,22 HCPCS,J3490,PRIMIDONE 250 MG TABLET,17.45,10.47,3.49,14.19,22 HCPCS,J3490,PRIMIDONE 50 MG TABLET,19.3,11.58,3.86,15.69,22 HCPCS,J3490,PROBENECID 500 MG TABLET,18.55,11.13,3.71,15.08,22 HCPCS,J3490,PROCHLORPERAZINE MALEATE 5 MG TABLET,17.4,10.44,3.48,14.15,22 HCPCS,J3490,PROGESTERONE MICRONIZED 100 MG CAPSULE,20.4,12.24,4.08,16.59,22 HCPCS,J3490,PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY,55.0,33.0,11.01,44.72,22 HCPCS,J3490,PROMETHAZINE 12.5 MG TABLET,16.5,9.9,3.3,13.41,22 HCPCS,J3490,PROMETHAZINE 25 MG RECTAL SUPPOSITORY,55.0,33.0,11.01,44.72,22 HCPCS,J3490,PROMETHAZINE 25 MG TABLET,17.7,10.62,3.54,14.39,22 HCPCS,J3490,PROPARACAINE 0.5 % EYE DROPS,121.3,72.78,24.28,98.62,22 HCPCS,J3490,PROPRANOLOL 10 MG TABLET,16.65,9.99,3.33,13.54,22 HCPCS,J3490,PROPRANOLOL 20 MG TABLET,17.4,10.44,3.48,14.15,22 HCPCS,J3490,PROPRANOLOL 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,161.5,96.9,32.33,131.3,22 HCPCS,J3490,PROPRANOLOL 40 MG TABLET,17.05,10.23,3.41,13.86,22 HCPCS,J3490,PROPRANOLOL 80 MG TABLET,18.45,11.07,3.69,15.0,22 HCPCS,J3490,PROPYLTHIOURACIL 5 MG/ML ORAL SUSP,92.2,55.32,18.46,74.96,22 HCPCS,J3490,PSEUDOEPHEDRINE 15 MG/5 ML ORAL LIQUID,1.3,0.78,0.26026,1.06,22 HCPCS,J3490,PSEUDOEPHEDRINE 30 MG TABLET,1.1,0.66,0.22022,0.8943,22 HCPCS,J3490,PSYLLIUM HUSK 3.4 GRAM ORAL POWDER PACKET,1.5,0.9,0.3003,1.22,22 HCPCS,J3490,PYRAZINAMIDE 500 MG TABLET,25.2,15.12,5.05,20.49,22 HCPCS,J3490,PYRIDOSTIGMINE BROMIDE 5 MG/ML INJECTION SOLUTION,31.4,18.84,6.29,25.53,22 HCPCS,J3490,PYRIDOSTIGMINE BROMIDE 60 MG TABLET,19.3,11.58,3.86,15.69,22 HCPCS,J3490,PYRIDOXINE (VITAMIN B6) 100 MG TABLET,1.4,0.84,0.28028,1.14,22 HCPCS,J3490,PYRIDOXINE (VITAMIN B6) 25 MG TABLET,1.05,0.63,0.21021,0.85365,22 HCPCS,J3490,PYRIDOXINE (VITAMIN B6) 50 MG TABLET,1.4,0.84,0.28028,1.14,22 HCPCS,J3490,PYRIMETHAMINE 2 MG/ML ORAL SUSPENSION,29.2,17.52,5.85,23.74,22 HCPCS,J3490,QUETIAPINE 100 MG TABLET,17.9,10.74,3.58,14.55,22 HCPCS,J3490,QUETIAPINE 25 MG TABLET,17.2,10.32,3.44,13.98,22 HCPCS,J3490,RACEPINEPHRINE 2.25 % SOLUTION FOR NEBULIZATION,4.1,2.46,0.82082,3.33,22 HCPCS,J3490,RALOXIFENE 60 MG TABLET,18.6,11.16,3.72,15.12,22 HCPCS,J3490,RALTEGRAVIR 400 MG TABLET,154.9,92.94,31.01,125.93,22 HCPCS,J3490,REMIFENTANIL (50 MCG/ML) IN NS INFUSION (ANESTHESIA),215.0,129.0,43.04,174.79,22 HCPCS,J3490,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION,241.95,145.17,48.44,196.71,22 HCPCS,J3490,REMIFENTANIL 100 MCG/2 ML (50 MCG/ML) IN 0.9 % NACL IV SYRINGE,26.65,15.99,5.34,21.67,22 HCPCS,J3490,REMIFENTANIL 2 MG INTRAVENOUS SOLUTION,389.5,233.7,77.98,316.66,22 HCPCS,J3490,RIFAMPIN 150 MG CAPSULE,28.75,17.25,5.76,23.37,22 HCPCS,J3490,RIFAMPIN 25 MG/ML ORAL SUSPENSION,88.0,52.8,17.62,71.54,22 HCPCS,J3490,RIFAMPIN 300 MG CAPSULE,23.45,14.07,4.69,19.06,22 HCPCS,J3490,RIFAXIMIN 20 MG/ML ORAL SUSPENSION,106.35,63.81,21.29,86.46,22 HCPCS,J3490,RIFAXIMIN 200 MG TABLET,60.95,36.57,12.2,49.55,22 HCPCS,J3490,RIFAXIMIN 550 MG TABLET,246.9,148.14,49.43,200.73,22 HCPCS,J3490,RILPIVIRINE HCL 25 MG TABLET,213.8,128.28,42.8,173.82,22 HCPCS,J3490,RIOCIGUAT 0.5 MG TABLET,643.15,385.89,128.76,522.88,22 HCPCS,J3490,RIOCIGUAT 2 MG TABLET,643.15,385.89,128.76,522.88,22 HCPCS,J3490,RISPERIDONE 0.25 MG TABLET,16.95,10.17,3.39,13.78,22 HCPCS,J3490,RISPERIDONE 0.5 MG DISINTEGRATING TABLET,30.0,18.0,6.01,24.39,22 HCPCS,J3490,RISPERIDONE 1 MG DISINTEGRATING TABLET,32.35,19.41,6.48,26.3,22 HCPCS,J3490,RISPERIDONE 1 MG TABLET,17.7,10.62,3.54,14.39,22 HCPCS,J3490,RISPERIDONE 1 MG/ML ORAL SOLUTION,381.35,228.81,76.35,310.04,22 HCPCS,J3490,RIVAROXABAN 10 MG TABLET,95.75,57.45,19.17,77.84,22 HCPCS,J3490,RIVAROXABAN 15 MG TABLET,95.75,57.45,19.17,77.84,22 HCPCS,J3490,RIVAROXABAN 2.5 MG TABLET,55.9,33.54,11.19,45.45,22 HCPCS,J3490,RIVAROXABAN 20 MG TABLET,95.75,57.45,19.17,77.84,22 HCPCS,J3490,RIVASTIGMINE 1.5 MG CAPSULE,18.35,11.01,3.67,14.92,22 HCPCS,J3490,RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PATCH,107.45,64.47,21.51,87.36,22 HCPCS,J3490,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,107.5,64.5,21.52,87.4,22 HCPCS,J3490,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH,107.45,64.47,21.51,87.36,22 HCPCS,J3490,ROCURONIUM 10 MG/ML INFUSION CSAC,139.65,83.79,27.96,113.54,22 HCPCS,J3490,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,78.65,47.19,15.75,63.94,22 HCPCS,J3490,ROFLUMILAST 500 MCG TABLET,77.0,46.2,15.42,62.6,22 HCPCS,J3490,ROPINIROLE 0.25 MG TABLET,16.5,9.9,3.3,13.41,22 HCPCS,J3490,ROPINIROLE 1 MG TABLET,18.3,10.98,3.66,14.88,22 HCPCS,J3490,RUXOLITINIB 10 MG TABLET,1198.35,719.01,239.91,974.26,22 HCPCS,J3490,RUXOLITINIB 2.5 MG SPLIT TABLET,556.0,333.6,111.31,452.03,22 HCPCS,J3490,RUXOLITINIB 5 MG TABLET,565.0,339.0,113.11,459.35,22 HCPCS,J3490,SACUBITRIL 24 MG-VALSARTAN 26 MG TABLET,63.05,37.83,12.62,51.26,22 HCPCS,J3490,SACUBITRIL 49 MG-VALSARTAN 51 MG TABLET,63.05,37.83,12.62,51.26,22 HCPCS,J3490,SACUBITRIL 97 MG-VALSARTAN 103 MG TABLET,63.05,37.83,12.62,51.26,22 HCPCS,J3490,SALIVA STIMULANT COMBINATION NO.3 ORAL MUCOSAL SPRAY,9.75,5.85,1.95,7.93,22 HCPCS,J3490,SALSALATE 500 MG TABLET,17.2,10.32,3.44,13.98,22 HCPCS,J3490,SALSALATE 750 MG TABLET,17.6,10.56,3.52,14.31,22 HCPCS,J3490,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,101.2,60.72,20.26,82.28,22 HCPCS,J3490,SELEGILINE 5 MG CAPSULE,22.7,13.62,4.54,18.46,22 HCPCS,J3490,SELENIUM 10 MCG/ML DILUTION,338.7,203.22,67.81,275.36,22 HCPCS,J3490,SELENIUM 12 MCG/ML DILUTION,1584.85,950.91,317.29,1288.48,22 HCPCS,J3490,SELENIUM 200 MCG TABLET,1.1,0.66,0.22022,0.8943,22 HCPCS,J3490,SELENIUM 60 MCG/ML INTRAVENOUS SOLUTION,1781.0,1068.6,356.56,1447.95,22 HCPCS,J3490,SELENIUM SULFIDE 2.5 % LOTION,16.45,9.87,3.29,13.37,22 HCPCS,J3490,SELEXIPAG 200 MCG TABLET,1039.25,623.55,208.06,844.91,22 HCPCS,J3490,SENNOSIDES 8.8 MG/5 ML ORAL SYRUP,1.15,0.69,0.23023,0.93495,22 HCPCS,J3490,SERTRALINE 100 MG TABLET,16.95,10.17,3.39,13.78,22 HCPCS,J3490,SERTRALINE 25 MG TABLET,16.4,9.84,3.28,13.33,22 HCPCS,J3490,SERTRALINE 50 MG TABLET,17.65,10.59,3.53,14.35,22 HCPCS,J3490,SEVELAMER 50 MG/ML ORAL SOLN,376.0,225.6,75.28,305.69,22 HCPCS,J3490,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,53.85,32.31,10.78,43.78,22 HCPCS,J3490,SEVOFLURANE 99.97 % INHALATION LIQUID,346.0,207.6,69.27,281.3,22 HCPCS,J3490,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,263.45,158.07,52.74,214.18,22 HCPCS,J3490,SILVER SULFADIAZINE 1 % TOPICAL CREAM,53.2,31.92,10.65,43.25,22 HCPCS,J3490,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION",1.1,0.66,0.22022,0.8943,22 HCPCS,J3490,SIMETHICONE 80 MG CHEWABLE TABLET,1.1,0.66,0.22022,0.8943,22 HCPCS,J3490,SLEEPY BUTTER,24.0,14.4,4.8,19.51,22 HCPCS,J3490,SMOG ENEMA 480ML,4.75,2.85,0.95095,3.86,22 HCPCS,J3490,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,67.0,40.2,13.41,54.47,22 HCPCS,J3490,SODIUM ACETATE 4 MEQ/ML INTRAVENOUS SOLUTION,100.0,60.0,20.02,81.3,22 HCPCS,J3490,SODIUM BENZOATE 10 %-SODIUM PHENYLACETATE 10 % INTRAVENOUS SOLUTION,191837.95,115102.77,38405.96,155964.25,22 HCPCS,J3490,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INJECTION (COMBINED) WRAPPER,104.4,62.64,20.9,84.88,22 HCPCS,J3490,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,115.2,69.12,23.06,93.66,22 HCPCS,J3490,SODIUM BICARBONATE 1 MEQ/ML INJ SOLUTION WRAPPER (MULTI-VIAL SIZE),88.2,52.92,17.66,71.71,22 HCPCS,J3490,SODIUM BICARBONATE 10 MEQ/10 ML (8.4 %) INTRAVENOUS SYRINGE,159.05,95.43,31.84,129.31,22 HCPCS,J3490,SODIUM BICARBONATE 150 MEQ/1000 ML IN DEXTROSE 5 % CONT INFUSION PREMIX,153.65,92.19,30.76,124.92,22 HCPCS,J3490,SODIUM BICARBONATE 1MEQ/ML PEDIATRIC 50ML INFUSION,103.95,62.37,20.81,84.51,22 HCPCS,J3490,SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) INTRAVENOUS SYRINGE,116.65,69.99,23.35,94.84,22 HCPCS,J3490,SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION,42.900000000000006,25.740000000000002,7.23,40.41,44 HCPCS,J3490,SODIUM BICARBONATE 650 MG TABLET,1.1,0.66,0.22022,0.8943,22 HCPCS,J3490,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE,112.05,67.23,22.43,91.1,22 HCPCS,J3490,SODIUM BORATE-BORIC ACID-SODIUM CHLORIDE-WATER EYE WASH SOLN,6.15,3.69,1.23,5.0,22 HCPCS,J3490,SODIUM CHLORIDE 0.65 % NASAL SPRAY AEROSOL,3.45,2.07,0.49049,3.62,44 HCPCS,J3490,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION,20.3,12.18,3.85,17.48,66 HCPCS,J3490,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK,84.825,50.894999999999996,16.97,68.77,38 HCPCS,J3490,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK (ADDVANTAGE),76.2,45.72,15.26,61.72,19 HCPCS,J3490,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION NON-PVC,75.6,45.36,15.14,61.24,19 HCPCS,J3490,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,87.0,52.2,16.22,221.95,66 HCPCS,J3490,"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET",1.15,0.69,0.23023,0.93495,22 HCPCS,J3490,SODIUM CHLORIDE 2 % EYE DROPS,1.1,0.66,0.22022,0.8943,22 HCPCS,J3490,SODIUM CHLORIDE 3 % FOR NEBULIZATION,18.7,11.22,3.74,15.2,22 HCPCS,J3490,SODIUM CHLORIDE 4 MEQ/ML ORAL SOLN,19.0,11.4,3.8,15.45,22 HCPCS,J3490,SODIUM CHLORIDE 7 % FOR NEBULIZATION,18.7,11.22,3.74,15.2,22 HCPCS,J3490,SODIUM CHLORIDE-ALOE VERA NASAL GEL,5.35,3.21,1.07,4.35,22 HCPCS,J3490,SODIUM CITRATE 4 % (3 ML) INTRA-CATHETER INJECTION SYRINGE,57.75,34.65,11.56,46.95,22 HCPCS,J3490,SODIUM CITRATE 4 GRAM/100 ML (4 %) SOLUTION,98.0,58.8,19.62,79.67,22 HCPCS,J3490,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,15.95,9.57,1.78,18.7,44 HCPCS,J3490,SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET,3.1,1.86,0.62062,2.52,22 HCPCS,J3490,SODIUM HYPOCHLORITE 0.125 % SOLUTION,23.0,13.8,4.6,18.7,22 HCPCS,J3490,SODIUM HYPOCHLORITE 0.25 % SOLUTION,23.0,13.8,4.6,18.7,22 HCPCS,J3490,SODIUM HYPOCHLORITE 0.5 % SOLUTION,23.0,13.8,4.6,18.7,22 HCPCS,J3490,SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION,149.1,89.46,29.85,121.22,22 HCPCS,J3490,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION,136.65,81.99,14.86,348.0,66 HCPCS,J3490,SODIUM POLYSTYRENE SULFONATE 15 GRAM/60 ML ORAL COMBINED WRAPPER,115.15,69.09,23.05,93.62,22 HCPCS,J3490,SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION,145.05,87.03,29.04,117.93,22 HCPCS,J3490,SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM ORAL POWDER PACKET,130.9,78.54,26.21,106.42,22 HCPCS,J3490,SODIUM ZIRCONIUM CYCLOSILICATE 5 GRAM ORAL POWDER PACKET,130.9,78.54,26.21,106.42,22 HCPCS,J3490,SOLIFENACIN 5 MG TABLET,17.6,10.56,3.52,14.31,22 HCPCS,J3490,SOTALOL 120 MG TABLET,18.6,11.16,3.72,15.12,22 HCPCS,J3490,SOTALOL 5 MG/ML ORAL SOLUTION,1780.0,1068.0,356.36,1447.14,22 HCPCS,J3490,SOTALOL 80 MG TABLET,21.1,12.66,4.22,17.15,22 HCPCS,J3490,SPIRONOLACTONE 100 MG TABLET,17.6,10.56,3.52,14.31,22 HCPCS,J3490,SPIRONOLACTONE 12.5 MG SPLIT TABLET,16.4,9.84,3.28,13.33,22 HCPCS,J3490,SPIRONOLACTONE 25 MG TABLET,16.95,10.17,3.39,13.78,22 HCPCS,J3490,SPIRONOLACTONE 25 MG/5 ML ORAL SUSPENSION,2912.075,1747.2450000000001,262.81,3667.77,44 HCPCS,J3490,SPIRONOLACTONE 50 MG TABLET,16.85,10.11,3.37,13.7,22 HCPCS,J3490,STUDY ALLSTAR CAP-1002/PLACEBO ALLOGENEIC CARDIOSPHERE-DERIVED CELLS,0.2,0.12,0.04004,0.162,19 HCPCS,J3490,STUDY BI 1321.3 IDARUCIZUMAB 50 MG/ML INTRAVENOUS SOLUTION,0.2,0.12,0.04004,0.162,19 HCPCS,J3490,STUDY CL7018 RELIEVE-HF CLOPIDOGREL/PLACEBO 75 MG TABLET,0.2,0.12,0.04004,0.1626,22 HCPCS,J3490,STUDY CMX-2043/PLACEBO 25MG/ML INTRAVENOUS SOLUTION,0.2,0.12,0.04004,0.162,19 HCPCS,J3490,STUDY DEXTROSE 5% IN WATER (D5W) INTRAVENOUS SYRINGE,0.2,0.12,0.04004,0.1626,22 HCPCS,J3490,STUDY DF-HCC-20-347-ADEPT PERTUZUMAB 30 MG/ML INTRAVENOUS SOLUTION,0.2,0.12,0.04004,0.1626,22 HCPCS,J3490,STUDY DU176B-D-U311 EDOXABAN TABLET 30 MG,0.2,0.12,0.04004,0.1626,22 HCPCS,J3490,STUDY EPAD ASPIRIN 100 MG,0.2,0.12,0.04004,0.1626,22 HCPCS,J3490,"STUDY EPINEPHRINE 0.3MG/0.3 ML (1:1,000) IM PEN INJECTOR",0.2,0.12,0.04004,0.1626,22 HCPCS,J3490,STUDY EX6018-4979 ZILTIVEKIMAB C/PLACEBO 15 MG/0.5 ML SUBCUTANEOUS PEN,0.2,0.12,0.04004,0.162,19 HCPCS,J3490,STUDY NICHD PROSPECT PROGESTERONE/PLACEBO 200 MG MICRONIZED CAPSULE,0.2,0.12,0.04004,0.162,19 HCPCS,J3490,STUDY NRG-GU010-CIRB DAROLUTAMIDE 300 MG TABLET,0.2,0.12,0.04004,0.1626,22 HCPCS,J3490,STUDY NSABP B-62/CAMBRIA-1 CAMIZESTRANT 75 MG TABLET,0.2,0.12,0.04004,0.162,19 HCPCS,J3490,STUDY RESEARCH STUDY DRUG FROM OUTSIDE FACILITY,0.2,0.12,0.04004,0.162,19 HCPCS,J3490,SUCRALFATE 1 GRAM TABLET,17.3,10.38,3.46,14.06,22 HCPCS,J3490,SUCRALFATE 100 MG/ML ORAL SUSPENSION,28.75,17.25,5.76,23.37,44 HCPCS,J3490,SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION,635.45,381.27,127.22,516.62,22 HCPCS,J3490,SULFADIAZINE 500 MG TABLET,80.15,48.09,16.05,65.16,22 HCPCS,J3490,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,81.55,48.93,16.33,66.3,22 HCPCS,J3490,SULFASALAZINE 100 MG/ML ORAL SUSP,128.9,77.34,25.81,104.8,22 HCPCS,J3490,SULFASALAZINE 500 MG TABLET,16.8,10.08,3.36,13.66,22 HCPCS,J3490,SULINDAC 150 MG TABLET,16.9,10.14,3.38,13.74,22 HCPCS,J3490,SULINDAC 200 MG TABLET,17.25,10.35,3.45,14.02,22 HCPCS,J3490,SUMATRIPTAN 50 MG TABLET,23.05,13.83,4.61,18.74,22 HCPCS,J3490,SUNITINIB MALATE 12.5 MG CAPSULE,947.35,568.41,189.66,770.2,22 HCPCS,J3490,TADALAFIL 20 MG TABLET (PULMONARY HYPERTENSION),22.0,13.2,4.4,17.89,22 HCPCS,J3490,TAMOXIFEN 10 MG TABLET,26.55,15.93,5.32,21.59,22 HCPCS,J3490,TAMSULOSIN 0.4 MG CAPSULE,18.3,10.98,3.66,14.88,22 HCPCS,J3490,TAPENTADOL 50 MG TABLET,58.55,35.13,11.72,47.6,22 HCPCS,J3490,TAPENTADOL 75 MG TABLET,48.95,29.37,9.8,39.8,22 HCPCS,J3490,"TAPENTADOL ER 50 MG TABLET,EXTENDED RELEASE,12 HR",60.25,36.15,12.06,48.98,22 HCPCS,J3490,TEMAZEPAM 15 MG CAPSULE,22.3,13.38,4.46,18.13,22 HCPCS,J3490,TEMAZEPAM 7.5 MG CAPSULE,30.0,18.0,6.01,24.39,22 HCPCS,J3490,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,183.15,109.89,36.67,148.9,22 HCPCS,J3490,TERAZOSIN 1 MG CAPSULE,16.75,10.05,3.35,13.62,22 HCPCS,J3490,TERAZOSIN 5 MG CAPSULE,16.75,10.05,3.35,13.62,22 HCPCS,J3490,TERCONAZOLE 0.4 % VAGINAL CREAM,123.5,74.1,24.72,100.41,22 HCPCS,J3490,TERCONAZOLE 80 MG VAGINAL SUPPOSITORY,124.9,74.94,25.0,101.54,22 HCPCS,J3490,TESTOSTERONE 1 % (25 MG/2.5 GRAM) TRANSDERMAL GEL PACKET,58.5,35.1,11.71,47.56,22 HCPCS,J3490,TETRACAINE 0.5 % EYE DROPS,286.0,171.6,57.26,232.52,22 HCPCS,J3490,TETRACAINE HCL (PF) 0.5 % EYE DROPS,57.65,34.59,11.54,46.87,22 HCPCS,J3490,TETRAHYDROZOLINE 0.05 % EYE DROPS,6.25,3.75,1.25,5.08,22 HCPCS,J3490,THEOPHYLLINE 80 MG/15 ML ORAL SOLUTION,25.05,15.03,5.02,20.37,44 HCPCS,J3490,"THEOPHYLLINE ER 300 MG TABLET,EXTENDED RELEASE,12 HR",21.2,12.72,4.24,17.24,22 HCPCS,J3490,THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET,1.3,0.78,0.26026,1.06,22 HCPCS,J3490,THIOTHIXENE 1 MG CAPSULE,19.8,11.88,3.96,16.1,22 HCPCS,J3490,THIOTHIXENE 5 MG CAPSULE,23.65,14.19,4.73,19.23,22 HCPCS,J3490,THYROID (PORK) 30 MG TABLET,18.8,11.28,3.76,15.28,22 HCPCS,J3490,THYROID (PORK) 90 MG TABLET,20.8,12.48,4.16,16.91,22 HCPCS,J3490,TICAGRELOR 60 MG TABLET,47.0,28.2,9.41,38.21,22 HCPCS,J3490,TICAGRELOR 90 MG TABLET,47.0,28.2,9.41,38.21,22 HCPCS,J3490,TIMOLOL MALEATE 0.25 % EYE DROPS,48.85,29.31,6.32,50.37,66 HCPCS,J3490,TIMOLOL MALEATE 0.5 % EYE DROPS,77.55,46.53,15.53,63.05,22 HCPCS,J3490,TIMOLOL MALEATE 0.5 % EYE DROPS WRAPPER,67.975,40.785,11.69,63.05,44 HCPCS,J3490,TIZANIDINE 4 MG TABLET,18.15,10.89,3.63,14.76,22 HCPCS,J3490,TOBRAMYCIN 0.3 % EYE DROPS,62.5,37.5,12.51,50.81,22 HCPCS,J3490,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",243.975,146.385,33.58,260.32,44 HCPCS,J3490,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION,83.9,50.34,16.8,68.21,22 HCPCS,J3490,TOBRAMYCIN-DEXAMETHASONE 0.3 %-0.1 % EYE OINTMENT,910.3,546.18,182.24,740.07,22 HCPCS,J3490,TOCOPHERSOLAN (VITAMIN E TPGS) 75 UNIT/ML ORAL DROPS,66.1,39.66,13.23,53.74,22 HCPCS,J3490,TOLUIDINE BLUE 1 % SOLUTION,24.2,14.52,4.84,19.67,22 HCPCS,J3490,TOLVAPTAN 30 MG TABLET,2174.6,1304.76,435.35,1767.95,22 HCPCS,J3490,TOPIRAMATE 100 MG TABLET,17.9,10.74,3.58,14.55,22 HCPCS,J3490,TOPIRAMATE 25 MG TABLET,42.75,25.65,8.56,34.76,22 HCPCS,J3490,TORSEMIDE 20 MG TABLET,17.45,10.47,3.49,14.19,22 HCPCS,J3490,TORSEMIDE 5 MG TABLET,16.6,9.96,3.32,13.5,22 HCPCS,J3490,TRACE ELEMENT PEDI CR-CU-MN-ZN 1 MCG-0.1 MG-25 MCG-1 MG/ML INTRAVENOUS,71.3,42.78,14.27,57.97,22 HCPCS,J3490,TRACE ELEMENTS CR-CU-MN-ZN 0.85 MCG-0.1 MG-25 MCG-1.5MG/ML INTRAVENOUS,68.7,41.22,13.75,55.85,22 HCPCS,J3490,TRACE ELEMENTS CR-CU-MN-ZN 10 MCG-1 MG-0.5 MG-5 MG/ML INTRAVENOUS SOLN,71.75,43.05,14.36,58.33,22 HCPCS,J3490,TRACE ELEMENTS ZN 3 MG-CU 0.3 MG-MN 55 MCG-SE 60 MCG/ML IV SOLUTION,144.3,86.58,28.89,117.32,22 HCPCS,J3490,TRAMADOL 50 MG TABLET,22.25,13.35,4.45,18.09,22 HCPCS,J3490,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",88.2,52.92,17.66,71.71,22 HCPCS,J3490,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION (PED)",88.2,52.92,17.66,71.71,22 HCPCS,J3490,TRANEXAMIC ACID 650 MG TABLET,32.75,19.65,6.56,26.63,22 HCPCS,J3490,TRAZODONE 100 MG TABLET,16.5,9.9,3.3,13.41,22 HCPCS,J3490,TRAZODONE 50 MG TABLET,16.55,9.93,3.31,13.46,22 HCPCS,J3490,TREPROSTINIL 32 MCG CARTRIDGE WITH INHALER,1136.0,681.6,227.43,923.57,22 HCPCS,J3490,TREPROSTINIL 48 MCG CARTRIDGE WITH INHALER,1136.0,681.6,227.43,923.57,22 HCPCS,J3490,TREPROSTINIL 64 MCG CARTRIDGE WITH INHALER,2626.3,1575.78,525.79,2135.18,22 HCPCS,J3490,TRIAMCINOLONE ACETONIDE 0.1 % DENTAL PASTE,209.45,125.67,41.93,170.28,22 HCPCS,J3490,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,25.0,15.0,5.0,20.32,22 HCPCS,J3490,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,29.95,17.97,6.0,24.35,22 HCPCS,J3490,TRIAMCINOLONE ACETONIDE 0.5 % TOPICAL CREAM,40.6,24.36,8.13,33.01,22 HCPCS,J3490,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET,17.1,10.26,3.42,13.9,22 HCPCS,J3490,TRIFLURIDINE 1 % EYE DROPS,604.05,362.43,120.93,491.09,22 HCPCS,J3490,TRIHEXYPHENIDYL 2 MG TABLET,16.6,9.96,3.32,13.5,22 HCPCS,J3490,TROPICAMIDE 1 % EYE DROPS,106.0,63.6,21.22,86.18,22 HCPCS,J3490,TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION,56.75,34.05,11.36,46.14,22 HCPCS,J3490,ULIPRISTAL 30 MG TABLET,171.0,102.6,34.23,139.02,22 HCPCS,J3490,UMECLIDINIUM 62.5 MCG-VILANTEROL 25 MCG/ACTUATION POWDR FOR INHALATION,368.65,221.19,73.8,299.71,22 HCPCS,J3490,UMECLIDINIUM 62.5 MCG/ACTUATION BLISTER POWDER FOR INHALATION,241.15,144.69,48.28,196.05,22 HCPCS,J3490,UREA 15 GRAM ORAL POWDER PACKET,6.65,3.99,1.33,5.41,22 HCPCS,J3490,URSODIOL 300 MG CAPSULE,21.0,12.6,4.2,17.07,22 HCPCS,J3490,URSODIOL 60 MG/ML ORAL SUSPENSION,204.3,122.58,40.9,166.1,22 HCPCS,J3490,VALACYCLOVIR 500 MG TABLET,17.6,10.56,3.52,14.31,22 HCPCS,J3490,VALACYCLOVIR 50MG/ML ORAL SUSPENSION,107.0,64.2,21.42,86.99,22 HCPCS,J3490,VALGANCICLOVIR 450 MG TABLET,369.65,221.79,74.0,300.53,22 HCPCS,J3490,VALGANCICLOVIR 50 MG/ML ORAL SOLUTION,2416.85,1450.11,483.85,1964.9,22 HCPCS,J3490,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,73.4,44.04,14.69,59.67,22 HCPCS,J3490,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION,18.5,11.1,3.7,15.04,22 HCPCS,J3490,VALSARTAN 160 MG TABLET,17.85,10.71,3.57,14.51,22 HCPCS,J3490,VALSARTAN 40 MG TABLET,17.95,10.77,3.59,14.59,22 HCPCS,J3490,VALSARTAN 80 MG TABLET,17.4,10.44,3.48,14.15,22 HCPCS,J3490,VANCOMYCIN 50 MG/ML ORAL SOLUTION,24.95,14.97,4.99,20.28,22 HCPCS,J3490,VARENICLINE TARTRATE 0.5 MG TABLET,45.7,27.42,9.15,37.15,22 HCPCS,J3490,VARENICLINE TARTRATE 1 MG TABLET,49.55,29.73,9.92,40.28,22 HCPCS,J3490,VECURONIUM (NORCURON) 1 MG/ML PEDIATRIC INFUSION 4 ML,67.4,40.44,13.49,54.8,22 HCPCS,J3490,VECURONIUM (NORCURON) 1 MG/ML PEDIATRIC INFUSION 40ML,106.55,63.93,21.33,86.63,22 HCPCS,J3490,VECURONIUM (NORCURON) 1 MG/ML PEDIATRIC INFUSION 8 ML,71.75,43.05,14.36,58.33,22 HCPCS,J3490,VECURONIUM (NORCURON) 1 MG/ML PEDIATRIC INFUSON 100ML,171.8,103.08,34.39,139.67,22 HCPCS,J3490,VECURONIUM 1 MG/ML NEONATAL INJECTION,73.9,44.34,14.79,60.08,22 HCPCS,J3490,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,84.65,50.79,16.95,68.82,22 HCPCS,J3490,VENETOCLAX 10 MG (14)-50 MG (7)-100 MG (21) TABLETS IN A DOSE PACK,13510.9,8106.54,2704.88,10984.36,22 HCPCS,J3490,VENETOCLAX 10 MG TABLET,77.05,46.23,15.43,62.64,22 HCPCS,J3490,VENETOCLAX 100 MG TABLET,545.6,327.36,109.23,443.57,22 HCPCS,J3490,VENETOCLAX 50 MG TABLET,285.4,171.24,57.14,232.03,22 HCPCS,J3490,VENLAFAXINE 25 MG TABLET,17.3,10.38,3.46,14.06,22 HCPCS,J3490,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",18.0,10.8,3.6,14.63,22 HCPCS,J3490,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",17.85,10.71,3.57,14.51,22 HCPCS,J3490,VERAPAMIL 120 MG TABLET,16.4,9.84,3.28,13.33,22 HCPCS,J3490,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,53.35,32.01,9.05,50.0,44 HCPCS,J3490,VERAPAMIL 2.5 MG/ML INTRAVENOUS SYRINGE,508.1,304.86,101.72,413.09,22 HCPCS,J3490,VERAPAMIL 80 MG TABLET,17.25,10.35,3.45,14.02,22 HCPCS,J3490,"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE",18.45,11.07,3.69,15.0,22 HCPCS,J3490,"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE",17.3,10.38,3.46,14.06,22 HCPCS,J3490,"VITAMIN A CAPSULE 3,000 MCG RAE (10000 UNITS)",1.1,0.66,0.22022,0.8943,22 HCPCS,J3490,VITAMIN A ORAL SOLUTION 2500 MCG RAE/ML,2.25,1.35,0.45045,1.83,22 HCPCS,J3490,"VITAMIN A PALMITATE 15,000 MCG RAE/ML (50,000 UNIT/ML) INTRAMUSCULAR SOLUTION",1651.2,990.72,330.57,1342.43,22 HCPCS,J3490,VITAMIN B COMPLEX-FOLIC ACID 0.4 MG TABLET,1.45,0.87,0.29029,1.18,22 HCPCS,J3490,"VITAMIN E (DL, ACETATE) 180 MG (400 UNIT) CAPSULE",1.4,0.84,0.28028,1.14,22 HCPCS,J3490,VORICONAZOLE 200 MG TABLET,147.8,88.68,29.59,120.16,22 HCPCS,J3490,VORICONAZOLE 50 MG TABLET,50.15,30.09,10.04,40.77,22 HCPCS,J3490,VORTIOXETINE 10 MG TABLET,84.6,50.76,16.94,68.78,22 HCPCS,J3490,VORTIOXETINE 5 MG TABLET,84.6,50.76,16.94,68.78,22 HCPCS,J3490,WARFARIN 0.5 MG SPLIT TABLET,16.4,9.84,3.28,13.33,22 HCPCS,J3490,WARFARIN 1 MG TABLET,17.5,10.5,3.5,14.23,22 HCPCS,J3490,WARFARIN 1.25 MG SPLIT TABLET,16.8,10.08,3.36,13.66,22 HCPCS,J3490,WARFARIN 2 MG TABLET,17.55,10.53,3.51,14.27,22 HCPCS,J3490,WARFARIN 2.5 MG TABLET,17.6,10.56,3.52,14.31,22 HCPCS,J3490,WARFARIN 3 MG TABLET,17.6,10.56,3.52,14.31,22 HCPCS,J3490,WARFARIN 4 MG TABLET,17.6,10.56,3.52,14.31,22 HCPCS,J3490,WARFARIN 5 MG TABLET,17.65,10.59,3.53,14.35,22 HCPCS,J3490,WARFARIN 7.5 MG TABLET,18.35,11.01,3.67,14.92,22 HCPCS,J3490,"WATER FOR INJECTION, BACTERIOSTATIC INJECTION SOLUTION",44.55,26.73,8.92,36.22,22 HCPCS,J3490,"WATER FOR INJECTION, STERILE INJECTION SOLUTION",38.05,22.83,3.57,43.37,110 HCPCS,J3490,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION",87.0,52.2,16.22,75.61,44 HCPCS,J3490,"WATER FOR IRRIGATION, STERILE SOLUTION",70.5,42.3,13.81,58.54,44 HCPCS,J3490,WHITE PETROLATUM 41 % TOPICAL OINTMENT,8.6,5.16,1.72,6.99,22 HCPCS,J3490,WHITE PETROLATUM TOPICAL OINTMENT,4.3,2.58,0.86086,3.5,22 HCPCS,J3490,WHITE PETROLATUM-MINERAL OIL 80 %-20 % EYE OINTMENT,12.4,7.44,2.48,10.08,22 HCPCS,J3490,WHITE PETROLATUM-MINERAL OIL TOPICAL OINTMENT,16.55,9.93,3.31,13.46,22 HCPCS,J3490,WHITE PETROLATUM-MINERAL OIL-LANOLIN TOPICAL CREAM WRAPPER,12.4,7.44,2.48,10.08,22 HCPCS,J3490,WITCH HAZEL 50 % TOPICAL PADS,1.15,0.69,0.23023,0.93495,22 HCPCS,J3490,ZALEPLON 5 MG CAPSULE,22.9,13.74,4.58,18.62,22 HCPCS,J3490,ZIDOVUDINE 10 MG/ML ORAL SYRUP,20.5,12.3,4.1,16.67,22 HCPCS,J3490,ZIDOVUDINE 300 MG TABLET,19.6,11.76,3.92,15.93,22 HCPCS,J3490,ZINC CHLORIDE 0.5 MG/ML INTRAVENOUS DILUTION,231.7,139.02,46.39,188.37,22 HCPCS,J3490,ZINC CHLORIDE 1 MG/ML INTRAVENOUS SOLUTION,59.15,35.49,11.84,48.09,22 HCPCS,J3490,ZINC OXIDE 20 % TOPICAL OINTMENT,9.15,5.49,1.83,7.44,22 HCPCS,J3490,ZINC OXIDE-COD LIVER OIL 40 % TOPICAL PASTE,10.85,6.51,2.17,8.82,22 HCPCS,J3490,ZINC OXIDE-VITAMIN B5-VIT E 11.3% TOPICAL CREAM,3.25,1.95,0.65065,2.64,22 HCPCS,J3490,ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE,1.4,0.84,0.28028,1.14,22 HCPCS,J3490,ZIPRASIDONE 20 MG CAPSULE,21.35,12.81,4.27,17.36,22 HCPCS,J3490,ZIPRASIDONE 40 MG CAPSULE,27.1,16.26,5.43,22.03,22 HCPCS,J3490,ZOLPIDEM 10 MG TABLET,22.35,13.41,4.47,18.17,22 HCPCS,J3490,ZOLPIDEM 5 MG TABLET,22.3,13.38,4.46,18.13,22 HCPCS,J3490,ZONISAMIDE 100 MG CAPSULE,18.0,10.8,3.6,14.63,22 HCPCS,J3490,ZONISAMIDE 25 MG CAPSULE,16.85,10.11,3.37,13.7,22 HCPCS,J3590,IDARUCIZUMAB 2.5 GRAM/50 ML INTRAVENOUS SOLUTION,10778.05,6466.83,2157.77,8762.55,22 HCPCS,J3590,"PEGCETACOPLAN 1,080 MG/20 ML SUBCUTANEOUS SOLUTION",20471.0,12282.6,4098.29,16642.92,22 HCPCS,J7030,Infus Normal Saline Sol 1000,2.56,1.54,0.51251,6.2,24 HCPCS,J7030,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,78.0,46.8,4.6,63.18,20 HCPCS,J7030,SODIUM CHLORIDE 0.9% IV BOLUS,66.75,40.05,4.6,54.07,20 HCPCS,J7030,STUDY RGS001D SODIUM CHLORIDE 0.9% (NS) BOLUS,78.0,46.8,4.6,63.18,20 HCPCS,J7030,STUDY RGS001D SODIUM CHLORIDE 0.9% (NS) INFUSION,0.2,0.12,0.04004,4.6,20 HCPCS,J7040,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION,78.75,47.25,2.97,65.61,60 HCPCS,J7040,SODIUM CHLORIDE 0.45 % IV BOLUS,69.75,41.85,2.97,63.79,60 HCPCS,J7040,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION NON-PVC,75.0,45.0,2.97,60.75,20 HCPCS,J7040,STUDY RGS001D SODIUM CHLORIDE 0.9% (NS) BOLUS,71.7,43.02,2.97,60.75,80 HCPCS,J7040,STUDY RGS001D SODIUM CHLORIDE 0.9% (NS) INFUSION,0.2,0.12,0.04004,2.97,20 HCPCS,J7042,DEXTROSE 5 % AND 0.45 % NACL IV BOLUS,67.5,40.5,3.33,54.67,20 HCPCS,J7042,DEXTROSE 5 % AND 0.9 % NACL IV BOLUS,68.625,41.175,3.33,56.5,40 HCPCS,J7042,DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,78.75,47.25,3.33,65.61,40 HCPCS,J7050,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION NON-PVC,78.75,47.25,1.53,63.79,20 HCPCS,J7050,STUDY GSK 201023 SODIUM CHLORIDE 0.9% (NS) INFUSION,0.2,0.12,0.04004,1.53,20 HCPCS,J7050,STUDY RGS001D SODIUM CHLORIDE 0.9% (NS) BOLUS,75.75,45.45,1.53,61.36,20 HCPCS,J7050,STUDY RGS001D SODIUM CHLORIDE 0.9% (NS) INFUSION,0.2,0.12,0.04004,1.53,80 HCPCS,J7060,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS PIGGYBACK,83.92500000000001,50.355000000000004,4.27,68.77,40 HCPCS,J7060,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,76.5,45.9,4.27,61.97,20 HCPCS,J7060,DEXTROSE 5 % IV BOLUS,69.75,41.85,4.27,56.5,20 HCPCS,J7060,DEXTROSE 5% WATER (D5W) NON-PVC,75.0,45.0,4.27,60.75,20 HCPCS,J7060,Sugar Solution,1.79,1.07,0.35836,5.53,24 HCPCS,J7070,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,81.0,48.6,7.34,65.61,20 HCPCS,J7070,DEXTROSE 5 % IV BOLUS,67.5,40.5,7.34,54.67,20 HCPCS,J7070,DEXTROSE 5% WATER (D5W) NON-PVC,75.0,45.0,7.34,60.75,20 HCPCS,J7120,LACTATED RINGERS INTRAVENOUS SOLUTION,78.0,46.8,5.69,63.18,20 HCPCS,J7120,LACTATED RINGERS IV BOLUS,66.75,40.05,5.69,54.07,20 HCPCS,J7120,RINGER'S INTRAVENOUS SOLUTION,93.0,55.8,5.69,75.33,20 HCPCS,J7121,DEXTROSE 5 % AND LACTATED RINGERS INTRAVENOUS SOLUTION,81.0,48.6,16.22,65.61,40 HCPCS,J7121,DEXTROSE 5 % IN LACTATED RINGERS IV BOLUS,76.5,45.900000000000006,14.41,65.61,40 HCPCS,J7131,SODIUM CHLORIDE 23.4% (4 MEQ/ML) INTRAVENOUS SOLUTION,88.80000000000001,53.28,0.2805,77.36,48 HCPCS,J7131,SODIUM CHLORIDE 3 % HYPERTONIC INTRAVENOUS INJECTION SOLUTION,82.5,49.5,0.2805,67.07,24 HCPCS,J7131,SODIUM CHLORIDE 3 % INTRAVENOUS BOLUS SOLUTION,75.0,45.0,0.2805,60.98,24 HCPCS,J7168,HUM PROTHROMBIN CPLX(PCC)4FACT 500 UNIT/20 ML IV KIT,88.95,53.37,2.08,72.32,34 HCPCS,J7168,"HUM PROTHROMBIN CPLX, 4-FACTOR 1,000 UNIT (800-1,240 UNIT) IV SOLUTION",88.95,53.37,2.08,72.32,34 HCPCS,J7168,"HUMAN PROTHROMBIN COMPLEX,4-FACTOR 500 UNIT (400-620 UNIT) IV SOLUTION",88.95,53.37,2.08,72.32,34 HCPCS,J7169,"FACTOR XA,INACTIVATED-ZHZO (RECOMBINANT) 200 MG INTRAVENOUS BOLUS",10077.0,6046.2,127.44,8192.6,34 HCPCS,J7169,"FACTOR XA,INACTIVATED-ZHZO (RECOMBINANT) 200 MG INTRAVENOUS SOLUTION",10077.0,6046.2,127.44,8192.6,34 HCPCS,J7185,"ANTIHEMOPHILIC FACTOR VIII,REC B-DOMAIN DELETED 1,000 (+/-) UNIT IV SOLN",84.65,50.79,1.62,68.82,34 HCPCS,J7185,"ANTIHEMOPHILIC FACTOR VIII,REC B-DOMAIN DELETED 250 (+/-) UNIT IV SOLN",84.65,50.79,1.62,68.82,34 HCPCS,J7187,"(VWF DOSING) ANTIHEMOPHILIC FACTOR-VWF 1,000 UNIT-2,400 UNIT INTRAVENOUS SOLUTION",83.6,50.16,1.45,67.97,34 HCPCS,J7187,ANTIHEMOPHILIC FACTOR-VWF 250 UNIT-600 UNIT INTRAVENOUS SOLUTION,83.6,50.16,1.45,67.97,34 HCPCS,J7187,"ANTIHEMOPHILIC FACTOR-VWF 500 UNIT-1,200 UNIT INTRAVENOUS SOLUTION",83.6,50.16,1.45,67.97,34 HCPCS,J7189,"COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION",88.25,52.95,2.58,71.75,34 HCPCS,J7189,"COAGULATION FACTOR VIIA RECOMB 2 MG (2,000 MCG) INTRAVENOUS SOLUTION",88.25,52.95,2.58,71.75,34 HCPCS,J7189,"COAGULATION FACTOR VIIA RECOMB 5 MG (5,000 MCG) INTRAVENOUS SOLUTION",88.25,52.95,2.58,71.75,34 HCPCS,J7189,FACTOR VIIA RECOMB (NOVOSEVEN) INTERMITTENT INFUSION,88.25,52.95,2.58,71.75,34 HCPCS,J7192,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 1,000 (+/-) UNIT IV SOLUTION",85.1,51.06,1.56,69.19,34 HCPCS,J7194,"FACTOR IX COMPLEX NO.4, 3-FACTOR 1,000 (+/-) UNIT INTRAVENOUS SOLUTION",82.95,49.77,1.65,67.44,34 HCPCS,J7194,"FACTOR IX COMPLEX NO.4, 3-FACTOR 1,500 (+/-) UNIT INTRAVENOUS SOLUTION",82.95,49.77,1.65,67.44,34 HCPCS,J7194,"FACTOR IX COMPLEX NO.4, 3-FACTOR 500 (+/-) UNIT INTRAVENOUS SOLUTION",83.1,49.86,1.65,67.56,34 HCPCS,J7197,ANTITHROMBIN III (HUMAN) 500 (+/-) UNIT INTRAVENOUS SOLUTION,94.85,56.91,3.98,77.11,34 HCPCS,J7296,LEVONORGESTREL 17.5 MCG/24 HOUR (5 YEARS) INTRAUTERINE DEVICE,4647.2,2788.32,930.37,3968.2,24 HCPCS,J7297,LEVONORGESTREL 20.4 MCG/24 HR (UP TO 8 YRS) 52 MG INTRAUTERINE DEVICE,3746.95,2248.17,750.14,3046.27,24 HCPCS,J7297,"Liletta, 52 mg",872.14,523.28,174.6,3043.97,24 HCPCS,J7298,"Mirena, 52 mg",1070.23,642.14,214.26,3968.2,24 HCPCS,J7300,COPPER 380 SQUARE MM INTRAUTERINE DEVICE,4576.0,2745.6,916.12,3720.29,24 HCPCS,J7301,LEVONORGESTREL 14 MCG/24 HR (UP TO 3 YRS) 13.5 MG INTRAUTERINE DEVICE,4065.55,2439.33,813.92,3305.29,24 HCPCS,J7307,Etonogestrel Cntracpt Impl Sys,1100.73,660.44,220.37,3968.2,24 HCPCS,J7315,MITOMYCIN 0.2 MG OPHTHALMIC KIT,1854.6,1112.76,371.29,1507.79,23 HCPCS,J7318,"Inj, durolane 1 mg",17.28,10.37,3.46,18.64,34 HCPCS,J7321,Hyalgan supartz visco-3 dose,77.03,46.22,15.42,199.8,24 HCPCS,J7323,Hyaluronan/Derivative Euflexxa,134.92,80.95,27.01,319.27,34 HCPCS,J7323,SODIUM HYALURONATE 10 MG/ML(MW 2.4-3.6 MILLION)INTRA-ARTICULAR SYRINGE,1656.85,994.11,109.08,1347.02,34 HCPCS,J7324,Hyaluronan/Deriv Orthovisc Ia,166.43,99.86,33.32,272.48,34 HCPCS,J7325,HYLAN G-F 20 48 MG/6 ML INTRA-ARTICULAR SYRINGE,6247.8,3748.68,7.71,5079.46,34 HCPCS,J7325,HYLAN G-F 20 16 MG/2 ML INTRA-ARTICULAR SYRINGE,2093.3,1255.98,7.71,1701.85,34 HCPCS,J7325,Hyaluronan/Derivative Synvisc,11.23,6.74,2.25,25.35,34 HCPCS,J7328,Gel-syn injection 0.1 mg,2.18,1.31,0.43644,1.77,24 HCPCS,J7330,MEMBRANE 2 AUTOLOGOUS CULTURED CHONDROCYTES,257500.0,154500.0,51551.5,215040.47,24 HCPCS,J7330,MEMBRANE AUTOLOGOUS CULTURED CHONDROCYTES,156212.38,93727.43,31273.72,215040.47,24 HCPCS,J7336,CAPSAICIN-SKIN CLEANSER 8 % TOPICAL KIT,2741.35,1644.81,3.32,2228.72,34 HCPCS,J7355,TRAVOPROST 75 MCG INTRACAMERAL IMPLANT,63488.5,38093.1,189.85,51616.15,34 HCPCS,J7500,AZATHIOPRINE 25 MG SPLIT TAB,17.4,10.44,0.1416,14.15,24 HCPCS,J7500,AZATHIOPRINE 50 MG TABLET,18.75,11.25,0.1416,15.24,24 HCPCS,J7502,CYCLOSPORINE 100 MG CAPSULE,89.05,53.43,4.81,72.4,24 HCPCS,J7502,CYCLOSPORINE MODIFIED 100 MG CAPSULE,63.15,37.89,4.81,51.34,24 HCPCS,J7503,"TACROLIMUS XR 1 MG TABLET,EXTENDED RELEASE 24 HR",44.3,26.58,4.32,36.02,24 HCPCS,J7503,"TACROLIMUS XR 4 MG TABLET,EXTENDED RELEASE 24 HR",129.2,77.52,4.32,105.04,24 HCPCS,J7504,"LYMPHOCYTE,ANTI-THYMO IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION",20322.25,12193.35,4068.51,16521.99,34 HCPCS,J7507,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE",23.95,14.37,0.4012,19.47,24 HCPCS,J7507,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",22.0,13.2,0.4012,17.89,24 HCPCS,J7507,TACROLIMUS 1 MG/ML ORAL SUSPENSION,405.05,243.03,0.4012,329.31,24 HCPCS,J7510,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION,19.3,11.58,0.5428,15.69,24 HCPCS,J7512,PREDNISONE 1 MG TABLET,16.9,10.14,0.0236,13.74,24 HCPCS,J7512,PREDNISONE 10 MG TABLET,16.9,10.14,0.0236,13.74,24 HCPCS,J7512,PREDNISONE 20 MG TABLET,16.95,10.17,0.0236,13.78,24 HCPCS,J7512,PREDNISONE 5 MG TABLET,16.8,10.08,0.0236,13.66,24 HCPCS,J7512,PREDNISONE 5 MG/5 ML ORAL SOLUTION,1256.0,753.6,0.0236,1021.13,24 HCPCS,J7515,CYCLOSPORINE 25 MG CAPSULE,34.3,20.58,1.89,27.89,24 HCPCS,J7515,CYCLOSPORINE MODIFIED 25 MG CAPSULE,27.9,16.74,1.89,22.68,24 HCPCS,J7517,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION,48.4,29.04,0.3776,39.35,24 HCPCS,J7517,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,17.85,10.71,0.3776,14.51,24 HCPCS,J7518,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",30.9,18.54,0.8024,25.12,24 HCPCS,J7519,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION,516.55,309.93,0.8496,419.96,24 HCPCS,J7520,SIROLIMUS 0.5 MG TABLET,32.0,19.2,2.05,26.02,23 HCPCS,J7525,TACROLIMUS 5 MG/ML INTRAVENOUS SOLUTION,64.75,38.85,12.96,731.33,34 HCPCS,J7611,Breathing Inhalation Medicine,0.75,0.45,0.15015,0.60975,24 HCPCS,J7613,Breathing Inhalation Medicine,0.04,0.02,0.00801,0.2145,24 HCPCS,J7620,Breathing Inhalation Medicine,0.13,0.08,0.02603,0.5445,24 HCPCS,J7644,Ipratropium Bromide Inhal Sol,0.2,0.12,0.04004,1.06,24 HCPCS,J7686,TREPROSTINIL 1.74 MG/2.9 ML (0.6 MG/ML) SOLUTION FOR NEBULIZATION,9504.4,5702.64,1878.77,7727.08,23 HCPCS,J8501,APREPITANT 125 MG CAPSULE,1034.85,620.91,6.44,841.33,24 HCPCS,J8501,APREPITANT 40 MG CAPSULE,367.8,220.68,6.44,299.02,24 HCPCS,J8530,CYCLOPHOSPHAMIDE 25 MG CAPSULE,55.0,33.0,2.6,44.72,24 HCPCS,J8530,CYCLOPHOSPHAMIDE 50 MG CAPSULE,80.0,48.0,2.6,65.04,24 HCPCS,J8540,DEXAMETHASONE 0.5 MG TABLET,16.7,10.02,0.0472,13.58,24 HCPCS,J8540,DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION,64.0,38.4,0.0472,52.03,24 HCPCS,J8540,DEXAMETHASONE 1 MG/ML DROPS (CONCENTRATE),87.55,52.53,0.0472,71.18,24 HCPCS,J8540,DEXAMETHASONE 1.5 MG TABLET,17.6,10.56,0.0472,14.31,24 HCPCS,J8540,DEXAMETHASONE 4 MG TABLET,20.05,12.03,0.0472,16.3,24 HCPCS,J8540,STUDY MK-2870-011 DEXAMETHASONE 0.1 MG/ML ORAL SOLUTION,0.2,0.12,0.04004,0.1626,24 HCPCS,J8560,ETOPOSIDE 50 MG CAPSULE,371.25,222.75,74.32,301.83,24 HCPCS,J8600,MELPHALAN 2 MG TABLET,70.3,42.18,14.07,57.15,24 HCPCS,J8610,METHOTREXATE SODIUM 2.5 MG (ONCOLOGY) TABLET,37.2,22.32,0.4484,30.24,24 HCPCS,J8610,METHOTREXATE SODIUM 2.5 MG TABLET,37.2,22.32,0.4484,30.24,24 HCPCS,J8999,STUDY NRG-GU009 APALUTAMIDE 60 MG TABLET,0.2,0.12,0.04004,0.1626,22 HCPCS,J9000,DOXORUBICIN (ADRIAMYCIN) 25 MG/ML INJECTION,320.15,192.09,7.13,260.28,24 HCPCS,J9000,DOXORUBICIN 10 MG/5 ML INTRAVENOUS SOLUTION,319.7,191.82,7.13,259.92,24 HCPCS,J9011,DATOPOTAMAB DERUXTECAN-DLNK 100 MG INTRAVENOUS SOLUTION,21795.75,13077.45,50.01,17719.94,34 HCPCS,J9017,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION,1199.0,719.4,7.91,974.79,34 HCPCS,J9017,ARSENIC TRIOXIDE 2 MG/ML INTRAVENOUS SOLUTION,5890.65,3534.39,7.91,4789.1,34 HCPCS,J9022,ATEZOLIZUMAB (TECENTRIQ) 60 MG/ML INJECTION SOLUTION WRAPPER,43619.25,26171.55,88.6,41681.05,68 HCPCS,J9022,"ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION",51268.2,30760.92,88.6,41681.05,34 HCPCS,J9022,ATEZOLIZUMAB 840 MG/14 ML (60 MG/ML) INTRAVENOUS SOLUTION,35970.3,21582.18,88.6,29243.85,34 HCPCS,J9022,STUDY S1914 ATEZOLIZUMAB 60 MG/ML IV SOLUTION,0.2,0.12,0.04004,215.56,29 HCPCS,J9023,AVELUMAB 20 MG/ML INTRAVENOUS SOLUTION,9488.7,5693.22,97.09,7714.31,34 HCPCS,J9025,AZACITIDINE (VIDAZA) SYRINGE 25 MG/ML,2850.1,1710.06,0.5775,2317.13,24 HCPCS,J9029,NADOFARAGENE FIRADENOVEC-VNCG 3X10EXP11 VP/ML INTRAVESICAL SUSPENSION,68158.2,40894.92,13645.27,176902.85,34 HCPCS,J9030,BCG LIVE 50 MG INTRAVESICAL SUSPENSION,1052.35,631.41,7.69,855.56,24 HCPCS,J9033,BENDAMUSTINE 25 MG INTRAVENOUS POWDER FOR SOLUTION,3544.0,2126.4,1.82,2881.27,34 HCPCS,J9034,BENDAMUSTINE (BENDEKA) 25 MG/ML INTRAVENOUS SOLUTION,11159.75,6695.85,13.09,9072.88,34 HCPCS,J9035,BEVACIZUMAB (AVASTIN) 25 MG/ML,318.85,191.31,63.83,259.23,68 HCPCS,J9039,"BLINATUMOMAB 12.5 MCG/ML IV SOLN (15 MCG/M2/DAY, 24-HR INFUSION)",24724.8,14834.88,159.32,20101.26,34 HCPCS,J9039,"BLINATUMOMAB 12.5 MCG/ML IV SOLN (15 MCG/M2/DAY, 48-HR INFUSION)",24724.8,14834.88,159.32,20101.26,34 HCPCS,J9039,"BLINATUMOMAB 12.5 MCG/ML IV SOLN (15 MCG/M2/DAY, 7-DAY INFUSION)",24724.8,14834.88,159.32,20101.26,34 HCPCS,J9039,"BLINATUMOMAB 12.5 MCG/ML IV SOLN (5 MCG/M2/DAY, 24-HR INFUSION)",24724.8,14834.88,159.32,20101.26,34 HCPCS,J9039,"BLINATUMOMAB 12.5 MCG/ML IV SOLN (5 MCG/M2/DAY, 48-HR INFUSION)",24724.8,14834.88,159.32,20101.26,34 HCPCS,J9039,BLINATUMOMAB 35 MCG INTRAVENOUS KIT,24724.8,14834.88,159.32,20101.26,34 HCPCS,J9040,BLEOMYCIN (BLENOXANE) SYRINGE 15 UNITS/ML,350.2,210.12,50.79,284.71,24 HCPCS,J9040,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION,526.7,316.02,50.79,428.21,24 HCPCS,J9040,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION,549.95,329.97,50.79,447.11,24 HCPCS,J9041,BORTEZOMIB (VELCADE) IV SYRINGE 1 MG/ML,7328.2,4396.92,4.32,5957.83,24 HCPCS,J9041,BORTEZOMIB (VELCADE) SUBCUTANEOUS SYRINGE 2.5 MG/ML,7328.2,4396.92,4.32,5957.83,24 HCPCS,J9042,BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION,56048.55,33629.13,250.88,45567.47,34 HCPCS,J9042,STUDY C25003 BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLN,0.2,0.12,0.04004,720.99,34 HCPCS,J9043,CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION,60837.1,36502.26,220.46,49460.56,34 HCPCS,J9045,CARBOPLATIN (PARAPLATIN) 10 MG/ML IVPB (BY AUC),439.35,263.61,5.74,456.05,96 HCPCS,J9045,CARBOPLATIN (PARAPLATIN) 10 MG/ML IVPB (BY MG/M2),425.75,255.45,5.74,456.05,96 HCPCS,J9045,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,429.9,257.94,5.74,435.24,96 HCPCS,J9045,STUDY J3M-MC-JZQB CARBOPLATIN 10 MG/ML IV SOLUTION,0.2,0.12,0.04004,5.83,24 HCPCS,J9047,CARFILZOMIB (KYPROLIS) IVPB 2 MG/ML,15838.65,9503.19,53.98,12876.82,34 HCPCS,J9047,CARFILZOMIB 60 MG INTRAVENOUS SOLUTION,15838.65,9503.19,53.98,12876.82,34 HCPCS,J9055,CETUXIMAB 100 MG/50 ML IV,3955.6,2373.36,76.02,3215.9,34 HCPCS,J9055,CETUXIMAB IVPB OVER 1 HOUR,5795.9,3477.54,76.02,6208.23,68 HCPCS,J9055,CETUXIMAB IVPB OVER 2 HOURS,5795.9,3477.54,76.02,6208.23,68 HCPCS,J9055,CETUXIMAB IVPB OVER 3 HOURS,5795.9,3477.54,76.02,6208.23,68 HCPCS,J9060,CISPLATIN (PLATINOL) IVPB 1 MG/ML,429.675,257.805,5.31,367.76,48 HCPCS,J9060,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,429.675,257.805,5.31,367.76,48 HCPCS,J9060,STUDY J3M-MC-JZQB CISPLATIN 1 MG/ML IV SOLUTION,0.2,0.12,0.04004,5.4,24 HCPCS,J9061,AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION,17024.4,10214.64,21.86,13840.84,34 HCPCS,J9063,MIRVETUXIMAB SORAVTANSINE-GYNX 5 MG/ML INTRAVENOUS SOLUTION,30117.4,18070.44,67.41,24485.45,34 HCPCS,J9065,CLADRIBINE 10 MG/10 ML INTRAVENOUS SOLUTION,2189.0,1313.4,10.36,1779.66,34 HCPCS,J9075,CYCLOPHOSPHAMIDE (CYTOXAN) 1 GM INJECTION,2740.6,1644.36,0.4656,2228.11,34 HCPCS,J9075,CYCLOPHOSPHAMIDE (POWDER) (CYTOXAN) 20 MG/ML IVPB,2740.6,1644.36,0.4656,2228.11,34 HCPCS,J9075,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION,1507.85,904.71,0.4656,1225.88,34 HCPCS,J9100,CYTARABINE (PF) 100 MG/5 ML (20 MG/ML) INJECTION SOLUTION,302.95,181.77,1.96,246.3,24 HCPCS,J9100,CYTARABINE (PF) 100 MG/ML INJECTION,364.45,218.67,1.96,296.3,24 HCPCS,J9119,CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION,48344.85,29006.91,28.41,39304.36,34 HCPCS,J9120,DACTINOMYCIN (COSMEGEN) SYRINGE 0.5 MG/ML,3520.0,2112.0,318.49,2861.76,34 HCPCS,J9130,DACARBAZINE 200 MG INTRAVENOUS SOLUTION,327.8,196.68,8.14,266.5,24 HCPCS,J9144,"DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN",46791.25,28074.75,53.9,38041.29,34 HCPCS,J9153,DAUNORUBICIN 44 MG AND CYTARABINE 100 MG IN LIPOSOME IV SOLUTION,48587.0,29152.2,248.41,39501.23,34 HCPCS,J9155,DEGARELIX 120 MG SUBCUTANEOUS SOLUTION,3628.2,2176.92,4.32,2949.73,34 HCPCS,J9171,DOCETAXEL (TAXOTERE) 10 MG/ML INJECTION WRAPPER,996.6,597.96,1.04,1654.45,72 HCPCS,J9171,STUDY RMC-6236-301 DOCETAXEL 10 MG/ML IV SOLUTION,0.2,0.12,0.04004,1.42,24 HCPCS,J9171,STUDY RMC-6236-301 DOCETAXEL 20 MG/ML IV SOLUTION,0.2,0.12,0.04004,1.42,24 HCPCS,J9173,DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION,11990.875,7194.525,82.57,15586.47,68 HCPCS,J9173,STUDY S2206 DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION,0.2,0.12,0.04004,237.76,34 HCPCS,J9177,ENFORTUMAB VEDOTIN-EJFV 20 MG INTRAVENOUS SOLUTION,12634.6,7580.76,35.64,10271.93,34 HCPCS,J9177,ENFORTUMAB VEDOTIN-EJFV 30 MG INTRAVENOUS SOLUTION,18814.4,11288.64,35.64,15296.11,34 HCPCS,J9177,ENFORTUMAB VEDOTIN-EJFV 30 MG INTRAVENOUS SOLUTION (MAX DOSE 100 MG),18814.4,11288.64,35.64,15296.11,34 HCPCS,J9177,ENFORTUMAB VEDOTIN-EJFV 30 MG INTRAVENOUS SOLUTION (MAX DOSE 50 MG),18814.4,11288.64,35.64,15296.11,34 HCPCS,J9177,ENFORTUMAB VEDOTIN-EJFV 30 MG INTRAVENOUS SOLUTION (MAX DOSE 75 MG),18814.4,11288.64,35.64,15296.11,34 HCPCS,J9179,ERIBULIN (HALAVEN) SYRINGE 0.5 MG/ML,6479.0,3887.4,86.66,5267.43,34 HCPCS,J9181,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,432.475,259.485,2.22,446.09,48 HCPCS,J9185,FLUDARABINE (FLUDARA) 50 MG INJECTION WRAPPER,1471.3,882.78,66.15,1196.17,34 HCPCS,J9185,FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION,1471.3,882.78,66.15,1196.17,34 HCPCS,J9190,FLUOROURACIL (ADRUCIL) 50 MG/ML IV SOLUTION WRAPPER,290.05,174.03,4.69,235.81,24 HCPCS,J9190,FLUOROURACIL (ADRUCIL) 50 MG/ML IV SOLUTION WRAPPER (UNC HOMECARE),403.95,242.37,4.69,328.41,24 HCPCS,J9190,FLUOROURACIL 1 GRAM/20 ML INTRAVENOUS SOLUTION,305.1,183.06,4.69,248.05,24 HCPCS,J9190,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,356.0,213.6,4.69,289.43,24 HCPCS,J9190,FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION,290.05,174.03,4.69,235.81,24 HCPCS,J9190,FLUOROURACIL 50MG/ML OPHTH SOLUTION,275.2,165.12,4.69,223.74,24 HCPCS,J9201,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION,493.5,296.1,7.39,401.22,24 HCPCS,J9201,GEMCITABINE 1 GRAM/26.3 ML (38 MG/ML) INTRAVENOUS SOLUTION,474.3,284.58,7.39,385.61,24 HCPCS,J9201,GEMCITABINE 2 GRAM INTRAVENOUS SOLUTION,774.35,464.61,7.39,629.55,24 HCPCS,J9201,GEMCITABINE 200 MG INTRAVENOUS SOLUTION,324.35,194.61,7.39,263.7,24 HCPCS,J9201,GEMCITABINE 200 MG/5.26 ML (38 MG/ML) INTRAVENOUS SOLUTION,316.1,189.66,7.39,256.99,24 HCPCS,J9201,GEMCITABINE 38 MG/ML INJECTABLE SOLUTION WRAPPER,332.3,199.38,7.39,547.6,72 HCPCS,J9201,GEMCITABINE BLADDER INSTILLATION (38 MG/ML),337.4,202.44,7.39,274.31,24 HCPCS,J9202,GOSERELIN 10.8 MG SUBCUTANEOUS IMPLANT,13881.15,8328.69,711.66,11285.37,34 HCPCS,J9202,GOSERELIN 3.6 MG SUBCUTANEOUS IMPLANT,5220.4,3132.24,711.66,4244.19,34 HCPCS,J9203,GEMTUZUMAB OZOGAMICIN 4.5 MG (1 MG/ML INITIAL CONCENTRATION) IV SOLN,45136.0,27081.6,229.52,36695.57,34 HCPCS,J9204,MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLUTION,21317.55,12790.53,241.04,17331.17,34 HCPCS,J9205,IRINOTECAN LIPOSOMAL 4.3 MG/ML INTRAVENOUS,13382.6,8029.56,64.02,10880.05,34 HCPCS,J9206,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,371.7,223.02,3.81,302.19,24 HCPCS,J9207,IXABEPILONE 45 MG INTRAVENOUS SOLUTION,26867.2,16120.32,135.03,21843.03,34 HCPCS,J9208,IFOSFAMIDE 1 GRAM INTRAVENOUS SOLUTION,436.7,262.02,59.47,355.04,24 HCPCS,J9208,IFOSFAMIDE 3 GRAM INTRAVENOUS SOLUTION,748.2,448.92,59.47,608.29,24 HCPCS,J9209,MESNA 100 MG/ML INTRAVENOUS SOLUTION,385.0,231.0,3.61,313.0,24 HCPCS,J9217,LEUPROLIDE 7.5 MG (1 MONTH) SUBCUTANEOUS SYRINGE,2262.45,1357.47,171.16,1839.37,34 HCPCS,J9217,LEUPROLIDE 7.5 MG INTRAMUSCULAR SYRINGE KIT,9718.8,5831.28,171.16,7901.38,34 HCPCS,J9223,LURBINECTEDIN 4 MG INTRAVENOUS SOLUTION,36575.0,21945.0,200.92,29735.47,34 HCPCS,J9227,ISATUXIMAB-IRFC 20 MG/ML INTRAVENOUS SOLUTION,11757.95,7054.77,79.44,15782.97,68 HCPCS,J9228,IPILIMUMAB (YERVOY) 5 MG/ML INJECTION WRAPPER,99877.0,59926.2,177.98,129785.78,68 HCPCS,J9228,IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION,159638.1,95782.86,177.98,129785.78,34 HCPCS,J9228,IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,40115.9,24069.54,177.98,32614.23,34 HCPCS,J9229,INOTUZUMAB OZOGAMICIN 0.9 MG(0.25 MG/ML INITIAL CONCENTRATION) IV SOLN,105505.2,63303.12,2617.11,85775.73,34 HCPCS,J9245,MELPHALAN (ALKERAN) IVPB,2475.0,1485.0,93.02,2012.17,34 HCPCS,J9245,MELPHALAN (ALKERAN) SYRINGE,2475.0,1485.0,93.02,2012.17,34 HCPCS,J9260,METHOTREXATE INJECTION (PF) 25 MG/ML (NON-ONCOLOGY),314.75,188.85,6.15,342.52,72 HCPCS,J9260,METHOTREXATE SODIUM (CONTAINS PRESERVATIVES) 25 MG/ML INJECTION SOLUTION,307.0,184.2,6.15,249.59,24 HCPCS,J9260,METHOTREXATE SODIUM (PF) 1 GRAM SOLUTION FOR INJECTION,473.0,283.8,6.15,384.55,24 HCPCS,J9260,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,379.275,227.565,6.15,356.09,48 HCPCS,J9260,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION FOR INTRATHECAL,314.75,188.85,6.15,342.52,72 HCPCS,J9263,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,715.0,429.0,0.1888,581.29,24 HCPCS,J9263,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,486.2,291.72,0.1888,395.28,24 HCPCS,J9264,PACLITAXEL-PROTEIN BOUND (ABRAXANE) IVPB,7227.3,4336.38,10.22,5875.79,34 HCPCS,J9266,PEGASPARGASE (ONCASPAR) SYRINGE,118261.7,70957.02,23675.99,96146.76,34 HCPCS,J9267,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",465.05,279.03,0.297,686.13,72 HCPCS,J9267,STUDY COPPER-A PACLITAXEL 60 MG/10 ML,0.2,0.12,0.04004,0.3304,24 HCPCS,J9268,PENTOSTATIN (NIPENT) SYRINGE,13260.65,7956.39,2529.92,10780.91,34 HCPCS,J9271,PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,26225.0,15735.0,58.48,21320.92,34 HCPCS,J9271,STUDY J3M-MC-JZQB PEMBROLIZUMAB 25 MG/ML IV SOLUTION,0.2,0.12,0.04004,163.33,34 HCPCS,J9271,STUDY MK-2870-011 PEMBROLIZUMAB 25 MG/ML IV SOLUTION,0.2,0.12,0.04004,163.33,34 HCPCS,J9271,STUDY MK7902-010-WIRB PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,0.2,0.12,0.04004,163.33,34 HCPCS,J9272,DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION,53208.2,31924.92,236.4,43258.27,34 HCPCS,J9273,TISOTUMAB VEDOTIN-TFTV 40 MG INTRAVENOUS SOLUTION,32838.55,19703.13,183.1,26697.74,34 HCPCS,J9280,MITOMYCIN 20 MG INTRAVENOUS SOLUTION,3055.75,1833.45,19.74,2484.32,34 HCPCS,J9280,MITOMYCIN 40 MG INTRAVENOUS SOLUTION,5836.45,3501.87,19.74,4745.03,34 HCPCS,J9280,MITOMYCIN 40 MG/40 ML (ONE-STEP BLADDER IRRIGATION),5836.45,3501.87,19.74,4745.03,34 HCPCS,J9280,MITOMYCIN 5 MG INTRAVENOUS SOLUTION,1345.4,807.24,19.74,1093.81,34 HCPCS,J9280,MITOMYCIN BLADDER INSTILLATION (2 MG/ML; 40 MG VIAL),1243.0,745.8,19.74,1010.56,34 HCPCS,J9281,MITOMYCIN 40 MG X 2 INTRA-PYELOCALYCEAL KIT,110033.0,66019.8,308.97,89456.83,34 HCPCS,J9289,"NIVOLUMAB 600 MG-HYALURONIDASE-NVHY 10,000 UNIT/5 ML SUBCUT SOLUTION",35224.6,21134.76,26.54,28637.6,34 HCPCS,J9293,MITOXANTRONE (NOVANTRONE) INJECTION,2753.3,1651.98,23.16,2504.04,102 HCPCS,J9298,NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION,68131.75,40879.05,191.9,55391.11,34 HCPCS,J9299,NIVOLUMAB 100 MG/10 ML INTRAVENOUS SOLUTION,14837.25,8902.35,31.97,12062.68,34 HCPCS,J9299,NIVOLUMAB 240 MG/24 ML INTRAVENOUS SOLUTION,35224.6,21134.76,31.97,28637.6,34 HCPCS,J9299,NIVOLUMAB 40 MG/4 ML INTRAVENOUS SOLUTION,6099.95,3659.97,31.97,4959.26,34 HCPCS,J9302,OFATUMUMAB (ARZERRA) 20 MG/ML INJECTION WRAPPER,14876.525,8925.914999999999,60.36,21807.34,68 HCPCS,J9302,"OFATUMUMAB 1,000 MG/50 ML INTRAVENOUS SOLUTION",25404.55,15242.73,60.36,20653.9,34 HCPCS,J9302,OFATUMUMAB 100 MG/5 ML INTRAVENOUS SOLUTION,2929.75,1757.85,60.36,2381.89,34 HCPCS,J9303,PANITUMUMAB 100 MG/5 ML (20 MG/ML) INTRAVENOUS SOLUTION,8246.3,4947.78,167.84,6704.24,34 HCPCS,J9303,PANITUMUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION,32160.05,19296.03,167.84,26146.12,34 HCPCS,J9305,PEMETREXED DISODIUM 100 MG INTRAVENOUS POWDER FOR SOLUTION,3832.85,2299.71,4.23,3116.11,34 HCPCS,J9305,PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION,18064.2,10838.52,4.23,14686.19,34 HCPCS,J9305,STUDY J3M-MC-JZQB PEMETREXED 25 MG/ML IV SOLUTION,0.2,0.12,0.04004,10.4,34 HCPCS,J9306,PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLUTION,30285.2,18171.12,16.51,24621.87,34 HCPCS,J9308,RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION,20085.45,12051.27,72.13,27066.72,68 HCPCS,J9309,POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION,82165.25,49299.15,132.57,66800.35,34 HCPCS,J9309,POLATUZUMAB VEDOTIN-PIIQ 30 MG INTRAVENOUS SOLUTION,17822.95,10693.77,132.57,14490.06,34 HCPCS,J9311,"RITUXIMAB 1,400 MG/11.7 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN",29212.0,17527.2,35.59,23749.36,34 HCPCS,J9311,"RITUXIMAB 1,600 MG/13.4 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN",33345.8,20007.48,35.59,27110.14,34 HCPCS,J9312,"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS",12676.675,7606.005,72.96,17027.84,68 HCPCS,J9316,"PERTUZUMAB 1,200 MG-TRASTUZUMAB 600 MG-HYALURON-ZZXF/15 ML SUBCUT SOLN",61507.8,36904.68,60.24,50005.84,34 HCPCS,J9316,PERTUZUMAB 600 MG-TRASTUZUMAB 600 MG-HYALURONID-ZZXF/10 ML SUBCUT SOLN,41095.25,24657.15,60.24,33410.44,34 HCPCS,J9316,"STUDY DF-HCC-20-347-ADEPT PERTUZUMAB 1200 MG-TRASTUZUMAB 600 MG-HYALURONIDASE 30,000 UNITS/15 ML SUBCUTANEOUS SOLUTION",0.2,0.12,0.04004,176.79,34 HCPCS,J9316,"STUDY DF-HCC-20-347-ADEPT PERTUZUMAB 600 MG-TRASTUZUMAB 600 MG-HYALURONIDASE 20,000 UNITS/10 ML SUBCUTANEOUS SOLUTION",0.2,0.12,0.04004,176.79,34 HCPCS,J9317,SACITUZUMAB GOVITECAN-HZIY 180 MG INTRAVENOUS SOLUTION,11554.4,6932.64,35.19,9393.73,34 HCPCS,J9317,STUDY GS-US-595-6184 SACITUZUMAB GOVITECAN-HZIY 10 MG/ML INTRAVENOUS SOLUTION,0.2,0.12,0.04004,101.12,34 HCPCS,J9330,TEMSIROLIMUS 30 MG/3 ML (10 MG/ML) (FIRST DILUTION) INTRAVENOUS SOLN,9076.45,5445.87,25.91,7379.15,34 HCPCS,J9331,SIROLIMUS-PROTEIN BOUND 100 MG INTRAVENOUS SUSPENSION,36433.75,21860.25,82.03,29620.64,34 HCPCS,J9345,RETIFANLIMAB-DLWR 500 MG/20 ML INTRAVENOUS SOLUTION,65144.2,39086.52,29.64,52962.23,34 HCPCS,J9349,TAFASITAMAB-CXIX 200 MG INTRAVENOUS SOLUTION,6416.85,3850.11,13.88,5216.9,34 HCPCS,J9350,MOSUNETUZUMAB-AXGB 1 MG/ML INTRAVENOUS SOLUTION,42849.2,25709.519999999997,604.94,67216.16,68 HCPCS,J9351,TOPOTECAN 4 MG/4 ML (1 MG/ML) INTRAVENOUS SOLUTION,884.7,530.82,3.65,719.26,24 HCPCS,J9354,ADO-TRASTUZUMAB EMTANSINE 100 MG INTRAVENOUS SOLUTION,17829.4,10697.64,40.9,14495.3,34 HCPCS,J9354,ADO-TRASTUZUMAB EMTANSINE 160 MG INTRAVENOUS SOLUTION,28362.0,17017.2,40.9,23058.31,34 HCPCS,J9355,STUDY DF-HCC-20-347-ADEPT TRASTUZUMAB 21 MG/ML INTRAVENOUS SOLUTION,0.2,0.12,0.04004,212.46,34 HCPCS,J9355,TRASTUZUMAB 150 MG INTRAVENOUS SOLUTION,7132.1,4279.26,72.78,5798.4,34 HCPCS,J9356,"STUDY DF-HCC-20-347-ADEPT TRASTUZUMAB 600 MG-HYALURONIDASE 10,000 UNITS/5 ML SUBCUTANEOUS SOLUTION",0.2,0.12,0.04004,175.62,34 HCPCS,J9356,"TRASTUZUMAB 600 MG-HYALURONIDASE-OYSK 10,000 UNIT/5 ML SUBCUT SOLUTION",20846.1,12507.66,59.6,16947.88,34 HCPCS,J9358,FAM-TRASTUZUMAB DERUXTECAN-NXKI 100 MG INTRAVENOUS SOLUTION,13855.5,8313.3,29.08,11264.52,34 HCPCS,J9359,LONCASTUXIMAB TESIRINE-LPYL 10 MG INTRAVENOUS SOLUTION,124890.65,74934.39,210.39,101536.1,34 HCPCS,J9360,VINBLASTINE 1 MG/ML INTRAVENOUS SOLUTION,511.55,306.93,12.51,415.89,24 HCPCS,J9370,VINCRISTINE 1 MG/ML INTRAVENOUS SOLUTION,353.1,211.86,19.4,287.07,24 HCPCS,J9370,VINCRISTINE 1 MG/ML INTRAVENOUS SOLUTION (2 MG MAX DOSE),342.8,205.68,19.4,278.7,24 HCPCS,J9370,VINCRISTINE 1 MG/ML INTRAVENOUS SOLUTION (>2 MG MAX DOSE),342.8,205.68,19.4,278.7,24 HCPCS,J9380,TECLISTAMAB-CQYV 10 MG/ML SUBCUTANEOUS SOLUTION,9288.55,5573.13,32.57,7551.59,34 HCPCS,J9380,TECLISTAMAB-CQYV 90 MG/ML SUBCUTANEOUS SOLUTION,46244.25,27746.55,32.57,37596.58,34 HCPCS,J9390,VINORELBINE 10 MG/ML INTRAVENOUS SOLUTION,385.0,231.0,5.33,313.0,24 HCPCS,J9390,VINORELBINE 50 MG/5 ML INTRAVENOUS SOLUTION,671.0,402.6,5.33,545.52,24 HCPCS,J9395,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,8806.85,5284.11,6.53,7159.97,34 HCPCS,P9045,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",437.0,262.2,51.49,355.28,68 HCPCS,P9047,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",424.09999999999997,254.45999999999998,61.74,438.86,48 HCPCS,P9047,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION WRAPPER",424.09999999999997,254.45999999999998,61.74,438.86,48 HCPCS,Q0138,FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION,5076.25,3045.75,0.3104,4126.99,35 HCPCS,Q0144,Azithromycin Oral Cap/Powder,25.48,15.29,5.1,53.27,24 HCPCS,Q0162,"Ondansetron Oral, 1 Mg",0.01,0.01,0.002,0.033,24 HCPCS,Q0163,Diphenhydramine Hcl 50 Mg Oral,0.02,0.01,0.004,3.6,24 HCPCS,Q0224,PEMIVIBART 125 MG/ML INTRAVENOUS SOLUTION (EUA),26733.05,16039.83,5351.96,21733.97,25 HCPCS,Q2009,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION,40.9,24.54,6.18,33.25,24 HCPCS,Q2009,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,567.95,340.77,6.18,461.74,24 HCPCS,Q2009,FOSPHENYTOIN IV 500 MG PE NS 50 ML INFUSION (TOTAL VOLUME 67 ML),278.85,167.31,6.18,226.71,24 HCPCS,Q2035,Flu Vaccine Shot,11.89,7.13,2.38,71.79,26 HCPCS,Q2037,Flu Vaccination,17.69,10.61,3.54,41.35,26 HCPCS,Q2050,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",4015.0,2409.0,105.22,4695.07,68 HCPCS,Q3028,INTERFERON BETA-1A (ALBUMIN) 44 MCG/0.5 ML SUBCUTANEOUS SYRINGE,4182.45,2509.47,100.21,3400.33,24 HCPCS,Q4100,HC Seri Scaffold 250sqcm 10x25,15495.0,9297.0,3102.1,12597.43,24 HCPCS,Q4101,HC Apligraf per Sq Cm,130.0,78.0,26.03,105.69,25 HCPCS,Q4101,HC Discarded Apligraf per Sq Cm,132.0,79.2,26.43,107.32,24 HCPCS,Q4102,HC Discarded Oasis Wound Matrix 11 Sq Cm 3 X 3.5 per Sq Cm,65.0,39.0,13.01,52.84,24 HCPCS,Q4102,HC Oasis Wound Matrix 11 Sq Cm 3 X 3.5 per Sq Cm,65.0,39.0,13.01,52.84,25 HCPCS,Q4102,HC Oasis Wound Matrix per Sq Cm,25.0,15.0,5.0,31.86,25 HCPCS,Q4104,HC Integra Bilayer Matrix Wound Dressing 4sqcm 2x2 per Sq Cm,5187.0,3112.2,120.36,4217.03,25 HCPCS,Q4106,HC Dermagraft per Sq Cm,95.0,57.0,19.02,138.68,25 HCPCS,Q4106,HC Discarded Dermagraft per Sq Cm,95.0,57.0,19.02,106.06,24 HCPCS,Q4107,HC Graft Jacket per Sq Cm,142.0,85.2,28.43,371.55,25 HCPCS,Q4110,HC Discarded Primatrix 18mm Disc,2363.0,1417.8,154.34,1921.12,24 HCPCS,Q4110,HC Discarded Primatrix 2cmx2cm per Sq Cm,571.0,342.6,114.31,464.22,24 HCPCS,Q4110,HC Discarded Primatrix 3cmx3cm per Sq Cm,313.0,187.8,62.66,254.47,24 HCPCS,Q4110,HC Discarded Primatrix 4cmx4cm per Sq Cm,262.0,157.2,52.45,213.01,24 HCPCS,Q4110,HC Primatrix 16sqcm 4x4 per Sq Cm,262.0,157.2,52.45,213.01,25 HCPCS,Q4110,HC Primatrix 3cmx3cm,313.0,187.8,62.66,254.47,25 HCPCS,Q4110,HC Primatrix 4sqcm 2x2 per Sq Cm,571.0,342.6,114.31,464.22,25 HCPCS,Q4118,HC Matristem Micromatrix 1 Mg,54.0,32.4,5.99,43.9,25 HCPCS,Q4118,HC Matristem Micromatrix 1000mg per 1 Mg,10.0,6.0,2.0,8.13,25 HCPCS,Q4121,HC Discarded Theraskin per Sq Cm,123.0,73.8,24.62,124.49,24 HCPCS,Q4121,HC Theraskin 7.6cm X 15.2cm per Sq Cm,123.0,73.8,24.62,132.99,25 HCPCS,Q4121,HC Theraskin per Sq Cm,123.0,73.8,24.62,132.99,25 HCPCS,Q4124,HC Discarded Oasis Ultra Tri Layer Matrix 3x3.5 Cm Pad per Sq Cm,455.0,273.0,5.88,369.92,24 HCPCS,Q4124,HC Discarded Oasis Ultra Tri Layer Matrix 3x7 Cm Pad per Sq Cm,911.0,546.6,5.88,740.64,24 HCPCS,Q4124,HC Oasis Ultra Tri Layer Matrix 3x3.5 Cm Pad,455.0,273.0,5.88,369.92,25 HCPCS,Q4124,HC Oasis Ultra Tri Layer Matrix 3x7 Cm Pad,911.0,546.6,5.88,740.64,25 HCPCS,Q4127,HC Discarded Talymed per Sq Cm,200.0,120.0,40.04,162.6,24 HCPCS,Q4127,HC Talymed per Sq Cm Used,200.0,120.0,40.04,186.47,25 HCPCS,Q4128,HC Allopatch 1.5 Cm X 1.5 Cm per Sq Cm,428.0,256.8,70.59,347.96,25 HCPCS,Q4128,HC Allopatch 2 Cm X 2 Cm per Sq Cm,483.0,289.8,70.59,392.68,25 HCPCS,Q4128,HC Allopatch 4 Cm X 4 Cm per Sq Cm,342.0,205.2,68.47,278.05,25 HCPCS,Q4128,HC Discarded Allopatch 1.5 Cm X 1.5 Cm per Sq Cm,428.0,256.8,70.59,347.96,24 HCPCS,Q4128,HC Discarded Allopatch 2 Cm X 2 Cm per Sq Cm,483.0,289.8,70.59,392.68,24 HCPCS,Q4128,HC Discarded Allopatch 4 Cm X 4 Cm per Sq Cm,342.0,205.2,68.47,278.05,24 HCPCS,Q4133,HC Discarded Grafix Pl 1.5x2 per Sq Cm,1546.0,927.6,309.51,1256.9,24 HCPCS,Q4133,HC Grafix Pl 1.5x2 per Sq Cm,1546.0,927.6,309.51,1256.9,25 HCPCS,Q4133,HC Grafix Pl 16 Mm Disc,3094.0,1856.4,327.43,2515.42,25 HCPCS,Q4133,SKIN GRAFT SOFT TISS 2X4CM STRAVIX,7390.2,4434.12,327.43,6008.23,25 HCPCS,Q4133,SKIN GRAFT SOFT TISS 3X6CM STRAVIX,11159.74,6695.84,327.43,9072.87,25 HCPCS,Q4137,HC Amnioexcel 1.5x1.5cm per Sq Cm,1252.0,751.2,240.06,1017.88,25 HCPCS,Q4137,HC Amnioexcel 15mm Disc,1575.0,945.0,240.06,1280.47,25 HCPCS,Q4137,HC Amnioexcel 2x3cm per Sq Cm,641.0,384.6,128.33,521.13,25 HCPCS,Q4137,HC Amnioexcel 3.5x3.5cm per Sq Cm,340.0,204.0,68.07,276.42,25 HCPCS,Q4137,HC Amnioexcel 4x4cm per Sq Cm,272.0,163.2,54.45,274.21,25 HCPCS,Q4137,HC Amnioexcel Plus 17mm Disc,2754.0,1652.4,240.06,2239.0,25 HCPCS,Q4137,HC Amnioexcel Plus 2cm X 2 Cm per Sq Cm,1216.0,729.6,240.06,988.61,25 HCPCS,Q4137,HC Amnioexcel Plus 3cm X 3cm per Sq Cm,616.0,369.6,123.32,500.81,25 HCPCS,Q4137,HC Amnioexcel or Biodexcel 18mm Disk,2562.0,1537.2,240.06,2082.91,25 HCPCS,Q4137,HC Discarded Amnioexcel 1.5x1.5cm per Sq Cm,1252.0,751.2,240.06,1017.88,24 HCPCS,Q4137,HC Discarded Amnioexcel 15mm Disc per Cm,1575.0,945.0,240.06,1280.47,24 HCPCS,Q4137,HC Discarded Amnioexcel 2x3cm per Sq Cm,641.0,384.6,128.33,521.13,24 HCPCS,Q4137,HC Discarded Amnioexcel 3.5x3.5cm per Sq Cm,340.0,204.0,68.07,276.42,24 HCPCS,Q4137,HC Discarded Amnioexcel 4x4cm per Sq Cm,272.0,163.2,54.45,240.06,24 HCPCS,Q4137,HC Discarded Amnioexcel Plus 17mm Disc,2754.0,1652.4,240.06,2239.0,24 HCPCS,Q4137,HC Discarded Amnioexcel Plus 2cm X 2 Cm per Sq Cm,1216.0,729.6,240.06,988.61,24 HCPCS,Q4137,HC Discarded Amnioexcel Plus 3cm X 3cm per Sq Cm,616.0,369.6,123.32,500.81,24 HCPCS,Q4148,HC Discarded Neox 1k 2.0x1.0cm per Sq Cm,1235.0,741.0,247.25,1004.05,24 HCPCS,Q4148,HC Discarded Neox 1k 2.0x2.0cm per Sq Cm,1048.0,628.8,209.81,852.02,24 HCPCS,Q4148,HC Discarded Neox 1k 3.0x2.0cm per Sq Cm,707.0,424.2,141.54,574.79,24 HCPCS,Q4148,HC Discarded Neox 1k 3.0x3.0cm per Sq Cm,550.0,330.0,110.11,447.15,24 HCPCS,Q4148,HC Discarded Neox 1k 4.0x3.0cm per Sq Cm,442.0,265.2,88.49,359.35,24 HCPCS,Q4148,HC Discarded Neox 1k 6.0x3.0cm per Sq Cm,466.0,279.6,93.29,378.86,24 HCPCS,Q4148,HC Neox 1k 2.0x1.0cm per Sq Cm,1235.0,741.0,247.25,1004.05,25 HCPCS,Q4148,HC Neox 1k 2.0x2.0cm per Sq Cm,1048.0,628.8,209.81,852.02,25 HCPCS,Q4148,HC Neox 1k 3.0x2.0cm per Sq Cm,707.0,424.2,141.54,574.79,25 HCPCS,Q4148,HC Neox 1k 3.0x3.0cm per Sq Cm,550.0,330.0,110.11,447.15,25 HCPCS,Q4148,HC Neox 1k 4.0x3.0cm per Sq Cm,442.0,265.2,88.49,359.35,25 HCPCS,Q4148,HC Neox 1k 6.0x3.0cm per Sq Cm,466.0,279.6,93.29,378.86,25 HCPCS,Q4160,HC Discarded Nushield 2x3 per Sq Cm,698.0,418.8,139.74,6571.14,24 HCPCS,Q4160,HC Discarded Nushield 2x4 per Sq Cm,626.0,375.6,125.33,6571.14,24 HCPCS,Q4160,HC Discarded Nushield 3x4 per Sq Cm,615.0,369.0,123.12,6571.14,24 HCPCS,Q4160,HC Discarded Nushield 4x6 per Sq Cm,439.0,263.4,87.89,6571.14,24 HCPCS,Q4160,HC Discarded Nushield 6x6 per Sq Cm,399.0,239.4,79.88,6571.14,24 HCPCS,Q4160,HC Nushield 2x3 per Sq Cm,698.0,418.8,139.74,6571.14,25 HCPCS,Q4160,HC Nushield 2x4 per Sq Cm,626.0,375.6,125.33,6571.14,25 HCPCS,Q4160,HC Nushield 3x4 per Sq Cm,615.0,369.0,123.12,6571.14,25 HCPCS,Q4160,HC Nushield 4x6 per Sq Cm,439.0,263.4,87.89,6571.14,25 HCPCS,Q4160,HC Nushield 6x6 per Sq Cm,399.0,239.4,79.88,6571.14,25 HCPCS,Q4160,HC Nushield Disc 1.6 per Sq Cm,2469.0,1481.4,494.29,6571.14,25 HCPCS,Q4196,HC Discarded Puraply Am 25sqcm 5x5 per Sq Cm,273.0,163.8,54.65,238.43,24 HCPCS,Q4196,HC Discarded Puraply Am 4sqcm 2x2 per Sq Cm,988.0,592.8,197.8,803.24,24 HCPCS,Q4196,HC Puraply Am 1.6cm Disc,2813.0,1687.8,238.43,2286.97,25 HCPCS,Q4196,HC Puraply Am 25sqcm 5x5 per Sq Cm,273.0,163.8,54.65,268.27,25 HCPCS,Q4196,HC Puraply Am 4sqcm 2x2 per Sq Cm,988.0,592.8,197.8,803.24,25 HCPCS,Q4196,HC Puraply Am 8sqcm 2x4 per Sq Cm,626.0,375.6,125.33,508.94,25 HCPCS,Q4282,HC Cygnus Dual 16 Sq Cm 4 X 4 per Sq Cm,2025.0,1215.0,405.4,1646.33,25 HCPCS,Q4282,HC Cygnus Dual 24 Sq Cm 4 X 6 per Sq Cm,1708.0,1024.8,341.94,1388.6,25 HCPCS,Q4282,HC Cygnus Dual 6 Sq Cm 2 X 3 per Sq Cm,2498.0,1498.8,500.1,2030.87,25 HCPCS,Q4282,HC Discarded Cygnus Dual 16 Sq Cm 4 X 4 per Sq Cm,2025.0,1215.0,405.4,1646.33,24 HCPCS,Q4282,HC Discarded Cygnus Dual 24 Sq Cm 4 X 6 per Sq Cm,1708.0,1024.8,341.94,1388.6,24 HCPCS,Q4282,HC Discarded Cygnus Dual 6 Sq Cm 2 X 3 per Sq Cm,2498.0,1498.8,500.1,2030.87,24 HCPCS,Q5101,FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE,1264.35,758.61,0.4462,1027.92,34 HCPCS,Q5101,FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE,2013.4,1208.04,0.4462,1636.89,34 HCPCS,Q5103,INFLIXIMAB-DYYB 100 MG INTRAVENOUS SOLUTION,4037.4,2422.44,19.39,3282.41,34 HCPCS,Q5106,"EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION",517.9,310.74,7.61,421.05,32 HCPCS,Q5106,"EPOETIN ALFA-EPBX 2,000 UNIT/ML INJECTION SOLUTION",116.4,69.84,7.61,94.63,32 HCPCS,Q5106,"EPOETIN ALFA-EPBX 20,000 UNIT/ML INJECTION SOLUTION",1019.75,611.85,7.61,829.06,32 HCPCS,Q5106,"EPOETIN ALFA-EPBX 3,000 UNIT/ML INJECTION SOLUTION",166.6,99.96,7.61,135.45,32 HCPCS,Q5106,"EPOETIN ALFA-EPBX 4,000 UNIT/ML INJECTION SOLUTION",216.75,130.05,7.61,176.22,32 HCPCS,Q5106,"EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION",2023.5,1214.1,7.61,1645.11,32 HCPCS,Q5107,BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION,7950.0,4770.0,27.02,10207.17,68 HCPCS,Q5108,PEGFILGRASTIM-JMDB 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,9514.15,5708.49,96.16,7735.0,34 HCPCS,Q5110,FILGRASTIM-AAFI 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,1012.45,607.47,0.291,823.12,34 HCPCS,Q5110,FILGRASTIM-AAFI 300 MCG/ML INJECTION SOLUTION,1012.45,607.47,0.291,823.12,34 HCPCS,Q5110,FILGRASTIM-AAFI 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,1610.35,966.21,0.291,1309.21,34 HCPCS,Q5111,PEGFILGRASTIM-CBQV 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUT INJECTOR,19012.25,11407.35,103.14,15456.96,34 HCPCS,Q5111,PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,19012.25,11407.35,103.14,15456.96,34 HCPCS,Q5115,RITUXIMAB-ABBS 10 MG/ML INTRAVENOUS SOLUTION,11436.275,6861.765,28.5,15347.08,68 HCPCS,Q5116,TRASTUZUMAB-QYYP 150 MG INTRAVENOUS SOLUTION,5603.9,3362.34,27.15,4555.97,34 HCPCS,Q5116,TRASTUZUMAB-QYYP 420 MG INTRAVENOUS SOLUTION,15195.8,9117.48,27.15,12354.19,34 HCPCS,Q5118,BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION,7022.425,4213.455,25.0,9000.6,68 HCPCS,Q5119,RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION,9736.775,5842.0650000000005,27.01,13044.26,68 HCPCS,Q5121,INFLIXIMAB-AXXQ 100 MG INTRAVENOUS SOLUTION,2163.0,1297.8,19.8,1758.52,34 HCPCS,Q5125,FILGRASTIM-AYOW 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,739.45,443.67,0.3686,601.17,34 HCPCS,Q5125,FILGRASTIM-AYOW 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,1173.55,704.13,0.3686,954.1,34 HCPCS,Q5135,TOCILIZUMAB-AAZG (FOR COVID-19) 20 MG/ML INJECTION (EUA) WRAPPER,4175.65,2505.39,4.29,6738.39,102 HCPCS,Q5135,TOCILIZUMAB-AAZG (TYENNE) 20 MG/ML INJECTION WRAPPER,4175.65,2505.39,4.29,6738.39,102 HCPCS,Q9957,PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML INTRAVENOUS SUSPENSION,265.05,159.03,53.06,215.49,23 HCPCS,Q9966,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION,49.45,29.67,1.06,40.2,24 HCPCS,Q9967,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,57.55,34.53,0.354,46.79,24 HCPCS,Q9968,ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION,568.5,341.1,6.49,462.19,35 HCPCS,Q9968,METHYLENE BLUE (ANTIDOTE) 20 MG/2 ML (10 MG/ML) 1 % IV SYRINGE,234.4,140.64,6.49,190.57,35 HCPCS,Q9968,METHYLENE BLUE (ANTIDOTE) 5 MG/ML INTRAVENOUS SOLUTION,1082.5,649.5,6.49,880.07,35 HCPCS,Q9974,MORPHINE 1 MG/ML BOLUS FROM INFUSION,0.2,0.12,0.04004,0.1626,26 HCPCS,Q9974,MORPHINE 5 MG/ML IN 0.9 % SODIUM CHLORIDE 50 ML PCA,52.0,31.2,10.41,42.28,26 HCPCS,j3490,TREPROSTINIL 16 MCG CARTRIDGE WITH INHALER,2626.3,1575.78,525.79,2135.18,24 LOCAL,211,SNF Bill Type,,,1336.0,2012.0,2 LOCAL,212,SNF Bill Type,,,1336.0,2012.0,2 LOCAL,213,SNF Bill Type,,,1336.0,2012.0,2 LOCAL,214,SNF Bill Type,,,1336.0,2012.0,2 LOCAL,215,SNF Bill Type,,,1336.0,2012.0,2 LOCAL,216,SNF Bill Type,,,1336.0,2012.0,2 LOCAL,217,SNF Bill Type,,,1336.0,2012.0,2 LOCAL,218,SNF Bill Type,,,1336.0,2012.0,2 LOCAL,219,SNF Bill Type,,,1336.0,2012.0,2 MS-DRG,001,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC,,,199000.36,360919.81,13 MS-DRG,002,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC,,,80975.46,145942.25,13 MS-DRG,003,"ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES",,,150928.76,397739.02,14 MS-DRG,004,"TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES",,,98790.8,259561.38,14 MS-DRG,005,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT,,,73754.16,132788.93,11 MS-DRG,006,LIVER TRANSPLANT WITHOUT MCC,,,33638.5,59719.92,11 MS-DRG,007,LUNG TRANSPLANT,,,92418.69,166785.63,12 MS-DRG,008,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT,,,40480.12,72181.64,12 MS-DRG,010,PANCREAS TRANSPLANT,,,22680.42,56375.49,12 MS-DRG,011,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC",,,39415.99,102204.38,14 MS-DRG,012,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC",,,30661.75,79003.62,14 MS-DRG,013,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC",,,21228.0,54002.05,14 MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT,,,85826.67,154778.53,12 MS-DRG,016,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC,,,42778.8,76368.61,12 MS-DRG,017,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC,,,35745.36,62312.47,12 MS-DRG,018,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,,,306184.44,556151.28,11 MS-DRG,019,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS,,,48961.75,85351.71,12 MS-DRG,020,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC,,,56489.61,147453.44,14 MS-DRG,021,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC,,,38282.54,99200.52,14 MS-DRG,022,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC,,,22718.84,57624.3,14 MS-DRG,023,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR,,,41368.91,107380.09,14 MS-DRG,024,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC,,,28511.54,73305.09,14 MS-DRG,025,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC,,,33000.02,85200.61,14 MS-DRG,026,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC,,,22835.89,58263.3,14 MS-DRG,027,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC,,,18639.19,47276.62,14 MS-DRG,028,SPINAL PROCEDURES WITH MCC,,,43334.56,112589.53,14 MS-DRG,029,SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS,,,24974.06,63929.97,14 MS-DRG,030,SPINAL PROCEDURES WITHOUT CC/MCC,,,16218.14,41135.85,14 MS-DRG,031,VENTRICULAR SHUNT PROCEDURES WITH MCC,,,32531.94,83960.09,14 MS-DRG,032,VENTRICULAR SHUNT PROCEDURES WITH CC,,,15743.83,39932.81,14 MS-DRG,033,VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC,,,12285.51,31161.08,14 MS-DRG,034,CAROTID ARTERY STENT PROCEDURES WITH MCC,,,28220.24,72533.05,14 MS-DRG,035,CAROTID ARTERY STENT PROCEDURES WITH CC,,,17661.01,44795.58,14 MS-DRG,036,CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC,,,14353.41,36406.13,14 MS-DRG,037,EXTRACRANIAL PROCEDURES WITH MCC,,,24129.11,61690.66,14 MS-DRG,038,EXTRACRANIAL PROCEDURES WITH CC,,,11987.77,30405.9,14 MS-DRG,039,EXTRACRANIAL PROCEDURES WITHOUT CC/MCC,,,8684.59,22027.69,14 MS-DRG,040,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC",,,28153.06,72355.03,14 MS-DRG,041,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR",,,16244.0,41201.44,14 MS-DRG,042,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC",,,12764.25,32375.37,14 MS-DRG,052,SPINAL DISORDERS AND INJURIES WITH CC/MCC,,,13156.55,33370.41,14 MS-DRG,053,SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC,,,7234.33,18349.23,14 MS-DRG,054,NERVOUS SYSTEM NEOPLASMS WITH MCC,,,11280.74,28612.58,14 MS-DRG,055,NERVOUS SYSTEM NEOPLASMS WITHOUT MCC,,,7532.8,19106.28,14 MS-DRG,056,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC,,,17163.06,43532.57,14 MS-DRG,057,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC,,,9571.89,24278.25,14 MS-DRG,058,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC,,,12629.79,32034.32,14 MS-DRG,059,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC,,,9167.77,23253.23,14 MS-DRG,060,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC,,,6795.48,17236.13,14 MS-DRG,061,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC",,,20346.3,51665.3,14 MS-DRG,062,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC",,,12982.19,32928.17,14 MS-DRG,063,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC",,,10371.27,26305.81,14 MS-DRG,064,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC,,,14857.27,37684.13,14 MS-DRG,065,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS,,,7464.1,18932.01,14 MS-DRG,066,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC,,,5056.35,12824.97,14 MS-DRG,067,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC,,,10850.76,27521.97,14 MS-DRG,068,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC,,,6386.19,16197.99,14 MS-DRG,069,TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC,,,5901.53,14968.71,14 MS-DRG,070,OTHER CEREBROVASCULAR DISORDERS WITH MCC,,,12299.54,31196.69,14 MS-DRG,071,OTHER CEREBROVASCULAR DISORDERS WITH CC,,,7580.09,19226.21,14 MS-DRG,072,OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC,,,5586.81,14170.43,14 MS-DRG,073,CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC,,,11852.57,30062.98,14 MS-DRG,074,CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC,,,7615.55,19316.16,14 MS-DRG,075,VIRAL MENINGITIS WITH CC/MCC,,,14166.49,35932.03,14 MS-DRG,076,VIRAL MENINGITIS WITHOUT CC/MCC,,,5532.13,14031.76,14 MS-DRG,080,NONTRAUMATIC STUPOR AND COMA WITH MCC,,,13372.28,33917.59,14 MS-DRG,081,NONTRAUMATIC STUPOR AND COMA WITHOUT MCC,,,6616.69,16782.65,14 MS-DRG,082,TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC,,,16886.01,42829.86,14 MS-DRG,083,TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC,,,10312.17,26155.9,14 MS-DRG,084,TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC,,,7061.45,17910.74,14 MS-DRG,085,TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC,,,16784.8,42573.13,14 MS-DRG,086,TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC,,,9624.35,24411.3,14 MS-DRG,087,TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC,,,6757.8,17140.56,14 MS-DRG,088,CONCUSSION WITH MCC,,,9987.1,25331.38,14 MS-DRG,089,CONCUSSION WITH CC,,,8116.46,20586.67,14 MS-DRG,090,CONCUSSION WITHOUT CC/MCC,,,6081.8,15425.94,14 MS-DRG,091,OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC,,,12974.81,32909.43,14 MS-DRG,092,OTHER DISORDERS OF NERVOUS SYSTEM WITH CC,,,7557.92,19170.0,14 MS-DRG,093,OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC,,,5883.06,14921.87,14 MS-DRG,094,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC,,,25736.28,65950.04,14 MS-DRG,095,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC,,,19055.13,48331.63,14 MS-DRG,096,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC,,,19055.13,48331.63,14 MS-DRG,097,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC,,,26389.63,67681.52,14 MS-DRG,098,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC,,,16954.72,43004.13,14 MS-DRG,099,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC,,,10065.41,25530.01,14 MS-DRG,100,SEIZURES WITH MCC,,,14309.08,36293.7,14 MS-DRG,101,SEIZURES WITHOUT MCC,,,6668.41,16913.82,14 MS-DRG,102,HEADACHES WITH MCC,,,8281.21,21004.55,14 MS-DRG,103,HEADACHES WITHOUT MCC,,,6178.58,15671.43,14 MS-DRG,113,ORBITAL PROCEDURES WITH CC/MCC,,,17369.93,44057.26,14 MS-DRG,114,ORBITAL PROCEDURES WITHOUT CC/MCC,,,9995.96,25353.87,14 MS-DRG,115,EXTRAOCULAR PROCEDURES EXCEPT ORBIT,,,11339.84,28762.49,14 MS-DRG,116,INTRAOCULAR PROCEDURES WITH CC/MCC,,,13358.24,33881.99,14 MS-DRG,117,INTRAOCULAR PROCEDURES WITHOUT CC/MCC,,,8015.24,20329.94,14 MS-DRG,121,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC,,,8594.46,21799.08,14 MS-DRG,122,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC,,,5805.49,14725.11,14 MS-DRG,123,NEUROLOGICAL EYE DISORDERS,,,5900.06,14964.97,14 MS-DRG,124,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT,,,9775.06,24793.57,14 MS-DRG,125,OTHER DISORDERS OF THE EYE WITHOUT MCC,,,5672.51,14387.8,14 MS-DRG,135,SINUS AND MASTOID PROCEDURES WITH CC/MCC,,,15627.1,39636.73,14 MS-DRG,136,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC,,,7501.04,19025.71,14 MS-DRG,137,MOUTH PROCEDURES WITH CC/MCC,,,11031.76,27981.07,14 MS-DRG,138,MOUTH PROCEDURES WITHOUT CC/MCC,,,6547.25,16606.5,14 MS-DRG,139,SALIVARY GLAND PROCEDURES,,,8929.14,22647.96,14 MS-DRG,140,MAJOR HEAD AND NECK PROCEDURES WITH MCC,,,31010.33,79927.46,14 MS-DRG,141,MAJOR HEAD AND NECK PROCEDURES WITH CC,,,16113.97,40871.63,14 MS-DRG,142,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC,,,11794.2,29914.94,14 MS-DRG,143,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC",,,27342.76,70207.54,14 MS-DRG,144,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC",,,12802.67,32472.81,14 MS-DRG,145,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC",,,8882.59,22529.9,14 MS-DRG,146,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC",,,15643.35,39677.96,14 MS-DRG,147,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC",,,9393.84,23826.64,14 MS-DRG,148,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC",,,5888.97,14936.86,14 MS-DRG,149,DYSEQUILIBRIUM,,,5552.82,14084.23,14 MS-DRG,150,EPISTAXIS WITH MCC,,,9837.12,24950.98,14 MS-DRG,151,EPISTAXIS WITHOUT MCC,,,5422.79,13754.43,14 MS-DRG,152,OTITIS MEDIA AND URI WITH MCC,,,8734.09,22153.25,14 MS-DRG,153,OTITIS MEDIA AND URI WITHOUT MCC,,,5453.82,13833.13,14 MS-DRG,154,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC",,,11551.14,29298.43,14 MS-DRG,155,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC",,,6771.1,17174.29,14 MS-DRG,156,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC",,,5105.85,12950.52,14 MS-DRG,157,DENTAL AND ORAL DISEASES WITH MCC,,,12683.72,32171.12,14 MS-DRG,158,DENTAL AND ORAL DISEASES WITH CC,,,6721.6,17048.74,14 MS-DRG,159,DENTAL AND ORAL DISEASES WITHOUT CC/MCC,,,5234.4,13276.58,14 MS-DRG,163,MAJOR CHEST PROCEDURES WITH MCC,,,32541.14,83984.45,14 MS-DRG,164,MAJOR CHEST PROCEDURES WITH CC,,,18647.31,47297.24,14 MS-DRG,165,MAJOR CHEST PROCEDURES WITHOUT CC/MCC,,,14142.11,35870.19,14 MS-DRG,166,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC,,,27279.81,70040.76,14 MS-DRG,167,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC,,,13323.52,33793.91,14 MS-DRG,168,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,10094.96,25604.97,14 MS-DRG,173,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM,,,21896.9,55774.76,14 MS-DRG,175,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE,,,10148.16,25739.89,14 MS-DRG,176,PULMONARY EMBOLISM WITHOUT MCC,,,5947.34,15084.9,14 MS-DRG,177,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC,,,11545.23,29283.44,14 MS-DRG,178,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC,,,7210.69,18289.26,14 MS-DRG,179,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC,,,5577.94,14147.94,14 MS-DRG,180,RESPIRATORY NEOPLASMS WITH MCC,,,13047.21,33093.07,14 MS-DRG,181,RESPIRATORY NEOPLASMS WITH CC,,,7912.55,20069.47,14 MS-DRG,182,RESPIRATORY NEOPLASMS WITHOUT CC/MCC,,,5496.67,13941.82,14 MS-DRG,183,MAJOR CHEST TRAUMA WITH MCC,,,11302.9,28668.8,14 MS-DRG,184,MAJOR CHEST TRAUMA WITH CC,,,7861.57,19940.17,14 MS-DRG,185,MAJOR CHEST TRAUMA WITHOUT CC/MCC,,,5810.66,14738.22,14 MS-DRG,186,PLEURAL EFFUSION WITH MCC,,,11514.2,29204.73,14 MS-DRG,187,PLEURAL EFFUSION WITH CC,,,7307.47,18534.74,14 MS-DRG,188,PLEURAL EFFUSION WITHOUT CC/MCC,,,5298.67,13439.61,14 MS-DRG,189,PULMONARY EDEMA AND RESPIRATORY FAILURE,,,9127.14,23150.16,14 MS-DRG,190,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC,,,8183.69,20757.19,14 MS-DRG,191,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC,,,6228.08,15796.98,14 MS-DRG,192,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC,,,4743.1,12030.44,14 MS-DRG,193,SIMPLE PNEUMONIA AND PLEURISY WITH MCC,,,9710.79,24630.54,14 MS-DRG,194,SIMPLE PNEUMONIA AND PLEURISY WITH CC,,,5953.99,15101.76,14 MS-DRG,195,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC,,,4643.36,11777.46,14 MS-DRG,196,INTERSTITIAL LUNG DISEASE WITH MCC,,,13942.63,35364.24,14 MS-DRG,197,INTERSTITIAL LUNG DISEASE WITH CC,,,7011.95,17785.18,14 MS-DRG,198,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC,,,5291.29,13420.87,14 MS-DRG,199,PNEUMOTHORAX WITH MCC,,,13033.17,33057.47,14 MS-DRG,200,PNEUMOTHORAX WITH CC,,,8121.63,20599.78,14 MS-DRG,201,PNEUMOTHORAX WITHOUT CC/MCC,,,5283.16,13400.26,14 MS-DRG,202,BRONCHITIS AND ASTHMA WITH CC/MCC,,,7175.23,18199.32,14 MS-DRG,203,BRONCHITIS AND ASTHMA WITHOUT CC/MCC,,,4949.96,12555.13,14 MS-DRG,204,RESPIRATORY SIGNS AND SYMPTOMS,,,5965.07,15129.87,14 MS-DRG,205,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC,,,13527.43,34311.11,14 MS-DRG,206,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC,,,6952.85,17635.27,14 MS-DRG,207,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS,,,46349.51,120579.84,14 MS-DRG,208,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS,,,20286.88,51507.89,14 MS-DRG,209,COMPLEX AORTIC ARCH PROCEDURES,,,80883.55,212102.99,14 MS-DRG,212,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES,,,77739.2,203769.76,14 MS-DRG,213,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES,,,41203.47,106941.6,14 MS-DRG,215,OTHER HEART ASSIST SYSTEM IMPLANT,,,71254.67,186584.22,14 MS-DRG,216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC,,,70022.93,183319.89,15 MS-DRG,217,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC,,,47343.65,123214.55,15 MS-DRG,218,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC,,,47343.65,123214.55,15 MS-DRG,219,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC,,,55142.64,143883.66,15 MS-DRG,220,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC,,,38558.31,99931.34,15 MS-DRG,221,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC,,,36489.42,94448.31,15 MS-DRG,228,OTHER CARDIOTHORACIC PROCEDURES WITH MCC,,,35833.26,92709.33,14 MS-DRG,229,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC,,,23120.82,59018.48,14 MS-DRG,231,CORONARY BYPASS WITH PTCA WITH MCC,,,60456.99,157967.9,15 MS-DRG,232,CORONARY BYPASS WITH PTCA WITHOUT MCC,,,43718.51,113607.06,15 MS-DRG,233,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC,,,54908.59,143263.4,15 MS-DRG,234,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC,,,39476.79,102365.54,15 MS-DRG,235,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC,,,42346.8,109971.7,15 MS-DRG,236,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC,,,30469.42,78493.92,15 MS-DRG,239,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC,,,35651.54,92227.74,14 MS-DRG,240,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC,,,21006.71,53415.52,14 MS-DRG,241,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC,,,10227.95,25942.27,14 MS-DRG,242,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC,,,23426.99,59829.88,15 MS-DRG,243,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC,,,15743.09,44147.0,15 MS-DRG,244,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC,,,13353.81,33870.74,15 MS-DRG,245,AICD GENERATOR PROCEDURES,,,33111.02,85494.81,15 MS-DRG,250,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC,,,16124.31,40897.87,15 MS-DRG,251,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC,,,11041.37,28005.44,15 MS-DRG,252,OTHER VASCULAR PROCEDURES WITH MCC,,,25516.39,65367.25,14 MS-DRG,253,OTHER VASCULAR PROCEDURES WITH CC,,,19176.29,48638.95,14 MS-DRG,254,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC,,,13163.2,33387.28,14 MS-DRG,255,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC,,,19924.18,50546.58,14 MS-DRG,256,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC,,,12544.09,31816.95,14 MS-DRG,257,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC,,,8069.17,20466.74,14 MS-DRG,258,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC,,,23068.51,58879.81,15 MS-DRG,259,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC,,,14939.27,37892.13,15 MS-DRG,260,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC,,,22172.0,60954.22,15 MS-DRG,261,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC,,,13967.01,35426.08,15 MS-DRG,262,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC,,,12041.7,30542.7,15 MS-DRG,263,VEIN LIGATION AND STRIPPING,,,22469.61,57292.62,14 MS-DRG,264,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,,,24472.05,62599.5,14 MS-DRG,265,AICD LEAD PROCEDURES,,,26434.87,67801.45,14 MS-DRG,266,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC,,,44183.77,114840.09,14 MS-DRG,267,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC,,,34513.86,89212.63,14 MS-DRG,268,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC,,,49483.25,128884.97,14 MS-DRG,269,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC,,,30712.64,79138.54,14 MS-DRG,270,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC,,,38158.82,98872.59,14 MS-DRG,271,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC,,,25997.21,66641.51,14 MS-DRG,272,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC,,,18861.56,47840.67,14 MS-DRG,273,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC,,,30021.84,77307.74,15 MS-DRG,274,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC,,,24126.28,61683.17,15 MS-DRG,275,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC,,,51268.6,133616.57,15 MS-DRG,276,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR,,,43322.54,112557.68,15 MS-DRG,277,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC,,,33507.69,86546.07,15 MS-DRG,278,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC,,,40208.61,104305.02,14 MS-DRG,279,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC,,,26351.43,67580.33,14 MS-DRG,280,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC",,,11851.09,30059.23,14 MS-DRG,281,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC",,,6790.31,17223.01,14 MS-DRG,282,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC",,,5342.26,13550.17,14 MS-DRG,283,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC",,,14634.15,37118.21,14 MS-DRG,284,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC",,,5113.97,12971.14,14 MS-DRG,285,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC",,,4424.67,11222.79,14 MS-DRG,286,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC",,,16348.17,41465.66,15 MS-DRG,287,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC",,,7905.9,20052.6,15 MS-DRG,288,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC,,,19986.4,50711.48,14 MS-DRG,289,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC,,,12610.58,31985.6,14 MS-DRG,290,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC,,,6868.62,17421.65,14 MS-DRG,291,HEART FAILURE AND SHOCK WITH MCC,,,9484.71,24057.13,14 MS-DRG,292,HEART FAILURE AND SHOCK WITH CC,,,6272.41,15909.41,14 MS-DRG,293,HEART FAILURE AND SHOCK WITHOUT CC/MCC,,,4181.61,10606.27,14 MS-DRG,296,"CARDIAC ARREST, UNEXPLAINED WITH MCC",,,11539.32,29268.44,14 MS-DRG,297,"CARDIAC ARREST, UNEXPLAINED WITH CC",,,4606.42,11683.77,14 MS-DRG,298,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC",,,3362.28,8528.12,14 MS-DRG,299,PERIPHERAL VASCULAR DISORDERS WITH MCC,,,12062.39,30595.17,14 MS-DRG,300,PERIPHERAL VASCULAR DISORDERS WITH CC,,,7886.69,20003.88,14 MS-DRG,301,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC,,,5317.14,13486.46,14 MS-DRG,302,ATHEROSCLEROSIS WITH MCC,,,8840.48,22423.09,14 MS-DRG,303,ATHEROSCLEROSIS WITHOUT MCC,,,4973.6,12615.09,14 MS-DRG,304,HYPERTENSION WITH MCC,,,8791.72,22299.41,14 MS-DRG,305,HYPERTENSION WITHOUT MCC,,,5578.68,14149.82,14 MS-DRG,306,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC,,,11642.01,29528.92,14 MS-DRG,307,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC,,,6746.72,17112.45,14 MS-DRG,308,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC,,,8895.15,22561.76,14 MS-DRG,309,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC,,,5435.35,13786.28,14 MS-DRG,310,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC,,,4182.35,10608.15,14 MS-DRG,311,ANGINA PECTORIS,,,5185.64,13152.9,14 MS-DRG,312,SYNCOPE AND COLLAPSE,,,6439.38,16332.91,14 MS-DRG,313,CHEST PAIN,,,5319.36,13492.08,14 MS-DRG,314,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC,,,15405.46,39074.56,14 MS-DRG,315,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC,,,7116.86,18051.28,14 MS-DRG,316,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC,,,5039.35,12781.87,14 MS-DRG,317,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION,,,48129.92,125298.32,14 MS-DRG,318,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE,,,17895.21,45389.61,14 MS-DRG,319,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC,,,32407.49,83630.28,14 MS-DRG,320,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC,,,17770.36,45072.92,14 MS-DRG,321,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES,,,20089.63,50985.07,15 MS-DRG,322,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC,,,13025.04,33036.86,15 MS-DRG,323,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC,,,31449.41,81091.15,14 MS-DRG,324,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC,,,23131.43,59046.59,14 MS-DRG,325,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE,,,23551.45,60159.69,14 MS-DRG,326,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC",,,36116.09,93458.89,14 MS-DRG,327,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC",,,18057.75,45801.86,14 MS-DRG,328,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC",,,11837.79,30025.5,14 MS-DRG,329,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,,,33352.15,86133.81,14 MS-DRG,330,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,,,17710.51,44921.13,14 MS-DRG,331,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,,,12433.27,31535.86,14 MS-DRG,332,RECTAL RESECTION WITH MCC,,,26452.56,67848.3,14 MS-DRG,333,RECTAL RESECTION WITH CC,,,17304.17,43890.49,14 MS-DRG,334,RECTAL RESECTION WITHOUT CC/MCC,,,12100.81,30692.61,14 MS-DRG,335,PERITONEAL ADHESIOLYSIS WITH MCC,,,26100.45,66915.1,14 MS-DRG,336,PERITONEAL ADHESIOLYSIS WITH CC,,,15579.08,39514.93,14 MS-DRG,337,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC,,,11340.58,28764.37,14 MS-DRG,344,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,,,19081.73,48399.09,14 MS-DRG,345,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,,,11116.72,28196.57,14 MS-DRG,346,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,,,8763.65,22228.2,14 MS-DRG,347,ANAL AND STOMAL PROCEDURES WITH MCC,,,16959.89,43017.25,14 MS-DRG,348,ANAL AND STOMAL PROCEDURES WITH CC,,,9669.41,24525.6,14 MS-DRG,349,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC,,,6431.99,16314.17,14 MS-DRG,350,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC,,,18410.16,46695.71,14 MS-DRG,351,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC,,,11263.01,28567.61,14 MS-DRG,352,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC,,,8627.71,21883.4,14 MS-DRG,353,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC,,,21370.84,54380.58,14 MS-DRG,354,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC,,,12429.57,31526.49,14 MS-DRG,355,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC,,,9936.86,25203.96,14 MS-DRG,356,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC,,,31911.85,82316.68,14 MS-DRG,357,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC,,,17180.79,43577.54,14 MS-DRG,358,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,10327.69,26195.25,14 MS-DRG,359,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC,,,25164.98,64435.93,14 MS-DRG,360,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC,,,17836.85,45241.57,14 MS-DRG,368,MAJOR ESOPHAGEAL DISORDERS WITH MCC,,,11760.96,29830.61,14 MS-DRG,369,MAJOR ESOPHAGEAL DISORDERS WITH CC,,,7389.48,18742.75,14 MS-DRG,370,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC,,,5177.51,13132.29,14 MS-DRG,371,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC,,,13099.66,33226.12,14 MS-DRG,372,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC,,,7543.15,19132.52,14 MS-DRG,373,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC,,,5374.03,13630.75,14 MS-DRG,374,DIGESTIVE MALIGNANCY WITH MCC,,,15800.72,40077.1,14 MS-DRG,375,DIGESTIVE MALIGNANCY WITH CC,,,8936.52,22666.69,14 MS-DRG,376,DIGESTIVE MALIGNANCY WITHOUT CC/MCC,,,6828.73,17320.46,14 MS-DRG,377,GASTROINTESTINAL HEMORRHAGE WITH MCC,,,13505.26,34254.89,14 MS-DRG,378,GASTROINTESTINAL HEMORRHAGE WITH CC,,,7245.41,18377.34,14 MS-DRG,379,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC,,,4657.4,11813.07,14 MS-DRG,380,COMPLICATED PEPTIC ULCER WITH MCC,,,14496.73,36769.67,14 MS-DRG,381,COMPLICATED PEPTIC ULCER WITH CC,,,8004.9,20303.71,14 MS-DRG,382,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC,,,5914.83,15002.44,14 MS-DRG,383,UNCOMPLICATED PEPTIC ULCER WITH MCC,,,10200.61,25872.94,14 MS-DRG,384,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC,,,6315.26,16018.1,14 MS-DRG,385,INFLAMMATORY BOWEL DISEASE WITH MCC,,,11690.03,29650.72,14 MS-DRG,386,INFLAMMATORY BOWEL DISEASE WITH CC,,,7212.9,18294.89,14 MS-DRG,387,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC,,,5033.44,12766.88,14 MS-DRG,388,GASTROINTESTINAL OBSTRUCTION WITH MCC,,,10910.6,27673.76,14 MS-DRG,389,GASTROINTESTINAL OBSTRUCTION WITH CC,,,5835.04,14800.06,14 MS-DRG,390,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC,,,4019.07,10194.02,14 MS-DRG,391,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC",,,9370.2,23766.67,14 MS-DRG,392,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC",,,5759.68,14608.92,14 MS-DRG,393,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC,,,11815.63,29969.28,14 MS-DRG,394,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC,,,6912.95,17534.08,14 MS-DRG,395,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,,,4794.81,12161.61,14 MS-DRG,397,APPENDIX PROCEDURES WITH MCC,,,17693.52,44878.03,14 MS-DRG,398,APPENDIX PROCEDURES WITH CC,,,11182.48,28363.35,14 MS-DRG,399,APPENDIX PROCEDURES WITHOUT CC/MCC,,,8457.04,21450.53,14 MS-DRG,402,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,29279.42,75340.15,14 MS-DRG,405,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC",,,39531.94,102511.7,14 MS-DRG,406,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC",,,21358.11,54346.85,14 MS-DRG,407,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC",,,16398.4,41593.08,14 MS-DRG,408,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC,,,26062.95,66815.78,14 MS-DRG,409,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC,,,16085.89,40800.42,14 MS-DRG,410,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC,,,11729.93,29751.91,14 MS-DRG,411,CHOLECYSTECTOMY WITH C.D.E. WITH MCC,,,24208.31,61900.54,14 MS-DRG,412,CHOLECYSTECTOMY WITH C.D.E. WITH CC,,,15533.27,39398.75,14 MS-DRG,413,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC,,,12267.77,31116.11,14 MS-DRG,414,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC,,,26041.75,66759.56,14 MS-DRG,415,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC,,,15268.78,38727.89,14 MS-DRG,416,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC,,,10072.06,25546.88,14 MS-DRG,417,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC,,,17630.72,44718.75,14 MS-DRG,418,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC,,,12497.54,31698.89,14 MS-DRG,419,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC,,,10090.53,25593.73,14 MS-DRG,420,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC,,,24942.24,63845.65,14 MS-DRG,421,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC,,,12836.65,32559.01,14 MS-DRG,422,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC,,,10339.51,26225.23,14 MS-DRG,423,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC,,,30216.3,77823.07,14 MS-DRG,424,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC,,,16164.21,40999.06,14 MS-DRG,425,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC,,,11084.22,28114.12,14 MS-DRG,426,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,78779.31,206526.27,14 MS-DRG,427,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC,,,51892.24,135269.35,14 MS-DRG,428,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC,,,40603.15,105350.66,14 MS-DRG,429,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC,,,64555.88,168830.89,14 MS-DRG,430,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC,,,41629.1,108069.69,14 MS-DRG,432,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC,,,14541.06,36882.1,14 MS-DRG,433,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC,,,7803.21,19792.13,14 MS-DRG,434,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC,,,5263.95,13351.54,14 MS-DRG,435,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC,,,13569.54,34417.92,14 MS-DRG,436,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC,,,8356.57,21195.68,14 MS-DRG,437,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC,,,6304.18,15989.99,14 MS-DRG,438,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC,,,12043.92,30548.32,14 MS-DRG,439,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC,,,6214.79,15763.25,14 MS-DRG,440,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC,,,4590.9,11644.41,14 MS-DRG,441,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC",,,13259.24,33630.88,14 MS-DRG,442,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC",,,7131.64,18088.76,14 MS-DRG,443,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC",,,5169.38,13111.68,14 MS-DRG,444,DISORDERS OF THE BILIARY TRACT WITH MCC,,,12344.61,31311.0,14 MS-DRG,445,DISORDERS OF THE BILIARY TRACT WITH CC,,,8085.43,20507.96,14 MS-DRG,446,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC,,,6112.09,15502.77,14 MS-DRG,447,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,48095.26,125206.5,14 MS-DRG,448,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,,,30837.1,79468.35,14 MS-DRG,450,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,38535.67,99871.37,14 MS-DRG,451,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,,,23692.85,60534.47,14 MS-DRG,456,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC",,,60269.61,157471.31,14 MS-DRG,457,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC",,,43014.97,111742.53,14 MS-DRG,458,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC",,,30354.87,78190.35,14 MS-DRG,461,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC,,,39604.11,100452.28,14 MS-DRG,462,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC,,,19652.08,49845.74,14 MS-DRG,463,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC,,,41151.13,106802.93,14 MS-DRG,464,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC,,,22874.77,58366.36,14 MS-DRG,465,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,13473.5,34174.31,14 MS-DRG,466,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC,,,32841.0,97543.99,15 MS-DRG,467,REVISION OF HIP OR KNEE REPLACEMENT WITH CC,,,25787.19,66084.96,15 MS-DRG,468,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC,,,20281.95,51494.77,15 MS-DRG,469,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT,,,22298.52,56839.13,15 MS-DRG,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC,,,14490.34,36145.66,17 MS-DRG,471,CERVICAL SPINAL FUSION WITH MCC,,,34993.95,90485.01,14 MS-DRG,472,CERVICAL SPINAL FUSION WITH CC,,,21682.65,55206.97,14 MS-DRG,473,CERVICAL SPINAL FUSION WITHOUT CC/MCC,,,18036.32,45747.52,14 MS-DRG,474,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC,,,31205.47,80444.65,14 MS-DRG,475,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC,,,16812.87,42644.34,14 MS-DRG,476,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,8719.32,22115.77,14 MS-DRG,477,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,,,25278.1,64735.75,14 MS-DRG,478,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC,,,18168.57,46082.95,14 MS-DRG,479,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC,,,13733.55,34833.93,14 MS-DRG,480,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC,,,21443.67,54573.59,14 MS-DRG,481,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC,,,15474.17,39248.84,14 MS-DRG,482,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC,,,12049.83,30563.31,14 MS-DRG,483,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES,,,20450.94,51942.63,14 MS-DRG,485,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC,,,23669.52,60472.63,14 MS-DRG,486,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC,,,15449.05,39185.12,14 MS-DRG,487,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,,,11571.09,29349.02,14 MS-DRG,488,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC,,,11256.36,28550.74,14 MS-DRG,489,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,,,8250.92,20927.72,14 MS-DRG,492,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC",,,26812.44,68802.11,14 MS-DRG,493,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC",,,18736.71,47523.98,14 MS-DRG,494,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC",,,14824.02,37599.8,14 MS-DRG,495,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC,,,26487.9,67941.99,14 MS-DRG,496,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC,,,13327.21,33803.28,14 MS-DRG,497,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC,,,8508.76,21581.71,14 MS-DRG,498,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC,,,22182.53,56531.82,14 MS-DRG,499,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC,,,14885.34,37755.34,14 MS-DRG,500,SOFT TISSUE PROCEDURES WITH MCC,,,23229.03,59305.19,14 MS-DRG,501,SOFT TISSUE PROCEDURES WITH CC,,,12914.96,32757.65,14 MS-DRG,502,SOFT TISSUE PROCEDURES WITHOUT CC/MCC,,,9943.51,25220.82,14 MS-DRG,503,FOOT PROCEDURES WITH MCC,,,20586.69,52302.42,14 MS-DRG,504,FOOT PROCEDURES WITH CC,,,13809.65,35026.94,14 MS-DRG,505,FOOT PROCEDURES WITHOUT CC/MCC,,,13245.21,33595.28,14 MS-DRG,506,MAJOR THUMB OR JOINT PROCEDURES,,,8862.64,22479.3,14 MS-DRG,507,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC,,,13345.68,33850.13,14 MS-DRG,508,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC,,,11188.39,28378.34,14 MS-DRG,510,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC",,,22208.72,56601.15,14 MS-DRG,511,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC",,,15362.61,38965.88,14 MS-DRG,512,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC",,,12230.1,31020.54,14 MS-DRG,513,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC",,,11630.93,29500.81,14 MS-DRG,514,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC",,,7552.75,19156.88,14 MS-DRG,515,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC,,,23385.28,59719.32,14 MS-DRG,516,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC,,,15353.0,38941.52,14 MS-DRG,517,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC,,,11353.14,28796.22,14 MS-DRG,518,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR,,,27276.98,70033.26,14 MS-DRG,519,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC,,,14777.48,37481.75,14 MS-DRG,520,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC,,,11036.93,27994.19,14 MS-DRG,521,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC,,,21145.99,53784.68,14 MS-DRG,522,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC,,,15645.57,39683.58,14 MS-DRG,533,FRACTURES OF FEMUR WITH MCC,,,11582.17,29377.13,14 MS-DRG,534,FRACTURES OF FEMUR WITHOUT MCC,,,5955.47,15105.51,14 MS-DRG,535,FRACTURES OF HIP AND PELVIS WITH MCC,,,9471.42,24023.4,14 MS-DRG,536,FRACTURES OF HIP AND PELVIS WITHOUT MCC,,,5966.55,15133.62,14 MS-DRG,537,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC",,,7050.37,17882.63,14 MS-DRG,538,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC",,,5321.58,13497.7,14 MS-DRG,539,OSTEOMYELITIS WITH MCC,,,14552.14,36910.21,14 MS-DRG,540,OSTEOMYELITIS WITH CC,,,9577.06,24291.37,14 MS-DRG,541,OSTEOMYELITIS WITHOUT CC/MCC,,,5699.84,14457.14,14 MS-DRG,542,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC,,,13050.9,33102.44,14 MS-DRG,543,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC,,,7594.86,19263.69,14 MS-DRG,544,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC,,,5574.98,14140.45,14 MS-DRG,545,CONNECTIVE TISSUE DISORDERS WITH MCC,,,18334.8,46504.58,14 MS-DRG,546,CONNECTIVE TISSUE DISORDERS WITH CC,,,8521.32,21613.56,14 MS-DRG,547,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,6177.85,15669.55,14 MS-DRG,548,SEPTIC ARTHRITIS WITH MCC,,,14265.49,36183.14,14 MS-DRG,549,SEPTIC ARTHRITIS WITH CC,,,8918.79,22621.72,14 MS-DRG,550,SEPTIC ARTHRITIS WITHOUT CC/MCC,,,6457.85,16379.76,14 MS-DRG,551,MEDICAL BACK PROBLEMS WITH MCC,,,12383.03,31408.44,14 MS-DRG,552,MEDICAL BACK PROBLEMS WITHOUT MCC,,,7102.08,18013.8,14 MS-DRG,553,BONE DISEASES AND ARTHROPATHIES WITH MCC,,,9577.06,24291.37,14 MS-DRG,554,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC,,,6132.78,15555.24,14 MS-DRG,555,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,,,9765.46,24769.21,14 MS-DRG,556,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC,,,6136.47,15564.61,14 MS-DRG,557,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC",,,10985.22,27863.02,14 MS-DRG,558,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC",,,6598.96,16737.67,14 MS-DRG,559,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC",,,13777.88,34946.36,14 MS-DRG,560,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC",,,8319.63,21101.99,14 MS-DRG,561,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC",,,5939.21,15064.28,14 MS-DRG,562,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC",,,10526.42,26699.33,14 MS-DRG,563,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC",,,6615.95,16780.77,14 MS-DRG,564,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC,,,11404.12,28925.52,14 MS-DRG,565,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC,,,7198.87,18259.28,14 MS-DRG,566,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC,,,5535.83,14041.13,14 MS-DRG,570,SKIN DEBRIDEMENT WITH MCC,,,21647.31,55113.27,14 MS-DRG,571,SKIN DEBRIDEMENT WITH CC,,,12482.03,31659.54,14 MS-DRG,572,SKIN DEBRIDEMENT WITHOUT CC/MCC,,,8468.86,21480.52,14 MS-DRG,573,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC,,,47174.67,122766.68,14 MS-DRG,574,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC,,,25396.9,65050.56,14 MS-DRG,575,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,,,12069.04,30612.03,14 MS-DRG,576,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC,,,35506.6,91843.59,14 MS-DRG,577,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC,,,19583.37,49671.47,14 MS-DRG,578,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,,,11868.08,30102.33,14 MS-DRG,579,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC",,,23750.13,60686.25,14 MS-DRG,580,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC",,,12766.46,32380.99,14 MS-DRG,581,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC",,,10661.62,27042.25,14 MS-DRG,582,MASTECTOMY FOR MALIGNANCY WITH CC/MCC,,,14233.72,36102.56,14 MS-DRG,583,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC,,,12739.87,32313.53,14 MS-DRG,584,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC",,,15815.49,40114.58,14 MS-DRG,585,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC",,,14252.19,36149.4,14 MS-DRG,592,SKIN ULCERS WITH MCC,,,14298.0,36265.59,14 MS-DRG,593,SKIN ULCERS WITH CC,,,8764.38,22230.08,14 MS-DRG,594,SKIN ULCERS WITHOUT CC/MCC,,,6403.92,16242.97,14 MS-DRG,595,MAJOR SKIN DISORDERS WITH MCC,,,15667.73,39739.8,14 MS-DRG,596,MAJOR SKIN DISORDERS WITHOUT MCC,,,7997.51,20284.97,14 MS-DRG,597,MALIGNANT BREAST DISORDERS WITH MCC,,,12316.53,31239.79,14 MS-DRG,598,MALIGNANT BREAST DISORDERS WITH CC,,,8358.04,21199.43,14 MS-DRG,599,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,,,5416.88,13739.43,14 MS-DRG,600,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC,,,7695.34,19518.54,14 MS-DRG,601,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,,,4469.74,11337.09,14 MS-DRG,602,CELLULITIS WITH MCC,,,10500.56,26633.74,14 MS-DRG,603,CELLULITIS WITHOUT MCC,,,6434.21,16319.8,14 MS-DRG,604,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC",,,10875.87,27585.68,14 MS-DRG,605,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC",,,6767.41,17164.92,14 MS-DRG,606,MINOR SKIN DISORDERS WITH MCC,,,11179.52,28355.85,14 MS-DRG,607,MINOR SKIN DISORDERS WITHOUT MCC,,,6696.48,16985.03,14 MS-DRG,614,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC,,,16193.02,41072.14,14 MS-DRG,615,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC,,,10338.03,26221.48,14 MS-DRG,616,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",,,25510.02,65350.39,14 MS-DRG,617,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",,,13817.78,35047.55,14 MS-DRG,618,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC",,,10478.4,26577.52,14 MS-DRG,619,O.R. PROCEDURES FOR OBESITY WITH MCC,,,16490.0,54106.99,17 MS-DRG,620,O.R. PROCEDURES FOR OBESITY WITH CC,,,11823.02,35030.0,17 MS-DRG,621,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC,,,11144.06,35030.0,17 MS-DRG,622,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",,,26017.71,66695.85,14 MS-DRG,623,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",,,13253.33,33615.89,14 MS-DRG,624,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC",,,9249.04,23459.35,14 MS-DRG,625,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC",,,22205.88,56593.65,14 MS-DRG,626,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC",,,11077.57,28097.26,14 MS-DRG,627,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC",,,9813.48,24891.01,14 MS-DRG,628,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC",,,27202.76,69836.51,14 MS-DRG,629,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC",,,16096.97,40828.53,14 MS-DRG,630,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC",,,10782.79,27349.57,14 MS-DRG,637,DIABETES WITH MCC,,,10614.34,26922.32,14 MS-DRG,638,DIABETES WITH CC,,,6621.13,16793.89,14 MS-DRG,639,DIABETES WITHOUT CC/MCC,,,4589.43,11640.67,14 MS-DRG,640,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC",,,9867.41,25027.81,14 MS-DRG,641,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC",,,5749.34,14582.69,14 MS-DRG,642,INBORN AND OTHER DISORDERS OF METABOLISM,,,10506.47,26648.73,14 MS-DRG,643,ENDOCRINE DISORDERS WITH MCC,,,12161.39,30846.27,14 MS-DRG,644,ENDOCRINE DISORDERS WITH CC,,,7572.7,19207.47,14 MS-DRG,645,ENDOCRINE DISORDERS WITHOUT CC/MCC,,,5676.2,14397.17,14 MS-DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC,,,34093.86,60549.33,12 MS-DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC,,,27054.26,47727.0,12 MS-DRG,652,KIDNEY TRANSPLANT,,,23686.49,41592.73,12 MS-DRG,653,MAJOR BLADDER PROCEDURES WITH MCC,,,37593.86,97375.34,14 MS-DRG,654,MAJOR BLADDER PROCEDURES WITH CC,,,20644.67,52456.08,14 MS-DRG,655,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC,,,15637.44,39662.97,14 MS-DRG,656,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC,,,23363.36,59661.23,14 MS-DRG,657,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC,,,13520.04,34292.37,14 MS-DRG,658,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC,,,11464.7,29079.18,14 MS-DRG,659,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC,,,18772.17,47613.93,14 MS-DRG,660,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC,,,9764.72,24767.34,14 MS-DRG,661,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC,,,7649.54,19402.36,14 MS-DRG,662,MINOR BLADDER PROCEDURES WITH MCC,,,22498.61,57369.45,14 MS-DRG,663,MINOR BLADDER PROCEDURES WITH CC,,,11231.24,28487.03,14 MS-DRG,664,MINOR BLADDER PROCEDURES WITHOUT CC/MCC,,,7734.5,19617.86,14 MS-DRG,665,PROSTATECTOMY WITH MCC,,,22920.74,58488.17,14 MS-DRG,666,PROSTATECTOMY WITH CC,,,12923.83,32780.13,14 MS-DRG,667,PROSTATECTOMY WITHOUT CC/MCC,,,8172.61,20729.08,14 MS-DRG,668,TRANSURETHRAL PROCEDURES WITH MCC,,,21498.11,54717.88,14 MS-DRG,669,TRANSURETHRAL PROCEDURES WITH CC,,,11466.18,29082.93,14 MS-DRG,670,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC,,,7220.29,18313.62,14 MS-DRG,671,URETHRAL PROCEDURES WITH CC/MCC,,,13261.46,33636.5,14 MS-DRG,672,URETHRAL PROCEDURES WITHOUT CC/MCC,,,7975.35,20228.75,14 MS-DRG,673,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC,,,30559.94,78733.78,14 MS-DRG,674,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC,,,17277.58,43823.03,14 MS-DRG,675,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC,,,12126.66,30758.19,14 MS-DRG,682,RENAL FAILURE WITH MCC,,,10941.63,27752.46,14 MS-DRG,683,RENAL FAILURE WITH CC,,,6470.41,16411.62,14 MS-DRG,684,RENAL FAILURE WITHOUT CC/MCC,,,4435.02,11249.02,14 MS-DRG,686,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC,,,13325.74,33799.53,14 MS-DRG,687,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC,,,7741.15,19634.72,14 MS-DRG,688,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC,,,5838.74,14809.43,14 MS-DRG,689,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC,,,8572.3,21742.86,14 MS-DRG,690,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC,,,5980.59,15169.22,14 MS-DRG,693,URINARY STONES WITH MCC,,,9933.17,25194.59,14 MS-DRG,694,URINARY STONES WITHOUT MCC,,,5775.2,14648.28,14 MS-DRG,695,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC,,,8450.39,21433.67,14 MS-DRG,696,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC,,,5090.33,12911.17,14 MS-DRG,697,URETHRAL STRICTURE,,,7962.79,20196.89,14 MS-DRG,698,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC,,,12222.71,31001.8,14 MS-DRG,699,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC,,,7498.82,19020.08,14 MS-DRG,700,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC,,,5096.98,12928.04,14 MS-DRG,707,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC,,,14778.22,37483.62,14 MS-DRG,708,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC,,,11334.67,28749.37,14 MS-DRG,709,PENIS PROCEDURES WITH CC/MCC,,,17192.61,43607.53,14 MS-DRG,710,PENIS PROCEDURES WITHOUT CC/MCC,,,10352.07,26257.09,14 MS-DRG,711,TESTES PROCEDURES WITH CC/MCC,,,15395.11,39048.33,14 MS-DRG,712,TESTES PROCEDURES WITHOUT CC/MCC,,,8124.58,20607.28,14 MS-DRG,713,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC,,,11107.12,28172.21,14 MS-DRG,714,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC,,,7812.07,19814.62,14 MS-DRG,715,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC,,,16529.17,41924.76,14 MS-DRG,716,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC,,,10867.75,27565.07,14 MS-DRG,717,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC,,,13967.01,35426.08,14 MS-DRG,718,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC,,,9922.82,25168.35,14 MS-DRG,722,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC",,,13370.06,33911.97,14 MS-DRG,723,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC",,,8442.27,21413.06,14 MS-DRG,724,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,4519.24,11462.65,14 MS-DRG,725,BENIGN PROSTATIC HYPERTROPHY WITH MCC,,,8645.44,21928.38,14 MS-DRG,726,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC,,,5334.14,13529.56,14 MS-DRG,727,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC,,,10955.67,27788.06,14 MS-DRG,728,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC,,,5993.15,15201.08,14 MS-DRG,729,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC,,,7821.68,19838.98,14 MS-DRG,730,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,,,4964.74,12592.61,14 MS-DRG,734,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC",,,15736.44,39914.07,14 MS-DRG,735,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC",,,9940.55,25213.32,14 MS-DRG,736,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC,,,26125.88,66982.56,14 MS-DRG,737,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC,,,15223.71,38613.58,14 MS-DRG,738,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC,,,10849.28,27518.22,14 MS-DRG,739,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC,,,26052.3,66079.34,14 MS-DRG,740,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC,,,13369.32,33910.09,14 MS-DRG,741,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC,,,10536.03,26723.69,14 MS-DRG,742,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC,,,13555.5,34382.32,14 MS-DRG,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC,,,9166.29,23249.48,14 MS-DRG,744,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC",,,15138.75,38398.08,14 MS-DRG,745,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC",,,8403.85,21315.61,14 MS-DRG,746,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC",,,12833.69,32551.52,14 MS-DRG,747,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC",,,6202.23,15731.39,14 MS-DRG,748,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,10249.37,25996.61,14 MS-DRG,749,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC,,,18969.43,48114.26,14 MS-DRG,750,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,10903.21,27655.02,14 MS-DRG,754,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC",,,13606.48,34511.62,14 MS-DRG,755,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC",,,8036.67,20384.28,14 MS-DRG,756,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,7096.17,17998.81,14 MS-DRG,757,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC",,,10578.88,26832.37,14 MS-DRG,758,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC",,,7232.85,18345.48,14 MS-DRG,759,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,4902.68,12435.2,14 MS-DRG,760,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC,,,7443.41,18879.54,14 MS-DRG,761,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC,,,4208.2,10673.73,14 MS-DRG,768,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C,,,4210.0,9518.0,15 MS-DRG,769,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES,,,12484.24,31665.16,14 MS-DRG,770,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,7407.95,18789.6,14 MS-DRG,776,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES,,,4836.92,12268.42,14 MS-DRG,779,ABORTION WITHOUT D&C,,,5268.38,13362.78,14 MS-DRG,783,CESAREAN SECTION WITH STERILIZATION WITH MCC,,,5414.0,31619.23,17 MS-DRG,784,CESAREAN SECTION WITH STERILIZATION WITH CC,,,5414.0,15908.0,17 MS-DRG,785,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC,,,5414.0,15908.0,17 MS-DRG,786,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC,,,5414.0,21243.91,17 MS-DRG,787,CESAREAN SECTION WITHOUT STERILIZATION WITH CC,,,5414.0,15908.0,17 MS-DRG,788,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC,,,5414.0,15908.0,17 MS-DRG,789,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY",,,1810.0,33771.43,16 MS-DRG,790,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE",,,1810.0,111375.25,16 MS-DRG,791,PREMATURITY WITH MAJOR PROBLEMS,,,1810.0,76061.6,16 MS-DRG,792,PREMATURITY WITHOUT MAJOR PROBLEMS,,,1810.0,45895.56,16 MS-DRG,793,FULL TERM NEONATE WITH MAJOR PROBLEMS,,,1810.0,78134.13,16 MS-DRG,794,NEONATE WITH OTHER SIGNIFICANT PROBLEMS,,,375.0,27656.89,16 MS-DRG,795,NORMAL NEWBORN,,,314.0,3744.05,16 MS-DRG,796,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC,,,4210.0,9947.78,17 MS-DRG,797,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC,,,4210.0,9518.0,17 MS-DRG,798,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC,,,4210.0,9518.0,17 MS-DRG,799,SPLENIC PROCEDURES WITH MCC,,,32874.17,84867.06,14 MS-DRG,800,SPLENIC PROCEDURES WITH CC,,,20716.09,52645.35,14 MS-DRG,801,SPLENIC PROCEDURES WITHOUT CC/MCC,,,14102.95,35770.88,14 MS-DRG,802,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC,,,29022.04,74658.05,14 MS-DRG,803,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC,,,13733.55,34833.93,14 MS-DRG,804,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC,,,10018.13,25410.08,14 MS-DRG,805,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC,,,4210.0,9518.0,17 MS-DRG,806,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC,,,4210.0,9518.0,17 MS-DRG,807,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC,,,4210.0,9518.0,17 MS-DRG,808,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC,,,16311.97,41373.84,14 MS-DRG,809,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC,,,9352.47,23721.7,14 MS-DRG,810,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC,,,7732.28,19612.24,14 MS-DRG,811,RED BLOOD CELL DISORDERS WITH MCC,,,10374.97,26315.18,14 MS-DRG,812,RED BLOOD CELL DISORDERS WITHOUT MCC,,,6783.66,17206.15,14 MS-DRG,813,COAGULATION DISORDERS,,,11268.92,28582.6,14 MS-DRG,814,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC,,,15712.06,39852.23,14 MS-DRG,815,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC,,,7491.43,19001.35,14 MS-DRG,816,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC,,,4669.22,11843.05,14 MS-DRG,817,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC,,,12470.94,31631.43,14 MS-DRG,818,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC,,,7788.43,19754.65,14 MS-DRG,819,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC,,,6352.94,16113.67,14 MS-DRG,820,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC,,,42319.93,109900.49,14 MS-DRG,821,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC,,,16538.78,41949.13,14 MS-DRG,822,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,,,8895.15,22561.76,14 MS-DRG,823,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC,,,33269.41,85914.57,14 MS-DRG,824,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC,,,16738.25,42455.08,14 MS-DRG,825,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC,,,9969.37,25286.41,14 MS-DRG,826,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC,,,33926.98,87657.29,14 MS-DRG,827,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC,,,17075.15,43309.58,14 MS-DRG,828,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,,,12587.67,31927.51,14 MS-DRG,829,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC,,,23195.07,59215.24,14 MS-DRG,830,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC,,,11118.94,28202.19,14 MS-DRG,831,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC,,,8884.07,22533.65,14 MS-DRG,832,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC,,,5331.18,13522.06,14 MS-DRG,833,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC,,,3863.19,9798.62,14 MS-DRG,834,ACUTE LEUKEMIA WITH MCC,,,39669.12,102875.24,14 MS-DRG,835,ACUTE LEUKEMIA WITH CC,,,15409.89,39085.81,14 MS-DRG,836,ACUTE LEUKEMIA WITHOUT CC/MCC,,,9009.67,22852.21,14 MS-DRG,837,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC,,,34821.45,90027.78,14 MS-DRG,838,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT,,,15421.71,39115.79,14 MS-DRG,839,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC,,,10667.53,27057.24,14 MS-DRG,840,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC,,,23724.68,60618.79,14 MS-DRG,841,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC,,,12052.78,30570.8,14 MS-DRG,842,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC,,,7464.84,18933.89,14 MS-DRG,843,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC,,,14737.58,37380.56,14 MS-DRG,844,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC,,,8994.15,22812.86,14 MS-DRG,845,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC,,,6291.62,15958.13,14 MS-DRG,846,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC,,,19153.39,48580.86,14 MS-DRG,847,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC,,,9664.98,24514.36,14 MS-DRG,848,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC,,,6275.37,15916.91,14 MS-DRG,849,RADIOTHERAPY,,,20009.72,50773.32,14 MS-DRG,850,ACUTE LEUKEMIA WITH OTHER PROCEDURES,,,62080.42,162270.37,14 MS-DRG,853,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC,,,35771.03,92544.43,14 MS-DRG,854,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC,,,14761.96,37442.4,14 MS-DRG,855,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC,,,11061.31,28056.03,14 MS-DRG,856,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC,,,33014.15,85238.09,14 MS-DRG,857,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC,,,15821.4,40129.57,14 MS-DRG,858,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC,,,10290.75,26101.55,14 MS-DRG,862,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC,,,13473.5,34174.31,14 MS-DRG,863,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC,,,7372.49,18699.65,14 MS-DRG,864,FEVER AND INFLAMMATORY CONDITIONS,,,6558.33,16634.61,14 MS-DRG,865,VIRAL ILLNESS WITH MCC,,,11069.44,28076.64,14 MS-DRG,866,VIRAL ILLNESS WITHOUT MCC,,,6424.6,16295.43,14 MS-DRG,867,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC,,,15464.56,39224.47,14 MS-DRG,868,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC,,,7617.77,19321.78,14 MS-DRG,869,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC,,,5391.02,13673.85,14 MS-DRG,870,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS,,,49722.96,129520.22,14 MS-DRG,871,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC,,,14351.19,36400.51,14 MS-DRG,872,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC,,,7560.14,19175.62,14 MS-DRG,876,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS,,,823.98,72424.36,22 MS-DRG,880,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION,,,823.98,17993.19,22 MS-DRG,881,DEPRESSIVE NEUROSES,,,823.98,17631.53,22 MS-DRG,882,NEUROSES EXCEPT DEPRESSIVE,,,823.98,20121.94,22 MS-DRG,883,DISORDERS OF PERSONALITY AND IMPULSE CONTROL,,,823.98,36846.5,22 MS-DRG,884,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY,,,823.98,30149.18,22 MS-DRG,885,PSYCHOSES,,,823.98,26174.64,22 MS-DRG,886,BEHAVIORAL AND DEVELOPMENTAL DISORDERS,,,823.98,38889.05,22 MS-DRG,887,OTHER MENTAL DISORDER DIAGNOSES,,,823.98,20067.6,22 MS-DRG,894,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA",,,823.98,11560.09,22 MS-DRG,895,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY",,,823.98,26526.93,22 MS-DRG,896,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC",,,823.98,32701.43,22 MS-DRG,897,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC",,,823.98,16542.79,22 MS-DRG,901,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC,,,30524.57,78640.09,14 MS-DRG,902,WOUND DEBRIDEMENTS FOR INJURIES WITH CC,,,14144.33,35875.82,14 MS-DRG,903,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC,,,8641.0,21917.13,14 MS-DRG,904,SKIN GRAFTS FOR INJURIES WITH CC/MCC,,,26823.05,68830.22,14 MS-DRG,905,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC,,,10578.14,26830.5,14 MS-DRG,906,HAND PROCEDURES FOR INJURIES,,,13020.61,33025.61,14 MS-DRG,907,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC,,,27998.19,71944.64,14 MS-DRG,908,OTHER O.R. PROCEDURES FOR INJURIES WITH CC,,,14740.54,37388.05,14 MS-DRG,909,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC,,,9698.23,24598.69,14 MS-DRG,913,TRAUMATIC INJURY WITH MCC,,,12076.42,30630.77,14 MS-DRG,914,TRAUMATIC INJURY WITHOUT MCC,,,6542.07,16593.38,14 MS-DRG,915,ALLERGIC REACTIONS WITH MCC,,,12423.66,31511.5,14 MS-DRG,916,ALLERGIC REACTIONS WITHOUT MCC,,,4922.62,12485.8,14 MS-DRG,917,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC,,,11587.34,29390.25,14 MS-DRG,918,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC,,,6332.25,16061.2,14 MS-DRG,919,COMPLICATIONS OF TREATMENT WITH MCC,,,13525.95,34307.36,14 MS-DRG,920,COMPLICATIONS OF TREATMENT WITH CC,,,7404.99,18782.1,14 MS-DRG,921,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC,,,5085.9,12899.93,14 MS-DRG,922,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC",,,12924.57,32782.01,14 MS-DRG,923,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC",,,7518.77,19070.68,14 MS-DRG,927,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT,,,136162.32,345363.52,14 MS-DRG,928,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC,,,51567.69,134409.23,14 MS-DRG,929,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC,,,23624.98,60354.57,14 MS-DRG,933,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT,,,28197.78,71521.14,14 MS-DRG,934,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY,,,16331.91,41424.43,14 MS-DRG,935,NON-EXTENSIVE BURNS,,,15219.28,38602.34,14 MS-DRG,939,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC,,,26507.7,67994.46,14 MS-DRG,940,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC,,,17265.02,43791.17,14 MS-DRG,941,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC,,,14980.65,37997.07,14 MS-DRG,945,REHABILITATION WITH CC/MCC,,,526.87,29019.22,23 MS-DRG,946,REHABILITATION WITHOUT CC/MCC,,,526.87,21489.89,23 MS-DRG,947,SIGNS AND SYMPTOMS WITH MCC,,,9378.33,23787.29,14 MS-DRG,948,SIGNS AND SYMPTOMS WITHOUT MCC,,,5914.09,15000.57,14 MS-DRG,949,AFTERCARE WITH CC/MCC,,,8789.5,22293.79,14 MS-DRG,950,AFTERCARE WITHOUT CC/MCC,,,4637.45,11762.47,14 MS-DRG,951,OTHER FACTORS INFLUENCING HEALTH STATUS,,,4107.73,10418.88,14 MS-DRG,955,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,48445.28,126134.08,14 MS-DRG,956,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA",,,27458.71,70514.86,14 MS-DRG,957,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC,,,54729.71,142789.31,14 MS-DRG,958,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC,,,30646.88,78964.27,14 MS-DRG,959,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC,,,21668.51,55169.49,14 MS-DRG,963,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC,,,20181.55,51228.68,14 MS-DRG,964,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC,,,11322.85,28719.39,14 MS-DRG,965,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC,,,6948.41,17624.03,14 MS-DRG,969,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC,,,44133.55,114707.04,14 MS-DRG,970,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC,,,19485.11,49422.24,14 MS-DRG,974,HIV WITH MAJOR RELATED CONDITION WITH MCC,,,21257.7,54080.75,14 MS-DRG,975,HIV WITH MAJOR RELATED CONDITION WITH CC,,,9567.46,24267.01,14 MS-DRG,976,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC,,,6608.57,16762.04,14 MS-DRG,977,HIV WITH OR WITHOUT OTHER RELATED CONDITION,,,9365.03,23753.56,14 MS-DRG,981,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,,,34025.97,87919.64,14 MS-DRG,982,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,,,18163.4,46069.83,14 MS-DRG,983,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,,,12663.03,32118.65,14 MS-DRG,987,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,,,25092.85,64244.79,14 MS-DRG,988,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,,,12142.92,30799.42,14 MS-DRG,989,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,,,8859.69,22471.81,14 NDC,00000000003,TACROLIMUS 1 MG/ML ORAL SUSPENSION,405.05,243.03,0.4012,329.31,24 NDC,00000000006,ACETAZOLAMIDE 25 MG/ML ORAL SUSPENSION,155.0,93.0,31.03,126.02,22 NDC,00000000048,HYDRALAZINE 4 MG/ML ORAL SOLN,803.5,482.1,160.86,653.25,22 NDC,00000000056,LABETALOL 40 MG/ML ORAL SUSP,25.0,15.0,5.0,20.32,22 NDC,00000000058,LAMOTRIGINE 1 MG/ML ORAL SOLN,19.0,11.4,3.8,15.45,22 NDC,00000000061,DECITABINE (DACOGEN) SYRINGE 10 MG/ML,7030.6,4218.36,2.88,5715.88,24 NDC,00000000062,LOSARTAN 2.5 MG/ML ORAL SUSP,70.0,42.0,14.01,56.91,22 NDC,00000000071,METRONIDAZOLE 50 MG/ML ORAL SUSP,74.8,44.88,14.97,60.81,22 NDC,00000000085,PROPYLTHIOURACIL 5 MG/ML ORAL SUSP,92.2,55.32,18.46,74.96,22 NDC,00000000090,BLEOMYCIN (BLENOXANE) SYRINGE 15 UNITS/ML,350.2,210.12,50.79,284.71,24 NDC,00000000096,SLEEPY BUTTER,24.0,14.4,4.8,19.51,22 NDC,00000000103,DOXORUBICIN (ADRIAMYCIN) 25 MG/ML INJECTION,320.15,192.09,7.13,260.28,24 NDC,00000000111,SULFASALAZINE 100 MG/ML ORAL SUSP,128.9,77.34,25.81,104.8,22 NDC,00000000139,LEECH,64.35,38.61,12.88,52.32,22 NDC,00000000142,DEXAMETHASONE 24 MG/ML INJECTION,114.75,68.85,0.2124,93.29,24 NDC,00000000144,NXSTAGE/MULTIBIC RFP 401 (+/- BB) - CONTAINS 4 MEQ/L POTASSIUM,273.0,163.8,54.65,221.95,22 NDC,00000000166,AZATHIOPRINE 25 MG SPLIT TAB,17.4,10.44,0.1416,14.15,24 NDC,00000000199,DR. IRON'S DIAPER RASH CREAM,47.5,28.5,9.51,38.62,22 NDC,00000000276,ARGININE (L) 5 GRAM POWDER (100 MG/ML) FOR ORAL SOLN,23.35,14.01,4.67,18.98,22 NDC,00000000298,GANCICLOVIR 2 MG/0.1 ML OPHTHALMIC INJECTION,77.55,46.53,15.53,107.86,24 NDC,00000000309,NEONATAL AA ISOTONIC 3.6%/HEPARIN 1 UNIT/ML,215.6,129.36,43.16,175.28,22 NDC,00000000318,SELENIUM 10 MCG/ML DILUTION,338.7,203.22,67.81,275.36,22 NDC,00000000330,LIDOCAINE (PF) 8 MG/ML IN DEXTROSE 5% 50 ML PEDIATRIC INFUSION,64.9,38.94,0.0236,52.76,24 NDC,00000000331,HEPARIN 100 UNITS/ML IN SODIUM CHLORIDE 0.45% 50 ML PEDIATRIC,75.0,45.0,0.4956,60.98,24 NDC,00000000335,MILRINONE 200 MCG/ML IN DEXTROSE 5% 8 ML PEDIATRIC,68.4,41.04,3.42,55.61,24 NDC,00000000336,MILRINONE 200 MCG/ML IN DEXTROSE 5% 50 ML PEDIATRIC,96.6,57.96,3.42,78.54,24 NDC,00000000346,VECURONIUM (NORCURON) 1 MG/ML PEDIATRIC INFUSION 40ML,106.55,63.93,21.33,86.63,22 NDC,00000000347,VECURONIUM (NORCURON) 1 MG/ML PEDIATRIC INFUSON 100ML,171.8,103.08,34.39,139.67,22 NDC,00000000348,SODIUM BICARBONATE 1MEQ/ML PEDIATRIC 50ML INFUSION,103.95,62.37,20.81,84.51,22 NDC,00000000353,FAMOTIDINE 2 MG/ML PEDIATRIC DILUTION,170.95,102.57,0.0236,138.98,24 NDC,00000000384,EPI-SHUGARCAINE COMPOUNDED SYRINGE,118.25,70.95,1.13,96.14,24 NDC,00000000500,STUDY EPAD ASPIRIN 100 MG,0.2,0.12,0.04004,0.1626,22 NDC,00000000616,"STUDY EPINEPHRINE 0.3MG/0.3 ML (1:1,000) IM PEN INJECTOR",0.2,0.12,0.04004,0.1626,22 NDC,00000000624,STUDY DIPHENHYDRAMINE 50 MG/ML INJECTION,0.2,0.12,0.04004,2.46,24 NDC,00000000685,LEUCOVORIN CALCIUM 500 MG SOL FOR INJ (10 MG/ML),292.85,175.71,7.6,238.09,24 NDC,00000000747,CEFAZOLIN 2 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,64.0,38.4,1.89,52.03,24 NDC,00000000747,CEFAZOLIN 2 GRAM/50 ML IN DEXTROSE WRAPPER,64.0,38.4,1.89,52.03,24 NDC,00000000749,IMATINIB 50 MG SPLIT TABLET,27.45,16.47,5.5,22.32,22 NDC,00000000751,RUXOLITINIB 2.5 MG SPLIT TABLET,556.0,333.6,111.31,452.03,22 NDC,00002418230,BARICITINIB 2 MG TABLET,385.0,231.0,77.08,313.0,22 NDC,00002751001,INSULIN LISPRO 100 UNIT/ML PERCENTAGE MEAL EATEN ADULT,318.15,190.89,0.5428,258.66,24 NDC,00002751101,INSULIN LISPRO PROTAMINE-LISPRO 100 UNIT/ML (75-25) SUBCUTANEOUS SUSP,404.65,242.79,0.5428,328.98,24 NDC,00002762301,PEMETREXED DISODIUM 500 MG INTRAVENOUS POWDER FOR SOLUTION,18064.2,10838.52,4.23,14686.19,34 NDC,00002764001,PEMETREXED DISODIUM 100 MG INTRAVENOUS POWDER FOR SOLUTION,3832.85,2299.71,4.23,3116.11,34 NDC,00002766901,RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION,6878.5,4127.1,72.13,5592.22,34 NDC,00002767801,RAMUCIRUMAB 10 MG/ML INTRAVENOUS SOLUTION,33292.4,19975.44,72.13,27066.72,34 NDC,00002821501,INSULIN REGULAR 100 UNIT/ML CORRECTION SCALE ADULT,219.0,131.4,0.5428,178.05,24 NDC,00002821501,INSULIN REGULAR 100 UNIT/ML PERCENTAGE MEAL EATEN ADULT,219.0,131.4,0.5428,178.05,24 NDC,00002821501,INSULIN REGULAR HUMAN 100 UNIT/ML INJECTION (IV USE),250.4,150.24,0.5428,203.58,24 NDC,00002821501,INSULIN U-100 REGULAR HUMAN 100 UNIT/ML INJECTION SOLUTION,219.0,131.4,0.5428,178.05,24 NDC,00002831501,INSULIN NPH ISOPHANE U-100 HUMAN 100 UNIT/ML SUBCUTANEOUS SUSPENSION,219.0,131.4,0.5428,178.05,24 NDC,00002871501,INSULIN HUMAN U-100 NPH-REGULR 70-30 MIX 100 UNIT/ML SUBCUTANEOUS SUSP,219.0,131.4,0.5428,178.05,24 NDC,00002882401,INSULIN REGULAR HUMAN U-500 (CONCENTRATE) 500 UNIT/ML(3 ML) SUBCUT PEN,877.3,526.38,0.5428,713.24,24 NDC,00003029305,TRIAMCINOLONE (KENALOG) 40 MG IN NS (REX OR OSM),456.15,273.69,1.98,370.85,24 NDC,00003029305,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,58.6,35.16,1.98,47.64,24 NDC,00003029320,TRIAMCINOLONE (KENALOG) 40 MG IN NS (REX OR OSM),462.1,277.26,1.98,375.69,24 NDC,00003029328,TRIAMCINOLONE (KENALOG) 40 MG IN NS (REX OR OSM),361.05,216.63,1.98,293.53,24 NDC,00003089331,APIXABAN 2.5 MG TABLET,56.45,33.87,11.3,45.89,22 NDC,00003089431,APIXABAN 5 MG TABLET,56.45,33.87,11.3,45.89,22 NDC,00003232711,IPILIMUMAB (YERVOY) 5 MG/ML INJECTION WRAPPER,40115.9,24069.54,177.98,32614.23,34 NDC,00003232711,IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,40115.9,24069.54,177.98,32614.23,34 NDC,00003232822,IPILIMUMAB (YERVOY) 5 MG/ML INJECTION WRAPPER,159638.1,95782.86,177.98,129785.78,34 NDC,00003232822,IPILIMUMAB 200 MG/40 ML (5 MG/ML) INTRAVENOUS SOLUTION,159638.1,95782.86,177.98,129785.78,34 NDC,00003256016,AZTREONAM 1 GRAM SOLUTION FOR INJECTION,151.25,90.75,5.97,122.97,24 NDC,00003256016,AZTREONAM 1 GRAM SOLUTION FOR IV PUSH,151.25,90.75,5.97,122.97,24 NDC,00003257016,AZTREONAM 2 GRAM SOLUTION FOR IM,286.5,171.9,5.97,232.92,24 NDC,00003257016,AZTREONAM 2 GRAM SOLUTION FOR IV PUSH,286.5,171.9,5.97,232.92,24 NDC,00003373413,NIVOLUMAB 240 MG/24 ML INTRAVENOUS SOLUTION,35224.6,21134.76,31.97,28637.6,34 NDC,00003377211,NIVOLUMAB 40 MG/4 ML INTRAVENOUS SOLUTION,6099.95,3659.97,31.97,4959.26,34 NDC,00003377412,NIVOLUMAB 100 MG/10 ML INTRAVENOUS SOLUTION,14837.25,8902.35,31.97,12062.68,34 NDC,00003612001,"NIVOLUMAB 600 MG-HYALURONIDASE-NVHY 10,000 UNIT/5 ML SUBCUT SOLUTION",35224.6,21134.76,26.54,28637.6,34 NDC,00003712511,NIVOLUMAB 240 MG-RELATLIMAB-RMBW 80 MG/20 ML INTRAVENOUS SOLUTION,68131.75,40879.05,191.9,55391.11,34 NDC,00004003822,VALGANCICLOVIR 450 MG TABLET,369.65,221.79,74.0,300.53,22 NDC,00004026129,MYCOPHENOLATE MOFETIL 200 MG/ML ORAL POWDER FOR SUSPENSION,48.4,29.04,0.3776,39.35,24 NDC,00004029830,MYCOPHENOLATE 500 MG INTRAVENOUS SOLUTION,516.55,309.93,0.8496,419.96,24 NDC,00004080085,OSELTAMIVIR 75 MG CAPSULE,76.8,46.08,15.38,62.44,22 NDC,00004080285,OSELTAMIVIR 30 MG CAPSULE,71.75,43.05,14.36,58.33,22 NDC,00004082205,OSELTAMIVIR 6 MG/ML ORAL SUSPENSION,471.6,282.96,94.41,383.41,22 NDC,00005200002,PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE,869.4,521.64,174.05,872.64,26 NDC,00005434462,MULTIVIT AND MINERALS-FERROUS GLUCONATE 9 MG IRON/15 ML ORAL LIQUID,1.65,0.99,0.33033,1.34,22 NDC,00006022761,RALTEGRAVIR 400 MG TABLET,154.9,92.94,31.01,125.93,22 NDC,00006302501,BEZLOTOXUMAB 25 MG/ML INTRAVENOUS SOLUTION,16023.0,9613.8,38.64,13026.7,34 NDC,00006302602,PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,26225.0,15735.0,58.48,21320.92,34 NDC,00006409302,HEPATITIS B VACC RECMB(PF) 0.5 ML IM WRAPPER,103.5,62.1,20.72,88.33,26 NDC,00006434702,PNEUMOCOCCAL 21-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE,883.0,529.8,176.78,914.46,26 NDC,00006468101,"MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT",300.9,180.54,60.24,309.79,25 NDC,00006482700,"VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP",568.8,341.28,113.87,597.45,25 NDC,00006542302,SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION,635.45,381.27,127.22,516.62,22 NDC,00006542402,"ANTIVENIN LATRODECTUS MACTANS 6,000 UNIT SOLUTION FOR INJECTION",142.1,85.26,28.45,115.53,22 NDC,00008010001,INOTUZUMAB OZOGAMICIN 0.9 MG(0.25 MG/ML INITIAL CONCENTRATION) IV SOLN,105505.2,63303.12,2617.11,85775.73,34 NDC,00008092351,PANTOPRAZOLE 40 MG INTRAVENOUS SOLUTION,84.35,50.61,4.55,68.58,24 NDC,00008117901,TEMSIROLIMUS 30 MG/3 ML (10 MG/ML) (FIRST DILUTION) INTRAVENOUS SOLN,9076.45,5445.87,25.91,7379.15,34 NDC,00008451001,GEMTUZUMAB OZOGAMICIN 4.5 MG (1 MG/ML INITIAL CONCENTRATION) IV SOLN,45136.0,27081.6,229.52,36695.57,34 NDC,00009000302,METHYLPREDNISOLONE SOD SUCC (PF) 500 MG/4 ML INTRAVENOUS SOLUTION,262.0,157.2,0.2037,213.01,34 NDC,00009001103,HYDROCORTISONE SOD SUCCINATE (PF) 100 MG/2 ML SOLUTION INJ ACTOVIAL/VIAL WRAPPER,125.55,75.33,25.14,102.07,24 NDC,00009001305,HYDROCORTISONE SOD SUCCINATE (PF) 250 MG/2 ML SOLUTION FOR INJECTION,218.65,131.19,43.77,177.76,24 NDC,00009001820,"METHYLPREDNISOLONE SOD SUCC (PF) 1,000 MG/8 ML INTRAVENOUS SOLUTION",352.5,211.5,0.2037,286.58,34 NDC,00009003928,METHYLPREDNISOLONE SOD SUCC (PF) 40 MG/ML SOLUTION FOR INJECTION,45.45,27.27,0.2037,36.95,34 NDC,00009003928,METHYLPREDNISOLONE SOD SUCC 40 MG/ML SOLUTION FOR INJECTION WRAPPER,45.45,27.27,0.2037,36.95,34 NDC,00009004722,METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2 ML SOLUTION FOR INJECTION,63.45,38.07,0.2037,51.58,34 NDC,00009004722,METHYLPREDNISOLONE SOD SUCC 125 MG/2 ML SOLUTION FOR INJECTION WRAPPER,63.45,38.07,0.2037,51.58,34 NDC,00009004722,STUDY METHYLPREDNISOLONE SOD SUCC (PF) 125 MG/2ML SOLUTION FOR INJECTION,0.2,0.12,0.04004,0.7181,34 NDC,00009008601,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,27.95,16.77,0.0708,22.72,24 NDC,00009029703,GELATIN ABSORBABLE EYE FILM,1011.8,607.08,202.56,822.59,22 NDC,00009043601,ARGININE HCL (L-ARGININE) 10 % INTRAVENOUS SOLUTION,210.0,126.0,42.04,170.73,22 NDC,00009043601,ARGININE HCL (L-ARGININE) 10 % INTRAVENOUS SOLUTION (PED),239.4,143.64,47.93,194.63,22 NDC,00009069801,METHYLPREDNISOLONE SOD SUCC 62.5 MG/ML IV PEDIATRIC,247.75,148.65,0.2037,201.42,34 NDC,00009074635,MEDROXYPROGESTERONE 150 MG/ML INTRAMUSCULAR SUSPENSION,255.5,153.3,1.35,207.72,24 NDC,00009076004,CLINDAMYCIN 75 MG/5 ML ORAL SOLUTION,113.5,68.1,22.72,92.28,22 NDC,00009082501,HYDROCORTISONE SOD SUCCINATE (PF) 50 MG/ML PEDIATRIC,103.15,61.89,20.65,83.86,24 NDC,00009085001,METHYLPREDNISOLONE SODIUM SUCCINATE 2 GRAM INTRAVENOUS SOLUTION,520.25,312.15,0.2037,422.96,34 NDC,00009085605,CARBOPROST TROMETHAMINE 250 MCG/ML INTRAMUSCULAR SOLUTION,653.0,391.8,49.52,530.89,34 NDC,00009087021,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,27.35,16.41,4.32,22.24,24 NDC,00009307303,METHYLPREDNISOLONE ACETATE 40 MG/ML SUSPENSION FOR INJECTION,28.95,17.37,0.1164,23.54,34 NDC,00009316906,ALPROSTADIL 500 MCG/ML INJECTION SOLUTION,786.55,471.93,1.3,639.47,24 NDC,00009347503,METHYLPREDNISOLONE ACETATE 80 MG/ML SUSPENSION FOR INJECTION,105.75,63.45,0.1164,85.97,34 NDC,00009379401,IBUTILIDE FUMARATE 0.1 MG/ML INTRAVENOUS SOLUTION,2414.3,1448.58,167.14,1962.83,34 NDC,00009513601,LINEZOLID 100 MG/5 ML ORAL SUSPENSION,752.65,451.59,150.68,611.9,22 NDC,00009514001,LINEZOLID IN 5% DEXTROSE IN WATER 600 MG/300 ML INTRAVENOUS PIGGYBACK,178.5,107.1,8.43,145.12,24 NDC,00009722402,"LYMPHOCYTE,ANTI-THYMO IMMUNE GLOBULIN 50 MG/ML INTRAVENOUS SOLUTION",20322.25,12193.35,4068.51,16521.99,34 NDC,00023040350,CARBOXYMETHYLCELLULOSE SODIUM 0.5 % EYE DROPS IN A DROPPERETTE,1.45,0.87,0.29029,1.18,22 NDC,00023114501,ONABOTULINUMTOXINA 100 UNIT SOLUTION FOR INJECTION,2978.05,1786.83,6.3,2421.15,34 NDC,00023391950,ONABOTULINUMTOXINA 50 UNIT INTRAMUSCULAR SOLUTION,1663.1,997.86,6.3,1352.1,34 NDC,00023455430,CARBOXYMETHYLCELLULOSE SODIUM 1 % EYE GEL IN A DROPPERETTE,1.6,0.96,0.32032,1.3,22 NDC,00023585801,LEVONORGESTREL 20.4 MCG/24 HR (UP TO 8 YRS) 52 MG INTRAUTERINE DEVICE,3746.95,2248.17,750.14,3046.27,24 NDC,00023608210,IRON DEXTRAN 50 MG/ML INJECTION SOLUTION,58.45,35.07,11.7,50.28,34 NDC,00024065401,ISATUXIMAB-IRFC 20 MG/ML INTRAVENOUS SOLUTION,4102.65,2461.59,79.44,3335.45,34 NDC,00024065601,ISATUXIMAB-IRFC 20 MG/ML INTRAVENOUS SOLUTION,19413.25,11647.95,79.44,15782.97,34 NDC,00024414260,DRONEDARONE 400 MG TABLET,70.0,42.0,14.01,56.91,22 NDC,00024515010,RASBURICASE 1.5 MG INTRAVENOUS SOLUTION,4712.4,2827.44,366.19,3831.18,34 NDC,00024582411,CABAZITAXEL 10 MG/ML (FIRST DILUTION) INTRAVENOUS SOLUTION,60837.1,36502.26,220.46,49460.56,34 NDC,00024592410,INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,462.25,277.35,0.5428,375.81,24 NDC,00025152534,CELECOXIB 200 MG CAPSULE,24.0,14.4,4.8,19.51,22 NDC,00026478501,"ANTIHEMOPHILIC FACTOR VIII, FULL LENGTH 1,000 (+/-) UNIT IV SOLUTION",85.1,51.06,1.56,69.19,34 NDC,00032004670,"LIPASE-PROTEASE-AMYLASE (PORK)6,000-19,000-30,000 UNIT CAPSULE,DEL REL",24.6,14.76,4.92,20.0,22 NDC,00032263601,"LIPASE-PROTEASE-AMYLASE 24,000-76,000-120,000 UNIT CAPSULE,DELAYED REL (TUBE DECLOG)",50.05,30.03,10.02,40.69,22 NDC,00037682210,HYDROCORTISONE 1 %-PRAMOXINE 1 % RECTAL FOAM,599.15,359.49,119.95,487.11,22 NDC,00046074905,CONJUGATED ESTROGENS 25 MG SOLUTION FOR INJECTION,1730.85,1038.51,346.52,1407.18,34 NDC,00046110081,CONJUGATED ESTROGENS 0.3 MG TABLET,44.3,26.58,8.87,36.02,22 NDC,00046110281,CONJUGATED ESTROGENS 0.625 MG TABLET,44.3,26.58,8.87,36.02,22 NDC,00049001383,AMPICILLIN-SULBACTAM 1.5 GRAM MBP/ADV WRAPPER,51.1,30.66,3.28,41.54,24 NDC,00049001383,AMPICILLIN-SULBACTAM 1.5 GRAM SOLUTION FOR INJECTION,51.1,30.66,3.28,41.54,24 NDC,00049001483,AMPICILLIN-SULBACTAM 3 GRAM MBP/ADV WRAPPER,82.3,49.38,3.28,66.91,24 NDC,00049052083,PENICILLIN G POTASSIUM 5 MILLION UNIT SOLUTION FOR INJECTION,73.9,44.34,1.86,60.08,24 NDC,00049053028,PENICILLIN G POTASSIUM 20 MILLION UNIT SOLUTION FOR INJECTION,247.55,148.53,1.86,201.26,24 NDC,00049319028,VORICONAZOLE 200 MG INTRAVENOUS SOLUTION,316.3,189.78,1.82,257.15,24 NDC,00052060202,BCG LIVE 50 MG INTRAVESICAL SUSPENSION,1052.35,631.41,7.69,855.56,24 NDC,00054000725,CALCITRIOL 0.25 MCG CAPSULE,19.8,11.88,3.96,16.1,22 NDC,00054001025,FLECAINIDE 50 MG TABLET,18.3,10.98,3.66,14.88,22 NDC,00054001121,FLECAINIDE 100 MG TABLET,19.8,11.88,3.96,16.1,22 NDC,00054001720,PREDNISONE 10 MG TABLET,16.9,10.14,0.0236,13.74,24 NDC,00054001820,PREDNISONE 20 MG TABLET,16.95,10.17,0.0236,13.78,24 NDC,00054002025,"LITHIUM CARBONATE ER 450 MG TABLET,EXTENDED RELEASE",17.75,10.65,3.55,14.43,22 NDC,00054002125,"LITHIUM CARBONATE ER 300 MG TABLET,EXTENDED RELEASE",17.35,10.41,3.47,14.11,22 NDC,00054004544,IPRATROPIUM BROMIDE 21 MCG (0.03 %) NASAL SPRAY,124.0,74.4,24.82,100.81,22 NDC,00054004641,IPRATROPIUM BROMIDE 42 MCG (0.06 %) NASAL SPRAY,124.0,74.4,24.82,100.81,22 NDC,00054005746,DIGOXIN 50 MCG/ML (0.05 MG/ML) ORAL SOLUTION,435.95,261.57,87.28,354.43,22 NDC,00054006447,ONDANSETRON HCL 4 MG/5 ML ORAL SOLUTION,28.6,17.16,5.73,23.25,22 NDC,00054023525,MORPHINE 15 MG IMMEDIATE RELEASE TABLET,23.3,13.98,4.66,18.94,22 NDC,00054023763,MORPHINE 10 MG/5 ML ORAL SOLUTION,91.0,54.6,18.22,73.98,22 NDC,00054038225,CYCLOPHOSPHAMIDE 25 MG CAPSULE,55.0,33.0,2.6,44.72,24 NDC,00054038325,CYCLOPHOSPHAMIDE 50 MG CAPSULE,80.0,48.0,2.6,65.04,24 NDC,00054039268,METHADONE 10 MG/ML ORAL CONCENTRATE,175.0,105.0,35.03,142.28,22 NDC,00054063905,METHYLERGONOVINE 0.2 MG TABLET,231.15,138.69,46.28,187.92,22 NDC,00054312041,CALCITRIOL 1 MCG/ML ORAL SOLUTION,23.2,13.92,4.64,18.86,22 NDC,00054317644,DEXAMETHASONE 1 MG/ML DROPS (CONCENTRATE),87.55,52.53,0.0472,71.18,24 NDC,00054317763,DEXAMETHASONE 0.5 MG/5 ML ORAL SOLUTION,64.0,38.4,0.0472,52.03,24 NDC,00054327099,"FLUTICASONE PROPIONATE 50 MCG/ACTUATION NASAL SPRAY,SUSPENSION",22.2,13.32,4.44,18.05,22 NDC,00054329446,FUROSEMIDE 10 MG/ML ORAL SOLUTION,36.2,21.72,7.25,29.43,22 NDC,00054329450,FUROSEMIDE 10 MG/ML ORAL SOLUTION,55.25,33.15,11.06,44.92,22 NDC,00054350049,LIDOCAINE HCL 2 % MUCOSAL SOLUTION,16.35,9.81,3.27,13.29,22 NDC,00054353244,LORAZEPAM 2 MG/ML ORAL CONCENTRATE,116.7,70.02,23.36,94.88,22 NDC,00054355563,METHADONE 5 MG/5 ML ORAL SOLUTION,118.0,70.8,23.62,95.93,22 NDC,00054356699,MIDAZOLAM 2 MG/ML ORAL LIQUID WRAPPER,412.15,247.29,82.51,335.08,22 NDC,00054372263,PREDNISONE 5 MG/5 ML ORAL SOLUTION,1256.0,753.6,0.0236,1021.13,24 NDC,00054372763,PROPRANOLOL 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,161.5,96.9,32.33,131.3,22 NDC,00054418225,DEXAMETHASONE 1.5 MG TABLET,17.6,10.56,0.0472,14.31,24 NDC,00054418325,DEXAMETHASONE 2 MG TABLET,18.0,10.8,3.6,14.63,22 NDC,00054449625,LEUCOVORIN CALCIUM 5 MG TABLET,20.4,12.24,4.08,16.59,22 NDC,00054458111,MERCAPTOPURINE 25 MG (ONCOLOGY) SPLIT TAB,28.7,17.22,5.75,23.33,22 NDC,00054458111,MERCAPTOPURINE 25 MG SPLIT TAB,28.7,17.22,5.75,23.33,22 NDC,00054458111,MERCAPTOPURINE 50 MG (ONCOLOGY) TABLET,37.7,22.62,7.55,30.65,22 NDC,00054458111,MERCAPTOPURINE 50 MG TABLET,37.7,22.62,7.55,30.65,22 NDC,00054814622,CLOTRIMAZOLE 10 MG TROCHE,27.0,16.2,5.41,21.95,22 NDC,00054817525,DEXAMETHASONE 4 MG TABLET,20.05,12.03,0.0472,16.3,24 NDC,00054817925,DEXAMETHASONE 0.5 MG TABLET,16.7,10.02,0.0472,13.58,24 NDC,00054829925,FUROSEMIDE 40 MG TABLET,16.8,10.08,3.36,13.66,22 NDC,00054852825,LITHIUM CARBONATE 300 MG TABLET,17.1,10.26,3.42,13.9,22 NDC,00054855025,METHOTREXATE SODIUM 2.5 MG (ONCOLOGY) TABLET,37.2,22.32,0.4484,30.24,24 NDC,00054855025,METHOTREXATE SODIUM 2.5 MG TABLET,37.2,22.32,0.4484,30.24,24 NDC,00054872425,PREDNISONE 5 MG TABLET,16.8,10.08,0.0236,13.66,24 NDC,00054873925,PREDNISONE 1 MG TABLET,16.9,10.14,0.0236,13.74,24 NDC,00065002315,CARBACHOL 0.01 % INTRAOCULAR SOLUTION,62.5,37.5,12.51,50.81,22 NDC,00065009265,FLUORESCEIN 500 MG/5 ML (10 %) INTRAVENOUS SOLUTION,304.25,182.55,0.8968,247.36,26 NDC,00065035902,CYCLOPENTOLATE-PHENYLEPHRINE 0.2 %-1 % EYE DROPS,127.1,76.26,25.45,103.33,22 NDC,00065035905,CYCLOPENTOLATE-PHENYLEPHRINE 0.2 %-1 % EYE DROPS,211.15,126.69,42.27,171.66,22 NDC,00065041130,POVIDONE-IODINE 5 % EYE SOLUTION,69.3,41.58,13.87,56.34,22 NDC,00065050935,WHITE PETROLATUM-MINERAL OIL 94 %-3 % EYE OINTMENT,13.65,8.19,2.73,11.1,24 NDC,00065074114,TETRACAINE HCL (PF) 0.5 % EYE DROPS,57.65,34.59,11.54,46.87,22 NDC,00065079515,BALANCED SALT IRRIGATION SOLUTION (BSS PLAIN),100.95,60.57,20.21,82.07,22 NDC,00065079550,BALANCED SALT IRRIGATION SOLUTION (BSS PLAIN),178.5,107.1,35.74,145.12,22 NDC,00065080050,BALANCED SALT IRRIGATION INTRAOCULAR SOLUTION COMBINATION NO.1,373.5,224.1,74.77,303.66,22 NDC,00065179504,BALANCED SALT IRRIGATION INTRAOCULAR SOLUTION 500ML,174.0,104.4,34.83,141.46,22 NDC,00065806401,ARTIFICIAL TEARS (HYPROMELLOSE) 0.3 % EYE GEL,11.1,6.66,2.22,9.02,22 NDC,00068059701,RIFAMPIN 600 MG TOPICAL POWDER FOR AAA (REX OPTIME),730.25,438.15,0.3304,593.69,24 NDC,00069020701,"RESP SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION",942.4,565.44,188.67,1002.31,25 NDC,00069022802,"DALTEPARIN (PORCINE) 18,000 ANTI-XA UNIT/0.72 ML SUBCUTANEOUS SYRINGE",881.5,528.9,39.03,716.66,24 NDC,00069023801,RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION,3428.95,2057.37,27.01,2787.74,34 NDC,00069024901,RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION,16044.6,9626.76,27.01,13044.26,34 NDC,00069029101,FILGRASTIM-AAFI 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,1012.45,607.47,0.291,823.12,34 NDC,00069029201,FILGRASTIM-AAFI 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,1610.35,966.21,0.291,1309.21,34 NDC,00069029301,FILGRASTIM-AAFI 300 MCG/ML INJECTION SOLUTION,1012.45,607.47,0.291,823.12,34 NDC,00069029301,FILGRASTIM-AAFI 300 MCG/ML SUBCUTANEOUS SOLUTION (COMPOUNDED SYRINGE),1012.45,607.47,0.2716,823.12,34 NDC,00069030601,TRASTUZUMAB-QYYP 420 MG INTRAVENOUS SOLUTION,15195.8,9117.48,27.15,12354.19,34 NDC,00069030801,TRASTUZUMAB-QYYP 150 MG INTRAVENOUS SOLUTION,5603.9,3362.34,27.15,4555.97,34 NDC,00069031501,BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION,2974.0,1784.4,25.0,2417.86,34 NDC,00069034201,BEVACIZUMAB-BVZR 25 MG/ML INTRAVENOUS SOLUTION,11070.85,6642.51,25.0,9000.6,34 NDC,00069046956,VARENICLINE TARTRATE 1 MG TABLET,49.55,29.73,9.92,40.28,22 NDC,00069055038,SUNITINIB MALATE 12.5 MG CAPSULE,947.35,568.41,189.66,770.2,22 NDC,00069080901,INFLIXIMAB-DYYB 100 MG INTRAVENOUS SOLUTION,4037.4,2422.44,19.39,3282.41,34 NDC,00069130510,"EPOETIN ALFA-EPBX 2,000 UNIT/ML INJECTION SOLUTION",116.4,69.84,7.61,94.63,32 NDC,00069130610,"EPOETIN ALFA-EPBX 3,000 UNIT/ML INJECTION SOLUTION",166.6,99.96,7.61,135.45,32 NDC,00069130801,"EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION",517.9,310.74,7.61,421.05,32 NDC,00069130904,"EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION",2023.5,1214.1,7.61,1645.11,32 NDC,00069131110,"EPOETIN ALFA-EPBX 20,000 UNIT/ML INJECTION SOLUTION",1019.75,611.85,7.61,829.06,32 NDC,00069252801,COVID VACC 2025-2026 (12 YRS UP) (PFIZER)(PF) 30 MCG/0.3 ML IM SYRINGE,465.1,279.06,93.11,434.78,26 NDC,00069303020,DOXORUBICIN 10 MG/5 ML INTRAVENOUS SOLUTION,319.7,191.82,7.13,259.92,24 NDC,00069419068,SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET,263.45,158.07,52.74,214.18,22 NDC,00069600121,FOSPHENYTOIN 500 MG PE/10 ML INJECTION SOLUTION,567.95,340.77,6.18,461.74,24 NDC,00071036940,PHENYTOIN SODIUM EXTENDED 100 MG CAPSULE,23.65,14.19,4.73,19.23,22 NDC,00071080324,GABAPENTIN 100 MG CAPSULE,27.85,16.71,5.58,22.64,22 NDC,00071101441,PREGABALIN 75 MG CAPSULE,55.4,33.24,11.09,45.04,22 NDC,00071101541,PREGABALIN 100 MG CAPSULE,55.4,33.24,11.09,45.04,22 NDC,00074056111,VENETOCLAX 10 MG TABLET,77.05,46.23,15.43,62.64,22 NDC,00074056611,VENETOCLAX 50 MG TABLET,285.4,171.24,57.14,232.03,22 NDC,00074057611,VENETOCLAX 100 MG TABLET,545.6,327.36,109.23,443.57,22 NDC,00074057928,VENETOCLAX 10 MG (14)-50 MG (7)-100 MG (21) TABLETS IN A DOSE PACK,13510.9,8106.54,2704.88,10984.36,22 NDC,00074165801,PARICALCITOL 5 MCG/ML INTRAVENOUS SOLUTION,126.65,75.99,1.83,102.97,24 NDC,00074364103,LEUPROLIDE 3.75 MG INTRAMUSCULAR SYRINGE KIT,8199.9,4919.94,1641.62,6666.52,34 NDC,00074364203,LEUPROLIDE 7.5 MG INTRAMUSCULAR SYRINGE KIT,9718.8,5831.28,171.16,7901.38,34 NDC,00074395646,LOPINAVIR-RITONAVIR 400 MG-100 MG/5 ML ORAL SOLUTION,1552.0,931.2,310.71,1261.78,22 NDC,00074433902,ADALIMUMAB 40 MG/0.8 ML SUBCUTANEOUS PEN KIT,15765.0,9459.0,88.98,12816.94,33 NDC,00074706990,LEVOTHYROXINE 150 MCG TABLET,22.65,13.59,4.53,18.41,22 NDC,00075062040,ENOXAPARIN 40 MG/0.4 ML SUBCUTANEOUS SYRINGE,61.2,36.72,1.39,49.76,24 NDC,00075062160,ENOXAPARIN 60 MG/0.6 ML SUBCUTANEOUS SYRINGE,83.85,50.31,1.39,68.17,24 NDC,00075062280,ENOXAPARIN 80 MG/0.8 ML SUBCUTANEOUS SYRINGE,106.45,63.87,1.39,86.54,24 NDC,00075062300,ENOXAPARIN 100 MG/ML SUBCUTANEOUS SYRINGE,129.05,77.43,1.39,104.92,24 NDC,00075062430,ENOXAPARIN 30 MG/0.3 ML SUBCUTANEOUS SYRINGE,49.9,29.94,1.39,40.57,24 NDC,00078024015,CYCLOSPORINE 25 MG CAPSULE,34.3,20.58,1.89,27.89,24 NDC,00078024115,CYCLOSPORINE 100 MG CAPSULE,89.05,53.43,4.81,72.4,24 NDC,00078024661,CYCLOSPORINE MODIFIED 25 MG CAPSULE,27.9,16.74,1.89,22.68,24 NDC,00078024861,CYCLOSPORINE MODIFIED 100 MG CAPSULE,63.15,37.89,4.81,51.34,24 NDC,00078040134,IMATINIB 100 MG TABLET,399.6,239.76,80.0,324.87,22 NDC,00078046761,DEFEROXAMINE 500 MG SOLUTION FOR INJECTION,174.05,104.43,21.26,141.5,24 NDC,00078050115,RIVASTIGMINE 4.6 MG/24 HOUR TRANSDERMAL PATCH,107.5,64.5,21.52,87.4,22 NDC,00078050261,RIVASTIGMINE 9.5 MG/24 HOUR TRANSDERMAL PATCH,107.45,64.47,21.51,87.36,22 NDC,00078050361,RIVASTIGMINE 13.3 MG/24 HOUR TRANSDERMAL PATCH,107.45,64.47,21.51,87.36,22 NDC,00078050883,CARBAMAZEPINE 100 MG/5 ML ORAL SUSPENSION,22.65,13.59,4.53,18.41,22 NDC,00078051005,"CARBAMAZEPINE ER 100 MG TABLET,EXTENDED RELEASE,12 HR",22.65,13.59,4.53,18.41,22 NDC,00078052651,NILOTINIB HCL 200 MG CAPSULE,798.05,478.83,159.77,648.81,22 NDC,00078056845,ARTEMETHER-LUMEFANTRINE 20 MG-120 MG TABLET,38.5,23.1,7.71,31.3,22 NDC,00078059251,NILOTINIB HCL 150 MG CAPSULE,798.05,478.83,159.77,648.81,22 NDC,00078065920,SACUBITRIL 24 MG-VALSARTAN 26 MG TABLET,63.05,37.83,12.62,51.26,22 NDC,00078066961,OFATUMUMAB (ARZERRA) 20 MG/ML INJECTION WRAPPER,2929.75,1757.85,60.36,2381.89,34 NDC,00078066961,OFATUMUMAB 100 MG/5 ML INTRAVENOUS SOLUTION,2929.75,1757.85,60.36,2381.89,34 NDC,00078069061,OFATUMUMAB (ARZERRA) 20 MG/ML INJECTION WRAPPER,26823.3,16093.98,60.36,21807.34,34 NDC,00078069061,"OFATUMUMAB 1,000 MG/50 ML INTRAVENOUS SOLUTION",25404.55,15242.73,60.36,20653.9,34 NDC,00078069620,SACUBITRIL 97 MG-VALSARTAN 103 MG TABLET,63.05,37.83,12.62,51.26,22 NDC,00078069899,MIDOSTAURIN 25 MG CAPSULE,896.7,538.02,179.52,729.02,22 NDC,00078073461,CANAKINUMAB (PF) 150 MG/ML SUBCUTANEOUS SOLUTION,89877.3,53926.38,137.35,73070.24,34 NDC,00078077720,SACUBITRIL 49 MG-VALSARTAN 51 MG TABLET,63.05,37.83,12.62,51.26,22 NDC,00078081181,"OCTREOTIDE,MICROSPHERES ER 10 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",16047.65,9628.59,197.47,13046.74,34 NDC,00078081881,"OCTREOTIDE,MICROSPHERES ER 20 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",21020.2,12612.12,197.47,17089.42,34 NDC,00078082581,"OCTREOTIDE,MICROSPHERES ER 30 MG INTRAMUSCULAR SUSP, EXTENDED RELEASE",31468.15,18880.89,197.47,25583.61,34 NDC,00078087601,TOBRAMYCIN-DEXAMETHASONE 0.3 %-0.1 % EYE OINTMENT,910.3,546.18,182.24,740.07,22 NDC,00078088361,CRIZANLIZUMAB-TMCA 10 MG/ML INTRAVENOUS SOLUTION,10365.35,6219.21,125.6,8427.03,34 NDC,00078100060,INCLISIRAN 284 MG/1.5 ML SUBCUTANEOUS SYRINGE,16340.2,9804.12,11.95,13284.58,34 NDC,00085132801,POSACONAZOLE 200 MG/5 ML (40 MG/ML) ORAL SUSPENSION,118.85,71.31,23.79,96.63,22 NDC,00087040203,PEDIATRIC MULTIVITAMIN ORAL DROPS WRAPPER,1.1,0.66,0.22022,0.8943,22 NDC,00087040501,PEDIATRIC MULTIVITAMIN-FERROUS SULFATE 11 MG/ML ORAL DROPS WRAPPER,1.1,0.66,0.22022,0.8943,22 NDC,00087074002,FERROUS SULFATE 15 MG IRON (75 MG)/ML ORAL DROPS,14.8,8.88,2.96,12.03,22 NDC,00088222033,INSULIN GLARGINE (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION,308.4,185.04,0.5428,250.73,24 NDC,00093005401,BUSPIRONE 10 MG TABLET,16.3,9.78,3.26,13.25,22 NDC,00093026215,FLUOCINONIDE 0.05 % TOPICAL CREAM,125.35,75.21,25.1,101.91,22 NDC,00093031801,DILTIAZEM 30 MG TABLET,16.6,9.96,3.32,13.5,22 NDC,00093083201,CLONAZEPAM 0.5 MG TABLET,22.1,13.26,4.42,17.97,22 NDC,00093100301,BUSPIRONE 15 MG TABLET,16.4,9.84,3.28,13.33,22 NDC,00093202694,AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION,94.55,56.73,18.93,76.87,22 NDC,00093312301,DICLOXACILLIN 250 MG CAPSULE,18.75,11.25,3.75,15.24,22 NDC,00093314701,CEPHALEXIN 500 MG CAPSULE,16.9,10.14,3.38,13.74,22 NDC,00093365621,BUPRENORPHINE 5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,180.9,108.54,36.22,147.07,22 NDC,00093365721,BUPRENORPHINE 10 MCG/HOUR WEEKLY TRANSDERMAL PATCH,260.3,156.18,52.11,211.62,22 NDC,00093412773,PENICILLIN V POTASSIUM 250 MG/5 ML ORAL SOLUTION,42.7,25.62,8.55,34.72,22 NDC,00093413673,CEFDINIR 125 MG/5 ML ORAL SUSPENSION,197.8,118.68,39.6,160.81,22 NDC,00093417773,CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION,85.0,51.0,17.02,69.11,22 NDC,00093681545,BUDESONIDE 0.25 MG/2 ML SUSPENSION FOR NEBULIZATION,46.15,27.69,9.24,37.52,22 NDC,00093681645,BUDESONIDE 0.5 MG/2 ML SUSPENSION FOR NEBULIZATION,51.5,30.9,10.31,41.87,22 NDC,00093762056,LETROZOLE 2.5 MG TABLET,26.2,15.72,5.25,21.3,22 NDC,00093873901,MEXILETINE 150 MG CAPSULE,21.2,12.72,4.24,17.24,22 NDC,00093943301,GLYBURIDE 2.5 MG TABLET,16.85,10.11,3.37,13.7,22 NDC,00115351101,PYRIDOSTIGMINE BROMIDE 60 MG TABLET,19.3,11.58,3.86,15.69,22 NDC,00115521116,COLESTIPOL 1 GRAM TABLET,20.15,12.09,4.03,16.38,22 NDC,00121043130,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION,1.55,0.93,0.31031,1.26,22 NDC,00121048905,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL ELIXIR,7.5,4.5,1.5,6.1,22 NDC,00121053005,FERROUS SULFATE 300 MG (60 MG IRON)/5 ML ORAL LIQUID,6.3,3.78,1.26,5.12,22 NDC,00121058105,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE,18.1,10.86,3.62,14.72,22 NDC,00121059516,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,23.0,13.8,4.6,18.7,22 NDC,00121064616,AMANTADINE HCL 50 MG/5 ML ORAL SOLUTION,96.9,58.14,19.4,78.78,22 NDC,00121067816,NORTRIPTYLINE 10 MG/5 ML ORAL SOLUTION,585.05,351.03,117.13,475.65,22 NDC,00121076616,"CALCIUM 500 MG/5 ML (AS CALCIUM CARB 1,250 MG/5 ML) ORAL SUSPENSION",1.3,0.78,0.26026,1.06,22 NDC,00121085320,SULFAMETHOXAZOLE 200 MG-TRIMETHOPRIM 40 MG/5 ML ORAL SUSPENSION,81.55,48.93,16.33,66.3,22 NDC,00121119030,SODIUM CITRATE-CITRIC ACID 500 MG-334 MG/5 ML ORAL SOLUTION,8.9,5.34,1.78,7.24,22 NDC,00121127610,DEXTROMETHORPHAN-GUAIFENESIN 10 MG-100 MG/5 ML ORAL SYRUP,4.6,2.76,0.92092,3.74,22 NDC,00121131411,ACETAMINOPHEN 325 MG/10.15 ML ORAL SOLUTION,3.85,2.31,0.77077,3.13,22 NDC,00121148810,GUAIFENESIN 100 MG/5 ML ORAL LIQUID,1.65,0.99,0.33033,1.34,22 NDC,00121157610,METOCLOPRAMIDE 5 MG/5 ML ORAL SOLUTION,32.2,19.32,6.45,26.18,22 NDC,00121176030,ALUMINUM-MAGNESIUM HYDROXIDE 200 MG-200 MG/5 ML ORAL SUSPENSION,8.35,5.01,1.67,6.79,23 NDC,00121176230,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 400 MG-400 MG-40 MG/5 ML ORAL SUSP,3.95,2.37,0.79079,3.21,22 NDC,00121178105,ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL LIQUID WRAPPER,2.8,1.68,0.56056,2.28,22 NDC,00121197121,ACETAMINOPHEN 650 MG/20.3 ML ORAL LIQUID WRAPPER,4.15,2.49,0.83083,3.37,22 NDC,00121231615,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG/15 ML ORAL SOLUTION,31.35,18.81,6.28,25.49,22 NDC,00121472105,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,27.4,16.44,5.49,22.28,22 NDC,00121476605,"CALCIUM 500 MG/5 ML (AS CALCIUM CARB 1,250 MG/5 ML) ORAL SUSPENSION",7.35,4.41,1.47,5.98,22 NDC,00131181067,LACOSAMIDE 200 MG/20 ML INTRAVENOUS SOLUTION,96.35,57.81,0.472,78.33,23 NDC,00131247760,LACOSAMIDE 50 MG TABLET,61.85,37.11,12.38,50.28,22 NDC,00131247835,LACOSAMIDE 100 MG TABLET,78.65,47.19,15.75,63.94,22 NDC,00132070336,BISACODYL 10 MG/30 ML ENEMA,4.05,2.43,0.81081,3.29,22 NDC,00135020001,DOCOSANOL 10 % TOPICAL CREAM,28.45,17.07,5.7,23.13,22 NDC,00143913601,MITOMYCIN BLADDER INSTILLATION (2 MG/ML; 40 MG VIAL),1243.0,745.8,19.74,1010.56,34 NDC,00143920901,CHLOROPROCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,113.05,67.83,0.0944,91.91,24 NDC,00143923401,VECURONIUM BROMIDE 10 MG INTRAVENOUS SOLUTION,84.65,50.79,16.95,68.82,22 NDC,00143924001,BLEOMYCIN 15 UNIT SOLUTION FOR INJECTION,526.7,316.02,50.79,428.21,24 NDC,00143926201,CEFAZOLIN (ANCEF) 100 MG/ML SYRINGE (PEDIATRIC),65.25,39.15,1.89,53.05,24 NDC,00143926225,CEFAZOLIN 1 GRAM INJ SOLR IM,20.8,12.48,1.89,16.91,24 NDC,00143927301,DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION,254.9,152.94,51.03,264.28,24 NDC,00143936701,METHOTREXATE SODIUM (PF) 1 GRAM SOLUTION FOR INJECTION,473.0,283.8,6.15,384.55,24 NDC,00143937701,ARGATROBAN 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS WRAPPER,483.0,289.8,0.776,392.68,34 NDC,00143937701,ARGATROBAN CRRT REGIONAL CIRCUIT INFUSION (50 MG/50 ML),483.0,289.8,0.776,392.68,34 NDC,00143937801,DAPTOMYCIN 500 MG SOLUTION FOR IV PUSH,210.0,126.0,0.0708,170.73,24 NDC,00143937901,MIDAZOLAM (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,88.0,52.8,0.462,71.54,24 NDC,00143939201,REMIFENTANIL 2 MG INTRAVENOUS SOLUTION,389.5,233.7,77.98,316.66,22 NDC,00143942801,FOSAPREPITANT 150 MG INTRAVENOUS POWDER FOR SOLUTION,168.0,100.8,0.236,136.58,24 NDC,00143950601,ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION,89.15,53.49,17.85,72.48,22 NDC,00143950901,KETAMINE 100 MG/ML INJECTION SOLUTION,60.25,36.15,12.06,48.98,22 NDC,00143951901,METHOTREXATE INJECTION (PF) 25 MG/ML (NON-ONCOLOGY),289.8,173.88,6.15,235.61,24 NDC,00143951901,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION FOR INTRATHECAL,289.8,173.88,6.15,235.61,24 NDC,00143955501,LEUCOVORIN CALCIUM 50 MG SOLN FOR INJ (10 MG/ML),319.0,191.4,7.6,259.35,24 NDC,00143956410,PHENTOLAMINE 5 MG INJECTION SOLUTION,2245.35,1347.21,419.06,1825.47,34 NDC,00143956725,CEFUROXIME (ZINACEF) 90 MG/ML SYRINGE (PEDIATRIC),81.95,49.17,4.37,66.63,24 NDC,00143956725,CEFUROXIME 1.5 GRAM (COMBINED) INJECTION WRAPPER,36.5,21.9,4.37,29.67,24 NDC,00143956725,CEFUROXIME SODIUM 1.5 GRAM SOLUTION FOR IV PUSH,36.5,21.9,4.37,29.67,24 NDC,00143956801,CEFUROXIME SODIUM 750 MG SOLUTION FOR IV PUSH,26.4,15.84,4.37,21.46,24 NDC,00143957001,SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS,196.6,117.96,4.77,159.84,24 NDC,00143959401,LIDOCAINE (PF) 20 MG/ML (2 %) INECTION SOLUTION WRAPPER,26.1,15.66,0.0236,21.22,24 NDC,00143962101,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",17.05,10.23,2.36,13.86,24 NDC,00143963301,NICARDIPINE 40 MG/200 ML(0.2 MG/ML) IN SOD CHLOR(ISO) INTRAVENOUS SOLN,745.95,447.57,0.1652,606.46,24 NDC,00143963701,VALPROATE SODIUM 500 MG/5 ML (100 MG/ML) INTRAVENOUS SOLUTION,73.4,44.04,14.69,59.67,22 NDC,00143967301,LEVETIRACETAM 500 MG/5 ML INTRAVENOUS SOLUTION,79.8,47.88,0.0944,64.88,24 NDC,00143968201,GLYCOPYRROLATE 0.2 MG/ML INJECTION SOLUTION,27.85,16.71,0.4462,22.64,34 NDC,00143968310,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,117.6,70.56,23.54,95.61,22 NDC,00143968401,FLUMAZENIL 0.1 MG/ML INTRAVENOUS SOLUTION,90.3,54.18,18.08,73.41,22 NDC,00143968910,NICARDIPINE 25 MG/10 ML INTRAVENOUS SOLUTION,170.2,102.12,0.1652,138.37,24 NDC,00143970801,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,147.0,88.2,3.42,119.51,24 NDC,00143970910,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,101.6,60.96,3.42,82.6,24 NDC,00143971010,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION (FOR NEBULIZATION),28.5,17.1,3.42,23.17,24 NDC,00143972501,PROGESTERONE 50 MG/ML INTRAMUSCULAR OIL,17.55,10.53,1.65,14.27,24 NDC,00143974601,TERBUTALINE 1 MG/ML SUBCUTANEOUS SOLUTION,34.2,20.52,6.85,27.8,24 NDC,00143978601,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION,102.85,61.71,20.59,83.62,22 NDC,00143978701,ENALAPRILAT 1.25 MG/ML INTRAVENOUS SOLUTION,85.3,51.18,17.08,69.35,22 NDC,00143985625,CEFTRIAXONE 2 GRAM INJ COMBINED WRAPPER,29.65,17.79,1.01,24.11,24 NDC,00143985625,CEFTRIAXONE 2 GRAM SOLUTION FOR IV PUSH,29.65,17.79,1.01,24.11,24 NDC,00143985701,CEFTRIAXONE 1 GRAM INJ COMBINED WRAPPER,25.1,15.06,1.01,20.41,24 NDC,00143985701,CEFTRIAXONE 1 GRAM SOLUTION FOR IV PUSH,25.1,15.06,1.01,20.41,24 NDC,00143985725,CEFTRIAXONE 1 GRAM INJ SOLR IM,25.1,15.06,1.01,20.41,24 NDC,00143985801,CEFTRIAXONE 500 MG SOLUTION FOR INJECTION,21.7,13.02,1.01,17.64,24 NDC,00143987201,PROPRANOLOL 1 MG/ML INTRAVENOUS SOLUTION,52.4,31.44,10.49,42.6,24 NDC,00143987701,CEFOXITIN 100 MG/ML SYRINGE PEDIATRIC,96.6,57.96,11.28,78.54,24 NDC,00143988901,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,16.45,9.87,3.29,13.37,22 NDC,00143988915,AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION,16.5,9.9,3.3,13.41,22 NDC,00143997922,CEFUROXIME SODIUM 750 MG SOLUTION FOR INJECTION,29.3,17.58,4.37,23.82,24 NDC,00143998250,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,48.4,29.04,9.69,39.35,22 NDC,00143998391,CEFAZOLIN 10 GRAM SOLUTION FOR INJECTION,66.3,39.78,1.89,53.9,24 NDC,00168000415,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM,25.0,15.0,5.0,20.32,22 NDC,00168000615,TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL OINTMENT,29.95,17.97,6.0,24.35,22 NDC,00168005960,FLUOCINOLONE 0.01 % TOPICAL SOLUTION,116.3,69.78,23.28,94.55,22 NDC,00168014630,HYDROCORTISONE 2.5 % TOPICAL OINTMENT,25.9,15.54,5.19,21.06,22 NDC,00168020230,CLINDAMYCIN 1 % TOPICAL GEL,264.8,158.88,53.01,215.28,22 NDC,00168020437,LIDOCAINE 5 % TOPICAL OINTMENT,736.0,441.6,147.35,598.37,22 NDC,00168034646,TERCONAZOLE 0.4 % VAGINAL CREAM,123.5,74.1,24.72,100.41,22 NDC,00168035705,LIDOCAINE-PRILOCAINE 2.5 %-2.5 % TOPICAL CREAM,40.8,24.48,8.17,33.17,22 NDC,00169720101,"COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION",88.25,52.95,2.58,71.75,34 NDC,00169720101,FACTOR VIIA RECOMB (NOVOSEVEN) INTERMITTENT INFUSION,88.25,52.95,2.58,71.75,34 NDC,00169720201,"COAGULATION FACTOR VIIA RECOMB 2 MG (2,000 MCG) INTRAVENOUS SOLUTION",88.25,52.95,2.58,71.75,34 NDC,00169721511,"COAGULATION FACTOR VIIA RECOMB 5 MG (5,000 MCG) INTRAVENOUS SOLUTION",88.25,52.95,2.58,71.75,34 NDC,00172208360,HYDROCHLOROTHIAZIDE 25 MG TABLET,16.2,9.72,3.24,13.17,22 NDC,00173054700,ATOVAQUONE 750 MG/5 ML ORAL SUSPENSION,148.65,89.19,29.76,120.85,22 NDC,00173064255,LAMOTRIGINE 100 MG TABLET,61.7,37.02,12.35,50.16,22 NDC,00173068224,ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER,84.2,50.52,16.86,68.45,22 NDC,00173085914,FLUTICASONE FUROATE 100 MCG-VILANTEROL 25 MCG/DOSE INHALATION POWDER,486.7,292.02,97.44,395.69,22 NDC,00173086906,UMECLIDINIUM 62.5 MCG-VILANTEROL 25 MCG/ACTUATION POWDR FOR INHALATION,368.65,221.19,73.8,299.71,22 NDC,00173087306,UMECLIDINIUM 62.5 MCG/ACTUATION BLISTER POWDER FOR INHALATION,241.15,144.69,48.28,196.05,22 NDC,00173087414,FLUTICASONE FUROATE 100 MCG/ACTUATION BLISTER POWDER FOR INHALATION,307.9,184.74,61.64,250.32,22 NDC,00173087614,FLUTICASONE FUROATE 200 MCG/ACTUATION BLISTER POWDER FOR INHALATION,406.8,244.08,81.44,330.73,22 NDC,00173088101,MEPOLIZUMAB 100 MG SUBCUTANEOUS SOLUTION,16408.85,9845.31,30.33,13340.4,34 NDC,00173088214,FLUTICASONE FUROATE 200 MCG-VILANTEROL 25 MCG/DOSE INHALATION POWDER,486.7,292.02,97.44,395.69,22 NDC,00173089803,DOSTARLIMAB-GXLY 50 MG/ML INTRAVENOUS SOLUTION,53208.2,31924.92,236.4,43258.27,34 NDC,00185012901,BUMETANIDE 1 MG TABLET,17.85,10.71,3.57,14.51,22 NDC,00185560001,METOLAZONE 10 MG TABLET,19.6,11.76,3.92,15.93,22 NDC,00186037028,BUDESONIDE-FORMOTEROL HFA 160 MCG-4.5 MCG/ACTUATION AEROSOL INHALER,493.6,296.16,98.82,401.3,22 NDC,00186037228,BUDESONIDE-FORMOTEROL HFA 80 MCG-4.5 MCG/ACTUATION AEROSOL INHALER,431.25,258.75,86.34,350.61,22 NDC,00186077660,TICAGRELOR 60 MG TABLET,47.0,28.2,9.41,38.21,22 NDC,00186077739,TICAGRELOR 90 MG TABLET,47.0,28.2,9.41,38.21,22 NDC,00186199004,BUDESONIDE 1 MG/2 ML SUSPENSION FOR NEBULIZATION,98.1,58.86,19.64,79.76,22 NDC,00187001050,SODIUM BENZOATE 10 %-SODIUM PHENYLACETATE 10 % INTRAVENOUS SOLUTION,191837.95,115102.77,38405.96,155964.25,22 NDC,00223176001,"SODIUM CHLORIDE 1,000 MG SOLUBLE TABLET",1.15,0.69,0.23023,0.93495,22 NDC,00225052547,SODIUM CHLORIDE-ALOE VERA NASAL GEL,5.35,3.21,1.07,4.35,22 NDC,00225080047,PHENYLEPHRINE 0.25 % NASAL SPRAY,6.4,3.84,1.28,5.2,22 NDC,00225080547,PHENYLEPHRINE 0.5 % NASAL SPRAY,6.4,3.84,1.28,5.2,22 NDC,00228202710,ALPRAZOLAM 0.25 MG TABLET,22.15,13.29,4.43,18.01,22 NDC,00228306211,"DEXTROAMPHETAMINE-AMPHETAMINE ER 5 MG 24HR CAPSULE,EXTEND RELEASE",25.5,15.3,5.11,20.73,22 NDC,00228309011,"MORPHINE ER 30 MG CAPSULE,EXTENDED RELEASE 24 HR MULTIPHASE",35.8,21.48,7.17,29.11,22 NDC,00228315303,BUPRENORPHINE HCL 8 MG SUBLINGUAL TABLET,26.25,15.75,5.26,21.34,22 NDC,00228315603,BUPRENORPHINE HCL 2 MG SUBLINGUAL TABLET,21.5,12.9,4.3,17.48,22 NDC,00245014789,AMIODARONE 200 MG TABLET,17.5,10.5,3.5,14.23,22 NDC,00245021111,MIDODRINE 2.5 MG TABLET,17.0,10.2,3.4,13.82,22 NDC,00245021311,MIDODRINE 10 MG TABLET,18.4,11.04,3.68,14.96,22 NDC,00245531701,"POTASSIUM CHLORIDE ER 10 MEQ TABLET,EXTENDED RELEASE(PART/CRYST)",18.0,10.8,3.6,14.63,22 NDC,00254302802,LUBIPROSTONE 8 MCG CAPSULE,20.0,12.0,4.0,16.26,22 NDC,00259160501,INCOBOTULINUMTOXINA 50 UNIT INTRAMUSCULAR SOLUTION,1235.4,741.24,5.4,1004.38,34 NDC,00259161001,INCOBOTULINUMTOXINA 100 UNIT INTRAMUSCULAR SOLUTION,2341.05,1404.63,5.4,1903.27,34 NDC,00264151032,DEXTROSE 5% WATER (D5W) NON-PVC,70.5,42.3,14.11,57.1,19 NDC,00264220300,LACTATED RINGERS IRRIGATION SOLUTION,81.0,48.6,16.22,65.61,19 NDC,00264312311,"CEFOXITIN 1 GRAM/50 ML IN DEXTROSE, ISO-OSMOTIC INTRAVENOUS PIGGYBACK",129.05,77.43,11.28,104.92,24 NDC,00264450000,PARENTERAL AMINO ACID 15 % COMBINATION NO.6 INTRAVENOUS SOLUTION,203.0,121.8,40.64,165.04,22 NDC,00264450005,PARENTERAL AMINO ACID 15 % COMBINATION NO.6 INTRAVENOUS SOLUTION,287.0,172.2,57.46,233.33,22 NDC,00264553532,METRONIDAZOLE 500 MG/100 ML IN SODIUM CHLOR(ISO) INTRAVENOUS PIGGYBACK,74.2,44.52,0.0708,60.32,24 NDC,00264751000,DEXTROSE 5% WATER (D5W) NON-PVC,75.0,45.0,7.34,60.75,20 NDC,00264751010,DEXTROSE 5% WATER (D5W) NON-PVC,75.0,45.0,4.27,60.75,20 NDC,00264751020,DEXTROSE 5% WATER (D5W) NON-PVC,74.25,44.55,14.86,60.14,19 NDC,00264752010,DEXTROSE 10 % IV BOLUS,69.75,41.85,13.96,56.5,19 NDC,00264778000,RINGER'S INTRAVENOUS SOLUTION,93.0,55.8,5.69,75.33,20 NDC,00268024705,HISTAMINE 1 MG/ML (2.75 MG/ML) PERCUTANEOUS SOLUTION,146.2,87.72,29.27,118.86,22 NDC,00270055615,SINCALIDE 5 MCG SOLUTION FOR INJECTION,609.65,365.79,122.05,495.65,24 NDC,00281032608,NITROGLYCERIN 2 % TRANSDERMAL OINTMENT,25.7,15.42,5.15,20.89,22 NDC,00310009530,ROFLUMILAST 500 MCG TABLET,77.0,46.2,15.42,62.6,22 NDC,00310072010,FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE,8806.85,5284.11,6.53,7159.97,34 NDC,00310110539,SODIUM ZIRCONIUM CYCLOSILICATE 5 GRAM ORAL POWDER PACKET,130.9,78.54,26.21,106.42,22 NDC,00310111039,SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM ORAL POWDER PACKET,130.9,78.54,26.21,106.42,22 NDC,00310173030,BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE,26620.1,15972.06,159.65,21642.14,34 NDC,00310320001,"FACTOR XA,INACTIVATED-ZHZO (RECOMBINANT) 200 MG INTRAVENOUS BOLUS",10077.0,6046.2,127.44,8192.6,34 NDC,00310450012,DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION,4810.2,2886.12,82.57,3910.69,34 NDC,00310460012,GLYCOPYRROLATE 9 MCG-FORMOTEROL 4.8 MCG HFA AEROSOL INHALER,1350.15,810.09,270.3,1097.67,22 NDC,00310461150,DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION,19171.55,11502.93,82.57,15586.47,34 NDC,00338000346,"WATER FOR IRRIGATION, STERILE SOLUTION",72.0,43.2,14.41,58.54,22 NDC,00338000404,"WATER FOR IRRIGATION, STERILE SOLUTION",69.0,41.4,13.81,56.1,22 NDC,00338001304,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION",93.0,55.8,18.62,75.61,22 NDC,00338001306,"WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION",81.0,48.6,16.22,65.85,22 NDC,00338001703,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,76.5,45.9,4.27,61.97,20 NDC,00338001703,DEXTROSE 5 % IV BOLUS,69.75,41.85,4.27,56.5,20 NDC,00338001704,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,81.0,48.6,7.34,65.61,20 NDC,00338001704,DEXTROSE 5 % IV BOLUS,67.5,40.5,7.34,54.67,20 NDC,00338001710,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,71.7,43.02,14.35,58.08,19 NDC,00338001710,DEXTROSE 5 % IV BOLUS,150.0,90.0,30.03,121.5,19 NDC,00338001741,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,71.25,42.75,14.26,57.71,19 NDC,00338001748,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,71.1,42.66,14.23,57.59,19 NDC,00338002302,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,81.75,49.05,16.37,66.22,19 NDC,00338002303,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,81.0,48.6,16.22,65.61,19 NDC,00338002304,DEXTROSE 10 % IN WATER (D10W) INTRAVENOUS SOLUTION,87.0,52.2,17.42,70.47,19 NDC,00338004303,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION,76.5,45.9,2.97,61.97,20 NDC,00338004303,SODIUM CHLORIDE 0.45 % IV BOLUS,69.75,41.85,2.97,56.5,20 NDC,00338004304,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION,81.0,48.6,2.97,65.61,20 NDC,00338004304,SODIUM CHLORIDE 0.45 % IV BOLUS,67.5,40.5,2.97,54.67,20 NDC,00338004727,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,81.0,48.6,16.22,65.85,22 NDC,00338004744,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,87.0,52.2,17.42,70.73,22 NDC,00338004902,STUDY RGS001D SODIUM CHLORIDE 0.9% (NS) BOLUS,75.75,45.45,1.53,61.36,20 NDC,00338004902,STUDY RGS001D SODIUM CHLORIDE 0.9% (NS) INFUSION,0.2,0.12,0.04004,1.53,20 NDC,00338004903,STUDY RGS001D SODIUM CHLORIDE 0.9% (NS) BOLUS,75.0,45.0,2.97,60.75,20 NDC,00338004903,STUDY RGS001D SODIUM CHLORIDE 0.9% (NS) INFUSION,0.2,0.12,0.04004,2.97,20 NDC,00338004904,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,78.0,46.8,4.6,63.18,20 NDC,00338004904,SODIUM CHLORIDE 0.9% IV BOLUS,66.75,40.05,4.6,54.07,20 NDC,00338004904,STUDY RGS001D SODIUM CHLORIDE 0.9% (NS) BOLUS,78.0,46.8,4.6,63.18,20 NDC,00338004904,STUDY RGS001D SODIUM CHLORIDE 0.9% (NS) INFUSION,0.2,0.12,0.04004,4.6,20 NDC,00338004910,STUDY RGS001D SODIUM CHLORIDE 0.9% (NS) BOLUS,71.4,42.84,2.97,57.83,20 NDC,00338004910,STUDY RGS001D SODIUM CHLORIDE 0.9% (NS) INFUSION,0.2,0.12,0.04004,1.53,20 NDC,00338004941,STUDY RGS001D SODIUM CHLORIDE 0.9% (NS) BOLUS,70.65,42.39,2.97,57.23,20 NDC,00338004941,STUDY RGS001D SODIUM CHLORIDE 0.9% (NS) INFUSION,0.2,0.12,0.04004,1.53,20 NDC,00338004948,STUDY RGS001D SODIUM CHLORIDE 0.9% (NS) BOLUS,72.0,43.2,2.97,58.32,20 NDC,00338004948,STUDY RGS001D SODIUM CHLORIDE 0.9% (NS) INFUSION,0.2,0.12,0.04004,1.53,20 NDC,00338005403,SODIUM CHLORIDE 3 % HYPERTONIC INTRAVENOUS INJECTION SOLUTION,82.5,49.5,0.2805,67.07,24 NDC,00338007704,DEXTROSE 5 % AND 0.2 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,81.0,48.6,16.22,65.61,19 NDC,00338008504,DEXTROSE 5 % AND 0.45 % NACL IV BOLUS,67.5,40.5,3.33,54.67,20 NDC,00338008504,DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,81.0,48.6,16.22,65.61,19 NDC,00338008903,DEXTROSE 5 % AND 0.9 % NACL IV BOLUS,69.75,41.85,3.33,56.5,20 NDC,00338008903,DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,76.5,45.9,3.33,61.97,20 NDC,00338008904,DEXTROSE 5 % AND 0.9 % NACL IV BOLUS,67.5,40.5,3.33,54.67,20 NDC,00338008904,DEXTROSE 5 % AND 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,81.0,48.6,3.33,65.61,20 NDC,00338010820,NOREPINEPHRINE BITARTRATE 8 MG/250 ML (32 MCG/ML) IN DEXTROSE 5 % IV,179.4,107.64,35.92,145.85,22 NDC,00338011704,LACTATED RINGERS INTRAVENOUS SOLUTION,78.0,46.8,5.69,63.18,20 NDC,00338011704,LACTATED RINGERS IV BOLUS,66.75,40.05,5.69,54.07,20 NDC,00338012503,DEXTROSE 5 % AND LACTATED RINGERS INTRAVENOUS SOLUTION,81.0,48.6,16.22,65.61,20 NDC,00338012503,DEXTROSE 5 % IN LACTATED RINGERS IV BOLUS,81.0,48.6,16.22,65.61,20 NDC,00338012504,DEXTROSE 5 % AND LACTATED RINGERS INTRAVENOUS SOLUTION,81.0,48.6,16.22,65.61,20 NDC,00338012504,DEXTROSE 5 % IN LACTATED RINGERS IV BOLUS,72.0,43.2,14.41,58.32,20 NDC,00338022104,ELECTROLYTE-A INTRAVENOUS SOLUTION,114.0,68.4,22.82,92.68,22 NDC,00338035703,MANNITOL 20 % INTRAVENOUS SOLUTION,77.15,46.29,0.1416,62.49,20 NDC,00338041102,LIDOCAINE (PF) 8 MG/ML (0.8 %) IN 5 % DEXTROSE INTRAVENOUS SOLUTION,90.15,54.09,0.0236,73.29,24 NDC,00338050206,PARENTERAL AMINO ACID 15 % COMBINATION NO.5 INTRAVENOUS SOLUTION,525.0,315.0,105.11,426.82,22 NDC,00338055111,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS PIGGYBACK,82.95,49.77,4.27,67.19,20 NDC,00338055118,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS PIGGYBACK,84.9,50.94,4.27,68.77,20 NDC,00338055311,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK,84.75,50.85,16.97,68.65,19 NDC,00338055318,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK,84.9,50.94,17.0,68.77,19 NDC,00338064406,PARENTERAL AMINO ACID 10 % COMBINATION NO.6 INTRAVENOUS SOLUTION,259.0,155.4,51.85,210.57,24 NDC,00338065604,ACETIC ACID 0.25 % IRRIGATION SOLUTION,90.0,54.0,18.02,73.17,22 NDC,00338066304,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.2 % SODIUM CHLORIDE IV,94.5,56.7,0.2596,76.83,24 NDC,00338066904,POTASSIUM CHLORIDE 10 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,93.0,55.8,0.2596,75.33,20 NDC,00338067104,POTASSIUM CHLORIDE 20 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,84.0,50.4,0.2596,68.29,24 NDC,00338067304,POTASSIUM CHLORIDE 30 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,98.0,58.8,0.2596,79.67,24 NDC,00338067504,POTASSIUM CHLORIDE 40 MEQ/L IN DEXTROSE 5 %-0.45 % SODIUM CHLORIDE IV,98.0,58.8,0.2596,79.67,24 NDC,00338069104,POTASSIUM CHLORIDE 20 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,101.5,60.9,0.2596,82.52,24 NDC,00338069504,POTASSIUM CHLORIDE 40 MEQ/L IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,105.0,63.0,0.2596,85.36,24 NDC,00338070341,POTASSIUM CHLORIDE 20 MEQ/50 ML IN STERILE WATER INTRAVENOUS PIGGYBACK,76.3,45.78,0.2596,62.03,24 NDC,00338070348,POTASSIUM CHLORIDE 40 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,77.35,46.41,0.2596,62.89,24 NDC,00338070434,POTASSIUM CHLORIDE 20 MEQ/L IN 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLN,87.5,52.5,0.2596,71.14,24 NDC,00338070548,POTASSIUM CHLORIDE 20 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,77.35,46.41,0.2596,62.89,24 NDC,00338071906,DEXTROSE 70 % IN WATER (D70W) INTRAVENOUS SOLUTION,78.0,46.8,15.62,63.18,19 NDC,00338080304,POTASSIUM CHLORIDE 20 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,101.5,60.9,0.2596,82.52,24 NDC,00338080704,POTASSIUM CHLORIDE 40 MEQ/L IN D5-0.9 % SODIUM CHLORIDE INTRAVENOUS,98.0,58.8,0.2596,79.67,24 NDC,00338081104,POTASSIUM CHLORIDE 20 MEQ/L-LACTATED RINGERS-5 % DEXTROSE INTRAVENOUS,101.5,60.9,0.2596,82.52,24 NDC,00338100702,"DOPAMINE 400 MG/250 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN",112.9,67.74,1.8,91.79,24 NDC,00338100902,"DOPAMINE 800 MG/250 ML (3,200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN",132.15,79.29,1.8,107.44,24 NDC,00338102541,PENICILLIN G POT 3 MILLION UNIT/50 ML-DEXTROSE INTRAVENOUS PIGGYBACK,100.65,60.39,1.86,81.83,24 NDC,00338104702,NITROGLYCERIN 25 MG/250 ML (100 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,134.75,80.85,3.52,109.55,24 NDC,00338104902,NITROGLYCERIN 200 MCG/ML BOLUS INJECTION (VIR/CATH),63.2,37.92,3.52,51.38,24 NDC,00338104902,NITROGLYCERIN 50 MG/250 ML (200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,141.75,85.05,3.52,115.24,24 NDC,00338107302,DOBUTAMINE 250 MG/250 ML (1 MG/ML) IN 5 % DEXTROSE INTRAVENOUS,141.75,85.05,16.71,115.24,24 NDC,00338113003,PARENTERAL AMINO ACID 10 % COMBINATION NO.7 INTRAVENOUS SOLUTION,289.8,173.88,58.02,235.61,22 NDC,00338114703,AMINO ACID 5 % NO.6-DEXTROSE 15 %-ELECTROLYTES NO.23 IV SOLUTION,220.75,132.45,44.19,179.47,22 NDC,00338350341,CEFAZOLIN 1 GRAM/50 ML IN DEXTROSE (ISO-OSMOTIC) INTRAVENOUS PIGGYBACK,81.4,48.84,3.07,66.18,24 NDC,00338381424,CLINDAMYCIN 18 MG/ML SYRINGE PEDIATRIC,117.85,70.71,4.32,95.81,24 NDC,00338601048,MILRINONE 20 MG/100 ML(200 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS PIGGYBK,180.95,108.57,3.42,147.11,24 NDC,00338604648,FLUCONAZOLE 200 MG/100 ML IN SOD. CHLORIDE (ISO) INTRAVENOUS PIGGYBACK,128.45,77.07,5.33,104.43,24 NDC,00338850302,THROMBIN(HUM PLAS)-FIBRIN-APROT-CA 2.5 TO 6.5 UNIT/ML(2ML) TOPICAL SYR,984.9,590.94,137.63,800.72,33 NDC,00338954302,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION NON-PVC,78.75,47.25,1.53,63.79,20 NDC,00378015601,PROBENECID 500 MG TABLET,18.55,11.13,3.71,15.08,22 NDC,00378180977,LEVOTHYROXINE 100 MCG TABLET,17.7,10.62,3.54,14.39,22 NDC,00378181377,LEVOTHYROXINE 125 MCG TABLET,18.0,10.8,3.6,14.63,22 NDC,00378181910,LEVOTHYROXINE 200 MCG TABLET,18.45,11.07,3.69,15.0,22 NDC,00378306577,FENOFIBRATE NANOCRYSTALLIZED 48 MG TABLET,17.45,10.47,3.49,14.19,22 NDC,00378306677,FENOFIBRATE NANOCRYSTALLIZED 145 MG TABLET,18.65,11.19,3.73,15.16,22 NDC,00378326694,ETOPOSIDE 50 MG CAPSULE,371.25,222.75,74.32,301.83,24 NDC,00378335216,ESTRADIOL 0.1 MG/24 HR WEEKLY TRANSDERMAL PATCH,90.3,54.18,18.08,73.41,22 NDC,00378427577,VALACYCLOVIR 500 MG TABLET,17.6,10.56,3.52,14.31,22 NDC,00378518593,PRASUGREL HCL 5 MG TABLET,20.0,12.0,4.0,16.26,22 NDC,00378668877,"PANTOPRAZOLE 20 MG TABLET,DELAYED RELEASE",16.45,9.87,3.29,13.37,22 NDC,00378715501,"BUDESONIDE DR - ER 3 MG CAPSULE,DELAYED,EXTENDED RELEASE",33.8,20.28,6.77,27.48,22 NDC,00378728653,NORGESTIMATE 0.25 MG-ETHINYL ESTRADIOL 0.035 MG TABLET,102.95,61.77,20.61,83.7,22 NDC,00378729253,NORETHINDRONE (CONTRACEPTIVE) 0.35 MG TABLET,30.9,18.54,6.19,25.12,22 NDC,00378804321,CLOBAZAM 2.5 MG/ML ORAL SUSPENSION,24.05,14.43,4.81,19.55,22 NDC,00378910216,NITROGLYCERIN 0.1 MG/HR TRANSDERMAL 24 HOUR PATCH,18.45,11.07,3.69,15.0,22 NDC,00378911216,NITROGLYCERIN 0.4 MG/HR TRANSDERMAL 24 HOUR PATCH,19.3,11.58,3.86,15.69,22 NDC,00378911693,NITROGLYCERIN 0.6 MG/HR TRANSDERMAL 24 HOUR PATCH,20.15,12.09,4.03,16.38,22 NDC,00378911916,FENTANYL 12 MCG/HR TRANSDERMAL PATCH,70.75,42.45,14.16,57.52,22 NDC,00386000803,NORFLURANE-PENTAFLUOROPROPANE TOPICAL SPRAY,16.05,9.63,3.21,13.05,22 NDC,00406012523,HYDROCODONE 10 MG-ACETAMINOPHEN 325 MG TABLET,24.1,14.46,4.82,19.59,22 NDC,00406051223,OXYCODONE-ACETAMINOPHEN 5 MG-325 MG TABLET,23.25,13.95,4.65,18.9,22 NDC,00406052323,OXYCODONE-ACETAMINOPHEN 10 MG-325 MG TABLET,29.9,17.94,5.99,24.31,22 NDC,00406055223,OXYCODONE 5 MG TABLET,23.35,14.01,4.67,18.98,22 NDC,00406114201,METHYLPHENIDATE 5 MG TABLET,22.6,13.56,4.52,18.37,22 NDC,00406577162,METHADONE 10 MG TABLET,23.4,14.04,4.68,19.02,22 NDC,00406833062,"MORPHINE ER 30 MG TABLET,EXTENDED RELEASE",27.25,16.35,5.46,22.15,22 NDC,00406838062,"MORPHINE ER 60 MG TABLET,EXTENDED RELEASE",32.2,19.32,6.45,26.18,22 NDC,00406839023,"MORPHINE ER 100 MG TABLET,EXTENDED RELEASE",38.45,23.07,7.7,31.26,22 NDC,00406900076,FENTANYL 100 MCG/HR TRANSDERMAL PATCH,104.7,62.82,20.96,85.12,22 NDC,00406902576,FENTANYL 25 MCG/HR TRANSDERMAL PATCH,43.4,26.04,8.69,35.28,22 NDC,00406905076,FENTANYL 50 MCG/HR TRANSDERMAL PATCH,60.0,36.0,12.01,48.78,22 NDC,00406907576,FENTANYL 75 MCG/HR TRANSDERMAL PATCH,82.1,49.26,16.44,66.75,22 NDC,00406996001,TEMAZEPAM 7.5 MG CAPSULE,30.0,18.0,6.01,24.39,22 NDC,00407141230,IOHEXOL 240 MG IODINE/ML INTRAVENOUS SOLUTION,49.45,29.67,1.06,40.2,24 NDC,00407141361,IOHEXOL 300 MG IODINE/ML INTRAVENOUS SOLUTION,57.55,34.53,0.354,46.79,24 NDC,00409018101,GEMCITABINE 1 GRAM/26.3 ML (38 MG/ML) INTRAVENOUS SOLUTION,474.3,284.58,7.39,385.61,24 NDC,00409018125,GEMCITABINE 38 MG/ML INJECTABLE SOLUTION WRAPPER,332.3,199.38,7.39,270.16,24 NDC,00409018201,GEMCITABINE 38 MG/ML INJECTABLE SOLUTION WRAPPER,673.55,404.13,7.39,547.6,24 NDC,00409018225,GEMCITABINE BLADDER INSTILLATION (38 MG/ML),337.4,202.44,7.39,274.31,24 NDC,00409018301,GEMCITABINE 200 MG/5.26 ML (38 MG/ML) INTRAVENOUS SOLUTION,316.1,189.66,7.39,256.99,24 NDC,00409018501,GEMCITABINE 200 MG INTRAVENOUS SOLUTION,324.35,194.61,7.39,263.7,24 NDC,00409018701,GEMCITABINE 2 GRAM INTRAVENOUS SOLUTION,774.35,464.61,7.39,629.55,24 NDC,00409030201,TOPOTECAN 4 MG/4 ML (1 MG/ML) INTRAVENOUS SOLUTION,884.7,530.82,3.65,719.26,24 NDC,00409032320,BLEOMYCIN 30 UNIT SOLUTION FOR INJECTION,549.95,329.97,50.79,447.11,24 NDC,00409080101,PENTOSTATIN (NIPENT) SYRINGE,13260.65,7956.39,2529.92,10780.91,34 NDC,00409110502,ATRACURIUM 10 MG/ML INTRAVENOUS SOLUTION,80.05,48.03,16.03,65.08,22 NDC,00409114001,ARGATROBAN 100 MG/ML INTRAVENOUS SOLUTION,1204.1,722.46,0.776,978.93,34 NDC,00409114102,SODIUM CHLORIDE 23.4% (4 MEQ/ML) INTRAVENOUS SOLUTION,82.45,49.47,0.2805,67.03,24 NDC,00409115901,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,26.8,16.08,0.0236,21.79,24 NDC,00409115909,BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) INJECTION SOLUTION,23.95,14.37,0.0236,19.47,24 NDC,00409116018,BUPIVACAINE HCL 0.25 % (2.5 MG/ML) INJECTION SOLUTION,32.2,19.32,0.0236,26.18,24 NDC,00409116202,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,28.15,16.89,0.0236,22.89,24 NDC,00409116301,BUPIVACAINE HCL 0.5 % (5 MG/ML) INJECTION SOLUTION,29.45,17.67,0.0236,23.94,24 NDC,00409117630,MEPERIDINE (PF) 25 MG/ML INJECTION SYRINGE,40.15,24.09,8.04,42.72,24 NDC,00409117830,MEPERIDINE (PF) 50 MG/ML INJECTION SYRINGE,44.7,26.82,8.95,42.72,24 NDC,00409118069,MEPERIDINE (PF) 100 MG/ML INJECTION SYRINGE,36.4,21.84,7.29,42.72,24 NDC,00409120901,"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION",20.95,12.57,0.0236,17.03,24 NDC,00409121501,NALOXONE 0.4 MG/ML INJ SOLUTION (COMBINED) WRAPPER,88.05,52.83,0.1888,71.58,24 NDC,00409121501,NALOXONE 0.4 MG/ML INJECTION SOLUTION,88.05,52.83,0.1888,71.58,24 NDC,00409127332,DIAZEPAM 5 MG/ML INJECTION SYRINGE,123.0,73.8,16.8,100.0,24 NDC,00409128303,HYDROMORPHONE 1 MG/ML INJECTION SYRINGE,29.8,17.88,0.2124,24.23,24 NDC,00409128303,HYDROMORPHONE 1 MG/ML INJECTION WRAPPER,29.8,17.88,0.2124,24.23,24 NDC,00409131203,HYDROMORPHONE 2 MG/ML INJECTION WRAPPER,23.05,13.83,0.2124,18.74,24 NDC,00409131230,HYDROMORPHONE 2 MG/ML INJECTION SYRINGE,32.1,19.26,0.2124,26.1,24 NDC,00409131632,"HEPARIN, PORCINE (PF) 5,000 UNIT/0.5 ML INJECTION WRAPPER",34.85,20.91,0.4956,28.33,24 NDC,00409132305,LIDOCAINE (PF) 100 MG/5 ML (2 %) INTRAVENOUS SYRINGE,49.1,29.46,0.0236,39.92,24 NDC,00409140105,REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE,813.05,487.83,7.13,661.01,24 NDC,00409146369,NALBUPHINE 10 MG/ML INJECTION SOLUTION,32.3,19.38,6.47,26.26,24 NDC,00409156010,BUPIVACAINE (PF) 0.5 % (5 MG/ML) INJECTION SOLUTION,39.65,23.79,0.0236,32.24,24 NDC,00409162301,BUTORPHANOL 1 MG/ML INJECTION SOLUTION,39.05,23.43,7.82,31.75,24 NDC,00409163802,DEXMEDETOMIDINE 100 MCG/ML INTRAVENOUS SOLUTION,88.2,52.92,17.66,71.71,22 NDC,00409163802,DEXMEDETOMIDINE 200 MCG/2 ML INTRANASAL SOLUTION,88.2,52.92,17.66,71.71,22 NDC,00409174671,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",68.85,41.31,13.78,55.98,22 NDC,00409175410,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SYRINGE,53.1,31.86,1.13,43.17,24 NDC,00409177510,DEXTROSE 25 % IN WATER (D25W) INTRAVENOUS SYRINGE,109.7,65.82,21.96,89.19,22 NDC,00409189001,MORPHINE 2 MG/ML INTRAVENOUS SYRINGE,28.4,17.04,5.14,23.09,24 NDC,00409189101,MORPHINE 4 MG/ML INJECTION WRAPPER,24.95,14.97,4.99,20.28,24 NDC,00409190201,PROCAINAMIDE 100 MG/ML INJECTION SOLUTION,202.5,121.5,40.54,695.47,34 NDC,00409198503,LORAZEPAM 2 MG/ML INJECTION SYRINGE,24.7,14.82,3.26,20.08,24 NDC,00409230505,MIDAZOLAM (PF) 1 MG/ML INJECTION SOLUTION,22.35,13.41,0.354,18.17,24 NDC,00409230802,MIDAZOLAM (PF) 5 MG/ML INJECTION SOLUTION,26.1,15.66,0.354,21.22,24 NDC,00409230802,MIDAZOLAM 5 MG/ML (COMBINED) INJECTION SOLUTION WRAPPER,26.1,15.66,0.354,21.22,24 NDC,00409233725,DEFEROXAMINE 2 GRAM SOLUTION FOR INJECTION,201.3,120.78,21.26,163.66,24 NDC,00409233934,LABETALOL 5 MG/ML INTRAVENOUS VIAL/SYRINGE WRAPPER,101.2,60.72,0.8024,82.28,24 NDC,00409234401,DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) INTRAVENOUS SOLUTION,95.55,57.33,16.71,77.68,24 NDC,00409234732,"DOBUTAMINE 500 MG/250 ML (2,000 MCG/ML) IN 5 % DEXTROSE IV",199.5,119.7,16.71,162.19,24 NDC,00409272330,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",25.2,15.12,0.4956,20.49,24 NDC,00409317802,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",17.75,10.65,0.0236,14.43,24 NDC,00409317803,"LIDOCAINE 1 %-EPINEPHRINE 1:100,000 INJECTION SOLUTION",16.75,10.05,0.0236,13.62,24 NDC,00409318910,ROCURONIUM 10 MG/ML INTRAVENOUS SOLUTION,78.65,47.19,15.75,63.94,22 NDC,00409329461,POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,110.05,66.03,22.03,89.47,22 NDC,00409330101,DEXMEDETOMIDINE 80 MCG/20 ML (4 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,109.3,65.58,21.88,88.86,22 NDC,00409330803,ACETYLCYSTEINE 200 MG/ML (20 %) INHALATION SOLUTION,22.8,13.68,4.56,18.54,22 NDC,00409336511,HYDROMORPHONE 2 MG/ML INJECTION SOLUTION,23.3,13.98,0.2124,18.94,24 NDC,00409337504,NOREPINEPHRINE BITARTRATE 1 MG/ML INTRAVENOUS SOLUTION,157.4,94.44,31.51,127.97,22 NDC,00409338511,PIPERACILLIN-TAZOBACTAM 3.375 GRAM SOLUTION FOR IV PUSH,63.6,38.16,2.53,51.71,24 NDC,00409361301,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) IN 8.25 % DEXTROSE INJECTION,29.0,17.4,0.0236,23.58,24 NDC,00409372432,"DOBUTAMINE 1,000 MG/250 ML(4,000 MCG/ML) IN 5 % DEXTROSE IV",164.5,98.7,16.71,133.74,24 NDC,00409379501,KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION,45.75,27.45,0.291,37.19,33 NDC,00409379501,KETOROLAC 30 MG/ML INJECTION WRAPPER,45.75,27.45,0.291,37.19,33 NDC,00409379601,KETOROLAC 60 MG/2 ML INTRAMUSCULAR SOLUTION,30.9,18.54,0.291,25.12,33 NDC,00409381512,MORPHINE (PF) 1 MG/ML INJECTION SOLUTION,28.3,16.98,5.67,29.37,24 NDC,00409397701,"WATER FOR INJECTION, BACTERIOSTATIC INJECTION SOLUTION",44.55,26.73,8.92,36.22,22 NDC,00409403116,MANNITOL 25 % INTRAVENOUS SOLUTION,29.9,17.94,0.1416,24.22,20 NDC,00409409001,ZINC CHLORIDE 1 MG/ML INTRAVENOUS SOLUTION,59.15,35.49,11.84,48.09,22 NDC,00409409101,MANGANESE CHLORIDE 0.1 MG/ML INTRAVENOUS SOLUTION,185.65,111.39,37.17,150.93,22 NDC,00409409201,CUPRIC CHLORIDE 0.4 MG/ML INTRAVENOUS SOLUTION,196.2,117.72,39.28,159.51,22 NDC,00409409301,CHROMIUM CHLORIDE 4 MCG/ML INTRAVENOUS SOLUTION,94.25,56.55,18.87,76.63,22 NDC,00409427601,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,30.5,18.3,0.0236,24.8,24 NDC,00409427602,LIDOCAINE HCL 10 MG/ML (1 %) INJECTION SOLUTION,30.6,18.36,0.0236,24.88,24 NDC,00409427701,LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLUTION,34.15,20.49,0.0236,27.76,24 NDC,00409427801,LIDOCAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,35.6,21.36,0.0236,28.94,24 NDC,00409427902,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,30.9,18.54,0.0236,25.12,24 NDC,00409428201,LIDOCAINE (PF) 20 MG/ML (2 %) ATOMIZED SOLUTION,25.75,15.45,5.16,20.93,22 NDC,00409428201,LIDOCAINE (PF) 20 MG/ML (2 %) INECTION SOLUTION WRAPPER,25.75,15.45,0.0236,20.93,24 NDC,00409428202,LIDOCAINE (PF) 20 MG/ML (2 %) ATOMIZED SOLUTION,48.9,29.34,9.79,39.76,22 NDC,00409428202,LIDOCAINE (PF) 20 MG/ML (2 %) INECTION SOLUTION WRAPPER,48.9,29.34,0.0236,39.76,24 NDC,00409428301,LIDOCAINE (PF) 40 MG/ML (4 %) INJECTION SOLUTION,38.0,22.8,0.0236,30.89,24 NDC,00409433211,VANCOMYCIN 500 MG INTRAVENOUS SOLUTION,97.3,58.38,0.0708,79.1,24 NDC,00409434673,AMINOCAPROIC ACID 250 MG/ML INTRAVENOUS SOLUTION,22.65,13.59,4.04,18.41,24 NDC,00409435003,DILTIAZEM 100 MG INTRAVENOUS SOLUTION,67.95,40.77,13.6,55.24,22 NDC,00409469924,PROPOFOL INFUSION 10 MG/ML,153.75,92.25,0.2124,125.0,24 NDC,00409471302,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,23.8,14.28,0.0236,19.35,24 NDC,00409475503,ONDANSETRON HCL 2 MG/ML (COMBINED) INJECTION SOLUTION WRAPPER,21.85,13.11,0.2475,17.76,24 NDC,00409475901,ONDANSETRON HCL 2 MG/ML INTRAVENOUS SOLUTION,64.55,38.73,0.2475,52.48,24 NDC,00409488710,"STUDY WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION",0.2,0.12,0.04004,0.1626,24 NDC,00409488717,"WATER FOR INJECTION, STERILE INJECTION SOLUTION",31.65,18.99,6.34,25.73,22 NDC,00409488720,"WATER FOR INJECTION, STERILE INJECTION SOLUTION",38.05,22.83,7.62,30.93,22 NDC,00409488724,"STUDY WATER FOR INJECTION, STERILE INTRAVENOUS SOLUTION",0.2,0.12,0.04004,0.1626,24 NDC,00409488724,"WATER FOR INJECTION, STERILE INJECTION SOLUTION",48.1,28.86,9.63,39.11,22 NDC,00409488725,"WATER FOR INJECTION, STERILE INJECTION SOLUTION",53.35,32.01,10.68,43.37,22 NDC,00409488802,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION,20.3,12.18,4.06,16.5,22 NDC,00409488803,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION,21.5,12.9,4.3,17.48,22 NDC,00409488806,SODIUM CHLORIDE 0.9 % INJECTION SOLUTION,19.25,11.55,3.85,15.65,22 NDC,00409490024,SODIUM BICARBONATE 10 MEQ/10 ML (8.4 %) INTRAVENOUS SYRINGE,159.05,95.43,31.84,129.31,22 NDC,00409490234,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE/VIAL WRAPPER,57.75,34.65,11.56,46.95,22 NDC,00409490434,LIDOCAINE (PF) 50 MG/5 ML (1 %) INTRAVENOUS SYRINGE,115.1,69.06,0.0236,93.58,24 NDC,00409491034,ATROPINE 0.1 MG/ML INJECTION SYRINGE,104.75,62.85,0.198,85.16,24 NDC,00409491134,ATROPINE 0.1 MG/ML INJECTION SYRINGE,100.0,60.0,0.198,81.3,24 NDC,00409492834,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SYRINGE,93.85,56.31,0.0708,76.3,24 NDC,00409553424,SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) INTRAVENOUS SYRINGE,116.65,69.99,23.35,94.84,22 NDC,00409555511,SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION,36.1,21.66,7.23,29.35,22 NDC,00409582001,DOPAMINE 200 MG/5 ML (40 MG/ML) INTRAVENOUS SOLUTION,79.85,47.91,1.8,64.92,24 NDC,00409592101,AMINOPHYLLINE 250 MG/10 ML INTRAVENOUS SOLUTION,107.0,64.2,21.42,86.99,24 NDC,00409610202,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,35.05,21.03,0.0472,28.5,24 NDC,00409610210,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,42.6,25.56,0.0472,34.63,24 NDC,00409610226,FUROSEMIDE 10 MG/ML INJECTION SOLUTION,29.35,17.61,0.0472,23.86,24 NDC,00409648201,ERYTHROMYCIN LACTOBIONATE 500 MG INTRAVENOUS SOLUTION,523.95,314.37,104.89,425.97,24 NDC,00409650901,VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION,442.1,265.26,0.0708,359.43,24 NDC,00409653101,VANCOMYCIN 750 MG INTRAVENOUS SOLUTION,91.1,54.66,0.0708,74.06,24 NDC,00409653311,"VANCOMYCIN 1,000 MG INTRAVENOUS INJECTION",131.4,78.84,0.0708,106.83,24 NDC,00409663724,SODIUM BICARBONATE 8.4 % (1 MEQ/ML) INTRAVENOUS SYRINGE,112.05,67.23,22.43,91.1,22 NDC,00409664802,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION,39.7,23.82,7.95,32.16,19 NDC,00409664802,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SOLUTION BUILDER,39.7,23.82,7.95,32.16,19 NDC,00409672723,MAGNESIUM SULFATE 1 GRAM/100 ML IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK,91.7,55.02,1.13,74.55,24 NDC,00409672923,MAGNESIUM SULFATE 4 GRAM/100 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,91.0,54.6,1.13,73.98,24 NDC,00409710167,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK (ADDVANTAGE),76.2,45.72,15.26,61.72,19 NDC,00409729501,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION WRAPPER,60.4,36.24,12.09,49.11,22 NDC,00409729973,SODIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,67.0,40.2,13.41,54.47,22 NDC,00409733503,CEFTRIAXONE 2 GRAM INJ SOLR IM,29.2,17.52,1.01,23.74,24 NDC,00409733503,CEFTRIAXONE 2 GRAM SOLUTION FOR INJECTION,29.2,17.52,1.01,23.74,24 NDC,00409733701,CEFTRIAXONE 250 MG INJ SOLR IM,19.5,11.7,1.01,15.85,24 NDC,00409733801,CEFTRIAXONE 500 MG INJ SOLR IM,19.25,11.55,1.01,15.65,24 NDC,00409739172,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION,136.65,81.99,27.36,111.1,22 NDC,00409751716,DEXTROSE 50 % IN WATER (D50W) INTRAVENOUS SYRINGE,60.85,36.51,12.18,49.47,22 NDC,00409762013,"HEPARIN (PORCINE) 1,000 UNIT/500 ML IN 0.9% SODIUM CHLORIDE IV (COMBINED)",82.25,49.35,0.4956,66.87,24 NDC,00409762059,"HEPARIN (PORCINE) (PF) 2,000 UNIT/1,000 ML IN 0.9 % SODIUM CHLORIDE IV",87.5,52.5,0.4956,71.14,24 NDC,00409796905,CARDIOPLEGIC SOLUTION 16 MEQ/L (POTASSIUM) FOR PERFUSION,420.0,252.0,84.08,341.46,22 NDC,00409818301,POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,85.7,51.42,17.16,69.67,22 NDC,00409904501,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",33.35,20.01,6.68,27.11,22 NDC,00409904517,"BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION",34.05,20.43,6.82,27.68,22 NDC,00409904601,"BUPIVACAINE-EPINEPHRINE 0.5 %-1:200,000 INJECTION SOLUTION",20.25,12.15,4.05,16.46,22 NDC,00409909428,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,42.4,25.44,2.6,34.47,24 NDC,00409909431,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,53.45,32.07,2.6,43.45,24 NDC,00409910420,DOPAMINE 400 MG/10 ML (40 MG/ML) INTRAVENOUS SOLUTION,87.5,52.5,1.8,71.14,24 NDC,00409915831,PHYTONADIONE (VITAMIN K1) 10 MG/ML INJECTION SOLUTION,60.6,36.36,6.44,49.27,24 NDC,00409963305,VERAPAMIL 2.5 MG/ML INTRAVENOUS SYRINGE,508.1,304.86,101.72,413.09,22 NDC,00430375414,ESTRADIOL 0.01% (0.1 MG/GRAM) VAGINAL CREAM,1050.3,630.18,210.27,853.89,22 NDC,00436067216,SODIUM HYPOCHLORITE 0.125 % SOLUTION,23.0,13.8,4.6,18.7,22 NDC,00436093616,SODIUM HYPOCHLORITE 0.25 % SOLUTION,23.0,13.8,4.6,18.7,22 NDC,00436094616,SODIUM HYPOCHLORITE 0.5 % SOLUTION,23.0,13.8,4.6,18.7,22 NDC,00456060001,CEFTAROLINE FOSAMIL 0.1 MG/ML DESENSITIZATION SOLUTION,1144.35,686.61,4.1,930.36,34 NDC,00456060001,CEFTAROLINE FOSAMIL 1 MG/ML DESENSITIZATION SOLUTION,1144.35,686.61,4.1,930.36,34 NDC,00456060001,CEFTAROLINE FOSAMIL 600 MG INTRAVENOUS SOLUTION,1144.35,686.61,4.1,930.36,34 NDC,00456060001,CEFTAROLINE FOSAMIL 600 MG/20ML IV WETTED VIAL,1144.35,686.61,4.1,930.36,34 NDC,00456270001,CEFTAZIDIME-AVIBACTAM 2.5 GRAM INTRAVENOUS SOLUTION,1807.55,1084.53,101.59,1469.54,34 NDC,00469260130,"MIRABEGRON ER 25 MG TABLET,EXTENDED RELEASE 24 HR",77.4,46.44,15.5,62.93,22 NDC,00469301601,TACROLIMUS 5 MG/ML INTRAVENOUS SOLUTION,64.75,38.85,12.96,731.33,34 NDC,00469305130,AMPHOTERICIN B LIPOSOME 50 MG INTRAVENOUS SUSPENSION,1399.95,839.97,20.84,1138.16,34 NDC,00469321110,MICAFUNGIN 100 MG INTRAVENOUS SOLUTION,848.4,509.04,0.6136,689.75,24 NDC,00469342510,ZOLBETUXIMAB-CLZB 100 MG INTRAVENOUS SOLUTION,7315.0,4389.0,32.43,5947.1,34 NDC,00472008216,ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION,1084.55,650.73,217.13,881.74,22 NDC,00472173803,MICONAZOLE NITRATE 200 MG VAGINAL SUPPOSITORY,207.05,124.23,41.45,168.33,22 NDC,00487020101,IPRATROPIUM 0.5 MG-ALBUTEROL 3 MG (2.5 MG BASE)/3 ML NEBULIZATION SOLN,18.05,10.83,3.61,14.67,22 NDC,00487590199,RACEPINEPHRINE 2.25 % SOLUTION FOR NEBULIZATION,4.1,2.46,0.82082,3.33,22 NDC,00487900330,SODIUM CHLORIDE 3 % FOR NEBULIZATION,18.7,11.22,3.74,15.2,22 NDC,00487900730,SODIUM CHLORIDE 7 % FOR NEBULIZATION,18.7,11.22,3.74,15.2,22 NDC,00487950103,ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION,17.0,10.2,3.4,13.82,22 NDC,00487980101,IPRATROPIUM BROMIDE 0.02 % SOLUTION FOR INHALATION,17.2,10.32,3.44,13.98,22 NDC,00487990130,ALBUTEROL SULFATE CONCENTRATE 2.5 MG/0.5 ML SOLUTION FOR NEBULIZATION,18.0,10.8,3.6,14.63,22 NDC,00487990425,ALBUTEROL SULFATE 1.25 MG/3 ML SOLUTION FOR NEBULIZATION,21.35,12.81,4.27,17.36,22 NDC,00496088205,LIDOCAINE 4 % TOPICAL CREAM,11.85,7.11,2.37,9.63,22 NDC,00517037401,METHYLENE BLUE (ANTIDOTE) 5 MG/ML INTRAVENOUS SOLUTION,1082.5,649.5,6.49,880.07,35 NDC,00517072001,BETAMETHASONE ACETATE AND SODIUM PHOS 6 MG/ML SUSPENSION FOR INJECTION,266.4,159.84,16.43,216.58,24 NDC,00517073101,"CLONIDINE (PF) 5,000 MCG/10 ML EPIDURAL SOLUTION",39.9,23.94,7.99,48.11,24 NDC,00517074020,METHYLERGONOVINE 0.2 MG/ML (1 ML) INJECTION SOLUTION,158.35,95.01,31.7,128.74,24 NDC,00517182001,CHLOROTHIAZIDE SODIUM 28 MG/ML (PEDIATRIC),735.15,441.09,93.1,597.68,24 NDC,00517234010,IRON SUCROSE 100 MG IRON/5 ML INTRAVENOUS SOLUTION,335.8,201.48,0.5428,273.01,24 NDC,00517400225,PAPAVERINE 30 MG/ML INJECTION SOLUTION,204.45,122.67,40.93,166.22,24 NDC,00517481025,NITROGLYCERIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,128.35,77.01,3.52,104.35,24 NDC,00517560125,HYDROXYZINE HCL 50 MG/ML INTRAMUSCULAR SOLUTION,169.4,101.64,33.91,137.72,24 NDC,00517620225,TRACE ELEMENTS CR-CU-MN-ZN 0.85 MCG-0.1 MG-25 MCG-1.5MG/ML INTRAVENOUS,68.7,41.22,13.75,55.85,22 NDC,00517656001,SELENIUM 60 MCG/ML INTRAVENOUS SOLUTION,1781.0,1068.6,356.56,1447.95,22 NDC,00517671010,CALCIUM CHLORIDE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,147.95,88.77,0.0708,120.28,24 NDC,00517720125,TRACE ELEMENTS CR-CU-MN-ZN 10 MCG-1 MG-0.5 MG-5 MG/ML INTRAVENOUS SOLN,71.75,43.05,14.36,58.33,22 NDC,00517760401,ACETYLCYSTEINE 200 MG/ML (20 %) INHALATION SOLUTION,46.2,27.72,9.25,37.56,22 NDC,00517760425,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION,61.25,36.75,12.26,49.8,22 NDC,00517920325,TRACE ELEMENT PEDI CR-CU-MN-ZN 1 MCG-0.1 MG-25 MCG-1 MG/ML INTRAVENOUS,71.3,42.78,14.27,57.97,22 NDC,00517930501,TRACE ELEMENTS ZN 3 MG-CU 0.3 MG-MN 55 MCG-SE 60 MCG/ML IV SOLUTION,144.3,86.58,28.89,117.32,22 NDC,00517970201,DROPERIDOL 2.5 MG/ML INJECTION SOLUTION,28.1,16.86,5.63,22.85,24 NDC,00527132601,URSODIOL 300 MG CAPSULE,21.0,12.6,4.2,17.07,22 NDC,00527136801,DANAZOL 100 MG CAPSULE,31.25,18.75,6.26,25.41,22 NDC,00527178801,FLUPHENAZINE 1 MG TABLET,22.0,13.2,4.4,17.89,22 NDC,00527179001,FLUPHENAZINE 5 MG TABLET,28.6,17.16,5.73,23.25,22 NDC,00527410837,MEXILETINE 200 MG CAPSULE,19.8,11.88,3.96,16.1,22 NDC,00536009185,ALUMINUM HYDROXIDE GEL 320 MG/5 ML ORAL SUSPENSION,11.3,6.78,2.26,9.19,22 NDC,00536110688,NICOTINE 7 MG/24 HR DAILY TRANSDERMAL PATCH,3.7,2.22,0.74074,3.01,22 NDC,00536120207,LIDOCAINE 4 % TOPICAL PATCH,2.7,1.62,0.54054,2.2,22 NDC,00536121195,DIBUCAINE 1 % TOPICAL OINTMENT,8.6,5.16,1.72,6.99,22 NDC,00536123441,"ASPIRIN 81 MG TABLET,DELAYED RELEASE",1.05,0.63,0.21021,0.85365,22 NDC,00536127180,POVIDONE-IODINE 10 % TOPICAL OINTMENT,3.85,2.31,0.77077,3.13,22 NDC,00536128806,PHENYLEPHRINE 0.25 %-MINERAL OIL 14 %-PETROLATM 74.9 % RECTAL OINTMENT,4.8,2.88,0.96096,3.9,22 NDC,00536129383,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP,1.25,0.75,0.25025,1.02,22 NDC,00536252525,CAPSAICIN 0.025 % TOPICAL CREAM,11.8,7.08,2.36,9.59,22 NDC,00536302906,NICOTINE (POLACRILEX) 2 MG GUM,1.5,0.9,0.3003,1.22,22 NDC,00536303023,NICOTINE (POLACRILEX) 4 MG GUM,1.45,0.87,0.29029,1.18,22 NDC,00536440601,PYRIDOXINE (VITAMIN B6) 25 MG TABLET,1.05,0.63,0.21021,0.85365,22 NDC,00548960200,NEOSTIGMINE METHYLSULFATE 1 MG/ML INTRAVENOUS SOLUTION,97.9,58.74,1.82,79.59,24 NDC,00555015802,CHLORDIAZEPOXIDE 5 MG CAPSULE,22.6,13.56,4.52,18.37,22 NDC,00555015902,CHLORDIAZEPOXIDE 25 MG CAPSULE,22.5,13.5,4.5,18.29,22 NDC,00555021110,NORETHINDRONE ACETATE 5 MG TABLET,23.45,14.07,4.69,19.06,22 NDC,00555048527,LEUCOVORIN CALCIUM 25 MG TABLET,51.8,31.08,10.37,42.11,22 NDC,00555077902,MEDROXYPROGESTERONE 10 MG TABLET,17.1,10.26,3.42,13.9,22 NDC,00555087202,MEDROXYPROGESTERONE 2.5 MG TABLET,16.6,9.96,3.32,13.5,22 NDC,00555088602,ESTRADIOL 1 MG TABLET,17.25,10.35,3.45,14.02,22 NDC,00555097102,DEXTROAMPHETAMINE-AMPHETAMINE 5 MG TABLET,24.6,14.76,4.92,20.0,22 NDC,00573288311,PHENYLEPHRINE 0.25 %-COCOA BUTTER 88.44 % RECTAL SUPPOSITORY,1.85,1.11,0.37037,1.5,22 NDC,00574007030,DEXTROSE 40 % ORAL GEL,5.9,3.54,1.18,4.8,22 NDC,00574007030,DEXTROSE 40 % ORAL GEL (NEONATAL) WRAPPER,5.9,3.54,1.18,4.8,22 NDC,00574010603,BROMOCRIPTINE 2.5 MG TABLET,29.25,17.55,5.86,23.78,22 NDC,00574029201,AMILORIDE 5 MG TABLET,16.9,10.14,3.38,13.74,22 NDC,00574080530,ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION,109.25,65.55,0.8968,88.82,24 NDC,00574113316,SPIRONOLACTONE 25 MG/5 ML ORAL SUSPENSION,4511.4,2706.84,903.18,3667.77,22 NDC,00574200815,"NYSTATIN 100,000 UNIT/GRAM TOPICAL POWDER",37.05,22.23,7.42,30.12,22 NDC,00574402411,ERYTHROMYCIN 5 MG/GRAM (0.5 %) EYE OINTMENT,37.75,22.65,7.56,30.69,22 NDC,00574703412,ASPIRIN 300 MG RECTAL SUPPOSITORY,2.85,1.71,0.57057,2.32,22 NDC,00574705012,BISACODYL 10 MG RECTAL SUPPOSITORY,1.55,0.93,0.31031,1.26,22 NDC,00574711212,MORPHINE 10 MG RECTAL SUPPOSITORY,37.0,22.2,7.41,30.08,22 NDC,00575620030,DIAZOXIDE 50 MG/ML ORAL SUSPENSION,1475.8,885.48,295.46,1199.83,22 NDC,00591042401,TRIAMTERENE 37.5 MG-HYDROCHLOROTHIAZIDE 25 MG TABLET,17.1,10.26,3.42,13.9,22 NDC,00591044401,GUANFACINE 1 MG TABLET,16.85,10.11,3.37,13.7,22 NDC,00591079501,DICYCLOMINE 20 MG TABLET,16.65,9.99,3.33,13.54,22 NDC,00591247260,TAMOXIFEN 10 MG TABLET,26.55,15.93,5.32,21.59,22 NDC,00591257920,VALGANCICLOVIR 50 MG/ML ORAL SOLUTION,2416.85,1450.11,483.85,1964.9,22 NDC,00591321630,TESTOSTERONE 1 % (25 MG/2.5 GRAM) TRANSDERMAL GEL PACKET,58.5,35.1,11.71,47.56,22 NDC,00591333119,"BUPROPION HCL XL 150 MG 24 HR TABLET, EXTENDED RELEASE",21.25,12.75,4.25,17.28,22 NDC,00591346753,ALBUTEROL SULFATE 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,21.35,12.81,4.27,17.36,22 NDC,00591351054,CLONIDINE 0.3 MG/24 HR WEEKLY TRANSDERMAL PATCH,263.6,158.16,52.77,214.31,22 NDC,00591372030,TRANEXAMIC ACID 650 MG TABLET,32.75,19.65,6.56,26.63,22 NDC,00591410101,PERPHENAZINE 2 MG TABLET,17.85,10.71,3.57,14.51,22 NDC,00591532101,PRIMIDONE 250 MG TABLET,17.45,10.47,3.49,14.19,22 NDC,00591533501,TRIHEXYPHENIDYL 2 MG TABLET,16.6,9.96,3.32,13.5,22 NDC,00591555501,PROPRANOLOL 20 MG TABLET,17.4,10.44,3.48,14.15,22 NDC,00591555701,PROPRANOLOL 80 MG TABLET,18.45,11.07,3.69,15.0,22 NDC,00591566101,SULINDAC 150 MG TABLET,16.9,10.14,3.38,13.74,22 NDC,00591569401,MINOCYCLINE 50 MG CAPSULE,17.1,10.26,3.42,13.9,22 NDC,00597014061,LINAGLIPTIN 5 MG TABLET,86.05,51.63,17.23,69.96,22 NDC,00597015230,EMPAGLIFLOZIN 10 MG TABLET,99.95,59.97,20.01,81.26,22 NDC,00597015330,EMPAGLIFLOZIN 25 MG TABLET,99.95,59.97,20.01,81.26,22 NDC,00597019705,IDARUCIZUMAB 2.5 GRAM/50 ML INTRAVENOUS SOLUTION,10778.05,6466.83,2157.77,8762.55,22 NDC,00597035556,DABIGATRAN ETEXILATE 75 MG CAPSULE,29.25,17.55,5.86,23.78,22 NDC,00597036055,DABIGATRAN ETEXILATE 150 MG CAPSULE,29.25,17.55,5.86,23.78,22 NDC,00603155410,POTASSIUM CHLORIDE 20 MEQ ORAL PACKET,44.85,26.91,8.98,36.46,22 NDC,00603516621,PHENOBARBITAL 32.4 MG TABLET,23.65,14.19,4.73,19.23,22 NDC,00603548421,PROPRANOLOL 40 MG TABLET,17.05,10.23,3.41,13.86,22 NDC,00641037621,DIPHENHYDRAMINE 50 MG VIAL/SYRINGE WRAPPER,17.35,10.41,1.79,14.11,24 NDC,00641047621,PHENOBARBITAL SODIUM 65 MG/ML INJECTION SOLUTION,101.1,60.66,20.24,82.19,24 NDC,00641047721,PHENOBARBITAL SODIUM 130 MG/ML INJECTION SOLUTION,227.2,136.32,45.49,184.71,24 NDC,00641049325,PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION,22.35,13.41,1.06,18.17,24 NDC,00641092825,PROMETHAZINE 25 MG/ML INJECTION SOLUTION,24.45,14.67,4.89,19.88,24 NDC,00641139735,CHLORPROMAZINE 25 MG/ML INJECTION SOLUTION,147.45,88.47,29.52,119.88,24 NDC,00641141035,DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTION,22.3,13.38,4.46,21.36,24 NDC,00641600801,BUMETANIDE 0.25 MG/ML INJECTION SOLUTION,29.75,17.85,0.3589,24.19,34 NDC,00641601501,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,64.55,38.73,0.0708,52.48,24 NDC,00641602001,MORPHINE (PF) 0.5 MG/ML INJECTION SOLUTION WRAPPER,30.7,18.42,6.15,29.37,24 NDC,00641602701,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,28.4,17.04,2.6,23.09,24 NDC,00641602725,FENTANYL 50 MCG/ML INTRANASAL SOLUTION,28.4,17.04,2.6,23.09,24 NDC,00641602801,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,31.0,18.6,2.6,25.2,24 NDC,00641603901,MORPHINE (PF) 10 MG/ML INJECTION SOLUTION,646.0,387.6,28.44,525.2,24 NDC,00641604401,LORAZEPAM 2 MG/ML INJECTION SOLUTION,23.2,13.92,3.26,18.86,24 NDC,00641604401,LORAZEPAM 2 MG/ML INJECTION WRAPPER,23.2,13.92,3.26,18.86,24 NDC,00641605201,MEPERIDINE (PF) 25 MG/ML INJECTION SOLUTION,29.65,17.79,5.94,42.72,24 NDC,00641605201,MEPERIDINE (PF) 25 MG/ML INJECTION WRAPPER,29.65,17.79,5.94,42.72,24 NDC,00641605301,MEPERIDINE (PF) 50 MG/ML INJECTION SOLUTION,29.95,17.97,6.0,42.72,24 NDC,00641605301,MEPERIDINE (PF) 50 MG/ML INJECTION WRAPPER,29.95,17.97,6.0,42.72,24 NDC,00641605701,MIDAZOLAM 1 MG/ML (COMBINED) INJECTION SOLUTION WRAPPER,22.5,13.5,0.354,18.29,24 NDC,00641605701,MIDAZOLAM 1 MG/ML (COMBINED) INTRANASAL SOLUTION WRAPPER,23.95,14.37,0.354,19.47,24 NDC,00641605901,MIDAZOLAM 1 MG/ML (COMBINED) INJECTION SOLUTION WRAPPER,22.45,13.47,0.354,18.25,24 NDC,00641605901,MIDAZOLAM 1 MG/ML (COMBINED) INTRANASAL SOLUTION WRAPPER,26.2,15.72,0.354,21.3,24 NDC,00641606001,MIDAZOLAM 5 MG/ML (COMBINED) INJECTION SOLUTION WRAPPER,42.7,25.62,0.354,34.72,24 NDC,00641606001,MIDAZOLAM 5 MG/ML (COMBINED) INTRANASAL SOLUTION WRAPPER,42.7,25.62,0.354,34.72,24 NDC,00641606001,MIDAZOLAM 5 MG/ML INJECTION SOLUTION,42.7,25.62,0.354,34.72,24 NDC,00641606101,MIDAZOLAM 5 MG/ML (COMBINED) INJECTION SOLUTION WRAPPER,25.6,15.36,0.354,20.81,24 NDC,00641607901,ONDANSETRON HCL 2 MG/ML (COMBINED) INJECTION SOLUTION WRAPPER,19.6,11.76,0.2475,15.93,24 NDC,00641612701,MORPHINE 10 MG/ML INTRAVENOUS SOLUTION,25.85,15.51,5.14,21.02,24 NDC,00641614225,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,34.2,20.52,0.0236,27.8,24 NDC,00641616601,AMIKACIN 250 MG/ML INJECTION SOLUTION WRAPPER,88.8,53.28,1.49,72.19,24 NDC,00641617601,OCTREOTIDE ACETATE 500 MCG/ML INJECTION SOLUTION,175.25,105.15,1.44,142.48,24 NDC,00641620601,HYDROMORPHONE 0.5 MG/0.5 ML INJECTION SYRINGE WRAPPER,31.55,18.93,0.2124,25.65,24 NDC,00641622825,THIAMINE HCL (VITAMIN B1) 100 MG/ML INJECTION SOLUTION,22.8,13.68,4.3,18.54,24 NDC,00641921701,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,64.85,38.91,0.0708,52.72,24 NDC,00641921801,DILTIAZEM 5 MG/ML INTRAVENOUS SOLUTION,64.7,38.82,0.0708,52.6,24 NDC,00703367101,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,320.55,192.33,6.15,260.61,24 NDC,00703367501,METHOTREXATE INJECTION (PF) 25 MG/ML (NON-ONCOLOGY),314.75,188.85,6.15,255.89,24 NDC,00703367501,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION FOR INTRATHECAL,314.75,188.85,6.15,255.89,24 NDC,00703367801,METHOTREXATE INJECTION (PF) 25 MG/ML (NON-ONCOLOGY),421.3,252.78,6.15,342.52,24 NDC,00703367801,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION FOR INTRATHECAL,421.3,252.78,6.15,342.52,24 NDC,00703424401,CARBOPLATIN (PARAPLATIN) 10 MG/ML IVPB (BY AUC),311.3,186.78,5.74,253.09,24 NDC,00703424401,CARBOPLATIN (PARAPLATIN) 10 MG/ML IVPB (BY MG/M2),311.3,186.78,5.74,253.09,24 NDC,00703424601,CARBOPLATIN (PARAPLATIN) 10 MG/ML IVPB (BY MG/M2),367.4,220.44,5.74,298.7,24 NDC,00703424801,CARBOPLATIN (PARAPLATIN) 10 MG/ML IVPB (BY AUC),560.95,336.57,5.74,456.05,24 NDC,00703424801,CARBOPLATIN (PARAPLATIN) 10 MG/ML IVPB (BY MG/M2),560.95,336.57,5.74,456.05,24 NDC,00703574711,CISPLATIN (PLATINOL) IVPB 1 MG/ML,407.0,244.2,5.31,330.89,24 NDC,00703574711,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,407.0,244.2,5.31,330.89,24 NDC,00703574811,CISPLATIN (PLATINOL) IVPB 1 MG/ML,452.35,271.41,5.31,367.76,24 NDC,00703574811,CISPLATIN 1 MG/ML INTRAVENOUS SOLUTION,452.35,271.41,5.31,367.76,24 NDC,00703951491,SULFAMETHOXAZOLE 400 MG-TRIMETHOPRIM 80 MG/5 ML INTRAVENOUS SOLUTION,115.7,69.42,0.118,94.06,24 NDC,00713026831,"NEOMYCIN-BACITRACN ZN-POLYMYX 3.5 MG-400 UNIT-5,000 UNIT/GRAM TOP OINT",5.25,3.15,1.05,4.27,22 NDC,00713028031,BACITRACIN 500 UNIT/GRAM TOPICAL OINTMENT,4.45,2.67,0.89089,3.62,22 NDC,00713050306,HYDROCORTISONE ACETATE 25 MG RECTAL SUPPOSITORY,62.0,37.2,12.41,50.41,22 NDC,00781148601,AMITRIPTYLINE 10 MG TABLET,16.6,9.96,3.32,13.5,22 NDC,00781148701,AMITRIPTYLINE 25 MG TABLET,17.15,10.29,3.43,13.94,22 NDC,00781163501,ISOSORBIDE DINITRATE 5 MG TABLET,19.2,11.52,3.84,15.61,22 NDC,00781208102,CALCIUM ACETATE(PHOSPHATE BINDERS) 667 MG CAPSULE,18.55,11.13,3.71,15.08,22 NDC,00781232151,APREPITANT 40 MG CAPSULE,367.8,220.68,6.44,299.02,24 NDC,00781304072,PYRIDOSTIGMINE BROMIDE 5 MG/ML INJECTION SOLUTION,31.4,18.84,6.29,25.53,22 NDC,00781315380,CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION,471.0,282.6,94.29,382.92,22 NDC,00781315895,BIVALIRUDIN 250 MG INTRAVENOUS POWDER FOR SOLUTION,357.25,214.35,0.4012,290.44,24 NDC,00781315972,OLANZAPINE 10 MG INTRAMUSCULAR SOLUTION,143.75,86.25,2.05,116.87,24 NDC,00781323394,CYCLOPHOSPHAMIDE 500 MG INTRAVENOUS POWDER FOR SOLUTION,1507.85,904.71,0.4656,1225.88,34 NDC,00781324494,CYCLOPHOSPHAMIDE (CYTOXAN) 1 GM INJECTION,2740.6,1644.36,0.4656,2228.11,34 NDC,00781324494,CYCLOPHOSPHAMIDE (POWDER) (CYTOXAN) 20 MG/ML IVPB,2740.6,1644.36,0.4656,2228.11,34 NDC,00781328909,CLINDAMYCIN 600 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,104.5,62.7,4.32,84.96,24 NDC,00781329009,CLINDAMYCIN 900 MG/50 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,113.75,68.25,4.32,92.48,24 NDC,00781340295,AMPICILLIN SODIUM 250 MG INJ SOLR IM,28.2,16.92,1.3,22.93,24 NDC,00781340880,AMPICILLIN SODIUM 2 GRAM INJ SOLR IM,48.35,29.01,1.3,39.31,24 NDC,00781342080,TREPROSTINIL SODIUM 1 MG/ML INJECTION SOLUTION,5230.3,3138.18,53.07,4252.23,34 NDC,00781342580,TREPROSTINIL SODIUM 2.5 MG/ML INJECTION SOLUTION,13051.7,7831.02,53.07,10611.03,34 NDC,00781342780,TREPROSTINIL SODIUM 5 MG/ML INJECTION SOLUTION,26087.25,15652.35,53.07,21208.93,34 NDC,00781343080,TREPROSTINIL SODIUM 10 MG/ML INJECTION SOLUTION,52158.5,31295.1,53.07,42404.86,34 NDC,00781602352,CLARITHROMYCIN 250 MG/5 ML ORAL SUSPENSION,298.6,179.16,59.78,242.76,22 NDC,00781613957,AMOXICILLIN 600 MG-POTASSIUM CLAVULANATE 42.9 MG/5 ML ORAL SUSPENSION,20.5,12.3,4.1,16.67,22 NDC,00781940278,AMPICILLIN 250 MG SOLUTION FOR INJECTION,31.25,18.75,1.3,25.41,24 NDC,00781940485,AMPICILLIN 1 GRAM SOLUTION FOR INJECTION,47.45,28.47,1.3,38.58,24 NDC,00781940495,AMPICILLIN 1 GRAM INJ COMBINED WRAPPER,47.45,28.47,1.3,38.58,24 NDC,00832022500,"MORPHINE ER 10 MG CAPSULE,EXTENDED RELEASE PELLETS",33.4,20.04,6.69,27.15,22 NDC,00832022700,"MORPHINE ER 30 MG CAPSULE,EXTENDED RELEASE PELLETS",35.65,21.39,7.14,28.98,22 NDC,00832051189,BETHANECHOL CHLORIDE 10 MG TABLET,18.55,11.13,3.71,15.08,22 NDC,00832121189,WARFARIN 1 MG TABLET,17.5,10.5,3.5,14.23,22 NDC,00832121289,WARFARIN 2 MG TABLET,17.55,10.53,3.51,14.27,22 NDC,00832121389,WARFARIN 2.5 MG TABLET,17.6,10.56,3.52,14.31,22 NDC,00832121489,WARFARIN 3 MG TABLET,17.6,10.56,3.52,14.31,22 NDC,00832121589,WARFARIN 4 MG TABLET,17.6,10.56,3.52,14.31,22 NDC,00832121689,WARFARIN 5 MG TABLET,17.65,10.59,3.53,14.35,22 NDC,00832121801,WARFARIN 7.5 MG TABLET,18.35,11.01,3.67,14.92,22 NDC,00832603212,FLUOXETINE 20 MG/5 ML (4 MG/ML) ORAL SOLUTION,20.2,12.12,4.04,16.42,22 NDC,00869081043,ISOPROPYL ALCOHOL 70 % SOLUTION,3.2,1.92,0.64064,2.6,22 NDC,00869087143,HYDROGEN PEROXIDE 3 % SOLUTION,1.75,1.05,0.35035,1.42,22 NDC,00904052360,ASCORBIC ACID (VITAMIN C) 500 MG TABLET,1.05,0.63,0.21021,0.85365,22 NDC,00904208560,"VITAMIN A CAPSULE 3,000 MCG RAE (10000 UNITS)",1.1,0.66,0.22022,0.8943,22 NDC,00904385461,CARBAMAZEPINE 100 MG CHEWABLE TABLET,18.05,10.83,3.61,14.67,22 NDC,00904386575,SODIUM CHLORIDE 0.65 % NASAL SPRAY AEROSOL,2.45,1.47,0.49049,1.99,22 NDC,00904522452,"LACTASE 3,000 UNIT TABLET",1.15,0.69,0.23023,0.93495,22 NDC,00904544861,"PENTOXIFYLLINE ER 400 MG TABLET,EXTENDED RELEASE",17.25,10.35,3.45,14.02,22 NDC,00904567661,PAROXETINE 10 MG TABLET,19.2,11.52,3.84,15.61,22 NDC,00904572514,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 400 MG-400 MG-40 MG/5 ML ORAL SUSP,1.25,0.75,0.25025,1.02,22 NDC,00904582360,CHOLECALCIFEROL (VITAMIN D3) 10 MCG (400 UNIT) TABLET,1.05,0.63,0.21021,0.85365,22 NDC,00904585561,IBUPROFEN 800 MG TABLET,16.3,9.78,3.26,13.25,22 NDC,00904589261,PRAVASTATIN 20 MG TABLET,18.3,10.98,3.66,14.88,22 NDC,00904598426,AMMONIUM LACTATE 12 % LOTION,7.0,4.2,1.4,5.69,22 NDC,00904608261,ZOLPIDEM 5 MG TABLET,22.3,13.38,4.46,18.13,22 NDC,00904608561,CITALOPRAM 20 MG TABLET,16.25,9.75,3.25,13.21,22 NDC,00904630521,PHENOL 1.4 % MUCOSAL AEROSOL SPRAY,4.85,2.91,0.97097,3.94,22 NDC,00904632261,"METOPROLOL SUCCINATE ER 25 MG TABLET,EXTENDED RELEASE 24 HR",19.5,11.7,3.9,15.85,22 NDC,00904635161,LEVOFLOXACIN 250 MG TABLET,16.9,10.14,3.38,13.74,22 NDC,00904635261,LEVOFLOXACIN 500 MG TABLET,17.0,10.2,3.4,13.82,22 NDC,00904635361,LEVOFLOXACIN 750 MG TABLET,17.8,10.68,3.56,14.47,22 NDC,00904636961,AMLODIPINE 2.5 MG TABLET,16.6,9.96,3.32,13.5,22 NDC,00904637161,AMLODIPINE 10 MG TABLET,16.45,9.87,3.29,13.37,22 NDC,00904637461,ROPINIROLE 1 MG TABLET,18.3,10.98,3.66,14.88,22 NDC,00904640761,"BISACODYL 5 MG TABLET,DELAYED RELEASE",1.05,0.63,0.21021,0.85365,22 NDC,00904641861,TIZANIDINE 4 MG TABLET,18.15,10.89,3.63,14.76,22 NDC,00904644961,"ISOSORBIDE MONONITRATE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",17.55,10.53,3.51,14.27,22 NDC,00904647461,"PANTOPRAZOLE 40 MG TABLET,DELAYED RELEASE",17.2,10.32,3.44,13.98,22 NDC,00904661961,ISOSORBIDE DINITRATE 10 MG TABLET,18.45,11.07,3.69,15.0,22 NDC,00904662061,ISOSORBIDE DINITRATE 20 MG TABLET,18.9,11.34,3.78,15.37,22 NDC,00904663861,QUETIAPINE 25 MG TABLET,17.2,10.32,3.44,13.98,22 NDC,00904664061,QUETIAPINE 100 MG TABLET,17.9,10.74,3.58,14.55,22 NDC,00904666661,GABAPENTIN 300 MG CAPSULE,16.7,10.02,3.34,13.58,22 NDC,00904666761,GABAPENTIN 400 MG CAPSULE,16.85,10.11,3.37,13.7,22 NDC,00904676520,CETIRIZINE 1 MG/ML ORAL SOLUTION,1.2,0.72,0.24024,0.9756,22 NDC,00904677361,ACETAMINOPHEN 325 MG TABLET,1.1,0.66,0.22022,0.8943,22 NDC,00904680861,MONTELUKAST 10 MG TABLET,17.35,10.41,3.47,14.11,22 NDC,00904683407,FLUCYTOSINE 250 MG CAPSULE,350.7,210.42,70.21,285.12,22 NDC,00904687404,ABACAVIR 300 MG TABLET,50.7,30.42,10.15,41.22,22 NDC,00904692561,SERTRALINE 50 MG TABLET,17.65,10.59,3.53,14.35,22 NDC,00904693186,POLYETHYLENE GLYCOL 3350 ORAL PACKET FOR LARGE DOSE,2.8,1.68,0.56056,2.28,22 NDC,00904702761,OXYBUTYNIN CHLORIDE 5 MG TABLET,18.4,11.04,3.68,14.96,22 NDC,00904712461,LEVETIRACETAM 500 MG TABLET,16.85,10.11,3.37,13.7,22 NDC,00904715661,METRONIDAZOLE 250 MG TABLET,17.65,10.59,3.53,14.35,22 NDC,00904717207,EMTRICITABINE 200 MG-TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,23.8,14.28,1.68,19.35,34 NDC,00904759161,FERROUS SULFATE 325 MG (65 MG IRON) TABLET,1.05,0.63,0.21021,0.85365,22 NDC,00904791461,IBUPROFEN 200 MG TABLET,1.15,0.69,0.23023,0.93495,22 NDC,00941042452,PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,180.85,108.51,36.21,147.03,23 NDC,00941042652,PERITONEAL DIALYSIS SOLN 4-1.5 % DEXTR CA+ 3.5 MEQ/L-LOW MAG 0.5 MEQ/L,180.85,108.51,36.21,147.03,23 NDC,00941042952,PERITON. DIALYSIS SOLN 3-4.25 % DEXTROSE CALC 3.5 MEQ/L-MAG 0.5 MEQ/L,195.65,117.39,39.17,159.06,23 NDC,00941043052,PERITONEAL DIALYSIS SOLN 7-2.5 % DEXT.LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L,194.5,116.7,38.94,158.13,23 NDC,00942064104,DEXTROSE 2.45 GRAM-SOD CITRATE 2.2 GRAM-CITRIC AC 730 MG/100 ML SOLN,153.0,91.8,30.63,124.39,22 NDC,00942950625,SODIUM CITRATE 4 GRAM/100 ML (4 %) SOLUTION,98.0,58.8,19.62,79.67,22 NDC,00944049301,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",308.4,185.04,61.74,250.73,24 NDC,00944049301,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION WRAPPER",308.4,185.04,61.74,250.73,24 NDC,00944049302,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION",539.8,323.88,108.07,438.86,24 NDC,00944049302,"ALBUMIN, HUMAN 25 % INTRAVENOUS SOLUTION WRAPPER",539.8,323.88,108.07,438.86,24 NDC,00944265603,"IMMUNE GLOB,GAMMA(IGG) 5 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML IV SOLUTION",4629.4,2777.64,76.44,3763.7,34 NDC,00944265804,"IMMUNE GLOB,GAMMA(IGG) 10 GRAM-GLY-GLUC-IGA 0 TO 50 MCG/ML IV SOLUTION",9181.8,5509.08,76.44,7464.8,34 NDC,00990707426,POTASSIUM CHLORIDE 10 MEQ/100ML IN STERILE WATER INTRAVENOUS PIGGYBACK,80.15,48.09,0.2596,64.92,20 NDC,00990792202,DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION,78.75,47.25,15.77,63.79,19 NDC,00990793002,DEXTROSE 10 % IV BOLUS,78.75,47.25,15.77,63.79,19 NDC,00990793009,DEXTROSE 10 % IV BOLUS,66.75,40.05,13.36,54.07,19 NDC,00990793519,DEXTROSE 20 % IN WATER (D20W) INTRAVENOUS SOLUTION,106.5,63.9,21.32,86.27,19 NDC,00990798502,SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION,78.75,47.25,2.97,63.79,20 NDC,00990798502,SODIUM CHLORIDE 0.45 % IV BOLUS,78.75,47.25,2.97,63.79,20 NDC,06068713801,PYRAZINAMIDE 500 MG TABLET,25.2,15.12,5.05,20.49,22 NDC,08290306424,"HEPARIN, PORCINE (PF) 100 UNIT/ML ADDITIVE SYRINGE",17.75,10.65,0.0472,14.43,24 NDC,09998728001,ISRADIPINE 1 MG/ML ORAL SUSPENSION,77.8,46.68,15.58,63.25,22 NDC,09999000370,OPIUM TINCTURE 10 MG/ML (MORPHINE) ORAL,25.45,15.27,5.1,20.69,22 NDC,09999000400,NXSTAGE RFP 402 - CONTAINS NO POTASSIUM,243.0,145.8,48.65,197.56,22 NDC,09999000534,BEVACIZUMAB 2.5 MG/0.1 ML INTRAVITREAL SYRINGE,61.35,36.81,1.78,49.88,35 NDC,09999000582,METHADONE 5 MG/5 ML ORAL SOLUTION,23.0,13.8,4.6,18.7,22 NDC,09999000626,"LIPASE-PROTEASE-AMYLAS(PORK)24,000-76,000-120,000 UNIT CAPSULE,DEL REL",50.05,30.03,10.02,40.69,22 NDC,09999000738,FLUCONAZOLE 2 MG/ML (ODD DOSE) IN SODIUM CHLORIDE 0.9% IVPB (60MIN ADMIN),150.4,90.24,5.33,122.28,24 NDC,09999000759,PHENOBARBITAL 20 MG/5 ML (4 MG/ML) ORAL ELIXIR,24.3,14.58,4.86,19.76,22 NDC,09999001241,NXSTAGE RFP 400 (+/- BB) - CONTAINS 2 MEQ/L POTASSIUM,243.0,145.8,48.65,197.56,22 NDC,09999001308,MISOPROSTOL 25 MCG SPLIT TABLET,16.7,10.02,3.34,13.58,22 NDC,09999001337,STUDY NICHD PROSPECT PROGESTERONE/PLACEBO 200 MG MICRONIZED CAPSULE,0.2,0.12,0.04004,0.162,19 NDC,09999001423,WARFARIN 1.25 MG SPLIT TABLET,16.8,10.08,3.36,13.66,22 NDC,09999001491,STUDY ALLSTAR CAP-1002/PLACEBO ALLOGENEIC CARDIOSPHERE-DERIVED CELLS,0.2,0.12,0.04004,0.162,19 NDC,09999001492,STUDY NITROGLYCERIN 100 MG/250 ML (400 MCG/ML) IN 5 % DEXTROSE,0.2,0.12,0.04004,3.86,24 NDC,09999001493,"STUDY HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",0.2,0.12,0.04004,0.594,24 NDC,09999001507,MORPHINE 0.4 MG/ML ORAL SOLUTION (NEONATAL),22.15,13.29,4.43,18.01,22 NDC,09999001541,STUDY UTX-TGR-304/204 UBLITUXIMAB 10 MG/ML INTRAVENOUS SOLUTION,0.2,0.12,0.04004,200.52,34 NDC,09999001655,STUDY LIMBO-ATX DEXAMETHASONE 4MG/ML,0.2,0.12,0.04004,0.33,24 NDC,09999001660,STUDY ISSBRIL0345 TICAGRELOR TABLET 90 MG,0.2,0.12,0.04004,0.1626,23 NDC,09999001661,STUDY ISSBRIL0345 ASPIRIN TABLET 81 MG,0.2,0.12,0.04004,0.1626,23 NDC,09999001665,NXSTAGE RFP 404 - CONTAINS 4 MEQ/L POTASSIUM,243.0,145.8,48.65,197.56,22 NDC,09999001671,"STUDY DU176B-D-U311 DALTEPARIN INJECTION 5,000 UNITS/0.2 ML",0.2,0.12,0.04004,0.1626,26 NDC,09999001672,"STUDY DU176B-D-U311 DALTEPARIN INJECTION 7,500 UNITS/0.3 ML",0.2,0.12,0.04004,0.1626,26 NDC,09999001673,"STUDY DU176B-D-U311 DALTEPARIN INJECTION 10,000 UNITS/0.4 ML",0.2,0.12,0.04004,0.1626,26 NDC,09999001674,"STUDY DU176B-D-U311 DALTEPARIN INJECTION 12,500 UNITS/0.5 ML",0.2,0.12,0.04004,0.1626,26 NDC,09999001676,"STUDY DU176B-D-U311 DALTEPARIN INJECTION 18,000 UNITS/0.72 ML",0.2,0.12,0.04004,0.1626,26 NDC,09999001677,STUDY DU176B-D-U311 EDOXABAN TABLET 30 MG,0.2,0.12,0.04004,0.1626,22 NDC,09999001681,STUDY RIVAROXDVT3002 RIVAROXABAN/PLACEBO TABLET 10 MG,0.2,0.12,0.04004,0.1626,23 NDC,09999001682,STUDY RIVAROXDVT3002 RIVAROXABAN PLACEBO TABLET 7.5 MG,0.2,0.12,0.04004,0.1626,23 NDC,09999001703,PEDIATRIC MULTIVITAMIN ORAL DROPS WRAPPER,1.1,0.66,0.22022,0.8943,22 NDC,09999001704,PEDIATRIC MULTIVITAMIN ORAL DROPS WRAPPER,1.1,0.66,0.22022,0.8943,22 NDC,09999001735,STUDY RGS001D FUROSEMIDE 10 MG/ML OTO,0.2,0.12,0.04004,0.1626,24 NDC,09999001843,STUDY GSK 201023 SODIUM CHLORIDE 0.9% (NS) INFUSION,0.2,0.12,0.04004,1.53,20 NDC,09999001928,STUDY FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,0.2,0.12,0.0236,0.1626,24 NDC,09999001929,STUDY DEXAMETHASONE 4 MG/ML INJECTION SOLUTION,0.2,0.12,0.04004,0.33,24 NDC,09999001967,STUDY UTX-TGR-304/204 UBLITUXIMAB 25 MG/ML INTRAVENOUS SOLUTION,0.2,0.12,0.04004,200.52,34 NDC,09999007202,CEFAZOLIN 2 GRAM/100 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,76.65,45.99,1.89,62.32,24 NDC,09999007203,LABETALOL 5 MG/ML PEDIATRIC SYRINGE,79.65,47.79,0.8024,64.76,24 NDC,09999007726,"HEPARIN (PORCINE) 10,000 UNIT/1,000 ML IN 0.9 % SOD. CHLORIDE IV SOLN",84.0,50.4,0.4956,68.29,24 NDC,09999007802,MORPHINE 10 MG/5 ML ORAL SOLUTION,22.1,13.26,4.42,17.97,22 NDC,09999007861,GLUCAGON 1 MG/ML IV PEDIATRIC,1242.4,745.44,176.98,1010.07,34 NDC,09999007903,HYDROCHLOROTHIAZIDE 5 MG/ML ORAL SUSPENSION,20.65,12.39,4.13,16.79,22 NDC,09999007925,DOPAMINE 3200 MCG/ML IN DEXTROSE 5% 8 ML PEDIATRIC,65.7,39.42,1.8,53.41,24 NDC,09999007926,DOPAMINE 3200 MCG/ML IN DEXTROSE 5% 50 ML PEDIATRIC,79.6,47.76,1.8,64.71,24 NDC,09999008005,LIDOCAINE (PF) 8 MG/ML IN DEXTROSE 5% 8 ML PEDIATRIC INFUSION,63.85,38.31,0.0236,51.91,24 NDC,09999008006,LIDOCAINE (PF) 8 MG/ML (0.8 %) PEDIATRIC INJECTION,115.5,69.3,0.0236,93.9,24 NDC,09999008324,STUDY NSABP-B-59/GBG-96 ATEZOLIZUMAB/PLACEBO 60 MG/ML INTRAVENOUS SOLUTION,0.2,0.12,0.04004,0.1626,26 NDC,09999008901,NXSTAGE RFP 453 - CONTAINS POTASSIUM 2 MEQ/L (CALCIUM FREE),273.0,163.8,54.65,221.95,22 NDC,09999008902,NXSTAGE RFP 454 - CONTAINS POTASSIUM 4 MEQ/L (CALCIUM FREE),273.0,163.8,54.65,221.95,22 NDC,09999008984,STUDY MK7902-010-WIRB PEMBROLIZUMAB 25 MG/ML INTRAVENOUS SOLUTION,0.2,0.12,0.04004,163.33,34 NDC,09999009051,URSODIOL 60 MG/ML ORAL SUSPENSION,204.3,122.58,40.9,166.1,22 NDC,09999009102,"SIMETHICONE 40 MG/0.6 ML ORAL DROPS,SUSPENSION",1.1,0.66,0.22022,0.8943,22 NDC,09999009450,STUDY UTX-TGR-304/204 UBLITUXIMAB 25 MG/ML INTRAVENOUS SOLUTION,0.2,0.12,0.04004,200.52,34 NDC,09999009484,STUDY CL7018 RELEIVE-HF ASPIRIN EC 81 MG TABLET,0.2,0.12,0.04004,0.1626,23 NDC,09999009486,STUDY CL7018 RELIEVE-HF CLOPIDOGREL/PLACEBO 75 MG TABLET,0.2,0.12,0.04004,0.1626,22 NDC,09999009797,METOPROLOL TARTRATE 10 MG/ML ORAL SOLN,88.0,52.8,17.62,71.54,22 NDC,09999009806,SEVELAMER 50 MG/ML ORAL SOLN,376.0,225.6,75.28,305.69,22 NDC,09999009851,COLCHICINE 0.3 MG SPLIT TABLET,53.2,31.92,10.65,43.25,22 NDC,09999009853,METHIMAZOLE 2.5 MG SPLIT TABLET,16.2,9.72,3.24,13.17,22 NDC,09999009887,STUDY NSABP B-61 GIREDESTRANT 30 MG CAPSULE,0.2,0.12,0.04004,0.162,21 NDC,09999010459,CLOBAZAM 5 MG SPLIT TABLET,23.95,14.37,4.79,19.47,22 NDC,09999010484,STUDY DF-HCC-20-347-ADEPT PERTUZUMAB 30 MG/ML INTRAVENOUS SOLUTION,0.2,0.12,0.04004,0.1626,22 NDC,09999010485,STUDY DF-HCC-20-347-ADEPT TRASTUZUMAB 21 MG/ML INTRAVENOUS SOLUTION,0.2,0.12,0.04004,212.46,34 NDC,09999010486,"STUDY DF-HCC-20-347-ADEPT TRASTUZUMAB 600 MG-HYALURONIDASE 10,000 UNITS/5 ML SUBCUTANEOUS SOLUTION",0.2,0.12,0.04004,175.62,34 NDC,09999010487,"STUDY DF-HCC-20-347-ADEPT PERTUZUMAB 1200 MG-TRASTUZUMAB 600 MG-HYALURONIDASE 30,000 UNITS/15 ML SUBCUTANEOUS SOLUTION",0.2,0.12,0.04004,176.79,34 NDC,09999010488,"STUDY DF-HCC-20-347-ADEPT PERTUZUMAB 600 MG-TRASTUZUMAB 600 MG-HYALURONIDASE 20,000 UNITS/10 ML SUBCUTANEOUS SOLUTION",0.2,0.12,0.04004,176.79,34 NDC,09999010511,CHOLESTYRAMINE-MAALOX PLUS-ZINC OXIDE OINTMENT,59.8,35.88,11.97,48.62,22 NDC,09999010609,"EPINEPHRINE 0.3 MG/0.3 ML INJECTION, AUTO-INJECTOR",84.1,50.46,1.13,68.37,24 NDC,09999010940,FOSPHENYTOIN IV 500 MG PE NS 50 ML INFUSION (TOTAL VOLUME 67 ML),278.85,167.31,6.18,226.71,24 NDC,09999011000,LIDOCAINE HCL 4 % (40 MG/ML) MUCOSAL SOLUTION,34.0,20.4,6.81,27.64,22 NDC,09999011061,STUDY 20604 BAY 2433334 ASUNDEXIAN/PLACEBO 50 MG TABLET,0.2,0.12,0.04004,0.162,21 NDC,09999011531,STUDY J3M-MC-JZQB CARBOPLATIN 10 MG/ML IV SOLUTION,0.2,0.12,0.04004,5.83,24 NDC,09999011532,STUDY J3M-MC-JZQB CISPLATIN 1 MG/ML IV SOLUTION,0.2,0.12,0.04004,5.4,24 NDC,09999011533,STUDY J3M-MC-JZQB PEMETREXED 25 MG/ML IV SOLUTION,0.2,0.12,0.04004,10.4,34 NDC,09999011534,STUDY J3M-MC-JZQB PEMBROLIZUMAB 25 MG/ML IV SOLUTION,0.2,0.12,0.04004,163.33,34 NDC,09999011558,STUDY J3M-MC-JZQB OLOMORASIB (LY3537982)/PLACEBO 25 MG CAPSULE,0.2,0.12,0.04004,0.162,21 NDC,09999011559,STUDY J3M-MC-JZQB OLOMORASIB (LY3537982)/PLACEBO 50 MG CAPSULE,0.2,0.12,0.04004,0.162,21 NDC,09999011906,STUDY MK-2870-011 SACITUZUMAB TIRUMOTECAN 20 MG/ML IV SOLUTION,0.2,0.12,0.04004,0.162,21 NDC,09999011907,STUDY MK-2870-011 PEMBROLIZUMAB 25 MG/ML IV SOLUTION,0.2,0.12,0.04004,163.33,34 NDC,09999011908,STUDY MK-2870-011 DEXAMETHASONE 0.1 MG/ML ORAL SOLUTION,0.2,0.12,0.04004,0.1626,24 NDC,09999011911,STUDY RMC-6236-301 RMC-6236 20 MG TABLET,0.2,0.12,0.04004,0.162,21 NDC,09999011912,STUDY RMC-6236-301 RMC-6236 100 MG TABLET,0.2,0.12,0.04004,0.162,21 NDC,09999011913,STUDY RMC-6236-301 DOCETAXEL 10 MG/ML IV SOLUTION,0.2,0.12,0.04004,1.42,24 NDC,09999011914,STUDY RMC-6236-301 DOCETAXEL 20 MG/ML IV SOLUTION,0.2,0.12,0.04004,1.42,24 NDC,09999059208,FLUCONAZOLE 2 MG/ML (ODD DOSE IN BAG) IN SODIUM CHLORIDE 0.9% IVPB,106.7,64.02,5.33,86.75,24 NDC,09999077195,LEVETIRACETAM 10 MG/ML IV PEDIATRIC,153.3,91.98,0.0944,124.63,24 NDC,09999099510,SPIRONOLACTONE 12.5 MG SPLIT TABLET,16.4,9.84,3.28,13.33,22 NDC,09999108021,ACETAMINOPHEN (OFIRMEV) 10 MG/ML INJECTION,103.35,62.01,0.132,84.02,24 NDC,09999197618,SELENIUM 12 MCG/ML DILUTION,1584.85,950.91,317.29,1288.48,22 NDC,09999197620,REMIFENTANIL 100 MCG/2 ML (50 MCG/ML) IN 0.9 % NACL IV SYRINGE,26.65,15.99,5.34,21.67,22 NDC,09999197825,GLUCOSE 4 GRAM CHEWABLE TABLET,1.1,0.66,0.22022,0.8943,22 NDC,09999197831,MAGIC MOUTHWASH ORAL SUSPENSION,16.15,9.69,3.23,13.13,22 NDC,09999197853,METRONIDAZOLE 5 MG/ML IN SODIUM CHLORIDE (ODD DOSE),70.35,42.21,0.0708,57.19,24 NDC,09999197868,FLUCONAZOLE 2 MG/ML (ODD DOSE) IN SODIUM CHLORIDE 0.9% IVPB (120MIN ADMIN),150.4,90.24,5.33,122.28,24 NDC,09999197872,SODIUM BICARBONATE 150 MEQ/1000 ML IN DEXTROSE 5 % CONT INFUSION PREMIX,153.65,92.19,30.76,124.92,22 NDC,09999199003,FORMALIN 1 % IN SWFI 1000 ML,42.0,25.2,8.41,34.15,26 NDC,09999199013,FUROSEMIDE 10 MG/ML PEDIATRIC SYRINGE,34.75,20.85,0.0472,28.25,24 NDC,09999199014,CEFAZOLIN 3 GRAM/100 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS PIGGYBACK,94.5,56.7,1.89,76.83,24 NDC,09999199058,VANCOMYCIN 10 MG/ML (CENTRAL) PEDIATRIC DILUTION,961.8,577.08,0.0708,781.94,24 NDC,09999199080,CEFOTAXIME 100 MG/ML IV PEDIATRIC,103.95,62.37,19.39,84.51,24 NDC,09999199081,POTASSIUM PHOSPHATE 3 MMOL/ML ORAL SOLN,60.4,36.24,12.09,49.11,22 NDC,09999199097,NAFCILLIN 20 MG/ML PEDIATRIC DILUTION,531.3,318.78,0.118,431.95,24 NDC,09999199122,VECURONIUM (NORCURON) 1 MG/ML PEDIATRIC INFUSION 4 ML,67.4,40.44,13.49,54.8,22 NDC,09999199166,CISATRACURIUM 2 MG/ML PEDIATRIC INFUSION (CSAC),168.4,101.04,33.71,136.91,22 NDC,09999199182,"CLONIDINE (PF) 1,000 MCG/10 ML (100 MCG/ML) EPIDURAL SOLUTION",82.75,49.65,16.57,67.28,24 NDC,09999226301,ALTEPLASE 1 MG/ML INTRATHECAL INJECTION,451.85,271.11,90.46,367.35,34 NDC,09999500000,WARFARIN 0.5 MG SPLIT TABLET,16.4,9.84,3.28,13.33,22 NDC,09999508256,TENECTEPLASE 50 MG INTRAVENOUS SOLUTION FOR STROKE,37768.55,22661.13,167.05,30705.83,34 NDC,09999508639,VITAMIN A ORAL SOLUTION 2500 MCG RAE/ML,2.25,1.35,0.45045,1.83,22 NDC,09999777707,SODIUM FERRIC GLUCONATE 250 MG IN 100 ML PREMIX (SSC),597.25,358.35,4.77,485.56,24 NDC,09999842343,VECURONIUM 1 MG/ML NEONATAL INJECTION,73.9,44.34,14.79,60.08,22 NDC,09999991015,ROCURONIUM 10 MG/ML INFUSION CSAC,139.65,83.79,27.96,113.54,22 NDC,10006073038,MAGNESIUM OXIDE 400 MG (241.3 MG MAGNESIUM) TABLET,1.1,0.66,0.22022,0.8943,22 NDC,10019055390,SCOPOLAMINE 1 MG OVER 3 DAYS TRANSDERMAL PATCH,101.2,60.72,20.26,82.28,22 NDC,10019064164,DESFLURANE 100 % INHALATION LIQUID,661.3,396.78,132.39,537.64,22 NDC,10019065164,SEVOFLURANE 99.97 % INHALATION LIQUID,346.0,207.6,69.27,281.3,22 NDC,10019067210,"ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV",693.0,415.8,0.5192,563.41,24 NDC,10019092501,IFOSFAMIDE 1 GRAM INTRAVENOUS SOLUTION,436.7,262.02,59.47,355.04,24 NDC,10019092602,IFOSFAMIDE 3 GRAM INTRAVENOUS SOLUTION,748.2,448.92,59.47,608.29,24 NDC,10019095301,MESNA 100 MG/ML INTRAVENOUS SOLUTION,385.0,231.0,3.61,313.0,24 NDC,10119000252,SODIUM BORATE-BORIC ACID-SODIUM CHLORIDE-WATER EYE WASH SOLN,6.15,3.69,1.23,5.0,22 NDC,10119002239,WHITE PETROLATUM-MINERAL OIL 80 %-20 % EYE OINTMENT,12.4,7.44,2.48,10.08,22 NDC,10122051001,PORACTANT ALFA 120 MG/1.5 ML INTRATRACHEAL SUSPENSION,2741.3,1644.78,548.81,2228.68,22 NDC,10122051003,PORACTANT ALFA 240 MG/3 ML INTRATRACHEAL SUSPENSION,5389.95,3233.97,1079.07,4382.03,22 NDC,10122061001,CLEVIDIPINE 25 MG/50 ML INTRAVENOUS EMULSION,433.25,259.95,2.76,352.23,34 NDC,10122061101,CLEVIDIPINE 50 MG/100 ML INTRAVENOUS EMULSION,818.2,490.92,2.76,665.2,34 NDC,10122062001,CANGRELOR 50 MG INTRAVENOUS SOLUTION,4571.5,2742.9,19.38,3716.63,34 NDC,10135017516,CAFFEINE 200 MG TABLET,1.1,0.66,0.22022,0.8943,22 NDC,10370082909,"DILTIAZEM CD 120 MG CAPSULE,EXTENDED RELEASE 24 HR",19.1,11.46,3.82,15.53,22 NDC,10631009160,CROTAMITON 10 % TOPICAL CREAM,1533.8,920.28,307.07,1246.98,22 NDC,11523116706,OXYMETAZOLINE 0.05 % NASAL SPRAY,10.5,6.3,2.1,8.54,22 NDC,11980021105,"FLUOROMETHOLONE 0.1 % EYE DROPS,SUSPENSION",521.3,312.78,104.36,423.82,22 NDC,11994001104,PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML INTRAVENOUS SUSPENSION,265.05,159.03,53.06,215.49,23 NDC,12496120201,BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM,37.05,22.23,7.42,30.12,22 NDC,12546062869,MENTHOL LOZENGES WRAPPER,1.1,0.66,0.22022,0.8943,22 NDC,13533031801,RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR - 1 ML VIALS,2799.0,1679.4,271.45,2275.59,35 NDC,13533031805,RABIES IMMUNE GLOBULIN (PF) 300 UNIT/ML INTRAMUSCULAR - 5 ML VIALS,13686.9,8212.14,271.45,11127.45,35 NDC,13533033504,"IMMUNE GLOB,GAMMA(IGG) 15 %-18 % RANGE-GLYCINE INTRAMUSCULAR SOLUTION",493.2,295.92,47.56,400.97,34 NDC,13533033513,"IMMUNE GLOB,GAMMA(IGG) 15 %-18 % RANGE-GLYCINE INTRAMUSCULAR SOLUTION",1978.6,1187.16,47.56,1608.6,34 NDC,13533060250,ANTITHROMBIN III (HUMAN) 500 (+/-) UNIT INTRAVENOUS SOLUTION,94.85,56.91,3.98,77.11,34 NDC,13533063402,TETANUS IMMUNE GLOBULIN (PF) 250 UNIT/ML INTRAMUSCULAR SYRINGE,2673.7,1604.22,535.27,2173.72,34 NDC,13533063630,HEPATITIS B IMMUNE GLOBULIN 110 UNIT/0.5 ML INTRAMUSCULAR SYRINGE,430.8,258.48,86.25,417.81,35 NDC,13533080024,IMMUNE GLOB G 20 GRAM/200 ML(10%)-GLY-IGA AVE 46 MCG/ML INFUSION SOLN,11976.2,7185.72,47.49,9736.65,34 NDC,13668009190,PRAMIPEXOLE 0.125 MG TABLET,16.6,9.96,3.32,13.5,22 NDC,13668009390,PRAMIPEXOLE 0.5 MG TABLET,16.6,9.96,3.32,13.5,22 NDC,13668010390,DONEPEZIL 10 MG TABLET,16.6,9.96,3.32,13.5,22 NDC,13668058130,TADALAFIL 20 MG TABLET (PULMONARY HYPERTENSION),22.0,13.2,4.4,17.89,22 NDC,14789001101,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,2063.5,1238.1,413.11,1677.63,22 NDC,14789001505,ISOPROTERENOL 0.2 MG/ML INJECTION SOLUTION,2746.0,1647.6,549.75,2232.5,22 NDC,15054004301,IRINOTECAN LIPOSOMAL 4.3 MG/ML INTRAVENOUS,13382.6,8029.56,64.02,10880.05,34 NDC,15054050001,ABOBOTULINUMTOXINA 500 UNIT INTRAMUSCULAR SOLUTION,4022.3,2413.38,8.49,3270.13,34 NDC,15054053006,ABOBOTULINUMTOXINA 300 UNIT INTRAMUSCULAR SOLUTION,2420.7,1452.42,8.49,1968.03,34 NDC,16252053901,ISRADIPINE 2.5 MG CAPSULE,21.8,13.08,4.36,17.72,22 NDC,16477073801,"HYOSCYAMINE ER 0.375 MG TABLET,EXTENDED RELEASE,12 HR",17.2,10.32,3.44,13.98,22 NDC,16500059920,PEDIATRIC MULTIVITAMIN NO.226-FERROUS SULFATE 18 MG CHEWABLE TABLET,1.2,0.72,0.24024,0.9756,24 NDC,16571074309,GLYCOPYRROLATE 1 MG TABLET,16.55,9.93,3.31,13.46,22 NDC,16729003510,ANASTROZOLE 1 MG TABLET,26.2,15.72,5.25,21.3,22 NDC,16729010811,MITOMYCIN 20 MG INTRAVENOUS SOLUTION,3055.75,1833.45,19.74,2484.32,34 NDC,16729011505,MITOMYCIN 5 MG INTRAVENOUS SOLUTION,1345.4,807.24,19.74,1093.81,34 NDC,16729011638,MITOMYCIN 40 MG INTRAVENOUS SOLUTION,5836.45,3501.87,19.74,4745.03,34 NDC,16729020001,BUSPIRONE 5 MG TABLET,16.15,9.69,3.23,13.13,22 NDC,16729027735,METHOTREXATE SODIUM (PF) 25 MG/ML INJECTION SOLUTION,438.0,262.8,6.15,356.09,24 NDC,16729029512,CARBOPLATIN (PARAPLATIN) 10 MG/ML IVPB (BY AUC),484.1,290.46,5.74,393.57,24 NDC,16729029512,CARBOPLATIN (PARAPLATIN) 10 MG/ML IVPB (BY MG/M2),484.1,290.46,5.74,393.57,24 NDC,16729044010,CINACALCET 30 MG TABLET,18.0,10.8,3.6,14.63,22 NDC,16864024014,"CALCIUM ACETATE 952 MG-ALUMINUM SULFATE 1,347 MG TOPICAL POWDER PACKET",2.0,1.2,0.4004,1.63,22 NDC,16864068002,BENZOCAINE 20 %-MENTHOL 0.5 % TOPICAL AEROSOL,8.05,4.83,1.61,6.54,22 NDC,16864090801,ZINC OXIDE-VITAMIN B5-VIT E 11.3% TOPICAL CREAM,3.25,1.95,0.65065,2.64,22 NDC,17271070106,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION NON-PVC,75.0,45.0,2.97,60.75,20 NDC,18657011701,"HYALURONIDASE, HUMAN RECOMBINANT 150 UNIT/ML INJECTION SOLUTION",269.9,161.94,0.8496,219.43,24 NDC,19515090452,FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE,81.25,48.75,16.27,66.06,26 NDC,21586001102,CEFOTAXIME 1 GRAM SOLUTION FOR INJECTION,60.6,36.36,12.13,49.27,24 NDC,23155002601,VERAPAMIL 80 MG TABLET,17.25,10.35,3.45,14.02,22 NDC,23155002701,VERAPAMIL 120 MG TABLET,16.4,9.84,3.28,13.33,22 NDC,23155011001,PROPRANOLOL 10 MG TABLET,16.65,9.99,3.33,13.54,22 NDC,23155019201,BUPROPION HCL 100 MG TABLET,17.5,10.5,3.5,14.23,22 NDC,23155029431,PROCHLORPERAZINE EDISYLATE 10 MG/2 ML (5 MG/ML) INJECTION SOLUTION,22.2,13.32,4.27,18.05,24 NDC,23900000361,CAMPHOR-EUCALYPTUS OIL-MENTHOL 4.8 %-1.2 %-2.6 % TOPICAL OINTMENT,6.9,4.14,1.38,5.61,22 NDC,24201001050,PENTOBARBITAL 2500MG/50 ML ADULT INFUSION,6793.0,4075.8,127.13,5522.71,24 NDC,24201001050,PENTOBARBITAL SODIUM 50 MG/ML INJECTION SOLUTION,6793.0,4075.8,127.13,5522.71,24 NDC,24201010001,"ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) INTRAVENOUS SOLUTION",101.15,60.69,0.132,82.23,24 NDC,24201040002,CALCITONIN (SALMON) 200 UNIT/ML INJECTION SOLUTION,3656.0,2193.6,470.42,2972.33,34 NDC,24208027615,SODIUM CHLORIDE 2 % EYE DROPS,1.1,0.66,0.22022,0.8943,22 NDC,24208029505,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",320.2,192.12,64.1,260.32,22 NDC,24208029525,"TOBRAMYCIN 0.3 %-DEXAMETHASONE 0.1 % EYE DROPS,SUSPENSION",167.75,100.65,33.58,136.38,22 NDC,24208034205,DESMOPRESSIN 10 MCG/SPRAY (0.1 ML) NASAL SPRAY,607.05,364.23,121.53,493.53,22 NDC,24208041105,BRIMONIDINE 0.2 % EYE DROPS,59.5,35.7,11.91,48.37,22 NDC,24208041110,BRIMONIDINE 0.2 % EYE DROPS,97.75,58.65,19.57,79.47,22 NDC,24208041115,BRIMONIDINE 0.2 % EYE DROPS,147.3,88.38,29.49,119.75,22 NDC,24208053920,ACETYLCHOLINE CHLORIDE 1 % (20 MG/2 ML) INTRAOCULAR KIT,407.75,244.65,81.63,331.5,22 NDC,24208058564,TROPICAMIDE 1 % EYE DROPS,106.0,63.6,21.22,86.18,22 NDC,24208060110,KETOTIFEN 0.025 % (0.035 %) EYE DROPS,14.4,8.64,2.88,11.71,22 NDC,24208063562,"NEOMYCIN-POLYMYXIN-HYDROCORT 3.5 MG-10,000 UNIT/ML-1 % EAR DROPS,SUSP",267.7,160.62,53.59,217.64,22 NDC,24208072002,DEXAMETHASONE SODIUM PHOSPHATE 0.1 % EYE DROPS,177.7,106.62,35.58,144.47,22 NDC,24208083060,"NEOMYCIN-POLYMYXIN-DEXAMETH 3.5 MG/ML-10,000 UNIT/ML-0.1% EYE DROPS",63.7,38.22,12.75,51.79,22 NDC,24338010203,ERYTHROMYCIN 250 MG TABLET,62.45,37.47,12.5,50.77,22 NDC,24338013013,ERYTHROMYCIN ETHYLSUCCINATE 400 MG/5 ML ORAL POWDER FOR SUSPENSION,115.25,69.15,23.07,93.7,22 NDC,24338026012,NIMODIPINE 60 MG/10 ML ORAL SYRINGE (FOR ORAL USE ONLY),176.25,105.75,35.29,143.29,22 NDC,24338053025,SOTALOL 5 MG/ML ORAL SOLUTION,1780.0,1068.0,356.36,1447.14,22 NDC,24385000605,POLYVINYL ALCOHOL-POVIDONE 0.5 %-0.6 % EYE DROPS,7.65,4.59,1.53,6.22,22 NDC,24385007505,TETRAHYDROZOLINE 0.05 % EYE DROPS,6.25,3.75,1.25,5.08,22 NDC,24385011878,SIMETHICONE 80 MG CHEWABLE TABLET,1.1,0.66,0.22022,0.8943,22 NDC,24385032521,SODIUM CHLORIDE 0.65 % NASAL SPRAY AEROSOL,4.45,2.67,0.89089,3.62,22 NDC,24385043280,PSEUDOEPHEDRINE 30 MG TABLET,1.1,0.66,0.22022,0.8943,22 NDC,24510005010,TAPENTADOL 50 MG TABLET,58.55,35.13,11.72,47.6,22 NDC,24510005860,"TAPENTADOL ER 50 MG TABLET,EXTENDED RELEASE,12 HR",60.25,36.15,12.06,48.98,22 NDC,25010021515,ETHACRYNIC ACID 25 MG TABLET,113.8,68.28,22.78,92.52,22 NDC,25021011020,CEFOXITIN 2 GRAM INTRAVENOUS SOLUTION,105.0,63.0,11.28,85.36,24 NDC,25021011551,CLINDAMYCIN 150 MG/ML INJECTION SOLUTION,120.6,72.36,4.32,98.05,24 NDC,25021012120,CEFEPIME 1 GRAM INJ COMBINED WRAPPER,43.3,25.98,2.88,35.2,24 NDC,25021012120,CEFEPIME 1 GRAM INJ SOLR IM,43.3,25.98,2.88,35.2,24 NDC,25021012250,CEFEPIME 2 GRAM SOLUTION FOR IV PUSH',61.5,36.9,2.88,50.0,24 NDC,25021012720,CEFTAZIDIME 1 GRAM SOLUTION FOR INJECTION,39.7,23.82,3.71,32.28,24 NDC,25021012850,CEFTAZIDIME 100 MG/ML SYRINGE PEDIATRIC,109.2,65.52,3.71,88.78,24 NDC,25021012850,CEFTAZIDIME 2 GRAM INJECTION COMBINED WRAPPER,66.05,39.63,3.71,53.7,24 NDC,25021013282,LEVOFLOXACIN 500 MG/100 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,83.3,49.98,5.33,67.72,24 NDC,25021013283,LEVOFLOXACIN 750 MG/150 ML IN 5 % DEXTROSE INTRAVENOUS PIGGYBACK,101.35,60.81,5.33,82.4,24 NDC,25021013510,AMPICILLIN 500 MG SOLUTION FOR INJECTION,29.65,17.79,1.3,24.11,24 NDC,25021020401,VINORELBINE 10 MG/ML INTRAVENOUS SOLUTION,385.0,231.0,5.33,313.0,24 NDC,25021020405,VINORELBINE 50 MG/5 ML INTRAVENOUS SOLUTION,671.0,402.6,5.33,545.52,24 NDC,25021023550,GEMCITABINE 1 GRAM INTRAVENOUS SOLUTION,493.5,296.1,7.39,401.22,24 NDC,25021030520,CHLOROTHIAZIDE SODIUM 500 MG INTRAVENOUS SOLUTION,315.0,189.0,63.06,256.1,24 NDC,25021031066,SODIUM NITROPRUSSIDE 25 MG/ML INTRAVENOUS SOLUTION,149.1,89.46,29.85,121.22,22 NDC,25021040030,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",47.0,28.2,0.4956,38.21,24 NDC,25021040210,"HEPARIN (PORCINE) 5,000 UNIT/ML INJECTION SOLUTION",19.85,11.91,0.4956,16.14,24 NDC,25021040851,EPTIFIBATIDE 0.75 MG/ML INTRAVENOUS SOLUTION,1113.0,667.8,24.07,904.87,24 NDC,25021045101,OCTREOTIDE ACETATE 50 MCG/ML INJECTION SOLUTION,26.25,15.75,1.44,21.34,24 NDC,25021067376,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR,30.9,18.54,6.19,25.12,22 NDC,25021077702,ONDANSETRON HCL (PF) 4 MG/2 ML INJECTION SOLUTION,21.5,12.9,0.2475,17.48,24 NDC,25021081310,LEUCOVORIN CALCIUM 50 MG SOLUTION FOR INJECTION,313.75,188.25,7.6,255.08,24 NDC,25021081430,LEUCOVORIN CALCIUM 100 MG SOLUTION FOR INJECTION,107.0,64.2,7.6,86.99,24 NDC,25021081630,LEUCOVORIN CALCIUM 350 MG SOLUTION FOR INJECTION,583.0,349.8,7.6,473.98,24 NDC,25021082667,ZOLEDRONIC ACID 4 MG/100 ML IN MANNITOL WRAPPER,273.0,163.8,11.94,221.95,24 NDC,25021082667,ZOLEDRONIC ACID 4 MG/100 ML-MANNITOL-0.9 % NACL INTRAVENOUS PIGGYBACK,273.0,163.8,11.94,221.95,24 NDC,25357010001,TRAVOPROST 75 MCG INTRACAMERAL IMPLANT,63488.5,38093.1,189.85,51616.15,34 NDC,25682000101,ECULIZUMAB 300 MG/30 ML INTRAVENOUS SOLUTION,27459.6,16475.76,43.48,22324.65,34 NDC,25682002501,RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION,27497.75,16498.65,218.36,22355.67,34 NDC,25682002801,RAVULIZUMAB-CWVZ 100 MG/ML INTRAVENOUS SOLUTION,100657.05,60394.23,218.36,81834.18,34 NDC,27808003301,THEOPHYLLINE 80 MG/15 ML ORAL SOLUTION,25.05,15.03,5.02,20.37,22 NDC,31604002741,MELATONIN 3 MG TABLET,1.1,0.66,0.22022,0.8943,22 NDC,31722001647,GLYCOPYRROLATE 1 MG/5 ML (0.2 MG/ML) ORAL SOLUTION,525.45,315.27,105.2,427.19,22 NDC,31722052590,FINASTERIDE 5 MG TABLET,16.55,9.93,3.31,13.46,22 NDC,31722052901,TORSEMIDE 5 MG TABLET,16.6,9.96,3.32,13.5,22 NDC,31722057447,LEVETIRACETAM 100 MG/ML ORAL SOLUTION,105.4,63.24,21.1,85.69,22 NDC,31722070090,LOSARTAN 25 MG TABLET,16.35,9.81,3.27,13.29,22 NDC,31722093502,ALBENDAZOLE 200 MG TABLET,136.0,81.6,27.23,110.57,22 NDC,31722093847,CHERRY FLAVOR (BULK) ORAL LIQUID,1.7,1.02,0.34034,1.38,22 NDC,36000003310,METOPROLOL TARTRATE 5 MG/5 ML INTRAVENOUS SOLUTION,20.55,12.33,0.2832,16.71,24 NDC,37000002410,PSYLLIUM HUSK 3.4 GRAM ORAL POWDER PACKET,1.5,0.9,0.3003,1.22,22 NDC,37000003201,BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION,2.0,1.2,0.4004,1.63,22 NDC,37000003202,BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION,1.75,1.05,0.35035,1.42,22 NDC,37000003203,BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION,1.7,1.02,0.34034,1.38,22 NDC,37000003204,BISMUTH SUBSALICYLATE 262 MG/15 ML ORAL SUSPENSION,1.6,0.96,0.32032,1.3,22 NDC,38779128405,FERRIC SUBSULFATE (BULK) 20 TO 22 GRAM/100 ML SOLUTION,119.9,71.94,24.0,97.48,22 NDC,39822015101,LIOTHYRONINE 10 MCG/ML INTRAVENOUS SOLUTION,1839.6,1103.76,368.29,1495.59,22 NDC,39822019001,ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION,159.35,95.61,31.9,129.55,24 NDC,39822041201,TOBRAMYCIN 1.2 GRAM SOLUTION FOR INJECTION,380.0,228.0,5.59,308.94,24 NDC,39822100001,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION",88.2,52.92,17.66,71.71,22 NDC,39822100001,"TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) INTRAVENOUS SOLUTION (PED)",88.2,52.92,17.66,71.71,22 NDC,39822105505,AMPHOTERICIN B 50 MG SOLUTION FOR INJECTION,234.4,140.64,46.93,190.57,24 NDC,39822210002,DACTINOMYCIN (COSMEGEN) SYRINGE 0.5 MG/ML,3520.0,2112.0,318.49,2861.76,34 NDC,39892083001,"NEOMYCIN-BACITRACN ZN-POLYMYXN 3.5 MG-400 UNIT-5,000 UNIT TOP OINT PKT",2.9,1.74,0.58058,2.36,22 NDC,40093010196,SELENIUM 200 MCG TABLET,1.1,0.66,0.22022,0.8943,22 NDC,41167000609,DOXYLAMINE SUCCINATE 25 MG TABLET,1.4,0.84,0.28028,1.14,22 NDC,41388000730,WITCH HAZEL 50 % TOPICAL PADS,1.15,0.69,0.23023,0.93495,22 NDC,42023010501,METHOHEXITAL 500 MG SOLUTION FOR INJECTION,356.6,213.96,71.39,289.92,22 NDC,42023011510,KETAMINE 100 MG/ML INTRANASAL SOLUTION,62.05,37.23,12.42,50.45,22 NDC,42023011602,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,17.95,10.77,3.37,14.59,24 NDC,42023011625,OXYTOCIN 10 UNIT/ML INJECTION SOLUTION,20.95,12.57,3.37,17.03,24 NDC,42023015925,EPINEPHRINE 1 MG/ML (1 ML) INJECTION SOLUTION,22.85,13.71,1.13,18.58,24 NDC,42023015925,EPINEPHRINE 1 MG/ML INJECTION WRAPPER,84.1,50.46,1.13,68.37,24 NDC,42023016425,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,38.75,23.25,2.19,31.5,24 NDC,42023016801,EPINEPHRINE 1 MG/ML INJECTION SOLUTION,1156.05,693.63,1.13,939.87,24 NDC,42023016801,EPINEPHRINE 1 MG/ML INJECTION WRAPPER,1156.05,693.63,1.13,939.87,24 NDC,42023019001,VASOPRESSIN 20 UNIT/ML INTRAVENOUS SOLUTION,38.75,23.25,2.19,31.5,24 NDC,42023021601,EPHEDRINE 50 MG/ML INJECTION WRAPPER,148.15,88.89,29.66,120.45,22 NDC,42023021601,EPHEDRINE SULFATE 50 MG/ML INTRAVENOUS SOLUTION,148.15,88.89,29.66,120.45,22 NDC,42023023710,VASOPRESSIN 0.2 UNIT/ML INTRAVENOUS SOLUTION,273.0,163.8,2.19,221.95,24 NDC,42037010479,CARBAMIDE PEROXIDE 6.5 % EAR DROPS,11.05,6.63,2.21,8.98,22 NDC,42192032901,THYROID (PORK) 30 MG TABLET,18.8,11.28,3.76,15.28,22 NDC,42192033101,THYROID (PORK) 90 MG TABLET,20.8,12.48,4.16,16.91,22 NDC,42291051001,PRIMAQUINE 15 MG TABLET,21.3,12.78,4.26,17.32,22 NDC,42292000120,METRONIDAZOLE 500 MG TABLET,18.65,11.19,3.73,15.16,22 NDC,42292000201,DIGOXIN 250 MCG (0.25 MG) TABLET,21.4,12.84,4.28,17.4,22 NDC,42292003801,LEVOTHYROXINE 88 MCG TABLET,18.05,10.83,3.61,14.67,22 NDC,42292003901,LEVOTHYROXINE 112 MCG TABLET,18.4,11.04,3.68,14.96,22 NDC,42367054032,DANTROLENE 250 MG INTRAVENOUS SUSPENSION,13983.35,8390.01,2799.47,11368.46,22 NDC,42494034001,FLUCYTOSINE 500 MG CAPSULE,385.55,231.33,77.19,313.45,22 NDC,42747076101,MOGAMULIZUMAB-KPKC 4 MG/ML INTRAVENOUS SOLUTION,21317.55,12790.53,241.04,17331.17,34 NDC,42794001802,LIOTHYRONINE 5 MCG TABLET,18.55,11.13,3.71,15.08,22 NDC,42799080601,IVERMECTIN 3 MG TABLET,32.6,19.56,6.53,26.5,22 NDC,42806001101,SULINDAC 200 MG TABLET,17.25,10.35,3.45,14.02,22 NDC,42806008701,ESTRADIOL 0.5 MG TABLET,16.3,9.78,3.26,13.25,22 NDC,42806075760,SULFADIAZINE 500 MG TABLET,80.15,48.09,16.05,65.16,22 NDC,42858030125,HYDROMORPHONE 2 MG TABLET,22.55,13.53,4.51,18.33,22 NDC,42858030225,HYDROMORPHONE 4 MG TABLET,22.7,13.62,4.54,18.46,22 NDC,42858035340,BUPRENORPHINE 7.5 MCG/HOUR WEEKLY TRANSDERMAL PATCH,247.5,148.5,49.55,201.22,22 NDC,42858080101,"MORPHINE ER 15 MG TABLET,EXTENDED RELEASE",23.45,14.07,4.69,19.06,22 NDC,43066000601,DOCETAXEL (TAXOTERE) 10 MG/ML INJECTION WRAPPER,996.6,597.96,1.04,810.24,24 NDC,43066001901,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,39.9,23.94,0.118,32.44,24 NDC,43066002310,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,34.25,20.55,0.118,27.85,24 NDC,43066003501,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,45.2,27.12,9.05,36.75,22 NDC,43066015010,"AMIODARONE 150 MG/100 ML (1.5 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV",184.45,110.67,6.16,149.96,24 NDC,43066036020,"AMIODARONE 360 MG/200 ML (1.8 MG/ML) IN DEXTROSE, ISO-OSMOTIC IV",224.7,134.82,6.16,182.68,24 NDC,43393000101,MIFEPRISTONE 200 MG TABLET,216.0,129.6,43.24,175.61,22 NDC,43528000305,HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE,489.25,293.55,97.95,495.21,26 NDC,43547040010,CYCLOBENZAPRINE 10 MG TABLET,16.25,9.75,3.25,13.21,22 NDC,43598021050,SILVER SULFADIAZINE 1 % TOPICAL CREAM,53.2,31.92,10.65,43.25,22 NDC,43598033011,ZOLEDRONIC ACID 4 MG/5 ML INTRAVENOUS SOLUTION,252.0,151.2,11.94,204.88,24 NDC,43598034901,PROGESTERONE MICRONIZED 100 MG CAPSULE,20.4,12.24,4.08,16.59,22 NDC,43598041225,LEVALBUTEROL 0.31 MG/3 ML SOLUTION FOR NEBULIZATION,36.65,21.99,7.34,29.8,22 NDC,43598041311,DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION,483.0,289.8,0.0708,392.68,24 NDC,43598044771,NICOTINE 14 MG/24 HR DAILY TRANSDERMAL PATCH,3.7,2.22,0.74074,3.01,22 NDC,43598047801,SEVELAMER CARBONATE 0.8 GRAM ORAL POWDER PACKET,53.85,32.31,10.78,43.78,22 NDC,43598050530,RALOXIFENE 60 MG TABLET,18.6,11.16,3.72,15.12,22 NDC,43598058230,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL FILM,37.25,22.35,7.46,30.28,22 NDC,43598063652,"LEVETIRACETAM 1,000 MG/100 ML IN SODIUM CHLORIDE(ISO-OSM) IV PIGGYBACK",168.0,100.8,0.0944,136.58,24 NDC,43598075011,NALOXONE 1 MG/ML INTRANASAL SOLUTION,158.65,95.19,0.1888,128.98,24 NDC,43900097647,GUAR GUM ORAL PACKET,1.75,1.05,0.35035,1.42,22 NDC,44087004403,INTERFERON BETA-1A (ALBUMIN) 44 MCG/0.5 ML SUBCUTANEOUS SYRINGE,4182.45,2509.47,100.21,3400.33,24 NDC,44087353501,AVELUMAB 20 MG/ML INTRAVENOUS SOLUTION,9488.7,5693.22,97.09,7714.31,34 NDC,44206030001,"RHO(D) IMMUNE GLOBULIN 1,500 UNIT (300 MCG)/2 ML INJECTION SYRINGE",757.6,454.56,11.47,615.93,24 NDC,44206031050,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",437.0,262.2,51.49,355.28,34 NDC,44206031090,"ALBUMIN, HUMAN 5 % INTRAVENOUS SOLUTION",437.0,262.2,51.49,355.28,34 NDC,44206043605,"IMMUNE GLOB,GAMM(IGG) 10 %-PRO-IGA 0 TO 50 MCG/ML INTRAVENOUS SOLUTION",3914.2,2348.52,49.22,3182.24,34 NDC,44567010310,AMPICILLIN 2 GRAM INJ COMBINED WRAPPER,66.05,39.63,1.3,53.7,24 NDC,44567022110,NAFCILLIN 1 GRAM INJ COMBINED WRAPPER,109.2,65.52,0.118,88.78,24 NDC,44567023525,CEFTAZIDIME 1 GRAM INJECTION COMBINED WRAPPER,36.5,21.9,3.71,29.67,24 NDC,44567023610,CEFTAZIDIME 2 GRAM SOLUTION FOR INJECTION,61.5,36.9,3.71,50.0,24 NDC,44567062101,"CALCIUM GLUCONATE 2 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION",201.25,120.75,0.2124,163.62,24 NDC,44567062201,"CALCIUM GLUCONATE 1 GRAM/100 ML IN SODIUM CHLORIDE,ISO-OSM IV SOLUTION",107.45,64.47,0.2124,87.36,24 NDC,45802000403,HYDROCORTISONE 2.5 % TOPICAL CREAM,27.45,16.47,5.5,22.32,22 NDC,45802004064,SELENIUM SULFIDE 2.5 % LOTION,16.45,9.87,3.29,13.37,22 NDC,45802004835,"NYSTATIN 100,000 UNIT/GRAM TOPICAL OINTMENT",58.0,34.8,11.61,47.15,22 NDC,45802005635,GENTAMICIN 0.1 % TOPICAL CREAM,134.5,80.7,26.93,109.35,22 NDC,45802005935,"NYSTATIN 100,000 UNIT/GRAM TOPICAL CREAM",58.0,34.8,11.61,47.15,22 NDC,45802006000,BACITRACIN 500 UNIT/GRAM TOPICAL PACKET WRAPPER,1.25,0.75,0.25025,1.02,22 NDC,45802006070,BACITRACIN 500 UNIT/GRAM TOPICAL PACKET,1.25,0.75,0.25025,1.02,22 NDC,45802006535,TRIAMCINOLONE ACETONIDE 0.5 % TOPICAL CREAM,40.6,24.36,8.13,33.01,22 NDC,45802009851,MESALAMINE 4 GRAM/60 ML ENEMA,46.1,27.66,9.23,37.48,22 NDC,45802013970,METRONIDAZOLE 0.75 % (37.5 MG/5 GRAM) VAGINAL GEL,76.1,45.66,15.24,61.87,22 NDC,45802026937,PERMETHRIN 5 % TOPICAL CREAM,106.0,63.6,21.22,86.18,22 NDC,45802027603,HYDROCORTISONE 1 % TOPICAL OINTMENT,4.3,2.58,0.86086,3.5,22 NDC,45802043411,CLOTRIMAZOLE 1 % TOPICAL CREAM,8.1,4.86,1.62,6.59,22 NDC,45802043803,HYDROCORTISONE 1 % TOPICAL CREAM,4.3,2.58,0.86086,3.5,22 NDC,45802071708,TERCONAZOLE 80 MG VAGINAL SUPPOSITORY,124.9,74.94,25.0,101.54,22 NDC,45802073032,ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY,1.45,0.87,0.29029,1.18,22 NDC,45802073230,ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY,1.5,0.9,0.3003,1.22,22 NDC,45802075830,PROMETHAZINE 12.5 MG RECTAL SUPPOSITORY,55.0,33.0,11.01,44.72,22 NDC,45802075930,PROMETHAZINE 25 MG RECTAL SUPPOSITORY,55.0,33.0,11.01,44.72,22 NDC,45963043965,LACTULOSE ENEMA 200 G/300 ML,34.0,20.4,6.81,27.64,22 NDC,46122021026,ACETAMINOPHEN 160 MG/5 ML ORAL SUSPENSION,5.25,3.15,1.05,4.27,22 NDC,46122022263,GLYCERIN (CHILD) RECTAL SUPPOSITORY,1.25,0.75,0.25025,1.02,22 NDC,46122044427,MICONAZOLE NITRATE 2 % TOPICAL POWDER,8.5,5.1,1.7,6.91,22 NDC,46122057310,CAMPHOR-MENTHOL 0.5 %-0.5 % LOTION,9.65,5.79,1.93,7.85,22 NDC,46122059602,"ASPIRIN 325 MG TABLET,DELAYED RELEASE",1.05,0.63,0.21021,0.85365,22 NDC,46122070165,BISMUTH SUBSALICYLATE 262 MG CHEWABLE TABLET,1.15,0.69,0.23023,0.93495,22 NDC,46122074138,MAGNESIUM CITRATE ORAL SOLUTION,4.25,2.55,0.85085,3.46,22 NDC,46287000660,SODIUM POLYSTYRENE SULFONATE 15 GRAM/60 ML ORAL COMBINED WRAPPER,115.15,69.09,23.05,93.62,22 NDC,46287000901,ISONIAZID 50 MG/5 ML ORAL SOLUTION,1023.5,614.1,204.9,832.11,22 NDC,46287002004,SPIRONOLACTONE 25 MG/5 ML ORAL SUSPENSION,1312.75,787.65,262.81,1067.27,22 NDC,46287050704,WHITE PETROLATUM-MINERAL OIL TOPICAL OINTMENT,16.55,9.93,3.31,13.46,22 NDC,47335004940,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",2255.0,1353.0,105.22,1833.32,34 NDC,47335005040,"DOXORUBICIN, PEGYLATED LIPOSOMAL 2 MG/ML INTRAVENOUS SUSPENSION",5775.0,3465.0,105.22,4695.07,34 NDC,47335036141,DECITABINE 50 MG INTRAVENOUS SOLUTION,715.0,429.0,1.84,581.29,24 NDC,47426020101,APREPITANT 130 MG/18 ML (7.2 MG/ML) INTRAVENOUS EMULSION,1972.25,1183.35,1.59,1603.44,34 NDC,47781064726,"ERGOCALCIFEROL (VITAMIN D2) 200 MCG/ML (8,000 UNIT/ML) ORAL DROPS",1.4,0.84,0.28028,1.14,22 NDC,48433023015,IODINE STRONG (LUGOLS) 5 % ORAL SOLUTION,18.1,10.86,3.62,14.72,22 NDC,48582000155,SALIVA STIMULANT COMBINATION NO.3 ORAL MUCOSAL SPRAY,9.75,5.85,1.95,7.93,22 NDC,48783011208,FERRIC SUBSULFATE TOPICAL PASTE,64.0,38.4,12.81,52.03,22 NDC,49281021588,TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE,144.25,86.55,28.88,117.28,25 NDC,49281054758,HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN,60.0,36.0,12.01,48.78,25 NDC,49281057415,NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE,2546.45,1527.87,509.8,2070.26,25 NDC,49281057500,NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE,2546.4,1527.84,509.79,2070.22,25 NDC,49281086010,POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION,153.95,92.37,30.82,145.73,25 NDC,49411005030,AMINOCAPROIC ACID 500 MG TABLET,101.95,61.17,20.41,82.89,22 NDC,49471000105,BENZYLPENICILLOYL POLYLYSINE 0.25 ML INTRADERMAL INJECTION SOLUTION,48.35,29.01,9.68,39.31,22 NDC,49502010101,"EPINEPHRINE (JR) 0.15 MG/0.3 ML INJECTION,AUTO-INJECTOR",698.5,419.1,1.13,567.88,24 NDC,49591005151,HEPATITIS B IMMUNE GLOBULIN-MALTOSE (HEPAGAM B) >312 UNIT/ML (5 ML) INJECTION SOLN,3636.8,2182.08,64.64,2956.72,34 NDC,49702020318,LAMIVUDINE 150 MG TABLET,43.75,26.25,8.76,35.57,22 NDC,49702020548,LAMIVUDINE 10 MG/ML ORAL SOLUTION,348.65,209.19,69.8,283.45,22 NDC,49702021301,ZIDOVUDINE 10 MG/ML INTRAVENOUS SOLUTION,185.65,111.39,3.56,150.93,24 NDC,49702022813,DOLUTEGRAVIR 50 MG TABLET,326.05,195.63,65.28,265.08,22 NDC,49730011130,NITROGLYCERIN 0.2 MG/HR TRANSDERMAL 24 HOUR PATCH,18.85,11.31,3.77,15.33,22 NDC,49771000201,MITOMYCIN 0.2 MG OPHTHALMIC KIT,1854.6,1112.76,371.29,1507.79,23 NDC,49884023183,PRAZIQUANTEL 600 MG TABLET,281.75,169.05,56.41,229.06,22 NDC,49884030702,CLONAZEPAM 0.25 MG DISINTEGRATING TABLET,24.8,14.88,4.96,20.16,22 NDC,49884031155,RISPERIDONE 0.5 MG DISINTEGRATING TABLET,30.0,18.0,6.01,24.39,22 NDC,49884031555,RISPERIDONE 1 MG DISINTEGRATING TABLET,32.35,19.41,6.48,26.3,22 NDC,49938010130,DAPSONE 100 MG TABLET,27.2,16.32,5.45,22.11,22 NDC,50242001403,TENECTEPLASE 25 MG INTRAVENOUS SOLUTION FOR STROKE,37768.55,22661.13,167.05,30705.83,34 NDC,50242004062,OMALIZUMAB 150 MG SUBCUTANEOUS SOLUTION,6248.6,3749.16,43.26,5080.11,34 NDC,50242004164,ALTEPLASE 2 MG INTRA-CATHETER SOLUTION,858.55,515.13,91.62,698.0,34 NDC,50242004413,ALTEPLASE 50 MG INTRAVENOUS SOLUTION,20036.85,12022.11,91.62,16289.96,34 NDC,50242005121,"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS",4408.9,2645.34,72.96,3584.44,34 NDC,50242005306,"RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS",20944.45,12566.67,72.96,17027.84,34 NDC,50242006001,BEVACIZUMAB (AVASTIN) 25 MG/ML,318.85,191.31,63.83,259.23,34 NDC,50242006101,BEVACIZUMAB (AVASTIN) 25 MG/ML,318.85,191.31,63.83,259.23,34 NDC,50242007701,"TRASTUZUMAB 600 MG-HYALURONIDASE-OYSK 10,000 UNIT/5 ML SUBCUT SOLUTION",20846.1,12507.66,59.6,16947.88,34 NDC,50242008527,ALTEPLASE 100 MG INTRAVENOUS SOLUTION,40057.65,24034.59,91.62,32566.87,34 NDC,50242008701,ADO-TRASTUZUMAB EMTANSINE 160 MG INTRAVENOUS SOLUTION,28362.0,17017.2,40.9,23058.31,34 NDC,50242008801,ADO-TRASTUZUMAB EMTANSINE 100 MG INTRAVENOUS SOLUTION,17829.4,10697.64,40.9,14495.3,34 NDC,50242010039,DORNASE ALFA 1 MG/ML SOLUTION FOR CHEST TUBE,1086.2,651.72,217.46,883.08,22 NDC,50242010039,DORNASE ALFA 1 MG/ML SOLUTION FOR INHALATION,551.1,330.66,110.33,448.04,22 NDC,50242010301,POLATUZUMAB VEDOTIN-PIIQ 30 MG INTRAVENOUS SOLUTION,17822.95,10693.77,132.57,14490.06,34 NDC,50242010501,POLATUZUMAB VEDOTIN-PIIQ 140 MG INTRAVENOUS SOLUTION,82165.25,49299.15,132.57,66800.35,34 NDC,50242010801,"RITUXIMAB 1,400 MG/11.7 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN",29212.0,17527.2,35.59,23749.36,34 NDC,50242010901,"RITUXIMAB 1,600 MG/13.4 ML (120 MG/ML)-HYALURONIDASE SUBCUTANEOUS SOLN",33345.8,20007.48,35.59,27110.14,34 NDC,50242012047,TENECTEPLASE 50 MG INTRAVENOUS SOLUTION WRAPPER FOR MI,37768.55,22661.13,167.05,30705.83,34 NDC,50242013201,TRASTUZUMAB 150 MG INTRAVENOUS SOLUTION,7132.1,4279.26,72.78,5798.4,34 NDC,50242013601,TOCILIZUMAB (ACTEMRA) 20 MG/ML INJECTION WRAPPER,5640.25,3384.15,5.54,4585.52,34 NDC,50242013601,TOCILIZUMAB 200 MG/10 ML (20 MG/ML) INTRAVENOUS SOLUTION,5640.25,3384.15,5.54,4585.52,34 NDC,50242013701,TOCILIZUMAB (ACTEMRA) 20 MG/ML INJECTION WRAPPER,11217.45,6730.47,5.54,9119.79,34 NDC,50242013701,TOCILIZUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION,11217.45,6730.47,5.54,9119.79,34 NDC,50242014201,MOSUNETUZUMAB-AXGB 1 MG/ML INTRAVENOUS SOLUTION,82676.7,49606.02,634.99,67216.16,34 NDC,50242014501,PERTUZUMAB 420 MG/14 ML (30 MG/ML) INTRAVENOUS SOLUTION,30285.2,18171.12,16.51,24621.87,34 NDC,50242015001,OCRELIZUMAB 30 MG/ML INTRAVENOUS SOLUTION,86755.05,52053.03,57.63,70531.86,34 NDC,50242015901,MOSUNETUZUMAB-AXGB 1 MG/ML INTRAVENOUS SOLUTION,3021.7,1813.02,604.94,2456.64,34 NDC,50242024501,"PERTUZUMAB 1,200 MG-TRASTUZUMAB 600 MG-HYALURON-ZZXF/15 ML SUBCUT SOLN",61507.8,36904.68,60.24,50005.84,34 NDC,50242026001,PERTUZUMAB 600 MG-TRASTUZUMAB 600 MG-HYALURONID-ZZXF/10 ML SUBCUT SOLN,41095.25,24657.15,60.24,33410.44,34 NDC,50242091701,ATEZOLIZUMAB (TECENTRIQ) 60 MG/ML INJECTION SOLUTION WRAPPER,51268.2,30760.92,88.6,41681.05,34 NDC,50242091701,"ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) INTRAVENOUS SOLUTION",51268.2,30760.92,88.6,41681.05,34 NDC,50242091801,ATEZOLIZUMAB (TECENTRIQ) 60 MG/ML INJECTION SOLUTION WRAPPER,35970.3,21582.18,88.6,29243.85,34 NDC,50242091801,ATEZOLIZUMAB 840 MG/14 ML (60 MG/ML) INTRAVENOUS SOLUTION,35970.3,21582.18,88.6,29243.85,34 NDC,50268006915,AMANTADINE HCL 100 MG CAPSULE,24.0,14.4,4.8,19.51,22 NDC,50268009611,ATORVASTATIN 80 MG TABLET,18.1,10.86,3.62,14.72,22 NDC,50268014515,BUPRENORPHINE 8 MG-NALOXONE 2 MG SUBLINGUAL TABLET,37.1,22.26,7.43,30.16,23 NDC,50268045012,ITRACONAZOLE 100 MG CAPSULE,28.0,16.8,5.61,22.76,22 NDC,50268052215,MECLIZINE 12.5 MG TABLET,1.75,1.05,0.35035,1.42,22 NDC,50268052515,MELOXICAM 7.5 MG TABLET,16.7,10.02,3.34,13.58,22 NDC,50268055011,"METFORMIN ER 500 MG TABLET,EXTENDED RELEASE 24 HR",18.0,10.8,3.6,14.63,22 NDC,50268055111,"METFORMIN ER 750 MG TABLET,EXTENDED RELEASE 24 HR",17.7,10.62,3.54,14.39,22 NDC,50268057411,MONTELUKAST 5 MG CHEWABLE TABLET,19.8,11.88,3.96,16.1,22 NDC,50268059411,NAPROXEN 250 MG TABLET,17.05,10.23,3.41,13.86,22 NDC,50268085511,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG TABLET",1.35,0.81,0.27027,1.1,22 NDC,50268085711,VITAMIN B COMPLEX-FOLIC ACID 0.4 MG TABLET,1.45,0.87,0.29029,1.18,22 NDC,50268085811,PYRIDOXINE (VITAMIN B6) 50 MG TABLET,1.4,0.84,0.28028,1.14,22 NDC,50268085911,PYRIDOXINE (VITAMIN B6) 100 MG TABLET,1.4,0.84,0.28028,1.14,22 NDC,50268086611,"CHOLECALCIFEROL (VITAMIN D3) 125 MCG (5,000 UNIT) TABLET",1.45,0.87,0.29029,1.18,22 NDC,50383028608,LEVOFLOXACIN 250 MG/10 ML ORAL SOLUTION,686.2,411.72,137.38,557.88,22 NDC,50383028616,LEVOFLOXACIN 250 MG/10 ML ORAL SOLUTION,1607.2,964.32,321.76,1306.65,22 NDC,50419025091,RIOCIGUAT 0.5 MG TABLET,643.15,385.89,128.76,522.88,22 NDC,50419025391,RIOCIGUAT 2 MG TABLET,643.15,385.89,128.76,522.88,22 NDC,50419042201,LEVONORGESTREL 14 MCG/24 HR (UP TO 3 YRS) 13.5 MG INTRAUTERINE DEVICE,4065.55,2439.33,813.92,3305.29,24 NDC,50419042408,LEVONORGESTREL 17.5 MCG/24 HOUR (5 YEARS) INTRAUTERINE DEVICE,4647.2,2788.32,930.37,3968.2,24 NDC,50419045104,ESTRADIOL 0.05 MG/24 HR WEEKLY TRANSDERMAL PATCH,92.3,55.38,18.48,75.04,22 NDC,50419077301,CIPROFLOXACIN 500 MG/5 ML ORAL SUSPENSION,472.9,283.74,94.67,384.47,22 NDC,50458057701,RIVAROXABAN 2.5 MG TABLET,55.9,33.54,11.19,45.45,22 NDC,50458057810,RIVAROXABAN 15 MG TABLET,95.75,57.45,19.17,77.84,22 NDC,50458057910,RIVAROXABAN 20 MG TABLET,95.75,57.45,19.17,77.84,22 NDC,50458058001,RIVAROXABAN 10 MG TABLET,95.75,57.45,19.17,77.84,22 NDC,50458059601,RISPERIDONE 1 MG/ML ORAL SOLUTION,381.35,228.81,76.35,310.04,22 NDC,50458063965,TOPIRAMATE 25 MG TABLET,42.75,25.65,8.56,34.76,22 NDC,50458083002,TAPENTADOL 75 MG TABLET,48.95,29.37,9.8,39.8,22 NDC,50474057009,BRIVARACETAM 50 MG TABLET,95.65,57.39,19.15,77.76,22 NDC,50474097075,BRIVARACETAM 50 MG/5 ML INTRAVENOUS SOLUTION,211.4,126.84,42.32,171.87,22 NDC,50580013408,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,12.95,7.77,2.59,10.53,22 NDC,50580053404,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,10.0,6.0,2.0,8.13,22 NDC,50580053408,DIPHENHYDRAMINE 12.5 MG/5 ML ORAL LIQUID,14.95,8.97,2.99,12.15,22 NDC,50633011012,CROTALIDAE POLYVAL IMMUNE FAB SOLUTION FOR INJECTION,12869.0,7721.4,1773.86,10462.5,34 NDC,50633012011,DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION,19973.0,11983.8,3998.59,16238.05,34 NDC,50633031011,HYDROXOCOBALAMIN 5 GRAM INTRAVENOUS SOLUTION,4464.6,2678.76,5.03,3629.72,34 NDC,50742019001,CYPROHEPTADINE 4 MG TABLET,16.25,9.75,3.25,13.21,22 NDC,50742051501,NITROGLYCERIN 0.3 MG/HR TRANSDERMAL 24 HOUR PATCH,228.0,136.8,45.65,185.36,22 NDC,50881000560,RUXOLITINIB 5 MG TABLET,565.0,339.0,113.11,459.35,22 NDC,50881000603,RETIFANLIMAB-DLWR 500 MG/20 ML INTRAVENOUS SOLUTION,65144.2,39086.52,29.64,52962.23,34 NDC,50881001060,RUXOLITINIB 10 MG TABLET,1198.35,719.01,239.91,974.26,22 NDC,50930009802,XYLITOL-YERBA SANTA MUCOSAL SPRAY WITH PUMP,9.15,5.49,1.83,7.44,24 NDC,51079002301,METOLAZONE 2.5 MG TABLET,27.0,16.2,5.41,21.95,22 NDC,51079002420,METOLAZONE 5 MG TABLET,28.45,17.07,5.7,23.13,22 NDC,51079005801,CHLORTHALIDONE 25 MG TABLET,23.7,14.22,4.74,19.27,22 NDC,51079007401,HYDRALAZINE 10 MG TABLET,16.95,10.17,3.39,13.78,22 NDC,51079007501,HYDRALAZINE 25 MG TABLET,16.9,10.14,3.38,13.74,22 NDC,51079011820,DICYCLOMINE 10 MG CAPSULE,18.0,10.8,3.6,14.63,22 NDC,51079013301,AMITRIPTYLINE 50 MG TABLET,18.3,10.98,3.66,14.88,22 NDC,51079016403,VORICONAZOLE 50 MG TABLET,50.15,30.09,10.04,40.77,22 NDC,51079016501,VORICONAZOLE 200 MG TABLET,147.8,88.68,29.59,120.16,22 NDC,51079017001,"METOPROLOL SUCCINATE ER 50 MG TABLET,EXTENDED RELEASE 24 HR",19.5,11.7,3.9,15.85,22 NDC,51079018201,CIPROFLOXACIN 500 MG TABLET,16.8,10.08,3.36,13.66,22 NDC,51079020520,ALLOPURINOL 100 MG TABLET,17.3,10.38,3.46,14.06,22 NDC,51079020601,ALLOPURINOL 300 MG TABLET,18.55,11.13,3.71,15.08,22 NDC,51079024601,LORATADINE 10 MG TABLET,1.65,0.99,0.33033,1.34,22 NDC,51079025501,METOPROLOL TARTRATE 25 MG TABLET,16.1,9.66,3.22,13.09,22 NDC,51079028501,DIAZEPAM 5 MG TABLET,22.25,13.35,4.45,18.09,22 NDC,51079028601,DIAZEPAM 10 MG TABLET,22.25,13.35,4.45,18.09,22 NDC,51079029401,TAMSULOSIN 0.4 MG CAPSULE,18.3,10.98,3.66,14.88,22 NDC,51079030601,POLYETHYLENE GLYCOL 3350 17 GRAM ORAL POWDER PACKET,3.35,2.01,0.67067,2.72,22 NDC,51079034801,NITROFURANTOIN MONOHYDRATE/MACROCRYSTALS 100 MG CAPSULE,31.45,18.87,6.3,25.57,22 NDC,51079037501,CHLORDIAZEPOXIDE 10 MG CAPSULE,23.5,14.1,4.7,19.11,22 NDC,51079039101,"BUPROPION HCL SR 100 MG TABLET,12 HR SUSTAINED-RELEASE",19.1,11.46,3.82,15.53,22 NDC,51079043601,DOXEPIN 10 MG CAPSULE,18.15,10.89,3.63,14.76,22 NDC,51079043701,DOXEPIN 25 MG CAPSULE,18.85,11.31,3.77,15.33,22 NDC,51079043801,DOXEPIN 50 MG CAPSULE,19.9,11.94,3.98,16.18,22 NDC,51079044001,LEVOTHYROXINE 50 MCG TABLET,18.0,10.8,3.6,14.63,22 NDC,51079044101,LEVOTHYROXINE 75 MCG TABLET,18.2,10.92,3.64,14.8,22 NDC,51079044401,LEVOTHYROXINE 25 MCG TABLET,17.8,10.68,3.56,14.47,22 NDC,51079045120,AMLODIPINE 5 MG TABLET,16.7,10.02,3.34,13.58,22 NDC,51079045301,MIDODRINE 5 MG TABLET,20.6,12.36,4.12,16.75,22 NDC,51079051301,PIOGLITAZONE 15 MG TABLET,22.5,13.5,4.5,18.29,22 NDC,51079051901,CHLORPROMAZINE 25 MG TABLET,41.5,24.9,8.31,33.74,22 NDC,51079056203,MODAFINIL 200 MG TABLET,90.95,54.57,18.21,73.94,22 NDC,51079063001,PRAZOSIN 1 MG CAPSULE,22.05,13.23,4.41,17.93,22 NDC,51079063120,PRAZOSIN 2 MG CAPSULE,24.45,14.67,4.89,19.88,22 NDC,51079068401,ATENOLOL 50 MG TABLET,16.4,9.84,3.28,13.33,22 NDC,51079069001,LOPERAMIDE 2 MG CAPSULE,2.15,1.29,0.43043,1.75,22 NDC,51079072101,MYCOPHENOLATE MOFETIL 250 MG CAPSULE,17.85,10.71,0.3776,14.51,24 NDC,51079072501,ZOLPIDEM 10 MG TABLET,22.35,13.41,4.47,18.17,22 NDC,51079073401,HALOPERIDOL 1 MG TABLET,17.65,10.59,3.53,14.35,22 NDC,51079073501,HALOPERIDOL 2 MG TABLET,18.25,10.95,3.65,14.84,22 NDC,51079073601,HALOPERIDOL 5 MG TABLET,19.65,11.79,3.93,15.98,22 NDC,51079074701,DILTIAZEM 90 MG TABLET,17.5,10.5,3.5,14.23,22 NDC,51079075301,SUCRALFATE 1 GRAM TABLET,17.3,10.38,3.46,14.06,22 NDC,51079075901,ATENOLOL 25 MG TABLET,16.7,10.02,3.34,13.58,22 NDC,51079076601,"DIVALPROEX ER 250 MG TABLET,EXTENDED RELEASE 24 HR",21.9,13.14,4.38,17.8,22 NDC,51079076701,"DIVALPROEX ER 500 MG TABLET,EXTENDED RELEASE 24 HR",25.95,15.57,5.2,21.1,22 NDC,51079077101,CARVEDILOL 3.125 MG TABLET,16.55,9.93,3.31,13.46,22 NDC,51079078901,ALPRAZOLAM 0.5 MG TABLET,22.35,13.41,4.47,18.17,22 NDC,51079080201,METOPROLOL TARTRATE 100 MG TABLET,16.5,9.9,3.3,13.41,22 NDC,51079081001,GLIPIZIDE 5 MG TABLET,17.3,10.38,3.46,14.06,22 NDC,51079081101,GLIPIZIDE 10 MG TABLET,18.55,11.13,3.71,15.08,22 NDC,51079088220,CLONAZEPAM 1 MG TABLET,22.35,13.41,4.47,18.17,22 NDC,51079088620,METOCLOPRAMIDE 5 MG TABLET,19.05,11.43,3.81,15.49,22 NDC,51079088801,METOCLOPRAMIDE 10 MG TABLET,19.2,11.52,3.84,15.61,22 NDC,51079092101,CLOZAPINE 25 MG TABLET,18.6,11.16,3.72,15.12,22 NDC,51079092801,LABETALOL 100 MG TABLET,17.85,10.71,3.57,14.51,22 NDC,51079092901,LABETALOL 200 MG TABLET,18.55,11.13,3.71,15.08,22 NDC,51079093101,CARVEDILOL 12.5 MG TABLET,16.55,9.93,3.31,13.46,22 NDC,51079094301,BUPROPION HCL 75 MG TABLET,20.95,12.57,4.19,17.03,22 NDC,51079096620,FAMOTIDINE 20 MG TABLET,1.2,0.72,0.24024,0.9756,22 NDC,51079099101,TRAMADOL 50 MG TABLET,22.25,13.35,4.45,18.09,22 NDC,51079099220,FLUVOXAMINE 50 MG TABLET,18.05,10.83,3.61,14.67,22 NDC,51144000301,TISOTUMAB VEDOTIN-TFTV 40 MG INTRAVENOUS SOLUTION,32838.55,19703.13,183.1,26697.74,34 NDC,51144002001,ENFORTUMAB VEDOTIN-EJFV 20 MG INTRAVENOUS SOLUTION,12634.6,7580.76,35.64,10271.93,34 NDC,51144003001,ENFORTUMAB VEDOTIN-EJFV 30 MG INTRAVENOUS SOLUTION,18814.4,11288.64,35.64,15296.11,34 NDC,51144003001,ENFORTUMAB VEDOTIN-EJFV 30 MG INTRAVENOUS SOLUTION (MAX DOSE 100 MG),18814.4,11288.64,35.64,15296.11,34 NDC,51144003001,ENFORTUMAB VEDOTIN-EJFV 30 MG INTRAVENOUS SOLUTION (MAX DOSE 50 MG),18814.4,11288.64,35.64,15296.11,34 NDC,51144003001,ENFORTUMAB VEDOTIN-EJFV 30 MG INTRAVENOUS SOLUTION (MAX DOSE 75 MG),18814.4,11288.64,35.64,15296.11,34 NDC,51144005001,BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLUTION,56048.55,33629.13,250.88,45567.47,34 NDC,51293081001,PHENAZOPYRIDINE 100 MG TABLET,17.3,10.38,3.46,14.06,22 NDC,51660014030,VALSARTAN 40 MG TABLET,17.95,10.77,3.59,14.59,22 NDC,51660014190,VALSARTAN 80 MG TABLET,17.4,10.44,3.48,14.15,22 NDC,51660014290,VALSARTAN 160 MG TABLET,17.85,10.71,3.57,14.51,22 NDC,51672125801,CLOBETASOL 0.05 % TOPICAL CREAM,46.05,27.63,9.22,37.44,22 NDC,51672126401,FLUOCINONIDE 0.05 % TOPICAL OINTMENT,71.5,42.9,14.31,58.13,22 NDC,51672126705,TRIAMCINOLONE ACETONIDE 0.1 % DENTAL PASTE,209.45,125.67,41.93,170.28,22 NDC,51672127304,FLUOCINONIDE 0.05 % TOPICAL SOLUTION,190.1,114.06,38.06,154.55,22 NDC,51672130302,ECONAZOLE NITRATE 1 % TOPICAL CREAM,166.25,99.75,33.28,135.16,22 NDC,51672203506,MICONAZOLE NITRATE 2 % VAGINAL CREAM,13.5,8.1,2.7,10.98,22 NDC,51672207308,LORATADINE 5 MG/5 ML ORAL SOLUTION,1.55,0.93,0.31031,1.26,22 NDC,51672211400,ACETAMINOPHEN 80 MG RECTAL SUPPOSITORY,2.45,1.47,0.49049,1.99,22 NDC,51672211600,ACETAMINOPHEN 325 MG RECTAL SUPPOSITORY,2.6,1.56,0.52052,2.11,22 NDC,51672300701,HYDROCORTISONE-ACETIC ACID 1 %-2 % EAR DROPS,422.4,253.44,84.56,343.41,22 NDC,51672400101,NORTRIPTYLINE 10 MG CAPSULE,16.8,10.08,3.36,13.66,22 NDC,51672400201,NORTRIPTYLINE 25 MG CAPSULE,17.1,10.26,3.42,13.9,22 NDC,51672400501,CARBAMAZEPINE 200 MG TABLET,17.65,10.59,3.53,14.35,22 NDC,51672402606,KETOCONAZOLE 200 MG TABLET,24.65,14.79,4.93,20.04,22 NDC,51672404201,CLORAZEPATE DIPOTASSIUM 3.75 MG TABLET,25.0,15.0,5.0,20.32,22 NDC,51672404801,CLOTRIMAZOLE-BETAMETHASONE 1 %-0.05 % TOPICAL CREAM,66.6,39.96,13.33,54.15,22 NDC,51672407008,CETIRIZINE 1 MG/ML ORAL SOLUTION,1.15,0.69,0.23023,0.93495,22 NDC,51754020302,VERAPAMIL 2.5 MG/ML INTRAVENOUS SOLUTION,61.5,36.9,12.31,50.0,22 NDC,51754100701,CYSTEINE (L-CYSTEINE) 50 MG/ML INTRAVENOUS SOLUTION,460.75,276.45,92.24,374.59,22 NDC,51754200401,POTASSIUM ACETATE 2 MEQ/ML INTRAVENOUS SOLUTION,155.4,93.24,31.11,126.34,22 NDC,51754501201,SODIUM BICARBONATE 4.2 % INTRAVENOUS SOLUTION,49.7,29.82,9.95,40.41,22 NDC,51754913101,"MIDAZOLAM (PF) 1 MG/ML IN SODIUM CHLORIDE,ISO-OSM INTRAVENOUS SOLUTION",88.0,52.8,0.354,71.54,24 NDC,51754915001,FENTANYL (PF) 50 MCG/ML INFUSION,88.0,52.8,2.6,71.54,24 NDC,51759052010,RISPERIDONE ER 100 MG/0.28 ML SUBCUTANEOUS EXTEND RELEASE SUSP SYRINGE,11967.5,7180.5,24.29,9729.58,34 NDC,51759085010,RISPERIDONE ER 200 MG/0.56 ML SUBCUTANEOUS EXTEND RELEASE SUSP SYRINGE,23918.1,14350.86,24.29,19445.42,34 NDC,51759096010,RISPERIDONE ER 250 MG/0.7 ML SUBCUTANEOUS EXTEND RELEASE SUSP SYRINGE,29894.05,17936.43,24.29,24303.86,34 NDC,51991020311,POLYSACCHARIDE IRON COMPLEX 150 MG IRON CAPSULE,1.2,0.72,0.24024,0.9756,22 NDC,52015008001,FIDAXOMICIN 200 MG TABLET,1057.0,634.2,211.61,859.34,22 NDC,52268010001,PEG-ELECTROLYTE ORAL SOLUTION WRAPPER,88.0,52.8,17.62,71.54,22 NDC,52609000105,MELPHALAN 2 MG TABLET,70.3,42.18,14.07,57.15,24 NDC,52609300100,MELPHALAN (ALKERAN) IVPB,2475.0,1485.0,93.02,2012.17,34 NDC,52652300101,LISINOPRIL 1 MG/ML ORAL SOLUTION,2747.2,1648.32,549.99,2233.47,22 NDC,52652400101,ENALAPRIL MALEATE 1 MG/ML ORAL SOLUTION,61.3,36.78,12.27,49.84,22 NDC,52652500101,AMLODIPINE BENZOATE 1 MG/ML ORAL SUSPENSION,48.0,28.8,9.61,39.02,22 NDC,52652600101,BACLOFEN 25 MG/5 ML (5 MG/ML) ORAL SUSPENSION,34.15,20.49,6.84,27.76,22 NDC,53329008986,BACITRACIN ZINC 500 UNIT/GRAM TOPICAL OINTMENT IN PACKET,1.25,0.75,0.25025,1.02,22 NDC,54092006301,ANAGRELIDE 0.5 MG CAPSULE,49.1,29.46,9.83,39.92,22 NDC,54092017312,"CARBAMAZEPINE ER 300 MG CAPSULE,EXTENDED RELEASE 12HR",23.1,13.86,4.62,18.78,22 NDC,54092047612,"MESALAMINE 1.2 GRAM TABLET,DELAYED RELEASE",53.45,32.07,10.7,43.45,22 NDC,54288010310,EPINEPHRINE HCL (PF) 1 MG/ML (1 ML) INJECTION SOLUTION,21.05,12.63,2.5,17.11,24 NDC,54288010502,ETHYL ALCOHOL 99 % INTRA-ARTERIAL SOLUTION,4543.25,2725.95,909.56,3693.66,22 NDC,54288012001,EPINEPHRINE 1 MG/ML INJECTION SOLUTION,357.25,214.35,2.5,290.44,24 NDC,54288012001,EPINEPHRINE 1 MG/ML INJECTION WRAPPER,357.25,214.35,2.5,290.44,24 NDC,54288015901,METHYLENE BLUE (ANTIDOTE) 20 MG/2 ML (10 MG/ML) 1 % IV SYRINGE,234.4,140.64,6.49,190.57,35 NDC,54288016501,CARBOPLATIN (PARAPLATIN) 10 MG/ML IVPB (BY AUC),394.6,236.76,5.74,320.81,24 NDC,54482014407,LEVOCARNITINE 330 MG TABLET,2.95,1.77,0.59059,2.4,22 NDC,54482014701,LEVOCARNITINE 200 MG/ML INTRAVENOUS SOLUTION,192.9,115.74,38.62,156.83,24 NDC,54643564601,"MVI, PEDI NO.1 WITH VIT K 80 MG-400 UNIT-200 MCG/5 ML INTRAVENOUS SOLN",125.45,75.27,25.12,101.99,22 NDC,54643564700,"MVI, PEDI NO.1 WITH VIT K 80 MG-400 UNIT-200 MCG/5 ML INTRAVENOUS SOLN",750.85,450.51,150.32,610.44,22 NDC,54643564901,"MVI,ADULT NO.4 WITH VIT K 3300 UNIT-150 MCG/10 ML INTRAVENOUS SOLUTION",86.0,51.6,17.22,69.92,22 NDC,54643565002,"MVI,ADULT NO.4 WITH VIT K 3300 UNIT-150 MCG/10 ML INTRAVENOUS SOLUTION",80.75,48.45,16.17,65.65,22 NDC,54643900708,"MVI,ADULT NO.4,VIT K,COMP(VIAL 1 OF 2) 3,300 UNIT-150 MCG/5 ML IV SOLN",95.3,57.18,19.08,77.48,22 NDC,54643900709,"MVI, ADULT NO.4, VIT K (VIAL 2 OF 2) 600 MCG-60 MCG-5 MCG/5 ML IV SOLN",95.3,57.18,19.08,77.48,22 NDC,54838050115,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE,20.2,12.12,4.04,16.42,22 NDC,54838050140,HALOPERIDOL LACTATE 2 MG/ML ORAL CONCENTRATE,16.75,10.05,3.35,13.62,22 NDC,54838051080,OXYBUTYNIN CHLORIDE 5 MG/5 ML ORAL SYRUP,16.3,9.78,3.26,13.25,22 NDC,55111067106,CLOPIDOGREL 300 MG TABLET,99.1,59.46,19.84,80.57,22 NDC,55111067811,FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE,121.05,72.63,1.7,98.41,24 NDC,55111068011,FONDAPARINUX 7.5 MG/0.6 ML SUBCUTANEOUS SOLUTION SYRINGE,263.2,157.92,1.7,213.98,24 NDC,55111068111,FONDAPARINUX 10 MG/0.8 ML SUBCUTANEOUS SOLUTION SYRINGE,263.2,157.92,1.7,213.98,24 NDC,55135013201,SACITUZUMAB GOVITECAN-HZIY 180 MG INTRAVENOUS SOLUTION,11554.4,6932.64,35.19,9393.73,34 NDC,55150011420,AMPICILLIN 2 GRAM SOLUTION FOR INJECTION,48.35,29.01,1.3,39.31,24 NDC,55150012150,PIPERACILLIN-TAZOBACTAM (200 MG OF PIPERACILLIN/ML) PEDIATRIC,90.3,54.18,2.53,73.41,24 NDC,55150012150,PIPERACILLIN-TAZOBACTAM 4.5 GRAM INTRAVENOUS SOLUTION,90.3,54.18,2.53,73.41,24 NDC,55150012316,NAFCILLIN 2 GRAM INJ COMBINED WRAPPER,115.5,69.3,0.118,93.9,24 NDC,55150019201,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,452.8,271.68,1.25,368.13,24 NDC,55150030110,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,107.0,64.2,0.0236,86.99,24 NDC,55150030401,DEXAMETHASONE SODIUM PHOSPHATE (PF) 10 MG/ML INJECTION SOLUTION,36.05,21.63,0.2124,29.31,24 NDC,55150043401,DEXRAZOXANE HCL 250 MG INTRAVENOUS SOLUTION,1263.9,758.34,61.17,1027.55,34 NDC,55150043801,KETAMINE 10 MG/ML INJECTION SOLUTION,79.9,47.94,16.0,64.96,22 NDC,55513002101,DARBEPOETIN ALFA 40 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE,1424.7,854.82,2.84,1158.28,34 NDC,55513002301,DARBEPOETIN ALFA 60 MCG/0.3 ML IN POLYSORBATE INJECTION SYRINGE,2129.05,1277.43,2.84,1730.92,34 NDC,55513002504,DARBEPOETIN ALFA 100 MCG/0.5 ML IN POLYSORBATE INJECTION SYRINGE,3537.7,2122.62,2.84,2876.15,34 NDC,55513002801,DARBEPOETIN ALFA 200 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE,7059.4,4235.64,2.84,5739.29,34 NDC,55513003201,DARBEPOETIN ALFA 500 MCG/ML IN POLYSORBATE INJECTION SYRINGE,5298.55,3179.13,2.84,4307.72,34 NDC,55513005701,DARBEPOETIN ALFA 25 MCG/0.42 ML IN POLYSORBATE INJECTION SYRINGE,896.45,537.87,2.84,728.81,34 NDC,55513007430,CINACALCET 60 MG TABLET,231.15,138.69,46.28,187.92,22 NDC,55513011101,DARBEPOETIN ALFA 300 MCG/0.6 ML IN POLYSORBATE INJECTION SYRINGE,10581.1,6348.66,2.84,8602.43,34 NDC,55513015001,"BLINATUMOMAB 12.5 MCG/ML IV SOLN (15 MCG/M2/DAY, 24-HR INFUSION)",24724.8,14834.88,159.32,20101.26,34 NDC,55513015001,"BLINATUMOMAB 12.5 MCG/ML IV SOLN (15 MCG/M2/DAY, 48-HR INFUSION)",24724.8,14834.88,159.32,20101.26,34 NDC,55513015001,"BLINATUMOMAB 12.5 MCG/ML IV SOLN (15 MCG/M2/DAY, 7-DAY INFUSION)",24724.8,14834.88,159.32,20101.26,34 NDC,55513015001,"BLINATUMOMAB 12.5 MCG/ML IV SOLN (5 MCG/M2/DAY, 24-HR INFUSION)",24724.8,14834.88,159.32,20101.26,34 NDC,55513015001,"BLINATUMOMAB 12.5 MCG/ML IV SOLN (5 MCG/M2/DAY, 48-HR INFUSION)",24724.8,14834.88,159.32,20101.26,34 NDC,55513016001,BLINATUMOMAB 35 MCG INTRAVENOUS KIT,24724.8,14834.88,159.32,20101.26,34 NDC,55513019001,PEGFILGRASTIM 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,29217.9,17530.74,86.66,23754.15,34 NDC,55513019201,PEGFILGRASTIM 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUTANEOUS INJECTOR,29217.9,17530.74,86.66,23754.15,34 NDC,55513020601,BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION,3345.05,2007.03,27.02,2719.53,34 NDC,55513020701,BEVACIZUMAB-AWWB 25 MG/ML INTRAVENOUS SOLUTION,12554.95,7532.97,27.02,10207.17,34 NDC,55513022101,ROMIPLOSTIM (NPLATE) SYRINGE 500 MCG/ML (250 MCG),12542.25,7525.35,10.68,10196.85,34 NDC,55513022201,ROMIPLOSTIM (NPLATE) INJECTION 500 MCG/ML (500 MCG),25068.4,15041.04,10.68,20380.61,34 NDC,55513022301,ROMIPLOSTIM 125 MCG SUBCUTANEOUS SOLUTION,6279.25,3767.55,10.68,5105.03,34 NDC,55513067001,INFLIXIMAB-AXXQ 100 MG INTRAVENOUS SOLUTION,2163.0,1297.8,19.8,1758.52,34 NDC,55513080060,IVABRADINE 5 MG TABLET,57.75,34.65,11.56,46.95,22 NDC,55513081060,IVABRADINE 7.5 MG TABLET,57.75,34.65,11.56,46.95,22 NDC,55513081301,IVABRADINE 5 MG/5 ML ORAL SOLUTION,23.85,14.31,4.77,19.39,22 NDC,55513095401,PANITUMUMAB 100 MG/5 ML (20 MG/ML) INTRAVENOUS SOLUTION,8246.3,4947.78,167.84,6704.24,34 NDC,55513095601,PANITUMUMAB 400 MG/20 ML (20 MG/ML) INTRAVENOUS SOLUTION,32160.05,19296.03,167.84,26146.12,34 NDC,55566105001,NADOFARAGENE FIRADENOVEC-VNCG 3X10EXP11 VP/ML INTRAVESICAL SUSPENSION,68158.2,40894.92,13645.27,176902.85,34 NDC,55566220000,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,385.2,231.12,3.41,313.17,34 NDC,55566280001,"DINOPROSTONE ER 10 MG VAGINAL INSERT,CONTROLLED RELEASE",2216.75,1330.05,443.79,1802.22,22 NDC,55566410000,SODIUM HYALURONATE 10 MG/ML(MW 2.4-3.6 MILLION)INTRA-ARTICULAR SYRINGE,1656.85,994.11,109.08,1347.02,34 NDC,55566840301,DEGARELIX 120 MG SUBCUTANEOUS SOLUTION,3628.2,2176.92,4.32,2949.73,34 NDC,57237003001,AMOXICILLIN 250 MG CAPSULE,16.25,9.75,3.25,13.21,22 NDC,57237004101,PENICILLIN V POTASSIUM 500 MG TABLET,16.8,10.08,3.36,13.66,22 NDC,57237023901,ZALEPLON 5 MG CAPSULE,22.9,13.74,4.58,18.62,22 NDC,57237031603,ALUMINUM-MAG HYDROXIDE-SIMETHICONE 200 MG-200 MG-20 MG/5 ML ORAL SUSP,3.5,2.1,0.7007,2.85,22 NDC,57664012688,HYDROCODONE 5 MG-ACETAMINOPHEN 325 MG TABLET,22.5,13.5,4.5,18.29,22 NDC,57664017088,HYDROCODONE 7.5 MG-ACETAMINOPHEN 325 MG TABLET,22.9,13.74,4.58,18.62,22 NDC,57664039751,METFORMIN 500 MG TABLET,16.2,9.72,3.24,13.17,22 NDC,57894016001,INFLIXIMAB 100 MG INTRAVENOUS SOLUTION,2058.0,1234.8,30.16,1673.15,34 NDC,57894044901,TECLISTAMAB-CQYV 10 MG/ML SUBCUTANEOUS SOLUTION,9288.55,5573.13,32.57,7551.59,34 NDC,57894045001,TECLISTAMAB-CQYV 90 MG/ML SUBCUTANEOUS SOLUTION,46244.25,27746.55,32.57,37596.58,34 NDC,57894046901,TALQUETAMAB-TGVS 2 MG/ML SUBCUTANEOUS SOLUTION,4087.55,2452.53,70.44,3323.18,34 NDC,57894047001,TALQUETAMAB-TGVS 40 MG/ML SUBCUTANEOUS SOLUTION,51108.35,30665.01,70.44,41551.09,34 NDC,57894047001,TALQUETAMAB-TGVS 40 MG/ML SUBCUTANEOUS SOLUTION (FOR 0.8 MG/KG DOSAGE),51108.35,30665.01,70.44,41551.09,34 NDC,57894050101,AMIVANTAMAB-VMJW 50 MG/ML INTRAVENOUS SOLUTION,17024.4,10214.64,21.86,13840.84,34 NDC,57894050301,"DARATUMUMAB 1,800 MG-HYALURONIDASE-FIHJ 30,000 UNIT/15 ML SUBCUT SOLN",46791.25,28074.75,53.9,38041.29,34 NDC,57894065001,GUSELKUMAB 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION,61242.05,36745.23,73.69,49789.79,34 NDC,57896022110,ACETAMINOPHEN 500 MG TABLET,1.05,0.63,0.21021,0.85365,22 NDC,57896064916,MAGNESIUM HYDROXIDE 400 MG/5 ML ORAL SUSPENSION,1.05,0.63,0.21021,0.85365,22 NDC,57970010001,DALBAVANCIN 500 MG INTRAVENOUS SOLUTION,8111.05,4866.63,15.14,6594.28,34 NDC,58160081043,"DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE",104.05,62.43,20.83,97.2,25 NDC,58160081143,HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE,321.65,192.99,64.39,336.47,25 NDC,58160082143,HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE,236.5,141.9,47.35,196.28,26 NDC,58160082311,"VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT",668.55,401.13,133.84,569.63,24 NDC,58160082643,"HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR WRAPPER",278.25,166.95,55.71,226.22,25 NDC,58160082703,"MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION",520.0,312.0,104.1,544.37,25 NDC,58160084252,"DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE",161.5,96.9,32.33,131.3,25 NDC,58160097620,"MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE",731.15,438.69,146.38,774.28,25 NDC,58394001201,"ANTIHEMOPHILIC FACTOR VIII,REC B-DOMAIN DELETED 250 (+/-) UNIT IV SOLN",84.65,50.79,1.62,68.82,34 NDC,58394001401,"ANTIHEMOPHILIC FACTOR VIII,REC B-DOMAIN DELETED 1,000 (+/-) UNIT IV SOLN",84.65,50.79,1.62,68.82,34 NDC,58468003002,THYROTROPIN ALFA 0.9 MG INTRAMUSCULAR SOLUTION,9216.7,5530.02,1845.18,7493.18,34 NDC,58468009002,HYLAN G-F 20 16 MG/2 ML INTRA-ARTICULAR SYRINGE,2093.3,1255.98,7.71,1701.85,34 NDC,58468009003,HYLAN G-F 20 48 MG/6 ML INTRA-ARTICULAR SYRINGE,6247.8,3748.68,7.71,5079.46,34 NDC,58468022501,CAPLACIZUMAB-YHDP 11 MG INJECTION KIT,36064.1,21638.46,1875.8,29320.11,23 NDC,58468035703,ALEMTUZUMAB (CAMPATH) SYRINGE 30 MG/ML (ONCOLOGY),0.2,0.12,0.04004,6806.87,34 NDC,58468035703,ALEMTUZUMAB (CAMPATH) SYRINGE 30 MG/ML (SOLID ORGAN TRANSPLANT),0.2,0.12,0.04004,6806.87,34 NDC,58468466301,IMIGLUCERASE 400 UNIT INTRAVENOUS SOLUTION,7346.35,4407.81,41.89,5972.58,34 NDC,58790000115,CARBOXYMETHYLCELLULOSE SODIUM 0.25 % EYE DROPS,13.4,8.04,2.68,10.89,22 NDC,58914017014,SUCRALFATE 100 MG/ML ORAL SUSPENSION,28.75,17.25,5.76,23.37,22 NDC,59011041020,"OXYCODONE ER 10 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",39.5,23.7,7.91,32.11,22 NDC,59011041520,"OXYCODONE ER 15 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",47.7,28.62,9.55,38.78,22 NDC,59011042020,"OXYCODONE ER 20 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",54.55,32.73,10.92,44.35,22 NDC,59011044020,"OXYCODONE ER 40 MG TABLET,CRUSH RESISTANT,EXTENDED RELEASE 12 HR",77.7,46.62,15.56,63.17,22 NDC,59148000613,ARIPIPRAZOLE 2 MG TABLET,93.85,56.31,18.79,76.3,22 NDC,59148002150,TOLVAPTAN 30 MG TABLET,2174.6,1304.76,435.35,1767.95,22 NDC,59212024256,DIGOXIN 125 MCG (0.125 MG) TABLET,88.65,53.19,17.75,72.07,22 NDC,59338077501,FERUMOXYTOL 510 MG/17 ML (30 MG/ML) INTRAVENOUS SOLUTION,5076.25,3045.75,0.3104,4126.99,35 NDC,59353000410,"EPOETIN ALFA-EPBX 4,000 UNIT/ML INJECTION SOLUTION",216.75,130.05,7.61,176.22,32 NDC,59365512801,COPPER 380 SQUARE MM INTRAUTERINE DEVICE,4576.0,2745.6,916.12,3720.29,24 NDC,59385002101,BUPRENORPHINE HCL 75 MCG BUCCAL FILM,44.6,26.76,8.93,36.26,22 NDC,59385002201,BUPRENORPHINE HCL 150 MCG BUCCAL FILM,44.6,26.76,8.93,36.26,22 NDC,59385002301,BUPRENORPHINE HCL 300 MCG BUCCAL FILM,57.5,34.5,11.51,46.75,22 NDC,59390020505,FLUORESCEIN 0.25 %-PROPARACAINE 0.5 % EYE DROPS,43.45,26.07,8.7,35.32,22 NDC,59572010201,AZACITIDINE (VIDAZA) SYRINGE 25 MG/ML,2850.1,1710.06,0.5775,2317.13,24 NDC,59572071101,LUSPATERCEPT-AAMT 25 MG SUBCUTANEOUS SOLUTION,17338.2,10402.92,40.72,14095.96,34 NDC,59572077501,LUSPATERCEPT-AAMT 75 MG SUBCUTANEOUS SOLUTION,51888.4,31133.04,40.72,42185.27,34 NDC,59676027801,RILPIVIRINE HCL 25 MG TABLET,213.8,128.28,42.8,173.82,22 NDC,59676056201,DARUNAVIR 600 MG TABLET,159.9,95.94,32.01,130.0,22 NDC,59676056630,DARUNAVIR 800 MG TABLET,303.8,182.28,60.82,246.99,22 NDC,59676057101,ETRAVIRINE 200 MG TABLET,115.9,69.54,23.2,94.23,22 NDC,59746011306,PROCHLORPERAZINE MALEATE 5 MG TABLET,17.4,10.44,3.48,14.15,22 NDC,59746021701,SPIRONOLACTONE 50 MG TABLET,16.85,10.11,3.37,13.7,22 NDC,59746021801,SPIRONOLACTONE 100 MG TABLET,17.6,10.56,3.52,14.31,22 NDC,59746038306,TERAZOSIN 1 MG CAPSULE,16.75,10.05,3.35,13.62,22 NDC,59746038506,TERAZOSIN 5 MG CAPSULE,16.75,10.05,3.35,13.62,22 NDC,59762007401,HYDROCORTISONE 10 MG TABLET,17.15,10.29,3.43,13.94,22 NDC,59762018103,"VENLAFAXINE ER 75 MG CAPSULE,EXTENDED RELEASE 24 HR",17.85,10.71,3.57,14.51,22 NDC,59762024503,DONEPEZIL 5 MG TABLET,17.8,10.68,3.56,14.47,22 NDC,59762171001,EPLERENONE 25 MG TABLET,28.4,17.04,5.69,23.09,22 NDC,59762285801,EXEMESTANE 25 MG TABLET,31.7,19.02,6.35,25.77,22 NDC,59762330403,NITROGLYCERIN 0.4 MG SUBLINGUAL TABLET,53.7,32.22,10.75,43.66,22 NDC,59762491003,SERTRALINE 100 MG TABLET,16.95,10.17,3.39,13.78,22 NDC,59762500005,SULFASALAZINE 500 MG TABLET,16.8,10.08,3.36,13.66,22 NDC,59762503001,FLUCONAZOLE 40 MG/ML ORAL SUSPENSION,192.55,115.53,38.55,156.54,22 NDC,59781066679,ARGININE 7 GRAM-GLUTAM 7 GRAM-CAHMB 1.5 GRAM-COLLA-MV-MIN ORAL PWD PKT,4.7,2.82,0.94094,3.82,22 NDC,59923060110,PAMIDRONATE 30 MG INTRAVENOUS SOLUTION,141.95,85.17,22.75,115.41,24 NDC,60267070550,SODIUM THIOSULFATE 12.5 GRAM/50 ML (250 MG/ML) INTRAVENOUS SOLUTION,394.8,236.88,1.94,320.97,24 NDC,60267081200,SODIUM NITRITE-SODIUM THIOSULFATE 300 MG/10 ML-12.5 GRAM/50 ML IV SOLN,709.9,425.94,2.16,577.15,34 NDC,60505005501,SELEGILINE 5 MG CAPSULE,22.7,13.62,4.54,18.46,22 NDC,60505022301,SOTALOL 120 MG TABLET,18.6,11.16,3.72,15.12,22 NDC,60505082306,CALCITONIN (SALMON) 200 UNIT/ACTUATION NASAL SPRAY,240.65,144.39,48.18,195.65,22 NDC,60505083305,AZELASTINE 137 MCG (0.1 %) NASAL SPRAY,81.25,48.75,16.27,66.06,22 NDC,60505100302,KETOROLAC 0.5 % EYE DROPS,208.4,125.04,41.72,169.43,22 NDC,60505252201,CILOSTAZOL 100 MG TABLET,17.5,10.5,3.5,14.23,22 NDC,60505257909,ATORVASTATIN 20 MG TABLET,17.0,10.2,3.4,13.82,22 NDC,60505265401,TRAZODONE 100 MG TABLET,16.5,9.9,3.3,13.41,22 NDC,60505327500,OLANZAPINE 5 MG DISINTEGRATING TABLET,23.15,13.89,4.63,18.82,22 NDC,60505327600,OLANZAPINE 10 MG DISINTEGRATING TABLET,26.5,15.9,5.31,21.54,22 NDC,60505464303,PRASUGREL HCL 10 MG TABLET,19.3,11.58,3.86,15.69,22 NDC,60505474001,LISDEXAMFETAMINE 20 MG CAPSULE,40.65,24.39,8.14,33.05,22 NDC,60505476505,VARENICLINE TARTRATE 0.5 MG TABLET,45.7,27.42,9.15,37.15,22 NDC,60505614604,CEFEPIME 1 GRAM SOLUTION FOR IV PUSH,39.0,23.4,2.88,31.71,24 NDC,60505623100,CEFAZOLIN 2 GRAM SOLUTION FOR IVPB WRAPPER,87.6,52.56,1.89,71.22,24 NDC,60505623105,CEFAZOLIN 2 GRAM SOLUTION FOR INJECTION,87.6,52.56,1.89,71.22,24 NDC,60505706300,NICOTINE 21 MG/24 HR DAILY TRANSDERMAL PATCH,3.9,2.34,0.78078,3.17,22 NDC,60687012901,DOCUSATE SODIUM 100 MG CAPSULE,1.3,0.78,0.26026,1.06,22 NDC,60687014311,METFORMIN 850 MG TABLET,16.9,10.14,3.38,13.74,22 NDC,60687016201,"METFORMIN 1,000 MG TABLET",16.7,10.02,3.34,13.58,22 NDC,60687016811,ARIPIPRAZOLE 5 MG TABLET,48.9,29.34,9.79,39.76,22 NDC,60687017357,MEMANTINE 5 MG TABLET,17.95,10.77,3.59,14.59,22 NDC,60687017911,ARIPIPRAZOLE 10 MG TABLET,48.9,29.34,9.79,39.76,22 NDC,60687018411,MEMANTINE 10 MG TABLET,18.7,11.22,3.74,15.2,22 NDC,60687020601,"DILTIAZEM CD 180 MG CAPSULE,EXTENDED RELEASE 24 HR",19.25,11.55,3.85,15.65,22 NDC,60687022401,GEMFIBROZIL 600 MG TABLET,17.05,10.23,3.41,13.86,22 NDC,60687024940,LEVETIRACETAM 500 MG/5 ML (5 ML) ORAL SOLUTION,39.2,23.52,7.85,31.87,22 NDC,60687030411,CAPTOPRIL 12.5 MG TABLET,21.7,13.02,4.34,17.64,22 NDC,60687031511,CAPTOPRIL 25 MG TABLET,22.2,13.32,4.44,18.05,22 NDC,60687032501,LISINOPRIL 10 MG TABLET,16.5,9.9,3.3,13.41,22 NDC,60687033311,LISINOPRIL 20 MG TABLET,16.5,9.9,3.3,13.41,22 NDC,60687037321,EZETIMIBE 10 MG TABLET,57.35,34.41,11.48,46.63,22 NDC,60687039483,IPRATROPIUM BROMIDE 0.02 % SOLN FOR CONTINUOUS NEBULIZATION,17.25,10.35,3.45,14.02,22 NDC,60687041301,"METOPROLOL SUCCINATE ER 100 MG TABLET,EXTENDED RELEASE 24 HR",21.6,12.96,4.32,17.56,22 NDC,60687041501,CLOZAPINE 100 MG TABLET,22.7,13.62,4.54,18.46,22 NDC,60687042311,CLOBAZAM 10 MG TABLET,29.8,17.88,5.97,24.23,22 NDC,60687044301,TRAZODONE 50 MG TABLET,16.55,9.93,3.31,13.46,22 NDC,60687049111,NAPROXEN 500 MG TABLET,16.9,10.14,3.38,13.74,22 NDC,60687052811,CIPROFLOXACIN 250 MG TABLET,17.25,10.35,3.45,14.02,22 NDC,60687057511,RIFAMPIN 150 MG CAPSULE,28.75,17.25,5.76,23.37,22 NDC,60687058611,RIFAMPIN 300 MG CAPSULE,23.45,14.07,4.69,19.06,22 NDC,60687066101,CARBIDOPA 25 MG-LEVODOPA 100 MG TABLET,17.5,10.5,3.5,14.23,22 NDC,60687072211,OXCARBAZEPINE 300 MG TABLET,19.55,11.73,3.91,15.89,22 NDC,60793011601,LIOTHYRONINE 25 MCG TABLET,18.15,10.89,3.63,14.76,22 NDC,60793070010,"PENICILLIN G BENZATHINE 600,000 UNIT/ML INTRAMUSCULAR SYRINGE",985.5,591.3,29.11,801.21,34 NDC,60793070102,"PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML INTRAMUSCULAR SYRINGE",1695.15,1017.09,29.11,1378.16,34 NDC,60977014101,PRALIDOXIME 1 GRAM SOLUTION FOR INJECTION,410.5,246.3,82.18,333.74,24 NDC,61314001601,PROPARACAINE 0.5 % EYE DROPS,121.3,72.78,24.28,98.62,22 NDC,61314001910,DORZOLAMIDE 2 % EYE DROPS,91.0,54.6,18.22,73.98,22 NDC,61314004475,TRIFLURIDINE 1 % EYE DROPS,604.05,362.43,120.93,491.09,22 NDC,61314012605,KETOROLAC 0.5 % EYE DROPS,100.0,60.0,20.02,81.3,22 NDC,61314020315,PILOCARPINE 1 % EYE DROPS,252.6,151.56,50.57,205.36,22 NDC,61314020415,PILOCARPINE 2 % EYE DROPS,258.0,154.8,51.65,209.75,22 NDC,61314020615,PILOCARPINE 4 % EYE DROPS,269.7,161.82,53.99,219.27,22 NDC,61314022605,TIMOLOL MALEATE 0.25 % EYE DROPS,31.55,18.93,6.32,25.65,22 NDC,61314022610,TIMOLOL MALEATE 0.25 % EYE DROPS,48.85,29.31,9.78,39.72,22 NDC,61314022615,TIMOLOL MALEATE 0.25 % EYE DROPS,61.95,37.17,12.4,50.37,22 NDC,61314022710,TIMOLOL MALEATE 0.5 % EYE DROPS WRAPPER,58.4,35.04,11.69,47.48,22 NDC,61314022715,TIMOLOL MALEATE 0.5 % EYE DROPS,77.55,46.53,15.53,63.05,22 NDC,61314022715,TIMOLOL MALEATE 0.5 % EYE DROPS WRAPPER,77.55,46.53,15.53,63.05,22 NDC,61314031801,FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE,1264.35,758.61,0.4462,1027.92,34 NDC,61314032601,FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE,2013.4,1208.04,0.4462,1636.89,34 NDC,61314054701,LATANOPROST 0.005 % EYE DROPS,48.1,28.86,9.63,39.11,22 NDC,61314063136,"NEOMYCIN 3.5 MG/G-POLYMYXIN B 10,000 UNIT/G-DEXAMETH 0.1 % EYE OINT",70.05,42.03,14.02,56.95,22 NDC,61314063705,"PREDNISOLONE ACETATE 1 % EYE DROPS,SUSPENSION",148.75,89.25,29.78,120.93,22 NDC,61314064175,"NEOMYCIN 3.5 MG-POLYMYXIN 10,000 UNIT-HYDROCORT 10 MG/ML EYE DROP,SUSP",465.05,279.03,93.1,378.09,22 NDC,61314064305,TOBRAMYCIN 0.3 % EYE DROPS,62.5,37.5,12.51,50.81,22 NDC,61314065605,CIPROFLOXACIN 0.3 % EYE DROPS,58.0,34.8,11.61,47.15,22 NDC,61314065610,CIPROFLOXACIN 0.3 % EYE DROPS,82.0,49.2,16.42,66.67,22 NDC,61314065625,CIPROFLOXACIN 0.3 % EYE DROPS,47.5,28.5,9.51,38.62,22 NDC,61314067225,GATIFLOXACIN 0.5 % EYE DROPS,157.85,94.71,31.6,128.33,22 NDC,61553029301,FENTANYL (PF) 10 MCG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,94.0,56.4,2.6,76.42,24 NDC,61553064775,MORPHINE 5 MG/ML IN 0.9 % SODIUM CHLORIDE 50 ML PCA,52.0,31.2,10.41,42.28,26 NDC,61703030538,CYTARABINE (PF) 100 MG/5 ML (20 MG/ML) INJECTION SOLUTION,302.95,181.77,1.96,246.3,24 NDC,61703030906,VINCRISTINE 1 MG/ML INTRAVENOUS SOLUTION,353.1,211.86,19.4,287.07,24 NDC,61703030916,VINCRISTINE 1 MG/ML INTRAVENOUS SOLUTION (2 MG MAX DOSE),342.8,205.68,19.4,278.7,24 NDC,61703030916,VINCRISTINE 1 MG/ML INTRAVENOUS SOLUTION (>2 MG MAX DOSE),342.8,205.68,19.4,278.7,24 NDC,61703031922,CYTARABINE (PF) 100 MG/ML INJECTION,364.45,218.67,1.96,296.3,24 NDC,61703032418,PAMIDRONATE 30 MG/10 ML (3 MG/ML) INTRAVENOUS SOLUTION,93.35,56.01,18.69,75.89,24 NDC,61703033918,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,334.0,200.4,5.74,271.54,24 NDC,61703033922,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,377.25,226.35,5.74,306.7,24 NDC,61703033950,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,482.55,289.53,5.74,392.31,24 NDC,61703033956,CARBOPLATIN 10 MG/ML INTRAVENOUS SOLUTION,535.35,321.21,5.74,435.24,24 NDC,61703034909,IRINOTECAN 100 MG/5 ML INTRAVENOUS SOLUTION,371.7,223.02,3.81,302.19,24 NDC,61703035038,METHOTREXATE SODIUM (CONTAINS PRESERVATIVES) 25 MG/ML INJECTION SOLUTION,307.0,184.2,6.15,249.59,24 NDC,61703036318,OXALIPLATIN 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION,486.2,291.72,0.1888,395.28,24 NDC,61755000801,CEMIPLIMAB-RWLC 50 MG/ML INTRAVENOUS SOLUTION,48344.85,29006.91,28.41,39304.36,34 NDC,61874011520,CARIPRAZINE 1.5 MG CAPSULE,218.55,131.13,43.75,177.68,22 NDC,61958040101,TENOFOVIR DISOPROXIL FUMARATE 300 MG TABLET,183.15,109.89,36.67,148.9,22 NDC,61958060101,EMTRICITABINE 200 MG CAPSULE,87.55,52.53,17.53,71.18,22 NDC,61958140101,COBICISTAT 150 MG TABLET,58.0,34.8,11.61,47.15,22 NDC,61958190101,ELVITEG 150 MG-COB 150 MG-EMTRICIT 200 MG-TENOFO ALAFENAM 10 MG TABLET,578.15,346.89,115.75,470.04,22 NDC,61958200201,EMTRICITABINE 200 MG-TENOFOVIR ALAFENAMIDE FUMARATE 25 MG TABLET,309.65,185.79,61.99,251.75,34 NDC,61958250101,BICTEGRAVIR 50 MG-EMTRICITABINE 200 MG-TENOFOVIR ALAFENAM 25 MG TABLET,578.15,346.89,115.75,470.04,22 NDC,61958290102,REMDESIVIR 100 MG INTRAVENOUS POWDER FOR SOLUTION,2580.45,1548.27,6.53,2097.91,34 NDC,61958290102,REMDESIVIR 100 MG INTRAVENOUS POWDER FOR SOLUTION (EUA),2580.45,1548.27,6.53,2097.91,34 NDC,62135017330,CORTISONE 25 MG TABLET,76.0,45.6,15.22,61.79,22 NDC,62175026037,"NIFEDIPINE ER 30 MG TABLET,EXTENDED RELEASE 24 HR",20.3,12.18,4.06,16.5,22 NDC,62332002531,"THEOPHYLLINE ER 300 MG TABLET,EXTENDED RELEASE,12 HR",21.2,12.72,4.24,17.24,22 NDC,62332006130,LEFLUNOMIDE 10 MG TABLET,20.4,12.24,4.08,16.59,22 NDC,62332006230,LEFLUNOMIDE 20 MG TABLET,20.4,12.24,4.08,16.59,22 NDC,62332036406,CLONAZEPAM 0.125 MG DISINTEGRATING TABLET,24.85,14.91,4.97,20.2,22 NDC,62530000011,UREA 15 GRAM ORAL POWDER PACKET,6.65,3.99,1.33,5.41,22 NDC,62559013807,HYDROCORTISONE 100 MG/60 ML ENEMA,80.3,48.18,16.08,65.28,22 NDC,62584026611,METOPROLOL TARTRATE 50 MG TABLET,16.45,9.87,3.29,13.37,22 NDC,62584069321,DOXYCYCLINE HYCLATE 100 MG TABLET,31.35,18.81,6.28,25.49,22 NDC,62756006040,EPOPROSTENOL 1.5 MG INTRAVENOUS SOLUTION,249.9,149.94,38.23,203.17,24 NDC,62756014586,RIVASTIGMINE 1.5 MG CAPSULE,18.35,11.01,3.67,14.92,22 NDC,62756024064,ONDANSETRON 4 MG DISINTEGRATING TABLET,18.45,11.07,3.69,15.0,22 NDC,62756026002,ZONISAMIDE 100 MG CAPSULE,18.0,10.8,3.6,14.63,22 NDC,62756051788,CARBIDOPA 10 MG-LEVODOPA 100 MG TABLET,17.05,10.23,3.41,13.86,22 NDC,62756079688,"DIVALPROEX 125 MG TABLET,DELAYED RELEASE",16.3,9.78,3.26,13.25,22 NDC,62756079788,"DIVALPROEX 250 MG TABLET,DELAYED RELEASE",16.5,9.9,3.3,13.41,22 NDC,62856038901,ERIBULIN (HALAVEN) SYRINGE 0.5 MG/ML,6479.0,3887.4,86.66,5267.43,34 NDC,62935075474,LEUPROLIDE 7.5 MG (1 MONTH) SUBCUTANEOUS SYRINGE,2262.45,1357.47,171.16,1839.37,34 NDC,63020004901,BORTEZOMIB (VELCADE) IV SYRINGE 1 MG/ML,7328.2,4396.92,4.32,5957.83,24 NDC,63020004901,BORTEZOMIB (VELCADE) SUBCUTANEOUS SYRINGE 2.5 MG/ML,7328.2,4396.92,4.32,5957.83,24 NDC,63304008690,DROXIDOPA 100 MG CAPSULE,20.45,12.27,4.09,16.63,22 NDC,63304009811,SUMATRIPTAN 50 MG TABLET,23.05,13.83,4.61,18.74,22 NDC,63304047901,CEVIMELINE 30 MG CAPSULE,26.35,15.81,5.28,21.42,22 NDC,63323001002,GENTAMICIN 40 MG/ML INJECTION SOLUTION,37.15,22.29,5.22,30.2,24 NDC,63323001020,GENTAMICIN 40 MG/ML INJECTION IM USE ONLY,167.65,100.59,5.22,136.3,24 NDC,63323001020,GENTAMICIN 40 MG/ML INJECTION SOLUTION,167.65,100.59,5.22,136.3,24 NDC,63323003204,SODIUM ACETATE 4 MEQ/ML INTRAVENOUS SOLUTION,100.0,60.0,20.02,81.3,22 NDC,63323006401,MAGNESIUM SULFATE 4 MEQ/ML (50 %) INJECTION WRAPPER,26.35,15.81,1.13,21.42,24 NDC,63323006401,MAGNESIUM SULFATE 500 MG/ML (50 %) INJECTION SOLUTION,26.35,15.81,1.13,21.42,24 NDC,63323008950,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INTRAVENOUS SOLUTION,115.2,69.12,23.06,93.66,22 NDC,63323009301,SODIUM CHLORIDE 23.4% (4 MEQ/ML) INTRAVENOUS SOLUTION,95.15,57.09,0.2805,77.36,24 NDC,63323010425,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,548.7,329.22,2.22,446.09,24 NDC,63323010605,MAGNESIUM SULFATE 2 GRAM/50 ML (4 %) IN WATER INTRAVENOUS PIGGYBACK,108.0,64.8,1.13,87.8,24 NDC,63323011710,FLUOROURACIL (ADRUCIL) 50 MG/ML IV SOLUTION WRAPPER,290.05,174.03,4.69,235.81,24 NDC,63323011710,FLUOROURACIL 500 MG/10 ML INTRAVENOUS SOLUTION,290.05,174.03,4.69,235.81,24 NDC,63323011710,FLUOROURACIL 50MG/ML OPHTH SOLUTION,275.2,165.12,4.69,223.74,24 NDC,63323011720,FLUOROURACIL 1 GRAM/20 ML INTRAVENOUS SOLUTION,305.1,183.06,4.69,248.05,24 NDC,63323011761,FLUOROURACIL (ADRUCIL) 50 MG/ML IV SOLUTION WRAPPER (UNC HOMECARE),403.95,242.37,4.69,328.41,24 NDC,63323011769,FLUOROURACIL 5 GRAM/100 ML INTRAVENOUS SOLUTION,356.0,213.6,4.69,289.43,24 NDC,63323012820,DACARBAZINE 200 MG INTRAVENOUS SOLUTION,327.8,196.68,8.14,266.5,24 NDC,63323013210,MITOXANTRONE (NOVANTRONE) INJECTION,2068.75,1241.25,23.16,1681.89,34 NDC,63323013212,MITOXANTRONE (NOVANTRONE) INJECTION,2753.3,1651.98,23.16,2238.43,34 NDC,63323013215,MITOXANTRONE (NOVANTRONE) INJECTION,3080.0,1848.0,23.16,2504.04,34 NDC,63323014010,CLADRIBINE 10 MG/10 ML INTRAVENOUS SOLUTION,2189.0,1313.4,10.36,1779.66,34 NDC,63323016112,KETOROLAC 15 MG/ML INJECTION SOLUTION WRAPPER,19.25,11.55,0.291,15.65,33 NDC,63323016501,DEXAMETHASONE 4 MG/ML (FOR ORAL USE) INJECTION SOLUTION,29.15,17.49,0.2124,23.7,23 NDC,63323016501,DEXAMETHASONE 4 MG/ML IV PEDIATRIC,75.1,45.06,0.2124,61.06,24 NDC,63323017302,GENTAMICIN SULFATE (PF) 20 MG/2 ML INJ SOLN WRAPPER,44.1,26.46,5.22,35.85,24 NDC,63323018000,PYRIDOXINE (VITAMIN B6) 100 MG/ML INJECTION SOLUTION,65.45,39.27,13.1,53.21,24 NDC,63323018411,FOLIC ACID 5 MG/ML INJECTION SOLUTION,18.45,11.07,0.1416,15.0,24 NDC,63323019202,FLUDARABINE (FLUDARA) 50 MG INJECTION WRAPPER,1471.3,882.78,66.15,1196.17,34 NDC,63323019202,FLUDARABINE 50 MG/2 ML INTRAVENOUS SOLUTION,1471.3,882.78,66.15,1196.17,34 NDC,63323020805,LIDOCAINE (PF) 20 MG/ML (2 %) INTRAVENOUS SOLUTION,33.1,19.86,0.0236,26.91,24 NDC,63323022905,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION,86.45,51.87,4.11,70.28,24 NDC,63323022930,PROTAMINE 10 MG/ML INTRAVENOUS SOLUTION,256.7,154.02,4.11,208.7,24 NDC,63323023710,CEFAZOLIN 1 GRAM SOLUTION FOR INJECTION,70.35,42.21,1.89,57.19,24 NDC,63323025410,"MINERAL OIL, LIGHT STERILE",107.15,64.29,21.45,87.11,22 NDC,63323026037,MEPIVACAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,66.65,39.99,9.32,54.19,24 NDC,63323026937,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,26.95,16.17,0.2124,21.91,24 NDC,63323026967,PROPOFOL 10 MG/ML INTRAVENOUS EMULSION,70.6,42.36,0.2124,57.4,24 NDC,63323027301,SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION,238.95,143.37,47.84,445.83,24 NDC,63323027810,VINBLASTINE 1 MG/ML INTRAVENOUS SOLUTION,511.55,306.93,12.51,415.89,24 NDC,63323028110,FLUPHENAZINE 2.5 MG/ML INJECTION SOLUTION,59.7,35.82,7.12,48.54,34 NDC,63323028301,MEPIVACAINE 1 % (10 MG/ML) INJECTION SOLUTION,87.25,52.35,9.32,70.93,24 NDC,63323028503,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJ SOLN OSM,41.15,24.69,0.118,33.45,24 NDC,63323028507,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJ SOLN OSM,66.25,39.75,0.118,53.86,24 NDC,63323028507,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,66.25,39.75,0.118,53.86,24 NDC,63323028513,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,41.15,24.69,0.118,33.45,24 NDC,63323028561,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,191.65,114.99,0.118,155.81,24 NDC,63323028563,ROPIVACAINE (PF) 2 MG/ML (0.2 %) INJECTION SOLUTION,367.3,220.38,0.118,298.61,24 NDC,63323028663,ROPIVACAINE (PF) 5 MG/ML (0.5 %) INJECTION SOLUTION,57.5,34.5,0.118,46.75,24 NDC,63323029301,MEPIVACAINE (PF) 15 MG/ML (1.5 %) INJECTION SOLUTION,84.8,50.88,9.32,68.94,24 NDC,63323029427,MEPIVACAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,72.25,43.35,9.32,58.74,24 NDC,63323029601,MEPIVACAINE 2 % INJECTION SOLUTION,89.05,53.43,9.32,72.4,24 NDC,63323030626,TOBRAMYCIN 40 MG/ML INJECTION FOR ORAL USE,20.65,12.39,4.13,16.79,24 NDC,63323030630,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,116.1,69.66,5.59,94.39,24 NDC,63323031510,GANCICLOVIR SODIUM 500 MG INTRAVENOUS SOLUTION,471.55,282.93,93.31,383.37,24 NDC,63323034020,CEFEPIME 2 GRAM INJ COMBINED WRAPPER,65.35,39.21,2.88,53.13,24 NDC,63323034020,CEFEPIME 2 GRAM SOLUTION FOR INJECTION,65.35,39.21,2.88,53.13,24 NDC,63323036001,CALCIUM GLUCONATE (PICU-UNC) 100 MG/ML PEDIATRIC BOLUS,105.1,63.06,0.0944,85.45,24 NDC,63323036003,CALCIUM GLUCONATE (PICU-UNC) 100 MG/ML PEDIATRIC BOLUS,176.4,105.84,0.0944,143.41,24 NDC,63323036003,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,74.35,44.61,0.0944,60.45,24 NDC,63323036005,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,74.35,44.61,0.0944,60.45,24 NDC,63323036019,CALCIUM GLUCONATE 100 MG/ML (10 %) INTRAVENOUS SOLUTION,84.05,50.43,0.0944,68.33,24 NDC,63323036061,CALCIUM GLUCONATE (PICU-UNC) 100 MG/ML PEDIATRIC BOLUS,289.8,173.88,0.0944,235.61,24 NDC,63323037601,OCTREOTIDE ACETATE 100 MCG/ML INJECTION SOLUTION,49.95,29.97,1.44,40.61,24 NDC,63323039810,AZITHROMYCIN 500 MG INTRAVENOUS SOLUTION,94.25,56.55,4.81,76.63,24 NDC,63323040220,AZTREONAM 2 GRAM SOLUTION FOR INJECTION,276.3,165.78,5.97,224.63,24 NDC,63323040302,FOSPHENYTOIN 100 MG PE/2 ML INJECTION SOLUTION,40.9,24.54,6.18,33.25,24 NDC,63323040703,CAFFEINE CITRATE 20 MG/ML (FOR ORAL USE) INJECTION SOLUTION,109.4,65.64,2.9,88.94,23 NDC,63323040703,CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) INTRAVENOUS SOLUTION,193.8,116.28,2.9,157.56,24 NDC,63323041112,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,23.0,13.8,0.354,18.7,24 NDC,63323041125,MIDAZOLAM 1 MG/ML INJECTION SOLUTION,23.0,13.8,0.354,18.7,24 NDC,63323041605,CISATRACURIUM 2 MG/ML INTRAVENOUS SOLUTION,79.7,47.82,15.96,64.8,22 NDC,63323045100,MORPHINE 10 MG/ML INJECTION SOLUTION,26.6,15.96,5.33,22.13,24 NDC,63323045200,MORPHINE 2 MG/ML INJECTION PF WRAPPER,26.35,15.81,5.28,22.13,24 NDC,63323045200,MORPHINE 2 MG/ML INJECTION SOLUTION,26.35,15.81,5.28,22.13,24 NDC,63323045400,MORPHINE 4 MG/ML INJECTION SOLUTION,26.35,15.81,5.28,22.13,24 NDC,63323046157,"BUPIVACAINE-EPINEPHRINE 0.25 %-1:200,000 INJECTION SOLUTION",104.3,62.58,20.88,84.8,22 NDC,63323046817,"BUPIVACAINE-EPINEPHRINE (PF) 0.25 %-1:200,000 INJECTION SOLUTION",50.85,30.51,10.18,41.34,22 NDC,63323046901,HALOPERIDOL DECANOATE 50 MG/ML INTRAMUSCULAR SOLUTION,79.9,47.94,10.38,64.96,24 NDC,63323047217,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,43.1,25.86,0.0236,35.04,24 NDC,63323047237,BUPIVACAINE (PF) 0.75 % (7.5 MG/ML) INJECTION SOLUTION,53.45,32.07,0.0236,43.45,24 NDC,63323047827,CHLOROPROCAINE (PF) 30 MG/ML (3 %) INJECTION SOLUTION,117.85,70.71,0.0944,95.81,24 NDC,63323048357,"LIDOCAINE 20 MG/ML (2 %)-EPINEPHRINE 1:100,000 INJECTION SOLUTION",17.0,10.2,0.0236,13.82,24 NDC,63323048837,"LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200,000 INJECTION SOLUTION",18.75,11.25,0.0236,15.24,24 NDC,63323048927,"LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200,000 INJECTION SOLUTION",21.35,12.81,0.0236,17.36,24 NDC,63323049227,LIDOCAINE (PF) 10 MG/ML (1 %) INJECTION SOLUTION,26.75,16.05,0.0236,21.75,24 NDC,63323049507,LIDOCAINE (PF) 20 MG/ML (2 %) ATOMIZED SOLUTION,32.35,19.41,6.48,26.3,22 NDC,63323049507,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,32.35,19.41,0.0236,26.3,24 NDC,63323049527,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,29.35,17.61,0.0236,23.86,24 NDC,63323049697,LIDOCAINE (PF) 20 MG/ML (2 %) INJECTION SOLUTION,47.55,28.53,0.0236,38.66,24 NDC,63323050720,MEROPENEM 500 MG INTRAVENOUS SOLUTION,75.6,45.36,0.9912,61.46,24 NDC,63323050721,MEROPENEM 500 MG SOLUTION FOR IV PUSH,75.6,45.36,0.9912,61.46,24 NDC,63323050830,MEROPENEM 1 GRAM INTRAVENOUS SOLUTION,87.8,52.68,0.9912,71.38,24 NDC,63323050830,MEROPENEM 1 GRAM SOLUTION FOR IV PUSH,87.8,52.68,0.9912,71.38,24 NDC,63323053075,SODIUM CHLORIDE 3 % INTRAVENOUS BOLUS SOLUTION,75.0,45.0,0.2805,60.98,24 NDC,63323054013,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",33.65,20.19,0.4956,27.36,24 NDC,63323056995,ENOXAPARIN 150 MG/ML SUBCUTANEOUS SYRINGE,84.55,50.73,1.39,68.74,24 NDC,63323056999,ENOXAPARIN 120 MG/0.8 ML SUBCUTANEOUS SYRINGE,70.85,42.51,1.39,57.6,24 NDC,63323059303,GLUCAGON 1 MG SOLUTION FOR INJECTION (COMBINED VIALS) WRAPPER,1165.7,699.42,144.52,947.71,34 NDC,63323059710,DEFEROXAMINE 500 MG SOLUTION FOR IV ADMIXTURE USE,83.25,49.95,16.67,67.68,24 NDC,63323061603,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,71.45,42.87,1.01,58.09,24 NDC,63323061710,MILRINONE 1 MG/ML INTRAVENOUS SOLUTION,97.15,58.29,3.42,78.98,24 NDC,63323064220,MAGNESIUM SULFATE 4 MEQ/ML (50 %) INJECTION WRAPPER,20.15,12.09,1.13,16.38,24 NDC,63323064250,MAGNESIUM SULFATE 4 MEQ/ML (50 %) INJECTION WRAPPER,20.25,12.15,1.13,16.46,24 NDC,63323065102,ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION,40.95,24.57,1.25,33.29,24 NDC,63323065903,INDOMETHACIN 1 MG INTRAVENOUS SOLUTION,2284.55,1370.73,457.37,1857.34,22 NDC,63323066401,DIPHENHYDRAMINE 50 MG/ML INJECTION SOLUTION,29.7,17.82,1.79,24.15,24 NDC,63323069030,ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION,27.9,16.74,5.59,22.68,22 NDC,63323071100,LEUCOVORIN CALCIUM 500 MG SOLUTION FOR INJECTION,654.25,392.55,7.6,531.91,24 NDC,63323071313,LINEZOLID (ZYVOX) 2 MG/ML IVPB,222.6,133.56,8.43,180.97,24 NDC,63323072301,REMIFENTANIL 1 MG INTRAVENOUS SOLUTION,241.95,145.17,48.44,196.71,22 NDC,63323073809,FAMOTIDINE 10 MG/ML INTRAVENOUS SOLUTION,64.9,38.94,0.0236,52.76,24 NDC,63323073912,FAMOTIDINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,64.9,38.94,0.0236,52.76,24 NDC,63323075110,PHENYLEPHRINE 10 MG/ML INJECTION SOLUTION,212.7,127.62,0.0236,172.93,24 NDC,63323076316,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",465.05,279.03,0.297,378.09,24 NDC,63323076350,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",843.95,506.37,0.297,686.13,24 NDC,63323080601,FENTANYL (PF) 50 MCG/ML INJECTION SOLUTION,28.65,17.19,2.6,23.29,24 NDC,63323085107,HYDROMORPHONE (PF) 10 MG/ML INJECTION SOLUTION,72.05,43.23,0.2124,58.58,24 NDC,63323088401,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION,74.25,44.55,14.86,60.37,22 NDC,63323088510,LEVOTHYROXINE 20 MCG/ML INTRAVENOUS SOLUTION,419.55,251.73,6.63,341.09,34 NDC,63323088601,SODIUM PHOSPHATE 3 MMOL/ML INTRAVENOUS SOLUTION,428.05,256.83,85.7,348.0,22 NDC,63323096503,POTASSIUM CHLORIDE 2 MEQ/ML INTRAVENOUS SOLUTION,72.65,43.59,0.2596,59.06,24 NDC,63402030230,LURASIDONE 20 MG TABLET,205.2,123.12,41.08,166.83,22 NDC,63402030430,LURASIDONE 40 MG TABLET,205.2,123.12,41.08,166.83,22 NDC,63402091101,ARFORMOTEROL 15 MCG/2 ML SOLUTION FOR NEBULIZATION,94.8,56.88,18.98,77.07,22 NDC,63459010310,RITUXIMAB-ABBS 10 MG/ML INTRAVENOUS SOLUTION,3995.45,2397.27,28.5,3248.3,34 NDC,63459010450,RITUXIMAB-ABBS 10 MG/ML INTRAVENOUS SOLUTION,18877.1,11326.26,28.5,15347.08,34 NDC,63459034804,BENDAMUSTINE (BENDEKA) 25 MG/ML INTRAVENOUS SOLUTION,11159.75,6695.85,13.09,9072.88,34 NDC,63459039008,BENDAMUSTINE 25 MG INTRAVENOUS POWDER FOR SOLUTION,3544.0,2126.4,1.82,2881.27,34 NDC,63459060111,ARSENIC TRIOXIDE 2 MG/ML INTRAVENOUS SOLUTION,5890.65,3534.39,7.91,4789.1,34 NDC,63736012002,PERMETHRIN 1 % TOPICAL LIQUID,13.75,8.25,2.75,11.18,22 NDC,63739047910,BACLOFEN 10 MG TABLET,17.9,10.74,3.58,14.55,22 NDC,63739054410,SPIRONOLACTONE 25 MG TABLET,16.95,10.17,3.39,13.78,22 NDC,63824000815,"GUAIFENESIN ER 600 MG TABLET, EXTENDED RELEASE 12 HR",1.7,1.02,0.34034,1.38,22 NDC,63824005634,DEXTROMETHORPHAN-GUAIFENESIN 30 MG-600 MG TABLET EXTENDED RELEASE12 HR,1.9,1.14,0.38038,1.54,22 NDC,63833038602,HUM PROTHROMBIN CPLX(PCC)4FACT 500 UNIT/20 ML IV KIT,88.95,53.37,2.08,72.32,34 NDC,63833038602,"HUMAN PROTHROMBIN COMPLEX,4-FACTOR 500 UNIT (400-620 UNIT) IV SOLUTION",88.95,53.37,2.08,72.32,34 NDC,63833038702,"HUM PROTHROMBIN CPLX, 4-FACTOR 1,000 UNIT (800-1,240 UNIT) IV SOLUTION",88.95,53.37,2.08,72.32,34 NDC,63833061502,ANTIHEMOPHILIC FACTOR-VWF 250 UNIT-600 UNIT INTRAVENOUS SOLUTION,83.6,50.16,1.45,67.97,34 NDC,63833061602,"ANTIHEMOPHILIC FACTOR-VWF 500 UNIT-1,200 UNIT INTRAVENOUS SOLUTION",83.6,50.16,1.45,67.97,34 NDC,63833061702,"(VWF DOSING) ANTIHEMOPHILIC FACTOR-VWF 1,000 UNIT-2,400 UNIT INTRAVENOUS SOLUTION",83.6,50.16,1.45,67.97,34 NDC,63833076140,"WATER FOR INJECTION, STERILE INJECTION SOLUTION",17.85,10.71,3.57,14.51,22 NDC,63833082502,C1 ESTERASE INHIBITOR 500 UNIT (10 ML) INTRAVENOUS KIT,19451.85,11671.11,73.58,15814.35,34 NDC,63833083501,C1 ESTERASE INHIBITOR 500 UNIT (10 ML) INTRAVENOUS SOLUTION,19451.85,11671.11,73.58,15814.35,34 NDC,64380078706,BUSPIRONE 7.5 MG TABLET,17.05,10.23,3.41,13.86,22 NDC,64764011907,COLCHICINE 0.6 MG TABLET,44.8,26.88,8.97,36.42,22 NDC,64764030020,VEDOLIZUMAB 300 MG INTRAVENOUS SOLUTION,39374.65,23624.79,20.67,32011.59,34 NDC,64764072030,VORTIOXETINE 5 MG TABLET,84.6,50.76,16.94,68.78,22 NDC,64764073030,VORTIOXETINE 10 MG TABLET,84.6,50.76,16.94,68.78,22 NDC,64764091830,FEBUXOSTAT 40 MG TABLET,60.05,36.03,12.02,48.82,22 NDC,64950034247,HYDROCODONE-HOMATROPINE 5 MG-1.5 MG/5 ML ORAL SOLUTION,23.6,14.16,4.72,19.19,22 NDC,64950035904,COCAINE 4 % SOLUTION WRAPPER,757.0,454.2,4.06,615.44,23 NDC,64980013301,DIPYRIDAMOLE 25 MG TABLET,20.75,12.45,4.15,16.87,22 NDC,64980051501,OFLOXACIN 0.3 % EYE DROPS,106.0,63.6,21.22,86.18,22 NDC,65162051210,SALSALATE 500 MG TABLET,17.2,10.32,3.44,13.98,22 NDC,65162051310,SALSALATE 750 MG TABLET,17.6,10.56,3.52,14.31,22 NDC,65162059606,"ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE",20.0,12.0,4.0,16.26,22 NDC,65162064978,OXCARBAZEPINE 300 MG/5 ML (60 MG/ML) ORAL SUSPENSION,25.95,15.57,5.2,21.1,22 NDC,65162069890,GABAPENTIN 250 MG/5 ML ORAL SOLUTION,349.5,209.7,69.97,284.14,22 NDC,65162091446,TOBRAMYCIN 300 MG/5 ML IN 0.225 % SODIUM CHLORIDE FOR NEBULIZATION,83.9,50.34,16.8,68.21,22 NDC,65219005209,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION WRAPPER,87.95,52.77,17.61,71.5,22 NDC,65219005609,POTASSIUM PHOSPHATES-MBASIC AND DIBASIC 3 MMOL/ML INTRAVENOUS SOLUTION WRAPPER,372.1,223.26,74.49,302.52,22 NDC,65219023801,DEXTROSE 5 % IV BOLUS,73.5,44.1,14.71,59.53,19 NDC,65219028100,GADOBUTROL 1 MMOL/ML INTRAVENOUS WRAPPER,11.75,7.05,0.6372,9.55,23 NDC,65219028103,GADOBUTROL 1 MMOL/ML INTRAVENOUS WRAPPER,11.75,7.05,0.6372,9.55,23 NDC,65219028105,GADOBUTROL 1 MMOL/ML INTRAVENOUS WRAPPER,11.75,7.05,0.6372,9.55,23 NDC,65219028108,GADOBUTROL 1 MMOL/ML INTRAVENOUS WRAPPER,11.75,7.05,0.6372,9.55,23 NDC,65219059004,TOCILIZUMAB-AAZG (FOR COVID-19) 20 MG/ML INJECTION (EUA) WRAPPER,1708.1,1024.86,4.29,1388.69,34 NDC,65219059004,TOCILIZUMAB-AAZG (TYENNE) 20 MG/ML INJECTION WRAPPER,1708.1,1024.86,4.29,1388.69,34 NDC,65219059210,TOCILIZUMAB-AAZG (FOR COVID-19) 20 MG/ML INJECTION (EUA) WRAPPER,4175.65,2505.39,4.29,3394.8,34 NDC,65219059210,TOCILIZUMAB-AAZG (TYENNE) 20 MG/ML INJECTION WRAPPER,4175.65,2505.39,4.29,3394.8,34 NDC,65219059420,TOCILIZUMAB-AAZG (FOR COVID-19) 20 MG/ML INJECTION (EUA) WRAPPER,8288.3,4972.98,4.29,6738.39,34 NDC,65219059420,TOCILIZUMAB-AAZG (TYENNE) 20 MG/ML INJECTION WRAPPER,8288.3,4972.98,4.29,6738.39,34 NDC,65250013310,BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION,1113.9,668.34,1.42,905.6,33 NDC,65250026620,BUPIVACAINE LIPOSOME(PF) 1.3 %(13.3 MG/ML) SUSPENSION FOR INFILTRATION,1830.0,1098.0,1.42,1487.79,33 NDC,65517000903,POVIDONE-IODINE 10 % TOPICAL SOLUTION,3.05,1.83,0.61061,2.48,22 NDC,65597040601,FAM-TRASTUZUMAB DERUXTECAN-NXKI 100 MG INTRAVENOUS SOLUTION,13855.5,8313.3,29.08,11264.52,34 NDC,65597080101,DATOPOTAMAB DERUXTECAN-DLNK 100 MG INTRAVENOUS SOLUTION,21795.75,13077.45,50.01,17719.94,34 NDC,65628020605,VANCOMYCIN 50 MG/ML ORAL SOLUTION,24.95,14.97,4.99,20.28,22 NDC,65649030103,RIFAXIMIN 200 MG TABLET,60.95,36.57,12.2,49.55,22 NDC,65649030303,RIFAXIMIN 550 MG TABLET,246.9,148.14,49.43,200.73,22 NDC,65649031112,CHLOROTHIAZIDE 250 MG/5 ML ORAL SUSPENSION,222.95,133.77,44.63,181.26,22 NDC,65649055102,METHYLNALTREXONE 12 MG/0.6 ML SUBCUTANEOUS SOLUTION,531.5,318.9,3.42,432.11,24 NDC,65862001130,SERTRALINE 25 MG TABLET,16.4,9.84,3.28,13.33,22 NDC,65862001701,AMOXICILLIN 500 MG CAPSULE,16.4,9.84,3.28,13.33,22 NDC,65862002106,MIRTAZAPINE 15 MG DISINTEGRATING TABLET,17.75,10.65,3.55,14.43,22 NDC,65862002460,ZIDOVUDINE 300 MG TABLET,19.6,11.76,3.92,15.93,22 NDC,65862004824,ZIDOVUDINE 10 MG/ML ORAL SYRUP,20.5,12.3,4.1,16.67,22 NDC,65862005724,NEVIRAPINE 50 MG/5 ML ORAL SUSPENSION,53.9,32.34,10.79,43.82,22 NDC,65862050220,AMOXICILLIN 500 MG-POTASSIUM CLAVULANATE 125 MG TABLET,17.8,10.68,3.56,14.47,22 NDC,65862053475,AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION,50.45,30.27,10.1,41.02,22 NDC,66215060206,SELEXIPAG 200 MCG TABLET,1039.25,623.55,208.06,844.91,22 NDC,66302001401,DINUTUXIMAB 3.5 MG/ML INTRAVENOUS SOLUTION,84083.0,50449.8,16833.42,68359.48,25 NDC,66302020603,TREPROSTINIL 1.74 MG/2.9 ML (0.6 MG/ML) SOLUTION FOR NEBULIZATION,9504.4,5702.64,1878.77,7727.08,23 NDC,66302061601,TREPROSTINIL 16 MCG CARTRIDGE WITH INHALER,2626.3,1575.78,525.79,2135.18,24 NDC,66302063201,TREPROSTINIL 32 MCG CARTRIDGE WITH INHALER,1136.0,681.6,227.43,923.57,22 NDC,66302064801,TREPROSTINIL 48 MCG CARTRIDGE WITH INHALER,1136.0,681.6,227.43,923.57,22 NDC,66302066401,TREPROSTINIL 64 MCG CARTRIDGE WITH INHALER,2626.3,1575.78,525.79,2135.18,22 NDC,66553000101,ASPIRIN 325 MG TABLET,1.1,0.66,0.22022,0.8943,22 NDC,66553000201,ASPIRIN 81 MG CHEWABLE TABLET,1.1,0.66,0.22022,0.8943,22 NDC,66553000401,CALCIUM 200 MG (AS CALCIUM CARBONATE 500 MG) CHEWABLE TABLET,1.1,0.66,0.22022,0.8943,22 NDC,66553000801,SODIUM BICARBONATE 650 MG TABLET,1.1,0.66,0.22022,0.8943,22 NDC,66733094823,CETUXIMAB 100 MG/50 ML IV,3955.6,2373.36,76.02,3215.9,34 NDC,66733094823,CETUXIMAB IVPB OVER 1 HOUR,3955.6,2373.36,76.02,3215.9,34 NDC,66733094823,CETUXIMAB IVPB OVER 2 HOURS,3955.6,2373.36,76.02,3215.9,34 NDC,66733094823,CETUXIMAB IVPB OVER 3 HOURS,3955.6,2373.36,76.02,3215.9,34 NDC,66733095823,CETUXIMAB IVPB OVER 1 HOUR,7636.2,4581.72,76.02,6208.23,34 NDC,66733095823,CETUXIMAB IVPB OVER 2 HOURS,7636.2,4581.72,76.02,6208.23,34 NDC,66733095823,CETUXIMAB IVPB OVER 3 HOURS,7636.2,4581.72,76.02,6208.23,34 NDC,66758005001,DOCETAXEL (TAXOTERE) 10 MG/ML INJECTION WRAPPER,495.0,297.0,1.04,402.44,24 NDC,66758005003,DOCETAXEL (TAXOTERE) 10 MG/ML INJECTION WRAPPER,2035.0,1221.0,1.04,1654.45,24 NDC,66794001725,ISOFLURANE 99.9 % INHALATION LIQUID,180.0,108.0,36.04,146.34,22 NDC,66794016202,MORPHINE (PF) 25 MG/ML INJECTION SOLUTION,1179.5,707.7,28.44,958.93,24 NDC,66993040732,"CARBAMAZEPINE ER 100 MG CAPSULE,EXTENDED RELEASE 12HR",22.55,13.53,4.51,18.33,22 NDC,66993042385,LANTHANUM 750 MG CHEWABLE TABLET,59.2,35.52,11.85,48.13,22 NDC,66993049036,IBUPROFEN LYSINE (PF) 20 MG/2 ML INTRAVENOUS SOLUTION,1979.25,1187.55,396.25,1609.13,22 NDC,67386013051,EPTINEZUMAB-JJMR 100 MG/ML INTRAVENOUS SOLUTION,8211.3,4926.78,19.37,6675.79,34 NDC,67386082119,DROXIDOPA 200 MG CAPSULE,357.15,214.29,71.5,290.36,22 NDC,67386082219,DROXIDOPA 300 MG CAPSULE,527.7,316.62,105.65,429.02,22 NDC,67457015318,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,75.05,45.03,1.01,61.02,24 NDC,67457015399,AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION,75.45,45.27,1.01,61.34,24 NDC,67457016300,SODIUM TETRADECYL SULFATE 3 % (30 MG/ML) INTRAVENOUS SOLUTION,145.05,87.03,29.04,117.93,22 NDC,67457017750,DIMETHYL SULFOXIDE 50 % INTRAVESICAL SOLUTION,3336.4,2001.84,667.95,2712.49,34 NDC,67457018210,ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION,92.4,55.44,0.5192,75.12,24 NDC,67457019501,MELPHALAN (ALKERAN) SYRINGE,2475.0,1485.0,93.02,2012.17,34 NDC,67457021810,"CLONIDINE (PF) 1,000 MCG/10 ML (100 MCG/ML) EPIDURAL SOLUTION",82.75,49.65,16.57,67.28,24 NDC,67457022005,ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION,568.5,341.1,6.49,462.19,35 NDC,67457022702,COSYNTROPIN 0.25 MG SOLUTION FOR INJECTION,417.2,250.32,59.87,339.18,24 NDC,67457024500,OCTREOTIDE ACETATE 100 MCG/ML (1 ML) INJECTION SYRINGE,23.65,14.19,1.44,19.23,24 NDC,67457025500,LEVETIRACETAM 500 MG/100 ML IN SODIUM CHLORIDE (ISO-OSM) IV PIGGYBACK,112.0,67.2,0.0944,91.06,24 NDC,67457029100,HYDRALAZINE 20 MG/ML INJECTION SOLUTION,70.6,42.36,13.22,57.4,24 NDC,67457034210,VANCOMYCIN 10 GRAM INTRAVENOUS SOLUTION,961.85,577.11,0.0708,781.98,24 NDC,67457034910,AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION,34.0,20.4,3.28,27.64,24 NDC,67457038510,"HEPARIN (PORCINE) 1,000 UNIT/ML INJECTION SOLUTION",34.85,20.91,0.4956,28.33,24 NDC,67457042200,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML INJECTION SOLUTION,24.9,14.94,0.2124,20.24,24 NDC,67457042600,HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTION,17.65,10.59,1.89,14.35,24 NDC,67457042600,HALOPERIDOL LACTATE 5 MG/ML INJECTION WRAPPER,16.85,10.11,1.89,13.7,24 NDC,67457044220,OXALIPLATIN 100 MG/20 ML INTRAVENOUS SOLUTION,715.0,429.0,0.1888,581.29,24 NDC,67457044560,RIFAMPIN 600 MG INTRAVENOUS SOLUTION,710.25,426.15,0.3304,577.43,24 NDC,67457044610,PAMIDRONATE 90 MG/10 ML (9 MG/ML) INTRAVENOUS SOLUTION,128.65,77.19,22.75,104.59,24 NDC,67457045720,FAMOTIDINE 10 MG/ML INTRAVENOUS SOLUTION,64.9,38.94,0.0236,52.76,24 NDC,67457047322,TOBRAMYCIN 40 MG/ML INJECTION SOLUTION,25.05,15.03,5.02,20.37,24 NDC,67457083306,PEGFILGRASTIM-JMDB 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,9514.15,5708.49,96.16,7735.0,34 NDC,67457085730,ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION,907.8,544.68,1.25,738.04,24 NDC,67777000571,WHITE PETROLATUM TOPICAL OINTMENT,4.3,2.58,0.86086,3.5,22 NDC,67850014100,POLIDOCANOL 1 % (20 MG/2 ML) INTRAVENOUS SOLUTION,67.75,40.65,13.56,55.08,22 NDC,67871479006,ETHANOLAMINE OLEATE 5 % INTRAVENOUS SOLUTION,1650.3,990.18,330.39,1448.89,34 NDC,67877014601,TEMAZEPAM 15 MG CAPSULE,22.3,13.38,4.46,18.13,22 NDC,67877017030,ONDANSETRON HCL 8 MG TABLET,18.2,10.92,3.64,14.8,22 NDC,67877041933,LINEZOLID 600 MG TABLET,30.0,18.0,6.01,24.39,22 NDC,67877052790,SOLIFENACIN 5 MG TABLET,17.6,10.56,3.52,14.31,22 NDC,67877054798,CEFDINIR 125 MG/5 ML ORAL SUSPENSION,46.1,27.66,9.23,37.48,22 NDC,67919003001,CEFTOLOZANE-TAZOBACTAM 1.5 GRAM INTRAVENOUS SOLUTION,809.35,485.61,8.8,658.0,34 NDC,68001016100,PROMETHAZINE 12.5 MG TABLET,16.5,9.9,3.3,13.41,22 NDC,68001023700,CLONIDINE HCL 0.1 MG TABLET,16.2,9.72,3.24,13.17,22 NDC,68001023800,CLONIDINE HCL 0.2 MG TABLET,16.25,9.75,3.25,13.21,22 NDC,68001024200,ZONISAMIDE 25 MG CAPSULE,16.85,10.11,3.37,13.7,22 NDC,68001025317,FLUCONAZOLE 150 MG TABLET,24.1,14.46,4.82,19.59,22 NDC,68001026525,ETOPOSIDE 20 MG/ML INTRAVENOUS SOLUTION,316.25,189.75,2.22,257.11,24 NDC,68001033308,LISINOPRIL 5 MG TABLET,16.15,9.69,3.23,13.13,22 NDC,68001039900,FLUOXETINE 10 MG CAPSULE,16.25,9.75,3.25,13.21,22 NDC,68001040008,FLUOXETINE 20 MG CAPSULE,16.2,9.72,3.24,13.17,22 NDC,68084004511,PAROXETINE 20 MG TABLET,17.3,10.38,3.46,14.06,22 NDC,68084009711,ATORVASTATIN 10 MG TABLET,17.5,10.5,3.5,14.23,22 NDC,68084010411,ZIPRASIDONE 40 MG CAPSULE,27.1,16.26,5.43,22.03,22 NDC,68084015511,PROMETHAZINE 25 MG TABLET,17.7,10.62,3.54,14.39,22 NDC,68084020211,PRIMIDONE 50 MG TABLET,19.3,11.58,3.86,15.69,22 NDC,68084020411,MINOXIDIL 2.5 MG TABLET,18.1,10.86,3.62,14.72,22 NDC,68084020511,MINOXIDIL 10 MG TABLET,18.6,11.16,3.72,15.12,22 NDC,68084022911,AZATHIOPRINE 50 MG TABLET,18.75,11.25,0.1416,15.24,24 NDC,68084024311,CLINDAMYCIN HCL 150 MG CAPSULE,17.8,10.68,3.56,14.47,22 NDC,68084026911,HYDROXYCHLOROQUINE 200 MG TABLET,23.8,14.28,4.76,19.35,22 NDC,68084027001,RISPERIDONE 0.25 MG TABLET,16.95,10.17,3.39,13.78,22 NDC,68084027211,RISPERIDONE 1 MG TABLET,17.7,10.62,3.54,14.39,22 NDC,68084028411,HYDROXYUREA 500 MG CAPSULE,28.7,17.22,5.75,23.33,22 NDC,68084028811,FLUDROCORTISONE 0.1 MG TABLET,19.4,11.64,3.88,15.77,22 NDC,68084029121,NALTREXONE 50 MG TABLET,27.55,16.53,5.52,22.4,22 NDC,68084031311,"DIVALPROEX 125 MG CAPSULE,DELAYED RELEASE SPRINKLE",19.4,11.64,3.88,15.77,22 NDC,68084031801,LAMOTRIGINE 25 MG TABLET,16.75,10.05,3.35,13.62,22 NDC,68084034411,TOPIRAMATE 100 MG TABLET,17.9,10.74,3.58,14.55,22 NDC,68084034711,LOSARTAN 50 MG TABLET,18.45,11.07,3.69,15.0,22 NDC,68084034801,LOSARTAN 100 MG TABLET,18.8,11.28,3.76,15.28,22 NDC,68084044911,"TACROLIMUS 0.5 MG CAPSULE, IMMEDIATE-RELEASE",23.95,14.37,0.4012,19.47,24 NDC,68084045011,"TACROLIMUS 1 MG CAPSULE, IMMEDIATE-RELEASE",22.0,13.2,0.4012,17.89,24 NDC,68084053611,CLOPIDOGREL 75 MG TABLET,17.05,10.23,3.41,13.86,22 NDC,68084053911,TORSEMIDE 20 MG TABLET,17.45,10.47,3.49,14.19,22 NDC,68084059811,"NIFEDIPINE ER 60 MG TABLET,EXTENDED RELEASE 24 HR",25.9,15.54,5.19,21.06,22 NDC,68084061711,ESCITALOPRAM 10 MG TABLET,17.0,10.2,3.4,13.82,22 NDC,68084065195,CLARITHROMYCIN 500 MG TABLET,35.95,21.57,7.2,29.23,22 NDC,68084065411,SOTALOL 80 MG TABLET,21.1,12.66,4.22,17.15,22 NDC,68084069811,"VENLAFAXINE ER 37.5 MG CAPSULE,EXTENDED RELEASE 24 HR",18.0,10.8,3.6,14.63,22 NDC,68084070895,"BUPROPION HCL SR 150 MG TABLET,SUSTAINED-RELEASE (COMBINED) WRAPPER",18.45,11.07,3.69,15.0,22 NDC,68084074011,OLANZAPINE 10 MG TABLET,19.15,11.49,3.83,15.57,22 NDC,68084076495,SODIUM DI- AND MONOPHOSPHATE-POTASSIUM PHOS MONOBASIC 250 MG TABLET,3.1,1.86,0.62062,2.52,22 NDC,68084085911,LEVETIRACETAM 250 MG TABLET,17.0,10.2,3.4,13.82,22 NDC,68084090711,"MYCOPHENOLATE SODIUM 180 MG TABLET,DELAYED RELEASE",30.9,18.54,0.8024,25.12,24 NDC,68084092895,PILOCARPINE 5 MG TABLET,25.1,15.06,5.03,20.41,22 NDC,68094000162,MORPHINE 10 MG/5 ML ORAL SOLUTION,26.1,15.66,5.23,21.22,22 NDC,68094012959,LOPERAMIDE 1 MG/7.5 ML ORAL LIQUID,5.1,3.06,1.02,4.15,22 NDC,68094019359,VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) ORAL SOLUTION,18.5,11.1,3.7,15.04,22 NDC,68094049459,IBUPROFEN 100 MG/5 ML ORAL SUSPENSION,2.25,1.35,0.45045,1.83,22 NDC,68094076459,MIDAZOLAM 10 MG/5 ML (2 MG/ML) ORAL SYRUP,40.35,24.21,8.08,32.8,22 NDC,68094076459,MIDAZOLAM 2 MG/ML ORAL LIQUID WRAPPER,40.35,24.21,8.08,32.8,22 NDC,68135010001,ELOSULFASE ALFA 5 MG/5 ML (1 MG/ML) INTRAVENOUS SOLUTION,6392.4,3835.44,299.42,5197.02,34 NDC,68176000017,TOCOPHERSOLAN (VITAMIN E TPGS) 75 UNIT/ML ORAL DROPS,66.1,39.66,13.23,53.74,22 NDC,68180012101,CEPHALEXIN 250 MG CAPSULE,16.7,10.02,3.34,13.58,22 NDC,68180015001,FAMOTIDINE 40 MG/5 ML (8 MG/ML) ORAL SUSPENSION,47.5,28.5,9.51,38.62,22 NDC,68180028001,ETHAMBUTOL 100 MG TABLET,17.85,10.71,3.57,14.51,22 NDC,68180033107,ZIPRASIDONE 20 MG CAPSULE,21.35,12.81,4.27,17.36,22 NDC,68180065701,DOXYCYCLINE MONOHYDRATE 25 MG/5 ML ORAL SUSPENSION,25.15,15.09,5.04,20.45,22 NDC,68180071160,CEFDINIR 300 MG CAPSULE,18.7,11.22,3.74,15.2,22 NDC,68180082147,"LANTHANUM 1,000 MG CHEWABLE TABLET",38.25,22.95,7.66,31.1,22 NDC,68220011210,HYOSCYAMINE SULFATE 0.125 MG TABLET,27.85,16.71,5.58,22.64,22 NDC,68382001801,VENLAFAXINE 25 MG TABLET,17.3,10.38,3.46,14.06,22 NDC,68382005101,MELOXICAM 15 MG TABLET,16.2,9.72,3.24,13.17,22 NDC,68382052860,CHOLESTYRAMINE (WITH SUGAR) 4 GRAM POWDER FOR SUSP IN A PACKET,24.2,14.52,4.84,19.67,22 NDC,68382091010,DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION,164.5,98.7,0.2596,133.74,24 NDC,68462010230,FLUCONAZOLE 100 MG TABLET,20.0,12.0,4.0,16.26,22 NDC,68462010430,FLUCONAZOLE 200 MG TABLET,21.35,12.81,4.27,17.36,22 NDC,68462016301,CARVEDILOL 6.25 MG TABLET,16.25,9.75,3.25,13.21,22 NDC,68462025301,ROPINIROLE 0.25 MG TABLET,16.5,9.9,3.3,13.41,22 NDC,68462029201,"VERAPAMIL ER (SR) 120 MG TABLET,EXTENDED RELEASE",18.45,11.07,3.69,15.0,22 NDC,68462029301,"VERAPAMIL ER (SR) 180 MG TABLET,EXTENDED RELEASE",17.3,10.38,3.46,14.06,22 NDC,68462040601,INDOMETHACIN 25 MG CAPSULE,16.9,10.14,3.38,13.74,22 NDC,68462058576,APREPITANT 125 MG CAPSULE,1034.85,620.91,6.44,841.33,24 NDC,68462068201,SIROLIMUS 0.5 MG TABLET,32.0,19.2,2.05,26.02,23 NDC,68516320502,"FACTOR IX COMPLEX NO.4, 3-FACTOR 1,000 (+/-) UNIT INTRAVENOUS SOLUTION",82.95,49.77,1.65,67.44,34 NDC,68516320602,"FACTOR IX COMPLEX NO.4, 3-FACTOR 1,500 (+/-) UNIT INTRAVENOUS SOLUTION",82.95,49.77,1.65,67.44,34 NDC,68516321001,"FACTOR IX COMPLEX NO.4, 3-FACTOR 500 (+/-) UNIT INTRAVENOUS SOLUTION",83.1,49.86,1.65,67.56,34 NDC,68546031730,GLATIRAMER 20 MG/ML SUBCUTANEOUS SYRINGE,1095.0,657.0,150.45,890.24,34 NDC,68682000710,DILTIAZEM 60 MG TABLET,21.25,12.75,4.25,17.28,22 NDC,68682092064,TETRACAINE 0.5 % EYE DROPS,286.0,171.6,57.26,232.52,22 NDC,68682099798,"DILTIAZEM CD 240 MG CAPSULE,EXTENDED RELEASE 24 HR",21.35,12.81,4.27,17.36,22 NDC,68727071201,LURBINECTEDIN 4 MG INTRAVENOUS SOLUTION,36575.0,21945.0,200.92,29735.47,34 NDC,68727074501,DAUNORUBICIN 44 MG AND CYTARABINE 100 MG IN LIPOSOME IV SOLUTION,48587.0,29152.2,248.41,39501.23,34 NDC,68817013450,PACLITAXEL-PROTEIN BOUND (ABRAXANE) IVPB,7227.3,4336.38,10.22,5875.79,34 NDC,68992301003,"TACROLIMUS XR 1 MG TABLET,EXTENDED RELEASE 24 HR",44.3,26.58,4.32,36.02,24 NDC,68992304001,"TACROLIMUS XR 4 MG TABLET,EXTENDED RELEASE 24 HR",129.2,77.52,4.32,105.04,24 NDC,69097087067,LANREOTIDE 120 MG/0.5 ML SUBCUTANEOUS SYRINGE,40477.65,24286.59,28.94,32908.33,34 NDC,69238106001,CHLORPROMAZINE 100 MG TABLET,25.05,15.03,5.02,20.37,22 NDC,69238145902,POTASSIUM CHLORIDE 20 MEQ/15 ML ORAL LIQUID,189.15,113.49,37.87,153.78,22 NDC,69315012701,FOLIC ACID 1 MG TABLET,16.8,10.08,3.36,13.66,22 NDC,69339013817,CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH,18.55,11.13,3.71,15.08,22 NDC,69367026701,PRENATAL VITAMINS WITH CALCIUM NO.72-IRON 27 MG-FOLIC ACID 1 MG TABLET,1.15,0.69,0.23023,0.93495,22 NDC,69374091450,SODIUM BICARBONATE 1 MEQ/ML INJ SOLUTION WRAPPER (MULTI-VIAL SIZE),88.2,52.92,17.66,71.71,22 NDC,69374092510,EPINEPHRINE 0.1 MG/ML INJECTION SYRINGE WRAPPER,38.75,23.25,1.13,31.5,24 NDC,69374093503,ATROPINE 1.2 MG/3 ML (0.4 MG/ML) IN 0.9 % SODIUM CHLORIDE IV SYRINGE,65.65,39.39,0.198,53.37,24 NDC,69374098255,KETAMINE 10 MG/ML INJECTION SYRINGE WRAPPER,37.0,22.2,7.41,30.08,22 NDC,69452014320,BENZONATATE 100 MG CAPSULE,17.2,10.32,3.44,13.98,22 NDC,69452020907,NIMODIPINE 30 MG CAPSULE,27.5,16.5,5.51,22.36,22 NDC,69616027230,PERAMPANEL 2 MG TABLET,84.1,50.46,16.84,68.37,22 NDC,69680011310,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",16.75,10.05,2.36,13.62,24 NDC,69680012130,"CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION",16.9,10.14,2.36,13.74,24 NDC,69853010201,"FACTOR XA,INACTIVATED-ZHZO (RECOMBINANT) 200 MG INTRAVENOUS SOLUTION",10077.0,6046.2,127.44,8192.6,34 NDC,69918072010,ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION,1199.0,719.4,7.91,974.79,34 NDC,69918090110,DESMOPRESSIN 4 MCG/ML INJECTION SOLUTION,1813.25,1087.95,3.41,1474.17,34 NDC,69968006003,"BACITRACIN 500 UNIT-POLYMYXIN B 10,000 UNIT/GRAM TOPICAL OINTMENT (+/- ZINC) WRAPPER",7.1,4.26,1.42,5.77,22 NDC,70020191101,IXABEPILONE 45 MG INTRAVENOUS SOLUTION,26867.2,16120.32,135.03,21843.03,34 NDC,70069010101,METHOCARBAMOL 100 MG/ML INJECTION SOLUTION,53.55,32.13,10.72,43.54,24 NDC,70092100437,AMIODARONE 450 MG/250 ML (1.8 MG/ML) IN DEXTROSE 5 % INTRAVENOUS SOLN,80.5,48.3,1.01,65.45,24 NDC,70092106807,OXYTOCIN 30 UNIT/500 ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS,84.0,50.4,3.37,68.29,23 NDC,70092109844,FENTANYL (PF) 250 MCG/5 ML (50 MCG/ML) INTRAVENOUS SYRINGE,38.4,23.04,2.6,31.22,24 NDC,70092110436,FENTANYL (PF) 2 MCG/ML-BUPIVACAINE 0.125 %-NACL INJECTION SOLUTION,86.5,51.9,17.32,70.32,22 NDC,70092111450,HYDROMORPHONE 10 MG/50 ML (0.2 MG/ML) IN NS PCA SYRINGE (WRAPPER),48.45,29.07,0.2124,39.39,24 NDC,70092112548,MORPHINE 30 MG/30 ML (1 MG/ML) IN 0.9 % SODIUM CHLORIDE IV PCA SYRINGE,46.3,27.78,5.14,37.64,24 NDC,70092113036,MORPHINE 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS WRAPPER,61.0,36.6,5.14,49.59,24 NDC,70092114843,SODIUM CITRATE 4 % (3 ML) INTRA-CATHETER INJECTION SYRINGE,57.75,34.65,11.56,46.95,22 NDC,70092117343,ATROPINE 0.8 MG/2 ML (0.4 MG/ML) INTRAVENOUS SYRINGE,70.45,42.27,0.198,57.28,24 NDC,70092141836,MIDAZOLAM (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION,76.0,45.6,0.462,61.79,24 NDC,70092141836,MIDAZOLAM 1 MG/ML INFUSION WRAPPER,76.0,45.6,0.354,61.79,24 NDC,70092154635,HYDROMORPHONE 1 MG/ML IN NS INFUSION WRAPPER,73.6,44.16,0.2124,59.84,24 NDC,70092161144,LIDOCAINE 4 %-RACEPINEPHRINE 0.05 %-TETRACAINE 0.5 % TOPICAL GEL,47.8,28.68,9.57,38.86,22 NDC,70092161746,EPINEPHRINE HCL 100 MCG/10 ML (10 MCG/ML) IN D5W INTRAVENOUS SYRINGE,18.4,11.04,1.13,14.96,24 NDC,70092247744,EPHEDRINE (PF) 50 MG/5 ML (10 MG/ML) IN 0.9% SOD. CHLORIDE IV SYRINGE,217.35,130.41,43.51,176.71,22 NDC,70092954635,HYDROMORPHONE (PF) 1 MG/ML IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLN,80.05,48.03,0.2124,65.08,24 NDC,70114010101,PEGFILGRASTIM-CBQV 6 MG/0.6 ML SUBCUTANEOUS SYRINGE,19012.25,11407.35,103.14,15456.96,34 NDC,70114013001,PEGFILGRASTIM-CBQV 6 MG/0.6 ML (DELIVERABLE) WEARABLE SUBCUT INJECTOR,19012.25,11407.35,103.14,15456.96,34 NDC,70121116801,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,55.45,33.27,1.98,45.08,24 NDC,70121116901,TRIAMCINOLONE ACETONIDE 40 MG/ML SUSPENSION FOR INJECTION,45.5,27.3,1.98,36.99,24 NDC,70121156801,FILGRASTIM-AYOW 300 MCG/0.5 ML SUBCUTANEOUS SYRINGE,739.45,443.67,0.3686,601.17,34 NDC,70121157001,FILGRASTIM-AYOW 480 MCG/0.8 ML SUBCUTANEOUS SYRINGE,1173.55,704.13,0.3686,954.1,34 NDC,70127010001,CANNABIDIOL 100 MG/ML ORAL SOLUTION,5146.0,3087.6,1030.23,4183.7,22 NDC,70199002611,"VITAMIN A PALMITATE 15,000 MCG RAE/ML (50,000 UNIT/ML) INTRAMUSCULAR SOLUTION",1651.2,990.72,330.57,1342.43,22 NDC,70257056001,BACLOFEN 500 MCG/ML INTRATHECAL SOLUTION,18.7,11.22,3.74,490.35,34 NDC,70257056211,BACLOFEN 50 MCG/ML INTRATHECAL SOLUTION,91.05,54.63,18.23,182.95,24 NDC,70382020488,DEXAMETHASONE 0.4 MG INTRACANALICULAR INSERT,2928.0,1756.8,99.04,2380.46,33 NDC,70461002503,FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE,257.3,154.38,51.51,232.85,26 NDC,70512084111,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION NON-PVC,75.6,45.36,15.14,61.24,19 NDC,70515026210,DIGOXIN 100 MCG/ML (0.1 MG/ML) INJECTION SOLUTION,642.7,385.62,10.89,522.52,24 NDC,70700029022,TESTOSTERONE CYPIONATE 200 MG/ML INTRAMUSCULAR OIL,28.7,17.22,0.0708,23.33,24 NDC,70710147801,FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION,6363.0,3817.8,6.09,5173.12,34 NDC,70710185207,INDOMETHACIN 50 MG RECTAL SUPPOSITORY,1391.25,834.75,278.53,1131.09,22 NDC,70720072010,ZICONOTIDE 100 MCG/ML INTRATHECAL SOLUTION,5590.45,3354.27,9.84,4545.04,34 NDC,70720072210,ZICONOTIDE 100 MCG/ML INTRATHECAL SOLUTION,26468.35,15881.01,9.84,21518.77,34 NDC,70720072310,ZICONOTIDE 25 MCG/ML INTRATHECAL SOLUTION,26468.35,15881.01,9.84,21518.77,34 NDC,70720095036,GOSERELIN 3.6 MG SUBCUTANEOUS IMPLANT,5220.4,3132.24,711.66,4244.19,34 NDC,70720095130,GOSERELIN 10.8 MG SUBCUTANEOUS IMPLANT,13881.15,8328.69,711.66,11285.37,34 NDC,70756062925,PHENYLEPHRINE 2.5 % EYE DROPS,113.5,68.1,22.72,92.28,22 NDC,70839015030,ALISKIREN 150 MG TABLET,62.05,37.23,12.42,50.45,22 NDC,70842012001,MEROPENEM-VABORBACTAM 2 GRAM INTRAVENOUS SOLUTION,997.5,598.5,2.11,810.97,34 NDC,70860020005,"PACLITAXEL 6 MG/ML CONCENTRATE,INTRAVENOUS",319.0,191.4,0.297,259.35,24 NDC,70954001410,THIOTHIXENE 1 MG CAPSULE,19.8,11.88,3.96,16.1,22 NDC,70954001610,THIOTHIXENE 5 MG CAPSULE,23.65,14.19,4.73,19.23,22 NDC,71285702201,"HEPARIN (PORCINE) 4,000 UNIT/1,000 ML (4 UNIT/ML) IN 0.9% NACL IV SOLN",122.5,73.5,0.4956,99.59,24 NDC,71288011706,GEMCITABINE 38 MG/ML INJECTABLE SOLUTION WRAPPER,308.3,184.98,7.39,250.65,24 NDC,71288070105,ATRACURIUM 10 MG/ML INTRAVENOUS SOLUTION,37.55,22.53,7.52,30.53,22 NDC,71399100506,GUAIFENESIN 100 MG/5 ML ORAL LIQUID,1.1,0.66,0.22022,0.8943,22 NDC,71399823708,SENNOSIDES 8.8 MG/5 ML ORAL SYRUP,1.15,0.69,0.23023,0.93495,22 NDC,71449000115,PHENYLEPHRINE 1 MG/10 ML (100 MCG/ML) IN 0.9 % SOD.CHLORIDE IV WRAPPER,19.05,11.43,0.0236,15.49,24 NDC,71449000115,PHENYLEPHRINE FOR PRIAPISM 100 MCG/ML VIAL/SYRINGE WRAPPER,46.5,27.9,0.0236,37.8,24 NDC,71449006811,KETAMINE 50 MG/5 ML (10 MG/ML) IN SODIUM CHLORIDE IV SYRINGE WRAPPER,44.5,26.7,8.91,36.18,22 NDC,71449009042,LIDOCAINE 1 %-PHENYLEPHRINE 1.5 % IN STERILE WATER INTRAOCULAR SOLN,131.6,78.96,26.35,106.99,22 NDC,71449009190,BEVACIZUMAB 2.75 MG/0.11 ML INTRAVITREAL SYRINGE,352.45,211.47,1.78,286.54,35 NDC,71449009199,BEVACIZUMAB 2.25 MG/0.09 ML INTRAVITREAL SYRINGE,291.3,174.78,1.78,236.83,35 NDC,71449010811,DEXMEDETOMIDINE 20 MCG/5 ML SYRINGE (OR),119.7,71.82,23.96,97.32,22 NDC,71699005030,CENOBAMATE 50 MG TABLET,143.55,86.13,28.74,116.71,22 NDC,71699020030,CENOBAMATE 200 MG TABLET,143.55,86.13,28.74,116.71,22 NDC,71773005005,ERAVACYCLINE 50 MG INTRAVENOUS SOLUTION,344.75,206.85,3.14,280.28,24 NDC,71839011801,"HEPARIN, PORCINE (PF) 5,000 UNIT/0.5 ML INJECTION SOLUTION",34.2,20.52,0.4956,27.8,24 NDC,72140000022,WHITE PETROLATUM-MINERAL OIL-LANOLIN TOPICAL CREAM WRAPPER,12.4,7.44,2.48,10.08,22 NDC,72140045231,WHITE PETROLATUM 41 % TOPICAL OINTMENT,8.6,5.16,1.72,6.99,22 NDC,72493010140,MITOMYCIN 40 MG X 2 INTRA-PYELOCALYCEAL KIT,110033.0,66019.8,308.97,89456.83,34 NDC,72493010220,DILUENT FOR MITOMYCIN INTRA-PYELOCALYCEAL SOLUTION,0.2,0.12,0.04004,0.1626,22 NDC,72512092801,CAPSAICIN-SKIN CLEANSER 8 % TOPICAL KIT,2741.35,1644.81,3.32,2228.72,34 NDC,72694095401,PEGASPARGASE (ONCASPAR) SYRINGE,118261.7,70957.02,23675.99,96146.76,34 NDC,72903085301,MIRVETUXIMAB SORAVTANSINE-GYNX 5 MG/ML INTRAVENOUS SOLUTION,30117.4,18070.44,67.41,24485.45,34 NDC,73302045601,ULIPRISTAL 30 MG TABLET,171.0,102.6,34.23,139.02,22 NDC,73462010101,TRILACICLIB 300 MG INTRAVENOUS SOLUTION,6743.5,4046.1,5.3,5482.47,34 NDC,73535020801,TAFASITAMAB-CXIX 200 MG INTRAVENOUS SOLUTION,6416.85,3850.11,13.88,5216.9,34 NDC,73556016802,AVACOPAN 10 MG CAPSULE,413.35,248.01,82.75,336.05,22 NDC,73606001001,"PEGCETACOPLAN 1,080 MG/20 ML SUBCUTANEOUS SOLUTION",20471.0,12282.6,4098.29,16642.92,22 NDC,74300000071,ZINC OXIDE-COD LIVER OIL 40 % TOPICAL PASTE,10.85,6.51,2.17,8.82,22 NDC,75834017001,ZINC OXIDE 20 % TOPICAL OINTMENT,9.15,5.49,1.83,7.44,22 NDC,75987013015,TEPROTUMUMAB-TRBW 500 MG INTRAVENOUS SOLUTION,75742.6,45445.56,348.41,61578.73,34 NDC,76045000401,MORPHINE 2 MG/ML INJECTION SYRINGE,30.65,18.39,6.14,24.92,24 NDC,76045000510,MORPHINE 4 MG/ML INJECTION SYRINGE,26.35,15.81,5.28,22.13,24 NDC,76075010101,CARFILZOMIB (KYPROLIS) IVPB 2 MG/ML,15838.65,9503.19,53.98,12876.82,34 NDC,76075010101,CARFILZOMIB 60 MG INTRAVENOUS SOLUTION,15838.65,9503.19,53.98,12876.82,34 NDC,76204080011,LEVALBUTEROL 0.63 MG/3 ML SOLUTION FOR NEBULIZATION,22.4,13.44,4.48,18.21,22 NDC,76329124001,PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SYRINGE,72.3,43.38,6.44,58.78,24 NDC,76329124001,PHYTONADIONE 1 MG/0.5 ML INJ SOLUTION (MULTI-VIAL SIZE),128.55,77.13,6.44,104.51,23 NDC,76329301505,LIDOCAINE 2 % MUCOSAL JELLY IN APPLICATOR,23.65,14.19,4.73,19.23,22 NDC,76329335201,SODIUM BICARBONATE 1 MEQ/ML (8.4 %) INJECTION (COMBINED) WRAPPER,104.4,62.64,20.9,84.88,22 NDC,76329336901,NALOXONE 1 MG/ML INJECTION SYRINGE,166.15,99.69,0.1888,135.08,24 NDC,76329630005,LIDOCAINE HCL 4 % LARYNGOTRACHEAL SOLUTION,106.6,63.96,21.34,86.67,22 NDC,76329826101,LORAZEPAM 2 MG/ML INJECTION SOLUTION,22.75,13.65,3.26,18.5,24 NDC,76385012301,METHOCARBAMOL 500 MG TABLET,16.35,9.81,3.27,13.29,22 NDC,77333086110,MULTIVITAMIN-IRON 9 MG-FOLIC ACID 400 MCG-CALCIUM AND MINERALS TABLET,1.25,0.75,0.25025,1.02,22 NDC,77333093410,THIAMINE MONONITRATE (VITAMIN B1) 100 MG TABLET,1.3,0.78,0.26026,1.06,22 NDC,77333093725,CYANOCOBALAMIN (VIT B-12) 500 MCG TABLET,1.3,0.78,0.26026,1.06,22 NDC,77333095125,"VITAMIN E (DL, ACETATE) 180 MG (400 UNIT) CAPSULE",1.4,0.84,0.28028,1.14,22 NDC,77333098325,ZINC SULFATE 50 MG ZINC (220 MG) CAPSULE,1.4,0.84,0.28028,1.14,22 NDC,79952011001,LONCASTUXIMAB TESIRINE-LPYL 10 MG INTRAVENOUS SOLUTION,124890.65,74934.39,210.39,101536.1,34 NDC,80681000500,"CALCIUM 600 MG (AS CALCIUM CARBONATE 1,500 MG) TABLET",1.05,0.63,0.21021,0.85365,22 NDC,80681014000,CALCIUM 200 MG (AS CALCIUM CITRATE 950 MG) TABLET,1.1,0.66,0.22022,0.8943,22 NDC,80803015350,SIROLIMUS-PROTEIN BOUND 100 MG INTRAVENOUS SUSPENSION,36433.75,21860.25,82.03,29620.64,34 NDC,81960003103,PEMIVIBART 125 MG/ML INTRAVENOUS SOLUTION (EUA),26733.05,16039.83,5351.96,21733.97,25 NDC,82584079201,LIDOCAINE (PF) 3.5 % EYE GEL,86.1,51.66,17.24,70.0,22 NDC,82625880101,NALOXEGOL 12.5 MG TABLET,74.2,44.52,14.85,60.32,22 NDC,82625880203,NALOXEGOL 25 MG TABLET,74.2,44.52,14.85,60.32,22 NDC,82959011101,IMETELSTAT 188 MG INTRAVENOUS SOLUTION,43783.25,26269.95,55.32,35595.78,34 NDC,82959011201,IMETELSTAT 47 MG INTRAVENOUS SOLUTION,10993.1,6595.86,55.32,8937.39,34 NDC,87701040749,"CHOLECALCIFEROL (VITAMIN D3) 25 MCG (1,000 UNIT) TABLET",1.05,0.63,0.21021,0.85365,22 NDC,87701055284,DIPHENHYDRAMINE-ZINC ACETATE 2 %-0.1 % TOPICAL CREAM,4.25,2.55,0.85085,3.46,22 NDC,87701088827,ALUMINUM HYDROX-MAGNESIUM CARB 95 MG-358 MG/15 ML ORAL SUSPENSION,1.25,0.75,0.25025,1.02,22 NDC,87701088843,PSEUDOEPHEDRINE 15 MG/5 ML ORAL LIQUID,1.3,0.78,0.26026,1.06,22 NDC,99990000435,CEFTAZIDIME 2.25% (22.5 MG/ML) INTRAOCULAR SYRINGE,63.05,37.83,3.71,51.26,24 NDC,99990000829,STUDY C25003 BRENTUXIMAB VEDOTIN 50 MG INTRAVENOUS SOLN,0.2,0.12,0.04004,720.99,34 NDC,99990000832,SMOG ENEMA 480ML,4.75,2.85,0.95095,3.86,22 NDC,99990001073,STUDY CMX-2043/PLACEBO 25MG/ML INTRAVENOUS SOLUTION,0.2,0.12,0.04004,0.162,19 NDC,99990001173,STUDY BI 1321.3 IDARUCIZUMAB 50 MG/ML INTRAVENOUS SOLUTION,0.2,0.12,0.04004,0.162,19 NDC,99999000084,"FENTANYL 12.5 MCG, BUPIVACAINE 0.2% (1.25 ML SYRINGE) CSE",22.65,13.59,4.53,18.41,22 NDC,99999000101,STUDY RESEARCH STUDY DRUG FROM OUTSIDE FACILITY,0.2,0.12,0.04004,0.162,19 NDC,99999000365,DIGOXIN 25 MCG/ML NEONATAL DILUTION,66.2,39.72,10.89,53.82,24 NDC,99999000366,HYDRALAZINE 0.5 MG/ML PEDIATRIC DILUTION,66.8,40.08,13.22,54.31,24 NDC,99999000388,SUCRALFATE 100 MG/ML ORAL SUSPENSION,28.75,17.25,5.76,23.37,22 NDC,99999000389,PANTOPRAZOLE 2 MG/ML ORAL SUSPENSION,27.05,16.23,5.42,21.99,22 NDC,99999000444,TOLUIDINE BLUE 1 % SOLUTION,24.2,14.52,4.84,19.67,22 NDC,99999000450,EPINEPHRINE 0.3MG/0.3ML OPHTH INJECTION,17.55,10.53,1.13,14.27,24 NDC,99999000515,HEPARIN 500 UNITS IN 500 ML NS (FOR VASCULAR SERVICE),94.5,56.7,0.4956,76.83,24 NDC,99999000517,PHENYLEPHRINE 4 MG/50 ML (80 MCG/ML) IN 0.9% SODIUM CHLORIDE,71.4,42.84,0.0236,58.05,24 NDC,99999000525,ENOXAPARIN 20 MG/ML DILUTION PEDIATRIC INJECTION,120.55,72.33,1.39,98.01,24 NDC,99999000526,COSYNTROPIN 2.5 MCG/ML DILUTION INJECTION,64.0,38.4,12.81,76.28,24 NDC,99999000557,NEONATAL AA 3.75%/HEPARIN 0.5 UNIT/ML/ D10W 200ML,78.35,47.01,15.69,63.7,22 NDC,99999000558,PAIN CLINIC SYRINGE (COMPOUNDED PRODUCT),0.2,0.12,0.04004,0.1626,26 NDC,99999000570,DEXMEDETOMIDINE 200 MCG/50 ML (4 MCG/ML) NS PEDIATRIC INFUSION,180.6,108.36,36.16,146.83,22 NDC,99999000576,POTASSIUM CHLORIDE 0.2 MEQ/ML (CENTRAL LINE) IV PEDIATRIC,74.35,44.61,0.2596,60.45,24 NDC,99999000577,POTASSIUM CHLORIDE 0.1 MEQ/ML (PERIPHERAL LINE) IV PEDIATRIC,83.6,50.16,0.2596,67.72,20 NDC,99999000578,DEXMEDETOMIDINE 4 MCG/ML BOLUS FROM INFUSION (CSAC),0.2,0.12,0.04004,0.1626,22 NDC,99999000579,ESMOLOL 500 MG/50 ML NS SYRINGE,171.8,103.08,0.5192,139.67,24 NDC,99999000596,INSULIN REGULAR 0.5 UNIT/ML PEDIATRIC DILUTION,75.6,45.36,0.5428,61.46,24 NDC,99999000602,CISATRACURIUM (NIMBEX) 2 MG/ML PEDIATRIC BOLUS FROM INFUSION (CSAC),0.2,0.12,0.04004,0.1626,22 NDC,99999000603,FENTANYL (PF) 50 MCG/ML BOLUS FROM INFUSION,0.2,0.12,0.04004,2.61,24 NDC,99999000604,FENTANYL (PF) 10 MCG/ML PEDIATRIC BOLUS FROM INFUSION (CSAC),0.2,0.12,0.04004,2.61,24 NDC,99999000610,MORPHINE 1 MG/ML BOLUS FROM INFUSION,0.2,0.12,0.04004,0.1626,26 NDC,99999000613,PENTOBARBITAL (NEMBUTAL) 50 MG/ML BOLUS FROM INFUSION,0.2,0.12,0.04004,173.61,24 NDC,99999000622,"LIPASE-PROTEASE-AMYLASE(PORK)12,000-38,000-60,000 UNIT CAPSULE,DEL REL",33.2,19.92,6.65,26.99,22 NDC,99999000630,PYRIMETHAMINE 2 MG/ML ORAL SUSPENSION,29.2,17.52,5.85,23.74,22 NDC,99999000650,METHYLPREDNISOLONE SOD SUCC 4 MG/ML PEDIATRIC DILUTION,1785.0,1071.0,0.2037,1451.2,34 NDC,99999000653,DEXAMETHASONE 0.2 MG/ML PEDIATRIC DILUTION,99.55,59.73,0.2124,80.93,24 NDC,99999000670,LEVOFLOXACIN 5 MG/ML IN 5 % DEXTROSE PEDIATRIC,80.65,48.39,5.33,65.57,24 NDC,99999000681,VECURONIUM (NORCURON) 1 MG/ML PEDIATRIC INFUSION 8 ML,71.75,43.05,14.36,58.33,22 NDC,99999000701,ASPIRIN ORAL DESENSITIZATION 1 MG/ML BULK SOLUTION,16.05,9.63,3.21,13.05,22 NDC,99999000713,BUPIVACAINE 0.125% IN NS EPIDURAL SYRINGE FOR OR,30.95,18.57,0.0236,25.16,24 NDC,99999000721,LEVOCARNITINE 25 MG/ML INTRAVENOUS DILUTION,178.35,107.01,35.71,145.0,24 NDC,99999000722,ZINC CHLORIDE 0.5 MG/ML INTRAVENOUS DILUTION,231.7,139.02,46.39,188.37,22 NDC,99999000723,MAGNESIUM SULFATE 2.03 MEQ/ML INJECTION DILUTION,50.6,30.36,1.13,41.14,24 NDC,99999000724,CUPRIC CHLORIDE 40 MCG/ML INTRAVENOUS DILUTION,65.1,39.06,13.03,52.93,22 NDC,99999000736,FLUCONAZOLE 800 MG/400 ML NS IVPB,237.75,142.65,5.33,193.29,24 NDC,99999000737,BIVALIRUDIN 250 MG/50 ML INFUSION (CATH LAB),144.9,86.94,0.4012,117.8,24 NDC,99999000746,CEFAZOLIN 50 MG/0.5 ML (100 MG/ML) INTRAOCULAR INJECTION,68.25,40.95,1.89,55.49,24 NDC,99999000747,VANCOMYCIN 5 MG/0.5 ML INTRACAMERAL INJECTION,22.8,13.68,0.0708,18.54,24 NDC,99999000748,CEFUROXIME 5 MG/0.5 ML INTRAOCULAR INJECTION,22.1,13.26,4.37,17.97,24 NDC,99999000749,IC-GREEN 25 MG/25 ML IN DEXTROSE 5%,458.95,275.37,91.88,373.13,22 NDC,99999000752,HYDROMORPHONE 1 MG/ML ORAL LIQUID,32.4,19.44,6.49,26.34,22 NDC,99999000756,MORPHINE CONCENTRATE 20 MG/ML ORAL SOLUTION WRAPPER,22.9,13.74,4.58,18.62,22 NDC,99999000757,OXYCODONE 5 MG/5 ML ORAL SOLUTION,23.0,13.8,4.6,18.7,22 NDC,99999000767,MORPHINE (PF) 0.5MG/0.5ML INJECTION SOLUTION,25.15,15.09,5.04,29.37,24 NDC,99999000783,NITROGLYCERIN 2MG/20ML INTRAVENOUS SYRINGE,63.1,37.86,3.52,51.3,24 NDC,99999000790,FENTANYL (SUBLIMAZE) 100 MCG IN NS 50ML (REX OR),26.05,15.63,2.6,21.18,24 NDC,99999000792,MITOMYCIN 40 MG/40 ML (ONE-STEP BLADDER IRRIGATION),5836.45,3501.87,19.74,4745.03,34 NDC,99999000798,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5 ML (3 MG/ML) ORAL SOLUTION,19.3,11.58,0.5428,15.69,24 NDC,99999000815,TUBERCULIN PPD 5 TUB. UNIT/0.1 ML INTRADERMAL INJECTION SOLUTION,56.75,34.05,11.36,46.14,22 NDC,99999000820,SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION,273.0,163.8,54.65,221.95,22 NDC,99999000879,DOPAMINE 1600 MCG/ML IN DEXTROSE 5% 50 ML PEDIATRIC,72.7,43.62,1.8,59.11,24 NDC,99999000892,MAGNESIUM SULFATE 40 MG/ML (PERIPHERAL) PEDIATRIC IV,131.05,78.63,1.13,106.54,24 NDC,99999000907,MAGNESIUM SULFATE 100 MG/ML (CENTRAL) PEDIATRIC DILUTION,94.5,56.7,1.13,76.83,24 NDC,99999001061,PHYTONADIONE 1 MG/ML ORAL SUSPENSION,104.3,62.58,20.88,84.8,22 NDC,99999001063,VALACYCLOVIR 50MG/ML ORAL SUSPENSION,107.0,64.2,21.42,86.99,22 NDC,99999001064,VANCOMYCIN OPHTH 10MG/0.2ML INJECTION,63.45,38.07,0.0708,51.58,24 NDC,99999001090,DOBUTAMINE 50 MG/50 ML (1000MCG/ML) IN DEXTROSE 5% SYRINGE,81.9,49.14,16.4,66.58,24 NDC,99999001106,FUROSEMIDE 2 MG/ML IV SYRINGE (NEONATAL-REX),68.3,40.98,0.0472,55.53,24 NDC,99999001180,RIFAXIMIN 20 MG/ML ORAL SUSPENSION,106.35,63.81,21.29,86.46,22 NDC,99999001205,ADENOSINE 300 MCG/ML SYRINGE (NEONATAL-REX),79.75,47.85,1.25,64.84,24 NDC,99999001221,LACOSAMIDE 10 MG/1 ML INTRAVENOUS SOLUTION (PEDS),319.25,191.55,0.472,259.55,23 NDC,99999001706,NITROGLYCERIN 100 MCG/ML BOLUS INJECTION (10 ML SYRINGE),63.1,37.86,3.52,51.3,24 NDC,99999001711,BETHANECHOL 5 MG/ML ORAL SUSPENSION,34.0,20.4,6.81,27.64,22 NDC,99999001712,RIFAMPIN 25 MG/ML ORAL SUSPENSION,88.0,52.8,17.62,71.54,22 NDC,99999001713,ALTEPLASE 1 MG/1 ML SOLUTION FOR INJECTION,364.25,218.55,72.92,296.14,34 NDC,99999001727,INSULIN REGULAR 0.5 UNIT/ML NEONATAL 4 ML INFUSION,64.15,38.49,0.5428,52.15,24 NDC,99999001805,METOCLOPRAMIDE 0.1 MG/ML IV SYRINGE NEONATAL,105.0,63.0,2.57,85.36,24 NDC,99999001808,ENALAPRILAT 125 MCG/ML IV SYRINGE NEONATAL,74.75,44.85,14.96,60.77,22 NDC,99999001937,NICARDIPINE 0.2 MG/ML IN NS 50 ML PEDIATRIC INFUSION,276.6,165.96,0.1652,224.88,24 NDC,99999002736,PHENYLEPHRINE 100 MG IN 250 ML NS (400 MCG/ML) (PMB),260.4,156.24,0.0236,211.71,24 NDC,99999007701,NOREPINEPHRINE 1 MCG/ML CATH/EP SOLUTION,63.05,37.83,12.62,51.26,22 NDC,99999007702,NICARDIPINE 10 MCG/ML INTRAVENOUS SOLUTION,63.15,37.89,0.1652,51.34,24 NDC,99999007703,NITROPRUSSIDE 10 MCG/ML INTRAVENOUS SOLUTION,63.25,37.95,12.66,51.42,22 NDC,99999007704,NITROGLYCERIN 100 MCG/ML INJECTION FOR VIR/CATH,63.3,37.98,3.52,51.46,24 NDC,99999007705,DILTIAZEM 100 MCG/ML IN NS,63.05,37.83,12.62,51.26,22 NDC,99999007716,PHENYLEPHRINE 1 MG/ML IV BOLUS (REX-JHH CATH),66.2,39.72,0.0236,53.82,24 NDC,99999007719,ALTEPLASE 125 MCG/ML INTRAOCULAR INJECTION,19.35,11.61,3.87,262.57,34 NDC,99999007721,AMPHOTERICIN B 50 MCG/ML INTRAOCULAR INJECTION,16.05,9.63,3.21,102.45,24 NDC,99999007731,GATIFLOXACIN WITH ATROPINE (REX OR OSM),79.8,47.88,15.98,64.88,22 NDC,99999007772,AMPHOTERICIN B 100 MCG/ML INTRAOCULAR INJECTION,16.05,9.63,3.21,102.45,24 NDC,99999007785,FENTANYL 50 MCG BUPIVACAINE 0.125% IN SODIUM CHLORIDE 0.9% (15 ML SYRINGE),24.85,14.91,2.6,20.2,24 NDC,99999007798,CHOLESTYRAMINE 20% IN AQUAPHOR OINTMENT,101.7,61.02,20.36,82.68,22 NDC,99999007900,PHENYLEPHRINE 20 MG/250 ML (80 MCG/ML) IN 0.9 % SODIUM CHLORIDE IV,137.85,82.71,0.0236,112.07,24 NDC,99999007901,EPHEDRINE (PF) 25 MG/5 ML (5 MG/ML) IN 0.9% SODIUM CHLORIDE IV SYRINGE WRAPPER,105.35,63.21,21.09,85.65,22 NDC,99999007971,STUDY DEXTROSE 5% IN WATER (D5W) INTRAVENOUS SYRINGE,0.2,0.12,0.04004,0.1626,22 NDC,99999007980,STUDY COPPER-A PACLITAXEL 60 MG/10 ML,0.2,0.12,0.04004,0.3304,24 NDC,99999008077,FENTANYL (PF) 10 MCG/ML NEONATAL DILUTION INJECTION,27.75,16.65,2.6,22.56,24 NDC,99999008079,PROPRANOLOL 0.05 MG/ML PEDIATRIC DILUTION,108.15,64.89,21.65,87.93,24 NDC,99999008185,FENTANYL (PF) 10 MCG/ML IN 0.9 % SODIUM CHLORIDE 1 ML INFUSION,27.75,16.65,2.6,22.56,24 NDC,99999008251,CLONIDINE 20 MCG/ML ORAL SOLN,17.65,10.59,3.53,14.35,22 NDC,99999008255,EPINEPHRINE HCL 8 MG/250 ML (32 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS,97.15,58.29,19.45,78.98,22 NDC,99999008257,HYDROCORTISONE 2 MG/ML ORAL SUSPENSION,16.35,9.81,3.27,13.29,22 NDC,99999008261,HYDROCHLOROTHIAZIDE 5 MG/ML ORAL SUSPENSION,34.4,20.64,6.89,27.97,22 NDC,99999009156,STUDY S1914 ATEZOLIZUMAB 60 MG/ML IV SOLUTION,0.2,0.12,0.04004,215.56,29 NDC,99999010111,STUDY CIP0218 DEXAMETHASONE 4 MG/ML INJECTION SOLUTION,0.2,0.12,0.04004,0.33,24 NDC,99999010365,STUDY NSABP B-62/CAMBRIA-1 CAMIZESTRANT 75 MG TABLET,0.2,0.12,0.04004,0.162,19 NDC,99999010366,STUDY NSABP B-62/CAMBRIA-1 LEUPROLIDE 3.75 MG INTRAMUSCULAR INJECTION (1 MONTH),0.2,0.12,0.04004,4844.6,34 NDC,99999010367,STUDY NSABP B-62/CAMBRIA-1 LEUPROLIDE 11.25 MG INTRAMUSCULAR INJECTION (3 MONTH),0.2,0.12,0.04004,4844.6,34 NDC,99999010373,STUDY NRG-GU010-CIRB DAROLUTAMIDE 300 MG TABLET,0.2,0.12,0.04004,0.1626,22 NDC,99999010376,STUDY NRG-GU009 APALUTAMIDE 60 MG TABLET,0.2,0.12,0.04004,0.1626,22 NDC,99999010381,STUDY GS-US-595-6184 SACITUZUMAB GOVITECAN-HZIY 10 MG/ML INTRAVENOUS SOLUTION,0.2,0.12,0.04004,101.12,34 NDC,99999010394,STUDY S2206 DURVALUMAB 50 MG/ML INTRAVENOUS SOLUTION,0.2,0.12,0.04004,237.76,34 NDC,99999010516,METOPROLOL TARTRATE 6.25 MG SPLIT QUARTER TABLET,16.05,9.63,3.21,13.05,22 NDC,99999011054,VANCOMYCIN 1250 MG IN 250 ML NS IVPB PREMADE (287.5 ML TOTAL VOLUME),276.75,166.05,0.0708,225.0,24 NDC,99999011055,VANCOMYCIN 1500 MG IN 500 ML NS IVPB PREMADE (555 ML TOTAL VOLUME),298.45,179.07,0.0708,242.64,24 NDC,99999011056,VANCOMYCIN 1750 MG IN 500 ML NS IVPB PREMADE (557.5 ML TOTAL VOLUME),238.65,143.19,0.0708,194.02,24 NDC,99999011057,VANCOMYCIN 2000 MG IN 500 ML NS IVPB PREMADE (560 ML TOTAL VOLUME),260.6,156.36,0.0708,211.87,24 NDC,99999011474,STUDY EX6018-4979 ZILTIVEKIMAB C/PLACEBO 15 MG/0.5 ML SUBCUTANEOUS PEN,0.2,0.12,0.04004,0.162,19 NDC,99999077709,"DOBUTAMINE 32 MG/8 ML (4,000 MCG/ML) IN 5 % DEXTROSE (8 ML)",66.95,40.17,13.4,54.43,24 NDC,99999077710,"DOBUTAMINE 200 MG/50 ML (4,000 MCG/ML) IN 5 % DEXTROSE (50 ML)",84.0,50.4,16.71,68.29,24 NDC,99999077734,NITROGLYCERIN 200 MCG/ML IN D5W 8 ML PEDIATRIC INFUSION,64.45,38.67,3.52,52.4,24 NDC,99999077751,MULTIVIT AND MINERALS-FERROUS GLUCONATE 9 MG IRON/15 ML ORAL LIQUID,1.6,0.96,0.32032,1.3,22 NDC,99999077752,BUMETANIDE 20 MG/80 ML (0.25 MG/ML) INFUSION CSAC,173.25,103.95,0.3589,140.85,34 NDC,99999077759,INSULIN REGULAR 100 UNIT/100 ML (1 UNIT/ML) COMPOUNDED PREMADE BAG,115.15,69.09,0.5428,93.62,23 NDC,99999077765,KETAMINE 1000 MG/100 ML (10 MG/ML) INFUSION (STRAIGHT DRUG),478.4,287.04,95.78,388.94,22 NDC,99999077768,FENTANYL (PF) 50 MCG/ML INTRAVENOUS SOLUTION,155.95,93.57,2.6,126.79,24 NDC,99999077780,"PENICILLIN G POTASSIUM 100,000 UNITS/ML IV (PED DILUTION)",17.2,10.32,1.86,13.98,24 NDC,99999077786,CISATRACURIUM 2 MG/ML CONTINUOUS INFUSION (2 MG/ML VIALS) (CSAC),1380.15,828.09,276.31,1122.06,22 NDC,99999077787,SODIUM CHLORIDE 4 MEQ/ML ORAL SOLN,19.0,11.4,3.8,15.45,22 NDC,99999077796,MIDAZOLAM 5 MG/ML INFUSION (MAXIMUM CONCENTRATION),247.6,148.56,0.354,201.3,24 NDC,99999777702,"PENICILLIN G POTASSIUM 100,000 UNITS/ML IM DILUTION",73.8,44.28,1.86,60.0,24 NDC,99999777703,REMIFENTANIL (50 MCG/ML) IN NS INFUSION (ANESTHESIA),215.0,129.0,43.04,174.79,22 NDC,99999900002,SUCCINYLCHOLINE CHLORIDE 100 MG/5 ML (20 MG/ML) INTRAVENOUS SYRINGE,99.8,59.88,2.17,81.14,24 NDC,99999900002,SUCCINYLCHOLINE CHLORIDE 20MG/ML SYRINGE/VIAL WRAPPER,55.9,33.54,2.17,45.45,24 RC,360,"ABLATION OF MALIGNANT PROSTATE TISSUE, TRANSRECTAL, WITH HIGH INTENSITY-FOCUSED ULTRASOUND (HIFU), INCLUDING ULTRASOUND GUIDANCE",,,3788.0,17457.0,14 RC,360,"ABLATION OF PROSTATE TISSUE, TRANSURETHRAL, USING THERMAL ULTRASOUND, INCLUDING MAGNETIC RESONANCE IMAGING GUIDANCE FOR, AND MONITORING OF, TISSUE ABLATION; WITH INSERTION OF TRANSURETHRAL ULTRASOUND ",,,6735.0,24600.0,13 RC,360,"ABLATION THERAPY FOR REDUCTION OR ERADICATION OF 1 OR MORE BONE TUMORS (EG, METASTASIS) INCLUDING ADJACENT SOFT TISSUE WHEN INVOLVED BY TUMOR EXTENSION, PERCUTANEOUS, INCLUDING IMAGING GUIDANCE WHEN P",,,4311.0,13527.54,13 RC,360,"ABLATION, SOFT TISSUE OF INFERIOR TURBINATES, UNILATERAL OR BILATERAL, ANY METHOD (EG, ELECTROCAUTERY, RADIOFREQUENCY ABLATION, OR TISSUE VOLUME REDUCTION); INTRAMURAL (IE, SUBMUCOSAL)",,,1425.11,4311.0,14 RC,360,"ABLATION, SOFT TISSUE OF INFERIOR TURBINATES, UNILATERAL OR BILATERAL, ANY METHOD (EG, ELECTROCAUTERY, RADIOFREQUENCY ABLATION, OR TISSUE VOLUME REDUCTION); SUPERFICIAL",,,1425.11,4311.0,14 RC,360,"ACETABULOPLASTY; RESECTION, FEMORAL HEAD (EG, GIRDLESTONE PROCEDURE)",,,8612.0,13852.0,3 RC,360,"ACNE SURGERY (EG, MARSUPIALIZATION, OPENING OR REMOVAL OF MULTIPLE MILIA, COMEDONES, CYSTS, PUSTULES)",,,173.0,832.0,12 RC,360,"ADENOIDECTOMY, PRIMARY; AGE 12 OR OVER",,,3120.11,8442.0,14 RC,360,"ADENOIDECTOMY, PRIMARY; YOUNGER THAN AGE 12",,,3120.11,8442.0,14 RC,360,"ADJACENT TISSUE TRANSFER OR REARRANGEMENT, ANY AREA; DEFECT 30.1 SQ CM TO 60.0 SQ CM",,,3522.17,17457.0,14 RC,360,"ADJACENT TISSUE TRANSFER OR REARRANGEMENT, ANY AREA; EACH ADDITIONAL 30.0 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,173.0,4311.0,3 RC,360,"ADJACENT TISSUE TRANSFER OR REARRANGEMENT, EYELIDS, NOSE, EARS AND/OR LIPS; DEFECT 10 SQ CM OR LESS",,,1759.87,6735.0,14 RC,360,"ADJACENT TISSUE TRANSFER OR REARRANGEMENT, EYELIDS, NOSE, EARS AND/OR LIPS; DEFECT 10.1 SQ CM TO 30.0 SQ CM",,,1759.87,6735.0,14 RC,360,"ADJACENT TISSUE TRANSFER OR REARRANGEMENT, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS AND/OR FEET; DEFECT 10 SQ CM OR LESS",,,1759.87,5152.0,14 RC,360,"ADJACENT TISSUE TRANSFER OR REARRANGEMENT, SCALP, ARMS AND/OR LEGS; DEFECT 10 SQ CM OR LESS",,,1759.87,6735.0,14 RC,360,"ADJACENT TISSUE TRANSFER OR REARRANGEMENT, SCALP, ARMS AND/OR LEGS; DEFECT 10.1 SQ CM TO 30.0 SQ CM",,,1759.87,6735.0,14 RC,360,"ADJACENT TISSUE TRANSFER OR REARRANGEMENT, TRUNK; DEFECT 10 SQ CM OR LESS",,,1759.87,5152.0,14 RC,360,"ADJACENT TISSUE TRANSFER OR REARRANGEMENT, TRUNK; DEFECT 10.1 SQ CM TO 30.0 SQ CM",,,1759.87,6735.0,14 RC,360,"ADRENALECTOMY, PARTIAL OR COMPLETE, OR EXPLORATION OF ADRENAL GLAND WITH OR WITHOUT BIOPSY, TRANSABDOMINAL, LUMBAR OR DORSAL (SEPARATE PROCEDURE);",,,2025.0,12247.0,3 RC,360,"ALLOGRAFT, INCLUDES TEMPLATING, CUTTING, PLACEMENT AND INTERNAL FIXATION, WHEN PERFORMED; OSTEOARTICULAR, INCLUDING ARTICULAR SURFACE AND CONTIGUOUS BONE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMA",,,173.0,4311.0,3 RC,360,"ALLOGRAFT, MORSELIZED, OR PLACEMENT OF OSTEOPROMOTIVE MATERIAL, FOR SPINE SURGERY ONLY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,173.0,4311.0,3 RC,360,"ALLOGRAFT, STRUCTURAL, FOR SPINE SURGERY ONLY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,173.0,4311.0,3 RC,360,AMPUTATION OF PENIS; PARTIAL,,,3318.21,8045.0,14 RC,360,"AMPUTATION, FINGER OR THUMB, PRIMARY OR SECONDARY, ANY JOINT OR PHALANX, SINGLE, INCLUDING NEURECTOMIES; WITH DIRECT CLOSURE",,,2025.0,5152.0,14 RC,360,"AMPUTATION, FOOT; TRANSMETATARSAL",,,3121.59,6735.0,13 RC,360,"AMPUTATION, LEG, THROUGH TIBIA AND FIBULA; RE-AMPUTATION",,,8612.0,13852.0,2 RC,360,"AMPUTATION, LEG, THROUGH TIBIA AND FIBULA; SECONDARY CLOSURE OR SCAR REVISION",,,3121.59,6735.0,14 RC,360,"AMPUTATION, METATARSAL, WITH TOE, SINGLE",,,3121.59,5754.0,14 RC,360,"AMPUTATION, TOE; INTERPHALANGEAL JOINT",,,3121.59,5754.0,14 RC,360,"AMPUTATION, TOE; METATARSOPHALANGEAL JOINT",,,3121.59,5754.0,14 RC,360,ANGIOSCOPY (NONCORONARY VESSELS OR GRAFTS) DURING THERAPEUTIC INTERVENTION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE),,,2025.0,4681.0,2 RC,360,"ANOPLASTY, PLASTIC OPERATION FOR STRICTURE; ADULT",,,2638.41,6735.0,14 RC,360,"ANORECTAL EXAM, SURGICAL, REQUIRING ANESTHESIA (GENERAL, SPINAL, OR EPIDURAL), DIAGNOSTIC",,,2025.0,5152.0,14 RC,360,"ANOSCOPY; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,124.01,4311.0,13 RC,360,"ANOSCOPY; DIAGNOSTIC, WITH HIGH-RESOLUTION MAGNIFICATION (HRA) (EG, COLPOSCOPE, OPERATING MICROSCOPE) AND CHEMICAL AGENT ENHANCEMENT, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN P",,,173.0,4311.0,14 RC,360,"ANOSCOPY; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) NOT AMENABLE TO REMOVAL BY HOT BIOPSY FORCEPS, BIPOLAR CAUTERY OR SNARE TECHNIQUE",,,2638.41,5754.0,14 RC,360,"ANOSCOPY; WITH BIOPSY, SINGLE OR MULTIPLE",,,1134.38,4311.0,13 RC,360,"ANOSCOPY; WITH CONTROL OF BLEEDING (EG, INJECTION, BIPOLAR CAUTERY, UNIPOLAR CAUTERY, LASER, HEATER PROBE, STAPLER, PLASMA COAGULATOR)",,,1134.38,4311.0,13 RC,360,"ANOSCOPY; WITH DILATION (EG, BALLOON, GUIDE WIRE, BOUGIE)",,,1134.38,4311.0,13 RC,360,"ANOSCOPY; WITH HIGH-RESOLUTION MAGNIFICATION (HRA) (EG, COLPOSCOPE, OPERATING MICROSCOPE) AND CHEMICAL AGENT ENHANCEMENT, WITH BIOPSY, SINGLE OR MULTIPLE",,,1134.38,8213.0,14 RC,360,"ANOSCOPY; WITH REMOVAL OF SINGLE TUMOR, POLYP, OR OTHER LESION BY HOT BIOPSY FORCEPS OR BIPOLAR CAUTERY",,,2638.41,5754.0,14 RC,360,"ANTERIOR COLPORRHAPHY, REPAIR OF CYSTOCELE WITH OR WITHOUT REPAIR OF URETHROCELE, INCLUDING CYSTOURETHROSCOPY, WHEN PERFORMED",,,4749.28,10087.0,14 RC,360,ANTERIOR INSTRUMENTATION; 2 TO 3 VERTEBRAL SEGMENTS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE),,,4311.0,13852.0,3 RC,360,ANTERIOR INSTRUMENTATION; 4 TO 7 VERTEBRAL SEGMENTS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE),,,4311.0,13852.0,3 RC,360,"ANTERIOR TIBIAL TUBERCLEPLASTY (EG, MAQUET TYPE PROCEDURE)",,,6636.0,10022.0,14 RC,360,"APPLICATION OF A MULTIPLANE (PINS OR WIRES IN MORE THAN 1 PLANE), UNILATERAL, EXTERNAL FIXATION SYSTEM (EG, ILIZAROV, MONTICELLI TYPE)",,,5219.0,13527.54,14 RC,360,"APPLICATION OF A UNIPLANE (PINS OR WIRES IN 1 PLANE), UNILATERAL, EXTERNAL FIXATION SYSTEM",,,4376.0,8045.0,14 RC,360,"APPLICATION OF LOW COST SKIN SUBSTITUTE GRAFT TO FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, FEET, AND/OR MULTIPLE DIGITS, TOTAL WOUND SURFACE AREA UP TO 100 SQ CM; EACH ADDITIO",,,173.0,4311.0,3 RC,360,"APPLICATION OF LOW COST SKIN SUBSTITUTE GRAFT TO FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, FEET, AND/OR MULTIPLE DIGITS, TOTAL WOUND SURFACE AREA UP TO 100 SQ CM; FIRST 25 SQ ",,,173.0,4376.0,14 RC,360,"APPLICATION OF SKIN SUBSTITUTE GRAFT TO FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, FEET, AND/OR MULTIPLE DIGITS, TOTAL WOUND SURFACE AREA GREATER THAN OR EQUAL TO 100 SQ CM; FI",,,1759.87,4376.0,14 RC,360,"APPLICATION OF SKIN SUBSTITUTE GRAFT TO FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, FEET, AND/OR MULTIPLE DIGITS, TOTAL WOUND SURFACE AREA UP TO 100 SQ CM; EACH ADDITIONAL 25 SQ",,,173.0,4311.0,3 RC,360,"APPLICATION OF SKIN SUBSTITUTE GRAFT TO FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, FEET, AND/OR MULTIPLE DIGITS, TOTAL WOUND SURFACE AREA UP TO 100 SQ CM; FIRST 25 SQ CM OR LES",,,1759.87,4376.0,14 RC,360,"APPLICATION OF SKIN SUBSTITUTE GRAFT TO TRUNK, ARMS, LEGS, TOTAL WOUND SURFACE AREA GREATER THAN OR EQUAL TO 100 SQ CM; FIRST 100 SQ CM WOUND SURFACE AREA, OR 1% OF BODY AREA OF INFANTS AND CHILDREN",,,3522.17,8045.0,14 RC,360,"APPLICATION OF SKIN SUBSTITUTE GRAFT TO TRUNK, ARMS, LEGS, TOTAL WOUND SURFACE AREA UP TO 100 SQ CM; EACH ADDITIONAL 25 SQ CM WOUND SURFACE AREA, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE F",,,173.0,4311.0,3 RC,360,"APPLICATION OF SKIN SUBSTITUTE GRAFT TO TRUNK, ARMS, LEGS, TOTAL WOUND SURFACE AREA UP TO 100 SQ CM; FIRST 25 SQ CM OR LESS WOUND SURFACE AREA",,,1759.87,4376.0,14 RC,360,"AQUEOUS SHUNT TO EXTRAOCULAR EQUATORIAL PLATE RESERVOIR, EXTERNAL APPROACH; WITH GRAFT",,,4964.08,10087.0,14 RC,360,"ARREST, EPIPHYSEAL, ANY METHOD (EG, EPIPHYSIODESIS); TIBIA AND FIBULA, PROXIMAL",,,5219.0,10087.0,13 RC,360,"ARTERIAL CATHETERIZATION OR CANNULATION FOR SAMPLING, MONITORING OR TRANSFUSION (SEPARATE PROCEDURE); PERCUTANEOUS",,,173.0,4311.0,3 RC,360,"ARTERIOVENOUS ANASTOMOSIS, OPEN; BY FOREARM VEIN TRANSPOSITION",,,5200.74,13852.0,14 RC,360,"ARTERIOVENOUS ANASTOMOSIS, OPEN; BY UPPER ARM BASILIC VEIN TRANSPOSITION",,,5200.74,13852.0,14 RC,360,"ARTERIOVENOUS ANASTOMOSIS, OPEN; BY UPPER ARM CEPHALIC VEIN TRANSPOSITION",,,5200.74,13852.0,14 RC,360,"ARTERIOVENOUS ANASTOMOSIS, OPEN; DIRECT, ANY SITE (EG, CIMINO TYPE) (SEPARATE PROCEDURE)",,,3028.17,8045.0,14 RC,360,"ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, INTERMEDIATE JOINT OR BURSA (EG, TEMPOROMANDIBULAR, ACROMIOCLAVICULAR, WRIST, ELBOW OR ANKLE, OLECRANON BURSA); WITHOUT ULTRASOUND GUIDANCE",,,173.0,4311.0,14 RC,360,"ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, MAJOR JOINT OR BURSA (EG, SHOULDER, HIP, KNEE, SUBACROMIAL BURSA); WITHOUT ULTRASOUND GUIDANCE",,,173.0,4311.0,14 RC,360,"ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, SMALL JOINT OR BURSA (EG, FINGERS, TOES); WITHOUT ULTRASOUND GUIDANCE",,,173.0,4311.0,14 RC,360,"ARTHRODESIS, ANKLE, OPEN",,,8213.0,13852.0,14 RC,360,"ARTHRODESIS, ANTERIOR INTERBODY TECHNIQUE, INCLUDING MINIMAL DISCECTOMY TO PREPARE INTERSPACE (OTHER THAN FOR DECOMPRESSION); CERVICAL BELOW C2",,,8612.0,13852.0,13 RC,360,"ARTHRODESIS, ANTERIOR INTERBODY TECHNIQUE, INCLUDING MINIMAL DISCECTOMY TO PREPARE INTERSPACE (OTHER THAN FOR DECOMPRESSION); EACH ADDITIONAL INTERSPACE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMAR",,,8612.0,13852.0,2 RC,360,"ARTHRODESIS, ANTERIOR INTERBODY TECHNIQUE, INCLUDING MINIMAL DISCECTOMY TO PREPARE INTERSPACE (OTHER THAN FOR DECOMPRESSION); LUMBAR",,,11124.0,24600.0,3 RC,360,"ARTHRODESIS, ANTERIOR INTERBODY, INCLUDING DISC SPACE PREPARATION, DISCECTOMY, OSTEOPHYTECTOMY AND DECOMPRESSION OF SPINAL CORD AND/OR NERVE ROOTS; CERVICAL BELOW C2",,,8612.0,13852.0,13 RC,360,"ARTHRODESIS, ANTERIOR INTERBODY, INCLUDING DISC SPACE PREPARATION, DISCECTOMY, OSTEOPHYTECTOMY AND DECOMPRESSION OF SPINAL CORD AND/OR NERVE ROOTS; CERVICAL BELOW C2, EACH ADDITIONAL INTERSPACE (LIST ",,,4311.0,10022.0,3 RC,360,"ARTHRODESIS, ANTERIOR TRANSORAL OR EXTRAORAL TECHNIQUE, CLIVUS-C1-C2 (ATLAS-AXIS), WITH OR WITHOUT EXCISION OF ODONTOID PROCESS",,,11124.0,24600.0,3 RC,360,"ARTHRODESIS, CARPOMETACARPAL JOINT, THUMB, WITH OR WITHOUT INTERNAL FIXATION;",,,5219.0,8442.0,14 RC,360,"ARTHRODESIS, COMBINED POSTERIOR OR POSTEROLATERAL TECHNIQUE WITH POSTERIOR INTERBODY TECHNIQUE INCLUDING LAMINECTOMY AND/OR DISCECTOMY SUFFICIENT TO PREPARE INTERSPACE (OTHER THAN FOR DECOMPRESSION), ",,,173.0,39682.0,16 RC,360,"ARTHRODESIS, GREAT TOE; INTERPHALANGEAL JOINT",,,3788.0,8442.0,14 RC,360,"ARTHRODESIS, GREAT TOE; METATARSOPHALANGEAL JOINT",,,6872.88,13852.0,14 RC,360,"ARTHRODESIS, INTERPHALANGEAL JOINT, WITH OR WITHOUT INTERNAL FIXATION;",,,3121.59,8045.0,14 RC,360,"ARTHRODESIS, MIDTARSAL OR TARSOMETATARSAL, MULTIPLE OR TRANSVERSE;",,,8213.0,13852.0,14 RC,360,"ARTHRODESIS, MIDTARSAL OR TARSOMETATARSAL, MULTIPLE OR TRANSVERSE; WITH OSTEOTOMY (EG, FLATFOOT CORRECTION)",,,8213.0,13852.0,14 RC,360,"ARTHRODESIS, MIDTARSAL OR TARSOMETATARSAL, SINGLE JOINT",,,6872.88,13852.0,14 RC,360,"ARTHRODESIS, POSTERIOR INTERBODY TECHNIQUE, INCLUDING LAMINECTOMY AND/OR DISCECTOMY TO PREPARE INTERSPACE (OTHER THAN FOR DECOMPRESSION), SINGLE INTERSPACE, LUMBAR;",,,11124.0,24600.0,13 RC,360,"ARTHRODESIS, POSTERIOR INTERBODY TECHNIQUE, INCLUDING LAMINECTOMY AND/OR DISCECTOMY TO PREPARE INTERSPACE (OTHER THAN FOR DECOMPRESSION), SINGLE INTERSPACE, LUMBAR; EACH ADDITIONAL INTERSPACE (LIST SE",,,173.0,4311.0,3 RC,360,"ARTHRODESIS, POSTERIOR OR POSTEROLATERAL TECHNIQUE, SINGLE INTERSPACE; CERVICAL BELOW C2 SEGMENT",,,11124.0,24600.0,3 RC,360,"ARTHRODESIS, POSTERIOR OR POSTEROLATERAL TECHNIQUE, SINGLE INTERSPACE; EACH ADDITIONAL INTERSPACE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,173.0,4311.0,3 RC,360,"ARTHRODESIS, POSTERIOR OR POSTEROLATERAL TECHNIQUE, SINGLE INTERSPACE; LUMBAR (WITH LATERAL TRANSVERSE TECHNIQUE, WHEN PERFORMED)",,,8612.0,19334.39,13 RC,360,"ARTHRODESIS, POSTERIOR OR POSTEROLATERAL TECHNIQUE, SINGLE INTERSPACE; THORACIC (WITH LATERAL TRANSVERSE TECHNIQUE, WHEN PERFORMED)",,,11124.0,24600.0,3 RC,360,"ARTHRODESIS, SACROILIAC JOINT, PERCUTANEOUS OR MINIMALLY INVASIVE (INDIRECT VISUALIZATION), WITH IMAGE GUIDANCE, INCLUDES OBTAINING BONE GRAFT WHEN PERFORMED, AND PLACEMENT OF TRANSFIXATION DEVICE",,,10087.0,24600.0,13 RC,360,ARTHRODESIS; PANTALAR,,,8213.0,19334.39,14 RC,360,ARTHRODESIS; SUBTALAR,,,8213.0,13852.0,14 RC,360,ARTHRODESIS; TRIPLE,,,8213.0,13852.0,14 RC,360,ARTHROPLASTY WITH PROSTHETIC REPLACEMENT; TRAPEZIUM,,,6636.0,10087.0,14 RC,360,"ARTHROPLASTY, ACETABULAR AND PROXIMAL FEMORAL PROSTHETIC REPLACEMENT (TOTAL HIP ARTHROPLASTY), WITH OR WITHOUT AUTOGRAFT OR ALLOGRAFT",,,11124.0,24600.0,13 RC,360,"ARTHROPLASTY, ANKLE; REVISION, TOTAL ANKLE",,,8612.0,13852.0,3 RC,360,"ARTHROPLASTY, ANKLE; WITH IMPLANT (TOTAL ANKLE)",,,8612.0,19334.39,13 RC,360,"ARTHROPLASTY, ELBOW; WITH DISTAL HUMERUS AND PROXIMAL ULNAR PROSTHETIC REPLACEMENT (EG, TOTAL ELBOW)",,,12247.0,24600.0,13 RC,360,"ARTHROPLASTY, FEMORAL CONDYLES OR TIBIAL PLATEAU(S), KNEE;",,,6636.0,13527.54,14 RC,360,"ARTHROPLASTY, GLENOHUMERAL JOINT; HEMIARTHROPLASTY",,,10087.0,24600.0,13 RC,360,"ARTHROPLASTY, GLENOHUMERAL JOINT; TOTAL SHOULDER (GLENOID AND PROXIMAL HUMERAL REPLACEMENT (EG, TOTAL SHOULDER))",,,10087.0,24600.0,13 RC,360,"ARTHROPLASTY, INTERCARPAL OR CARPOMETACARPAL JOINTS; INTERPOSITION (EG, TENDON)",,,3121.59,10087.0,14 RC,360,"ARTHROPLASTY, INTERCARPAL OR CARPOMETACARPAL JOINTS; SUSPENSION, INCLUDING TRANSFER OR TRANSPLANT OF TENDON, WITH INTERPOSITION, WHEN PERFORMED",,,3121.59,10087.0,13 RC,360,"ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL AND LATERAL COMPARTMENTS WITH OR WITHOUT PATELLA RESURFACING (TOTAL KNEE ARTHROPLASTY)",,,11124.0,24600.0,13 RC,360,"ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL OR LATERAL COMPARTMENT",,,10087.0,24600.0,13 RC,360,"ARTHROPLASTY, PATELLA; WITHOUT PROSTHESIS",,,6636.0,10022.0,14 RC,360,"ARTHROPLASTY, RADIAL HEAD; WITH IMPLANT",,,10087.0,24600.0,13 RC,360,"ARTHROPLASTY, TEMPOROMANDIBULAR JOINT, WITH OR WITHOUT AUTOGRAFT (INCLUDES OBTAINING GRAFT)",,,5691.37,10022.0,14 RC,360,"ARTHROPLASTY, TEMPOROMANDIBULAR JOINT, WITH PROSTHETIC JOINT REPLACEMENT",,,6636.0,19334.39,14 RC,360,ARTHROSCOPICALLY AIDED ANTERIOR CRUCIATE LIGAMENT REPAIR/AUGMENTATION OR RECONSTRUCTION,,,6649.0,13852.0,14 RC,360,"ARTHROSCOPICALLY AIDED TREATMENT OF TIBIAL FRACTURE, PROXIMAL (PLATEAU); UNICONDYLAR, INCLUDES INTERNAL FIXATION, WHEN PERFORMED (INCLUDES ARTHROSCOPY)",,,6872.88,13852.0,14 RC,360,"ARTHROSCOPY, ANKLE (TIBIOTALAR AND FIBULOTALAR JOINTS), SURGICAL; DEBRIDEMENT, EXTENSIVE",,,3121.59,8045.0,14 RC,360,"ARTHROSCOPY, ANKLE (TIBIOTALAR AND FIBULOTALAR JOINTS), SURGICAL; DEBRIDEMENT, LIMITED",,,3121.59,8045.0,14 RC,360,"ARTHROSCOPY, ANKLE, SURGICAL, EXCISION OF OSTEOCHONDRAL DEFECT OF TALUS AND/OR TIBIA, INCLUDING DRILLING OF THE DEFECT",,,3121.59,13852.0,14 RC,360,"ARTHROSCOPY, ELBOW, SURGICAL; DEBRIDEMENT, EXTENSIVE",,,3121.59,8045.0,14 RC,360,"ARTHROSCOPY, ELBOW, SURGICAL; WITH REMOVAL OF LOOSE BODY OR FOREIGN BODY",,,3121.59,8045.0,14 RC,360,"ARTHROSCOPY, HIP, SURGICAL; WITH ACETABULOPLASTY (IE, TREATMENT OF PINCER LESION)",,,6872.88,17457.0,14 RC,360,"ARTHROSCOPY, HIP, SURGICAL; WITH FEMOROPLASTY (IE, TREATMENT OF CAM LESION)",,,6872.88,17457.0,14 RC,360,"ARTHROSCOPY, HIP, SURGICAL; WITH LABRAL REPAIR",,,6872.88,17457.0,14 RC,360,"ARTHROSCOPY, KNEE, DIAGNOSTIC, WITH OR WITHOUT SYNOVIAL BIOPSY (SEPARATE PROCEDURE)",,,3121.59,8045.0,14 RC,360,"ARTHROSCOPY, KNEE, SURGICAL FOR HARVESTING OF CARTILAGE (CHONDROCYTE CELLS)",,,,,0 RC,360,"ARTHROSCOPY, KNEE, SURGICAL; ABRASION ARTHROPLASTY (INCLUDES CHONDROPLASTY WHERE NECESSARY) OR MULTIPLE DRILLING OR MICROFRACTURE",,,3121.59,8045.0,14 RC,360,"ARTHROSCOPY, KNEE, SURGICAL; DEBRIDEMENT/SHAVING OF ARTICULAR CARTILAGE (CHONDROPLASTY)",,,3121.59,8442.0,14 RC,360,"ARTHROSCOPY, KNEE, SURGICAL; FOR INFECTION, LAVAGE AND DRAINAGE",,,3121.59,8045.0,14 RC,360,"ARTHROSCOPY, KNEE, SURGICAL; FOR REMOVAL OF LOOSE BODY OR FOREIGN BODY (EG, OSTEOCHONDRITIS DISSECANS FRAGMENTATION, CHONDRAL FRAGMENTATION)",,,3121.59,8045.0,14 RC,360,"ARTHROSCOPY, KNEE, SURGICAL; OSTEOCHONDRAL ALLOGRAFT (EG, MOSAICPLASTY)",,,6735.0,13852.0,13 RC,360,"ARTHROSCOPY, KNEE, SURGICAL; SYNOVECTOMY, LIMITED (EG, PLICA OR SHELF RESECTION) (SEPARATE PROCEDURE)",,,3121.59,8442.0,14 RC,360,"ARTHROSCOPY, KNEE, SURGICAL; SYNOVECTOMY, MAJOR, 2 OR MORE COMPARTMENTS (EG, MEDIAL OR LATERAL)",,,3121.59,8442.0,14 RC,360,"ARTHROSCOPY, KNEE, SURGICAL; WITH LYSIS OF ADHESIONS, WITH OR WITHOUT MANIPULATION (SEPARATE PROCEDURE)",,,3121.59,8045.0,14 RC,360,"ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCECTOMY (MEDIAL AND LATERAL, INCLUDING ANY MENISCAL SHAVING) INCLUDING DEBRIDEMENT/SHAVING OF ARTICULAR CARTILAGE (CHONDROPLASTY), SAME OR SEPARATE COMPARTMENT(S",,,3121.59,8442.0,14 RC,360,"ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCECTOMY (MEDIAL OR LATERAL, INCLUDING ANY MENISCAL SHAVING) INCLUDING DEBRIDEMENT/SHAVING OF ARTICULAR CARTILAGE (CHONDROPLASTY), SAME OR SEPARATE COMPARTMENT(S)",,,3121.59,8442.0,14 RC,360,"ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCUS REPAIR (MEDIAL AND LATERAL)",,,3121.59,8045.0,14 RC,360,"ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCUS REPAIR (MEDIAL OR LATERAL)",,,3121.59,8045.0,14 RC,360,"ARTHROSCOPY, SHOULDER, SURGICAL; BICEPS TENODESIS",,,6735.0,17457.0,14 RC,360,"ARTHROSCOPY, SHOULDER, SURGICAL; CAPSULORRHAPHY",,,6649.0,13852.0,14 RC,360,"ARTHROSCOPY, SHOULDER, SURGICAL; DEBRIDEMENT, EXTENSIVE, 3 OR MORE DISCRETE STRUCTURES (EG, HUMERAL BONE, HUMERAL ARTICULAR CARTILAGE, GLENOID BONE, GLENOID ARTICULAR CARTILAGE, BICEPS TENDON, BICEPS ",,,3121.59,13852.0,14 RC,360,"ARTHROSCOPY, SHOULDER, SURGICAL; DEBRIDEMENT, LIMITED, 1 OR 2 DISCRETE STRUCTURES (EG, HUMERAL BONE, HUMERAL ARTICULAR CARTILAGE, GLENOID BONE, GLENOID ARTICULAR CARTILAGE, BICEPS TENDON, BICEPS ANCHO",,,3121.59,8045.0,14 RC,360,"ARTHROSCOPY, SHOULDER, SURGICAL; DECOMPRESSION OF SUBACROMIAL SPACE WITH PARTIAL ACROMIOPLASTY, WITH CORACOACROMIAL LIGAMENT (IE, ARCH) RELEASE, WHEN PERFORMED (LIST SEPARATELY IN ADDITION TO CODE FOR",,,173.0,6735.0,4 RC,360,"ARTHROSCOPY, SHOULDER, SURGICAL; DISTAL CLAVICULECTOMY INCLUDING DISTAL ARTICULAR SURFACE (MUMFORD PROCEDURE)",,,3121.59,13852.0,14 RC,360,"ARTHROSCOPY, SHOULDER, SURGICAL; REPAIR OF SLAP LESION",,,6649.0,13852.0,14 RC,360,"ARTHROSCOPY, SHOULDER, SURGICAL; SYNOVECTOMY, PARTIAL",,,6649.0,13852.0,14 RC,360,"ARTHROSCOPY, SHOULDER, SURGICAL; WITH LYSIS AND RESECTION OF ADHESIONS, WITH OR WITHOUT MANIPULATION",,,3121.59,13852.0,14 RC,360,"ARTHROSCOPY, SHOULDER, SURGICAL; WITH ROTATOR CUFF REPAIR",,,6872.88,13852.0,14 RC,360,"ARTHROSCOPY, SUBTALAR JOINT, SURGICAL; WITH DEBRIDEMENT",,,3121.59,17457.0,14 RC,360,"ARTHROSCOPY, TEMPOROMANDIBULAR JOINT, SURGICAL",,,3121.59,8045.0,14 RC,360,"ARTHROSCOPY, WRIST, SURGICAL; EXCISION AND/OR REPAIR OF TRIANGULAR FIBROCARTILAGE AND/OR JOINT DEBRIDEMENT",,,3121.59,8045.0,14 RC,360,"ARTHROTOMY WITH BIOPSY; CARPOMETACARPAL JOINT, EACH",,,2025.0,5152.0,14 RC,360,"ARTHROTOMY WITH MENISCUS REPAIR, KNEE",,,5219.0,8442.0,14 RC,360,"ARTHROTOMY, ANKLE, INCLUDING EXPLORATION, DRAINAGE, OR REMOVAL OF FOREIGN BODY",,,3121.59,8045.0,14 RC,360,"ARTHROTOMY, GLENOHUMERAL JOINT, INCLUDING EXPLORATION, DRAINAGE, OR REMOVAL OF FOREIGN BODY",,,3121.59,8045.0,14 RC,360,"ARTHROTOMY, INCLUDING EXPLORATION, DRAINAGE, OR REMOVAL OF LOOSE OR FOREIGN BODY; METATARSOPHALANGEAL JOINT",,,3121.59,5754.0,14 RC,360,"ARTHROTOMY, KNEE, WITH EXPLORATION, DRAINAGE, OR REMOVAL OF FOREIGN BODY (EG, INFECTION)",,,3121.59,8442.0,14 RC,360,"ARTHROTOMY, KNEE; INCLUDING JOINT EXPLORATION, BIOPSY, OR REMOVAL OF LOOSE OR FOREIGN BODIES",,,3121.59,8442.0,14 RC,360,"ARTHROTOMY, POSTERIOR CAPSULAR RELEASE, ANKLE, WITH OR WITHOUT ACHILLES TENDON LENGTHENING",,,3121.59,8045.0,14 RC,360,"ARTHROTOMY, WITH EXPLORATION, DRAINAGE, OR REMOVAL OF LOOSE OR FOREIGN BODY; CARPOMETACARPAL JOINT",,,1539.73,5152.0,14 RC,360,"ARTHROTOMY, WITH EXPLORATION, DRAINAGE, OR REMOVAL OF LOOSE OR FOREIGN BODY; INTERPHALANGEAL JOINT, EACH",,,1539.73,8442.0,14 RC,360,"ARTHROTOMY, WITH SYNOVECTOMY, ANKLE; INCLUDING TENOSYNOVECTOMY",,,3121.59,8442.0,14 RC,360,"ARTHROTOMY, WITH SYNOVECTOMY, KNEE; ANTERIOR OR POSTERIOR",,,3121.59,8442.0,14 RC,360,"ARTHROTOMY, WRIST JOINT; WITH JOINT EXPLORATION, WITH OR WITHOUT BIOPSY, WITH OR WITHOUT REMOVAL OF LOOSE OR FOREIGN BODY",,,3121.59,8045.0,14 RC,360,ASPIRATION OF BLADDER; WITH INSERTION OF SUPRAPUBIC CATHETER,,,1970.84,5754.0,14 RC,360,"ASPIRATION OR RELEASE OF VITREOUS, SUBRETINAL OR CHOROIDAL FLUID, PARS PLANA APPROACH (POSTERIOR SCLEROTOMY)",,,2194.26,5754.0,14 RC,360,"AUTOGRAFT FOR SPINE SURGERY ONLY (INCLUDES HARVESTING THE GRAFT); LOCAL (EG, RIBS, SPINOUS PROCESS, OR LAMINAR FRAGMENTS) OBTAINED FROM SAME INCISION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY P",,,4311.0,8045.0,3 RC,360,AUTOGRAFT FOR SPINE SURGERY ONLY (INCLUDES HARVESTING THE GRAFT); MORSELIZED (THROUGH SEPARATE SKIN OR FASCIAL INCISION) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE),,,4311.0,8045.0,3 RC,360,"AUTOGRAFT FOR SPINE SURGERY ONLY (INCLUDES HARVESTING THE GRAFT); STRUCTURAL, BICORTICAL OR TRICORTICAL (THROUGH SEPARATE SKIN OR FASCIAL INCISION) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PRO",,,4311.0,8045.0,3 RC,360,"AUTOLOGOUS CHONDROCYTE IMPLANTATION, KNEE",,,6735.0,13852.0,13 RC,360,AXILLARY LYMPHADENECTOMY; COMPLETE,,,5613.15,13852.0,14 RC,360,AXILLARY LYMPHADENECTOMY; SUPERFICIAL,,,4376.0,13852.0,14 RC,360,BACKBENCH PREPARATION OF CORNEAL ENDOTHELIAL ALLOGRAFT PRIOR TO TRANSPLANTATION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE),,,173.0,832.0,2 RC,360,"BALLOON DILATION, URETERAL STRICTURE, INCLUDING IMAGING GUIDANCE (EG, ULTRASOUND AND/OR FLUOROSCOPY) AND ALL ASSOCIATED RADIOLOGICAL SUPERVISION AND INTERPRETATION (LIST SEPARATELY IN ADDITION TO CODE",,,173.0,4311.0,3 RC,360,"BIOPSIES, PROSTATE, NEEDLE, TRANSPERINEAL, STEREOTACTIC TEMPLATE GUIDED SATURATION SAMPLING, INCLUDING IMAGING GUIDANCE",,,2025.0,6649.0,14 RC,360,"BIOPSY OF ANORECTAL WALL, ANAL APPROACH (EG, CONGENITAL MEGACOLON)",,,2025.0,4311.0,14 RC,360,"BIOPSY OF BREAST; OPEN, INCISIONAL",,,3684.09,5754.0,14 RC,360,"BIOPSY OF CERVIX, SINGLE OR MULTIPLE, OR LOCAL EXCISION OF LESION, WITH OR WITHOUT FULGURATION (SEPARATE PROCEDURE)",,,837.72,4311.0,14 RC,360,BIOPSY OF CONJUNCTIVA,,,990.0,6649.0,14 RC,360,BIOPSY OF LACRIMAL GLAND,,,2244.5,5754.0,14 RC,360,BIOPSY OF LIP,,,173.0,832.0,12 RC,360,"BIOPSY OF LIVER, NEEDLE; PERCUTANEOUS",,,1558.81,4311.0,14 RC,360,"BIOPSY OF LIVER, NEEDLE; WHEN DONE FOR INDICATED PURPOSE AT TIME OF OTHER MAJOR PROCEDURE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,173.0,4311.0,3 RC,360,"BIOPSY OF PALATE, UVULA",,,1425.11,4311.0,14 RC,360,"BIOPSY OF PANCREAS, PERCUTANEOUS NEEDLE",,,1558.81,4311.0,14 RC,360,BIOPSY OF PENIS; (SEPARATE PROCEDURE),,,1558.81,4311.0,14 RC,360,BIOPSY OF TONGUE; ANTERIOR TWO-THIRDS,,,173.0,4311.0,14 RC,360,BIOPSY OF VAGINAL MUCOSA; SIMPLE (SEPARATE PROCEDURE),,,837.72,4311.0,14 RC,360,BIOPSY OF VULVA OR PERINEUM (SEPARATE PROCEDURE); 1 LESION,,,837.72,4311.0,14 RC,360,BIOPSY OF VULVA OR PERINEUM (SEPARATE PROCEDURE); EACH SEPARATE ADDITIONAL LESION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE),,,173.0,4311.0,3 RC,360,"BIOPSY OR EXCISION OF LYMPH NODE(S); BY NEEDLE, SUPERFICIAL (EG, CERVICAL, INGUINAL, AXILLARY)",,,1558.81,4311.0,14 RC,360,"BIOPSY OR EXCISION OF LYMPH NODE(S); OPEN, DEEP AXILLARY NODE(S)",,,3684.09,5754.0,14 RC,360,"BIOPSY OR EXCISION OF LYMPH NODE(S); OPEN, DEEP CERVICAL NODE(S)",,,3684.09,5754.0,14 RC,360,"BIOPSY OR EXCISION OF LYMPH NODE(S); OPEN, DEEP CERVICAL NODE(S) WITH EXCISION SCALENE FAT PAD",,,3684.09,5754.0,14 RC,360,"BIOPSY OR EXCISION OF LYMPH NODE(S); OPEN, INGUINOFEMORAL NODE(S)",,,3684.09,8045.0,13 RC,360,"BIOPSY OR EXCISION OF LYMPH NODE(S); OPEN, SUPERFICIAL",,,3684.09,5754.0,14 RC,360,"BIOPSY THYROID, PERCUTANEOUS CORE NEEDLE",,,676.91,4311.0,14 RC,360,"BIOPSY, BONE, OPEN; DEEP (EG, HUMERAL SHAFT, ISCHIUM, FEMORAL SHAFT)",,,2753.54,6735.0,14 RC,360,"BIOPSY, BONE, TROCAR, OR NEEDLE; DEEP (EG, VERTEBRAL BODY, FEMUR)",,,1558.81,5152.0,14 RC,360,"BIOPSY, BREAST, WITH PLACEMENT OF BREAST LOCALIZATION DEVICE(S) (EG, CLIP, METALLIC PELLET), WHEN PERFORMED, AND IMAGING OF THE BIOPSY SPECIMEN, WHEN PERFORMED, PERCUTANEOUS; EACH ADDITIONAL LESION, I",,,173.0,4311.0,3 RC,360,"BIOPSY, BREAST, WITH PLACEMENT OF BREAST LOCALIZATION DEVICE(S) (EG, CLIP, METALLIC PELLET), WHEN PERFORMED, AND IMAGING OF THE BIOPSY SPECIMEN, WHEN PERFORMED, PERCUTANEOUS; FIRST LESION, INCLUDING U",,,1558.81,6649.0,14 RC,360,"BIOPSY, MUSCLE, PERCUTANEOUS NEEDLE",,,1558.81,4311.0,14 RC,360,"BIOPSY, MUSCLE; DEEP",,,2025.0,6735.0,14 RC,360,"BIOPSY, MUSCLE; SUPERFICIAL",,,1558.81,5152.0,14 RC,360,"BIOPSY, PROSTATE; INCISIONAL, ANY APPROACH",,,2025.0,5152.0,14 RC,360,"BIOPSY, PROSTATE; NEEDLE OR PUNCH, SINGLE OR MULTIPLE, ANY APPROACH",,,1970.84,5152.0,14 RC,360,"BIOPSY, SOFT TISSUE OF FOREARM AND/OR WRIST; DEEP (SUBFASCIAL OR INTRAMUSCULAR)",,,2753.54,5754.0,14 RC,360,"BIOPSY, SOFT TISSUE OF PELVIS AND HIP AREA; SUPERFICIAL",,,990.0,4311.0,14 RC,360,"BIOPSY, SOFT TISSUE OF THIGH OR KNEE AREA; SUPERFICIAL",,,990.0,4311.0,14 RC,360,"BIOPSY; NASOPHARYNX, VISIBLE LESION, SIMPLE",,,2025.0,4311.0,14 RC,360,BLADDER INSTILLATION OF ANTICARCINOGENIC AGENT (INCLUDING RETENTION TIME),,,173.0,4311.0,14 RC,360,"BLEPHAROPLASTY, LOWER EYELID;",,,1759.87,6735.0,14 RC,360,"BLEPHAROPLASTY, LOWER EYELID; WITH EXTENSIVE HERNIATED FAT PAD",,,1759.87,6735.0,14 RC,360,"BLEPHAROPLASTY, UPPER EYELID;",,,1759.87,6735.0,14 RC,360,"BLEPHAROPLASTY, UPPER EYELID; WITH EXCESSIVE SKIN WEIGHTING DOWN LID",,,1759.87,10087.0,14 RC,360,"BLEPHAROTOMY, DRAINAGE OF ABSCESS, EYELID",,,173.0,4311.0,14 RC,360,"BONE GRAFT, ANY DONOR AREA; MAJOR OR LARGE",,,5219.0,8442.0,14 RC,360,"BONE GRAFT, ANY DONOR AREA; MINOR OR SMALL (EG, DOWEL OR BUTTON)",,,5219.0,8045.0,14 RC,360,"BONE MARROW ASPIRATION FOR BONE GRAFTING, SPINE SURGERY ONLY, THROUGH SEPARATE SKIN OR FASCIAL INCISION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,173.0,4311.0,3 RC,360,BONE MARROW HARVESTING FOR TRANSPLANTATION; AUTOLOGOUS,,,4507.53,17457.0,14 RC,360,BREAST AUGMENTATION WITH IMPLANT,,,8612.0,17457.0,14 RC,360,BREAST REDUCTION,,,6274.19,10022.0,14 RC,360,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; DIAGNOSTIC, WITH CELL WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,1659.09,4376.0,14 RC,360,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH BRONCHIAL ALVEOLAR LAVAGE",,,1659.09,5152.0,14 RC,360,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH BRONCHIAL OR ENDOBRONCHIAL BIOPSY(S), SINGLE OR MULTIPLE SITES",,,1659.09,5152.0,14 RC,360,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH BRUSHING OR PROTECTED BRUSHINGS",,,1659.09,5152.0,14 RC,360,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH ENDOBRONCHIAL ULTRASOUND (EBUS) GUIDED TRANSTRACHEAL AND/OR TRANSBRONCHIAL SAMPLING (EG, ASPIRATION[S]/BIOPSY[IES",,,3547.15,17457.0,28 RC,360,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH TRANSBRONCHIAL LUNG BIOPSY(S), SINGLE LOBE",,,2025.0,5152.0,14 RC,360,"BYPASS GRAFT, WITH OTHER THAN VEIN; FEMORAL-FEMORAL",,,2025.0,4681.0,2 RC,360,CANTHOPLASTY (RECONSTRUCTION OF CANTHUS),,,2244.5,5754.0,14 RC,360,CANTHOTOMY (SEPARATE PROCEDURE),,,2244.5,5754.0,14 RC,360,"CAPSULECTOMY OR CAPSULOTOMY; METACARPOPHALANGEAL JOINT, EACH JOINT",,,2025.0,6735.0,14 RC,360,"CAPSULORRHAPHY OR RECONSTRUCTION, WRIST, OPEN (EG, CAPSULODESIS, LIGAMENT REPAIR, TENDON TRANSFER OR GRAFT) (INCLUDES SYNOVECTOMY, CAPSULOTOMY AND OPEN REDUCTION) FOR CARPAL INSTABILITY",,,6636.0,10022.0,14 RC,360,"CAPSULORRHAPHY, ANTERIOR, ANY TYPE; WITH BONE BLOCK",,,6872.88,13852.0,14 RC,360,"CAPSULORRHAPHY, GLENOHUMERAL JOINT, ANY TYPE MULTIDIRECTIONAL INSTABILITY",,,6636.0,12408.0,14 RC,360,"CAPSULOTOMY, MIDFOOT; WITH TENDON LENGTHENING",,,1539.73,6735.0,14 RC,360,"CAPSULOTOMY; METATARSOPHALANGEAL JOINT, WITH OR WITHOUT TENORRHAPHY, EACH JOINT (SEPARATE PROCEDURE)",,,3121.59,6735.0,14 RC,360,"CARDIOVERSION, ELECTIVE, ELECTRICAL CONVERSION OF ARRHYTHMIA; EXTERNAL",,,629.57,2912.0,12 RC,360,CARPECTOMY; 1 BONE,,,3121.59,8045.0,14 RC,360,CARTILAGE GRAFT; NASAL SEPTUM,,,3522.17,8045.0,14 RC,360,CATHETERIZATION AND INTRODUCTION OF SALINE OR CONTRAST MATERIAL FOR SALINE INFUSION SONOHYSTEROGRAPHY (SIS) OR HYSTEROSALPINGOGRAPHY,,,173.0,4311.0,3 RC,360,CAUTERY OF CERVIX; ELECTRO OR THERMAL,,,3058.98,5754.0,13 RC,360,"CERCLAGE OF UTERINE CERVIX, NONOBSTETRICAL",,,3058.98,5754.0,14 RC,360,CERVICAL LYMPHADENECTOMY (COMPLETE),,,3788.0,8442.0,13 RC,360,CERVICAL LYMPHADENECTOMY (MODIFIED RADICAL NECK DISSECTION),,,3788.0,8442.0,3 RC,360,CESAREAN DELIVERY ONLY;,,,2025.0,4681.0,2 RC,360,CHANGE OF CYSTOSTOMY TUBE; SIMPLE,,,173.0,4311.0,14 RC,360,"CHEMICAL CAUTERIZATION OF GRANULATION TISSUE (IE, PROUD FLESH)",,,173.0,4311.0,13 RC,360,CHEMODENERVATION OF INTERNAL ANAL SPHINCTER,,,1134.38,4311.0,14 RC,360,CHEMODENERVATION OF TRUNK MUSCLE(S); 1-5 MUSCLE(S),,,666.26,4311.0,13 RC,360,"CHROMOTUBATION OF OVIDUCT, INCLUDING MATERIALS",,,4749.28,8045.0,14 RC,360,"CILIARY BODY DESTRUCTION; CYCLOPHOTOCOAGULATION, TRANSSCLERAL",,,2244.5,5754.0,14 RC,360,"CIRCUMCISION, SURGICAL EXCISION OTHER THAN CLAMP, DEVICE, OR DORSAL SLIT; OLDER THAN 28 DAYS OF AGE",,,1970.84,5754.0,14 RC,360,"CIRCUMCISION, USING CLAMP OR OTHER DEVICE WITH REGIONAL DORSAL PENILE OR RING BLOCK",,,1970.84,5754.0,14 RC,360,CLOSED TREATMENT OF CALCANEAL FRACTURE; WITHOUT MANIPULATION,,,173.0,4311.0,14 RC,360,"CLOSED TREATMENT OF DISTAL EXTENSOR TENDON INSERTION, WITH OR WITHOUT PERCUTANEOUS PINNING (EG, MALLET FINGER)",,,1539.73,6735.0,14 RC,360,"CLOSED TREATMENT OF DISTAL RADIAL FRACTURE (EG, COLLES OR SMITH TYPE) OR EPIPHYSEAL SEPARATION, INCLUDES CLOSED TREATMENT OF FRACTURE OF ULNAR STYLOID, WHEN PERFORMED; WITH MANIPULATION",,,990.0,6735.0,14 RC,360,"CLOSED TREATMENT OF FRACTURE GREAT TOE, PHALANX OR PHALANGES; WITHOUT MANIPULATION",,,173.0,4311.0,13 RC,360,"CLOSED TREATMENT OF FRACTURE OF WEIGHT BEARING ARTICULAR PORTION OF DISTAL TIBIA (EG, PILON OR TIBIAL PLAFOND), WITH OR WITHOUT ANESTHESIA; WITH SKELETAL TRACTION AND/OR REQUIRING MANIPULATION",,,1539.73,5152.0,14 RC,360,"CLOSED TREATMENT OF FRACTURE, PHALANX OR PHALANGES, OTHER THAN GREAT TOE; WITH MANIPULATION, EACH",,,173.0,4311.0,13 RC,360,"CLOSED TREATMENT OF HIP DISLOCATION, TRAUMATIC; REQUIRING ANESTHESIA",,,990.0,5152.0,14 RC,360,"CLOSED TREATMENT OF HIP DISLOCATION, TRAUMATIC; WITHOUT ANESTHESIA",,,173.0,4311.0,14 RC,360,CLOSED TREATMENT OF MANDIBULAR FRACTURE WITH INTERDENTAL FIXATION,,,5691.37,10022.0,14 RC,360,"CLOSED TREATMENT OF METACARPAL FRACTURE, SINGLE; WITH MANIPULATION, EACH BONE",,,173.0,5152.0,14 RC,360,"CLOSED TREATMENT OF METATARSAL FRACTURE; WITH MANIPULATION, EACH",,,173.0,4311.0,13 RC,360,"CLOSED TREATMENT OF METATARSAL FRACTURE; WITHOUT MANIPULATION, EACH",,,173.0,4311.0,13 RC,360,CLOSED TREATMENT OF NASAL BONE FRACTURE WITH MANIPULATION; WITH STABILIZATION,,,2025.0,5152.0,14 RC,360,"CLOSED TREATMENT OF PHALANGEAL SHAFT FRACTURE, PROXIMAL OR MIDDLE PHALANX, FINGER OR THUMB; WITH MANIPULATION, WITH OR WITHOUT SKIN OR SKELETAL TRACTION, EACH",,,173.0,4376.0,13 RC,360,CLOSED TREATMENT OF POST HIP ARTHROPLASTY DISLOCATION; REQUIRING REGIONAL OR GENERAL ANESTHESIA,,,1539.73,5152.0,14 RC,360,CLOSED TREATMENT OF POST HIP ARTHROPLASTY DISLOCATION; WITHOUT ANESTHESIA,,,173.0,4311.0,14 RC,360,CLOSED TREATMENT OF PROXIMAL FIBULA OR SHAFT FRACTURE; WITH MANIPULATION,,,990.0,4311.0,14 RC,360,CLOSED TREATMENT OF PROXIMAL FIBULA OR SHAFT FRACTURE; WITHOUT MANIPULATION,,,173.0,4311.0,14 RC,360,"CLOSED TREATMENT OF PROXIMAL HUMERAL (SURGICAL OR ANATOMICAL NECK) FRACTURE; WITH MANIPULATION, WITH OR WITHOUT SKELETAL TRACTION",,,1539.73,5754.0,14 RC,360,CLOSED TREATMENT OF RADIAL AND ULNAR SHAFT FRACTURES; WITH MANIPULATION,,,173.0,5152.0,14 RC,360,CLOSED TREATMENT OF RADIAL HEAD OR NECK FRACTURE; WITH MANIPULATION,,,173.0,4311.0,14 RC,360,CLOSED TREATMENT OF RADIAL SHAFT FRACTURE; WITH MANIPULATION,,,990.0,4311.0,14 RC,360,CLOSED TREATMENT OF TALUS FRACTURE; WITHOUT MANIPULATION,,,173.0,4311.0,13 RC,360,"CLOSED TREATMENT OF TEMPOROMANDIBULAR DISLOCATION; COMPLICATED (EG, RECURRENT REQUIRING INTERMAXILLARY FIXATION OR SPLINTING), INITIAL OR SUBSEQUENT",,,1425.11,5152.0,14 RC,360,CLOSED TREATMENT OF TEMPOROMANDIBULAR DISLOCATION; INITIAL OR SUBSEQUENT,,,173.0,4311.0,14 RC,360,"CLOSED TREATMENT OF TIBIAL FRACTURE, PROXIMAL (PLATEAU); WITHOUT MANIPULATION",,,173.0,4311.0,14 RC,360,"CLOSED TREATMENT OF TIBIAL SHAFT FRACTURE (WITH OR WITHOUT FIBULAR FRACTURE); WITH MANIPULATION, WITH OR WITHOUT SKELETAL TRACTION",,,1539.73,4311.0,14 RC,360,"CLOSED TREATMENT OF TRANS-SCAPHOPERILUNAR TYPE OF FRACTURE DISLOCATION, WITH MANIPULATION",,,173.0,5152.0,14 RC,360,CLOSED TREATMENT OF TRIMALLEOLAR ANKLE FRACTURE; WITH MANIPULATION,,,990.0,4311.0,14 RC,360,CLOSURE OF ANAL FISTULA WITH RECTAL ADVANCEMENT FLAP,,,2638.41,8442.0,14 RC,360,"CLOSURE OF ENTEROSTOMY, LARGE OR SMALL INTESTINE; WITH RESECTION AND ANASTOMOSIS OTHER THAN COLORECTAL",,,2025.0,4681.0,2 RC,360,"CLOSURE OF GASTROSTOMY, SURGICAL",,,3660.29,5754.0,14 RC,360,CLOSURE OF INTESTINAL CUTANEOUS FISTULA,,,2025.0,4681.0,2 RC,360,"CLOSURE OF RECTOVAGINAL FISTULA; TRANSPERINEAL APPROACH, WITH PERINEAL BODY RECONSTRUCTION, WITH OR WITHOUT LEVATOR PLICATION",,,3788.0,5754.0,2 RC,360,CLOSURE OF RECTOVAGINAL FISTULA; VAGINAL OR TRANSANAL APPROACH,,,3058.98,6735.0,14 RC,360,"CLOSURE OF THE LACRIMAL PUNCTUM; BY PLUG, EACH",,,173.0,4311.0,13 RC,360,CLOSURE OF URETHROVAGINAL FISTULA;,,,6636.0,10022.0,14 RC,360,CLOSURE OF VESICOVAGINAL FISTULA; VAGINAL APPROACH,,,4749.28,8045.0,14 RC,360,"COLECTOMY, PARTIAL; WITH ANASTOMOSIS",,,2025.0,4681.0,2 RC,360,"COLECTOMY, PARTIAL; WITH END COLOSTOMY AND CLOSURE OF DISTAL SEGMENT (HARTMANN TYPE PROCEDURE)",,,2025.0,4681.0,2 RC,360,"COLONOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,877.14,5152.0,14 RC,360,"COLONOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE",,,1134.38,5152.0,14 RC,360,"COLONOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE",,,1134.38,5152.0,14 RC,360,COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK,,,877.14,5152.0,14 RC,360,COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK,,,877.14,5152.0,14 RC,360,COLORECTAL CANCER SCREENING; FLEXIBLE SIGMOIDOSCOPY,,,877.14,4311.0,13 RC,360,COLPOCLEISIS (LE FORT TYPE),,,4749.28,10087.0,13 RC,360,"COLPOPERINEORRHAPHY, SUTURE OF INJURY OF VAGINA AND/OR PERINEUM (NONOBSTETRICAL)",,,3058.98,5754.0,14 RC,360,"COLPOPEXY, ABDOMINAL APPROACH",,,3788.0,10087.0,3 RC,360,"COLPOPEXY, VAGINAL; EXTRA-PERITONEAL APPROACH (SACROSPINOUS, ILIOCOCCYGEUS)",,,6636.0,10087.0,13 RC,360,"COLPOPEXY, VAGINAL; INTRA-PERITONEAL APPROACH (UTEROSACRAL, LEVATOR MYORRHAPHY)",,,6636.0,10087.0,13 RC,360,"COLPORRHAPHY, SUTURE OF INJURY OF VAGINA (NONOBSTETRICAL)",,,3058.98,5754.0,14 RC,360,COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; WITH BIOPSY(S) OF THE CERVIX,,,173.0,4311.0,14 RC,360,COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; WITH BIOPSY(S) OF THE CERVIX AND ENDOCERVICAL CURETTAGE,,,173.0,4376.0,14 RC,360,COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; WITH LOOP ELECTRODE BIOPSY(S) OF THE CERVIX,,,3058.98,5754.0,13 RC,360,COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; WITH LOOP ELECTRODE CONIZATION OF THE CERVIX,,,3058.98,6735.0,14 RC,360,"COLPOSCOPY OF THE ENTIRE VAGINA, WITH CERVIX IF PRESENT;",,,173.0,4311.0,14 RC,360,"COLPOSCOPY OF THE ENTIRE VAGINA, WITH CERVIX IF PRESENT; WITH BIOPSY(S) OF VAGINA/CERVIX",,,837.72,4311.0,14 RC,360,COLPOSCOPY OF THE VULVA; WITH BIOPSY(S),,,173.0,4311.0,14 RC,360,"COMBINED ANTEROPOSTERIOR COLPORRHAPHY, INCLUDING CYSTOURETHROSCOPY, WHEN PERFORMED;",,,4749.28,10087.0,14 RC,360,"COMBINED ANTEROPOSTERIOR COLPORRHAPHY, INCLUDING CYSTOURETHROSCOPY, WHEN PERFORMED; WITH ENTEROCELE REPAIR",,,4749.28,12408.0,14 RC,360,"COMPUTER-ASSISTED SURGICAL NAVIGATIONAL PROCEDURE FOR MUSCULOSKELETAL PROCEDURES, IMAGE-LESS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,173.0,4311.0,3 RC,360,"CONDYLECTOMY, TEMPOROMANDIBULAR JOINT (SEPARATE PROCEDURE)",,,5691.37,10022.0,14 RC,360,"CONIZATION OF CERVIX, WITH OR WITHOUT FULGURATION, WITH OR WITHOUT DILATION AND CURETTAGE, WITH OR WITHOUT REPAIR; COLD KNIFE OR LASER",,,3058.98,5754.0,14 RC,360,"CONIZATION OF CERVIX, WITH OR WITHOUT FULGURATION, WITH OR WITHOUT DILATION AND CURETTAGE, WITH OR WITHOUT REPAIR; LOOP ELECTRODE EXCISION",,,3058.98,5754.0,14 RC,360,CONJUNCTIVOPLASTY; WITH CONJUNCTIVAL GRAFT OR EXTENSIVE REARRANGEMENT,,,2244.5,8442.0,14 RC,360,CONJUNCTIVORHINOSTOMY (FISTULIZATION OF CONJUNCTIVA TO NASAL CAVITY); WITH INSERTION OF TUBE OR STENT,,,3628.02,8442.0,14 RC,360,"CONSTRUCTION OF INTERMARGINAL ADHESIONS, MEDIAN TARSORRHAPHY, OR CANTHORRHAPHY;",,,2244.5,6735.0,14 RC,360,"CONSTRUCTION OF INTERMARGINAL ADHESIONS, MEDIAN TARSORRHAPHY, OR CANTHORRHAPHY; WITH TRANSPOSITION OF TARSAL PLATE",,,2244.5,6735.0,14 RC,360,"CONTROL NASAL HEMORRHAGE, ANTERIOR, COMPLEX (EXTENSIVE CAUTERY AND/OR PACKING) ANY METHOD",,,124.01,4311.0,14 RC,360,"CONTROL OF NASOPHARYNGEAL HEMORRHAGE, PRIMARY OR SECONDARY (EG, POSTADENOIDECTOMY); SIMPLE, WITH POSTERIOR NASAL PACKS, WITH OR WITHOUT ANTERIOR PACKS AND/OR CAUTERY",,,173.0,4311.0,13 RC,360,"CONTROL OROPHARYNGEAL HEMORRHAGE, PRIMARY OR SECONDARY (EG, POST-TONSILLECTOMY); SIMPLE",,,173.0,4311.0,14 RC,360,"CONTROL OROPHARYNGEAL HEMORRHAGE, PRIMARY OR SECONDARY (EG, POST-TONSILLECTOMY); WITH SECONDARY SURGICAL INTERVENTION",,,3120.11,5754.0,14 RC,360,"CONVERSION OF PREVIOUS HIP SURGERY TO TOTAL HIP ARTHROPLASTY, WITH OR WITHOUT AUTOGRAFT OR ALLOGRAFT",,,11124.0,24600.0,3 RC,360,CORNEAL RELAXING INCISION FOR CORRECTION OF SURGICALLY INDUCED ASTIGMATISM,,,931.82,8442.0,14 RC,360,"CORONARY ARTERY BYPASS, USING ARTERIAL GRAFT(S); 4 OR MORE CORONARY ARTERIAL GRAFTS",,,2025.0,4681.0,2 RC,360,CORONOIDECTOMY (SEPARATE PROCEDURE),,,5691.37,10022.0,14 RC,360,"CORPORA CAVERNOSA-GLANS PENIS FISTULIZATION (EG, BIOPSY NEEDLE, WINTER PROCEDURE, RONGEUR, OR PUNCH) FOR PRIAPISM",,,3318.21,8442.0,14 RC,360,"CORRECTION OF EVERTED PUNCTUM, CAUTERY",,,173.0,4311.0,14 RC,360,"CORRECTION OF LAGOPHTHALMOS, WITH IMPLANTATION OF UPPER EYELID LID LOAD (EG, GOLD WEIGHT)",,,2244.5,6735.0,14 RC,360,CORRECTION OF LID RETRACTION,,,2244.5,6735.0,14 RC,360,"CORRECTION OF MALROTATION BY LYSIS OF DUODENAL BANDS AND/OR REDUCTION OF MIDGUT VOLVULUS (EG, LADD PROCEDURE)",,,2025.0,12247.0,3 RC,360,"CORRECTION, HALLUX VALGUS WITH BUNIONECTOMY, WITH SESAMOIDECTOMY WHEN PERFORMED; WITH DISTAL METATARSAL OSTEOTOMY, ANY METHOD",,,3121.59,8045.0,14 RC,360,"CORRECTION, HALLUX VALGUS WITH BUNIONECTOMY, WITH SESAMOIDECTOMY WHEN PERFORMED; WITH DOUBLE OSTEOTOMY, ANY METHOD",,,5219.0,10087.0,14 RC,360,"CORRECTION, HALLUX VALGUS WITH BUNIONECTOMY, WITH SESAMOIDECTOMY WHEN PERFORMED; WITH FIRST METATARSAL AND MEDIAL CUNEIFORM JOINT ARTHRODESIS, ANY METHOD",,,5219.0,13527.54,14 RC,360,"CORRECTION, HALLUX VALGUS WITH BUNIONECTOMY, WITH SESAMOIDECTOMY WHEN PERFORMED; WITH PROXIMAL METATARSAL OSTEOTOMY, ANY METHOD",,,3121.59,8045.0,14 RC,360,"CORRECTION, HALLUX VALGUS WITH BUNIONECTOMY, WITH SESAMOIDECTOMY WHEN PERFORMED; WITH PROXIMAL PHALANX OSTEOTOMY, ANY METHOD",,,5219.0,8045.0,14 RC,360,"CORRECTION, HALLUX VALGUS WITH BUNIONECTOMY, WITH SESAMOIDECTOMY WHEN PERFORMED; WITH RESECTION OF PROXIMAL PHALANX BASE, WHEN PERFORMED, ANY METHOD",,,3121.59,8045.0,14 RC,360,"CORRECTION, HAMMERTOE (EG, INTERPHALANGEAL FUSION, PARTIAL OR TOTAL PHALANGECTOMY)",,,3121.59,6735.0,14 RC,360,CRANIECTOMY; WITH EXCISION OF TUMOR OR OTHER BONE LESION OF SKULL,,,8612.0,13852.0,3 RC,360,CREATION OF ARTERIOVENOUS FISTULA BY OTHER THAN DIRECT ARTERIOVENOUS ANASTOMOSIS (SEPARATE PROCEDURE); AUTOGENOUS GRAFT,,,5200.74,13852.0,14 RC,360,"CREATION OF ARTERIOVENOUS FISTULA BY OTHER THAN DIRECT ARTERIOVENOUS ANASTOMOSIS (SEPARATE PROCEDURE); NONAUTOGENOUS GRAFT (EG, BIOLOGICAL COLLAGEN, THERMOPLASTIC GRAFT)",,,5200.74,13852.0,14 RC,360,"CURETTAGE, POSTPARTUM",,,3058.98,6735.0,14 RC,360,"CYSTECTOMY, COMPLETE, WITH URETEROILEAL CONDUIT OR SIGMOID BLADDER, INCLUDING INTESTINE ANASTOMOSIS;",,,2025.0,4681.0,2 RC,360,"CYSTOLITHOTOMY, CYSTOTOMY WITH REMOVAL OF CALCULUS, WITHOUT VESICAL NECK RESECTION",,,3788.0,8442.0,14 RC,360,"CYSTORRHAPHY, SUTURE OF BLADDER WOUND, INJURY OR RUPTURE; SIMPLE",,,3788.0,9721.99,13 RC,360,"CYSTOTOMY FOR EXCISION, INCISION, OR REPAIR OF URETEROCELE",,,3318.21,5754.0,12 RC,360,"CYSTOTOMY, WITH INSERTION OF URETERAL CATHETER OR STENT (SEPARATE PROCEDURE)",,,990.0,8442.0,14 RC,360,CYSTOURETHROSCOPY (INCLUDING URETERAL CATHETERIZATION); WITH REMOVAL OF URETERAL CALCULUS,,,3318.21,10087.0,14 RC,360,CYSTOURETHROSCOPY (SEPARATE PROCEDURE),,,642.16,4311.0,14 RC,360,CYSTOURETHROSCOPY WITH DIRECT VISION INTERNAL URETHROTOMY,,,1970.84,6735.0,14 RC,360,"CYSTOURETHROSCOPY WITH INSERTION OF RADIOACTIVE SUBSTANCE, WITH OR WITHOUT BIOPSY OR FULGURATION",,,3318.21,8442.0,14 RC,360,CYSTOURETHROSCOPY WITH IRRIGATION AND EVACUATION OF MULTIPLE OBSTRUCTING CLOTS,,,2025.0,5152.0,14 RC,360,"CYSTOURETHROSCOPY WITH TRANSURETHRAL ANTERIOR PROSTATE COMMISSUROTOMY AND DRUG DELIVERY, INCLUDING TRANSRECTAL ULTRASOUND AND FLUOROSCOPY, WHEN PERFORMED",,,3788.0,17457.0,14 RC,360,"CYSTOURETHROSCOPY WITH URETEROSCOPY; WITH TREATMENT OF URETERAL STRICTURE (EG, BALLOON DILATION, LASER, ELECTROCAUTERY, AND INCISION)",,,3318.21,6735.0,14 RC,360,"CYSTOURETHROSCOPY WITH URETEROSCOPY; WITH TREATMENT OF URETEROPELVIC JUNCTION STRICTURE (EG, BALLOON DILATION, LASER, ELECTROCAUTERY, AND INCISION)",,,3318.21,6735.0,14 RC,360,"CYSTOURETHROSCOPY, WITH BIOPSY(S)",,,1970.84,5754.0,14 RC,360,"CYSTOURETHROSCOPY, WITH CALIBRATION AND/OR DILATION OF URETHRAL STRICTURE OR STENOSIS, WITH OR WITHOUT MEATOTOMY, WITH OR WITHOUT INJECTION PROCEDURE FOR CYSTOGRAPHY, MALE OR FEMALE",,,1970.84,5152.0,14 RC,360,"CYSTOURETHROSCOPY, WITH DILATION OF BLADDER FOR INTERSTITIAL CYSTITIS; GENERAL OR CONDUCTION (SPINAL) ANESTHESIA",,,1970.84,5152.0,14 RC,360,"CYSTOURETHROSCOPY, WITH DILATION OF BLADDER FOR INTERSTITIAL CYSTITIS; LOCAL ANESTHESIA",,,990.0,4376.0,14 RC,360,"CYSTOURETHROSCOPY, WITH FULGURATION (INCLUDING CRYOSURGERY OR LASER SURGERY) AND/OR RESECTION OF; LARGE BLADDER TUMOR(S)",,,3788.0,6735.0,14 RC,360,"CYSTOURETHROSCOPY, WITH FULGURATION (INCLUDING CRYOSURGERY OR LASER SURGERY) AND/OR RESECTION OF; MEDIUM BLADDER TUMOR(S) (2.0 TO 5.0 CM)",,,3318.21,6735.0,14 RC,360,"CYSTOURETHROSCOPY, WITH FULGURATION (INCLUDING CRYOSURGERY OR LASER SURGERY) AND/OR RESECTION OF; SMALL BLADDER TUMOR(S) (0.5 UP TO 2.0 CM)",,,3318.21,5754.0,14 RC,360,"CYSTOURETHROSCOPY, WITH FULGURATION (INCLUDING CRYOSURGERY OR LASER SURGERY) OF TRIGONE, BLADDER NECK, PROSTATIC FOSSA, URETHRA, OR PERIURETHRAL GLANDS",,,3318.21,5754.0,14 RC,360,"CYSTOURETHROSCOPY, WITH FULGURATION (INCLUDING CRYOSURGERY OR LASER SURGERY) OR TREATMENT OF MINOR (LESS THAN 0.5 CM) LESION(S) WITH OR WITHOUT BIOPSY",,,3318.21,5754.0,14 RC,360,"CYSTOURETHROSCOPY, WITH INJECTION(S) FOR CHEMODENERVATION OF THE BLADDER",,,1970.84,9350.0,14 RC,360,"CYSTOURETHROSCOPY, WITH INSERTION OF INDWELLING URETERAL STENT (EG, GIBBONS OR DOUBLE-J TYPE)",,,3318.21,5754.0,14 RC,360,"CYSTOURETHROSCOPY, WITH INSERTION OF PERMANENT ADJUSTABLE TRANSPROSTATIC IMPLANT; EACH ADDITIONAL PERMANENT ADJUSTABLE TRANSPROSTATIC IMPLANT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE",,,173.0,4311.0,3 RC,360,"CYSTOURETHROSCOPY, WITH INSERTION OF PERMANENT ADJUSTABLE TRANSPROSTATIC IMPLANT; SINGLE IMPLANT",,,173.0,6735.0,3 RC,360,"CYSTOURETHROSCOPY, WITH INSERTION OF TRANSPROSTATIC IMPLANT; 1 TO 3 IMPLANTS",,,3788.0,17457.0,14 RC,360,"CYSTOURETHROSCOPY, WITH INSERTION OF TRANSPROSTATIC IMPLANT; 4 OR MORE IMPLANTS",,,8612.0,13852.0,13 RC,360,"CYSTOURETHROSCOPY, WITH MECHANICAL URETHRAL DILATION AND URETHRAL THERAPEUTIC DRUG DELIVERY BY DRUG-COATED BALLOON CATHETER FOR URETHRAL STRICTURE OR STENOSIS, MALE, INCLUDING FLUOROSCOPY, WHEN PERFOR",,,3788.0,6735.0,13 RC,360,"CYSTOURETHROSCOPY, WITH REMOVAL OF FOREIGN BODY, CALCULUS, OR URETERAL STENT FROM URETHRA OR BLADDER (SEPARATE PROCEDURE); COMPLICATED",,,1970.84,5754.0,14 RC,360,"CYSTOURETHROSCOPY, WITH REMOVAL OF FOREIGN BODY, CALCULUS, OR URETERAL STENT FROM URETHRA OR BLADDER (SEPARATE PROCEDURE); SIMPLE",,,1970.84,5152.0,14 RC,360,"CYSTOURETHROSCOPY, WITH URETERAL CATHETERIZATION, WITH OR WITHOUT IRRIGATION, INSTILLATION, OR URETEROPYELOGRAPHY, EXCLUSIVE OF RADIOLOGIC SERVICE;",,,1970.84,5754.0,14 RC,360,"CYSTOURETHROSCOPY, WITH URETERAL CATHETERIZATION, WITH OR WITHOUT IRRIGATION, INSTILLATION, OR URETEROPYELOGRAPHY, EXCLUSIVE OF RADIOLOGIC SERVICE; WITH BRUSH BIOPSY OF URETER AND/OR RENAL PELVIS",,,3318.21,5754.0,14 RC,360,"CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY, WITH LITHOTRIPSY, AND URETERAL CATHETERIZATION FOR STEERABLE VACUUM ASPIRATION OF THE KIDNEY, COLLECTING SYSTEM, URETER, BLADDER, AND URETHRA IF",,,3788.0,17457.0,14 RC,360,"CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; DIAGNOSTIC",,,3318.21,6735.0,14 RC,360,"CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; WITH BIOPSY AND/OR FULGURATION OF URETERAL OR RENAL PELVIC LESION",,,3788.0,8442.0,14 RC,360,"CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; WITH LITHOTRIPSY (URETERAL CATHETERIZATION IS INCLUDED)",,,4890.88,10022.0,14 RC,360,"CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; WITH LITHOTRIPSY INCLUDING INSERTION OF INDWELLING URETERAL STENT (EG, GIBBONS OR DOUBLE-J TYPE)",,,4890.88,17457.0,14 RC,360,"CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; WITH REMOVAL OR MANIPULATION OF CALCULUS (URETERAL CATHETERIZATION IS INCLUDED)",,,3318.21,8442.0,14 RC,360,"CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; WITH RESECTION OF URETERAL OR RENAL PELVIC TUMOR",,,3788.0,8442.0,14 RC,360,"CYSTOURETHROSCOPY; WITH INCISION OR RESECTION OF ORIFICE OF BLADDER DIVERTICULUM, SINGLE OR MULTIPLE",,,3788.0,5754.0,14 RC,360,"CYSTOURETHROSCOPY; WITH RESECTION OR FULGURATION OF ORTHOTOPIC URETEROCELE(S), UNILATERAL OR BILATERAL",,,3318.21,5754.0,14 RC,360,"CYSTOURETHROSCOPY; WITH TREATMENT OF URETERAL STRICTURE (EG, BALLOON DILATION, LASER, ELECTROCAUTERY, AND INCISION)",,,3318.21,6735.0,14 RC,360,DACRYOCYSTORHINOSTOMY (FISTULIZATION OF LACRIMAL SAC TO NASAL CAVITY),,,3628.02,8442.0,14 RC,360,"DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN MATERIAL AT THE SITE OF AN OPEN FRACTURE AND/OR AN OPEN DISLOCATION (EG, EXCISIONAL DEBRIDEMENT); SKIN AND SUBCUTANEOUS TISSUES",,,676.91,5152.0,14 RC,360,"DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN MATERIAL AT THE SITE OF AN OPEN FRACTURE AND/OR AN OPEN DISLOCATION (EG, EXCISIONAL DEBRIDEMENT); SKIN, SUBCUTANEOUS TISSUE, MUSCLE FASCIA, AND MUSCLE",,,676.91,5152.0,14 RC,360,"DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN MATERIAL AT THE SITE OF AN OPEN FRACTURE AND/OR AN OPEN DISLOCATION (EG, EXCISIONAL DEBRIDEMENT); SKIN, SUBCUTANEOUS TISSUE, MUSCLE FASCIA, MUSCLE, AND BONE",,,990.0,5152.0,14 RC,360,"DEBRIDEMENT OF SKIN, SUBCUTANEOUS TISSUE, MUSCLE AND FASCIA FOR NECROTIZING SOFT TISSUE INFECTION; ABDOMINAL WALL, WITH OR WITHOUT FASCIAL CLOSURE",,,2025.0,4681.0,2 RC,360,"DEBRIDEMENT OF SKIN, SUBCUTANEOUS TISSUE, MUSCLE AND FASCIA FOR NECROTIZING SOFT TISSUE INFECTION; EXTERNAL GENITALIA AND PERINEUM",,,2025.0,4681.0,2 RC,360,"DEBRIDEMENT, BONE (INCLUDES EPIDERMIS, DERMIS, SUBCUTANEOUS TISSUE, MUSCLE AND/OR FASCIA, IF PERFORMED); EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROC",,,173.0,4311.0,3 RC,360,"DEBRIDEMENT, BONE (INCLUDES EPIDERMIS, DERMIS, SUBCUTANEOUS TISSUE, MUSCLE AND/OR FASCIA, IF PERFORMED); FIRST 20 SQ CM OR LESS",,,990.0,5152.0,14 RC,360,"DEBRIDEMENT, MUSCLE AND/OR FASCIA (INCLUDES EPIDERMIS, DERMIS, AND SUBCUTANEOUS TISSUE, IF PERFORMED); EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCED",,,173.0,4311.0,3 RC,360,"DEBRIDEMENT, MUSCLE AND/OR FASCIA (INCLUDES EPIDERMIS, DERMIS, AND SUBCUTANEOUS TISSUE, IF PERFORMED); FIRST 20 SQ CM OR LESS",,,173.0,5152.0,14 RC,360,"DEBRIDEMENT, SUBCUTANEOUS TISSUE (INCLUDES EPIDERMIS AND DERMIS, IF PERFORMED); EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,173.0,4311.0,3 RC,360,"DEBRIDEMENT, SUBCUTANEOUS TISSUE (INCLUDES EPIDERMIS AND DERMIS, IF PERFORMED); FIRST 20 SQ CM OR LESS",,,173.0,5152.0,14 RC,360,"DECOMPRESSION FASCIOTOMY, LEG; ANTERIOR AND/OR LATERAL, AND POSTERIOR COMPARTMENT(S)",,,3121.59,8045.0,14 RC,360,DECOMPRESSION; UNSPECIFIED NERVE(S) (SPECIFY),,,1878.73,5754.0,14 RC,360,"DELAY OF FLAP OR SECTIONING OF FLAP (DIVISION AND INSET); AT FOREHEAD, CHEEKS, CHIN, NECK, AXILLAE, GENITALIA, HANDS, OR FEET",,,1759.87,8442.0,14 RC,360,"DESTRUCTION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CURETTEMENT), OF BENIGN LESIONS OTHER THAN SKIN TAGS OR CUTANEOUS VASCULAR PROLIFERATIVE LESIONS; UP TO 14 LESIONS",,,173.0,4311.0,13 RC,360,"DESTRUCTION BY NEUROLYTIC AGENT, INTERCOSTAL NERVE",,,856.54,4311.0,14 RC,360,"DESTRUCTION BY NEUROLYTIC AGENT, PARAVERTEBRAL FACET JOINT NERVE(S), WITH IMAGING GUIDANCE (FLUOROSCOPY OR CT); CERVICAL OR THORACIC, SINGLE FACET JOINT",,,1878.73,5754.0,14 RC,360,"DESTRUCTION BY NEUROLYTIC AGENT, PARAVERTEBRAL FACET JOINT NERVE(S), WITH IMAGING GUIDANCE (FLUOROSCOPY OR CT); LUMBAR OR SACRAL, EACH ADDITIONAL FACET JOINT (LIST SEPARATELY IN ADDITION TO CODE FOR P",,,173.0,4311.0,3 RC,360,"DESTRUCTION BY NEUROLYTIC AGENT, PARAVERTEBRAL FACET JOINT NERVE(S), WITH IMAGING GUIDANCE (FLUOROSCOPY OR CT); LUMBAR OR SACRAL, SINGLE FACET JOINT",,,1878.73,9350.0,14 RC,360,"DESTRUCTION OF INTERNAL HEMORRHOID(S) BY THERMAL ENERGY (EG, INFRARED COAGULATION, CAUTERY, RADIOFREQUENCY)",,,990.0,9350.0,14 RC,360,"DESTRUCTION OF LESION(S), ANUS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESICLE), EXTENSIVE (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY)",,,2638.41,5754.0,14 RC,360,"DESTRUCTION OF LESION(S), ANUS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESICLE), SIMPLE; ELECTRODESICCATION",,,1759.87,4376.0,13 RC,360,"DESTRUCTION OF LESION(S), ANUS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESICLE), SIMPLE; LASER SURGERY",,,2638.41,5754.0,14 RC,360,"DESTRUCTION OF LESION(S), ANUS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESICLE), SIMPLE; SURGICAL EXCISION",,,2638.41,5754.0,14 RC,360,"DESTRUCTION OF LESION(S), PENIS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESICLE), SIMPLE; SURGICAL EXCISION",,,1759.87,4311.0,14 RC,360,"DESTRUCTION OF LESION(S), VULVA; EXTENSIVE (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY)",,,1759.87,6735.0,14 RC,360,"DESTRUCTION OF LESION(S), VULVA; SIMPLE (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY)",,,1759.87,4311.0,13 RC,360,"DESTRUCTION OF RECTAL TUMOR (EG, ELECTRODESICCATION, ELECTROSURGERY, LASER ABLATION, LASER RESECTION, CRYOSURGERY) TRANSANAL APPROACH",,,2638.41,17457.0,14 RC,360,"DESTRUCTION OF VAGINAL LESION(S); EXTENSIVE (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY)",,,3058.98,5754.0,14 RC,360,"DESTRUCTION OF VAGINAL LESION(S); SIMPLE (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY)",,,3058.98,5754.0,13 RC,360,DIAGNOSTIC BONE MARROW; ASPIRATION(S),,,990.0,4311.0,14 RC,360,"DIALYSIS CIRCUIT PERMANENT VASCULAR EMBOLIZATION OR OCCLUSION (INCLUDING MAIN CIRCUIT OR ANY ACCESSORY VEINS), ENDOVASCULAR, INCLUDING ALL IMAGING AND RADIOLOGICAL SUPERVISION AND INTERPRETATION NECES",,,173.0,4311.0,3 RC,360,"DILATION AND CURETTAGE, DIAGNOSTIC AND/OR THERAPEUTIC (NONOBSTETRICAL)",,,3058.98,5754.0,14 RC,360,DILATION OF ANAL SPHINCTER (SEPARATE PROCEDURE) UNDER ANESTHESIA OTHER THAN LOCAL,,,1134.38,4311.0,14 RC,360,DILATION OF FEMALE URETHRA INCLUDING SUPPOSITORY AND/OR INSTILLATION; INITIAL,,,150.52,4311.0,13 RC,360,"DILATION OF FEMALE URETHRA, GENERAL OR CONDUCTION (SPINAL) ANESTHESIA",,,1970.84,5754.0,14 RC,360,"DILATION OF LACRIMAL PUNCTUM, WITH OR WITHOUT IRRIGATION",,,173.0,832.0,12 RC,360,"DILATION OF URETHRAL STRICTURE BY PASSAGE OF SOUND OR URETHRAL DILATOR, MALE; INITIAL",,,173.0,4311.0,14 RC,360,DILATION OF VAGINA UNDER ANESTHESIA (OTHER THAN LOCAL),,,3058.98,5754.0,14 RC,360,"DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION (PARTIAL OR TOTAL) AND GRAFT INSERTION, WITH OR WITHOUT PATCH GRAFT; FOR ANEURYSM AND ASSOCIATED OCCLUSIVE DISEASE, AXILLARY-BRACHIAL ARTERY, BY ",,,5200.74,13852.0,12 RC,360,"DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION (PARTIAL OR TOTAL) AND GRAFT INSERTION, WITH OR WITHOUT PATCH GRAFT; FOR ANEURYSM, PSEUDOANEURYSM, AND ASSOCIATED OCCLUSIVE DISEASE, POPLITEAL AR",,,2025.0,4681.0,2 RC,360,"DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION (PARTIAL OR TOTAL) AND GRAFT INSERTION, WITH OR WITHOUT PATCH GRAFT; FOR ANEURYSM, PSEUDOANEURYSM, AND ASSOCIATED OCCLUSIVE DISEASE, RADIAL OR UL",,,5200.74,13852.0,12 RC,360,"DISCECTOMY, ANTERIOR, WITH DECOMPRESSION OF SPINAL CORD AND/OR NERVE ROOT(S), INCLUDING OSTEOPHYTECTOMY; CERVICAL, SINGLE INTERSPACE",,,6872.88,13852.0,13 RC,360,"DISCECTOMY, ANTERIOR, WITH DECOMPRESSION OF SPINAL CORD AND/OR NERVE ROOT(S), INCLUDING OSTEOPHYTECTOMY; THORACIC, EACH ADDITIONAL INTERSPACE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE",,,2025.0,4681.0,2 RC,360,"DISCECTOMY, ANTERIOR, WITH DECOMPRESSION OF SPINAL CORD AND/OR NERVE ROOT(S), INCLUDING OSTEOPHYTECTOMY; THORACIC, SINGLE INTERSPACE",,,2025.0,4681.0,2 RC,360,"DISCISSION OF SECONDARY MEMBRANOUS CATARACT (OPACIFIED POSTERIOR LENS CAPSULE AND/OR ANTERIOR HYALOID); LASER SURGERY (EG, YAG LASER) (1 OR MORE STAGES)",,,527.8,5152.0,14 RC,360,"DISTAL REVASCULARIZATION AND INTERVAL LIGATION (DRIL), UPPER EXTREMITY HEMODIALYSIS ACCESS (STEAL SYNDROME)",,,5200.74,13852.0,13 RC,360,"DRAINAGE OF ABSCESS, CYST, HEMATOMA FROM DENTOALVEOLAR STRUCTURES",,,124.01,4311.0,14 RC,360,"DRAINAGE OF FINGER ABSCESS; COMPLICATED (EG, FELON)",,,1558.81,4311.0,14 RC,360,"DRAINAGE OF OVARIAN CYST(S), UNILATERAL OR BILATERAL (SEPARATE PROCEDURE); VAGINAL APPROACH",,,3058.98,6735.0,14 RC,360,DRAINAGE OF SCROTAL WALL ABSCESS,,,1558.81,4311.0,14 RC,360,"DRUG-INDUCED SLEEP ENDOSCOPY, WITH DYNAMIC EVALUATION OF VELUM, PHARYNX, TONGUE BASE, AND LARYNX FOR EVALUATION OF SLEEP-DISORDERED BREATHING, FLEXIBLE, DIAGNOSTIC",,,173.0,4376.0,13 RC,360,"DURAL GRAFT, SPINAL",,,2025.0,4681.0,2 RC,360,"ELECTRONIC ANALYSIS OF IMPLANTED NEUROSTIMULATOR PULSE GENERATOR/TRANSMITTER (EG, CONTACT GROUP[S], INTERLEAVING, AMPLITUDE, PULSE WIDTH, FREQUENCY [HZ], ON/OFF CYCLING, BURST, MAGNET MODE, DOSE LOCKO",,,88.31,96.5,10 RC,360,"EMBOLECTOMY OR THROMBECTOMY, WITH OR WITHOUT CATHETER; AXILLARY, BRACHIAL, INNOMINATE, SUBCLAVIAN ARTERY, BY ARM INCISION",,,5200.74,13852.0,14 RC,360,"EMBOLECTOMY OR THROMBECTOMY, WITH OR WITHOUT CATHETER; RADIAL OR ULNAR ARTERY, BY ARM INCISION",,,5200.74,13852.0,12 RC,360,"ENDOMETRIAL ABLATION, THERMAL, WITHOUT HYSTEROSCOPIC GUIDANCE",,,4749.28,12408.0,14 RC,360,"ENDOMETRIAL SAMPLING (BIOPSY) WITH OR WITHOUT ENDOCERVICAL SAMPLING (BIOPSY), WITHOUT CERVICAL DILATION, ANY METHOD (SEPARATE PROCEDURE)",,,173.0,4311.0,13 RC,360,ENDOSCOPIC INJECTION OF IMPLANT MATERIAL INTO THE SUBMUCOSAL TISSUES OF THE URETHRA AND/OR BLADDER NECK,,,3318.21,8045.0,14 RC,360,"ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,3660.29,5754.0,14 RC,360,ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH REMOVAL OF CALCULI/DEBRIS FROM BILIARY/PANCREATIC DUCT(S),,,3660.29,5754.0,14 RC,360,ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH SPHINCTEROTOMY/PAPILLOTOMY,,,3660.29,5754.0,14 RC,360,"ENDOSCOPY, WRIST, SURGICAL, WITH RELEASE OF TRANSVERSE CARPAL LIGAMENT",,,1539.73,17457.0,14 RC,360,"ENDOVENOUS ABLATION THERAPY OF INCOMPETENT VEIN, EXTREMITY, INCLUSIVE OF ALL IMAGING GUIDANCE AND MONITORING, PERCUTANEOUS, RADIOFREQUENCY; FIRST VEIN TREATED",,,3028.17,17457.0,14 RC,360,"ENTERECTOMY, RESECTION OF SMALL INTESTINE; SINGLE RESECTION AND ANASTOMOSIS",,,2025.0,4681.0,2 RC,360,"ENTEROENTEROSTOMY, ANASTOMOSIS OF INTESTINE, WITH OR WITHOUT CUTANEOUS ENTEROSTOMY (SEPARATE PROCEDURE)",,,2025.0,4681.0,2 RC,360,ENTEROLYSIS (FREEING OF INTESTINAL ADHESION) (SEPARATE PROCEDURE),,,2025.0,12247.0,3 RC,360,"ENTEROTOMY, SMALL INTESTINE, OTHER THAN DUODENUM; FOR EXPLORATION, BIOPSY(S), OR FOREIGN BODY REMOVAL",,,2025.0,11124.0,3 RC,360,"ENUCLEATION OF EYE; WITH IMPLANT, MUSCLES ATTACHED TO IMPLANT",,,3628.02,8442.0,14 RC,360,EPIDIDYMECTOMY; UNILATERAL,,,3318.21,6735.0,14 RC,360,"EPISIOTOMY OR VAGINAL REPAIR, BY OTHER THAN ATTENDING",,,3058.98,5754.0,13 RC,360,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,902.01,4311.0,14 RC,360,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH BIOPSY, SINGLE OR MULTIPLE",,,902.01,5152.0,14 RC,360,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH DILATION OF GASTRIC/DUODENAL STRICTURE(S) (EG, BALLOON, BOUGIE)",,,1825.06,5152.0,14 RC,360,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH DIRECTED PLACEMENT OF PERCUTANEOUS GASTROSTOMY TUBE",,,1825.06,5152.0,14 RC,360,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH ENDOSCOPIC MUCOSAL RESECTION",,,1825.06,6735.0,14 RC,360,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH ENDOSCOPIC ULTRASOUND EXAMINATION, INCLUDING THE ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM OR A SURGICALLY ALTERED STOMACH WHERE THE JEJUNUM IS ",,,1825.06,6735.0,14 RC,360,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH INSERTION OF GUIDE WIRE FOLLOWED BY PASSAGE OF DILATOR(S) THROUGH ESOPHAGUS OVER GUIDE WIRE",,,902.01,5152.0,14 RC,360,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH PLACEMENT OF ENDOSCOPIC STENT (INCLUDES PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED)",,,5219.0,17457.0,14 RC,360,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH REMOVAL OF FOREIGN BODY(S)",,,902.01,5152.0,14 RC,360,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH TRANSENDOSCOPIC BALLOON DILATION OF ESOPHAGUS (LESS THAN 30 MM DIAMETER)",,,1825.06,5152.0,14 RC,360,"ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,902.01,4311.0,14 RC,360,"ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; WITH BIOPSY, SINGLE OR MULTIPLE",,,1825.06,4311.0,14 RC,360,"ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; WITH INSERTION OF GUIDE WIRE FOLLOWED BY PASSAGE OF DILATOR(S) OVER GUIDE WIRE",,,1825.06,4311.0,14 RC,360,"ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; WITH REMOVAL OF FOREIGN BODY(S)",,,1825.06,4311.0,14 RC,360,EVISCERATION OF OCULAR CONTENTS; WITH IMPLANT,,,3628.02,8045.0,14 RC,360,EXCHANGE OF INTRAOCULAR LENS,,,2194.26,11124.0,14 RC,360,EXCHANGE OF PREVIOUSLY PLACED ABSCESS OR CYST DRAINAGE CATHETER UNDER RADIOLOGICAL GUIDANCE (SEPARATE PROCEDURE),,,1825.06,4311.0,13 RC,360,"EXCISION AND REPAIR OF EYELID, INVOLVING LID MARGIN, TARSUS, CONJUNCTIVA, CANTHUS, OR FULL THICKNESS, MAY INCLUDE PREPARATION FOR SKIN GRAFT OR PEDICLE FLAP WITH ADJACENT TISSUE TRANSFER OR REARRANGEM",,,2244.5,6735.0,28 RC,360,EXCISION FIRST AND/OR CERVICAL RIB;,,,8612.0,13852.0,3 RC,360,"EXCISION INFERIOR TURBINATE, PARTIAL OR COMPLETE, ANY METHOD",,,3120.11,6735.0,14 RC,360,EXCISION OF BARTHOLIN'S GLAND OR CYST,,,3058.98,6735.0,14 RC,360,"EXCISION OF BENIGN TUMOR OR CYST OF MAXILLA; REQUIRING INTRA-ORAL OSTEOTOMY (EG, LOCALLY AGGRESSIVE OR DESTRUCTIVE LESION[S])",,,4376.0,10022.0,14 RC,360,"EXCISION OF BONE (EG, FOR OSTEOMYELITIS OR BONE ABSCESS); MANDIBLE",,,4376.0,10022.0,14 RC,360,"EXCISION OF BREAST LESION IDENTIFIED BY PREOPERATIVE PLACEMENT OF RADIOLOGICAL MARKER, OPEN; EACH ADDITIONAL LESION SEPARATELY IDENTIFIED BY A PREOPERATIVE RADIOLOGICAL MARKER (LIST SEPARATELY IN ADDI",,,173.0,6735.0,3 RC,360,"EXCISION OF BREAST LESION IDENTIFIED BY PREOPERATIVE PLACEMENT OF RADIOLOGICAL MARKER, OPEN; SINGLE LESION",,,3684.09,6735.0,14 RC,360,EXCISION OF CAROTID BODY TUMOR; WITHOUT EXCISION OF CAROTID ARTERY,,,2025.0,4681.0,2 RC,360,"EXCISION OF CERVICAL STUMP, VAGINAL APPROACH;",,,3788.0,6735.0,14 RC,360,"EXCISION OF CHALAZION; MULTIPLE, SAME LID",,,931.82,4311.0,14 RC,360,EXCISION OF CHALAZION; SINGLE,,,173.0,4311.0,14 RC,360,"EXCISION OF CHALAZION; UNDER GENERAL ANESTHESIA AND/OR REQUIRING HOSPITALIZATION, SINGLE OR MULTIPLE",,,2244.5,5754.0,14 RC,360,EXCISION OF CHEST WALL TUMOR INCLUDING RIB(S),,,2753.54,10087.0,13 RC,360,"EXCISION OF CYST OR ADENOMA OF THYROID, OR TRANSECTION OF ISTHMUS",,,4376.0,13852.0,14 RC,360,"EXCISION OF CYST, FIBROADENOMA, OR OTHER BENIGN OR MALIGNANT TUMOR, ABERRANT BREAST TISSUE, DUCT LESION, NIPPLE OR AREOLAR LESION (EXCEPT 19300), OPEN, MALE OR FEMALE, 1 OR MORE LESIONS",,,3684.09,6735.0,14 RC,360,EXCISION OF EXTRAPARENCHYMAL LESION OF TESTIS,,,3318.21,5754.0,14 RC,360,"EXCISION OF GANGLION, WRIST (DORSAL OR VOLAR); PRIMARY",,,1539.73,6735.0,14 RC,360,"EXCISION OF GANGLION, WRIST (DORSAL OR VOLAR); RECURRENT",,,1539.73,8442.0,14 RC,360,"EXCISION OF HYDROCELE OF SPERMATIC CORD, UNILATERAL (SEPARATE PROCEDURE)",,,3318.21,8045.0,14 RC,360,EXCISION OF HYDROCELE; BILATERAL,,,3395.25,10087.0,14 RC,360,EXCISION OF HYDROCELE; UNILATERAL,,,3395.25,8045.0,14 RC,360,EXCISION OF INFECTED GRAFT; EXTREMITY,,,3028.17,8045.0,12 RC,360,EXCISION OF LACTIFEROUS DUCT FISTULA,,,3684.09,6735.0,14 RC,360,EXCISION OF LESION OF EYELID (EXCEPT CHALAZION) WITHOUT CLOSURE OR WITH SIMPLE DIRECT CLOSURE,,,931.82,4376.0,14 RC,360,"EXCISION OF LESION OF MENISCUS OR CAPSULE (EG, CYST, GANGLION), KNEE",,,3121.59,8442.0,14 RC,360,EXCISION OF LESION OF MESENTERY (SEPARATE PROCEDURE),,,2025.0,4681.0,2 RC,360,"EXCISION OF LESION OF MUCOSA AND SUBMUCOSA, VESTIBULE OF MOUTH; COMPLEX, WITH EXCISION OF UNDERLYING MUSCLE",,,3120.11,5754.0,14 RC,360,"EXCISION OF LESION OF MUCOSA AND SUBMUCOSA, VESTIBULE OF MOUTH; WITH COMPLEX REPAIR",,,3120.11,5754.0,14 RC,360,"EXCISION OF LESION OF MUCOSA AND SUBMUCOSA, VESTIBULE OF MOUTH; WITH SIMPLE REPAIR",,,1425.11,4311.0,13 RC,360,"EXCISION OF LESION OF MUCOSA AND SUBMUCOSA, VESTIBULE OF MOUTH; WITHOUT REPAIR",,,2025.0,4311.0,13 RC,360,EXCISION OF LESION OF SPERMATIC CORD (SEPARATE PROCEDURE),,,3318.21,8442.0,14 RC,360,"EXCISION OF LESION OF TENDON SHEATH OR CAPSULE (EG, CYST OR GANGLION), LEG AND/OR ANKLE",,,3121.59,6735.0,14 RC,360,"EXCISION OF LESION OF TENDON SHEATH OR JOINT CAPSULE (EG, CYST, MUCOUS CYST, OR GANGLION), HAND OR FINGER",,,1539.73,6735.0,14 RC,360,EXCISION OF LESION OF TONGUE WITH CLOSURE; ANTERIOR TWO-THIRDS,,,2025.0,5152.0,14 RC,360,"EXCISION OF LESION, CONJUNCTIVA; OVER 1 CM",,,2244.5,5754.0,14 RC,360,"EXCISION OF LESION, CONJUNCTIVA; UP TO 1 CM",,,2244.5,5754.0,14 RC,360,"EXCISION OF LESION, CORNEA (KERATECTOMY, LAMELLAR, PARTIAL), EXCEPT PTERYGIUM",,,931.82,4311.0,14 RC,360,"EXCISION OF LESION, TENDON, TENDON SHEATH, OR CAPSULE (INCLUDING SYNOVECTOMY) (EG, CYST OR GANGLION); FOOT",,,1539.73,6735.0,14 RC,360,"EXCISION OF LESION, TENDON, TENDON SHEATH, OR CAPSULE (INCLUDING SYNOVECTOMY) (EG, CYST OR GANGLION); TOE(S), EACH",,,1539.73,6735.0,14 RC,360,EXCISION OF LINGUAL FRENUM (FRENECTOMY),,,1425.11,4311.0,14 RC,360,EXCISION OF LOCAL LESION OF EPIDIDYMIS,,,3318.21,6735.0,14 RC,360,"EXCISION OF MULTIPLE EXTERNAL PAPILLAE OR TAGS, ANUS",,,2025.0,4311.0,14 RC,360,"EXCISION OF NAIL AND NAIL MATRIX, PARTIAL OR COMPLETE (EG, INGROWN OR DEFORMED NAIL), FOR PERMANENT REMOVAL",,,173.0,4311.0,14 RC,360,"EXCISION OF NEUROMA; CUTANEOUS NERVE, SURGICALLY IDENTIFIABLE",,,1878.73,5754.0,14 RC,360,"EXCISION OF PAROTID TUMOR OR PAROTID GLAND; LATERAL LOBE, WITH DISSECTION AND PRESERVATION OF FACIAL NERVE",,,5691.37,12408.0,14 RC,360,"EXCISION OF PAROTID TUMOR OR PAROTID GLAND; LATERAL LOBE, WITHOUT NERVE DISSECTION",,,5691.37,10022.0,14 RC,360,"EXCISION OF PAROTID TUMOR OR PAROTID GLAND; TOTAL, WITH DISSECTION AND PRESERVATION OF FACIAL NERVE",,,5691.37,12408.0,14 RC,360,EXCISION OF PILONIDAL CYST OR SINUS; COMPLICATED,,,2753.54,6735.0,14 RC,360,EXCISION OF PILONIDAL CYST OR SINUS; EXTENSIVE,,,2753.54,6735.0,14 RC,360,EXCISION OF PILONIDAL CYST OR SINUS; SIMPLE,,,2753.54,6735.0,14 RC,360,"EXCISION OF RECTAL PROCIDENTIA, WITH ANASTOMOSIS; ABDOMINAL AND PERINEAL APPROACH",,,2025.0,4681.0,2 RC,360,"EXCISION OF RECTAL PROCIDENTIA, WITH ANASTOMOSIS; PERINEAL APPROACH",,,2025.0,4681.0,2 RC,360,"EXCISION OF RECTAL TUMOR, TRANSANAL APPROACH; INCLUDING MUSCULARIS PROPRIA (IE, FULL THICKNESS)",,,2638.41,17457.0,14 RC,360,"EXCISION OF RECTAL TUMOR, TRANSANAL APPROACH; NOT INCLUDING MUSCULARIS PROPRIA (IE, PARTIAL THICKNESS)",,,2638.41,9350.0,14 RC,360,"EXCISION OF RECTAL TUMOR, TRANSANAL ENDOSCOPIC MICROSURGICAL APPROACH (IE, TEMS), INCLUDING MUSCULARIS PROPRIA (IE, FULL THICKNESS)",,,5219.0,8045.0,13 RC,360,"EXCISION OF RIB, PARTIAL",,,4376.0,8045.0,14 RC,360,"EXCISION OF SINGLE EXTERNAL PAPILLA OR TAG, ANUS",,,1134.38,4311.0,14 RC,360,"EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, AXILLARY; WITH COMPLEX REPAIR",,,2753.54,5754.0,14 RC,360,"EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, AXILLARY; WITH SIMPLE OR INTERMEDIATE REPAIR",,,2753.54,5754.0,14 RC,360,"EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, INGUINAL; WITH SIMPLE OR INTERMEDIATE REPAIR",,,2753.54,5754.0,14 RC,360,"EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, PERIANAL, PERINEAL, OR UMBILICAL; WITH SIMPLE OR INTERMEDIATE REPAIR",,,2753.54,5754.0,14 RC,360,"EXCISION OF SPERMATOCELE, WITH OR WITHOUT EPIDIDYMECTOMY",,,1970.84,8442.0,14 RC,360,EXCISION OF SUBLINGUAL SALIVARY CYST (RANULA),,,3120.11,6735.0,14 RC,360,EXCISION OF SUBMANDIBULAR (SUBMAXILLARY) GLAND,,,5691.37,10022.0,14 RC,360,"EXCISION OF TENDON, FINGER, FLEXOR OR EXTENSOR, EACH TENDON",,,1539.73,6735.0,14 RC,360,"EXCISION OF THROMBOSED HEMORRHOID, EXTERNAL",,,1134.38,4311.0,14 RC,360,EXCISION OF THYROGLOSSAL DUCT CYST OR SINUS;,,,5613.15,13852.0,14 RC,360,EXCISION OF THYROGLOSSAL DUCT CYST OR SINUS; RECURRENT,,,5613.15,13852.0,14 RC,360,"EXCISION OF URACHAL CYST OR SINUS, WITH OR WITHOUT UMBILICAL HERNIA REPAIR",,,5219.0,8442.0,14 RC,360,EXCISION OF URETHRAL DIVERTICULUM (SEPARATE PROCEDURE); FEMALE,,,4376.0,8045.0,14 RC,360,EXCISION OF VAGINAL CYST OR TUMOR,,,3058.98,5754.0,14 RC,360,EXCISION OF VAGINAL SEPTUM,,,3058.98,5754.0,14 RC,360,EXCISION OF VARICOCELE OR LIGATION OF SPERMATIC VEINS FOR VARICOCELE; (SEPARATE PROCEDURE),,,3318.21,8442.0,14 RC,360,EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF CARPAL BONES; WITH AUTOGRAFT (INCLUDES OBTAINING GRAFT),,,5219.0,8045.0,14 RC,360,"EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF PROXIMAL, MIDDLE, OR DISTAL PHALANX OF FINGER; WITH AUTOGRAFT (INCLUDES OBTAINING GRAFT)",,,2025.0,6735.0,14 RC,360,"EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, TALUS OR CALCANEUS; WITH ILIAC OR OTHER AUTOGRAFT (INCLUDES OBTAINING GRAFT)",,,6649.0,13852.0,14 RC,360,"EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, TARSAL OR METATARSAL, EXCEPT TALUS OR CALCANEUS; WITH ALLOGRAFT",,,6649.0,13852.0,14 RC,360,"EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, TIBIA OR FIBULA;",,,3121.59,8045.0,14 RC,360,"EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, TIBIA OR FIBULA; WITH ALLOGRAFT",,,5219.0,8045.0,14 RC,360,"EXCISION OR DESTRUCTION (EG, LASER), INTRANASAL LESION; INTERNAL APPROACH",,,2025.0,6735.0,14 RC,360,"EXCISION OR DESTRUCTION, OPEN, INTRA-ABDOMINAL (IE, PERITONEAL, MESENTERIC, RETROPERITONEAL), PRIMARY OR SECONDARY TUMOR(S) OR CYST(S), SUM OF THE MAXIMUM LENGTH OF TUMOR(S) OR CYST(S); 5 CM OR LESS",,,3788.0,5754.0,2 RC,360,EXCISION OR FULGURATION; URETHRAL CARUNCLE,,,1970.84,5754.0,14 RC,360,"EXCISION OR FULGURATION; URETHRAL POLYP(S), DISTAL URETHRA",,,3318.21,5754.0,14 RC,360,EXCISION OR FULGURATION; URETHRAL PROLAPSE,,,3318.21,5754.0,14 RC,360,EXCISION OR TRANSPOSITION OF PTERYGIUM; WITH GRAFT,,,2244.5,10087.0,14 RC,360,EXCISION OR TRANSPOSITION OF PTERYGIUM; WITHOUT GRAFT,,,2244.5,5754.0,14 RC,360,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 0.5 CM OR LESS",,,990.0,4376.0,14 RC,360,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 0.6 TO 1.0 CM",,,676.91,4376.0,14 RC,360,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 1.1 TO 2.0 CM",,,990.0,4311.0,14 RC,360,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 2.1 TO 3.0 CM",,,1558.81,4311.0,14 RC,360,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 3.1 TO 4.0 CM",,,1558.81,5152.0,14 RC,360,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER OVER 4.0 CM",,,2753.54,5754.0,14 RC,360,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 0.5 CM OR LESS",,,676.91,4311.0,14 RC,360,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 0.6 TO 1.0 CM",,,173.0,4311.0,14 RC,360,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 1.1 TO 2.0 CM",,,676.91,4311.0,14 RC,360,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 2.1 TO 3.0 CM",,,676.91,4311.0,14 RC,360,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 3.1 TO 4.0 CM",,,1558.81,4311.0,14 RC,360,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER OVER 4.0 CM",,,1558.81,5152.0,14 RC,360,"EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS TISSUE (INCLUDES LIPECTOMY), ABDOMEN (EG, ABDOMINOPLASTY) (INCLUDES UMBILICAL TRANSPOSITION AND FASCIAL PLICATION) (LIST SEPARATELY IN ADDITION TO CODE FOR PR",,,173.0,6735.0,3 RC,360,"EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS TISSUE (INCLUDES LIPECTOMY); ABDOMEN, INFRAUMBILICAL PANNICULECTOMY",,,6274.19,10022.0,14 RC,360,"EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS TISSUE (INCLUDES LIPECTOMY); OTHER AREA",,,2025.0,6735.0,14 RC,360,"EXCISION, INTERDIGITAL (MORTON) NEUROMA, SINGLE, EACH",,,1539.73,6735.0,14 RC,360,"EXCISION, LESION OF PALATE, UVULA; WITHOUT CLOSURE",,,2025.0,5152.0,14 RC,360,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER 0.6 TO 1.0 CM",,,676.91,4376.0,14 RC,360,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER 1.1 TO 2.0 CM",,,676.91,4376.0,14 RC,360,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER OVER 4.0 CM",,,2753.54,5754.0,14 RC,360,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 0.5 CM OR LESS",,,990.0,4311.0,14 RC,360,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 0.6 TO 1.0 CM",,,676.91,4311.0,14 RC,360,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 1.1 TO 2.0 CM",,,676.91,4311.0,14 RC,360,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 2.1 TO 3.0 CM",,,990.0,4311.0,13 RC,360,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER OVER 4.0 CM",,,2753.54,5754.0,14 RC,360,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 0.6 TO 1.0 CM",,,676.91,4311.0,14 RC,360,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 1.1 TO 2.0 CM",,,173.0,4311.0,14 RC,360,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 2.1 TO 3.0 CM",,,676.91,4311.0,14 RC,360,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 3.1 TO 4.0 CM",,,676.91,5152.0,14 RC,360,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER OVER 4.0 CM",,,1558.81,5152.0,14 RC,360,"EXCISION, OLECRANON BURSA",,,3121.59,6735.0,14 RC,360,"EXCISION, OTHER BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; EXCISED DIAMETER 0.5 CM OR LESS",,,676.91,4376.0,14 RC,360,"EXCISION, OTHER BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; EXCISED DIAMETER 0.6 TO 1.0 CM",,,676.91,4376.0,14 RC,360,"EXCISION, OTHER BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; EXCISED DIAMETER 1.1 TO 2.0 CM",,,676.91,4311.0,14 RC,360,"EXCISION, OTHER BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; EXCISED DIAMETER 2.1 TO 3.0 CM",,,990.0,4311.0,14 RC,360,"EXCISION, OTHER BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; EXCISED DIAMETER OVER 4.0 CM",,,2753.54,5754.0,14 RC,360,"EXCISION, PREPATELLAR BURSA",,,3121.59,6735.0,14 RC,360,"EXCISION, TUMOR OR VASCULAR MALFORMATION, SOFT TISSUE OF HAND OR FINGER, SUBCUTANEOUS; LESS THAN 1.5 CM",,,1558.81,5152.0,14 RC,360,"EXCISION, TUMOR, SOFT TISSUE OF ABDOMINAL WALL, SUBCUTANEOUS; 3 CM OR GREATER",,,2753.54,17457.0,14 RC,360,"EXCISION, TUMOR, SOFT TISSUE OF ABDOMINAL WALL, SUBCUTANEOUS; LESS THAN 3 CM",,,1558.81,12408.0,14 RC,360,"EXCISION, TUMOR, SOFT TISSUE OF ABDOMINAL WALL, SUBFASCIAL (EG, INTRAMUSCULAR); 5 CM OR GREATER",,,2753.54,17457.0,14 RC,360,"EXCISION, TUMOR, SOFT TISSUE OF ABDOMINAL WALL, SUBFASCIAL (EG, INTRAMUSCULAR); LESS THAN 5 CM",,,2753.54,8442.0,14 RC,360,"EXCISION, TUMOR, SOFT TISSUE OF BACK OR FLANK, SUBCUTANEOUS; 3 CM OR GREATER",,,1558.81,17457.0,14 RC,360,"EXCISION, TUMOR, SOFT TISSUE OF BACK OR FLANK, SUBCUTANEOUS; LESS THAN 3 CM",,,1558.81,5152.0,14 RC,360,"EXCISION, TUMOR, SOFT TISSUE OF BACK OR FLANK, SUBFASCIAL (EG, INTRAMUSCULAR); 5 CM OR GREATER",,,2753.54,17457.0,14 RC,360,"EXCISION, TUMOR, SOFT TISSUE OF BACK OR FLANK, SUBFASCIAL (EG, INTRAMUSCULAR); LESS THAN 5 CM",,,2025.0,12408.0,14 RC,360,"EXCISION, TUMOR, SOFT TISSUE OF FACE AND SCALP, SUBFASCIAL (EG, SUBGALEAL, INTRAMUSCULAR); 2 CM OR GREATER",,,990.0,5152.0,14 RC,360,"EXCISION, TUMOR, SOFT TISSUE OF FACE AND SCALP, SUBFASCIAL (EG, SUBGALEAL, INTRAMUSCULAR); LESS THAN 2 CM",,,990.0,5152.0,14 RC,360,"EXCISION, TUMOR, SOFT TISSUE OF FACE OR SCALP, SUBCUTANEOUS; 2 CM OR GREATER",,,990.0,5152.0,14 RC,360,"EXCISION, TUMOR, SOFT TISSUE OF FACE OR SCALP, SUBCUTANEOUS; LESS THAN 2 CM",,,990.0,4311.0,13 RC,360,"EXCISION, TUMOR, SOFT TISSUE OF FOOT OR TOE, SUBCUTANEOUS; 1.5 CM OR GREATER",,,2753.54,5754.0,14 RC,360,"EXCISION, TUMOR, SOFT TISSUE OF FOREARM AND/OR WRIST AREA, SUBCUTANEOUS; 3 CM OR GREATER",,,1558.81,17457.0,14 RC,360,"EXCISION, TUMOR, SOFT TISSUE OF FOREARM AND/OR WRIST AREA, SUBCUTANEOUS; LESS THAN 3 CM",,,1558.81,5152.0,14 RC,360,"EXCISION, TUMOR, SOFT TISSUE OF FOREARM AND/OR WRIST AREA, SUBFASCIAL (EG, INTRAMUSCULAR); 3 CM OR GREATER",,,2753.54,17457.0,14 RC,360,"EXCISION, TUMOR, SOFT TISSUE OF LEG OR ANKLE AREA, SUBCUTANEOUS; 3 CM OR GREATER",,,2753.54,17457.0,14 RC,360,"EXCISION, TUMOR, SOFT TISSUE OF LEG OR ANKLE AREA, SUBCUTANEOUS; LESS THAN 3 CM",,,1558.81,5152.0,14 RC,360,"EXCISION, TUMOR, SOFT TISSUE OF LEG OR ANKLE AREA, SUBFASCIAL (EG, INTRAMUSCULAR); 5 CM OR GREATER",,,2753.54,17457.0,14 RC,360,"EXCISION, TUMOR, SOFT TISSUE OF LEG OR ANKLE AREA, SUBFASCIAL (EG, INTRAMUSCULAR); LESS THAN 5 CM",,,2025.0,6735.0,14 RC,360,"EXCISION, TUMOR, SOFT TISSUE OF NECK OR ANTERIOR THORAX, SUBCUTANEOUS; 3 CM OR GREATER",,,2753.54,17457.0,14 RC,360,"EXCISION, TUMOR, SOFT TISSUE OF NECK OR ANTERIOR THORAX, SUBCUTANEOUS; LESS THAN 3 CM",,,1558.81,5152.0,14 RC,360,"EXCISION, TUMOR, SOFT TISSUE OF NECK OR ANTERIOR THORAX, SUBFASCIAL (EG, INTRAMUSCULAR); 5 CM OR GREATER",,,2753.54,17457.0,14 RC,360,"EXCISION, TUMOR, SOFT TISSUE OF NECK OR ANTERIOR THORAX, SUBFASCIAL (EG, INTRAMUSCULAR); LESS THAN 5 CM",,,2753.54,5754.0,14 RC,360,"EXCISION, TUMOR, SOFT TISSUE OF PELVIS AND HIP AREA, SUBCUTANEOUS; 3 CM OR GREATER",,,2753.54,17457.0,14 RC,360,"EXCISION, TUMOR, SOFT TISSUE OF PELVIS AND HIP AREA, SUBFASCIAL (EG, INTRAMUSCULAR); 5 CM OR GREATER",,,2753.54,17457.0,14 RC,360,"EXCISION, TUMOR, SOFT TISSUE OF PELVIS AND HIP AREA, SUBFASCIAL (EG, INTRAMUSCULAR); LESS THAN 5 CM",,,2025.0,6735.0,14 RC,360,"EXCISION, TUMOR, SOFT TISSUE OF SHOULDER AREA, SUBCUTANEOUS; 3 CM OR GREATER",,,1558.81,17457.0,14 RC,360,"EXCISION, TUMOR, SOFT TISSUE OF SHOULDER AREA, SUBCUTANEOUS; LESS THAN 3 CM",,,1558.81,5152.0,14 RC,360,"EXCISION, TUMOR, SOFT TISSUE OF SHOULDER AREA, SUBFASCIAL (EG, INTRAMUSCULAR); 5 CM OR GREATER",,,2753.54,17457.0,14 RC,360,"EXCISION, TUMOR, SOFT TISSUE OF SHOULDER AREA, SUBFASCIAL (EG, INTRAMUSCULAR); LESS THAN 5 CM",,,2025.0,5152.0,14 RC,360,"EXCISION, TUMOR, SOFT TISSUE OF THIGH OR KNEE AREA, SUBCUTANEOUS; 3 CM OR GREATER",,,2753.54,17457.0,14 RC,360,"EXCISION, TUMOR, SOFT TISSUE OF THIGH OR KNEE AREA, SUBCUTANEOUS; LESS THAN 3 CM",,,1558.81,5754.0,14 RC,360,"EXCISION, TUMOR, SOFT TISSUE OF THIGH OR KNEE AREA, SUBFASCIAL (EG, INTRAMUSCULAR); 5 CM OR GREATER",,,2753.54,17457.0,14 RC,360,"EXCISION, TUMOR, SOFT TISSUE OF UPPER ARM OR ELBOW AREA, SUBCUTANEOUS; 3 CM OR GREATER",,,2753.54,17457.0,14 RC,360,"EXCISION, TUMOR, SOFT TISSUE OF UPPER ARM OR ELBOW AREA, SUBCUTANEOUS; LESS THAN 3 CM",,,1558.81,5152.0,14 RC,360,"EXCISION, TUMOR, SOFT TISSUE OF UPPER ARM OR ELBOW AREA, SUBFASCIAL (EG, INTRAMUSCULAR); 5 CM OR GREATER",,,2753.54,17457.0,14 RC,360,"EXCISION, TUMOR, SOFT TISSUE, OR VASCULAR MALFORMATION, OF HAND OR FINGER, SUBFASCIAL (EG, INTRAMUSCULAR); LESS THAN 1.5 CM",,,1558.81,5152.0,14 RC,360,EXCISION; TROCHANTERIC BURSA OR CALCIFICATION,,,3121.59,10087.0,14 RC,360,"EXPLORATION FOR POSTOPERATIVE HEMORRHAGE, THROMBOSIS OR INFECTION; ABDOMEN",,,2025.0,4681.0,2 RC,360,"EXPLORATION NOT FOLLOWED BY SURGICAL REPAIR, ARTERY; LOWER EXTREMITY (EG, COMMON FEMORAL, DEEP FEMORAL, SUPERFICIAL FEMORAL, POPLITEAL, TIBIAL, PERONEAL)",,,2025.0,4681.0,3 RC,360,EXPLORATION OF PENETRATING WOUND (SEPARATE PROCEDURE); ABDOMEN/FLANK/BACK,,,1759.87,3142.0,12 RC,360,EXPLORATION OF PENETRATING WOUND (SEPARATE PROCEDURE); EXTREMITY,,,990.0,4311.0,14 RC,360,"EXPLORATION WITH REMOVAL OF DEEP FOREIGN BODY, FOREARM OR WRIST",,,1539.73,5754.0,14 RC,360,"EXPLORATORY LAPAROTOMY, EXPLORATORY CELIOTOMY WITH OR WITHOUT BIOPSY(S) (SEPARATE PROCEDURE)",,,5219.0,8442.0,3 RC,360,EXTERNAL CANNULA DECLOTTING (SEPARATE PROCEDURE); WITH BALLOON CATHETER,,,5200.74,13852.0,14 RC,360,"EXTERNAL CEPHALIC VERSION, WITH OR WITHOUT TOCOLYSIS",,,3058.98,5754.0,13 RC,360,"EXTRACAPSULAR CATARACT REMOVAL WITH INSERTION OF INTRAOCULAR LENS PROSTHESIS (1 STAGE PROCEDURE), MANUAL OR MECHANICAL TECHNIQUE (EG, IRRIGATION AND ASPIRATION OR PHACOEMULSIFICATION); WITH INSERTION ",,,4964.08,12686.0,14 RC,360,"EXTRACAPSULAR CATARACT REMOVAL WITH INSERTION OF INTRAOCULAR LENS PROSTHESIS (1 STAGE PROCEDURE), MANUAL OR MECHANICAL TECHNIQUE (EG, IRRIGATION AND ASPIRATION OR PHACOEMULSIFICATION); WITHOUT ENDOSCO",,,2194.26,12686.0,14 RC,360,"EXTRACAPSULAR CATARACT REMOVAL WITH INSERTION OF INTRAOCULAR LENS PROSTHESIS (1-STAGE PROCEDURE), MANUAL OR MECHANICAL TECHNIQUE (EG, IRRIGATION AND ASPIRATION OR PHACOEMULSIFICATION), COMPLEX, REQUIR",,,2194.26,12686.0,28 RC,360,"EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)/EXTRACORPOREAL LIFE SUPPORT (ECLS) PROVIDED BY PHYSICIAN; INITIATION, VENO-ARTERIAL",,,2025.0,4681.0,2 RC,360,"FASCIECTOMY, PARTIAL PALMAR WITH RELEASE OF SINGLE DIGIT INCLUDING PROXIMAL INTERPHALANGEAL JOINT, WITH OR WITHOUT Z-PLASTY, OTHER LOCAL TISSUE REARRANGEMENT, OR SKIN GRAFTING (INCLUDES OBTAINING GRAF",,,173.0,8442.0,17 RC,360,"FASCIOTOMY, FOOT AND/OR TOE",,,3121.59,6735.0,14 RC,360,"FASCIOTOMY, HIP OR THIGH, ANY TYPE",,,4376.0,13852.0,3 RC,360,"FASCIOTOMY, ILIOTIBIAL (TENOTOMY), OPEN",,,3121.59,5754.0,14 RC,360,"FINE NEEDLE ASPIRATION BIOPSY, INCLUDING ULTRASOUND GUIDANCE; EACH ADDITIONAL LESION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,173.0,4311.0,3 RC,360,"FINE NEEDLE ASPIRATION BIOPSY, INCLUDING ULTRASOUND GUIDANCE; FIRST LESION",,,676.91,4311.0,14 RC,360,"FINE NEEDLE ASPIRATION BIOPSY, WITHOUT IMAGING GUIDANCE; FIRST LESION",,,173.0,4311.0,13 RC,360,"FISSURECTOMY, INCLUDING SPHINCTEROTOMY, WHEN PERFORMED",,,2638.41,5754.0,14 RC,360,FISTULIZATION OF SCLERA FOR GLAUCOMA; TRABECULECTOMY AB EXTERNO IN ABSENCE OF PREVIOUS SURGERY,,,2194.26,8442.0,14 RC,360,FITTING AND INSERTION OF PESSARY OR OTHER INTRAVAGINAL SUPPORT DEVICE,,,173.0,832.0,12 RC,360,FORESKIN MANIPULATION INCLUDING LYSIS OF PREPUTIAL ADHESIONS AND STRETCHING,,,173.0,4311.0,14 RC,360,"FORMATION OF DIRECT OR TUBED PEDICLE, WITH OR WITHOUT TRANSFER; EYELIDS, NOSE, EARS, LIPS, OR INTRAORAL",,,1759.87,6735.0,14 RC,360,"FRACTURE NASAL INFERIOR TURBINATE(S), THERAPEUTIC",,,3120.11,8442.0,14 RC,360,FRENULOTOMY OF PENIS,,,1970.84,5754.0,14 RC,360,"FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS, AND/OR FEET; 20 SQ CM OR LESS",,,1759.87,6735.0,14 RC,360,"FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, NOSE, EARS, EYELIDS, AND/OR LIPS; 20 SQ CM OR LESS",,,1759.87,5152.0,14 RC,360,"FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, SCALP, ARMS, AND/OR LEGS; 20 SQ CM OR LESS",,,1759.87,5152.0,14 RC,360,"GASTRECTOMY, PARTIAL, DISTAL; WITH FORMATION OF INTESTINAL POUCH",,,2025.0,4681.0,2 RC,360,"GASTRIC RESTRICTIVE PROCEDURE WITH PARTIAL GASTRECTOMY, PYLORUS-PRESERVING DUODENOILEOSTOMY AND ILEOILEOSTOMY (50 TO 100 CM COMMON CHANNEL) TO LIMIT ABSORPTION (BILIOPANCREATIC DIVERSION WITH DUODENAL",,,2025.0,4681.0,2 RC,360,"GASTRIC RESTRICTIVE PROCEDURE, OPEN; REVISION OF SUBCUTANEOUS PORT COMPONENT ONLY",,,3522.17,8045.0,14 RC,360,"GASTRIC RESTRICTIVE PROCEDURE, WITH GASTRIC BYPASS FOR MORBID OBESITY; WITH SHORT LIMB (150 CM OR LESS) ROUX-EN-Y GASTROENTEROSTOMY",,,2025.0,4681.0,2 RC,360,"GASTROCNEMIUS RECESSION (EG, STRAYER PROCEDURE)",,,3121.59,8045.0,14 RC,360,GONIOTOMY,,,3788.0,5754.0,14 RC,360,GRAFT (THIERSCH OPERATION) FOR RECTAL INCONTINENCE AND/OR PROLAPSE,,,2638.41,6735.0,14 RC,360,"GRAFT; EAR CARTILAGE, AUTOGENOUS, TO NOSE OR EAR (INCLUDES OBTAINING GRAFT)",,,2025.0,12408.0,14 RC,360,"GRAFTING OF AUTOLOGOUS FAT HARVESTED BY LIPOSUCTION TECHNIQUE TO FACE, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, AND/OR FEET; 25 CC OR LESS INJECTATE",,,1759.87,17457.0,14 RC,360,"GRAFTING OF AUTOLOGOUS FAT HARVESTED BY LIPOSUCTION TECHNIQUE TO TRUNK, BREASTS, SCALP, ARMS, AND/OR LEGS; 50 CC OR LESS INJECTATE",,,3522.17,17457.0,14 RC,360,"GRAFTING OF AUTOLOGOUS FAT HARVESTED BY LIPOSUCTION TECHNIQUE TO TRUNK, BREASTS, SCALP, ARMS, AND/OR LEGS; EACH ADDITIONAL 50 CC INJECTATE, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRI",,,173.0,4311.0,3 RC,360,"GRAFTING OF AUTOLOGOUS SOFT TISSUE, OTHER, HARVESTED BY DIRECT EXCISION (EG, FAT, DERMIS, FASCIA)",,,3522.17,17457.0,14 RC,360,"HALLUX RIGIDUS CORRECTION WITH CHEILECTOMY, DEBRIDEMENT AND CAPSULAR RELEASE OF THE FIRST METATARSOPHALANGEAL JOINT; WITH IMPLANT",,,6735.0,13852.0,13 RC,360,"HALLUX RIGIDUS CORRECTION WITH CHEILECTOMY, DEBRIDEMENT AND CAPSULAR RELEASE OF THE FIRST METATARSOPHALANGEAL JOINT; WITHOUT IMPLANT",,,3121.59,6735.0,14 RC,360,"HARVEST OF SKIN FOR TISSUE CULTURED SKIN AUTOGRAFT, 100 SQ CM OR LESS",,,1759.87,5152.0,14 RC,360,"HEMIARTHROPLASTY, HIP, PARTIAL (EG, FEMORAL STEM PROSTHESIS, BIPOLAR ARTHROPLASTY)",,,8612.0,13852.0,3 RC,360,"HEMORRHOIDECTOMY, EXTERNAL, 2 OR MORE COLUMNS/GROUPS",,,2638.41,6735.0,14 RC,360,"HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, 2 OR MORE COLUMNS/GROUPS;",,,2638.41,6735.0,14 RC,360,"HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, 2 OR MORE COLUMNS/GROUPS; WITH FISSURECTOMY",,,2638.41,8442.0,14 RC,360,"HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, 2 OR MORE COLUMNS/GROUPS; WITH FISTULECTOMY, INCLUDING FISSURECTOMY, WHEN PERFORMED",,,2638.41,8442.0,14 RC,360,"HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, SINGLE COLUMN/GROUP;",,,2638.41,6735.0,14 RC,360,"HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, SINGLE COLUMN/GROUP; WITH FISSURECTOMY",,,2638.41,6735.0,14 RC,360,"HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, SINGLE COLUMN/GROUP; WITH FISTULECTOMY, INCLUDING FISSURECTOMY, WHEN PERFORMED",,,2638.41,6735.0,14 RC,360,"HEMORRHOIDECTOMY, INTERNAL, BY LIGATION OTHER THAN RUBBER BAND; 2 OR MORE HEMORRHOID COLUMNS/GROUPS, WITHOUT IMAGING GUIDANCE",,,2638.41,5754.0,14 RC,360,"HEMORRHOIDECTOMY, INTERNAL, BY LIGATION OTHER THAN RUBBER BAND; SINGLE HEMORRHOID COLUMN/GROUP, WITHOUT IMAGING GUIDANCE",,,2638.41,5754.0,13 RC,360,"HEMORRHOIDECTOMY, INTERNAL, BY RUBBER BAND LIGATION(S)",,,877.14,4311.0,14 RC,360,"HEPATECTOMY, RESECTION OF LIVER; PARTIAL LOBECTOMY",,,2025.0,4681.0,2 RC,360,"HYMENOTOMY, SIMPLE INCISION",,,3058.98,5754.0,14 RC,360,"HYSTERORRHAPHY, REPAIR OF RUPTURED UTERUS (NONOBSTETRICAL)",,,2025.0,10087.0,3 RC,360,"HYSTEROSCOPY, DIAGNOSTIC (SEPARATE PROCEDURE)",,,3058.98,5754.0,14 RC,360,"HYSTEROSCOPY, SURGICAL; WITH BILATERAL FALLOPIAN TUBE CANNULATION TO INDUCE OCCLUSION BY PLACEMENT OF PERMANENT IMPLANTS",,,4749.28,17457.0,14 RC,360,"HYSTEROSCOPY, SURGICAL; WITH DIVISION OR RESECTION OF INTRAUTERINE SEPTUM (ANY METHOD)",,,4749.28,8045.0,14 RC,360,"HYSTEROSCOPY, SURGICAL; WITH ENDOMETRIAL ABLATION (EG, ENDOMETRIAL RESECTION, ELECTROSURGICAL ABLATION, THERMOABLATION)",,,4749.28,17457.0,14 RC,360,"HYSTEROSCOPY, SURGICAL; WITH LYSIS OF INTRAUTERINE ADHESIONS (ANY METHOD)",,,3788.0,5754.0,14 RC,360,"HYSTEROSCOPY, SURGICAL; WITH REMOVAL OF IMPACTED FOREIGN BODY",,,3058.98,6735.0,14 RC,360,"HYSTEROSCOPY, SURGICAL; WITH REMOVAL OF LEIOMYOMATA",,,4749.28,8045.0,14 RC,360,"HYSTEROSCOPY, SURGICAL; WITH SAMPLING (BIOPSY) OF ENDOMETRIUM AND/OR POLYPECTOMY, WITH OR WITHOUT D & C",,,3058.98,6735.0,14 RC,360,"ILEOSCOPY, THROUGH STOMA; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,902.01,4311.0,14 RC,360,"ILEOSCOPY, THROUGH STOMA; WITH BIOPSY, SINGLE OR MULTIPLE",,,902.01,4311.0,14 RC,360,"ILEOSTOMY OR JEJUNOSTOMY, NON-TUBE",,,2025.0,4681.0,2 RC,360,"IMPLANTATION OF BIOLOGIC IMPLANT (EG, ACELLULAR DERMAL MATRIX) FOR SOFT TISSUE REINFORCEMENT (IE, BREAST, TRUNK) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,173.0,4311.0,3 RC,360,"IMPLANTATION OR REPLACEMENT OF CAROTID SINUS BAROREFLEX ACTIVATION DEVICE; TOTAL SYSTEM (INCLUDES GENERATOR PLACEMENT, UNILATERAL OR BILATERAL LEAD PLACEMENT, INTRA-OPERATIVE INTERROGATION, PROGRAMMIN",,,34125.0,52940.0,12 RC,360,"IMPLANTATION OR REPLACEMENT OF DEVICE FOR INTRATHECAL OR EPIDURAL DRUG INFUSION; PROGRAMMABLE PUMP, INCLUDING PREPARATION OF PUMP, WITH OR WITHOUT PROGRAMMING",,,4376.0,52940.0,14 RC,360,"IMPLANTATION, OSSEOINTEGRATED IMPLANT, SKULL; WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR",,,12378.98,24600.0,13 RC,360,"IMPLANTATION, REVISION OR REPOSITIONING OF TUNNELED INTRATHECAL OR EPIDURAL CATHETER, FOR LONG-TERM MEDICATION ADMINISTRATION VIA AN EXTERNAL PUMP OR IMPLANTABLE RESERVOIR/INFUSION PUMP; WITHOUT LAMIN",,,4376.0,10022.0,14 RC,360,"INCISION AND DRAINAGE BELOW FASCIA, WITH OR WITHOUT TENDON SHEATH INVOLVEMENT, FOOT; SINGLE BURSAL SPACE",,,1539.73,6735.0,14 RC,360,"INCISION AND DRAINAGE OF ABSCESS (EG, CARBUNCLE, SUPPURATIVE HIDRADENITIS, CUTANEOUS OR SUBCUTANEOUS ABSCESS, CYST, FURUNCLE, OR PARONYCHIA); COMPLICATED OR MULTIPLE",,,173.0,4311.0,14 RC,360,"INCISION AND DRAINAGE OF ABSCESS (EG, CARBUNCLE, SUPPURATIVE HIDRADENITIS, CUTANEOUS OR SUBCUTANEOUS ABSCESS, CYST, FURUNCLE, OR PARONYCHIA); SIMPLE OR SINGLE",,,173.0,4311.0,13 RC,360,INCISION AND DRAINAGE OF BARTHOLIN'S GLAND ABSCESS,,,173.0,4311.0,14 RC,360,"INCISION AND DRAINAGE OF EPIDIDYMIS, TESTIS AND/OR SCROTAL SPACE (EG, ABSCESS OR HEMATOMA)",,,1970.84,5754.0,14 RC,360,"INCISION AND DRAINAGE OF HEMATOMA, SEROMA OR FLUID COLLECTION",,,1558.81,4311.0,13 RC,360,INCISION AND DRAINAGE OF ISCHIORECTAL AND/OR PERIRECTAL ABSCESS (SEPARATE PROCEDURE),,,1134.38,6735.0,14 RC,360,"INCISION AND DRAINAGE OF ISCHIORECTAL OR INTRAMURAL ABSCESS, WITH FISTULECTOMY OR FISTULOTOMY, SUBMUSCULAR, WITH OR WITHOUT PLACEMENT OF SETON",,,2025.0,5152.0,14 RC,360,INCISION AND DRAINAGE OF PILONIDAL CYST; COMPLICATED,,,676.91,4311.0,13 RC,360,"INCISION AND DRAINAGE OF SUBMUCOSAL ABSCESS, RECTUM",,,1134.38,5152.0,14 RC,360,INCISION AND DRAINAGE OF VAGINAL HEMATOMA; OBSTETRICAL/POSTPARTUM,,,2025.0,4376.0,13 RC,360,INCISION AND DRAINAGE OF VULVA OR PERINEAL ABSCESS,,,173.0,5152.0,14 RC,360,"INCISION AND DRAINAGE, BURSA, FOOT",,,1558.81,4376.0,13 RC,360,"INCISION AND DRAINAGE, COMPLEX, POSTOPERATIVE WOUND INFECTION",,,2753.54,5754.0,14 RC,360,"INCISION AND DRAINAGE, DEEP ABSCESS OR HEMATOMA, SOFT TISSUES OF NECK OR THORAX;",,,2753.54,5754.0,14 RC,360,"INCISION AND DRAINAGE, DEEP ABSCESS, BURSA, OR HEMATOMA, THIGH OR KNEE REGION",,,2753.54,6735.0,14 RC,360,"INCISION AND DRAINAGE, LEG OR ANKLE; DEEP ABSCESS OR HEMATOMA",,,2753.54,5754.0,14 RC,360,"INCISION AND DRAINAGE, OPEN, OF DEEP ABSCESS (SUBFASCIAL), POSTERIOR SPINE; CERVICAL, THORACIC, OR CERVICOTHORACIC",,,8612.0,13852.0,3 RC,360,"INCISION AND DRAINAGE, OPEN, OF DEEP ABSCESS (SUBFASCIAL), POSTERIOR SPINE; LUMBAR, SACRAL, OR LUMBOSACRAL",,,8612.0,13852.0,3 RC,360,"INCISION AND DRAINAGE, PELVIS OR HIP JOINT AREA; DEEP ABSCESS OR HEMATOMA",,,3121.59,5754.0,14 RC,360,"INCISION AND DRAINAGE, PERIANAL ABSCESS, SUPERFICIAL",,,877.14,4311.0,14 RC,360,"INCISION AND DRAINAGE, SHOULDER AREA; DEEP ABSCESS OR HEMATOMA",,,2753.54,5754.0,14 RC,360,"INCISION AND DRAINAGE, UPPER ARM OR ELBOW AREA; DEEP ABSCESS OR HEMATOMA",,,2753.54,5754.0,14 RC,360,"INCISION AND REMOVAL OF FOREIGN BODY, SUBCUTANEOUS TISSUES; COMPLICATED",,,1558.81,5152.0,14 RC,360,"INCISION AND REMOVAL OF FOREIGN BODY, SUBCUTANEOUS TISSUES; SIMPLE",,,173.0,4311.0,13 RC,360,INCISION OF LABIAL FRENUM (FRENOTOMY),,,173.0,4311.0,13 RC,360,"INCISION OF THROMBOSED HEMORRHOID, EXTERNAL",,,173.0,4311.0,14 RC,360,"INCISION, DRAINAGE OF LACRIMAL SAC (DACRYOCYSTOTOMY OR DACRYOCYSTOSTOMY)",,,990.0,9350.0,14 RC,360,"INCISION, EXTENSOR TENDON SHEATH, WRIST (EG, DE QUERVAINS DISEASE)",,,1539.73,6735.0,14 RC,360,INCISIONAL BIOPSY OF EYELID SKIN INCLUDING LID MARGIN,,,173.0,4311.0,14 RC,360,"INCISIONAL BIOPSY OF SKIN (EG, WEDGE) (INCLUDING SIMPLE CLOSURE, WHEN PERFORMED); EACH SEPARATE/ADDITIONAL LESION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,173.0,4311.0,3 RC,360,"INCISIONAL BIOPSY OF SKIN (EG, WEDGE) (INCLUDING SIMPLE CLOSURE, WHEN PERFORMED); SINGLE LESION",,,588.93,4311.0,14 RC,360,"INDUCED ABORTION, BY DILATION AND EVACUATION",,,3058.98,10087.0,14 RC,360,INJECTION OF MEDICATION OR OTHER SUBSTANCE INTO TENON'S CAPSULE,,,173.0,4311.0,14 RC,360,"INJECTION OF SCLEROSANT; MULTIPLE INCOMPETENT VEINS (OTHER THAN TELANGIECTASIA), SAME LEG",,,173.0,4311.0,13 RC,360,"INJECTION PROCEDURE FOR ANTEGRADE NEPHROSTOGRAM AND/OR URETEROGRAM, COMPLETE DIAGNOSTIC PROCEDURE INCLUDING IMAGING GUIDANCE (EG, ULTRASOUND AND FLUOROSCOPY) AND ALL ASSOCIATED RADIOLOGICAL SUPERVISIO",,,642.16,6649.0,28 RC,360,INJECTION PROCEDURE FOR CYSTOGRAPHY OR VOIDING URETHROCYSTOGRAPHY,,,173.0,832.0,2 RC,360,INJECTION PROCEDURE; RADIOACTIVE TRACER FOR IDENTIFICATION OF SENTINEL NODE,,,173.0,4311.0,14 RC,360,"INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; AXILLARY NERVE, INCLUDING IMAGING GUIDANCE, WHEN PERFORMED",,,856.54,4311.0,14 RC,360,"INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; BRACHIAL PLEXUS, INCLUDING IMAGING GUIDANCE, WHEN PERFORMED",,,856.54,4311.0,14 RC,360,"INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; FEMORAL NERVE, CONTINUOUS INFUSION BY CATHETER (INCLUDING CATHETER PLACEMENT), INCLUDING IMAGING GUIDANCE, WHEN PERFORMED",,,856.54,4121.0,13 RC,360,"INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; FEMORAL NERVE, INCLUDING IMAGING GUIDANCE, WHEN PERFORMED",,,666.26,4121.0,13 RC,360,"INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; ILIOINGUINAL, ILIOHYPOGASTRIC NERVES",,,666.26,4311.0,14 RC,360,"INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; LUMBAR PLEXUS, POSTERIOR APPROACH, CONTINUOUS INFUSION BY CATHETER (INCLUDING CATHETER PLACEMENT)",,,856.54,4311.0,14 RC,360,"INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; OTHER PERIPHERAL NERVE OR BRANCH",,,666.26,4311.0,14 RC,360,"INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; PARACERVICAL (UTERINE) NERVE",,,666.26,4311.0,14 RC,360,"INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; PLANTAR COMMON DIGITAL NERVE(S) (EG, MORTON'S NEUROMA)",,,173.0,4311.0,13 RC,360,"INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; PUDENDAL NERVE",,,856.54,4311.0,14 RC,360,"INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; SCIATIC NERVE, INCLUDING IMAGING GUIDANCE, WHEN PERFORMED",,,666.26,4311.0,14 RC,360,"INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; SUPRASCAPULAR NERVE",,,666.26,4311.0,14 RC,360,"INJECTION(S), OF DIAGNOSTIC OR THERAPEUTIC SUBSTANCE(S) (EG, ANESTHETIC, ANTISPASMODIC, OPIOID, STEROID, OTHER SOLUTION), NOT INCLUDING NEUROLYTIC SUBSTANCES, INCLUDING NEEDLE OR CATHETER PLACEMENT, I",,,666.26,4311.0,28 RC,360,"INJECTION(S); SINGLE OR MULTIPLE TRIGGER POINT(S), 1 OR 2 MUSCLE(S)",,,173.0,4311.0,14 RC,360,"INJECTION(S); SINGLE OR MULTIPLE TRIGGER POINT(S), 3 OR MORE MUSCLES",,,173.0,4311.0,14 RC,360,INJECTION(S); SINGLE TENDON ORIGIN/INSERTION,,,173.0,4311.0,14 RC,360,"INJECTION, ANESTHETIC AGENT; LUMBAR OR THORACIC (PARAVERTEBRAL SYMPATHETIC)",,,856.54,4311.0,14 RC,360,"INJECTION, INTRALESIONAL; UP TO AND INCLUDING 7 LESIONS",,,173.0,4311.0,13 RC,360,"INSERTION OF A SINGLE TRANSVENOUS ELECTRODE, PERMANENT PACEMAKER OR IMPLANTABLE DEFIBRILLATOR",,,7962.2,13852.0,13 RC,360,"INSERTION OF ANTERIOR SEGMENT AQUEOUS DRAINAGE DEVICE, WITHOUT EXTRAOCULAR RESERVOIR, EXTERNAL APPROACH",,,3870.33,17457.0,14 RC,360,"INSERTION OF BREAST IMPLANT ON SAME DAY OF MASTECTOMY (IE, IMMEDIATE)",,,4376.0,10022.0,14 RC,360,"INSERTION OF DRUG-ELUTING IMPLANT, INCLUDING PUNCTAL DILATION WHEN PERFORMED, INTO LACRIMAL CANALICULUS, EACH",,,2244.5,5754.0,14 RC,360,INSERTION OF IMPLANTABLE DEFIBRILLATOR PULSE GENERATOR ONLY; WITH EXISTING MULTIPLE LEADS,,,6735.0,82346.0,13 RC,360,INSERTION OF INDWELLING TUNNELED PLEURAL CATHETER WITH CUFF,,,3395.25,17457.0,14 RC,360,"INSERTION OF INFLATABLE URETHRAL/BLADDER NECK SPHINCTER, INCLUDING PLACEMENT OF PUMP, RESERVOIR, AND CUFF",,,4121.0,39682.0,14 RC,360,"INSERTION OF INTERBODY BIOMECHANICAL DEVICE(S) (EG, SYNTHETIC CAGE, MESH) WITH INTEGRAL ANTERIOR INSTRUMENTATION FOR DEVICE ANCHORING (EG, SCREWS, FLANGES), WHEN PERFORMED, TO INTERVERTEBRAL DISC SPAC",,,173.0,4311.0,3 RC,360,"INSERTION OF INTERLAMINAR/INTERSPINOUS PROCESS STABILIZATION/DISTRACTION DEVICE, WITHOUT FUSION, INCLUDING IMAGE GUIDANCE WHEN PERFORMED, WITH OPEN DECOMPRESSION, LUMBAR; SINGLE LEVEL",,,8612.0,19334.39,13 RC,360,"INSERTION OF INTERVERTEBRAL BIOMECHANICAL DEVICE(S) (EG, SYNTHETIC CAGE, MESH, METHYLMETHACRYLATE) TO INTERVERTEBRAL DISC SPACE OR VERTEBRAL BODY DEFECT WITHOUT INTERBODY ARTHRODESIS, EACH CONTIGUOUS ",,,173.0,4311.0,3 RC,360,"INSERTION OF INTRAOCULAR LENS PROSTHESIS (SECONDARY IMPLANT), NOT ASSOCIATED WITH CONCURRENT CATARACT REMOVAL",,,2194.26,11124.0,14 RC,360,INSERTION OF INTRAUTERINE DEVICE (IUD),,,173.0,4311.0,3 RC,360,"INSERTION OF MESH OR OTHER PROSTHESIS FOR REPAIR OF PELVIC FLOOR DEFECT, EACH SITE (ANTERIOR, POSTERIOR COMPARTMENT), VAGINAL APPROACH (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,173.0,12247.0,3 RC,360,"INSERTION OF MULTI-COMPONENT, INFLATABLE PENILE PROSTHESIS, INCLUDING PLACEMENT OF PUMP, CYLINDERS, AND RESERVOIR",,,6649.0,39682.0,14 RC,360,INSERTION OF NON-TUNNELED CENTRALLY INSERTED CENTRAL VENOUS CATHETER; AGE 5 YEARS OR OLDER,,,990.0,4311.0,14 RC,360,"INSERTION OF OCULAR IMPLANT SECONDARY; AFTER ENUCLEATION, MUSCLES NOT ATTACHED TO IMPLANT",,,3628.02,8045.0,14 RC,360,INSERTION OF PACEMAKER PULSE GENERATOR ONLY; WITH EXISTING DUAL LEADS,,,6649.0,24600.0,14 RC,360,INSERTION OF PENILE PROSTHESIS; NON-INFLATABLE (SEMI-RIGID),,,6649.0,24600.0,14 RC,360,"INSERTION OF PERIPHERALLY INSERTED CENTRAL VENOUS ACCESS DEVICE, WITH SUBCUTANEOUS PORT; AGE 5 YEARS OR OLDER",,,3028.17,8045.0,14 RC,360,"INSERTION OF TEMPORARY INDWELLING BLADDER CATHETER; COMPLICATED (EG, ALTERED ANATOMY, FRACTURED CATHETER/BALLOON)",,,150.52,4311.0,14 RC,360,"INSERTION OF TEMPORARY INDWELLING BLADDER CATHETER; SIMPLE (EG, FOLEY)",,,124.01,4311.0,13 RC,360,"INSERTION OF TISSUE EXPANDER(S) FOR OTHER THAN BREAST, INCLUDING SUBSEQUENT EXPANSION",,,3522.17,8045.0,14 RC,360,"INSERTION OF TUNNELED CENTRALLY INSERTED CENTRAL VENOUS ACCESS DEVICE, REQUIRING 2 CATHETERS VIA 2 SEPARATE VENOUS ACCESS SITES; WITHOUT SUBCUTANEOUS PORT OR PUMP (EG, TESIO TYPE CATHETER)",,,3028.17,8045.0,14 RC,360,"INSERTION OF TUNNELED CENTRALLY INSERTED CENTRAL VENOUS ACCESS DEVICE, WITH SUBCUTANEOUS PORT; AGE 5 YEARS OR OLDER",,,3028.17,8045.0,14 RC,360,"INSERTION OF TUNNELED CENTRALLY INSERTED CENTRAL VENOUS CATHETER, WITHOUT SUBCUTANEOUS PORT OR PUMP; AGE 5 YEARS OR OLDER",,,3028.17,8045.0,14 RC,360,"INSERTION OF TUNNELED INTRAPERITONEAL CATHETER (EG, DIALYSIS, INTRAPERITONEAL CHEMOTHERAPY INSTILLATION, MANAGEMENT OF ASCITES), COMPLETE PROCEDURE, INCLUDING IMAGING GUIDANCE, CATHETER PLACEMENT, CON",,,3395.25,17457.0,14 RC,360,"INSERTION OF WIRE OR PIN WITH APPLICATION OF SKELETAL TRACTION, INCLUDING REMOVAL (SEPARATE PROCEDURE)",,,3121.59,8045.0,14 RC,360,INSERTION OR REPLACEMENT OF BREAST IMPLANT ON SEPARATE DAY FROM MASTECTOMY,,,6649.0,13852.0,14 RC,360,"INSERTION OR REPLACEMENT OF PERIPHERAL, SACRAL, OR GASTRIC NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER, REQUIRING POCKET CREATION AND CONNECTION BETWEEN ELECTRODE ARRAY AND PULSE GENERATOR OR RECEIVER",,,4376.0,52940.0,14 RC,360,"INSERTION OR REPLACEMENT OF SPINAL NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER, REQUIRING POCKET CREATION AND CONNECTION BETWEEN ELECTRODE ARRAY AND PULSE GENERATOR OR RECEIVER",,,4376.0,52940.0,14 RC,360,INSERTION OR REPLACEMENT OF TEMPORARY TRANSVENOUS SINGLE CHAMBER CARDIAC ELECTRODE OR PACEMAKER CATHETER (SEPARATE PROCEDURE),,,7962.2,13852.0,13 RC,360,"INSERTION, DRUG-DELIVERY IMPLANT (IE, BIORESORBABLE, BIODEGRADABLE, NON-BIODEGRADABLE)",,,124.01,4311.0,13 RC,360,"INSERTION, NASAL SEPTAL PROSTHESIS (BUTTON)",,,1425.11,6735.0,14 RC,360,"INTRAOPERATIVE IDENTIFICATION (EG, MAPPING) OF SENTINEL LYMPH NODE(S) INCLUDES INJECTION OF NON-RADIOACTIVE DYE, WHEN PERFORMED (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,173.0,4311.0,3 RC,360,"INTRAOPERATIVE NEAR-INFRARED FLUORESCENCE IMAGING OF MAJOR EXTRA-HEPATIC BILE DUCT(S) (E.G., CYSTIC DUCT, COMMON BILE DUCT AND COMMON HEPATIC DUCT) WITH INTRAVENOUS ADMINISTRATION OF INDOCYANINE GREEN",,,,,0 RC,360,"INTRAVASCULAR ULTRASOUND (NONCORONARY VESSEL) DURING DIAGNOSTIC EVALUATION AND/OR THERAPEUTIC INTERVENTION, INCLUDING RADIOLOGICAL SUPERVISION AND INTERPRETATION; EACH ADDITIONAL NONCORONARY VESSEL (L",,,173.0,4311.0,3 RC,360,"INTRAVASCULAR ULTRASOUND (NONCORONARY VESSEL) DURING DIAGNOSTIC EVALUATION AND/OR THERAPEUTIC INTERVENTION, INCLUDING RADIOLOGICAL SUPERVISION AND INTERPRETATION; INITIAL NONCORONARY VESSEL (LIST SEPA",,,173.0,4311.0,3 RC,360,"INTRAVENOUS INJECTION OF AGENT (EG, FLUORESCEIN) TO TEST VASCULAR FLOW IN FLAP OR GRAFT",,,173.0,4311.0,13 RC,360,"INTRODUCTION OF CATHETER, AORTA",,,173.0,4376.0,3 RC,360,"INTRODUCTION OF LONG GASTROINTESTINAL TUBE (EG, MILLER-ABBOTT) (SEPARATE PROCEDURE)",,,902.01,4121.0,13 RC,360,"INTRODUCTION OF NEEDLE(S) AND/OR CATHETER(S), DIALYSIS CIRCUIT, WITH DIAGNOSTIC ANGIOGRAPHY OF THE DIALYSIS CIRCUIT, INCLUDING ALL DIRECT PUNCTURE(S) AND CATHETER PLACEMENT(S), INJECTION(S) OF CONTRAS",,,1494.54,24600.0,39 RC,360,IRIDOTOMY BY STAB INCISION (SEPARATE PROCEDURE); EXCEPT TRANSFIXION,,,173.0,4311.0,14 RC,360,"IRIDOTOMY/IRIDECTOMY BY LASER SURGERY (EG, FOR GLAUCOMA) (PER SESSION)",,,527.8,4311.0,14 RC,360,IRRIGATION OF CORPORA CAVERNOSA FOR PRIAPISM,,,173.0,4311.0,14 RC,360,KERATOPLASTY (CORNEAL TRANSPLANT); ENDOTHELIAL,,,3870.33,17457.0,14 RC,360,KERATOPLASTY (CORNEAL TRANSPLANT); PENETRATING (EXCEPT IN APHAKIA OR PSEUDOPHAKIA),,,3870.33,12408.0,14 RC,360,KERATOPLASTY (CORNEAL TRANSPLANT); PENETRATING (IN APHAKIA),,,4964.08,12408.0,14 RC,360,KERATOPLASTY (CORNEAL TRANSPLANT); PENETRATING (IN PSEUDOPHAKIA),,,3870.33,12408.0,14 RC,360,"LAMINECTOMY FOR EXCISION OR EVACUATION OF INTRASPINAL LESION OTHER THAN NEOPLASM, EXTRADURAL; CERVICAL",,,6872.88,13852.0,14 RC,360,"LAMINECTOMY FOR EXCISION OR EVACUATION OF INTRASPINAL LESION OTHER THAN NEOPLASM, EXTRADURAL; LUMBAR",,,3788.0,13652.0,14 RC,360,"LAMINECTOMY FOR EXCISION OR EVACUATION OF INTRASPINAL LESION OTHER THAN NEOPLASM, EXTRADURAL; THORACIC",,,6872.88,13852.0,14 RC,360,"LAMINECTOMY FOR IMPLANTATION OF NEUROSTIMULATOR ELECTRODES, PLATE/PADDLE, EPIDURAL",,,11124.0,24600.0,14 RC,360,"LAMINECTOMY WITH EXPLORATION AND/OR DECOMPRESSION OF SPINAL CORD AND/OR CAUDA EQUINA, WITHOUT FACETECTOMY, FORAMINOTOMY OR DISCECTOMY (EG, SPINAL STENOSIS), 1 OR 2 VERTEBRAL SEGMENTS; CERVICAL",,,6872.88,13852.0,14 RC,360,"LAMINECTOMY WITH EXPLORATION AND/OR DECOMPRESSION OF SPINAL CORD AND/OR CAUDA EQUINA, WITHOUT FACETECTOMY, FORAMINOTOMY OR DISCECTOMY (EG, SPINAL STENOSIS), 1 OR 2 VERTEBRAL SEGMENTS; LUMBAR, EXCEPT F",,,6872.88,13852.0,14 RC,360,"LAMINECTOMY WITH EXPLORATION AND/OR DECOMPRESSION OF SPINAL CORD AND/OR CAUDA EQUINA, WITHOUT FACETECTOMY, FORAMINOTOMY OR DISCECTOMY (EG, SPINAL STENOSIS), 1 OR 2 VERTEBRAL SEGMENTS; SACRAL",,,6872.88,13852.0,14 RC,360,"LAMINECTOMY WITH EXPLORATION AND/OR DECOMPRESSION OF SPINAL CORD AND/OR CAUDA EQUINA, WITHOUT FACETECTOMY, FORAMINOTOMY OR DISCECTOMY (EG, SPINAL STENOSIS), 1 OR 2 VERTEBRAL SEGMENTS; THORACIC",,,6872.88,13852.0,14 RC,360,"LAMINECTOMY WITH EXPLORATION AND/OR DECOMPRESSION OF SPINAL CORD AND/OR CAUDA EQUINA, WITHOUT FACETECTOMY, FORAMINOTOMY OR DISCECTOMY (EG, SPINAL STENOSIS), MORE THAN 2 VERTEBRAL SEGMENTS; CERVICAL",,,6872.88,13852.0,14 RC,360,"LAMINECTOMY WITH EXPLORATION AND/OR DECOMPRESSION OF SPINAL CORD AND/OR CAUDA EQUINA, WITHOUT FACETECTOMY, FORAMINOTOMY OR DISCECTOMY (EG, SPINAL STENOSIS), MORE THAN 2 VERTEBRAL SEGMENTS; LUMBAR",,,6872.88,13852.0,14 RC,360,"LAMINECTOMY WITH EXPLORATION AND/OR DECOMPRESSION OF SPINAL CORD AND/OR CAUDA EQUINA, WITHOUT FACETECTOMY, FORAMINOTOMY OR DISCECTOMY (EG, SPINAL STENOSIS), MORE THAN 2 VERTEBRAL SEGMENTS; THORACIC",,,6872.88,13852.0,14 RC,360,"LAMINECTOMY, FACETECTOMY AND FORAMINOTOMY (UNILATERAL OR BILATERAL WITH DECOMPRESSION OF SPINAL CORD, CAUDA EQUINA AND/OR NERVE ROOT[S], [EG, SPINAL OR LATERAL RECESS STENOSIS]), SINGLE VERTEBRAL SEGM",,,173.0,13852.0,46 RC,360,"LAMINECTOMY, FACETECTOMY, OR FORAMINOTOMY (UNILATERAL OR BILATERAL WITH DECOMPRESSION OF SPINAL CORD, CAUDA EQUINA AND/OR NERVE ROOT[S] [EG, SPINAL OR LATERAL RECESS STENOSIS]), DURING POSTERIOR INTER",,,173.0,4311.0,6 RC,360,"LAMINOPLASTY, CERVICAL, WITH DECOMPRESSION OF THE SPINAL CORD, 2 OR MORE VERTEBRAL SEGMENTS; WITH RECONSTRUCTION OF THE POSTERIOR BONY ELEMENTS (INCLUDING THE APPLICATION OF BRIDGING BONE GRAFT AND NO",,,2025.0,4681.0,2 RC,360,"LAMINOTOMY (HEMILAMINECTOMY), WITH DECOMPRESSION OF NERVE ROOT(S), INCLUDING PARTIAL FACETECTOMY, FORAMINOTOMY AND/OR EXCISION OF HERNIATED INTERVERTEBRAL DISC, REEXPLORATION, SINGLE INTERSPACE; EACH ",,,4311.0,13652.0,4 RC,360,"LAMINOTOMY (HEMILAMINECTOMY), WITH DECOMPRESSION OF NERVE ROOT(S), INCLUDING PARTIAL FACETECTOMY, FORAMINOTOMY AND/OR EXCISION OF HERNIATED INTERVERTEBRAL DISC, REEXPLORATION, SINGLE INTERSPACE; LUMBA",,,6872.88,13852.0,14 RC,360,"LAMINOTOMY (HEMILAMINECTOMY), WITH DECOMPRESSION OF NERVE ROOT(S), INCLUDING PARTIAL FACETECTOMY, FORAMINOTOMY AND/OR EXCISION OF HERNIATED INTERVERTEBRAL DISC; 1 INTERSPACE, CERVICAL",,,6735.0,13852.0,14 RC,360,"LAMINOTOMY (HEMILAMINECTOMY), WITH DECOMPRESSION OF NERVE ROOT(S), INCLUDING PARTIAL FACETECTOMY, FORAMINOTOMY AND/OR EXCISION OF HERNIATED INTERVERTEBRAL DISC; 1 INTERSPACE, LUMBAR",,,6872.88,13852.0,14 RC,360,"LAMINOTOMY (HEMILAMINECTOMY), WITH DECOMPRESSION OF NERVE ROOT(S), INCLUDING PARTIAL FACETECTOMY, FORAMINOTOMY AND/OR EXCISION OF HERNIATED INTERVERTEBRAL DISC; EACH ADDITIONAL INTERSPACE, CERVICAL OR",,,173.0,13652.0,4 RC,360,LAPAROSCOPIC TREATMENT OF ECTOPIC PREGNANCY; WITH SALPINGECTOMY AND/OR OOPHORECTOMY,,,5613.15,13852.0,13 RC,360,LAPAROSCOPIC TREATMENT OF ECTOPIC PREGNANCY; WITHOUT SALPINGECTOMY AND/OR OOPHORECTOMY,,,5613.15,13852.0,13 RC,360,"LAPAROSCOPY, ABDOMEN, PERITONEUM, AND OMENTUM, DIAGNOSTIC, WITH OR WITHOUT COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING (SEPARATE PROCEDURE)",,,5613.15,10022.0,14 RC,360,"LAPAROSCOPY, SURGICAL PROSTATECTOMY, RETROPUBIC RADICAL, INCLUDING NERVE SPARING, INCLUDES ROBOTIC ASSISTANCE, WHEN PERFORMED",,,10016.47,24600.0,13 RC,360,"LAPAROSCOPY, SURGICAL PROSTATECTOMY, SIMPLE SUBTOTAL (INCLUDING CONTROL OF POSTOPERATIVE BLEEDING, VASECTOMY, MEATOTOMY, URETHRAL CALIBRATION AND/OR DILATION, AND INTERNAL URETHROTOMY), INCLUDES ROBOT",,,8612.0,13852.0,13 RC,360,"LAPAROSCOPY, SURGICAL, ABLATION OF 1 OR MORE LIVER TUMOR(S); RADIOFREQUENCY",,,8442.0,24600.0,13 RC,360,"LAPAROSCOPY, SURGICAL, ABLATION OF UTERINE FIBROID(S) INCLUDING INTRAOPERATIVE ULTRASOUND GUIDANCE AND MONITORING, RADIOFREQUENCY",,,8612.0,13852.0,13 RC,360,"LAPAROSCOPY, SURGICAL, APPENDECTOMY",,,5613.15,13852.0,14 RC,360,"LAPAROSCOPY, SURGICAL, CLOSURE OF ENTEROSTOMY, LARGE OR SMALL INTESTINE, WITH RESECTION AND ANASTOMOSIS",,,2025.0,6735.0,3 RC,360,"LAPAROSCOPY, SURGICAL, COLOSTOMY OR SKIN LEVEL CECOSTOMY",,,2025.0,6735.0,3 RC,360,"LAPAROSCOPY, SURGICAL, COLPOPEXY (SUSPENSION OF VAGINAL APEX)",,,8612.0,13852.0,13 RC,360,"LAPAROSCOPY, SURGICAL, ENTEROLYSIS (FREEING OF INTESTINAL ADHESION) (SEPARATE PROCEDURE)",,,5613.15,13852.0,14 RC,360,"LAPAROSCOPY, SURGICAL, ESOPHAGEAL SPHINCTER AUGMENTATION PROCEDURE, PLACEMENT OF SPHINCTER AUGMENTATION DEVICE (IE, MAGNETIC BAND), INCLUDING CRUROPLASTY WHEN PERFORMED",,,8612.0,13852.0,13 RC,360,"LAPAROSCOPY, SURGICAL, ESOPHAGOGASTRIC FUNDOPLASTY (EG, NISSEN, TOUPET PROCEDURES)",,,8612.0,13852.0,14 RC,360,"LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; LONGITUDINAL GASTRECTOMY (IE, SLEEVE GASTRECTOMY)",,,8612.0,13852.0,2 RC,360,"LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; PLACEMENT OF ADJUSTABLE GASTRIC RESTRICTIVE DEVICE (EG, GASTRIC BAND AND SUBCUTANEOUS PORT COMPONENTS)",,,6735.0,13852.0,13 RC,360,"LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; REMOVAL OF ADJUSTABLE GASTRIC RESTRICTIVE DEVICE AND SUBCUTANEOUS PORT COMPONENTS",,,3660.29,24600.0,13 RC,360,"LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; REMOVAL OF ADJUSTABLE GASTRIC RESTRICTIVE DEVICE COMPONENT ONLY",,,3660.29,8045.0,13 RC,360,"LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; WITH GASTRIC BYPASS AND ROUX-EN-Y GASTROENTEROSTOMY (ROUX LIMB 150 CM OR LESS)",,,8612.0,13852.0,2 RC,360,"LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; WITH GASTRIC BYPASS AND SMALL INTESTINE RECONSTRUCTION TO LIMIT ABSORPTION",,,8612.0,13852.0,2 RC,360,"LAPAROSCOPY, SURGICAL, MOBILIZATION (TAKE-DOWN) OF SPLENIC FLEXURE PERFORMED IN CONJUNCTION WITH PARTIAL COLECTOMY (LIST SEPARATELY IN ADDITION TO PRIMARY PROCEDURE)",,,2025.0,6735.0,3 RC,360,"LAPAROSCOPY, SURGICAL, MYOMECTOMY, EXCISION; 1 TO 4 INTRAMURAL MYOMAS WITH TOTAL WEIGHT OF 250 G OR LESS AND/OR REMOVAL OF SURFACE MYOMAS",,,5613.15,17457.0,14 RC,360,"LAPAROSCOPY, SURGICAL, MYOMECTOMY, EXCISION; 5 OR MORE INTRAMURAL MYOMAS AND/OR INTRAMURAL MYOMAS WITH TOTAL WEIGHT GREATER THAN 250 G",,,8612.0,17457.0,14 RC,360,"LAPAROSCOPY, SURGICAL, REPAIR OF PARAESOPHAGEAL HERNIA, INCLUDES FUNDOPLASTY, WHEN PERFORMED; WITH IMPLANTATION OF MESH",,,8612.0,13852.0,13 RC,360,"LAPAROSCOPY, SURGICAL, REPAIR OF PARAESOPHAGEAL HERNIA, INCLUDES FUNDOPLASTY, WHEN PERFORMED; WITHOUT IMPLANTATION OF MESH",,,8612.0,13852.0,13 RC,360,"LAPAROSCOPY, SURGICAL, SPLENECTOMY",,,8612.0,13852.0,14 RC,360,"LAPAROSCOPY, SURGICAL, SUPRACERVICAL HYSTERECTOMY, FOR UTERUS 250 G OR LESS;",,,8612.0,17457.0,14 RC,360,"LAPAROSCOPY, SURGICAL, SUPRACERVICAL HYSTERECTOMY, FOR UTERUS 250 G OR LESS; WITH REMOVAL OF TUBE(S) AND/OR OVARY(S)",,,8612.0,17457.0,14 RC,360,"LAPAROSCOPY, SURGICAL, SUPRACERVICAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G;",,,8612.0,17457.0,14 RC,360,"LAPAROSCOPY, SURGICAL, SUPRACERVICAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G; WITH REMOVAL OF TUBE(S) AND/OR OVARY(S)",,,8612.0,17457.0,14 RC,360,"LAPAROSCOPY, SURGICAL, TOTAL HYSTERECTOMY FOR RESECTION OF MALIGNANCY (TUMOR DEBULKING), WITH OMENTECTOMY INCLUDING SALPINGO-OOPHORECTOMY, UNILATERAL OR BILATERAL, WHEN PERFORMED",,,5219.0,8045.0,2 RC,360,"LAPAROSCOPY, SURGICAL, WITH ADRENALECTOMY, PARTIAL OR COMPLETE, OR EXPLORATION OF ADRENAL GLAND WITH OR WITHOUT BIOPSY, TRANSABDOMINAL, LUMBAR OR DORSAL",,,6636.0,10022.0,3 RC,360,"LAPAROSCOPY, SURGICAL, WITH RADICAL HYSTERECTOMY, WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY AND PARA-AORTIC LYMPH NODE SAMPLING (BIOPSY), WITH REMOVAL OF TUBE(S) AND OVARY(S), IF PERFORMED",,,6636.0,10022.0,2 RC,360,"LAPAROSCOPY, SURGICAL, WITH TOTAL HYSTERECTOMY, FOR UTERUS 250 G OR LESS;",,,8612.0,17457.0,14 RC,360,"LAPAROSCOPY, SURGICAL, WITH TOTAL HYSTERECTOMY, FOR UTERUS 250 G OR LESS; WITH REMOVAL OF TUBE(S) AND/OR OVARY(S)",,,8612.0,17457.0,14 RC,360,"LAPAROSCOPY, SURGICAL, WITH TOTAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G;",,,8612.0,17457.0,14 RC,360,"LAPAROSCOPY, SURGICAL, WITH TOTAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G; WITH REMOVAL OF TUBE(S) AND/OR OVARY(S)",,,8612.0,17457.0,14 RC,360,"LAPAROSCOPY, SURGICAL, WITH VAGINAL HYSTERECTOMY, FOR UTERUS 250 G OR LESS; WITH REMOVAL OF TUBE(S) AND/OR OVARY(S)",,,8612.0,13852.0,14 RC,360,"LAPAROSCOPY, SURGICAL, WITH VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G;",,,8612.0,13852.0,14 RC,360,"LAPAROSCOPY, SURGICAL, WITH VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G; WITH REMOVAL OF TUBE(S) AND/OR OVARY(S)",,,8612.0,13852.0,14 RC,360,"LAPAROSCOPY, SURGICAL; ABLATION OF RENAL CYSTS",,,6636.0,10945.84,14 RC,360,"LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY",,,5613.15,13852.0,14 RC,360,"LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY",,,5613.15,13852.0,14 RC,360,"LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY WITH EXPLORATION OF COMMON DUCT",,,8612.0,13852.0,14 RC,360,"LAPAROSCOPY, SURGICAL; COLECTOMY, PARTIAL, WITH ANASTOMOSIS",,,6636.0,10022.0,2 RC,360,"LAPAROSCOPY, SURGICAL; COLECTOMY, PARTIAL, WITH ANASTOMOSIS, WITH COLOPROCTOSTOMY (LOW PELVIC ANASTOMOSIS)",,,2025.0,4681.0,2 RC,360,"LAPAROSCOPY, SURGICAL; COLECTOMY, PARTIAL, WITH END COLOSTOMY AND CLOSURE OF DISTAL SEGMENT (HARTMANN TYPE PROCEDURE)",,,2025.0,4681.0,2 RC,360,"LAPAROSCOPY, SURGICAL; EACH ADDITIONAL SMALL INTESTINE RESECTION AND ANASTOMOSIS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,6636.0,10022.0,2 RC,360,"LAPAROSCOPY, SURGICAL; ENTERECTOMY, RESECTION OF SMALL INTESTINE, SINGLE RESECTION AND ANASTOMOSIS",,,6636.0,10087.0,3 RC,360,"LAPAROSCOPY, SURGICAL; GASTROSTOMY, WITHOUT CONSTRUCTION OF GASTRIC TUBE (EG, STAMM PROCEDURE) (SEPARATE PROCEDURE)",,,5613.15,17457.0,14 RC,360,"LAPAROSCOPY, SURGICAL; ILEOSTOMY OR JEJUNOSTOMY, NON-TUBE",,,2025.0,6735.0,3 RC,360,"LAPAROSCOPY, SURGICAL; JEJUNOSTOMY (EG, FOR DECOMPRESSION OR FEEDING)",,,5613.15,13852.0,14 RC,360,"LAPAROSCOPY, SURGICAL; NEPHRECTOMY WITH TOTAL URETERECTOMY",,,2025.0,10087.0,3 RC,360,"LAPAROSCOPY, SURGICAL; NEPHRECTOMY, INCLUDING PARTIAL URETERECTOMY",,,2025.0,10087.0,3 RC,360,"LAPAROSCOPY, SURGICAL; PARTIAL NEPHRECTOMY",,,8612.0,13852.0,13 RC,360,"LAPAROSCOPY, SURGICAL; PROCTECTOMY, COMPLETE, COMBINED ABDOMINOPERINEAL, WITH COLOSTOMY",,,2025.0,6735.0,3 RC,360,"LAPAROSCOPY, SURGICAL; PROCTOPEXY (FOR PROLAPSE)",,,5219.0,8045.0,3 RC,360,"LAPAROSCOPY, SURGICAL; PROCTOPEXY (FOR PROLAPSE), WITH SIGMOID RESECTION",,,2025.0,6735.0,3 RC,360,"LAPAROSCOPY, SURGICAL; PYELOPLASTY",,,8612.0,13852.0,14 RC,360,"LAPAROSCOPY, SURGICAL; RADICAL NEPHRECTOMY (INCLUDES REMOVAL OF GEROTA'S FASCIA AND SURROUNDING FATTY TISSUE, REMOVAL OF REGIONAL LYMPH NODES, AND ADRENALECTOMY)",,,2025.0,4681.0,2 RC,360,"LAPAROSCOPY, SURGICAL; REPAIR INITIAL INGUINAL HERNIA",,,5613.15,13852.0,14 RC,360,"LAPAROSCOPY, SURGICAL; REPAIR RECURRENT INGUINAL HERNIA",,,5613.15,13852.0,14 RC,360,"LAPAROSCOPY, SURGICAL; SLING OPERATION FOR STRESS INCONTINENCE (EG, FASCIA OR SYNTHETIC)",,,5613.15,13852.0,14 RC,360,"LAPAROSCOPY, SURGICAL; TRANSECTION OF VAGUS NERVES, TRUNCAL",,,5613.15,13852.0,14 RC,360,"LAPAROSCOPY, SURGICAL; URETERONEOCYSTOSTOMY WITH CYSTOSCOPY AND URETERAL STENT PLACEMENT",,,8612.0,17457.0,14 RC,360,"LAPAROSCOPY, SURGICAL; URETERONEOCYSTOSTOMY WITHOUT CYSTOSCOPY AND URETERAL STENT PLACEMENT",,,8612.0,17457.0,14 RC,360,"LAPAROSCOPY, SURGICAL; URETHRAL SUSPENSION FOR STRESS INCONTINENCE",,,5613.15,13852.0,14 RC,360,"LAPAROSCOPY, SURGICAL; WITH ASPIRATION OF CAVITY OR CYST (EG, OVARIAN CYST) (SINGLE OR MULTIPLE)",,,5613.15,10022.0,14 RC,360,"LAPAROSCOPY, SURGICAL; WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY",,,8612.0,17457.0,14 RC,360,"LAPAROSCOPY, SURGICAL; WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY AND PERI-AORTIC LYMPH NODE SAMPLING (BIOPSY), SINGLE OR MULTIPLE",,,8612.0,17457.0,14 RC,360,"LAPAROSCOPY, SURGICAL; WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY AND PERI-AORTIC LYMPH NODE SAMPLING, PERITONEAL WASHINGS, PERITONEAL BIOPSY(IES), OMENTECTOMY, AND DIAPHRAGMATIC WASHINGS, INCLUDING ",,,8612.0,13852.0,13 RC,360,"LAPAROSCOPY, SURGICAL; WITH BIOPSY (SINGLE OR MULTIPLE)",,,5613.15,10022.0,14 RC,360,"LAPAROSCOPY, SURGICAL; WITH FULGURATION OF OVIDUCTS (WITH OR WITHOUT TRANSECTION)",,,5613.15,13852.0,14 RC,360,"LAPAROSCOPY, SURGICAL; WITH FULGURATION OR EXCISION OF LESIONS OF THE OVARY, PELVIC VISCERA, OR PERITONEAL SURFACE BY ANY METHOD",,,5613.15,13852.0,14 RC,360,"LAPAROSCOPY, SURGICAL; WITH INSERTION OF TUNNELED INTRAPERITONEAL CATHETER",,,5613.15,17457.0,14 RC,360,"LAPAROSCOPY, SURGICAL; WITH LYSIS OF ADHESIONS (SALPINGOLYSIS, OVARIOLYSIS) (SEPARATE PROCEDURE)",,,5613.15,13852.0,14 RC,360,"LAPAROSCOPY, SURGICAL; WITH OMENTOPEXY (OMENTAL TACKING PROCEDURE) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,173.0,17457.0,4 RC,360,"LAPAROSCOPY, SURGICAL; WITH REMOVAL OF ADNEXAL STRUCTURES (PARTIAL OR TOTAL OOPHORECTOMY AND/OR SALPINGECTOMY)",,,5613.15,13852.0,14 RC,360,"LAPAROSCOPY, SURGICAL; WITH RETROPERITONEAL LYMPH NODE SAMPLING (BIOPSY), SINGLE OR MULTIPLE",,,5613.15,17457.0,14 RC,360,"LAPAROSCOPY, SURGICAL; WITH REVISION OF PREVIOUSLY PLACED INTRAPERITONEAL CANNULA OR CATHETER, WITH REMOVAL OF INTRALUMINAL OBSTRUCTIVE MATERIAL IF PERFORMED",,,5613.15,17457.0,14 RC,360,"LARYNGOSCOPY, DIRECT, OPERATIVE, WITH BIOPSY;",,,3547.15,5754.0,14 RC,360,"LARYNGOSCOPY, DIRECT, OPERATIVE, WITH BIOPSY; WITH OPERATING MICROSCOPE OR TELESCOPE",,,3547.15,6735.0,14 RC,360,"LARYNGOSCOPY, DIRECT, OPERATIVE, WITH EXCISION OF TUMOR AND/OR STRIPPING OF VOCAL CORDS OR EPIGLOTTIS;",,,3547.15,6735.0,14 RC,360,"LARYNGOSCOPY, DIRECT, OPERATIVE, WITH EXCISION OF TUMOR AND/OR STRIPPING OF VOCAL CORDS OR EPIGLOTTIS; WITH OPERATING MICROSCOPE OR TELESCOPE",,,3547.15,8442.0,14 RC,360,"LARYNGOSCOPY, DIRECT, OPERATIVE, WITH OPERATING MICROSCOPE OR TELESCOPE, WITH SUBMUCOSAL REMOVAL OF NON-NEOPLASTIC LESION(S) OF VOCAL CORD; RECONSTRUCTION WITH LOCAL TISSUE FLAP(S)",,,3547.15,8442.0,14 RC,360,"LARYNGOSCOPY, DIRECT, WITH INJECTION INTO VOCAL CORD(S), THERAPEUTIC; WITH OPERATING MICROSCOPE OR TELESCOPE",,,3547.15,5754.0,14 RC,360,"LASER COAGULATION OF PROSTATE, INCLUDING CONTROL OF POSTOPERATIVE BLEEDING, COMPLETE (VASECTOMY, MEATOTOMY, CYSTOURETHROSCOPY, URETHRAL CALIBRATION AND/OR DILATION, AND INTERNAL URETHROTOMY ARE INCLUD",,,4890.88,17457.0,14 RC,360,"LASER ENUCLEATION OF THE PROSTATE WITH MORCELLATION, INCLUDING CONTROL OF POSTOPERATIVE BLEEDING, COMPLETE (VASECTOMY, MEATOTOMY, CYSTOURETHROSCOPY, URETHRAL CALIBRATION AND/OR DILATION, INTERNAL URET",,,4890.88,17457.0,14 RC,360,"LASER VAPORIZATION OF PROSTATE, INCLUDING CONTROL OF POSTOPERATIVE BLEEDING, COMPLETE (VASECTOMY, MEATOTOMY, CYSTOURETHROSCOPY, URETHRAL CALIBRATION AND/OR DILATION, INTERNAL URETHROTOMY AND TRANSURET",,,4890.88,17457.0,14 RC,360,"LATERAL RETINACULAR RELEASE, OPEN",,,3121.59,12408.0,14 RC,360,"LENGTHENING OR SHORTENING OF TENDON, LEG OR ANKLE; SINGLE TENDON (SEPARATE PROCEDURE)",,,3121.59,8045.0,14 RC,360,"LIGAMENTOUS RECONSTRUCTION (AUGMENTATION), KNEE; EXTRA-ARTICULAR",,,6649.0,13852.0,14 RC,360,"LIGATION AND DIVISION OF LONG SAPHENOUS VEIN AT SAPHENOFEMORAL JUNCTION, OR DISTAL INTERRUPTIONS",,,3028.17,8045.0,14 RC,360,LIGATION AND DIVISION OF SHORT SAPHENOUS VEIN AT SAPHENOPOPLITEAL JUNCTION (SEPARATE PROCEDURE),,,990.0,6735.0,14 RC,360,LIGATION OR BANDING OF ANGIOACCESS ARTERIOVENOUS FISTULA,,,3028.17,8045.0,14 RC,360,"LIGATION OR BIOPSY, TEMPORAL ARTERY",,,1558.81,5152.0,14 RC,360,"LIGATION, DIVISION, AND STRIPPING, LONG (GREATER) SAPHENOUS VEINS FROM SAPHENOFEMORAL JUNCTION TO KNEE OR BELOW",,,3028.17,8045.0,14 RC,360,LITHOLAPAXY: CRUSHING OR FRAGMENTATION OF CALCULUS BY ANY MEANS IN BLADDER AND REMOVAL OF FRAGMENTS; COMPLICATED OR LARGE (OVER 2.5 CM),,,3318.21,5754.0,14 RC,360,LITHOLAPAXY: CRUSHING OR FRAGMENTATION OF CALCULUS BY ANY MEANS IN BLADDER AND REMOVAL OF FRAGMENTS; SIMPLE OR SMALL (LESS THAN 2.5 CM),,,3318.21,5754.0,14 RC,360,"LITHOTRIPSY, EXTRACORPOREAL SHOCK WAVE",,,3318.21,17457.0,14 RC,360,"LOWER EXTREMITY FASCIAL PLANE BLOCK, UNILATERAL; BY CONTINUOUS INFUSION(S), INCLUDING IMAGING GUIDANCE, WHEN PERFORMED",,,173.0,4311.0,3 RC,360,"LOWER EXTREMITY FASCIAL PLANE BLOCK, UNILATERAL; BY INJECTION(S), INCLUDING IMAGING GUIDANCE, WHEN PERFORMED",,,173.0,4311.0,3 RC,360,LYSIS INTRANASAL SYNECHIA,,,173.0,5152.0,14 RC,360,"LYSIS OF ADHESIONS (SALPINGOLYSIS, OVARIOLYSIS)",,,3788.0,10087.0,3 RC,360,LYSIS OF LABIAL ADHESIONS,,,3058.98,5754.0,14 RC,360,LYSIS OR EXCISION OF PENILE POST-CIRCUMCISION ADHESIONS,,,1970.84,5754.0,14 RC,360,MANIPULATION OF KNEE JOINT UNDER GENERAL ANESTHESIA (INCLUDES APPLICATION OF TRACTION OR OTHER FIXATION DEVICES),,,1539.73,4311.0,14 RC,360,"MANIPULATION, HIP JOINT, REQUIRING GENERAL ANESTHESIA",,,1539.73,5152.0,14 RC,360,"MANUAL PREPARATION AND INSERTION OF DRUG-DELIVERY DEVICE(S), INTRAMEDULLARY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,173.0,4311.0,3 RC,360,MARSUPIALIZATION OF BARTHOLIN'S GLAND CYST,,,3058.98,5754.0,14 RC,360,"MASTECTOMY, MODIFIED RADICAL, INCLUDING AXILLARY LYMPH NODES, WITH OR WITHOUT PECTORALIS MINOR MUSCLE, BUT EXCLUDING PECTORALIS MAJOR MUSCLE",,,6274.19,17457.0,14 RC,360,"MASTECTOMY, PARTIAL (EG, LUMPECTOMY, TYLECTOMY, QUADRANTECTOMY, SEGMENTECTOMY);",,,3684.09,6735.0,14 RC,360,"MASTECTOMY, PARTIAL (EG, LUMPECTOMY, TYLECTOMY, QUADRANTECTOMY, SEGMENTECTOMY); WITH AXILLARY LYMPHADENECTOMY",,,6274.19,12408.0,14 RC,360,"MASTECTOMY, RADICAL, INCLUDING PECTORAL MUSCLES, AXILLARY LYMPH NODES",,,2025.0,4681.0,2 RC,360,"MASTECTOMY, SIMPLE, COMPLETE",,,5219.0,8442.0,14 RC,360,MASTOPEXY,,,5219.0,8442.0,14 RC,360,"MASTOTOMY WITH EXPLORATION OR DRAINAGE OF ABSCESS, DEEP",,,1558.81,5754.0,14 RC,360,"MEASUREMENT OF POST-VOIDING RESIDUAL URINE AND/OR BLADDER CAPACITY BY ULTRASOUND, NON-IMAGING",,,57.15,832.0,12 RC,360,"MEDIASTINOSCOPY; INCLUDES BIOPSY(IES) OF MEDIASTINAL MASS (EG, LYMPHOMA), WHEN PERFORMED",,,5613.15,10022.0,13 RC,360,"MEDIASTINOSCOPY; WITH LYMPH NODE BIOPSY(IES) (EG, LUNG CANCER STAGING)",,,5613.15,10022.0,13 RC,360,"MENISCECTOMY, PARTIAL OR COMPLETE, TEMPOROMANDIBULAR JOINT (SEPARATE PROCEDURE)",,,4376.0,10022.0,14 RC,360,METATARSECTOMY,,,3121.59,6735.0,14 RC,360,"MICROSURGICAL TECHNIQUES, REQUIRING USE OF OPERATING MICROSCOPE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,173.0,4311.0,3 RC,360,MOBILIZATION (TAKE-DOWN) OF SPLENIC FLEXURE PERFORMED IN CONJUNCTION WITH PARTIAL COLECTOMY (LIST SEPARATELY IN ADDITION TO PRIMARY PROCEDURE),,,2025.0,4681.0,2 RC,360,"MUSCLE, MYOCUTANEOUS, OR FASCIOCUTANEOUS FLAP; HEAD AND NECK WITH NAMED VASCULAR PEDICLE (IE, BUCCINATORS, GENIOGLOSSUS, TEMPORALIS, MASSETER, STERNOCLEIDOMASTOID, LEVATOR SCAPULAE)",,,3522.17,17457.0,14 RC,360,"MUSCLE, MYOCUTANEOUS, OR FASCIOCUTANEOUS FLAP; LOWER EXTREMITY",,,3522.17,8045.0,14 RC,360,"MUSCLE, MYOCUTANEOUS, OR FASCIOCUTANEOUS FLAP; TRUNK",,,3522.17,8045.0,14 RC,360,"MYOMECTOMY, EXCISION OF FIBROID TUMOR(S) OF UTERUS, 1 TO 4 INTRAMURAL MYOMA(S) WITH TOTAL WEIGHT OF 250 G OR LESS AND/OR REMOVAL OF SURFACE MYOMAS; ABDOMINAL APPROACH",,,5219.0,12247.0,3 RC,360,"MYOMECTOMY, EXCISION OF FIBROID TUMOR(S) OF UTERUS, 1 TO 4 INTRAMURAL MYOMA(S) WITH TOTAL WEIGHT OF 250 G OR LESS AND/OR REMOVAL OF SURFACE MYOMAS; VAGINAL APPROACH",,,3058.98,10087.0,14 RC,360,"MYOMECTOMY, EXCISION OF FIBROID TUMOR(S) OF UTERUS, 5 OR MORE INTRAMURAL MYOMAS AND/OR INTRAMURAL MYOMAS WITH TOTAL WEIGHT GREATER THAN 250 G, ABDOMINAL APPROACH",,,5219.0,8045.0,2 RC,360,MYRINGOTOMY INCLUDING ASPIRATION AND/OR EUSTACHIAN TUBE INFLATION,,,173.0,6735.0,14 RC,360,"NASAL ENDOSCOPY, DIAGNOSTIC, UNILATERAL OR BILATERAL (SEPARATE PROCEDURE)",,,173.0,4376.0,13 RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL WITH ETHMOIDECTOMY; PARTIAL (ANTERIOR)",,,3788.0,8442.0,14 RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL WITH ETHMOIDECTOMY; TOTAL (ANTERIOR AND POSTERIOR)",,,5219.0,10087.0,14 RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL WITH ETHMOIDECTOMY; TOTAL (ANTERIOR AND POSTERIOR), INCLUDING FRONTAL SINUS EXPLORATION, WITH REMOVAL OF TISSUE FROM FRONTAL SINUS, WHEN PERFORMED",,,5219.0,17457.0,14 RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL WITH ETHMOIDECTOMY; TOTAL (ANTERIOR AND POSTERIOR), INCLUDING SPHENOIDOTOMY",,,5219.0,17457.0,14 RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL WITH ETHMOIDECTOMY; TOTAL (ANTERIOR AND POSTERIOR), INCLUDING SPHENOIDOTOMY, WITH REMOVAL OF TISSUE FROM THE SPHENOID SINUS",,,5219.0,17457.0,14 RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL, WITH DILATION (EG, BALLOON DILATION); FRONTAL SINUS OSTIUM",,,5219.0,17457.0,14 RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL, WITH FRONTAL SINUS EXPLORATION, INCLUDING REMOVAL OF TISSUE FROM FRONTAL SINUS, WHEN PERFORMED",,,5219.0,8045.0,14 RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL, WITH MAXILLARY ANTROSTOMY;",,,3547.15,6735.0,14 RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL, WITH MAXILLARY ANTROSTOMY; WITH REMOVAL OF TISSUE FROM MAXILLARY SINUS",,,3788.0,7277.94,14 RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL, WITH SPHENOIDOTOMY; WITH REMOVAL OF TISSUE FROM THE SPHENOID SINUS",,,5219.0,8045.0,14 RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL; WITH BIOPSY, POLYPECTOMY OR DEBRIDEMENT (SEPARATE PROCEDURE)",,,1659.09,5152.0,14 RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL; WITH CONCHA BULLOSA RESECTION",,,1659.09,5754.0,14 RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL; WITH CONTROL OF NASAL HEMORRHAGE",,,1659.09,4376.0,14 RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL; WITH DACRYOCYSTORHINOSTOMY",,,3547.15,8442.0,14 RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL; WITH DESTRUCTION BY CRYOABLATION, POSTERIOR NASAL NERVE",,,5691.37,10022.0,13 RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL; WITH LIGATION OF SPHENOPALATINE ARTERY",,,1659.09,6735.0,13 RC,360,"NASOPHARYNGOSCOPY, SURGICAL, WITH DILATION OF EUSTACHIAN TUBE (IE, BALLOON DILATION); BILATERAL",,,4376.0,17457.0,14 RC,360,"NASOPHARYNGOSCOPY, SURGICAL, WITH DILATION OF EUSTACHIAN TUBE (IE, BALLOON DILATION); UNILATERAL",,,4311.0,17457.0,14 RC,360,"NEGATIVE PRESSURE WOUND THERAPY (EG, VACUUM ASSISTED DRAINAGE COLLECTION), UTILIZING DURABLE MEDICAL EQUIPMENT (DME), INCLUDING TOPICAL APPLICATION(S), WOUND ASSESSMENT, AND INSTRUCTION(S) FOR ONGOING",,,191.17,208.9,10 RC,360,"NEGATIVE PRESSURE WOUND THERAPY, (EG, VACUUM ASSISTED DRAINAGE COLLECTION), UTILIZING DISPOSABLE, NON-DURABLE MEDICAL EQUIPMENT INCLUDING PROVISION OF EXUDATE MANAGEMENT COLLECTION SYSTEM, TOPICAL APP",,,384.38,420.05,10 RC,360,"NERVE REPAIR; WITH NERVE ALLOGRAFT, EACH NERVE, FIRST STRAND (CABLE)",,,4376.0,10022.0,13 RC,360,NEUROPLASTY AND/OR TRANSPOSITION; CRANIAL NERVE (SPECIFY),,,1878.73,6735.0,14 RC,360,NEUROPLASTY AND/OR TRANSPOSITION; MEDIAN NERVE AT CARPAL TUNNEL,,,1878.73,5754.0,14 RC,360,NEUROPLASTY AND/OR TRANSPOSITION; ULNAR NERVE AT ELBOW,,,1878.73,5754.0,14 RC,360,"NEUROPLASTY, MAJOR PERIPHERAL NERVE, ARM OR LEG, OPEN; BRACHIAL PLEXUS",,,1878.73,5754.0,14 RC,360,"NEUROPLASTY, MAJOR PERIPHERAL NERVE, ARM OR LEG, OPEN; OTHER THAN SPECIFIED",,,1878.73,5754.0,14 RC,360,"NEUROPLASTY, MAJOR PERIPHERAL NERVE, ARM OR LEG, OPEN; SCIATIC NERVE",,,1878.73,5754.0,14 RC,360,"NEUROPLASTY; DIGITAL, 1 OR BOTH, SAME DIGIT",,,1878.73,5754.0,14 RC,360,"NIPPLE EXPLORATION, WITH OR WITHOUT EXCISION OF A SOLITARY LACTIFEROUS DUCT OR A PAPILLOMA LACTIFEROUS DUCT",,,3684.09,5754.0,14 RC,360,NIPPLE/AREOLA RECONSTRUCTION,,,3684.09,8442.0,14 RC,360,"NON-SELECTIVE CATHETER PLACEMENT, THORACIC AORTA, WITH ANGIOGRAPHY OF THE EXTRACRANIAL CAROTID, VERTEBRAL, AND/OR INTRACRANIAL VESSELS, UNILATERAL OR BILATERAL, AND ALL ASSOCIATED RADIOLOGICAL SUPERVI",,,3028.17,8045.0,13 RC,360,"OCULAR SURFACE RECONSTRUCTION; AMNIOTIC MEMBRANE TRANSPLANTATION, MULTIPLE LAYERS",,,3628.02,10087.0,14 RC,360,"OMENTAL FLAP, INTRA-ABDOMINAL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,6636.0,10022.0,2 RC,360,"OMENTECTOMY, EPIPLOECTOMY, RESECTION OF OMENTUM (SEPARATE PROCEDURE)",,,3788.0,8442.0,3 RC,360,"OOPHORECTOMY, PARTIAL OR TOTAL, UNILATERAL OR BILATERAL;",,,5219.0,10087.0,3 RC,360,"OPEN IMPLANTATION OF HYPOGLOSSAL NERVE NEUROSTIMULATOR ARRAY, PULSE GENERATOR, AND DISTAL RESPIRATORY SENSOR ELECTRODE OR ELECTRODE ARRAY",,,4376.0,52940.0,13 RC,360,OPEN IMPLANTATION OF NEUROSTIMULATOR ELECTRODE ARRAY; SACRAL NERVE (TRANSFORAMINAL PLACEMENT),,,6314.07,24600.0,14 RC,360,"OPEN OSTEOCHONDRAL AUTOGRAFT, TALUS (INCLUDES OBTAINING GRAFT[S])",,,6872.88,17457.0,14 RC,360,"OPEN TREATMENT OF ACROMIOCLAVICULAR DISLOCATION, ACUTE OR CHRONIC;",,,6649.0,13852.0,14 RC,360,OPEN TREATMENT OF ACUTE OR CHRONIC ELBOW DISLOCATION,,,6649.0,13852.0,14 RC,360,OPEN TREATMENT OF ACUTE SHOULDER DISLOCATION,,,6649.0,13852.0,14 RC,360,"OPEN TREATMENT OF ANKLE DISLOCATION, WITH OR WITHOUT PERCUTANEOUS SKELETAL FIXATION; WITHOUT REPAIR OR INTERNAL FIXATION",,,6649.0,13852.0,14 RC,360,"OPEN TREATMENT OF ARTICULAR FRACTURE, INVOLVING METACARPOPHALANGEAL OR INTERPHALANGEAL JOINT, INCLUDES INTERNAL FIXATION, WHEN PERFORMED, EACH",,,3121.59,10087.0,14 RC,360,"OPEN TREATMENT OF BIMALLEOLAR ANKLE FRACTURE (EG, LATERAL AND MEDIAL MALLEOLI, OR LATERAL AND POSTERIOR MALLEOLI, OR MEDIAL AND POSTERIOR MALLEOLI), INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,6649.0,13852.0,14 RC,360,"OPEN TREATMENT OF CALCANEAL FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED;",,,6649.0,13852.0,14 RC,360,"OPEN TREATMENT OF CALCANEAL FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED; WITH PRIMARY ILIAC OR OTHER AUTOGENOUS BONE GRAFT (INCLUDES OBTAINING GRAFT)",,,8213.0,13852.0,14 RC,360,"OPEN TREATMENT OF CARPAL SCAPHOID (NAVICULAR) FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,6649.0,13852.0,14 RC,360,"OPEN TREATMENT OF CLAVICULAR FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,6649.0,13852.0,14 RC,360,"OPEN TREATMENT OF COMPLICATED (EG, COMMINUTED OR INVOLVING CRANIAL NERVE FORAMINA) FRACTURE(S) OF MALAR AREA, INCLUDING ZYGOMATIC ARCH AND MALAR TRIPOD; WITH INTERNAL FIXATION AND MULTIPLE SURGICAL AP",,,5691.37,12408.0,14 RC,360,"OPEN TREATMENT OF COMPLICATED MANDIBULAR FRACTURE BY MULTIPLE SURGICAL APPROACHES INCLUDING INTERNAL FIXATION, INTERDENTAL FIXATION, AND/OR WIRING OF DENTURES OR SPLINTS",,,5691.37,10087.0,14 RC,360,"OPEN TREATMENT OF DISTAL FIBULAR FRACTURE (LATERAL MALLEOLUS), INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,6649.0,13852.0,14 RC,360,"OPEN TREATMENT OF DISTAL PHALANGEAL FRACTURE, FINGER OR THUMB, INCLUDES INTERNAL FIXATION, WHEN PERFORMED, EACH",,,3121.59,8442.0,14 RC,360,"OPEN TREATMENT OF DISTAL RADIAL EXTRA-ARTICULAR FRACTURE OR EPIPHYSEAL SEPARATION, WITH INTERNAL FIXATION",,,6872.88,13852.0,14 RC,360,OPEN TREATMENT OF DISTAL RADIAL INTRA-ARTICULAR FRACTURE OR EPIPHYSEAL SEPARATION; WITH INTERNAL FIXATION OF 2 FRAGMENTS,,,6872.88,13852.0,14 RC,360,OPEN TREATMENT OF DISTAL RADIAL INTRA-ARTICULAR FRACTURE OR EPIPHYSEAL SEPARATION; WITH INTERNAL FIXATION OF 3 OR MORE FRAGMENTS,,,6872.88,13852.0,14 RC,360,"OPEN TREATMENT OF DISTAL TIBIOFIBULAR JOINT (SYNDESMOSIS) DISRUPTION, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,4376.0,13852.0,14 RC,360,"OPEN TREATMENT OF FEMORAL FRACTURE, DISTAL END, MEDIAL OR LATERAL CONDYLE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,6636.0,10087.0,3 RC,360,"OPEN TREATMENT OF FEMORAL FRACTURE, PROXIMAL END, NECK, INTERNAL FIXATION OR PROSTHETIC REPLACEMENT",,,8612.0,13852.0,3 RC,360,"OPEN TREATMENT OF FEMORAL SHAFT FRACTURE, WITH OR WITHOUT EXTERNAL FIXATION, WITH INSERTION OF INTRAMEDULLARY IMPLANT, WITH OR WITHOUT CERCLAGE AND/OR LOCKING SCREWS",,,6636.0,10087.0,3 RC,360,"OPEN TREATMENT OF FEMORAL SUPRACONDYLAR OR TRANSCONDYLAR FRACTURE WITHOUT INTERCONDYLAR EXTENSION, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,6636.0,10022.0,3 RC,360,"OPEN TREATMENT OF FRACTURE OF WEIGHT BEARING ARTICULAR SURFACE/PORTION OF DISTAL TIBIA (EG, PILON OR TIBIAL PLAFOND), WITH INTERNAL FIXATION, WHEN PERFORMED; OF BOTH TIBIA AND FIBULA",,,8213.0,13852.0,14 RC,360,"OPEN TREATMENT OF FRACTURE OF WEIGHT BEARING ARTICULAR SURFACE/PORTION OF DISTAL TIBIA (EG, PILON OR TIBIAL PLAFOND), WITH INTERNAL FIXATION, WHEN PERFORMED; OF TIBIA ONLY",,,6649.0,13852.0,14 RC,360,"OPEN TREATMENT OF FRACTURE, GREAT TOE, PHALANX OR PHALANGES, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,3121.59,6735.0,14 RC,360,"OPEN TREATMENT OF FRACTURE, PHALANX OR PHALANGES, OTHER THAN GREAT TOE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED, EACH",,,3121.59,6735.0,14 RC,360,"OPEN TREATMENT OF GREATER HUMERAL TUBEROSITY FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,6872.88,13852.0,14 RC,360,"OPEN TREATMENT OF HUMERAL CONDYLAR FRACTURE, MEDIAL OR LATERAL, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,6649.0,13852.0,14 RC,360,"OPEN TREATMENT OF HUMERAL EPICONDYLAR FRACTURE, MEDIAL OR LATERAL, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,6649.0,13852.0,14 RC,360,"OPEN TREATMENT OF HUMERAL SHAFT FRACTURE WITH PLATE/SCREWS, WITH OR WITHOUT CERCLAGE",,,8213.0,13852.0,14 RC,360,"OPEN TREATMENT OF HUMERAL SUPRACONDYLAR OR TRANSCONDYLAR FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED; WITH INTERCONDYLAR EXTENSION",,,8612.0,13852.0,14 RC,360,"OPEN TREATMENT OF HUMERAL SUPRACONDYLAR OR TRANSCONDYLAR FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED; WITHOUT INTERCONDYLAR EXTENSION",,,8213.0,13852.0,14 RC,360,"OPEN TREATMENT OF INTERPHALANGEAL JOINT DISLOCATION, INCLUDES INTERNAL FIXATION, WHEN PERFORMED, SINGLE",,,3121.59,5754.0,14 RC,360,OPEN TREATMENT OF LUNATE DISLOCATION,,,3788.0,7510.57,14 RC,360,"OPEN TREATMENT OF MEDIAL MALLEOLUS FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,6649.0,13852.0,14 RC,360,"OPEN TREATMENT OF METACARPAL FRACTURE, SINGLE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED, EACH BONE",,,3121.59,13852.0,14 RC,360,"OPEN TREATMENT OF METATARSAL FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED, EACH",,,6872.88,13852.0,14 RC,360,"OPEN TREATMENT OF MONTEGGIA TYPE OF FRACTURE DISLOCATION AT ELBOW (FRACTURE PROXIMAL END OF ULNA WITH DISLOCATION OF RADIAL HEAD), INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,6649.0,13852.0,14 RC,360,"OPEN TREATMENT OF ORBITAL FLOOR BLOWOUT FRACTURE; PERIORBITAL APPROACH, WITH ALLOPLASTIC OR OTHER IMPLANT",,,5691.37,12408.0,14 RC,360,"OPEN TREATMENT OF PATELLAR FRACTURE, WITH INTERNAL FIXATION AND/OR PARTIAL OR COMPLETE PATELLECTOMY AND SOFT TISSUE REPAIR",,,6649.0,13852.0,14 RC,360,OPEN TREATMENT OF PERIARTICULAR FRACTURE AND/OR DISLOCATION OF THE ELBOW (FRACTURE DISTAL HUMERUS AND PROXIMAL ULNA AND/OR PROXIMAL RADIUS);,,,8213.0,13852.0,14 RC,360,"OPEN TREATMENT OF PHALANGEAL SHAFT FRACTURE, PROXIMAL OR MIDDLE PHALANX, FINGER OR THUMB, INCLUDES INTERNAL FIXATION, WHEN PERFORMED, EACH",,,3121.59,8442.0,14 RC,360,"OPEN TREATMENT OF POSTERIOR MALLEOLUS FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,6735.0,17457.0,14 RC,360,"OPEN TREATMENT OF PROXIMAL HUMERAL (SURGICAL OR ANATOMICAL NECK) FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED, INCLUDES REPAIR OF TUBEROSITY(S), WHEN PERFORMED;",,,8213.0,13852.0,14 RC,360,"OPEN TREATMENT OF PROXIMAL HUMERAL (SURGICAL OR ANATOMICAL NECK) FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED, INCLUDES REPAIR OF TUBEROSITY(S), WHEN PERFORMED; WITH PROXIMAL HUMERAL PROSTHETI",,,8213.0,19334.39,14 RC,360,"OPEN TREATMENT OF RADIAL AND ULNAR SHAFT FRACTURES, WITH INTERNAL FIXATION, WHEN PERFORMED; OF RADIUS OR ULNA",,,6649.0,13852.0,14 RC,360,"OPEN TREATMENT OF RADIAL HEAD OR NECK FRACTURE, INCLUDES INTERNAL FIXATION OR RADIAL HEAD EXCISION, WHEN PERFORMED;",,,6872.88,13852.0,14 RC,360,"OPEN TREATMENT OF RADIAL HEAD OR NECK FRACTURE, INCLUDES INTERNAL FIXATION OR RADIAL HEAD EXCISION, WHEN PERFORMED; WITH RADIAL HEAD PROSTHETIC REPLACEMENT",,,8213.0,13852.0,14 RC,360,"OPEN TREATMENT OF RADIAL SHAFT FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,6649.0,13852.0,14 RC,360,"OPEN TREATMENT OF RADIAL SHAFT FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED, AND CLOSED TREATMENT OF DISTAL RADIOULNAR JOINT DISLOCATION (GALEAZZI FRACTURE/ DISLOCATION), INCLUDES PERCUTANEOUS",,,6872.88,13852.0,14 RC,360,"OPEN TREATMENT OF TALOTARSAL JOINT DISLOCATION, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,3788.0,7510.57,14 RC,360,"OPEN TREATMENT OF TARSAL BONE DISLOCATION, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,4376.0,13852.0,14 RC,360,"OPEN TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS), INCLUDES INTERNAL FIXATION, WHEN PERFORMED, EACH",,,6649.0,13852.0,14 RC,360,"OPEN TREATMENT OF TARSOMETATARSAL JOINT DISLOCATION, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,6649.0,13852.0,14 RC,360,"OPEN TREATMENT OF TIBIAL FRACTURE, PROXIMAL (PLATEAU); UNICONDYLAR, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,6636.0,10022.0,3 RC,360,"OPEN TREATMENT OF TIBIAL SHAFT FRACTURE (WITH OR WITHOUT FIBULAR FRACTURE), WITH PLATE/SCREWS, WITH OR WITHOUT CERCLAGE",,,8213.0,13852.0,14 RC,360,"OPEN TREATMENT OF TRIMALLEOLAR ANKLE FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED, MEDIAL AND/OR LATERAL MALLEOLUS; WITH FIXATION OF POSTERIOR LIP",,,6649.0,13852.0,14 RC,360,"OPEN TREATMENT OF TRIMALLEOLAR ANKLE FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED, MEDIAL AND/OR LATERAL MALLEOLUS; WITHOUT FIXATION OF POSTERIOR LIP",,,6649.0,13852.0,14 RC,360,"OPEN TREATMENT OF ULNAR FRACTURE, PROXIMAL END (EG, OLECRANON OR CORONOID PROCESS[ES]), INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,6649.0,13852.0,14 RC,360,"OPEN TREATMENT OF ULNAR SHAFT FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,6649.0,13852.0,14 RC,360,OPEN TREATMENT OF ULNAR STYLOID FRACTURE,,,6649.0,13852.0,14 RC,360,ORBITAL IMPLANT (IMPLANT OUTSIDE MUSCLE CONE); REMOVAL OR REVISION,,,3628.02,8045.0,14 RC,360,"ORBITOTOMY WITHOUT BONE FLAP (FRONTAL OR TRANSCONJUNCTIVAL APPROACH); FOR EXPLORATION, WITH OR WITHOUT BIOPSY",,,3628.02,8045.0,14 RC,360,ORBITOTOMY WITHOUT BONE FLAP (FRONTAL OR TRANSCONJUNCTIVAL APPROACH); WITH REMOVAL OF BONE FOR DECOMPRESSION,,,3628.02,10087.0,13 RC,360,ORBITOTOMY WITHOUT BONE FLAP (FRONTAL OR TRANSCONJUNCTIVAL APPROACH); WITH REMOVAL OF FOREIGN BODY,,,2244.5,10087.0,14 RC,360,ORBITOTOMY WITHOUT BONE FLAP (FRONTAL OR TRANSCONJUNCTIVAL APPROACH); WITH REMOVAL OF LESION,,,2244.5,10087.0,14 RC,360,"ORCHIECTOMY, RADICAL, FOR TUMOR; INGUINAL APPROACH",,,3395.25,8442.0,14 RC,360,"ORCHIECTOMY, RADICAL, FOR TUMOR; WITH ABDOMINAL EXPLORATION",,,3318.21,8045.0,12 RC,360,"ORCHIECTOMY, SIMPLE (INCLUDING SUBCAPSULAR), WITH OR WITHOUT TESTICULAR PROSTHESIS, SCROTAL OR INGUINAL APPROACH",,,3318.21,8045.0,14 RC,360,"ORCHIOPEXY, INGUINAL OR SCROTAL APPROACH",,,3395.25,8442.0,14 RC,360,"OSTECTOMY OF STERNUM, PARTIAL",,,6636.0,10022.0,3 RC,360,"OSTECTOMY, CALCANEUS;",,,3121.59,8442.0,14 RC,360,"OSTECTOMY, CALCANEUS; FOR SPUR, WITH OR WITHOUT PLANTAR FASCIAL RELEASE",,,3121.59,8442.0,14 RC,360,"OSTECTOMY, COMPLETE EXCISION; FIFTH METATARSAL HEAD",,,3121.59,6735.0,14 RC,360,"OSTECTOMY, COMPLETE EXCISION; FIRST METATARSAL HEAD",,,3121.59,6735.0,14 RC,360,"OSTECTOMY, COMPLETE EXCISION; OTHER METATARSAL HEAD (SECOND, THIRD OR FOURTH)",,,3121.59,6735.0,14 RC,360,"OSTECTOMY, PARTIAL EXCISION, FIFTH METATARSAL HEAD (BUNIONETTE) (SEPARATE PROCEDURE)",,,3121.59,6735.0,14 RC,360,"OSTECTOMY, PARTIAL, EXOSTECTOMY OR CONDYLECTOMY, METATARSAL HEAD, EACH METATARSAL HEAD",,,3121.59,6735.0,14 RC,360,"OSTEOCHONDRAL ALLOGRAFT, KNEE, OPEN",,,6735.0,13852.0,13 RC,360,"OSTEOCHONDRAL AUTOGRAFT(S), KNEE, OPEN (EG, MOSAICPLASTY) (INCLUDES HARVESTING OF AUTOGRAFT[S])",,,6636.0,17457.0,14 RC,360,"OSTEOTOMY, FEMUR, SHAFT OR SUPRACONDYLAR; WITH FIXATION",,,8612.0,13852.0,3 RC,360,"OSTEOTOMY, MANDIBLE, SEGMENTAL;",,,3788.0,6735.0,13 RC,360,"OSTEOTOMY, MANDIBLE, SEGMENTAL; WITH GENIOGLOSSUS ADVANCEMENT",,,5691.37,10087.0,13 RC,360,"OSTEOTOMY, PROXIMAL TIBIA, INCLUDING FIBULAR EXCISION OR OSTEOTOMY (INCLUDES CORRECTION OF GENU VARUS [BOWLEG] OR GENU VALGUS [KNOCK-KNEE]); BEFORE EPIPHYSEAL CLOSURE",,,8612.0,13852.0,3 RC,360,"OSTEOTOMY, SHORTENING, ANGULAR OR ROTATIONAL CORRECTION; PROXIMAL PHALANX, FIRST TOE (SEPARATE PROCEDURE)",,,3788.0,7510.57,14 RC,360,"OSTEOTOMY, WITH OR WITHOUT LENGTHENING, SHORTENING OR ANGULAR CORRECTION, METATARSAL; FIRST METATARSAL",,,3788.0,8442.0,14 RC,360,"OSTEOTOMY, WITH OR WITHOUT LENGTHENING, SHORTENING OR ANGULAR CORRECTION, METATARSAL; OTHER THAN FIRST METATARSAL, EACH",,,3121.59,5754.0,14 RC,360,"OSTEOTOMY; CALCANEUS (EG, DWYER OR CHAMBERS TYPE PROCEDURE), WITH OR WITHOUT INTERNAL FIXATION",,,4376.0,13852.0,14 RC,360,OSTEOTOMY; FIBULA,,,3121.59,8045.0,14 RC,360,OSTEOTOMY; TIBIA,,,4376.0,10022.0,14 RC,360,"OVARIAN CYSTECTOMY, UNILATERAL OR BILATERAL",,,4749.28,10087.0,13 RC,360,"PALATOPHARYNGOPLASTY (EG, UVULOPALATOPHARYNGOPLASTY, UVULOPHARYNGOPLASTY)",,,3788.0,10087.0,14 RC,360,PARACENTESIS OF ANTERIOR CHAMBER OF EYE (SEPARATE PROCEDURE); WITH REMOVAL OF AQUEOUS,,,173.0,4311.0,14 RC,360,"PARACENTESIS OF ANTERIOR CHAMBER OF EYE (SEPARATE PROCEDURE); WITH REMOVAL OF BLOOD, WITH OR WITHOUT IRRIGATION AND/OR AIR INJECTION",,,2194.26,5754.0,14 RC,360,PARATHYROID AUTOTRANSPLANTATION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE),,,173.0,6735.0,3 RC,360,PARATHYROIDECTOMY OR EXPLORATION OF PARATHYROID(S);,,,5691.37,12247.0,13 RC,360,PARATHYROIDECTOMY OR EXPLORATION OF PARATHYROID(S); RE-EXPLORATION,,,5691.37,17457.0,14 RC,360,"PARAVERTEBRAL BLOCK (PVB) (PARASPINOUS BLOCK), THORACIC; SINGLE INJECTION SITE (INCLUDES IMAGING GUIDANCE, WHEN PERFORMED)",,,666.26,4311.0,13 RC,360,"PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS), OLECRANON PROCESS",,,3121.59,8045.0,14 RC,360,"PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS), PROXIMAL HUMERUS",,,5219.0,8442.0,14 RC,360,"PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS); METACARPAL",,,2025.0,12408.0,14 RC,360,"PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS); PROXIMAL OR MIDDLE PHALANX OF FINGER",,,1539.73,6735.0,14 RC,360,"PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE (EG, FOR OSTEOMYELITIS); ULNA",,,3121.59,8045.0,14 RC,360,"PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY), BONE (EG, OSTEOMYELITIS); FIBULA",,,3121.59,8045.0,14 RC,360,"PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY), BONE (EG, OSTEOMYELITIS); TIBIA",,,3121.59,8045.0,14 RC,360,"PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, SEQUESTRECTOMY, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS OR BOSSING); PHALANX OF TOE",,,3121.59,6649.0,14 RC,360,"PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, SEQUESTRECTOMY, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS OR BOSSING); TALUS OR CALCANEUS",,,3121.59,12408.0,14 RC,360,"PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, SEQUESTRECTOMY, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS OR BOSSING); TARSAL OR METATARSAL BONE, EXCEPT TALUS OR CALCANEUS",,,3121.59,6735.0,14 RC,360,"PARTIAL EXCISION OF POSTERIOR VERTEBRAL COMPONENT (EG, SPINOUS PROCESS, LAMINA OR FACET) FOR INTRINSIC BONY LESION, SINGLE VERTEBRAL SEGMENT; CERVICAL",,,6735.0,13852.0,14 RC,360,PARTIAL HYMENECTOMY OR REVISION OF HYMENAL RING,,,3058.98,5754.0,14 RC,360,"PARTIAL THYROID LOBECTOMY, UNILATERAL; WITH OR WITHOUT ISTHMUSECTOMY",,,5613.15,13852.0,13 RC,360,PATELLECTOMY OR HEMIPATELLECTOMY,,,5219.0,8442.0,14 RC,360,PELVIC EXAMINATION UNDER ANESTHESIA (OTHER THAN LOCAL),,,3058.98,5754.0,14 RC,360,"PELVIC LYMPHADENECTOMY, INCLUDING EXTERNAL ILIAC, HYPOGASTRIC, AND OBTURATOR NODES (SEPARATE PROCEDURE)",,,2025.0,4681.0,2 RC,360,"PERCUTANEOUS IMPLANTATION OF NEUROSTIMULATOR ELECTRODE ARRAY, EPIDURAL",,,4376.0,17457.0,14 RC,360,"PERCUTANEOUS IMPLANTATION OF NEUROSTIMULATOR ELECTRODE ARRAY; SACRAL NERVE (TRANSFORAMINAL PLACEMENT) INCLUDING IMAGE GUIDANCE, IF PERFORMED",,,6314.07,13852.0,14 RC,360,"PERCUTANEOUS LAMINOTOMY/LAMINECTOMY (INTERLAMINAR APPROACH) FOR DECOMPRESSION OF NEURAL ELEMENTS, (WITH OR WITHOUT LIGAMENTOUS RESECTION, DISCECTOMY, FACETECTOMY AND/OR FORAMINOTOMY), ANY METHOD, UNDE",,,6872.88,13852.0,13 RC,360,"PERCUTANEOUS NEPHROLITHOTOMY OR PYELOLITHOTOMY, LITHOTRIPSY, STONE EXTRACTION, ANTEGRADE URETEROSCOPY, ANTEGRADE STENT PLACEMENT AND NEPHROSTOMY TUBE PLACEMENT, WHEN PERFORMED, INCLUDING IMAGING GUIDA",,,6636.0,10087.0,26 RC,360,"PERCUTANEOUS SKELETAL FIXATION OF FEMORAL FRACTURE, PROXIMAL END, NECK",,,5219.0,8442.0,13 RC,360,"PERCUTANEOUS SKELETAL FIXATION OF INTERPHALANGEAL JOINT DISLOCATION, WITH MANIPULATION",,,3121.59,6735.0,14 RC,360,"PERCUTANEOUS SKELETAL FIXATION OF TARSOMETATARSAL JOINT DISLOCATION, WITH MANIPULATION",,,3121.59,5754.0,14 RC,360,"PERCUTANEOUS SKELETAL FIXATION OF UNSTABLE PHALANGEAL SHAFT FRACTURE, PROXIMAL OR MIDDLE PHALANX, FINGER OR THUMB, WITH MANIPULATION, EACH",,,3121.59,12408.0,14 RC,360,"PERCUTANEOUS TRANSLUMINAL MECHANICAL THROMBECTOMY AND/OR INFUSION FOR THROMBOLYSIS, DIALYSIS CIRCUIT, ANY METHOD, INCLUDING ALL IMAGING AND RADIOLOGICAL SUPERVISION AND INTERPRETATION, DIAGNOSTIC ANGI",,,5485.35,24600.0,26 RC,360,"PERCUTANEOUS TRANSLUMINAL MECHANICAL THROMBECTOMY, VEIN(S), INCLUDING INTRAPROCEDURAL PHARMACOLOGICAL THROMBOLYTIC INJECTIONS AND FLUOROSCOPIC GUIDANCE",,,8612.0,17457.0,14 RC,360,"PERCUTANEOUS VERTEBRAL AUGMENTATION, INCLUDING CAVITY CREATION (FRACTURE REDUCTION AND BONE BIOPSY INCLUDED WHEN PERFORMED) USING MECHANICAL DEVICE (EG, KYPHOPLASTY), 1 VERTEBRAL BODY, UNILATERAL OR B",,,173.0,13852.0,29 RC,360,"PERCUTANEOUS VERTEBROPLASTY (BONE BIOPSY INCLUDED WHEN PERFORMED), 1 VERTEBRAL BODY, UNILATERAL OR BILATERAL INJECTION, INCLUSIVE OF ALL IMAGING GUIDANCE; LUMBOSACRAL",,,3121.59,17457.0,14 RC,360,"PERI-IMPLANT CAPSULECTOMY, BREAST, COMPLETE, INCLUDING REMOVAL OF ALL INTRACAPSULAR CONTENTS",,,3684.09,8442.0,14 RC,360,"PERINEOPLASTY, REPAIR OF PERINEUM, NONOBSTETRICAL (SEPARATE PROCEDURE)",,,3058.98,10087.0,14 RC,360,"PERSONALIZED, ANTERIOR AND LATERAL INTERBODY CAGE (IMPLANTABLE)",,,,,0 RC,360,"PLACEMENT OF ADJUSTABLE SUTURE(S) DURING STRABISMUS SURGERY, INCLUDING POSTOPERATIVE ADJUSTMENT(S) OF SUTURE(S) (LIST SEPARATELY IN ADDITION TO CODE FOR SPECIFIC STRABISMUS SURGERY)",,,173.0,8442.0,3 RC,360,"PLACEMENT OF AMNIOTIC MEMBRANE ON THE OCULAR SURFACE; SINGLE LAYER, SUTURED",,,3628.02,8045.0,14 RC,360,"PLACEMENT OF BREAST LOCALIZATION DEVICE(S) (EG, CLIP, METALLIC PELLET, WIRE/NEEDLE, RADIOACTIVE SEEDS), PERCUTANEOUS; FIRST LESION, INCLUDING MAMMOGRAPHIC GUIDANCE",,,1558.81,4376.0,14 RC,360,"PLACEMENT OF BREAST LOCALIZATION DEVICE(S) (EG, CLIP, METALLIC PELLET, WIRE/NEEDLE, RADIOACTIVE SEEDS), PERCUTANEOUS; FIRST LESION, INCLUDING ULTRASOUND GUIDANCE",,,676.91,4376.0,14 RC,360,"PLACEMENT OF INTERSTITIAL DEVICE(S) FOR RADIATION THERAPY GUIDANCE (EG, FIDUCIAL MARKERS, DOSIMETER), PROSTATE (VIA NEEDLE, ANY APPROACH), SINGLE OR MULTIPLE",,,1316.38,4311.0,14 RC,360,"PLACEMENT OF NEPHROSTOMY CATHETER, PERCUTANEOUS, INCLUDING DIAGNOSTIC NEPHROSTOGRAM AND/OR URETEROGRAM WHEN PERFORMED, IMAGING GUIDANCE (EG, ULTRASOUND AND/OR FLUOROSCOPY) AND ALL ASSOCIATED RADIOLOGI",,,1970.84,12408.0,14 RC,360,PLACEMENT OF SETON,,,2638.41,6735.0,14 RC,360,"PLACEMENT OF URETERAL STENT, PERCUTANEOUS, INCLUDING DIAGNOSTIC NEPHROSTOGRAM AND/OR URETEROGRAM WHEN PERFORMED, IMAGING GUIDANCE (EG, ULTRASOUND AND/OR FLUOROSCOPY), AND ALL ASSOCIATED RADIOLOGICAL S",,,3318.21,17457.0,14 RC,360,PLASTIC OPERATION OF PENIS FOR INJURY,,,3318.21,8442.0,14 RC,360,"PLASTIC OPERATION OF PENIS FOR STRAIGHTENING OF CHORDEE (EG, HYPOSPADIAS), WITH OR WITHOUT MOBILIZATION OF URETHRA",,,3318.21,10022.0,14 RC,360,PLASTIC OPERATION ON PENIS TO CORRECT ANGULATION,,,3318.21,10022.0,14 RC,360,PLASTIC REPAIR OF CANALICULI,,,2244.5,5754.0,14 RC,360,PLASTIC REPAIR OF INTROITUS,,,3058.98,6735.0,14 RC,360,"POSTERIOR COLPORRHAPHY, REPAIR OF RECTOCELE WITH OR WITHOUT PERINEORRHAPHY",,,4749.28,10087.0,14 RC,360,"POSTERIOR NON-SEGMENTAL INSTRUMENTATION (EG, HARRINGTON ROD TECHNIQUE, PEDICLE FIXATION ACROSS 1 INTERSPACE, ATLANTOAXIAL TRANSARTICULAR SCREW FIXATION, SUBLAMINAR WIRING AT C1, FACET SCREW FIXATION) ",,,173.0,4311.0,3 RC,360,"POSTERIOR SEGMENTAL INSTRUMENTATION (EG, PEDICLE FIXATION, DUAL RODS WITH MULTIPLE HOOKS AND SUBLAMINAR WIRES); 3 TO 6 VERTEBRAL SEGMENTS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,173.0,4311.0,3 RC,360,"POSTERIOR SEGMENTAL INSTRUMENTATION (EG, PEDICLE FIXATION, DUAL RODS WITH MULTIPLE HOOKS AND SUBLAMINAR WIRES); 7 TO 12 VERTEBRAL SEGMENTS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,173.0,4311.0,3 RC,360,"POSTERIOR VERTEBRAL JOINT(S) ARTHROPLASTY (EG, FACET JOINT[S] REPLACEMENT), INCLUDING FACETECTOMY, LAMINECTOMY, FORAMINOTOMY, AND VERTEBRAL COLUMN FIXATION, INJECTION OF BONE CEMENT, WHEN PERFORMED, I",,,8612.0,13852.0,3 RC,360,"PROBING OF LACRIMAL CANALICULI, WITH OR WITHOUT IRRIGATION",,,173.0,4311.0,13 RC,360,"PROBING OF NASOLACRIMAL DUCT, WITH OR WITHOUT IRRIGATION; REQUIRING GENERAL ANESTHESIA",,,2244.5,5754.0,14 RC,360,"PROBING OF NASOLACRIMAL DUCT, WITH OR WITHOUT IRRIGATION; WITH INSERTION OF TUBE OR STENT",,,2244.5,5754.0,14 RC,360,"PROBING OF NASOLACRIMAL DUCT, WITH OR WITHOUT IRRIGATION; WITH TRANSLUMINAL BALLOON CATHETER DILATION",,,2244.5,9350.0,14 RC,360,"PROCTOPEXY (EG, FOR PROLAPSE); ABDOMINAL APPROACH",,,2025.0,4681.0,2 RC,360,"PROCTOPEXY (EG, FOR PROLAPSE); PERINEAL APPROACH",,,2638.41,8045.0,13 RC,360,PROCTOPLASTY; FOR PROLAPSE OF MUCOUS MEMBRANE,,,2638.41,8045.0,14 RC,360,"PROCTOSIGMOIDOSCOPY, RIGID; DIAGNOSTIC, WITH OR WITHOUT COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING (SEPARATE PROCEDURE)",,,877.14,4311.0,14 RC,360,"PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING OR WIRING) WITH OR WITHOUT METHYLMETHACRYLATE, FEMORAL NECK AND PROXIMAL FEMUR",,,8442.0,13852.0,3 RC,360,"PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING OR WIRING) WITH OR WITHOUT METHYLMETHACRYLATE, TIBIA",,,6649.0,13852.0,14 RC,360,"PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING, OR WIRING) WITH OR WITHOUT METHYLMETHACRYLATE, FEMUR",,,8612.0,13852.0,3 RC,360,"PROPHYLAXIS OF RETINAL DETACHMENT (EG, RETINAL BREAK, LATTICE DEGENERATION) WITHOUT DRAINAGE; PHOTOCOAGULATION",,,527.8,4311.0,14 RC,360,"PROSTATECTOMY, RETROPUBIC RADICAL, WITH OR WITHOUT NERVE SPARING; WITH BILATERAL PELVIC LYMPHADENECTOMY, INCLUDING EXTERNAL ILIAC, HYPOGASTRIC, AND OBTURATOR NODES",,,2025.0,12247.0,3 RC,360,"PUNCH BIOPSY OF SKIN (INCLUDING SIMPLE CLOSURE, WHEN PERFORMED); SINGLE LESION",,,173.0,4311.0,13 RC,360,"PUNCTURE ASPIRATION OF ABSCESS, HEMATOMA, BULLA, OR CYST",,,173.0,4311.0,13 RC,360,"PUNCTURE ASPIRATION OF HYDROCELE, TUNICA VAGINALIS, WITH OR WITHOUT INJECTION OF MEDICATION",,,676.91,2912.0,12 RC,360,PYLOROPLASTY,,,2025.0,4681.0,2 RC,360,"QUADRICEPSPLASTY (EG, BENNETT OR THOMPSON TYPE)",,,6636.0,10022.0,14 RC,360,"RADICAL RESECTION OF CAPSULE, SOFT TISSUE, AND HETEROTOPIC BONE, ELBOW, WITH CONTRACTURE RELEASE (SEPARATE PROCEDURE)",,,5219.0,8442.0,13 RC,360,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF ABDOMINAL WALL; 5 CM OR GREATER",,,2753.54,17457.0,14 RC,360,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF ABDOMINAL WALL; LESS THAN 5 CM",,,2025.0,12408.0,14 RC,360,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF FOOT OR TOE; LESS THAN 3 CM",,,2025.0,6735.0,14 RC,360,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF LEG OR ANKLE AREA; 5 CM OR GREATER",,,2753.54,17457.0,14 RC,360,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF PELVIS AND HIP AREA; 5 CM OR GREATER",,,2753.54,17457.0,14 RC,360,RADICAL RESECTION OF TUMOR; TALUS OR CALCANEUS,,,3121.59,8045.0,14 RC,360,"RECONSTRUCTION (ADVANCEMENT), POSTERIOR TIBIAL TENDON WITH EXCISION OF ACCESSORY TARSAL NAVICULAR BONE (EG, KIDNER TYPE PROCEDURE)",,,6649.0,13852.0,14 RC,360,"RECONSTRUCTION MIDFACE, LEFORT I; 3 OR MORE PIECES, SEGMENT MOVEMENT IN ANY DIRECTION, REQUIRING BONE GRAFTS (INCLUDES OBTAINING AUTOGRAFTS) (EG, UNGRAFTED BILATERAL ALVEOLAR CLEFT OR MULTIPLE OSTEOTO",,,6636.0,10022.0,3 RC,360,"RECONSTRUCTION MIDFACE, LEFORT I; SINGLE PIECE, SEGMENT MOVEMENT IN ANY DIRECTION (EG, FOR LONG FACE SYNDROME), WITHOUT BONE GRAFT",,,5691.37,10022.0,13 RC,360,"RECONSTRUCTION MIDFACE, LEFORT I; SINGLE PIECE, SEGMENT MOVEMENT IN ANY DIRECTION, REQUIRING BONE GRAFTS (INCLUDES OBTAINING AUTOGRAFTS)",,,6636.0,10022.0,3 RC,360,"RECONSTRUCTION OF DISLOCATING PATELLA; WITH EXTENSOR REALIGNMENT AND/OR MUSCLE ADVANCEMENT OR RELEASE (EG, CAMPBELL, GOLDWAITE TYPE PROCEDURE)",,,6636.0,12408.0,14 RC,360,"RECONSTRUCTION OF EYELID, FULL THICKNESS BY TRANSFER OF TARSOCONJUNCTIVAL FLAP FROM OPPOSING EYELID; SECOND STAGE",,,2244.5,6735.0,14 RC,360,"RECONSTRUCTION OF EYELID, FULL THICKNESS BY TRANSFER OF TARSOCONJUNCTIVAL FLAP FROM OPPOSING EYELID; TOTAL EYELID, LOWER, 1 STAGE OR FIRST STAGE",,,2244.5,6735.0,14 RC,360,"RECONSTRUCTION OF EYELID, FULL THICKNESS BY TRANSFER OF TARSOCONJUNCTIVAL FLAP FROM OPPOSING EYELID; UP TO TWO-THIRDS OF EYELID, 1 STAGE OR FIRST STAGE",,,2244.5,6735.0,14 RC,360,"RECONSTRUCTION OF MANDIBULAR RAMI AND/OR BODY, SAGITTAL SPLIT; WITH INTERNAL RIGID FIXATION",,,5691.37,10022.0,13 RC,360,"RECONSTRUCTION OF MANDIBULAR RAMI AND/OR BODY, SAGITTAL SPLIT; WITHOUT INTERNAL RIGID FIXATION",,,5691.37,10087.0,13 RC,360,"RECONSTRUCTION, ANGULAR DEFORMITY OF TOE, SOFT TISSUE PROCEDURES ONLY (EG, OVERLAPPING SECOND TOE, FIFTH TOE, CURLY TOES)",,,3121.59,5754.0,14 RC,360,REDUCTION OF PROCIDENTIA (SEPARATE PROCEDURE) UNDER ANESTHESIA,,,877.14,4311.0,14 RC,360,"REDUCTION OF VOLVULUS, INTUSSUSCEPTION, INTERNAL HERNIA, BY LAPAROTOMY",,,2025.0,11124.0,3 RC,360,"REINSERTION OF RUPTURED BICEPS OR TRICEPS TENDON, DISTAL, WITH OR WITHOUT TENDON GRAFT",,,6636.0,10022.0,14 RC,360,REINSERTION OF SPINAL FIXATION DEVICE,,,11124.0,24600.0,3 RC,360,"RELEASE, TARSAL TUNNEL (POSTERIOR TIBIAL NERVE DECOMPRESSION)",,,1878.73,8442.0,14 RC,360,RELOCATION OF SKIN POCKET FOR IMPLANTABLE DEFIBRILLATOR,,,1759.87,5152.0,14 RC,360,RELOCATION OF SKIN POCKET FOR PACEMAKER,,,1759.87,5152.0,14 RC,360,"REMOVAL (VIA SNARE/CAPTURE) AND REPLACEMENT OF INTERNALLY DWELLING URETERAL STENT VIA TRANSURETHRAL APPROACH, WITHOUT USE OF CYSTOSCOPY, INCLUDING RADIOLOGICAL SUPERVISION AND INTERPRETATION",,,1970.84,9350.0,14 RC,360,"REMOVAL (VIA SNARE/CAPTURE) OF INTERNALLY DWELLING URETERAL STENT VIA TRANSURETHRAL APPROACH, WITHOUT USE OF CYSTOSCOPY, INCLUDING RADIOLOGICAL SUPERVISION AND INTERPRETATION",,,1970.84,5754.0,14 RC,360,"REMOVAL AND REPLACEMENT OF ALL COMPONENT(S) OF A MULTI-COMPONENT, INFLATABLE PENILE PROSTHESIS AT THE SAME OPERATIVE SESSION",,,6649.0,39682.0,14 RC,360,"REMOVAL AND REPLACEMENT OF INFLATABLE URETHRAL/BLADDER NECK SPHINCTER INCLUDING PUMP, RESERVOIR, AND CUFF AT THE SAME OPERATIVE SESSION",,,4121.0,39682.0,14 RC,360,REMOVAL FOREIGN BODY FROM EXTERNAL AUDITORY CANAL; WITH GENERAL ANESTHESIA,,,1558.81,4311.0,14 RC,360,"REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION, UNILATERAL",,,57.15,4311.0,13 RC,360,"REMOVAL OF ALL COMPONENTS OF A MULTI-COMPONENT, INFLATABLE PENILE PROSTHESIS WITHOUT REPLACEMENT OF PROSTHESIS",,,3318.21,8045.0,14 RC,360,"REMOVAL OF ANAL SETON, OTHER MARKER",,,1134.38,4311.0,14 RC,360,REMOVAL OF ANKLE IMPLANT,,,3121.59,8045.0,14 RC,360,REMOVAL OF ANTERIOR INSTRUMENTATION,,,8612.0,13852.0,3 RC,360,"REMOVAL OF CORNEAL EPITHELIUM; WITH OR WITHOUT CHEMOCAUTERIZATION (ABRASION, CURETTAGE)",,,931.82,4311.0,14 RC,360,REMOVAL OF FECAL IMPACTION OR FOREIGN BODY (SEPARATE PROCEDURE) UNDER ANESTHESIA,,,1134.38,4311.0,14 RC,360,REMOVAL OF FOREIGN BODY IN MUSCLE OR TENDON SHEATH; DEEP OR COMPLICATED,,,2753.54,6735.0,14 RC,360,"REMOVAL OF FOREIGN BODY OR DACRYOLITH, LACRIMAL PASSAGES",,,173.0,4311.0,13 RC,360,"REMOVAL OF FOREIGN BODY, EXTERNAL EYE; CORNEAL, WITH SLIT LAMP",,,124.01,832.0,12 RC,360,"REMOVAL OF FOREIGN BODY, FOOT; COMPLICATED",,,990.0,8442.0,14 RC,360,"REMOVAL OF FOREIGN BODY, FOOT; DEEP",,,1558.81,5152.0,14 RC,360,"REMOVAL OF FOREIGN BODY, UPPER ARM OR ELBOW AREA; SUBCUTANEOUS",,,990.0,4121.0,13 RC,360,REMOVAL OF IMPLANT FROM FINGER OR HAND,,,1558.81,5152.0,14 RC,360,"REMOVAL OF IMPLANT; DEEP (EG, BURIED WIRE, PIN, SCREW, METAL BAND, NAIL, ROD OR PLATE)",,,2753.54,6735.0,14 RC,360,REMOVAL OF IMPLANTABLE DEFIBRILLATOR PULSE GENERATOR ONLY,,,3501.31,8442.0,13 RC,360,REMOVAL OF IMPLANTABLE DEFIBRILLATOR PULSE GENERATOR WITH REPLACEMENT OF IMPLANTABLE DEFIBRILLATOR PULSE GENERATOR; DUAL LEAD SYSTEM,,,6735.0,82346.0,13 RC,360,REMOVAL OF IMPLANTABLE DEFIBRILLATOR PULSE GENERATOR WITH REPLACEMENT OF IMPLANTABLE DEFIBRILLATOR PULSE GENERATOR; MULTIPLE LEAD SYSTEM,,,6735.0,82346.0,13 RC,360,"REMOVAL OF IMPLANTED MATERIAL, ANTERIOR SEGMENT OF EYE",,,2194.26,12408.0,14 RC,360,"REMOVAL OF IMPLANTED MATERIAL, POSTERIOR SEGMENT; EXTRAOCULAR",,,2194.26,5754.0,14 RC,360,"REMOVAL OF IMPLANTED MATERIAL, POSTERIOR SEGMENT; INTRAOCULAR",,,2194.26,8045.0,14 RC,360,REMOVAL OF INDWELLING TUNNELED PLEURAL CATHETER WITH CUFF,,,594.81,4311.0,13 RC,360,"REMOVAL OF INFLATABLE URETHRAL/BLADDER NECK SPHINCTER, INCLUDING PUMP, RESERVOIR, AND CUFF",,,4121.0,13852.0,14 RC,360,REMOVAL OF INTACT BREAST IMPLANT,,,3684.09,8045.0,14 RC,360,REMOVAL OF INTRAUTERINE DEVICE (IUD),,,173.0,4311.0,14 RC,360,"REMOVAL OF LENS MATERIAL; ASPIRATION TECHNIQUE, 1 OR MORE STAGES",,,2194.26,8442.0,14 RC,360,"REMOVAL OF LENS MATERIAL; PARS PLANA APPROACH, WITH OR WITHOUT VITRECTOMY",,,3870.33,10022.0,14 RC,360,"REMOVAL OF LENS MATERIAL; PHACOFRAGMENTATION TECHNIQUE (MECHANICAL OR ULTRASONIC) (EG, PHACOEMULSIFICATION), WITH ASPIRATION",,,2194.26,12408.0,14 RC,360,"REMOVAL OF NEPHROSTOMY TUBE, REQUIRING FLUOROSCOPIC GUIDANCE (EG, WITH CONCURRENT INDWELLING URETERAL STENT)",,,642.16,4311.0,14 RC,360,REMOVAL OF PERITONEAL FOREIGN BODY FROM PERITONEAL CAVITY,,,3395.25,8045.0,14 RC,360,REMOVAL OF PERMANENT PACEMAKER PULSE GENERATOR ONLY,,,4376.0,8700.96,14 RC,360,REMOVAL OF PERMANENT PACEMAKER PULSE GENERATOR WITH REPLACEMENT OF PACEMAKER PULSE GENERATOR; DUAL LEAD SYSTEM,,,6735.0,24600.0,13 RC,360,REMOVAL OF PERMANENT PACEMAKER PULSE GENERATOR WITH REPLACEMENT OF PACEMAKER PULSE GENERATOR; SINGLE LEAD SYSTEM,,,6735.0,24600.0,13 RC,360,"REMOVAL OF PROSTHESIS, INCLUDES DEBRIDEMENT AND SYNOVECTOMY WHEN PERFORMED; RADIAL HEAD",,,3121.59,8045.0,14 RC,360,"REMOVAL OF RUPTURED BREAST IMPLANT, INCLUDING IMPLANT CONTENTS (EG, SALINE, SILICONE GEL)",,,3684.09,8045.0,14 RC,360,REMOVAL OF SINGLE OR DUAL CHAMBER IMPLANTABLE DEFIBRILLATOR ELECTRODE(S); BY TRANSVENOUS EXTRACTION,,,3501.31,8442.0,13 RC,360,"REMOVAL OF SKIN TAGS, MULTIPLE FIBROCUTANEOUS TAGS, ANY AREA; UP TO AND INCLUDING 15 LESIONS",,,173.0,4311.0,13 RC,360,"REMOVAL OF SPINAL NEUROSTIMULATOR ELECTRODE PERCUTANEOUS ARRAY(S), INCLUDING FLUOROSCOPY, WHEN PERFORMED",,,1878.73,12408.0,14 RC,360,"REMOVAL OF SPINAL NEUROSTIMULATOR ELECTRODE PLATE/PADDLE(S) PLACED VIA LAMINOTOMY OR LAMINECTOMY, INCLUDING FLUOROSCOPY, WHEN PERFORMED",,,3308.62,12408.0,14 RC,360,REMOVAL OF SUBCUTANEOUS IMPLANTABLE DEFIBRILLATOR ELECTRODE,,,3501.31,8045.0,13 RC,360,"REMOVAL OF SUBCUTANEOUS RESERVOIR OR PUMP, PREVIOUSLY IMPLANTED FOR INTRATHECAL OR EPIDURAL INFUSION",,,4376.0,13852.0,14 RC,360,"REMOVAL OF SUBDELTOID CALCAREOUS DEPOSITS, OPEN",,,2025.0,5152.0,14 RC,360,"REMOVAL OF SUTURES OR STAPLES REQUIRING ANESTHESIA (IE, GENERAL ANESTHESIA, MODERATE SEDATION)",,,1759.87,4311.0,14 RC,360,REMOVAL OF TISSUE EXPANDER WITHOUT INSERTION OF IMPLANT,,,2753.54,5754.0,14 RC,360,"REMOVAL OF TOTAL OR NEAR TOTAL NON-INFECTED MESH OR OTHER PROSTHESIS AT THE TIME OF INITIAL OR RECURRENT ANTERIOR ABDOMINAL HERNIA REPAIR OR PARASTOMAL HERNIA REPAIR, ANY APPROACH (IE, OPEN, LAPAROSCO",,,173.0,4311.0,3 RC,360,"REMOVAL OF TUNNELED CENTRAL VENOUS ACCESS DEVICE, WITH SUBCUTANEOUS PORT OR PUMP, CENTRAL OR PERIPHERAL INSERTION",,,1494.54,4311.0,14 RC,360,REMOVAL OF TUNNELED INTRAPERITONEAL CATHETER,,,3028.17,8045.0,14 RC,360,"REMOVAL OR REVISION OF SLING FOR STRESS INCONTINENCE (EG, FASCIA OR SYNTHETIC)",,,3058.98,10087.0,13 RC,360,"REMOVAL, NON-BIODEGRADABLE DRUG DELIVERY IMPLANT",,,173.0,4311.0,13 RC,360,"REMOVAL, UNDER ANESTHESIA, OF EXTERNAL FIXATION SYSTEM",,,1539.73,4311.0,14 RC,360,"RENAL BIOPSY; PERCUTANEOUS, BY TROCAR OR NEEDLE",,,1558.81,4311.0,14 RC,360,"RENAL ENDOSCOPY THROUGH NEPHROTOMY OR PYELOTOMY, WITH OR WITHOUT IRRIGATION, INSTILLATION, OR URETEROPYELOGRAPHY, EXCLUSIVE OF RADIOLOGIC SERVICE; WITH ENDOPYELOTOMY (INCLUDES CYSTOSCOPY, URETEROSCOPY",,,4890.88,10022.0,12 RC,360,REPAIR BLOOD VESSEL WITH VEIN GRAFT; UPPER EXTREMITY,,,5200.74,13852.0,13 RC,360,"REPAIR BLOOD VESSEL, DIRECT; HAND, FINGER",,,3028.17,8442.0,14 RC,360,"REPAIR BLOOD VESSEL, DIRECT; LOWER EXTREMITY",,,676.91,8442.0,13 RC,360,REPAIR FISTULA; ORONASAL,,,5691.37,10022.0,14 RC,360,REPAIR INCOMPLETE CIRCUMCISION,,,1970.84,5754.0,14 RC,360,"REPAIR INGUINAL HERNIA, SLIDING, ANY AGE",,,3395.25,8442.0,14 RC,360,"REPAIR INITIAL FEMORAL HERNIA, ANY AGE; INCARCERATED OR STRANGULATED",,,3395.25,17457.0,14 RC,360,"REPAIR INITIAL FEMORAL HERNIA, ANY AGE; REDUCIBLE",,,3395.25,10087.0,14 RC,360,"REPAIR INITIAL INGUINAL HERNIA, AGE 5 YEARS OR OLDER; INCARCERATED OR STRANGULATED",,,3395.25,17457.0,14 RC,360,"REPAIR INITIAL INGUINAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE",,,3395.25,8442.0,14 RC,360,"REPAIR LATERAL COLLATERAL LIGAMENT, ELBOW, WITH LOCAL TISSUE",,,3121.59,8442.0,14 RC,360,REPAIR LUMBAR HERNIA,,,4376.0,8045.0,14 RC,360,REPAIR NASAL SEPTAL PERFORATIONS,,,3120.11,12408.0,14 RC,360,"REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE, EPIGASTRIC, INCISIONAL, VENTRAL, UMBILICAL, SPIGELIAN), ANY APPROACH (IE, OPEN, LAPAROSCOPIC, ROBOTIC), INITIAL, INCLUDING IMPLANTATION OF MESH OR OTHER PRO",,,3395.25,13852.0,68 RC,360,"REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE, EPIGASTRIC, INCISIONAL, VENTRAL, UMBILICAL, SPIGELIAN), ANY APPROACH (IE, OPEN, LAPAROSCOPIC, ROBOTIC), RECURRENT, INCLUDING IMPLANTATION OF MESH OR OTHER P",,,3395.25,13852.0,45 RC,360,"REPAIR OF BLEPHAROPTOSIS; (TARSO) LEVATOR RESECTION OR ADVANCEMENT, EXTERNAL APPROACH",,,2244.5,8442.0,14 RC,360,"REPAIR OF BLEPHAROPTOSIS; (TARSO) LEVATOR RESECTION OR ADVANCEMENT, INTERNAL APPROACH",,,2244.5,8442.0,14 RC,360,"REPAIR OF BLEPHAROPTOSIS; CONJUNCTIVO-TARSO-MULLER'S MUSCLE-LEVATOR RESECTION (EG, FASANELLA-SERVAT TYPE)",,,2244.5,8442.0,14 RC,360,REPAIR OF BLEPHAROPTOSIS; FRONTALIS MUSCLE TECHNIQUE WITH AUTOLOGOUS FASCIAL SLING (INCLUDES OBTAINING FASCIA),,,3628.02,10087.0,14 RC,360,"REPAIR OF BLEPHAROPTOSIS; FRONTALIS MUSCLE TECHNIQUE WITH SUTURE OR OTHER MATERIAL (EG, BANKED FASCIA)",,,2244.5,10087.0,14 RC,360,"REPAIR OF BROW PTOSIS (SUPRACILIARY, MID-FOREHEAD OR CORONAL APPROACH)",,,2244.5,8442.0,14 RC,360,"REPAIR OF CLOACAL ANOMALY BY ANORECTOVAGINOPLASTY AND URETHROPLASTY, SACROPERINEAL APPROACH",,,2025.0,4681.0,2 RC,360,"REPAIR OF COLLATERAL LIGAMENT, METACARPOPHALANGEAL OR INTERPHALANGEAL JOINT",,,2025.0,8442.0,14 RC,360,"REPAIR OF COMPLEX RETINAL DETACHMENT (EG, PROLIFERATIVE VITREORETINOPATHY, STAGE C-1 OR GREATER, DIABETIC TRACTION RETINAL DETACHMENT, RETINOPATHY OF PREMATURITY, RETINAL TEAR OF GREATER THAN 90 DEGRE",,,4964.08,17457.0,14 RC,360,"REPAIR OF COMPONENT(S) OF A MULTI-COMPONENT, INFLATABLE PENILE PROSTHESIS",,,4890.88,10022.0,14 RC,360,"REPAIR OF DURAL/CEREBROSPINAL FLUID LEAK OR PSEUDOMENINGOCELE, WITH LAMINECTOMY",,,2025.0,4681.0,2 RC,360,REPAIR OF ECTROPION; EXCISION TARSAL WEDGE,,,2244.5,8442.0,14 RC,360,"REPAIR OF ECTROPION; EXTENSIVE (EG, TARSAL STRIP OPERATIONS)",,,2244.5,8442.0,14 RC,360,"REPAIR OF ENTEROCELE, VAGINAL APPROACH (SEPARATE PROCEDURE)",,,3788.0,6735.0,14 RC,360,REPAIR OF ENTROPION; EXCISION TARSAL WEDGE,,,2244.5,8442.0,14 RC,360,"REPAIR OF ENTROPION; EXTENSIVE (EG, TARSAL STRIP OR CAPSULOPALPEBRAL FASCIA REPAIRS OPERATION)",,,2244.5,8442.0,14 RC,360,REPAIR OF ENTROPION; SUTURE,,,2244.5,6735.0,14 RC,360,REPAIR OF FIBULA NONUNION AND/OR MALUNION WITH INTERNAL FIXATION,,,6735.0,17457.0,14 RC,360,"REPAIR OF ILEOANAL POUCH FISTULA/SINUS (EG, PERINEAL OR VAGINAL), POUCH ADVANCEMENT; COMBINED TRANSPERINEAL AND TRANSABDOMINAL APPROACH",,,2025.0,6735.0,3 RC,360,"REPAIR OF INFLATABLE URETHRAL/BLADDER NECK SPHINCTER, INCLUDING PUMP, RESERVOIR, AND CUFF",,,4121.0,9721.99,14 RC,360,"REPAIR OF IRIS, CILIARY BODY (AS FOR IRIDODIALYSIS)",,,2194.26,6735.0,14 RC,360,"REPAIR OF LACERATION; CONJUNCTIVA, BY MOBILIZATION AND REARRANGEMENT, WITHOUT HOSPITALIZATION",,,2244.5,5754.0,14 RC,360,"REPAIR OF LACERATION; CONJUNCTIVA, WITH OR WITHOUT NONPERFORATING LACERATION SCLERA, DIRECT CLOSURE",,,2244.5,5754.0,14 RC,360,REPAIR OF NAIL BED,,,173.0,4311.0,13 RC,360,"REPAIR OF NASAL VALVE COLLAPSE WITH LOW ENERGY, TEMPERATURE-CONTROLLED (IE, RADIOFREQUENCY) SUBCUTANEOUS/SUBMUCOSAL REMODELING",,,5691.37,12247.0,13 RC,360,"REPAIR OF NASAL VESTIBULAR STENOSIS (EG, SPREADER GRAFTING, LATERAL NASAL WALL RECONSTRUCTION)",,,5691.37,17457.0,14 RC,360,"REPAIR OF NONUNION OR MALUNION, HUMERUS; WITH ILIAC OR OTHER AUTOGRAFT (INCLUDES OBTAINING GRAFT)",,,8213.0,13852.0,14 RC,360,"REPAIR OF NONUNION OR MALUNION, HUMERUS; WITHOUT GRAFT (EG, COMPRESSION TECHNIQUE)",,,6649.0,13852.0,14 RC,360,"REPAIR OF NONUNION, SCAPHOID CARPAL (NAVICULAR) BONE, WITH OR WITHOUT RADIAL STYLOIDECTOMY (INCLUDES OBTAINING GRAFT AND NECESSARY FIXATION)",,,6636.0,10022.0,14 RC,360,"REPAIR OF PARASTOMAL HERNIA, ANY APPROACH (IE, OPEN, LAPAROSCOPIC, ROBOTIC), INITIAL OR RECURRENT, INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS, WHEN PERFORMED; REDUCIBLE",,,8442.0,13852.0,3 RC,360,REPAIR OF RECTOCELE (SEPARATE PROCEDURE),,,2638.41,8045.0,14 RC,360,"REPAIR OF RETINAL DETACHMENT, INCLUDING DRAINAGE OF SUBRETINAL FLUID WHEN PERFORMED; CRYOTHERAPY",,,2194.26,8442.0,14 RC,360,"REPAIR OF RETINAL DETACHMENT, INCLUDING DRAINAGE OF SUBRETINAL FLUID WHEN PERFORMED; PHOTOCOAGULATION",,,527.8,10087.0,14 RC,360,"REPAIR OF RETINAL DETACHMENT; SCLERAL BUCKLING (SUCH AS LAMELLAR SCLERAL DISSECTION, IMBRICATION OR ENCIRCLING PROCEDURE), INCLUDING, WHEN PERFORMED, IMPLANT, CRYOTHERAPY, PHOTOCOAGULATION, AND DRAINA",,,3870.33,10087.0,14 RC,360,"REPAIR OF RETINAL DETACHMENT; WITH VITRECTOMY, ANY METHOD, INCLUDING, WHEN PERFORMED, AIR OR GAS TAMPONADE, FOCAL ENDOLASER PHOTOCOAGULATION, CRYOTHERAPY, DRAINAGE OF SUBRETINAL FLUID, SCLERAL BUCKLIN",,,3870.33,12408.0,14 RC,360,"REPAIR OF RUPTURED MUSCULOTENDINOUS CUFF (EG, ROTATOR CUFF) OPEN; ACUTE",,,6636.0,10087.0,14 RC,360,"REPAIR OF RUPTURED MUSCULOTENDINOUS CUFF (EG, ROTATOR CUFF) OPEN; CHRONIC",,,6636.0,12408.0,14 RC,360,REPAIR OF TRAUMATIC CORPOREAL TEAR(S),,,3318.21,12408.0,14 RC,360,REPAIR OF TUNICA VAGINALIS HYDROCELE (BOTTLE TYPE),,,3318.21,8442.0,14 RC,360,"REPAIR OR ADVANCEMENT OF PROFUNDUS TENDON, WITH INTACT SUPERFICIALIS TENDON; PRIMARY, EACH TENDON",,,3121.59,8442.0,14 RC,360,"REPAIR OR ADVANCEMENT, FLEXOR TENDON, IN ZONE 2 DIGITAL FLEXOR TENDON SHEATH (EG, NO MAN'S LAND); PRIMARY, WITHOUT FREE GRAFT, EACH TENDON",,,3121.59,8442.0,14 RC,360,"REPAIR RECURRENT INGUINAL HERNIA, ANY AGE; INCARCERATED OR STRANGULATED",,,5219.0,17457.0,14 RC,360,"REPAIR RECURRENT INGUINAL HERNIA, ANY AGE; REDUCIBLE",,,3395.25,12408.0,14 RC,360,"REPAIR, COMPLEX, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS AND/OR FEET; 1.1 CM TO 2.5 CM",,,173.0,5152.0,14 RC,360,"REPAIR, COMPLEX, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS AND/OR FEET; 2.6 CM TO 7.5 CM",,,173.0,6735.0,14 RC,360,"REPAIR, COMPLEX, SCALP, ARMS, AND/OR LEGS; 2.6 CM TO 7.5 CM",,,173.0,6735.0,14 RC,360,"REPAIR, COMPLEX, SCALP, ARMS, AND/OR LEGS; EACH ADDITIONAL 5 CM OR LESS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,173.0,4311.0,3 RC,360,"REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM",,,173.0,6735.0,14 RC,360,"REPAIR, COMPLEX, TRUNK; EACH ADDITIONAL 5 CM OR LESS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,173.0,4311.0,3 RC,360,"REPAIR, DISLOCATING PERONEAL TENDONS; WITHOUT FIBULAR OSTEOTOMY",,,3121.59,5754.0,14 RC,360,"REPAIR, EXTENSOR TENDON, FINGER, PRIMARY OR SECONDARY; WITHOUT FREE GRAFT, EACH TENDON",,,1539.73,8442.0,14 RC,360,"REPAIR, EXTENSOR TENDON, LEG; SECONDARY, WITH OR WITHOUT GRAFT, EACH TENDON",,,4376.0,8045.0,14 RC,360,"REPAIR, FLEXOR TENDON, LEG; PRIMARY, WITHOUT GRAFT, EACH TENDON",,,3121.59,5754.0,14 RC,360,"REPAIR, FLEXOR TENDON, LEG; SECONDARY, WITH OR WITHOUT GRAFT, EACH TENDON",,,3788.0,7510.57,14 RC,360,"REPAIR, INTERMEDIATE, WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANES; 2.6 CM TO 5.0 CM",,,173.0,4311.0,13 RC,360,"REPAIR, INTERMEDIATE, WOUNDS OF NECK, HANDS, FEET AND/OR EXTERNAL GENITALIA; 2.5 CM OR LESS",,,173.0,4311.0,13 RC,360,"REPAIR, INTERMEDIATE, WOUNDS OF NECK, HANDS, FEET AND/OR EXTERNAL GENITALIA; 2.6 CM TO 7.5 CM",,,173.0,4311.0,13 RC,360,"REPAIR, INTERMEDIATE, WOUNDS OF NECK, HANDS, FEET AND/OR EXTERNAL GENITALIA; 7.6 CM TO 12.5 CM",,,173.0,5152.0,14 RC,360,"REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS AND FEET); 12.6 CM TO 20.0 CM",,,173.0,5152.0,14 RC,360,"REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS AND FEET); 2.5 CM OR LESS",,,173.0,4311.0,13 RC,360,"REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS AND FEET); 2.6 CM TO 7.5 CM",,,173.0,4311.0,13 RC,360,"REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS AND FEET); 20.1 CM TO 30.0 CM",,,173.0,5152.0,14 RC,360,"REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS AND FEET); 7.6 CM TO 12.5 CM",,,173.0,5152.0,14 RC,360,"REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS AND FEET); OVER 30.0 CM",,,1759.87,5152.0,14 RC,360,"REPAIR, INTRINSIC MUSCLES OF HAND, EACH MUSCLE",,,3121.59,6735.0,14 RC,360,"REPAIR, NONUNION OR MALUNION; METATARSAL, WITH OR WITHOUT BONE GRAFT (INCLUDES OBTAINING GRAFT)",,,3788.0,8442.0,14 RC,360,"REPAIR, NONUNION OR MALUNION; TARSAL BONES",,,8213.0,13852.0,14 RC,360,"REPAIR, PARAESOPHAGEAL HIATAL HERNIA (INCLUDING FUNDOPLICATION), VIA LAPAROTOMY, EXCEPT NEONATAL; WITHOUT IMPLANTATION OF MESH OR OTHER PROSTHESIS",,,2025.0,4681.0,2 RC,360,"REPAIR, PRIMARY, DISRUPTED LIGAMENT, ANKLE; BOTH COLLATERAL LIGAMENTS",,,4376.0,8045.0,14 RC,360,"REPAIR, PRIMARY, DISRUPTED LIGAMENT, ANKLE; COLLATERAL",,,4376.0,8045.0,14 RC,360,"REPAIR, PRIMARY, OPEN OR PERCUTANEOUS, RUPTURED ACHILLES TENDON;",,,6636.0,10022.0,14 RC,360,"REPAIR, PRIMARY, OPEN OR PERCUTANEOUS, RUPTURED ACHILLES TENDON; WITH GRAFT (INCLUDES OBTAINING GRAFT)",,,6636.0,10022.0,14 RC,360,"REPAIR, SECONDARY, ACHILLES TENDON, WITH OR WITHOUT GRAFT",,,6636.0,10022.0,14 RC,360,"REPAIR, SECONDARY, DISRUPTED LIGAMENT, ANKLE, COLLATERAL (EG, WATSON-JONES PROCEDURE)",,,4376.0,8045.0,14 RC,360,"REPAIR, TENDON OR MUSCLE, EXTENSOR, FOREARM AND/OR WRIST; PRIMARY, SINGLE, EACH TENDON OR MUSCLE",,,3121.59,8442.0,14 RC,360,"REPAIR, TENDON OR MUSCLE, UPPER ARM OR ELBOW, EACH TENDON OR MUSCLE, PRIMARY OR SECONDARY (EXCLUDES ROTATOR CUFF)",,,6636.0,10022.0,14 RC,360,"REPAIR, TENDON SHEATH, EXTENSOR, FOREARM AND/OR WRIST, WITH FREE GRAFT (INCLUDES OBTAINING GRAFT) (EG, FOR EXTENSOR CARPI ULNARIS SUBLUXATION)",,,3121.59,8442.0,14 RC,360,"REPAIR, TENDON, EXTENSOR, FOOT; PRIMARY OR SECONDARY, EACH TENDON",,,3121.59,6735.0,14 RC,360,"REPAIR, TENDON, FLEXOR, FOOT; PRIMARY OR SECONDARY, WITHOUT FREE GRAFT, EACH TENDON",,,3121.59,6735.0,14 RC,360,REPLACEMENT OF TISSUE EXPANDER WITH PERMANENT IMPLANT,,,6636.0,10022.0,14 RC,360,"REPOSITIONING OF INTRAOCULAR LENS PROSTHESIS, REQUIRING AN INCISION (SEPARATE PROCEDURE)",,,2194.26,8442.0,14 RC,360,REPOSITIONING OF PREVIOUSLY IMPLANTED TRANSVENOUS PACEMAKER OR IMPLANTABLE DEFIBRILLATOR (RIGHT ATRIAL OR RIGHT VENTRICULAR) ELECTRODE,,,3028.17,8045.0,13 RC,360,RESECTION OF SCROTUM,,,3318.21,5754.0,14 RC,360,RESECTION OR TRANSPLANTATION OF LONG TENDON OF BICEPS,,,5219.0,8442.0,14 RC,360,"RESECTION, PARTIAL OR COMPLETE, PHALANGEAL BASE, EACH TOE",,,3121.59,6735.0,14 RC,360,"RETRIEVAL (REMOVAL) OF INTRAVASCULAR VENA CAVA FILTER, ENDOVASCULAR APPROACH INCLUDING VASCULAR ACCESS, VESSEL SELECTION, AND RADIOLOGICAL SUPERVISION AND INTERPRETATION, INTRAPROCEDURAL ROADMAPPING, ",,,3028.17,8045.0,13 RC,360,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL, POPLITEAL ARTERY(S), UNILATERAL; WITH ATHERECTOMY, INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL, WHEN PERFORMED",,,8442.0,24600.0,13 RC,360,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL, POPLITEAL ARTERY(S), UNILATERAL; WITH TRANSLUMINAL ANGIOPLASTY",,,5485.35,13852.0,13 RC,360,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL, POPLITEAL ARTERY(S), UNILATERAL; WITH TRANSLUMINAL STENT PLACEMENT(S) AND ATHERECTOMY, INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL, WHEN",,,8442.0,52940.0,13 RC,360,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL, POPLITEAL ARTERY(S), UNILATERAL; WITH TRANSLUMINAL STENT PLACEMENT(S), INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL, WHEN PERFORMED",,,8442.0,24600.0,13 RC,360,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC ARTERY, EACH ADDITIONAL IPSILATERAL ILIAC VESSEL; WITH TRANSLUMINAL STENT PLACEMENT(S), INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL, WHEN P",,,4311.0,13852.0,3 RC,360,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC ARTERY, UNILATERAL, INITIAL VESSEL; WITH TRANSLUMINAL ANGIOPLASTY",,,5485.35,13852.0,13 RC,360,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC ARTERY, UNILATERAL, INITIAL VESSEL; WITH TRANSLUMINAL STENT PLACEMENT(S), INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL, WHEN PERFORMED",,,8442.0,24600.0,13 RC,360,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL, PERONEAL ARTERY, UNILATERAL, INITIAL VESSEL; WITH TRANSLUMINAL ANGIOPLASTY",,,8442.0,13852.0,13 RC,360,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL, PERONEAL ARTERY, UNILATERAL, INITIAL VESSEL; WITH TRANSLUMINAL STENT PLACEMENT(S), INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL, WHEN PERF",,,8442.0,24600.0,13 RC,360,"REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL/PERONEAL ARTERY, UNILATERAL, EACH ADDITIONAL VESSEL; WITH TRANSLUMINAL ANGIOPLASTY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCED",,,4311.0,13852.0,3 RC,360,REVISION (INCLUDING REMOVAL) OF PROSTHETIC VAGINAL GRAFT; VAGINAL APPROACH,,,3058.98,6735.0,14 RC,360,"REVISION INCLUDING REPLACEMENT, WHEN PERFORMED, OF SPINAL NEUROSTIMULATOR ELECTRODE PERCUTANEOUS ARRAY(S), INCLUDING FLUOROSCOPY, WHEN PERFORMED",,,4311.0,13852.0,14 RC,360,"REVISION INCLUDING REPLACEMENT, WHEN PERFORMED, OF SPINAL NEUROSTIMULATOR ELECTRODE PLATE/PADDLE(S) PLACED VIA LAMINOTOMY OR LAMINECTOMY, INCLUDING FLUOROSCOPY, WHEN PERFORMED",,,4311.0,13852.0,14 RC,360,REVISION OF AQUEOUS SHUNT TO EXTRAOCULAR EQUATORIAL PLATE RESERVOIR; WITH GRAFT,,,2194.26,5754.0,14 RC,360,REVISION OF AQUEOUS SHUNT TO EXTRAOCULAR EQUATORIAL PLATE RESERVOIR; WITHOUT GRAFT,,,2194.26,17457.0,14 RC,360,REVISION OF COLOSTOMY; COMPLICATED (RECONSTRUCTION IN-DEPTH) (SEPARATE PROCEDURE),,,5219.0,8442.0,3 RC,360,REVISION OF COLOSTOMY; SIMPLE (RELEASE OF SUPERFICIAL SCAR) (SEPARATE PROCEDURE),,,3522.17,8045.0,14 RC,360,REVISION OF COLOSTOMY; WITH REPAIR OF PARACOLOSTOMY HERNIA (SEPARATE PROCEDURE),,,5219.0,8442.0,3 RC,360,"REVISION OF GASTROJEJUNAL ANASTOMOSIS (GASTROJEJUNOSTOMY) WITH RECONSTRUCTION, WITH OR WITHOUT PARTIAL GASTRECTOMY OR INTESTINE RESECTION; WITH VAGOTOMY",,,2025.0,4681.0,2 RC,360,"REVISION OF GASTROJEJUNAL ANASTOMOSIS (GASTROJEJUNOSTOMY) WITH RECONSTRUCTION, WITH OR WITHOUT PARTIAL GASTRECTOMY OR INTESTINE RESECTION; WITHOUT VAGOTOMY",,,2025.0,4681.0,2 RC,360,REVISION OF ILEOSTOMY; SIMPLE (RELEASE OF SUPERFICIAL SCAR) (SEPARATE PROCEDURE),,,3522.17,8045.0,14 RC,360,"REVISION OF PERI-IMPLANT CAPSULE, BREAST, INCLUDING CAPSULOTOMY, CAPSULORRHAPHY, AND/OR PARTIAL CAPSULECTOMY",,,3684.09,8442.0,14 RC,360,"REVISION OF RECONSTRUCTED BREAST (EG, SIGNIFICANT REMOVAL OF TISSUE, RE-ADVANCEMENT AND/OR RE-INSET OF FLAPS IN AUTOLOGOUS RECONSTRUCTION OR SIGNIFICANT CAPSULAR REVISION COMBINED WITH SOFT TISSUE EXC",,,6274.19,10087.0,14 RC,360,"REVISION OF TOTAL ELBOW ARTHROPLASTY, INCLUDING ALLOGRAFT WHEN PERFORMED; HUMERAL AND ULNAR COMPONENT",,,12247.0,24600.0,13 RC,360,"REVISION OF TOTAL HIP ARTHROPLASTY; ACETABULAR COMPONENT ONLY, WITH OR WITHOUT AUTOGRAFT OR ALLOGRAFT",,,11124.0,24600.0,3 RC,360,"REVISION OF TOTAL HIP ARTHROPLASTY; BOTH COMPONENTS, WITH OR WITHOUT AUTOGRAFT OR ALLOGRAFT",,,11124.0,24600.0,3 RC,360,"REVISION OF TOTAL HIP ARTHROPLASTY; FEMORAL COMPONENT ONLY, WITH OR WITHOUT ALLOGRAFT",,,11124.0,24600.0,3 RC,360,"REVISION OF TOTAL KNEE ARTHROPLASTY, WITH OR WITHOUT ALLOGRAFT; 1 COMPONENT",,,11124.0,24600.0,3 RC,360,"REVISION OF TOTAL KNEE ARTHROPLASTY, WITH OR WITHOUT ALLOGRAFT; FEMORAL AND ENTIRE TIBIAL COMPONENT",,,11124.0,24600.0,3 RC,360,"REVISION OF TOTAL SHOULDER ARTHROPLASTY, INCLUDING ALLOGRAFT WHEN PERFORMED; HUMERAL AND GLENOID COMPONENT",,,8612.0,13852.0,3 RC,360,"REVISION OF TOTAL SHOULDER ARTHROPLASTY, INCLUDING ALLOGRAFT WHEN PERFORMED; HUMERAL OR GLENOID COMPONENT",,,6636.0,13527.54,13 RC,360,REVISION OR REMOVAL OF CRANIAL NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER,,,4121.0,13110.66,14 RC,360,"REVISION OR REMOVAL OF IMPLANTED SPINAL NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER, WITH DETACHABLE CONNECTION TO ELECTRODE ARRAY",,,3308.62,8045.0,14 RC,360,REVISION OR REMOVAL OF PERIPHERAL NEUROSTIMULATOR ELECTRODE ARRAY,,,3308.62,8045.0,14 RC,360,"REVISION OR REMOVAL OF PERIPHERAL, SACRAL, OR GASTRIC NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER, WITH DETACHABLE CONNECTION TO ELECTRODE ARRAY",,,3308.62,8045.0,14 RC,360,"REVISION OR REPAIR OF OPERATIVE WOUND OF ANTERIOR SEGMENT, ANY TYPE, EARLY OR LATE, MAJOR OR MINOR PROCEDURE",,,2244.5,5754.0,14 RC,360,"REVISION, OPEN, ARTERIOVENOUS FISTULA; WITH THROMBECTOMY, AUTOGENOUS OR NONAUTOGENOUS DIALYSIS GRAFT (SEPARATE PROCEDURE)",,,5200.74,13852.0,14 RC,360,"REVISION, OPEN, ARTERIOVENOUS FISTULA; WITHOUT THROMBECTOMY, AUTOGENOUS OR NONAUTOGENOUS DIALYSIS GRAFT (SEPARATE PROCEDURE)",,,5200.74,13852.0,14 RC,360,"REVISION, OPEN, OF GASTRIC RESTRICTIVE PROCEDURE FOR MORBID OBESITY, OTHER THAN ADJUSTABLE GASTRIC RESTRICTIVE DEVICE (SEPARATE PROCEDURE)",,,2025.0,4681.0,2 RC,360,"RHINOPLASTY, PRIMARY; COMPLETE, EXTERNAL PARTS INCLUDING BONY PYRAMID, LATERAL AND ALAR CARTILAGES, AND/OR ELEVATION OF NASAL TIP",,,5691.37,10087.0,14 RC,360,"RHINOPLASTY, PRIMARY; INCLUDING MAJOR SEPTAL REPAIR",,,5691.37,10087.0,14 RC,360,"SALPINGO-OOPHORECTOMY, COMPLETE OR PARTIAL, UNILATERAL OR BILATERAL (SEPARATE PROCEDURE)",,,6636.0,10087.0,3 RC,360,SCLERAL REINFORCEMENT (SEPARATE PROCEDURE); WITH GRAFT,,,3788.0,6735.0,14 RC,360,"SCRAPING OF CORNEA, DIAGNOSTIC, FOR SMEAR AND/OR CULTURE",,,173.0,832.0,12 RC,360,SCROTAL EXPLORATION,,,3318.21,5754.0,14 RC,360,SCROTOPLASTY; COMPLICATED,,,3788.0,5754.0,14 RC,360,SCROTOPLASTY; SIMPLE,,,3318.21,10022.0,14 RC,360,"SECONDARY CLOSURE OF SURGICAL WOUND OR DEHISCENCE, EXTENSIVE OR COMPLICATED",,,1759.87,5152.0,14 RC,360,"SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; ADDITIONAL SECOND ORDER, THIRD ORDER, AND BEYOND, ABDOMINAL, PELVIC, OR LOWER EXTREMITY ARTERY BRANCH, WITHIN A VASCULAR FAMILY (LIST IN ADDITION TO CODE",,,173.0,4376.0,3 RC,360,"SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; EACH FIRST ORDER ABDOMINAL, PELVIC, OR LOWER EXTREMITY ARTERY BRANCH, WITHIN A VASCULAR FAMILY",,,173.0,4376.0,3 RC,360,"SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; EACH FIRST ORDER THORACIC OR BRACHIOCEPHALIC BRANCH, WITHIN A VASCULAR FAMILY",,,173.0,4376.0,3 RC,360,"SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; INITIAL SECOND ORDER ABDOMINAL, PELVIC, OR LOWER EXTREMITY ARTERY BRANCH, WITHIN A VASCULAR FAMILY",,,173.0,4376.0,3 RC,360,"SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; INITIAL THIRD ORDER OR MORE SELECTIVE ABDOMINAL, PELVIC, OR LOWER EXTREMITY ARTERY BRANCH, WITHIN A VASCULAR FAMILY",,,173.0,4376.0,3 RC,360,"SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; INITIAL THIRD ORDER OR MORE SELECTIVE THORACIC OR BRACHIOCEPHALIC BRANCH, WITHIN A VASCULAR FAMILY",,,173.0,4376.0,3 RC,360,"SEPTOPLASTY OR SUBMUCOUS RESECTION, WITH OR WITHOUT CARTILAGE SCORING, CONTOURING OR REPLACEMENT WITH GRAFT",,,3120.11,8442.0,14 RC,360,"SESAMOIDECTOMY, FIRST TOE (SEPARATE PROCEDURE)",,,3121.59,8442.0,14 RC,360,"SEVERING ADHESIONS OF ANTERIOR SEGMENT OF EYE, INCISIONAL TECHNIQUE (WITH OR WITHOUT INJECTION OF AIR OR LIQUID) (SEPARATE PROCEDURE); GONIOSYNECHIAE",,,2194.26,5754.0,14 RC,360,"SIGMOIDOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,877.14,4311.0,14 RC,360,"SIGMOIDOSCOPY, FLEXIBLE; WITH BAND LIGATION(S) (EG, HEMORRHOIDS)",,,1134.38,8213.0,14 RC,360,"SIGMOIDOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE",,,877.14,4311.0,14 RC,360,"SIGMOIDOSCOPY, FLEXIBLE; WITH DIRECTED SUBMUCOSAL INJECTION(S), ANY SUBSTANCE",,,877.14,4311.0,14 RC,360,"SIGMOIDOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY HOT BIOPSY FORCEPS",,,877.14,4311.0,14 RC,360,"SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANES; 2.5 CM OR LESS",,,173.0,832.0,12 RC,360,"SLING OPERATION FOR CORRECTION OF MALE URINARY INCONTINENCE (EG, FASCIA OR SYNTHETIC)",,,4376.0,24600.0,14 RC,360,"SLING OPERATION FOR STRESS INCONTINENCE (EG, FASCIA OR SYNTHETIC)",,,4749.28,10087.0,14 RC,360,"SLITTING OF PREPUCE, DORSAL OR LATERAL (SEPARATE PROCEDURE); EXCEPT NEWBORN",,,1970.84,5754.0,14 RC,360,"SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, INCLUDING ILEUM; DIAGNOSTIC, WITH OR WITHOUT COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING (SEPARATE PROCEDURE)",,,1825.06,5152.0,14 RC,360,SNIP INCISION OF LACRIMAL PUNCTUM,,,173.0,4311.0,14 RC,360,"SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE OR PROLAPSE; ADULT",,,2638.41,8045.0,14 RC,360,"SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE, ADULT; LEVATOR MUSCLE IMBRICATION (PARK POSTERIOR ANAL REPAIR)",,,2638.41,8045.0,14 RC,360,"SPHINCTEROTOMY, ANAL, DIVISION OF SPHINCTER (SEPARATE PROCEDURE)",,,2025.0,6735.0,14 RC,360,"SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC; WITH FLUOROSCOPIC OR CT GUIDANCE",,,666.26,4311.0,14 RC,360,"SPLIT-THICKNESS AUTOGRAFT, TRUNK, ARMS, LEGS; FIRST 100 SQ CM OR LESS, OR 1% OF BODY AREA OF INFANTS AND CHILDREN (EXCEPT 15050)",,,1759.87,5152.0,14 RC,360,"STAB PHLEBECTOMY OF VARICOSE VEINS, 1 EXTREMITY; 10-20 STAB INCISIONS",,,3028.17,8045.0,14 RC,360,"STAB PHLEBECTOMY OF VARICOSE VEINS, 1 EXTREMITY; MORE THAN 20 INCISIONS",,,3028.17,8045.0,14 RC,360,"STAPEDECTOMY OR STAPEDOTOMY WITH REESTABLISHMENT OF OSSICULAR CONTINUITY, WITH OR WITHOUT USE OF FOREIGN MATERIAL;",,,5691.37,10087.0,14 RC,360,"STEREOTACTIC COMPUTER-ASSISTED (NAVIGATIONAL) PROCEDURE; CRANIAL, EXTRADURAL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,173.0,4311.0,3 RC,360,"STEREOTACTIC COMPUTER-ASSISTED (NAVIGATIONAL) PROCEDURE; CRANIAL, INTRADURAL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,173.0,4311.0,3 RC,360,STEREOTACTIC COMPUTER-ASSISTED (NAVIGATIONAL) PROCEDURE; SPINAL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE),,,173.0,4311.0,3 RC,360,"STRABISMUS SURGERY, RECESSION OR RESECTION PROCEDURE; 1 HORIZONTAL MUSCLE",,,2244.5,6735.0,14 RC,360,"STRABISMUS SURGERY, RECESSION OR RESECTION PROCEDURE; 1 VERTICAL MUSCLE (EXCLUDING SUPERIOR OBLIQUE)",,,2244.5,8442.0,14 RC,360,"STRABISMUS SURGERY, RECESSION OR RESECTION PROCEDURE; 2 HORIZONTAL MUSCLES",,,3628.02,8442.0,14 RC,360,"SUBMUCOUS RESECTION INFERIOR TURBINATE, PARTIAL OR COMPLETE, ANY METHOD",,,3120.11,5754.0,14 RC,360,SUCTION ASSISTED LIPECTOMY; TRUNK,,,3522.17,8045.0,14 RC,360,"SUPRACERVICAL ABDOMINAL HYSTERECTOMY (SUBTOTAL HYSTERECTOMY), WITH OR WITHOUT REMOVAL OF TUBE(S), WITH OR WITHOUT REMOVAL OF OVARY(S)",,,5219.0,12247.0,3 RC,360,"SURGICAL PREPARATION OR CREATION OF RECIPIENT SITE BY EXCISION OF OPEN WOUNDS, BURN ESCHAR, OR SCAR (INCLUDING SUBCUTANEOUS TISSUES), OR INCISIONAL RELEASE OF SCAR CONTRACTURE, FACE, SCALP, EYELIDS, M",,,173.0,5152.0,14 RC,360,"SURGICAL PREPARATION OR CREATION OF RECIPIENT SITE BY EXCISION OF OPEN WOUNDS, BURN ESCHAR, OR SCAR (INCLUDING SUBCUTANEOUS TISSUES), OR INCISIONAL RELEASE OF SCAR CONTRACTURE, TRUNK, ARMS, LEGS; FIRS",,,1759.87,5152.0,14 RC,360,SURGICAL TECHNIQUES REQUIRING USE OF ROBOTIC SURGICAL SYSTEM (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE),,,,,0 RC,360,SURGICAL TREATMENT OF ANAL FISTULA (FISTULECTOMY/FISTULOTOMY); INTERSPHINCTERIC,,,2638.41,6735.0,14 RC,360,SURGICAL TREATMENT OF ANAL FISTULA (FISTULECTOMY/FISTULOTOMY); SECOND STAGE,,,2638.41,5754.0,14 RC,360,SURGICAL TREATMENT OF ANAL FISTULA (FISTULECTOMY/FISTULOTOMY); SUBCUTANEOUS,,,2638.41,6735.0,14 RC,360,"SURGICAL TREATMENT OF ANAL FISTULA (FISTULECTOMY/FISTULOTOMY); TRANSSPHINCTERIC, SUPRASPHINCTERIC, EXTRASPHINCTERIC OR MULTIPLE, INCLUDING PLACEMENT OF SETON, WHEN PERFORMED",,,2638.41,8442.0,14 RC,360,"SURGICAL TREATMENT OF ECTOPIC PREGNANCY; TUBAL OR OVARIAN, REQUIRING SALPINGECTOMY AND/OR OOPHORECTOMY, ABDOMINAL OR VAGINAL APPROACH",,,5219.0,8045.0,3 RC,360,"SUTURE OF DIGITAL NERVE, HAND OR FOOT; 1 NERVE",,,1878.73,8442.0,14 RC,360,SUTURE OF INFRAPATELLAR TENDON; PRIMARY,,,4121.0,8045.0,14 RC,360,"SUTURE OF IRIS, CILIARY BODY (SEPARATE PROCEDURE) WITH RETRIEVAL OF SUTURE THROUGH SMALL INCISION (EG, MCCANNEL SUTURE)",,,2194.26,5754.0,14 RC,360,SUTURE OF QUADRICEPS OR HAMSTRING MUSCLE RUPTURE; PRIMARY,,,5219.0,8045.0,14 RC,360,"SUTURE OF QUADRICEPS OR HAMSTRING MUSCLE RUPTURE; SECONDARY RECONSTRUCTION, INCLUDING FASCIAL OR TENDON GRAFT",,,5219.0,8045.0,14 RC,360,"SYNOVECTOMY, EXTENSOR TENDON SHEATH, WRIST, SINGLE COMPARTMENT;",,,1539.73,5754.0,14 RC,360,"SYNOVECTOMY, EXTENSOR TENDON SHEATH, WRIST, SINGLE COMPARTMENT; WITH RESECTION OF DISTAL ULNA",,,3121.59,8045.0,14 RC,360,"SYNOVECTOMY, TENDON SHEATH, RADICAL (TENOSYNOVECTOMY), FLEXOR TENDON, PALM AND/OR FINGER, EACH TENDON",,,1539.73,6735.0,14 RC,360,"TANGENTIAL BIOPSY OF SKIN (EG, SHAVE, SCOOP, SAUCERIZE, CURETTE); SINGLE LESION",,,173.0,4311.0,13 RC,360,"TEMPORARY CLOSURE OF EYELIDS BY SUTURE (EG, FROST SUTURE)",,,931.82,4311.0,14 RC,360,"TENDON LENGTHENING, UPPER ARM OR ELBOW, EACH TENDON",,,3121.59,8442.0,14 RC,360,"TENDON SHEATH INCISION (EG, FOR TRIGGER FINGER)",,,1539.73,5152.0,14 RC,360,"TENDON TRANSPLANTATION OR TRANSFER, FLEXOR OR EXTENSOR, FOREARM AND/OR WRIST, SINGLE; EACH TENDON",,,3121.59,8045.0,14 RC,360,TENODESIS OF BICEPS TENDON AT ELBOW (SEPARATE PROCEDURE),,,6636.0,10022.0,14 RC,360,TENODESIS OF LONG TENDON OF BICEPS,,,6636.0,10022.0,14 RC,360,"TENOLYSIS, EXTENSOR TENDON, HAND OR FINGER, EACH TENDON",,,2025.0,6735.0,14 RC,360,"TENOLYSIS, EXTENSOR, FOOT; SINGLE TENDON",,,3121.59,5754.0,14 RC,360,"TENOLYSIS, FLEXOR OR EXTENSOR TENDON, FOREARM AND/OR WRIST, SINGLE, EACH TENDON",,,3121.59,6735.0,14 RC,360,"TENOLYSIS, FLEXOR OR EXTENSOR TENDON, LEG AND/OR ANKLE; MULTIPLE TENDONS (THROUGH SEPARATE INCISION[S])",,,3121.59,8045.0,14 RC,360,"TENOLYSIS, FLEXOR OR EXTENSOR TENDON, LEG AND/OR ANKLE; SINGLE, EACH TENDON",,,3121.59,8045.0,14 RC,360,"TENOLYSIS, FLEXOR TENDON; PALM OR FINGER, EACH TENDON",,,1539.73,6735.0,14 RC,360,"TENOLYSIS, TRICEPS",,,3121.59,8045.0,14 RC,360,"TENOTOMY, ELBOW, LATERAL OR MEDIAL (EG, EPICONDYLITIS, TENNIS ELBOW, GOLFER'S ELBOW); DEBRIDEMENT, SOFT TISSUE AND/OR BONE, OPEN",,,3121.59,17457.0,14 RC,360,"TENOTOMY, ELBOW, LATERAL OR MEDIAL (EG, EPICONDYLITIS, TENNIS ELBOW, GOLFER'S ELBOW); DEBRIDEMENT, SOFT TISSUE AND/OR BONE, OPEN WITH TENDON REPAIR OR REATTACHMENT",,,3121.59,17457.0,14 RC,360,"TENOTOMY, OPEN, EXTENSOR, FOOT OR TOE, EACH TENDON",,,1539.73,5754.0,14 RC,360,"TENOTOMY, OPEN, FLEXOR OR EXTENSOR TENDON, FOREARM AND/OR WRIST, SINGLE, EACH TENDON",,,3121.59,8045.0,14 RC,360,"TENOTOMY, OPEN, TENDON FLEXOR; FOOT, SINGLE OR MULTIPLE TENDON(S) (SEPARATE PROCEDURE)",,,1539.73,5754.0,13 RC,360,"TENOTOMY, OPEN, TENDON FLEXOR; TOE, SINGLE TENDON (SEPARATE PROCEDURE)",,,1539.73,5754.0,13 RC,360,"TENOTOMY, PERCUTANEOUS, ACHILLES TENDON (SEPARATE PROCEDURE); GENERAL ANESTHESIA",,,3121.59,5754.0,14 RC,360,"TENOTOMY, PERCUTANEOUS, TOE; SINGLE TENDON",,,1539.73,5754.0,13 RC,360,"TENOTOMY, SHOULDER AREA; SINGLE TENDON",,,4376.0,8045.0,14 RC,360,"THORACENTESIS, NEEDLE OR CATHETER, ASPIRATION OF THE PLEURAL SPACE; WITHOUT IMAGING GUIDANCE",,,594.81,4311.0,14 RC,360,"THORACIC FASCIAL PLANE BLOCK, BILATERAL; BY CONTINUOUS INFUSION(S), INCLUDING IMAGING GUIDANCE, WHEN PERFORMED",,,173.0,4311.0,3 RC,360,"THORACIC FASCIAL PLANE BLOCK, BILATERAL; BY INJECTION(S), INCLUDING IMAGING GUIDANCE, WHEN PERFORMED",,,173.0,4311.0,3 RC,360,"THORACIC FASCIAL PLANE BLOCK, UNILATERAL; BY CONTINUOUS INFUSION(S), INCLUDING IMAGING GUIDANCE, WHEN PERFORMED",,,173.0,4311.0,3 RC,360,"THORACIC FASCIAL PLANE BLOCK, UNILATERAL; BY INJECTION(S), INCLUDING IMAGING GUIDANCE, WHEN PERFORMED",,,173.0,4311.0,3 RC,360,"THORACOSCOPY, DIAGNOSTIC (SEPARATE PROCEDURE); LUNGS, PERICARDIAL SAC, MEDIASTINAL OR PLEURAL SPACE, WITHOUT BIOPSY",,,5613.15,10022.0,13 RC,360,"THORACOSCOPY, DIAGNOSTIC (SEPARATE PROCEDURE); MEDIASTINAL SPACE, WITH BIOPSY",,,5613.15,10022.0,13 RC,360,"THORACOSCOPY, SURGICAL; WITH MEDIASTINAL AND REGIONAL LYMPHADENECTOMY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,2025.0,4681.0,2 RC,360,"THORACOSCOPY, SURGICAL; WITH REMOVAL OF A SINGLE LUNG SEGMENT (SEGMENTECTOMY)",,,2025.0,4681.0,2 RC,360,"THORACOSCOPY, SURGICAL; WITH THERAPEUTIC WEDGE RESECTION (EG, MASS, NODULE), INITIAL UNILATERAL",,,2025.0,4681.0,2 RC,360,"THORACOSCOPY, SURGICAL; WITH THORACIC SYMPATHECTOMY",,,4376.0,8045.0,3 RC,360,THORACOSCOPY; WITH BIOPSY(IES) OF PLEURA,,,5613.15,17457.0,14 RC,360,"THROMBECTOMY, OPEN, ARTERIOVENOUS FISTULA WITHOUT REVISION, AUTOGENOUS OR NONAUTOGENOUS DIALYSIS GRAFT (SEPARATE PROCEDURE)",,,5200.74,17457.0,14 RC,360,"THROMBOENDARTERECTOMY, INCLUDING PATCH GRAFT, IF PERFORMED; AXILLARY-BRACHIAL",,,5200.74,13852.0,13 RC,360,"THROMBOENDARTERECTOMY, INCLUDING PATCH GRAFT, IF PERFORMED; CAROTID, VERTEBRAL, SUBCLAVIAN, BY NECK INCISION",,,2025.0,4681.0,2 RC,360,"THROMBOENDARTERECTOMY, INCLUDING PATCH GRAFT, IF PERFORMED; COMMON FEMORAL",,,2025.0,4681.0,2 RC,360,"THROMBOENDARTERECTOMY, INCLUDING PATCH GRAFT, IF PERFORMED; DEEP (PROFUNDA) FEMORAL",,,8612.0,13852.0,3 RC,360,"THYMECTOMY, PARTIAL OR TOTAL; TRANSCERVICAL APPROACH (SEPARATE PROCEDURE)",,,5691.37,10022.0,13 RC,360,"THYROIDECTOMY, INCLUDING SUBSTERNAL THYROID; CERVICAL APPROACH",,,5691.37,10022.0,13 RC,360,"THYROIDECTOMY, REMOVAL OF ALL REMAINING THYROID TISSUE FOLLOWING PREVIOUS REMOVAL OF A PORTION OF THYROID",,,5691.37,10087.0,13 RC,360,"THYROIDECTOMY, TOTAL OR COMPLETE",,,5613.15,13852.0,13 RC,360,"THYROIDECTOMY, TOTAL OR COMPLETE WITH PARATHYROID AUTOTRANSPLANTATION",,,2025.0,12247.0,3 RC,360,"THYROIDECTOMY, TOTAL OR SUBTOTAL FOR MALIGNANCY; WITH LIMITED NECK DISSECTION",,,5691.37,12247.0,13 RC,360,"THYROIDECTOMY, TOTAL OR SUBTOTAL FOR MALIGNANCY; WITH RADICAL NECK DISSECTION",,,3788.0,12247.0,3 RC,360,"TISSUE EXPANDER PLACEMENT IN BREAST RECONSTRUCTION, INCLUDING SUBSEQUENT EXPANSION(S)",,,8612.0,18291.76,14 RC,360,TONSILLECTOMY AND ADENOIDECTOMY; AGE 12 OR OVER,,,3120.11,10087.0,14 RC,360,TONSILLECTOMY AND ADENOIDECTOMY; YOUNGER THAN AGE 12,,,3788.0,6735.0,14 RC,360,"TONSILLECTOMY, PRIMARY OR SECONDARY; AGE 12 OR OVER",,,3120.11,8442.0,14 RC,360,"TONSILLECTOMY, PRIMARY OR SECONDARY; YOUNGER THAN AGE 12",,,3788.0,8442.0,14 RC,360,"TOTAL ABDOMINAL HYSTERECTOMY (CORPUS AND CERVIX), WITH OR WITHOUT REMOVAL OF TUBE(S), WITH OR WITHOUT REMOVAL OF OVARY(S);",,,5219.0,12247.0,3 RC,360,"TOTAL DISC ARTHROPLASTY (ARTIFICIAL DISC), ANTERIOR APPROACH, INCLUDING DISCECTOMY TO PREPARE INTERSPACE (OTHER THAN FOR DECOMPRESSION); SINGLE INTERSPACE, LUMBAR",,,11124.0,24600.0,3 RC,360,"TOTAL DISC ARTHROPLASTY (ARTIFICIAL DISC), ANTERIOR APPROACH, INCLUDING DISCECTOMY WITH END PLATE PREPARATION (INCLUDES OSTEOPHYTECTOMY FOR NERVE ROOT OR SPINAL CORD DECOMPRESSION AND MICRODISSECTION)",,,173.0,19334.39,16 RC,360,"TOTAL THYROID LOBECTOMY, UNILATERAL; WITH CONTRALATERAL SUBTOTAL LOBECTOMY, INCLUDING ISTHMUSECTOMY",,,5613.15,13852.0,14 RC,360,"TOTAL THYROID LOBECTOMY, UNILATERAL; WITH OR WITHOUT ISTHMUSECTOMY",,,4376.0,13852.0,14 RC,360,TRABECULOTOMY AB EXTERNO,,,2194.26,8442.0,14 RC,360,"TRACHELECTOMY (CERVICECTOMY), AMPUTATION OF CERVIX (SEPARATE PROCEDURE)",,,3788.0,6735.0,14 RC,360,"TRACHELORRHAPHY, PLASTIC REPAIR OF UTERINE CERVIX, VAGINAL APPROACH",,,3058.98,6735.0,14 RC,360,TRACHEOTOMY TUBE CHANGE PRIOR TO ESTABLISHMENT OF FISTULA TRACT,,,173.0,4311.0,14 RC,360,"TRANSCATHETER PLACEMENT OF AN INTRAVASCULAR STENT(S) (EXCEPT LOWER EXTREMITY ARTERY(S) FOR OCCLUSIVE DISEASE, CERVICAL CAROTID, EXTRACRANIAL VERTEBRAL OR INTRATHORACIC CAROTID, INTRACRANIAL, OR CORONA",,,6735.0,24600.0,13 RC,360,"TRANSCATHETER PLACEMENT OF AN INTRAVASCULAR STENT(S), OPEN OR PERCUTANEOUS, INCLUDING RADIOLOGICAL SUPERVISION AND INTERPRETATION AND INCLUDING ANGIOPLASTY WITHIN THE SAME VESSEL, WHEN PERFORMED; INIT",,,6735.0,24600.0,13 RC,360,"TRANSCATHETER PLACEMENT OF INTRAVASCULAR STENT(S), CENTRAL DIALYSIS SEGMENT, PERFORMED THROUGH DIALYSIS CIRCUIT, INCLUDING ALL IMAGING AND RADIOLOGICAL SUPERVISION AND INTERPRETATION REQUIRED TO PERFO",,,173.0,4311.0,3 RC,360,"TRANSCATHETER PLACEMENT OF INTRAVASCULAR STENT(S), CERVICAL CAROTID ARTERY, OPEN OR PERCUTANEOUS, INCLUDING ANGIOPLASTY, WHEN PERFORMED, AND RADIOLOGICAL SUPERVISION AND INTERPRETATION; WITH DISTAL EM",,,2025.0,6735.0,3 RC,360,"TRANSECTION OR AVULSION OF OTHER SPINAL NERVE, EXTRADURAL",,,1878.73,5754.0,14 RC,360,"TRANSFER OR TRANSPLANT OF SINGLE TENDON (WITH MUSCLE REDIRECTION OR REROUTING); DEEP (EG, ANTERIOR TIBIAL OR POSTERIOR TIBIAL THROUGH INTEROSSEOUS SPACE, FLEXOR DIGITORUM LONGUS, FLEXOR HALLUCIS LONGU",,,6636.0,10022.0,14 RC,360,"TRANSFER OR TRANSPLANT OF TENDON, CARPOMETACARPAL AREA OR DORSUM OF HAND; WITH FREE TENDON GRAFT (INCLUDES OBTAINING GRAFT), EACH TENDON",,,3121.59,8045.0,14 RC,360,"TRANSFER OR TRANSPLANT OF TENDON, CARPOMETACARPAL AREA OR DORSUM OF HAND; WITHOUT FREE GRAFT, EACH TENDON",,,3121.59,8045.0,14 RC,360,"TRANSLUMINAL BALLOON ANGIOPLASTY (EXCEPT LOWER EXTREMITY ARTERY(IES) FOR OCCLUSIVE DISEASE, INTRACRANIAL, CORONARY, PULMONARY, OR DIALYSIS CIRCUIT), OPEN OR PERCUTANEOUS, INCLUDING ALL IMAGING AND RAD",,,173.0,13852.0,16 RC,360,"TRANSLUMINAL BALLOON ANGIOPLASTY, CENTRAL DIALYSIS SEGMENT, PERFORMED THROUGH DIALYSIS CIRCUIT, INCLUDING ALL IMAGING AND RADIOLOGICAL SUPERVISION AND INTERPRETATION REQUIRED TO PERFORM THE ANGIOPLAST",,,173.0,4311.0,3 RC,360,"TRANSLUMINAL DILATION OF AQUEOUS OUTFLOW CANAL (EG, CANALOPLASTY); WITHOUT RETENTION OF DEVICE OR STENT",,,3870.33,10087.0,14 RC,360,"TRANSLUMINAL PERIPHERAL ATHERECTOMY, OPEN OR PERCUTANEOUS, INCLUDING RADIOLOGICAL SUPERVISION AND INTERPRETATION; ILIAC ARTERY, EACH VESSEL",,,12247.0,24600.0,13 RC,360,"TRANSPEDICULAR APPROACH WITH DECOMPRESSION OF SPINAL CORD, EQUINA AND/OR NERVE ROOT(S) (EG, HERNIATED INTERVERTEBRAL DISC), SINGLE SEGMENT; EACH ADDITIONAL SEGMENT, THORACIC OR LUMBAR (LIST SEPARATELY",,,173.0,4311.0,3 RC,360,"TRANSPEDICULAR APPROACH WITH DECOMPRESSION OF SPINAL CORD, EQUINA AND/OR NERVE ROOT(S) (EG, HERNIATED INTERVERTEBRAL DISC), SINGLE SEGMENT; LUMBAR (INCLUDING TRANSFACET, OR LATERAL EXTRAFORAMINAL APPR",,,6872.88,17457.0,14 RC,360,"TRANSPEDICULAR APPROACH WITH DECOMPRESSION OF SPINAL CORD, EQUINA AND/OR NERVE ROOT(S) (EG, HERNIATED INTERVERTEBRAL DISC), SINGLE SEGMENT; THORACIC",,,6872.88,17457.0,14 RC,360,"TRANSPERINEAL PLACEMENT OF BIODEGRADABLE MATERIAL, PERI-PROSTATIC, SINGLE OR MULTIPLE INJECTION(S), INCLUDING IMAGE GUIDANCE, WHEN PERFORMED",,,4311.0,17457.0,14 RC,360,TRANSURETHRAL DRAINAGE OF PROSTATIC ABSCESS,,,3318.21,5754.0,14 RC,360,"TRANSURETHRAL ELECTROSURGICAL RESECTION OF PROSTATE, INCLUDING CONTROL OF POSTOPERATIVE BLEEDING, COMPLETE (VASECTOMY, MEATOTOMY, CYSTOURETHROSCOPY, URETHRAL CALIBRATION AND/OR DILATION, AND INTERNAL ",,,4890.88,10022.0,14 RC,360,TRANSURETHRAL RESECTION OF BLADDER NECK (SEPARATE PROCEDURE),,,3318.21,6735.0,14 RC,360,TRANSURETHRAL RESECTION; OF POSTOPERATIVE BLADDER NECK CONTRACTURE,,,3318.21,5754.0,14 RC,360,"TRANSURETHRAL RESECTION; RESIDUAL OR REGROWTH OF OBSTRUCTIVE PROSTATE TISSUE INCLUDING CONTROL OF POSTOPERATIVE BLEEDING, COMPLETE (VASECTOMY, MEATOTOMY, CYSTOURETHROSCOPY, URETHRAL CALIBRATION AND/OR",,,4376.0,10022.0,14 RC,360,"TRANSURETHRAL WATERJET ABLATION OF PROSTATE, INCLUDING CONTROL OF POST-OPERATIVE BLEEDING, INCLUDING ULTRASOUND GUIDANCE, COMPLETE (VASECTOMY, MEATOTOMY, CYSTOURETHROSCOPY, URETHRAL CALIBRATION AND/OR",,,4376.0,10022.0,13 RC,360,"TRANSVERSUS ABDOMINIS PLANE (TAP) BLOCK (ABDOMINAL PLANE BLOCK, RECTUS SHEATH BLOCK) BILATERAL; BY CONTINUOUS INFUSIONS (INCLUDES IMAGING GUIDANCE, WHEN PERFORMED)",,,173.0,4376.0,3 RC,360,"TRANSVERSUS ABDOMINIS PLANE (TAP) BLOCK (ABDOMINAL PLANE BLOCK, RECTUS SHEATH BLOCK) BILATERAL; BY INJECTIONS (INCLUDES IMAGING GUIDANCE, WHEN PERFORMED)",,,173.0,4376.0,3 RC,360,"TRANSVERSUS ABDOMINIS PLANE (TAP) BLOCK (ABDOMINAL PLANE BLOCK, RECTUS SHEATH BLOCK) UNILATERAL; BY CONTINUOUS INFUSION(S) (INCLUDES IMAGING GUIDANCE, WHEN PERFORMED)",,,173.0,4376.0,3 RC,360,"TRANSVERSUS ABDOMINIS PLANE (TAP) BLOCK (ABDOMINAL PLANE BLOCK, RECTUS SHEATH BLOCK) UNILATERAL; BY INJECTION(S) (INCLUDES IMAGING GUIDANCE, WHEN PERFORMED)",,,173.0,4376.0,3 RC,360,TREATMENT OF CLOSED ELBOW DISLOCATION; REQUIRING ANESTHESIA,,,1539.73,5152.0,14 RC,360,"TREATMENT OF EXTENSIVE OR PROGRESSIVE RETINOPATHY (EG, DIABETIC RETINOPATHY), PHOTOCOAGULATION",,,527.8,4311.0,14 RC,360,"TREATMENT OF HUMERAL SHAFT FRACTURE, WITH INSERTION OF INTRAMEDULLARY IMPLANT, WITH OR WITHOUT CERCLAGE AND/OR LOCKING SCREWS",,,8213.0,13852.0,14 RC,360,"TREATMENT OF INCOMPLETE ABORTION, ANY TRIMESTER, COMPLETED SURGICALLY",,,3058.98,10087.0,14 RC,360,"TREATMENT OF INTERTROCHANTERIC, PERITROCHANTERIC, OR SUBTROCHANTERIC FEMORAL FRACTURE; WITH INTRAMEDULLARY IMPLANT, WITH OR WITHOUT INTERLOCKING SCREWS AND/OR CERCLAGE",,,6636.0,10087.0,3 RC,360,"TREATMENT OF MISSED ABORTION, COMPLETED SURGICALLY; FIRST TRIMESTER",,,3058.98,10087.0,14 RC,360,"TREATMENT OF MISSED ABORTION, COMPLETED SURGICALLY; SECOND TRIMESTER",,,3058.98,10087.0,14 RC,360,"TREATMENT OF SEPTIC ABORTION, COMPLETED SURGICALLY",,,2025.0,4681.0,3 RC,360,TREATMENT OF SUPERFICIAL WOUND DEHISCENCE; SIMPLE CLOSURE,,,173.0,4311.0,14 RC,360,"TREATMENT OF TIBIAL SHAFT FRACTURE (WITH OR WITHOUT FIBULAR FRACTURE) BY INTRAMEDULLARY IMPLANT, WITH OR WITHOUT INTERLOCKING SCREWS AND/OR CERCLAGE",,,8213.0,13852.0,14 RC,360,"TUBE THORACOSTOMY, INCLUDES CONNECTION TO DRAINAGE SYSTEM (EG, WATER SEAL), WHEN PERFORMED, OPEN (SEPARATE PROCEDURE)",,,990.0,4376.0,14 RC,360,"TWIST DRILL HOLE(S) FOR SUBDURAL, INTRACEREBRAL, OR VENTRICULAR PUNCTURE; FOR EVACUATION AND/OR DRAINAGE OF SUBDURAL HEMATOMA",,,2025.0,4681.0,2 RC,360,"TYMPANOPLASTY WITHOUT MASTOIDECTOMY (INCLUDING CANALPLASTY, ATTICOTOMY AND/OR MIDDLE EAR SURGERY), INITIAL OR REVISION; WITHOUT OSSICULAR CHAIN RECONSTRUCTION",,,5691.37,10087.0,14 RC,360,"TYMPANOSTOMY (REQUIRING INSERTION OF VENTILATING TUBE), GENERAL ANESTHESIA",,,1425.11,6735.0,14 RC,360,UNLISTED CRANIOFACIAL AND MAXILLOFACIAL PROCEDURE,,,173.0,832.0,12 RC,360,"UNLISTED HYSTEROSCOPY PROCEDURE, UTERUS",,,173.0,6735.0,13 RC,360,"UNLISTED LAPAROSCOPIC PROCEDURE, LIVER",,,5613.15,10087.0,13 RC,360,"UNLISTED LAPAROSCOPY PROCEDURE, ABDOMEN, PERITONEUM AND OMENTUM",,,4311.0,10022.0,13 RC,360,"UNLISTED LAPAROSCOPY PROCEDURE, BILIARY TRACT",,,5613.15,10022.0,13 RC,360,"UNLISTED LAPAROSCOPY PROCEDURE, BLADDER",,,5613.15,10022.0,13 RC,360,"UNLISTED LAPAROSCOPY PROCEDURE, ESOPHAGUS",,,5613.15,10022.0,13 RC,360,"UNLISTED LAPAROSCOPY PROCEDURE, HERNIOPLASTY, HERNIORRHAPHY, HERNIOTOMY",,,5613.15,10087.0,13 RC,360,"UNLISTED LAPAROSCOPY PROCEDURE, INTESTINE (EXCEPT RECTUM)",,,5613.15,10022.0,12 RC,360,"UNLISTED LAPAROSCOPY PROCEDURE, LYMPHATIC SYSTEM",,,5613.15,10022.0,13 RC,360,"UNLISTED LAPAROSCOPY PROCEDURE, OVIDUCT, OVARY",,,5613.15,10022.0,13 RC,360,"UNLISTED LAPAROSCOPY PROCEDURE, SPLEEN",,,5613.15,10022.0,13 RC,360,"UNLISTED LAPAROSCOPY PROCEDURE, STOMACH",,,5613.15,10022.0,13 RC,360,"UNLISTED LAPAROSCOPY PROCEDURE, URETER",,,5613.15,10087.0,13 RC,360,"UNLISTED LAPAROSCOPY PROCEDURE, UTERUS",,,5613.15,10022.0,13 RC,360,"UNLISTED PROCEDURE, ABDOMEN, MUSCULOSKELETAL SYSTEM",,,173.0,4311.0,13 RC,360,"UNLISTED PROCEDURE, ABDOMEN, PERITONEUM AND OMENTUM",,,902.01,4311.0,13 RC,360,"UNLISTED PROCEDURE, ANTERIOR SEGMENT OF EYE",,,2025.0,4311.0,13 RC,360,"UNLISTED PROCEDURE, ANUS",,,877.14,4311.0,13 RC,360,"UNLISTED PROCEDURE, ARTHROSCOPY",,,173.0,4311.0,13 RC,360,"UNLISTED PROCEDURE, BREAST",,,3684.09,5754.0,13 RC,360,"UNLISTED PROCEDURE, COLON",,,877.14,9350.0,14 RC,360,"UNLISTED PROCEDURE, DENTOALVEOLAR STRUCTURES",,,173.0,4311.0,13 RC,360,"UNLISTED PROCEDURE, EYELIDS",,,173.0,832.0,12 RC,360,"UNLISTED PROCEDURE, FEMALE GENITAL SYSTEM (NONOBSTETRICAL)",,,173.0,4311.0,13 RC,360,"UNLISTED PROCEDURE, FOOT OR TOES",,,173.0,4311.0,13 RC,360,"UNLISTED PROCEDURE, HEMIC OR LYMPHATIC SYSTEM",,,173.0,4311.0,13 RC,360,"UNLISTED PROCEDURE, HUMERUS OR ELBOW",,,173.0,4311.0,13 RC,360,"UNLISTED PROCEDURE, LEG OR ANKLE",,,173.0,4311.0,13 RC,360,"UNLISTED PROCEDURE, MALE GENITAL SYSTEM",,,173.0,4376.0,13 RC,360,"UNLISTED PROCEDURE, MECKEL'S DIVERTICULUM AND THE MESENTERY",,,2025.0,4681.0,2 RC,360,"UNLISTED PROCEDURE, MUSCULOSKELETAL SYSTEM, GENERAL",,,173.0,4311.0,13 RC,360,"UNLISTED PROCEDURE, NERVOUS SYSTEM",,,173.0,4311.0,13 RC,360,"UNLISTED PROCEDURE, PELVIS OR HIP JOINT",,,173.0,4311.0,13 RC,360,"UNLISTED PROCEDURE, RECTUM",,,877.14,2912.0,12 RC,360,"UNLISTED PROCEDURE, SKIN, MUCOUS MEMBRANE AND SUBCUTANEOUS TISSUE",,,173.0,4311.0,13 RC,360,"UNLISTED PROCEDURE, SMALL INTESTINE",,,902.01,4311.0,13 RC,360,"UNLISTED PROCEDURE, SPINE",,,173.0,4311.0,13 RC,360,"UNLISTED PROCEDURE, STOMACH",,,902.01,4311.0,13 RC,360,"UNLISTED PROCEDURE, URINARY SYSTEM",,,173.0,4311.0,13 RC,360,"UNLISTED PROCEDURE, VASCULAR SURGERY",,,594.81,4376.0,13 RC,360,"URETEROLYSIS, WITH OR WITHOUT REPOSITIONING OF URETER FOR RETROPERITONEAL FIBROSIS",,,2025.0,4681.0,2 RC,360,"URETHROMEATOPLASTY, WITH PARTIAL EXCISION OF DISTAL URETHRAL SEGMENT (RICHARDSON TYPE PROCEDURE)",,,3318.21,5754.0,14 RC,360,"URETHROPLASTY, 1-STAGE RECONSTRUCTION OF MALE ANTERIOR URETHRA",,,4376.0,8045.0,14 RC,360,"URETHRORRHAPHY, SUTURE OF URETHRAL WOUND OR INJURY; PENILE",,,4376.0,8045.0,14 RC,360,"URETHRORRHAPHY, SUTURE OF URETHRAL WOUND OR INJURY; PERINEAL",,,3788.0,5754.0,14 RC,360,USE OF OPHTHALMIC ENDOSCOPE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE),,,173.0,4311.0,3 RC,360,"UVULECTOMY, EXCISION OF UVULA",,,2025.0,5152.0,14 RC,360,"VAGINAL HYSTERECTOMY, FOR UTERUS 250 G OR LESS;",,,4749.28,17457.0,14 RC,360,"VAGINAL HYSTERECTOMY, FOR UTERUS 250 G OR LESS; WITH REMOVAL OF TUBE(S), AND/OR OVARY(S)",,,4749.28,17457.0,14 RC,360,"VAGINAL HYSTERECTOMY, FOR UTERUS 250 G OR LESS; WITH REMOVAL OF TUBE(S), AND/OR OVARY(S), WITH REPAIR OF ENTEROCELE",,,4749.28,17457.0,14 RC,360,"VAGINAL HYSTERECTOMY, FOR UTERUS 250 G OR LESS; WITH REPAIR OF ENTEROCELE",,,4749.28,17457.0,14 RC,360,"VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G; WITH REMOVAL OF TUBE(S) AND/OR OVARY(S)",,,4749.28,10087.0,13 RC,360,"VAGINAL HYSTERECTOMY, WITH TOTAL OR PARTIAL VAGINECTOMY;",,,5219.0,8045.0,2 RC,360,"VAGINAL HYSTERECTOMY, WITH TOTAL OR PARTIAL VAGINECTOMY; WITH REPAIR OF ENTEROCELE",,,5219.0,8045.0,2 RC,360,"VAGINECTOMY, COMPLETE REMOVAL OF VAGINAL WALL;",,,2025.0,6735.0,3 RC,360,"VAGINECTOMY, PARTIAL REMOVAL OF VAGINAL WALL;",,,3058.98,6735.0,13 RC,360,"VASCULAR EMBOLIZATION OR OCCLUSION, INCLUSIVE OF ALL RADIOLOGICAL SUPERVISION AND INTERPRETATION, INTRAPROCEDURAL ROADMAPPING, AND IMAGING GUIDANCE NECESSARY TO COMPLETE THE INTERVENTION; ARTERIAL, OT",,,6735.0,24600.0,13 RC,360,"VASCULAR EMBOLIZATION OR OCCLUSION, INCLUSIVE OF ALL RADIOLOGICAL SUPERVISION AND INTERPRETATION, INTRAPROCEDURAL ROADMAPPING, AND IMAGING GUIDANCE NECESSARY TO COMPLETE THE INTERVENTION; FOR ARTERIAL",,,6735.0,24600.0,13 RC,360,"VASCULAR EMBOLIZATION OR OCCLUSION, INCLUSIVE OF ALL RADIOLOGICAL SUPERVISION AND INTERPRETATION, INTRAPROCEDURAL ROADMAPPING, AND IMAGING GUIDANCE NECESSARY TO COMPLETE THE INTERVENTION; VENOUS, OTHE",,,6735.0,24600.0,13 RC,360,"VASECTOMY, UNILATERAL OR BILATERAL (SEPARATE PROCEDURE), INCLUDING POSTOPERATIVE SEMEN EXAMINATION(S)",,,1970.84,5754.0,14 RC,360,"VENIPUNCTURE, CUTDOWN; AGE 1 OR OVER",,,173.0,4311.0,13 RC,360,VENTILATING TUBE REMOVAL REQUIRING GENERAL ANESTHESIA,,,3120.11,8045.0,14 RC,360,"VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, ANTERIOR APPROACH WITH DECOMPRESSION OF SPINAL CORD AND/OR NERVE ROOT(S); CERVICAL, SINGLE SEGMENT",,,8612.0,13852.0,2 RC,360,"VITRECTOMY, MECHANICAL, PARS PLANA APPROACH;",,,3870.33,10022.0,14 RC,360,"VITRECTOMY, MECHANICAL, PARS PLANA APPROACH; WITH ENDOLASER PANRETINAL PHOTOCOAGULATION",,,3870.33,12408.0,14 RC,360,"VITRECTOMY, MECHANICAL, PARS PLANA APPROACH; WITH FOCAL ENDOLASER PHOTOCOAGULATION",,,3870.33,12408.0,14 RC,360,"VITRECTOMY, MECHANICAL, PARS PLANA APPROACH; WITH REMOVAL OF INTERNAL LIMITING MEMBRANE OF RETINA (EG, FOR REPAIR OF MACULAR HOLE, DIABETIC MACULAR EDEMA), INCLUDES, IF PERFORMED, INTRAOCULAR TAMPONAD",,,3870.33,17457.0,14 RC,360,"VITRECTOMY, MECHANICAL, PARS PLANA APPROACH; WITH REMOVAL OF PRERETINAL CELLULAR MEMBRANE (EG, MACULAR PUCKER)",,,3870.33,17457.0,14 RC,360,"VITRECTOMY, MECHANICAL, PARS PLANA APPROACH; WITH REMOVAL OF SUBRETINAL MEMBRANE (EG, CHOROIDAL NEOVASCULARIZATION), INCLUDES, IF PERFORMED, INTRAOCULAR TAMPONADE (IE, AIR, GAS OR SILICONE OIL) AND LA",,,3870.33,17457.0,14 RC,360,VULVECTOMY SIMPLE; PARTIAL,,,3058.98,10087.0,14 RC,360,"VULVECTOMY, RADICAL, PARTIAL;",,,5219.0,12247.0,3 RC,361,"BIOPSY OR EXCISION OF LYMPH NODE(S); OPEN, INGUINOFEMORAL NODE(S)",,,3684.09,8045.0,13 RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; DIAGNOSTIC, WITH CELL WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,1659.09,4376.0,14 RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH BRONCHIAL ALVEOLAR LAVAGE",,,1659.09,5152.0,14 RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH BRONCHIAL OR ENDOBRONCHIAL BIOPSY(S), SINGLE OR MULTIPLE SITES",,,1659.09,5152.0,14 RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH BRUSHING OR PROTECTED BRUSHINGS",,,1659.09,5152.0,14 RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH COMPUTER-ASSISTED, IMAGE-GUIDED NAVIGATION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE[S])",,,173.0,4311.0,3 RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH DESTRUCTION OF TUMOR OR RELIEF OF STENOSIS BY ANY METHOD OTHER THAN EXCISION (EG, LASER THERAPY, CRYOTHERAPY)",,,3547.15,8045.0,14 RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH ENDOBRONCHIAL ULTRASOUND (EBUS) GUIDED TRANSTRACHEAL AND/OR TRANSBRONCHIAL SAMPLING (EG, ASPIRATION[S]/BIOPSY[IES",,,3547.15,17457.0,14 RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH EXCISION OF TUMOR",,,3547.15,8045.0,14 RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH PLACEMENT OF FIDUCIAL MARKERS, SINGLE OR MULTIPLE",,,5219.0,8045.0,14 RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH REMOVAL OF FOREIGN BODY",,,1659.09,5152.0,14 RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH THERAPEUTIC ASPIRATION OF TRACHEOBRONCHIAL TREE, INITIAL",,,1659.09,4376.0,14 RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH TRANSBRONCHIAL LUNG BIOPSY(S), EACH ADDITIONAL LOBE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,173.0,5152.0,4 RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH TRANSBRONCHIAL LUNG BIOPSY(S), SINGLE LOBE",,,2025.0,5152.0,14 RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH TRANSBRONCHIAL NEEDLE ASPIRATION BIOPSY(S), EACH ADDITIONAL LOBE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY",,,173.0,5152.0,4 RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH TRANSBRONCHIAL NEEDLE ASPIRATION BIOPSY(S), TRACHEA, MAIN STEM AND/OR LOBAR BRONCHUS(I)",,,3547.15,8045.0,14 RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH TRANSENDOSCOPIC ENDOBRONCHIAL ULTRASOUND (EBUS) DURING BRONCHOSCOPIC DIAGNOSTIC OR THERAPEUTIC INTERVENTION(S) FO",,,173.0,5152.0,4 RC,361,CHEMODENERVATION OF ONE EXTREMITY; 1-4 MUSCLE(S),,,666.26,4311.0,13 RC,361,CYSTOURETHROSCOPY (SEPARATE PROCEDURE),,,642.16,4311.0,14 RC,361,"CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; DIAGNOSTIC",,,3318.21,6735.0,14 RC,361,ENDOLUMINAL IMAGING OF CORONARY VESSEL OR GRAFT USING INTRAVASCULAR ULTRASOUND (IVUS) OR OPTICAL COHERENCE TOMOGRAPHY (OCT) DURING DIAGNOSTIC EVALUATION AND/OR THERAPEUTIC INTERVENTION INCLUDING IMAGI,,,173.0,832.0,2 RC,361,"EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)/EXTRACORPOREAL LIFE SUPPORT (ECLS) PROVIDED BY PHYSICIAN; INITIATION, VENO-ARTERIAL",,,2025.0,4681.0,2 RC,361,FETAL NON-STRESS TEST,,,173.0,832.0,12 RC,361,"INJECTION(S), DIAGNOSTIC OR THERAPEUTIC AGENT, PARAVERTEBRAL FACET (ZYGAPOPHYSEAL) JOINT (OR NERVES INNERVATING THAT JOINT) WITH IMAGE GUIDANCE (FLUOROSCOPY OR CT), CERVICAL OR THORACIC; SECOND LEVEL ",,,173.0,4311.0,3 RC,361,"INJECTION(S), DIAGNOSTIC OR THERAPEUTIC AGENT, PARAVERTEBRAL FACET (ZYGAPOPHYSEAL) JOINT (OR NERVES INNERVATING THAT JOINT) WITH IMAGE GUIDANCE (FLUOROSCOPY OR CT), CERVICAL OR THORACIC; THIRD AND ANY",,,173.0,4311.0,3 RC,361,"INJECTION, ANESTHETIC AGENT; SUPERIOR HYPOGASTRIC PLEXUS",,,856.54,5152.0,14 RC,361,"INSERTION, SUBCUTANEOUS CARDIAC RHYTHM MONITOR, INCLUDING PROGRAMMING",,,4311.0,24600.0,13 RC,361,"INTUBATION, ENDOTRACHEAL, EMERGENCY PROCEDURE",,,173.0,4311.0,14 RC,361,"NASAL/SINUS ENDOSCOPY, SURGICAL, WITH MAXILLARY ANTROSTOMY; WITH REMOVAL OF TISSUE FROM MAXILLARY SINUS",,,3788.0,7277.94,14 RC,361,"PLEURAL DRAINAGE, PERCUTANEOUS, WITH INSERTION OF INDWELLING CATHETER; WITHOUT IMAGING GUIDANCE",,,1825.06,4376.0,14 RC,361,"RADIOLOGIC EXAMINATION, ANKLE; COMPLETE, MINIMUM OF 3 VIEWS",,,54.52,92.57,11 RC,361,"SELECTIVE CATHETER PLACEMENT, EACH INTRACRANIAL BRANCH OF THE INTERNAL CAROTID OR VERTEBRAL ARTERIES, UNILATERAL, WITH ANGIOGRAPHY OF THE SELECTED VESSEL CIRCULATION AND ALL ASSOCIATED RADIOLOGICAL SU",,,173.0,4311.0,3 RC,361,"THORACENTESIS, NEEDLE OR CATHETER, ASPIRATION OF THE PLEURAL SPACE; WITHOUT IMAGING GUIDANCE",,,594.81,4311.0,14 RC,361,"THORACIC FASCIAL PLANE BLOCK, UNILATERAL; BY INJECTION(S), INCLUDING IMAGING GUIDANCE, WHEN PERFORMED",,,173.0,4311.0,3 RC,361,"TRANSCATHETER PLACEMENT OF AN INTRAVASCULAR STENT(S), OPEN OR PERCUTANEOUS, INCLUDING RADIOLOGICAL SUPERVISION AND INTERPRETATION AND INCLUDING ANGIOPLASTY WITHIN THE SAME VESSEL, WHEN PERFORMED; INIT",,,6735.0,24600.0,13 RC,361,"UNLISTED PROCEDURE, TRACHEA, BRONCHI",,,173.0,4311.0,13 RC,361,"VENIPUNCTURE, CUTDOWN; AGE 1 OR OVER",,,173.0,4311.0,13 RC,481,ADDITIONAL LINEAR OR FOCAL INTRACARDIAC CATHETER ABLATION OF THE LEFT OR RIGHT ATRIUM FOR TREATMENT OF ATRIAL FIBRILLATION REMAINING AFTER COMPLETION OF PULMONARY VEIN ISOLATION (LIST SEPARATELY IN AD,,,173.0,9423.0,4 RC,481,COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUATION INCLUDING INSERTION AND REPOSITIONING OF MULTIPLE ELECTRODE CATHETERS WITH INDUCTION OR ATTEMPTED INDUCTION OF ARRHYTHMIA; WITH RIGHT ATRIAL PACING AND RECO,,,7300.39,13852.0,14 RC,481,"COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUATION WITH INSERTION AND REPOSITIONING OF MULTIPLE ELECTRODE CATHETERS, INDUCTION OR ATTEMPTED INDUCTION OF AN ARRHYTHMIA WITH RIGHT ATRIAL PACING AND RECORDING A",,,9423.0,39682.0,28 RC,481,"COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUATION WITH RIGHT ATRIAL PACING AND RECORDING, RIGHT VENTRICULAR PACING AND RECORDING, HIS BUNDLE RECORDING, INCLUDING INSERTION AND REPOSITIONING OF MULTIPLE ELEC",,,7300.39,13852.0,14 RC,481,"COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUATION WITH TRANSSEPTAL CATHETERIZATIONS, INSERTION AND REPOSITIONING OF MULTIPLE ELECTRODE CATHETERS, INDUCTION OR ATTEMPTED INDUCTION OF AN ARRHYTHMIA INCLUDING ",,,9423.0,39682.0,14 RC,481,"ELECTROPHYSIOLOGIC EVALUATION OF SINGLE OR DUAL CHAMBER PACING CARDIOVERTER-DEFIBRILLATOR LEADS INCLUDING DEFIBRILLATION THRESHOLD EVALUATION (INDUCTION OF ARRHYTHMIA, EVALUATION OF SENSING AND PACING",,,173.0,12247.0,4 RC,481,"EVALUATION OF CARDIOVASCULAR FUNCTION WITH TILT TABLE EVALUATION, WITH CONTINUOUS ECG MONITORING AND INTERMITTENT BLOOD PRESSURE MONITORING, WITH OR WITHOUT PHARMACOLOGICAL INTERVENTION",,,173.0,9423.0,13 RC,481,"INSERTION, SUBCUTANEOUS CARDIAC RHYTHM MONITOR, INCLUDING PROGRAMMING",,,4311.0,24600.0,14 RC,481,"INTRACARDIAC CATHETER ABLATION OF A DISCRETE MECHANISM OF ARRHYTHMIA WHICH IS DISTINCT FROM THE PRIMARY ABLATED MECHANISM, INCLUDING REPEAT DIAGNOSTIC MANEUVERS, TO TREAT A SPONTANEOUS OR INDUCED ARRH",,,173.0,9423.0,4 RC,481,"INTRACARDIAC CATHETER ABLATION OF ATRIOVENTRICULAR NODE FUNCTION, ATRIOVENTRICULAR CONDUCTION FOR CREATION OF COMPLETE HEART BLOCK, WITH OR WITHOUT TEMPORARY PACEMAKER PLACEMENT",,,7300.39,13852.0,14 RC,481,"INTRACARDIAC ECHOCARDIOGRAPHY DURING THERAPEUTIC/DIAGNOSTIC INTERVENTION, INCLUDING IMAGING SUPERVISION AND INTERPRETATION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,173.0,9423.0,3 RC,481,"PERCUTANEOUS TRANSCATHETER PLACEMENT OF DRUG ELUTING INTRACORONARY STENT(S), WITH CORONARY ANGIOPLASTY WHEN PERFORMED; SINGLE MAJOR CORONARY ARTERY OR BRANCH",,,9503.0,27871.0,14 RC,481,"PERCUTANEOUS TRANSCATHETER PLACEMENT OF DRUG-ELUTING INTRACORONARY STENT(S), WITH CORONARY ANGIOPLASTY WHEN PERFORMED; EACH ADDITIONAL BRANCH OF A MAJOR CORONARY ARTERY (LIST SEPARATELY IN ADDITION TO",,,173.0,27871.0,4 RC,481,"PERCUTANEOUS TRANSLUMINAL CORONARY ATHERECTOMY, WITH DRUG ELUTING INTRACORONARY STENT, WITH CORONARY ANGIOPLASTY WHEN PERFORMED; SINGLE MAJOR CORONARY ARTERY OR BRANCH",,,9503.0,27871.0,14 RC,481,"PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF CHRONIC TOTAL OCCLUSION, CORONARY ARTERY, CORONARY ARTERY BRANCH, OR CORONARY ARTERY BYPASS GRAFT, ANY COMBINATION OF DRUG-ELUTING INTRACORONARY STENT, A",,,9503.0,27871.0,14 RC,481,"PERCUTANEOUS TRANSLUMINAL REVASCULARIZATION OF OR THROUGH CORONARY ARTERY BYPASS GRAFT (INTERNAL MAMMARY, FREE ARTERIAL, VENOUS), ANY COMBINATION OF DRUG-ELUTING INTRACORONARY STENT, ATHERECTOMY AND A",,,173.0,27871.0,17 RC,481,PROGRAMMED STIMULATION AND PACING AFTER INTRAVENOUS DRUG INFUSION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE),,,173.0,9423.0,3 RC,750,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH BRONCHIAL ALVEOLAR LAVAGE",,,1659.09,5152.0,14 RC,750,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH BRONCHIAL OR ENDOBRONCHIAL BIOPSY(S), SINGLE OR MULTIPLE SITES",,,1659.09,5152.0,14 RC,750,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH BRUSHING OR PROTECTED BRUSHINGS",,,1659.09,5152.0,14 RC,750,"COLONOSCOPY THROUGH STOMA; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,877.14,4311.0,14 RC,750,"COLONOSCOPY THROUGH STOMA; WITH BIOPSY, SINGLE OR MULTIPLE",,,1134.38,4311.0,14 RC,750,"COLONOSCOPY THROUGH STOMA; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE",,,1134.38,4311.0,14 RC,750,"COLONOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,877.14,5152.0,14 RC,750,"COLONOSCOPY, FLEXIBLE; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) (INCLUDES PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED)",,,1134.38,8213.0,14 RC,750,"COLONOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE",,,1134.38,5152.0,14 RC,750,"COLONOSCOPY, FLEXIBLE; WITH CONTROL OF BLEEDING, ANY METHOD",,,1134.38,5152.0,14 RC,750,"COLONOSCOPY, FLEXIBLE; WITH DIRECTED SUBMUCOSAL INJECTION(S), ANY SUBSTANCE",,,1134.38,5152.0,14 RC,750,"COLONOSCOPY, FLEXIBLE; WITH ENDOSCOPIC MUCOSAL RESECTION",,,2025.0,8213.0,14 RC,750,"COLONOSCOPY, FLEXIBLE; WITH ENDOSCOPIC ULTRASOUND EXAMINATION LIMITED TO THE RECTUM, SIGMOID, DESCENDING, TRANSVERSE, OR ASCENDING COLON AND CECUM, AND ADJACENT STRUCTURES",,,1134.38,5152.0,14 RC,750,"COLONOSCOPY, FLEXIBLE; WITH REMOVAL OF FOREIGN BODY(S)",,,1134.38,5152.0,14 RC,750,"COLONOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY HOT BIOPSY FORCEPS",,,1134.38,5152.0,14 RC,750,"COLONOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE",,,1134.38,5152.0,14 RC,750,"COLONOSCOPY, FLEXIBLE; WITH TRANSENDOSCOPIC BALLOON DILATION",,,1134.38,5152.0,14 RC,750,"COLONOSCOPY, FLEXIBLE; WITH TRANSENDOSCOPIC ULTRASOUND GUIDED INTRAMURAL OR TRANSMURAL FINE NEEDLE ASPIRATION/BIOPSY(S), INCLUDES ENDOSCOPIC ULTRASOUND EXAMINATION LIMITED TO THE RECTUM, SIGMOID, DESC",,,1134.38,5152.0,14 RC,750,COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK,,,877.14,5152.0,14 RC,750,COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK,,,877.14,5152.0,14 RC,750,"DESTRUCTION BY NEUROLYTIC AGENT, WITH OR WITHOUT RADIOLOGIC MONITORING; CELIAC PLEXUS",,,856.54,5152.0,14 RC,750,"DILATION OF ESOPHAGUS, BY UNGUIDED SOUND OR BOUGIE, SINGLE OR MULTIPLE PASSES",,,902.01,4311.0,14 RC,750,ENDOSCOPIC CANNULATION OF PAPILLA WITH DIRECT VISUALIZATION OF PANCREATIC/COMMON BILE DUCT(S) (LIST SEPARATELY IN ADDITION TO CODE(S) FOR PRIMARY PROCEDURE),,,173.0,17457.0,4 RC,750,"ENDOSCOPIC EVALUATION OF SMALL INTESTINAL POUCH (EG, KOCK POUCH, ILEAL RESERVOIR [S OR J]); DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,877.14,4311.0,14 RC,750,"ENDOSCOPIC EVALUATION OF SMALL INTESTINAL POUCH (EG, KOCK POUCH, ILEAL RESERVOIR [S OR J]); WITH BIOPSY, SINGLE OR MULTIPLE",,,877.14,4311.0,14 RC,750,"ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,3660.29,5754.0,14 RC,750,"ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S), INCLUDING PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED",,,3660.29,17457.0,14 RC,750,"ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH BIOPSY, SINGLE OR MULTIPLE",,,3660.29,5754.0,14 RC,750,"ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH DESTRUCTION OF CALCULI, ANY METHOD (EG, MECHANICAL, ELECTROHYDRAULIC, LITHOTRIPSY)",,,3788.0,6258.49,14 RC,750,"ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH PLACEMENT OF ENDOSCOPIC STENT INTO BILIARY OR PANCREATIC DUCT, INCLUDING PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED, INCL",,,3788.0,17457.0,14 RC,750,"ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH REMOVAL AND EXCHANGE OF STENT(S), BILIARY OR PANCREATIC DUCT, INCLUDING PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED, INCLU",,,3788.0,17457.0,14 RC,750,ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH REMOVAL OF CALCULI/DEBRIS FROM BILIARY/PANCREATIC DUCT(S),,,3660.29,5754.0,14 RC,750,ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH REMOVAL OF FOREIGN BODY(S) OR STENT(S) FROM BILIARY/PANCREATIC DUCT(S),,,1825.06,17457.0,14 RC,750,ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH SPHINCTEROTOMY/PAPILLOTOMY,,,3660.29,5754.0,14 RC,750,"ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH TRANS-ENDOSCOPIC BALLOON DILATION OF BILIARY/PANCREATIC DUCT(S) OR OF AMPULLA (SPHINCTEROPLASTY), INCLUDING SPHINCTEROTOMY, WHEN PERFORMED, ",,,3660.29,17457.0,14 RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,902.01,4311.0,14 RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) (INCLUDES PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED)",,,1825.06,9350.0,14 RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH BAND LIGATION OF ESOPHAGEAL/GASTRIC VARICES",,,1825.06,5152.0,14 RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH BIOPSY, SINGLE OR MULTIPLE",,,902.01,5152.0,14 RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH CONTROL OF BLEEDING, ANY METHOD",,,1825.06,5152.0,14 RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH DILATION OF ESOPHAGUS WITH BALLOON (30 MM DIAMETER OR LARGER) (INCLUDES FLUOROSCOPIC GUIDANCE, WHEN PERFORMED)",,,1825.06,9350.0,14 RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH DILATION OF GASTRIC/DUODENAL STRICTURE(S) (EG, BALLOON, BOUGIE)",,,1825.06,5152.0,14 RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH DIRECTED PLACEMENT OF PERCUTANEOUS GASTROSTOMY TUBE",,,1825.06,5152.0,14 RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH DIRECTED SUBMUCOSAL INJECTION(S), ANY SUBSTANCE",,,902.01,5152.0,14 RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH ENDOSCOPIC MUCOSAL RESECTION",,,1825.06,6735.0,14 RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH ENDOSCOPIC ULTRASOUND EXAMINATION LIMITED TO THE ESOPHAGUS, STOMACH OR DUODENUM, AND ADJACENT STRUCTURES",,,1825.06,5152.0,14 RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH ENDOSCOPIC ULTRASOUND EXAMINATION, INCLUDING THE ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM OR A SURGICALLY ALTERED STOMACH WHERE THE JEJUNUM IS ",,,1825.06,6735.0,14 RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH INSERTION OF GUIDE WIRE FOLLOWED BY PASSAGE OF DILATOR(S) THROUGH ESOPHAGUS OVER GUIDE WIRE",,,902.01,5152.0,14 RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH OPTICAL ENDOMICROSCOPY",,,1825.06,9350.0,14 RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH PLACEMENT OF ENDOSCOPIC STENT (INCLUDES PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED)",,,5219.0,17457.0,14 RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH REMOVAL OF FOREIGN BODY(S)",,,902.01,5152.0,14 RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY HOT BIOPSY FORCEPS",,,1825.06,5152.0,14 RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE",,,1825.06,5152.0,14 RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH TRANSENDOSCOPIC BALLOON DILATION OF ESOPHAGUS (LESS THAN 30 MM DIAMETER)",,,1825.06,5152.0,14 RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH TRANSENDOSCOPIC ULTRASOUND-GUIDED INTRAMURAL OR TRANSMURAL FINE NEEDLE ASPIRATION/BIOPSY(S) (INCLUDES ENDOSCOPIC ULTRASOUND EXAMINATION OF THE ESO",,,1825.06,5152.0,14 RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH TRANSENDOSCOPIC ULTRASOUND-GUIDED INTRAMURAL OR TRANSMURAL FINE NEEDLE ASPIRATION/BIOPSY(S), (INCLUDES ENDOSCOPIC ULTRASOUND EXAMINATION LIMITED T",,,1825.06,5152.0,14 RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH TRANSMURAL DRAINAGE OF PSEUDOCYST (INCLUDES PLACEMENT OF TRANSMURAL DRAINAGE CATHETER[S]/STENT[S], WHEN PERFORMED, AND ENDOSCOPIC ULTRASOUND, WHEN",,,3788.0,6258.49,14 RC,750,"ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,902.01,4311.0,14 RC,750,"ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; WITH BIOPSY, SINGLE OR MULTIPLE",,,1825.06,4311.0,14 RC,750,"ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; WITH INSERTION OF GUIDE WIRE FOLLOWED BY PASSAGE OF DILATOR(S) OVER GUIDE WIRE",,,1825.06,4311.0,14 RC,750,"ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; WITH TRANSENDOSCOPIC ULTRASOUND-GUIDED INTRAMURAL OR TRANSMURAL FINE NEEDLE ASPIRATION/BIOPSY(S)",,,1825.06,5152.0,14 RC,750,"EXCISION OF RECTAL TUMOR, TRANSANAL APPROACH; INCLUDING MUSCULARIS PROPRIA (IE, FULL THICKNESS)",,,2638.41,17457.0,14 RC,750,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 0.5 CM OR LESS",,,990.0,4376.0,14 RC,750,"HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, 2 OR MORE COLUMNS/GROUPS;",,,2638.41,6735.0,14 RC,750,"HEMORRHOIDECTOMY, INTERNAL, BY LIGATION OTHER THAN RUBBER BAND; 2 OR MORE HEMORRHOID COLUMNS/GROUPS, WITHOUT IMAGING GUIDANCE",,,2638.41,5754.0,14 RC,750,"ILEOSCOPY, THROUGH STOMA; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,902.01,4311.0,14 RC,750,"ILEOSCOPY, THROUGH STOMA; WITH BIOPSY, SINGLE OR MULTIPLE",,,902.01,4311.0,14 RC,750,"LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY",,,5613.15,13852.0,14 RC,750,"LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY",,,5613.15,13852.0,14 RC,750,"REPLACEMENT OF GASTROSTOMY TUBE, PERCUTANEOUS, INCLUDES REMOVAL, WHEN PERFORMED, WITHOUT IMAGING OR ENDOSCOPIC GUIDANCE; NOT REQUIRING REVISION OF GASTROSTOMY TRACT",,,173.0,4311.0,14 RC,750,"SIGMOIDOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,877.14,4311.0,14 RC,750,"SIGMOIDOSCOPY, FLEXIBLE; WITH BAND LIGATION(S) (EG, HEMORRHOIDS)",,,1134.38,8213.0,14 RC,750,"SIGMOIDOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE",,,877.14,4311.0,14 RC,750,"SIGMOIDOSCOPY, FLEXIBLE; WITH CONTROL OF BLEEDING, ANY METHOD",,,1134.38,4311.0,14 RC,750,"SIGMOIDOSCOPY, FLEXIBLE; WITH DECOMPRESSION (FOR PATHOLOGIC DISTENTION) (EG, VOLVULUS, MEGACOLON), INCLUDING PLACEMENT OF DECOMPRESSION TUBE, WHEN PERFORMED",,,877.14,4311.0,14 RC,750,"SIGMOIDOSCOPY, FLEXIBLE; WITH DIRECTED SUBMUCOSAL INJECTION(S), ANY SUBSTANCE",,,877.14,4311.0,14 RC,750,"SIGMOIDOSCOPY, FLEXIBLE; WITH ENDOSCOPIC MUCOSAL RESECTION",,,2025.0,8213.0,14 RC,750,"SIGMOIDOSCOPY, FLEXIBLE; WITH ENDOSCOPIC ULTRASOUND EXAMINATION",,,877.14,4311.0,14 RC,750,"SIGMOIDOSCOPY, FLEXIBLE; WITH REMOVAL OF FOREIGN BODY(S)",,,1134.38,4311.0,14 RC,750,"SIGMOIDOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE",,,1134.38,4311.0,14 RC,750,"SIGMOIDOSCOPY, FLEXIBLE; WITH TRANSENDOSCOPIC BALLOON DILATION",,,1134.38,4311.0,14 RC,750,"SIGMOIDOSCOPY, FLEXIBLE; WITH TRANSENDOSCOPIC ULTRASOUND GUIDED INTRAMURAL OR TRANSMURAL FINE NEEDLE ASPIRATION/BIOPSY(S)",,,1134.38,4311.0,14 RC,750,"SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, INCLUDING ILEUM; DIAGNOSTIC, WITH OR WITHOUT COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING (SEPARATE PROCEDURE)",,,1825.06,5152.0,14 RC,750,"SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, INCLUDING ILEUM; WITH CONTROL OF BLEEDING (EG, INJECTION, BIPOLAR CAUTERY, UNIPOLAR CAUTERY, LASER, HEATER PROBE, STAPLER, PL",,,1825.06,5152.0,14 RC,750,"SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILEUM; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDU",,,1825.06,5152.0,14 RC,750,"SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILEUM; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) NOT AMENABLE TO REMOVAL BY HOT BIOPSY FORCEPS, B",,,1825.06,5152.0,14 RC,750,"SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILEUM; WITH BIOPSY, SINGLE OR MULTIPLE",,,1825.06,5152.0,14 RC,750,"SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILEUM; WITH CONTROL OF BLEEDING (EG, INJECTION, BIPOLAR CAUTERY, UNIPOLAR CAUTERY, LASER, HEATER PROBE, STAPLER",,,1825.06,5152.0,14 RC,750,"SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILEUM; WITH REMOVAL OF FOREIGN BODY(S)",,,1825.06,5152.0,14 RC,750,"SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILEUM; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY HOT BIOPSY FORCEPS OR BIPOLAR CAUTERY",,,1825.06,5152.0,14 RC,750,"SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILEUM; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE",,,1825.06,5152.0,14 RC,750,"UNLISTED PROCEDURE, ESOPHAGUS",,,902.01,4311.0,13 RC,750,"UNLISTED PROCEDURE, PANCREAS",,,676.91,2912.0,13 RC,750,"UNLISTED PROCEDURE, SMALL INTESTINE",,,902.01,4311.0,13